522 DAYTON ST.PDF11111111111111
10816
522 DAYTON ST
. 0
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR: XZ
- KQ ZI '6
CRITICAL AREAS DETERMINATION: E]Conditional Waiver 0 Study Required X Waiver
(I l') , -)I �-n
DISCRETIONARY PERMIT #'S:cUarm, R-j-cu �cjp
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: To BLOCK: 12,1
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LATEMPOS'PsTomis\Street File Checklist.doc
NO.
Critical Areas. Checklist.'
Site Information (soils/topography/hydrology/yeget4tion)
1. Site Address/Location: -C,2,,O
2. Property Tax Account Number: 41,-4 Z4 2
3. Approximate Site Size (acres or square feet): !Rt
4. Is this site currently developed? -yes; — no.
NOV 2 8 1994
If yes; how is site developed? F" evil
_j DEPT..
5. Describe the general site topography. Check all that -apply.
Flat:' less than'5-feet elevation change over entire site'.
X Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15 %:and less than 30% ( a ve-T&M rise
of 10-feet over a horizontal distance of 33 to 66-feet). -
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Ot her (please des cribe):
6. Site contains areas of year-round standing water: Alo
Approx. Depth:
7. Site contains areas of seasonal standing water: A1*0' Approx. Depth:
What season(s) of the year?
8. Site is in the floodw4y floodplain /It/J of a water course.
9. Site contains ageek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? &L-2 (What time of year?
10. Site is primarily: forested meadow'.— s-hr'u'. bs -,;'mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: I-)c)
__�.For City Staff Use Only
Site is Zoned?.
�2. SCS mapped soil.type(s)?
3. Wedand inventory or C.A. map* indicates wetland present on siteT
:4. Critical .-Areas m*ventory or C.A. map -indicates Critical Area on site?
5. -Site within d6sigriated earth subsidence landslide hazard area?
6.' - Site designated.on the Environmentally Sensitive Areas Mae. "o
DETERMINATION
YREQUIRED CONDMONAL.:—WAIVE
WAIVER.-.
-Reviewed by:
Planner ate T
D
RCV OW2".1
A__
`4-Wigo-,
890 -194
,....4citylof"Edm6fids
_�Icriti_cal Areas
n,
3, k s R,
511 C�
t- :7 1v i -mqqA
Checklist-,
The Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit '
Application for the City of Edmonds prior
to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable
City staff to determine whether any
potential Critical Areas are or may be -
present on the 'subject property. Th I e
information needed to complete the
Checklist should be easily available from
observations of the site or data available at
City Hall (Critical Areas inventories, maps,
or soil surveys).
. .., . . . ...- . . 1 1. '. . . � . - I - - , r , 1' �
An applicant, or his/her representative,
must fill out the checklist, sign and date it,.
and submit it to the City. The City will
review the checklist, make a precursory site
visit, and make a determination of the
subsequent steps necessary to complete a
development permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City stiff can find
and identify the subject parcel(s). In
addition, the applicant shaU include
other pertinent information 16.g; s ite
plan, topography map, etc.) or studies in
conjunction with this Checklist to assist
staff in completing their kelimmary
assessment of the site.!;
.0 i
I have completed the attached Critical Area Checklist and attest that the answers R oy:
p 1#
factual, to the best of my kn6wl6dge (fill'o'u"t the' , K-o"'pri-ate,co'l-umn be*l
'app ......
Owner Applicant: ...Applicant Representative:'
ckr"\-/
Name
Street Address
E�d VY\ 0 A_ C�
City, State, ZIP Phone
Signature
Date
Name
1r2 3 Y:-( ewe- 15": O:z
Street Address
—7 1 C/3
City, State. ZIP Phone
.!§'ignature Date
The City of Edmonds Side Sewer Drawing EASEMENT NO - -------------------------------------------
102-03100
NEW CONSTRUCTION F� REPAIRS
LID NO - -------------- --- ASMT. NO - ------------------
OWNER .... WAIT ... J.-.—PHILLIPS
. ............... I .................................................
