530 BELL ST.PDFIIIIIIIIIIIIII
10242
530 BELL ST
ADDRESS: 2h2 P
TAX ACCOUNT/PARCEL NUMBER: 00 922 4M 7- 1 b I ID 0
BUILDING PERMIT (NEW STRUCTURE): 6t) lo 1�plhmdo)
I /
COVENANTS (RECORDED) FOR:
CRITICAL AREAS DETERMINATION: 0 Conditional Waiver E] Study Required F] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: 4 ID BLOCK: ZI)
SIDE SEWER AS BUILT DATED: —
SIDE SEWER PERMIT(S) #:.
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\Dsrs\Fomis\Street File Checklist.doc
MAY
..................... Distric�5 OL;o
Cilt Edmonds --- Water DeJZ., tment
TAP CARD
.. W2...
. Meter I No .............. ............. Tap I No .............. : ............. I ...............
Size ....... L1.1 ......... Size .....................
Mfgrs. No ..................................... a� .......... Style ..................................
For . ............................................. .....................
-�--Z-17-------� ...... ................
.................. . ...................................................................... v ........................... ... . ..............
.................................................. . ................................................................. -"**-'*" ..........
LotNo ........................................... Blk. No ....................................................
,,Add . . ............................................................... ..... . . ..........................
7-
Ser ce Location ......... ...
............................
................... ................................................................................................ . . . ...........
MeterLQcation ..............................................................................................
. ................................................................................................................. . ..
..... . ..............
MakeTap ................................................................................................................
................................................................................................................. . ...........
Pressure .............................. lbs. Test .................................... %
'Send Bills to ............................ ..................
............................................................
. . .................................................................... . ......................................... . ......... . ..............
Dateof Work ...................................................................................................
...................................................................................................... I ......... Foreman
Quar. Voucher No ............................................ $ ...........................................
'Remarks: ..................................................................................................................
................. ! ................. T .......................................................................................................
............................. I ........ qT ........ . . ..... I ........
........................ ...............
rx� .........................................
.................................................................................................................. . ..............
....................................... I ............................ ......................................................................
.............................................................................
7 ......................................................
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OUTGOING Index .......... Reg ....... Route Bk ......... Stencil ...... Card ........
INCOMING Index ......... Reg ....... Route Bk ......... Stencil ...... Card. .......
Ma 'al,Cha'rgeable to'
Installation'.
"NO.
SIZE
DESCRIPTION
RATE,
AAMOUNT
............
..........
Meter ................................
.............
-;�- /� ..
... .....
...............
..........
Meter Box ..............................
..............
..........
..........
Meter Plate ............................
.........
..............
..........
Check Valve ..........................
..............
..............
.............
. . .......
.............. I
.........
Pipe, Galv. Screw ..................
..............
.....................
.........
I- I ...... ......
..........
Nipples ....................................
........
.
..........
...............
..........
Bushings ..................................
..
...............
..........
Plain Ells ..................... *** .. .....
!
..............
...............
..........
St. Ells ....................................
....
.......... . ...
1 7 ............
..............
..............
...............
...............
...............
.............. I
..........
..........
.........
..........
..........
..........
..........
..........
Tees .........................................
................................... 7 ..................
.....................................................
........... 1 .........................................
......................................................
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...................................................... I
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.............. 11
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..... I .....
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Material Chargeable to Taps Connected
NO.
I SIZE
DESCRIPTION
RATE
AMOUNT
..........
..........
Pipe, Black Screw ..................
..............
.............
.. ......
...
..........
Pipe, Galv. Screw ..................
...............
7
..........
...... I ......
..........
Lead Connections .. ................
..............
.............
........... .
.........
...............
..........
Curb Cocks ............................
..............
............
.........
..............
...........
Corp. Cocks ...........................
..............
.............
.........
..............
..........
Unions ....................................
......... ....
.............
..........
..............
..........
Saddles ................................ ...
