515 DAYTON ST.PDF11111111111111
10815
515 DAYTON ST
ADDRESS
TAX ACCOUNT/PARCEL NUMB
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: [] Conditional Waiver F1 Study Required [] Waiver
nhg, qz a 1� I
DISCRETIONARY PERMIT #'S: I IM
I I - .
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: I I & 49(�
SEWER LID FEE $:
LID
SHORT PLAT FILE: LOT:.3?)A,9-9 BLOCK: 12-3
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR: cwhjpm&f� h1c, -ge'l-RC)CE
WATER METER TAP CARD DATED:
OTHER-
LATEMP\DSrs\Fomis\Strcct File Checklist.doc
APPLICATION
for
The City of Edmonds SEDE SEWER PERMT EASEbMNT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
OWNER ....................................................................................... .... ............................ PERAHT No . ......................
... ........ ............. CONTRACTOR ......................................................................
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ADDRES��-IM� M.Ph ....................................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
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NAME OF ADDITION ..............
Approved:
DATE................................................ By ......................................................................
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ADDRESS -
'OWNER -'-
-A
PPROVED-DATTE�
BLDG. OFF11- L:
KEEP TH ES E. STA�APED
PLAN6 6 i'� O�.#:Si,l E FOR
. + ' CXCH 945mV5
ALL IN,: c'[ IONS _60-VIDE �8_�
JSHEET
PERMIT
OF
DA YT oh/ Sr,
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-7-E All Pt E
'p,40,000:0 wo 6W5~*4*4
of.il AjolvIc
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eq EDIM&O 5 W4.
1983
OCT 17 15 7 - /,3
STREET F LF
STREET USE PERMIT APPLICATION
RECEIVED
JUL 2 2 1992
PUBLIC WORY%S'D�'I'
Date Received
Date Issued -7-,,?S- z,
Permit No. 92--
Name of Applicant or Business:AO-34er-,T' c6i
Mai I ing Address: !YS I tnq 4-1- P1_ (1)1, Telephone No:
Address of Public Use:---'S-[,'S-
1. DESCRIBE THE PU�B�IC PL�CE 01 PORTION OF�UBLIC PIT�CE TO BE UTILIZED:
r Tv (,(\D,
I la I IN CAN� Ot If) 04 < (N ,� C
Attach an appropriate plot plan or elevation view.
2. SPECIFY THE TYPE 0 USE DESIRED- (1p
Cow. a I,— +n Ole J (-,: la t, �5 Lrlr-,� -d e �C- C��
�A.r , yk. k e b" 3Q1,1 K'? 6� I&Ib
3. SPECIFY LENGTH OF TIME FOR USE
The issuance of this permit is understood by the applicant to be of a
temporary nature.and that no veste-d right is'granted. -
INDEMNITY, The applicant understands and.,' by..his signature to this
ap�lication, agrees to hold the City of Edm6n"ds harmless from any
injuries, damages or claims of any kind or description whatsoever,
foreseen 6r unforeseen, that may be made against the applicant or the
City of Edmonds, or any of its departments or employees, including but
not limited to the defense or any legal proceedings including defense
costs, court costs, and attorney fees by reason of granting this
permit. In addition the applicant understands that the City shall be
provided a certificate of -insurance to indemnity and hold harmless the
City of Edmonds from all claims and/or property damage, and naming the
City of Edmonds as an additional insured.
CODE APPLICATION:
By sif`g`ning te application below the applicant warrants that s/he has
read or had the opportunity to read Chapter 18 of the Edmonds Community
Development Code, and s/he understands that all.terms of that Ordinance
are incorporated herein as if set forth in full and this application
aA nermit-theriefore are subject to the terms of that Chapter. -
(A VZCJI� ) -�10-
'A�plicaht Signature Date
RECE-1 VED
JUL 2 1 1992
Page 6 of 8 1/89 EDMONDS FIX._D
11
Street Use Permit Application
Page Two
SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS
When applicable; if the street use proposal is for utilization of City
right-of-way that may directly impact any adjacent business or private
property owners, the applicant shall obtain written approval from the
neighbors. (This requirement will be eval-uated by the City after
initial submittal of the permit has been made by the applicant.)