CONTRACTOR --------------------------- --------------------------------------------------------
PERMIT NO . ....................
JOB ADDRESS ------ 522 ... DAYTON ... S. T F E JET --------------------------------
LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
44
j
DYE TESTED ON SET%TER
Approved:
PWW-0001-11/75 (REV.11/78) DATE I ................... ........................ By ............................................................
STREET F1
1
11 PVC
5'
1 '4/"
E
5 /4"
3"
CLEAN OUT (C/O C1
45' BEND
22*
BEN
NOTICE: NO WARRANTY OF ACCURACY. The information shown on the attached map was compiled for use by the City of Edmonds,
its employees and consultants. The City of Edmonds does not warrant the accuracy of anything set forth on the map. Any person or
entity requesting a copy should conduct an independent inquiry regarding the information shown on the map, including, but not limited to,
the location of any sewer stub shown. Such sewer stubs may or may not exist and may or may not exist at the location shown. Neither
the City of Edmonds nor its employees or officers shall be liable for the informabon given on this map, nor for any oral representation
provided based upon said map.
0 E.D* CITY OF EDMONDS SIDE SEWER AS- BUILT
01-
<::> ADDRESS: PERMIT
522 DAYTON NO. ENG 20070435
CONTRACTOR: HOMEOWNER: S ALE:
RESCUE ROOTER I STOVEL I NTS
-&t. 1890 DATEINSPECTED: INSPECTED BY: DATE DRAWN: DRAWN BY:
8/28/07 1 J.ZULAUF 1 6/25/08 B. SHIU
07
C, C�-�
STREET FILE
AGREE�IENT AND COVENANTS CONSTITUTING A
CONTRACT REZONE
THIS AGREE.1-1ENT is made this date between J. WARD
PHILLIPS, as his separate estate, hereafter referred to as
"Owner", and the CITY OF EDMONDS, WASHINrTON, hereafter
referred to as."City".
WHEREAS, the Owner is owner of certain property
located in the City of Edmonds and.more particularly des.cribed
as set forth herein, and
WHEREAS, Owner has applied. -for a change in the
zoning classification of the property from.Multiplle-Familv,
High -Density (R-�Lli) to Community Business (BIC.) , arid
WHIEREEAS, the City has caused the application in
its entirety to be reviewed by its.Planning and Engineering
Departments and its Planning Commission and has fully consi-
dered their reco=--nendat-ion made after such review and the
recommendations which the City finds to be appropriate are
set forth herein, and
WHERFA'S, the Owner is willing to implement the.
following conditions in the course of.the proposed development
and has tendered -Lais contract to 'the City, now, therefore,
IN CONSIDERATION of the City reclassifying the
property described herein from P14H to BC, and for so long as
the property remains so classified, owner covenants and
agrees as follows:
VOL J706 ?!GE tOOG
810416 022-�-
4F
1. Owner is owner of that certain T)arcel of real
property hereafter referred to as "subject property",
situate in the.City of Edmonds, Washington and legally
described as Lots.7 and 8 of Block 121, Plat of the
City of Edmonds, according to the P�lat-thereof recorded
in Volume 2 of Plats, pages 38 and 39, Records of the
Auditor of Snohomish County, Washin1gton.
2. Notwithstanding any other provisiori of the Edmonds City
Code, as now or may hereafter be ame'n'ded or recodified,
the Owner agrees to limit the use of the above described
property to retail sales, business and/or professional
office space and/or residential.
3. All uses shall be conducted wiL-hin the two story
structure existing on the property on the effective
date of this agreement. Should the Owner construct any
other building or structure on the property, or add to
ture or building shall
the existing structure the strucL_
meet the bulk and dimensional requirements, including
building setbacks, of the highest density multi -family
zone existing in the City at the time of application
for Dermission to construct.
4. If compatible with the public health, safety and
general welfare, the City will cause the necessary
ordinance -to be enacted to!rezone thesubject property
from RMH to BC.