..............
........... .
.........
..............
.........
NinvIes ....................................
...............
............
.........
...............
.........
Bushings ..................................
..............
............
..........
...............
..........
Plain Ells ............... *'"* ......
..............
..........
Street Ells ........................... ...
.............
.............
..........
......
..........
Tees ..........................................
..............
......... . .
..........
..............
..........
.. . G urb Boxes .... ...........
......
....... — ....
..........
S. 0. Extensions ....................
..............
............
....
..............
..........
Gates .......................................
..............
............
...........
..............
..........
Plugs ........................................
.............
............
..........
... .............
...........
Couplings ...............................
..............
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.........
....... I .......
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Gate Boxes ............................
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I ..........
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....................................................................................
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. ........
. ........
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...........................................................
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Hours Time —Day Men ........
..............
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. .......
. ........
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Hours Time —Monthly Men ..
...............
....... . ...
............
::
............ .
..........
Hours Time —Auto ............ ...
..........
.........
Superintendence ......................
..............
........
. .......
...............
.......... .
Total .............. ...
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....... . .
N_
z".
4
APKJCATIr & BUILDMG PERM AppL No. .
J 'ii
WY OF EDMONDS BeUding Departmew Pertnit'liraii. -one year
I APPUCATION is hereby made for a pe-mit to comsruct the following work, in tNe'.acoom,
panying plans and specifications. Two sets are submitted herewith for approval.
f
new-4`�alter Of -St..
re
Work addn pair ................. ......... ... ......... Parking
Occupancy .......... It/ ............... Copst. 'type ......... �7171:6,Use zon LLS�: Fire
Addrcss..,�.O ... . ... Blk� ............. Addn— .... 7 . .....
Lot frontage ....... ............................... A-maL2-K-�11 .. . ............ Septic tank ... ....... .
Bldg. aetb&cks front ............ C? .......... r. 1. side ........................ .. .
Y`
Jo a.
Owner Address. ... . ......... ... .......... Tel. Nb:.�p
t C e Zil A- W:�,
.................................... ... Tel.- No ......... . *.'��` �1_ 1,
Builder .......... ..................... 1Ad(III091. .. . ........................ ..... ...........
Plansby ........... ..................................................... Address ............................ ....................... Tel. No
Remarks ................. 5-.U,..4V:tA &.74. ... . ........ ................ ..... . .... . .........
3P
............ ..................... . ......... ......
........... . ....................................................................
-The above is a. correct]7tatet, and I agree to comply with all applicable Codes axid State laws �nj
work. W.
7 ................................ . ate: —..-
Signed Owner/Agen D
PERMff for the above work is hereby approved, subject to: the above ooriditions, and to 0 lian6e'with the a
p—, p,
proied'plans and specifications, and Buildirig Deputmentriotations.thereon. V
-:0 k'4
_'Reod. by..
Valuation ............... .......... Permit
Building Deputment,. By ... ....... ................... .... .............. . Date
1,7
�V
bi
NOTE This Penile does not .ove� plumbhag� iewer, or clectrkal,installatiovis- nor does it Peiinft,�kU&rk�
'done in the'Aighi. of Way w-eas. DriVCWdy$ and walkwlvs'�nust be pWrned io ?n'cq the.-O*fficidl�'- F
anJ:alleys, and Plans for futuie sidewalk development.
_S�
a
7,,X,
V
R
1� . .. . ..
OWNER ....... . ...... -1 ... . . . . .f ... dme� ... .... - ...
HOUSE No . .................. �-s.o .......... . e.&& . ......................
CARD No . .........
EASEMENTNo . ........................... ... . ....... -
...................... ........ CONTRACTOR .... ...... ... .. AeJP� ..... ....... ....... ........... .................. PERMIT No.
STREET
............................ AVENUE LOT No . ............... ............................ ... ......... I ............ I ..... BLOCK No . ....... ........................ .............