SIGNATURE PRINTED NAME ADDRESS DATE
DO NOT WRITE BELOW THIS LINE FOR CITY USE ONLY
City..Council Approval Date ADB Approval Date
Certificate Of Insurance Posted Bond Required -
SIGNATURES OF PERMIT APPROVAL FOR ISSUANCE
Fire Department _J��V4A_0� Date -7 -2J
Pofice Department Date '7-2--/
Engineering Dept Date- 9Z_
Bu i I d i ng Of f i c i a I Date 71�k ZZ122,,
Public Works
REMARKS/COMMENTS:
Date. 7- -Z q, 77,
PERMIT NO. /_3 DATE OF ISSUANCE
RELEASED RECEIPT NO. /� WbP6_
BUILDING PERMIT NO.
Page 7 of 8
1/89
0
-------------------------------------
1 0 R C
L:
0
i
---------------------- I __N__S_
U__R_ A__N -C:--E -------------------------------------------
ISSUE--DAI-E --- 07/22/92 ---
PRODUCER
1 Steve Summers Insurance
1
:
THIS CERTIFICATE
NO RIGHTS UPON
IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 1
THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, 1
1 PO Box 2BB
BUI LDIN G
:-EXTEND
OR ALTER
THE ' COVERAGE - AFFORDED BY THE POLICIES BELOW -
1 Lake Stevens WA
I
C 0
---------
M P A N I E S A F F 0 V E R A 6 E
1 98258
JUL 3 0 1992
:1--C-0N-P-A-NiY
1
LETTER' A
WEST AMERICAN ------ ku Dift
C-CO-i-PANY
-------------------------------------------------------
LETTER B
------
19
----------------------------------------- 4-14;9
INSURED
'I
COMPANY
----
1 Masters Construction
1
LETTER C
-----
------------------------------------------------------
1 John Erickson
COMPANY
1 4310 104TH Place NE
LETTER D
-------------
Marysville WA 98270
1
COMPANY
--------------------------------------
1
LETTER E
C 0 V E R A 6 E S
1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
BELOW HAVE
BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD:
1 INDICATED, NOTWITHSTANDING ANY
REgUIREMENT, TERM OR
CONDITION OF ANY
CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS i
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
AFFORDED BY
THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
1 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN
- ---------------------------------------------------------------------------------------------------------------------------
REDUCED BY PAID CLAIMS.
7
iCO 1
1
POLICY EFF.
1 POLICY.EXP.1
ILTRII TYPE OF INSURANCE
1 POLICY NUMBER
------- -
--- 1
----- DATE
DATE 1 LIMITS
------------ -------------------
I I GENERAL LIABILITY
I
I
I
7
-----------
; GENERAL AGGREGATE --------- !_$ ---- 5001000-1
1 : I I Commercial General Liability;
1 - PRODUCTS-COMP/OP AGGREGATE _500,922_1
' A 1 [ I Claims Made [XI Occur. 1 50316354
1
06/01/92
1 06/01/93 1 PERSONAL & ADV. INJURY ._500,QPQ_l
1 1 1 Owner's & Contractor's
Prot.!
"ACH OCCURRENCE -------------- 500,Q22_:
1 1 IXI CONTRACTOR LIAB
------
1_FIRE_DAMAGE_(Any_2gE_jire) --- 1_$ ----- 50L292-:
-----------------------------
11
--------------
------------ :-MED.-EXPENSE-(Any_2gg_gg[gQgll_$ 5L9Q2_1
AUTOMOBILE LIABILITY
------------------
......
COMBINED SINGLE
1 1 1 Any Auto
LIMIT
I I All Owned Autos
BODILY INJURY
I I Scheduled Autos
!_(Per_Q?[§29!
1 1 1 Hired Autos
: BODI LY INJURY $
I I Non -Owned Autos
i 1 (Per accident)
-------- -------- --------------
1 1 1 Garage Liability
II
1 PROPERTY DAMAGE $
------------------
EXCESS LIABILITY
-----------------
--------------
------------ : ---------------------------------------------
1 EACH OCCURRENCE
------- --------- --------------
I I UMBRELLA FORM
AGGREGATE $
1 1. 1 1 Other Than Umbrella Form
I I STATUTORY LIMITS
i WORKER'S COMPENSATION
1 EACH ACCIDENT
------- ------- --------------
i AND
i DISEASE -POLICY LIMIT $
11 ' EMPLOYERS' LIABILITY
-----------------
i --------------
------------ 1-DISEASE-EACH EMPLOYEE S I
I OTHER
---------------------------------
-----------------
--------------
-----------
------------ ------------------------------ --------------
i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
C E R T
---------------------
I F I C A T E H 0 L
: CITY OF EDMONDS
1 -BUILDING DIVISION
1 250 5TH AVE.