5. Amendments to this agreement may be made by the -Owner oi� _.
the City upon application filed in the same manner as
a rezone application; provided, however, no application
VC,L J--JO&PA04007
, (,) -4 _`
."416 0/22 9
U� _1 U 6W t 2-
shall be Vae by the Owner or the Citfto amend this
agreement for a period of two (2) years from the date
of this agreement. Thereafter, either the owner or
the City may, upon application filed in the same manner
.as a rezone application, apply to amend or terminate
the provisions and covenants of this agreement or to
change the zoning on the subject property or any por-
tion thereof. Said application to change or terminate
this agreement or to rezone the subject property shall
be heard in the normal manner.at appropriate public
hearings as any other application for a rezone of
property in the City of Edmonds.
6. The Cit shall be under no obligation to Jssue to
Y L
Owner or his successors or assians building permits,
occupancy permits, use permits or other permits or
approvals for improvements on or use.of the subject
property unless such improvements or uses lie within
the terms of this agreement and the applicable City
ordinances at the time of any application for such
permit or approval.
7. This agreement, and each part of it, shall be considered
a covenant running with the land covered hereby and
shall be binding upon.the Owner, his successors and
assigns, and the City. This agreement shall be recorded
i
with the Snohomish County Auditor in the Grantor/Grantee
Index, with the Owner being listed at Grantor -and the
City as Grantee. All costs of such recordation shall
be paid by Owner. Such recordation and payment of
P7 - -
VOL ii Ub'_ P400E OJOS
3-
costs shall be a condition precedent to the Owner
exercising ahy rights under the terms of this agreement.
8. The terms o.f this agreement may be specifically en-
forced by the City. If either party brings suit to
-his-agreemept, the
enforce any of the provisions of t
prevailing party shall be awarded reasonable attorney's
fees and litigation costs in such amounts as are set by
t court.
DATED this
22n d day of December, 1980.
U-)
U-)
LLJ
65
OWNER
L-:
WARD'Ph-ILLIPS'
. 0 p, iL t
TE191E/t�U.THENT I CATE D:
f C Z. cir 1,JC-P1RK!;1R"P-N11 VARNEY MORAN
CA,
CP -PF '44 -SHINGTON
A
0 ss.
-��iNTYI OF
CITY OF EDMONDS
MAYOR, H. H. HARRISON
on this day
personally appeared before me J. WARD
PHILLIPS ' to me known
to be the individual described in and
who executed the within
and foregoing instrument, and ac-
knowledged that he signed
the same as his free and voluntary
act and deed.for the
uses and purposes therein mentioned.
........ GIVEN under
'F. ji 9 8 0 .
f "0:
-T�
my hand and icial seal this
- N 0 T-1
.U.
fr t" -
.4,
NOTARY Puttf,112 in an for the
Q)
2
i n�
State f W ington, residing
at
-610416 0228
-4-
VOL
STATE OF WASHINGTON
ss.
COUNTY OF SNOHOMISH
On this day 1980, before me, the
undersigned, a Notary Public in and for the State of Washing-
-t6n,.,duly commissioned and sworn, personally appeared H. H.
HARRISON and IRENE VARNEY MORAN, to me known to be the Mayor
and City Clerk of the CITY OF EDMONDS, Washington, the
municipal corporation that executed the foregoing instrument,
and acknowledged the said -instrument to be the free and
voluntary act and deed of said municipal corporation, for
the uses and purposes therein mentioned, and on oath stated
that.they were authorized to execute said instrument and *
that the seal affixed is the official seal of said municipal
corpor.ation.
WITNESS my hand and official seal hereto affixed
,,,,,trAe,,dAy and year first above wri-tten.
150TA-RY PUBLIC in and for the
0 State
pf Washington residing
at
1, L I
5
810416 0228
-5-
V 13 ;_ J'j" 0 -0 r- A G A 010
CITY0'f EDMONDS,
Civic Center - Edmonds, Washington 98020 Telephone (206) 775-2525
Office of the City Engineer
July 12, 1974
Mr. J. Ward Phillips 4%%
522 Dayton Street
Edmonds, Washingtonl� 98020
SUBJECT: Right of Way Invasion Permit
Dear Mr. Phillips:
Relative to restoration and final release of the
subject permit, please find enclosed a check in the amount
of $ 215.25 from Pacific Northwest Bell made payable to
Shorecrest Concrete Contractors.