NAMEADD ..................... . ...... ........... - - ..... I ......... I ......... ....... .............. .... ..... ...................................... I ............. .... .. ........ I.
I p
P A 14D
Date Approved:
1962
BACKFILL WORK ORDER ISSUED ............. .............................. DEPOSIT, s ... MAY
DATEA. . ..... ];;iool . .... .... ............... BY)s�
SEWER WORK ORDER ISSUED - ........ .................. .................
40 vow,
November 12, 1982
City of Edmonds ,
Engineering Department
200, Dayton, Street
Edmonds, Washington
Attention: Mr, James Adams
Dear Mr. Adams:
The office of Pugetview Properties, Inc. is located at 530 Bell Street,
Edmonds., Washington in an area. zoned Community Business. The October
1982 parking revision, Ordinance No. 2324 has�resulted in compounding
the parking problem on Bell Street between 5th and 6th Avenues North.,
with the removal of the 3, hour pai�king limit. We feel that this change
is a detriment to our business in that customer parking in front of or
close to our office is now virtually non-exiAdht.
It is our recommendation that since the Zdkn'g, Community Business, on
Bell Street between 5th And 6th Avenues Xok� is the same as the Zoning
between Sunset Avenue and Yourth".Avinue�-Ro'Ah --that, the 3 hour parking
limit be reinstated on Bell Street between 5th'and 6th Avenues North.
;Co4rdl1y,,,
Aobert W. Swerk
PugetView Properties., Inc.
530 Bell St.
Edmonds, Wash.
STREET FILE
0*607
City of Edmonds Permit NO: 44 -7
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date: ql,24710A.
A. Address or Vicinit
B. Type of Work (be
C.
Cohtact:
Mailing Address: Phone*
State License #: 4e,
7C�01) AJ PSE- 69 6� Liability Insurance: Bond: $
D. Building Permit # (if applicabii�)j(:;���-� 7�6� Side Sewer Permit # (if applicable):
E. n Commercial El Subdivision F1' CityProject F] EUC (PUD, VERIZON, PSE, AT& T, OVWD)
XMulti -Family El Single Family E] Other
INSPECTOR: kr—'a,
F. PAVEMENT CUT: YES NO
. CONCRETE CUT: NYES El NO
G. SIZE OF CUT X.
0
INDEMNITY. Applicant understands by his/her signature to this application -helshe holds the City of Edmondsl'�harmless from
injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that� may be made against the City of
Edmonds or any of its departments or employeqs, including but not limited to the defense of Yny-legal proceedings including defense
costs and attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR. WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT 97LL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the
required training in their possession.
;r All street'cut trench work shall be patched w ith asphalt or City-
Restoration,is to be in accordance with City cod6s..
approved material. prior to the end of the workday -NO EXCEPTIONS.
Three sets of construction drawings of proposid work are required with the permit application.
�CALL DIAL-�A-DIG (1-800-424-5555).PRI(jk'-TO-BEGJ INNING WORK
I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE,
THATIM THE PINK F THE PERMIT A VAILABLEDN SITE A TALL TIMES FOR.INSPECTIONS.
US99� C79
%
ature: Date:
V FOR CITY Ugt�ONLY- "k'70 +t>9
Approved by:ALZ- Right-of-way Fee:
Time Authorized: Void After.. isruption Fee/Fuftd Ill:
Special Conditions: 4AL.-Rx1,AtA.,., Restoratiola Fee:
1'0t� oArAwep Total FeeR4,11Tt
Rece t No:
ip
Issued by:
UPON COMPLETION OF PERMITTED WORK9 AN ENGINEERING FINAL
INSPECTION IS REQUIRE ' D PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE (Phopf,425-771-0220, Ext. 1326)
FINAL APPROVAL OF PERMITTED WORK. DATE:
Inspector's Signature,
For insDection rea'uirements see Enaineerine Ins D*'ection Information handout.
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