1 EDMONDS WA 98020
i
---- --------------------------
AC0RD__25—S__(7/_90)__
----------------------------------------------------------------------------------------------
E R C A N C E L L A T 1 0 N --------------
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE i
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 11
MAIL - 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1
i LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 11
------ LIABILITY OF ANY KIND UPON THE COMPANYL-Ilg_6@gyl�_@R-REPRESENTATIVES.--I
AUTHORIZED REPRESENTATIVE
rJU, 2
----------
--------------- --------------------------------------------- J�� - ------------------
------------------------------------------------ (-C-) --A C56-SOR.PORATION -1990--i
,�Gsl+Y�OF EDMONDS..
"*COMMUNITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT
MAK - 4 ISM
k
'Issue* Date
PMRINFFRING . .. . / ., .
GF_1V T
A. 9 Owner: A7 oN />,5 M,4.S&IV I C 7-,=M P L iEB. 1) C_ 1-<,
Name Name- RD
Mailing Adftss Mailing Addres
E 1-')Iq Q N WA 9902 0 VA Ffo 2
City State Zip city State Zip
7'r__M P1_ E —77,? -3F3 3 ........ 7 -1s, - 0 5w
State. License Number Telephone Number
C. 9 Address or Vicinity of Constru I ction; 6-- 01.dr Y 7�O/V 5 r. 5b170ND5
Type of Wor . k to be . Done: -IS Z /) Az- WA /_ K TO CQ R 3 PAVIN On
D. 0 Work in Connection With: El Sub or Plat El Single Family El City Projects
Commercial El Multifa . it El Utility'
E. 0 Pavement Cut: E3 Y )4 N F..0 Size of Cut:,-,_T-0 XS
ATREET HLE
APPLICAKT T6 READ AND SIGN
INDEMNITY: Applicant understands and by his signature to -'this application, Agrees to hold the City of Edmonds'
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen-or unforseen, that may
be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense
of.any.legal proceedings includirig defense.costs, . c 4 r t costs,'And att6rney fees by reason of granting this �permit..
OY
THE CONTRACTOR IS RESPONSIBLE FOR WORK-MANSHI-F4,,A DIIINMATERIALS FOR A PERIOD OF ONE
YEAR FbLLOWING THE -FINAL- INSPECTION AN;01;kCCEP1 ��il T,HE WORK.
Estimated restoration fees will be held until the final street patch is 'C"biripleted by City".'forces, at which.time a debkor credit �will be
processed for issuance to the appli
cant.
• A 24 hour notice is requited for inspection; Please call Engineering: 77.1-3202
• Work is to be inspected, during progress and'.at compl6ti-oh'
• Restoration to be in accordance with. City Code.
• Streetto be -kept clean at all times'.
• Traffic Control to be in accordance with City regulatiA'. -
4 All street -cut ditches muk;be patched with asphalt or City approved materialptior'to end of working day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at, the job site for inspection purposes at all times.
Signature:(F ;at'c:
Owner WContractor
This Permit Must be Posted at the 16b Site For Inspection Purposes
Call l)1AL-A-D*1G V,4&�:I"B innin
pr. o egi g Work
APPROVED BY: PIW TERMIT FEE.:
Z Time Authorized: Void after APR IL-� '__da�. Restoration Fee:
Special Conditions: I LS LgA�Q. E-q-ACX TO Receipt No.:
(2LFA_E% _364i irg- Fund I I I Fee:
x
—M EXI -rJA& Street.Cut Dimensions:
Date
RELEASED BYi INSPE&ED BY Date
0
'NO WORK TO BEGIN PRIORTO PERMIT ISSUANCE
Eng. Div. March 1989
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street Dept-.-,)
ments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
zil'
STREET FILE
November 29, 1983
MEMO TO: John Nordquist
City Councilman
FROM: James E. Adams
City Engineer
SUBJECT: MASONIC LODGE STORM SEWER
I checked the progress on the separation of the storm drainage
from the sanitary sewer at the Masonic Lodge on Wednesday,
November 23, 1983, and the project was not finished.
The project was checked again on Monday, November 28, 19 ' 83, and
it appears that the work is complete and satisfies all City re-
quirements.