Please acknowledge receipt of the check and forward
to this office at your convenience. Thanks for your
cooperation in completing the concrete sidewalk...
Yours v e ry—
'LIE I F LARSON
Ci ty. E;gineer
WJN:LRL:kc
Enclosure
To 11 NMI
Ell EW.11
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20070435
SIDE SEWER PERMIT (1-Single Family)
Pen -nit Number: ENG20070435 Expiration Date: 10/28/2007
Job Address: 522 DAYTON ST, EDMONDS
AMERICAN RESIDENTIAL SERVICES
8001 S222ND
KENT, WA 98032
AMERICAN RESIDENTIAL SERVICES
8001 S222ND
KENT, WA 98032
253-872-6644
LICENSE #: RESCUR*007Q7 EXP: 1/1/2008
Y
N
JOB DESCRIPTION
JREPAIR P N PROPOSE TO REUSE LATERAL LIDNUMBER.
CRfNDER PUM N I PROPOSE TO REUSE SIDE SEWER
SIDESEWERREPAIR
•
•
EASEMENTINFORiNIATION
I PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
IAIDEMAVTY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessftom injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
afforneyfees by reason ofgranting this permit.
CALL DLAIA-DIG (1-800-424-5555) BEFOREANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
TH IS APPLICATION IS NOT A PERNUTUNTIL SIGNED BY ITiE CITY ENGINEER OR HISMERDEPUTY: AND FEES ARE PAID. AND RECEIPT IS ACKNOWLEDGED IN
SPACEPROVIDED.
BY
DA:
Tuesday. Aueust 28. 2007
E] FILECOPY �LINSPECTOR COPY 0 APPLICANT COPY
STATUS: ISSUED
ENG20070435
• Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and other requirements.
• A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
• Maintain 10'separation between the sanitary side sewer and the water service line.
I INS PECTIONS
0 E-Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPEC71ON DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
City of Edmonds
Plumbing/Mechanical/Tank/Demolish
Permit Application Form
Site Address: S!Z(A �AZ-XA�
Suite#:
Business/Tenant Name (if applicable):
u,,,,'PROPERTY'OWN0:-
Mailing Address:— SS2:
City:
Phone: (_)
070tl,-�6--
Parcel M I
FAX: (
�E-Mail:
D
14C. IS91)
Ak7R,-- 7;
CONTRACTOR:
Mailing Address:— State: Zio:
City: —L1J:L1--- I
Phone: (2,�3 ) 222=L�L� FAX: (—) E-Mail: 501
State License . Number:A—��ft�IQI Exp: Date: City of. Edmonds' License No:
-W%% -- � �, I- T--r I , I, I
Fixture Type MECHANICAL Fixtures
Gas Fur e/Fireplace:
BTUs Location
r ctv
Gas logs/direct ve eplace
s cation
BTUs cation
-
Total
— PLUMBING
Fixture Type Fixtures Total
Water closet
Sink
Lavatory
h wer
Tub/Shower
r TU tion
Air Handier —BTU tion
sher
Dishwasher
tHose
Bib
Gas water heater w/expansion tank
—BTUs _Location
• Electric
• Other
Boile�s—BT!Lls Location
Hydronic Heating
Vents, Single Duct #
Expansion Tank
r Drain
or Drain
Other
P �re ed�un �valve
Press ducti . on valve
s�
Wa s! ct!o ft
Water Servill ne ft
ter Servi ne
Gas Piping ft
# of Outlets
Other:
7—�%
Gas Outlets
o AC Unit c3 Fur
Tank gallons
ci Fill Material
0 Water Heater c Boiler
• Dryer o Stove/Range'
C3 Pump, Rinse & Cap
0 Removal .
• Fireplace a BBQ
Other Gas Outlet
Critical Area Chklst
d S o Waiver
•
L:\TEMP\BUILDING\WEBchecklists\MECH.PLUMB.APP.doc 8/�1/06 I