JEA/st
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.4 ,..,EDMOND
CITY OF EDMONDS
200 DAYTON ST. - EDMONDS. WASHINGTON 98020 - (206) 771-3202
OFFICE OF THE CITY ENGINEER
May 2, 1983
-Bars i d te FV —rn —it u r e
Edmonds, Wa. 98020
Gentlemen:
HARVE H. HARRISON
MAYOR
STR&er rlt�e
The City of Edmonds is currently experiencing a serious storm
water problem. Our sewage wastewater treatment system is being
overtaxed by large volumes of storm water from roofs, drains,
driveways, and parking lots. If this water is not eliminated from
the system, the sewage treatment plant will require expansion much
sooner than it otherwise would.
I A series of tests were completed, identifying your property
as one of the infiltration sources. This storm water must be
removed from the sanitary sewer system as soon as possible. The
attached drawings indicate several solutions to this problem, one
of which should be applicable to your property.
The City has established this as a top priority project, and
your cooperation is urgently needed. Please contact Dan Smith or
Jerry Hauth at 771-3202 for assistance prior to installation of
your modified system.
Sincerely,
JAMES E. ADAMS, P.E.
City Engineer
DTS/st
Attachments (2)
CC: file
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Dan Smith I 1Dt
This letter sent to the addresses on the attached list.
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FILE COPY
July 31, 1981
MEMO TO: John,Nordquist
Coun6ilmember
VIA: John B. Mitchell
Acting Public Works Director
FROM: Bobb� Mills
Acting Street Superintendent -
SUBJECT: EDMONDS MASONIC TEMPLE SIDE LK REPAIR
On July 30, 1981, John Walvatne of -the Street -Division met
with you at.the following addressess: 515 Dayton Street,,/'
'527 Dayton Street and 529 Dayton Street to go , over the side --
walk repairs needed. You and John Walvatne estimated 180
square.feet for repair., You requested a cost estimate for
the City to make these'repairs. The following charges would
be assessed at:$75.00 for the first 18 square feet, $1 1 ;70 for
each additional square.foot (per revised billing rate for side-
walk repair 5/�5/81).
If you requestithe City to make these repairs, please indicate
by sending a memo to the Director of Public Works indicating so.
The,work would1be scheduled as soon as our schedule permits.
BOBBY R., MILLS
BRM: j ky
7
'JOHN B/ MITCHELL ----SYONDA DT.
0
/ C8TY 09=
omo�vrownr^couow�c=^son�rnwvmm/'�:'v�
DEPARTMENT OF PUBLIC WORKS
`
'
�
nAnvEn.HARRISON
/ .
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�
March lG, 1981
�
S
�
'^` ` �-/- -`,
Dear Resident:
On February 17, 1981/ the Edmonds City Council passed
Resolution 488 for construction, reconstruction and repair
of deteriorated oidewalks. X public hearing will be held
in the Council Chambers at the Civic Center on Apcil 2l/I98l
at 7:30 Pare � invited_ `~'-_--
discusoing � � ''f�-- ' - �
11
abutting y r0perty�� ~Th6'-' in'~'�o��onbmu
need of repair at the expense of the abutting�'propettv
y _
owner is provided by City Ordinance, Chapter 7,20 and. '
Revised Code of Washington, Chapter 3�,68,
The areas needing repair have heon mached'iu paint on �
the sidewalk adjoining your property. Reconstruction/ and �
repair of those sidewalks must be completed o' r before `
September l l98l In the t i ` '
, . even mprovemento ace not '
completed within the above -specified time, the City, `ill`
perform and complete the improvements at the.expense
!of 'the
abutting
abutting property owner.
! ' '
This action is' in response to many citizen requests
and pedestrian falling accidents which have been increasing
in recent years as a result of sidewalk dotac�ocation and
increased pedestrian traffic.
i
Sincerely,
� ! . FR2D F. 8CR%BCRG `
. /
«
' Director of Public Works
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EDMOIMDB CITY C0UPJC-IL
CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775 - 2525
1, November 24, 1983
Mr. Jim Adams
City Engineer
City of Edmonds,
Washington 98020
Dear Jim:
k r- L; t. , v t L;
140V 2 8 1983
ENGINEERING
With all of the festivities on hand
I thought perhaps -a note was in order
to.follow up my request of last tuesday
evening.
The subject was the Masonic Lodge and
as you know the City has required
them to seperate their sewer lines. I
am suspect first of all of what they
have had to pay for the job and secondly
if the'work was done to the satisfaction
of the City. Would you as requested, be
so kind as to see if the work is done,
the City has okayed�it and then feed
this back to me on or about the packet
of December second. I appreciate your
follow up on this request.
Warm regards
;hn rdquist
u
u
ity uncilman elect and before
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