620 DALEY ST.PDF11111111111111
10746
620 DALEY ST
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver F1 Study Required E] Waiver
DISCRETIONARY PERMIT #'S:-A-
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: 71
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LATEMP\DS'Ps\Fonns\Street File Checklist.doc
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CITY OF EDMONDS
FOR INSPECTION CALL
00BLIC WORKS DEPAR9&T Permit
717/5V2V25' Ext. 22,'0' Issue Date z
11DE SEWER -PERMIT /Z
771-,4?n?
F
PEP -MIT MUST BE POSTED ON JOB SITE
M-,�3WAWAW gEDM;ONDS
l.. Address df Construction _)2A&-(1 S7-
TRF-4TMEP4:f ptA
2. Property Legal Description (include alI easements)
3. Family Residence Multi -Family No. of Units
Commercial
4. Owner a nd/or Builder A6Aj1?1"e50,(j /,&Sdtj (fe)
5. Contractor & License No. 'Z C>1 - PC-A),e1jj_243_ 10M
6. Invasion into City Right -of -Way : No Yes V (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWT,.NG AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must be laid at a minimum grade, of 2% (1.15 0
and maximum grade of 100% (45 0 ). 0
� f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system. I
h. Pea gravel is required for bedding when installing sewer 1�"s
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit e
and at minimum intervals of 100' along sewer 'line run. 94
I j. Trenches within City right-of-way must be restored to orig 1
conditions. Contractors shall be responsible for right-of-way fai e
due to poor compaction of fill.
k. Side sewer.must be left uncovered until inspected and apprn--d
by the City. 71
1. Inspection during normal working hours only. Two (2) workZHU,
M
days notice required.
DATE: /Q 17-7 / 9 3 , �//P. )Lco
I certify that I have read
, 01
and shall co ly With the above
t�p
PERMIT FEE: -,(AAZA
CONNECTION FEE:
DISAPPROVED BY: Date:
By
._�.Date:
APPROVED' Date:/jj.g.p3
T BE POSTED ON JOB SITE
M
The City of Edmonds Side Sewer Drawing EASEMENT NO . ......... ------- ....................
NEW CONSTRUCTION REPAIRS LID NO. -- .............. ASMT. NO - ------------------
OWNER --- HE.14CRICA<SON ------- W.1 A -SON -... CO ------------- -
JOB ADDRESS --G-10 ------- DALE�f ----- 157--REEM
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-Bo.ia-AK-L,lJt,A ---- // ------------------------------------------ PERMIT NO. 7076
CONTRACTOR
LEGAL DESCRIPTION: LOT NO - --------------------------- .......... BLOCK NO - --------- ZDMQND-S----.
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CITYIzOF EDMONDS 6-� 7?rEE
*BLIC WORKS DEPARTMEI�? T
RIGHT - OF - WAY CONSTRUCTION PERMIT
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ddress of Vicinity of &nstruction
620 Dalev
0 Owner: Unnrikson and Wilson
Narffuite 201, 1110 N. 175tb
Mailing Address
Seattle, Wash 98133
City, . State, Zip Code
(Vto IWN0. — -9, c4 — i 12,.
Issue Date
1� iqRA
0 Permit Issued To:
0 Type of Work be Po�e: Oa e- Oca, V1
a Y' e—OL. d�r1\10-LA)CA!A
Work in Connection With: i
0 Sub or Plat El Single Family
El Comml. / Ind. 'K Apt. Condo.
0 Pavement Cut: El Yes K No
Contractor: . Olds Olympic Inc.
Name
P.O.Box 180 223-01 OLDSO 317 BO
Mailing Address State License Number
Lynnwood. Wash 980 6 W70 Q104
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City, State, Zip Code Tefe��on-ettu76er
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE.
B. APPLICANT TO 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, foreseen or unforeseen, 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 including defense costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and.materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering.
Call 775-2525, extension*". .9,-5
I understand that this permit must be available at the te for inspection purposes at all times.
I
Signature: Date /h
Owner or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR I SPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized: Voj4 after S-3 C2 clagy,
Special Conditions- -For Inseec OP)
/7i��t- Jore-D WOrA j� eom
Ammendme ri�s: &IA& pr1or to o0w Vin
17-11'.41ko '4A'I P " - - - - !
e
Permit Fee: 4io
Security Deposit:
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
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Proporly of
CITY OF EDMONDS ONDS
N2 04168
NEW
ADDITION
M RETIREMENT
-0 A *T INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
-6,q
SERIAL NO.
LOCATION DEPT. NO.
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER W,3 Z�� 12.6'
PROJECT COMPLETION DATE 121-31-6-3
COST qol. c8-
B.A.R.S. ACCOUNT NO. ilet- aoc, - 0 3 ce's-- 6c, - 40
ESTIMATED LIFE �!,>
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
STREET FILE
%lcDlcicr-1 nv
LA DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
PROCESSE-D
BATCH NO.
INITIAL
it�np
DEPARTMENT FILE
0-0
C
Memo to Architectural Design Board
Page_3 - January 27, 1983
ADB-4-83 HARBOR SQUARE
ADB-5-83
Review of site, elevations and landcaping for retail/office
proposal for building #1 at 190 West Dayton. (CG)
The circulation system/parking lot layout appears to meet the
code and is therefore, acceptable.
The one-way circular route will need to be clearly',5igned to
avoid confusion.
OLSON'S LEASING
Review of site, elevations, landscaping and signs r retail
shops and minor modifications to prior ADB approvioat
22828 100th Avenue West. (BN) I
No further comment at this time.
ADB-10-83 /—BOB=YOUN_GD
Site, elevations & landscaping review of -four le at 620
I Daley St.
Engineering does not object'to this proposal. A approved - -
development/utilities plan is requi red prior to I ssuance of
building permit. 'I
F/WV4'I"'
r DS/mt
CITY OF EDMONDS
APPLICATION
to the
ARCHITECTURAL DESIGN BOARD
DATE
SITE PLAN
.BUILDING PLANS (3): ELEVATIONS
LANDSCAPE PLAN
ENVIRONMENTAL'DATA RECEIPT #
SIGN EXHIBITS FEE RECPT'#
PLAN MODIFICATIONS TO FILE NUMBER:
HEARING DATE
OWNER/REPRESENTATIVE Ile N P-t y- -:;q t,4 Et \N i L-:�� PHONESJ-�Z - 7441
ADDRESS 100 N. 11!i+'� --zs-T ZIP CODE '78/3-S
ARCHITECT /DESIGNER '(OU�467 PHONE 54-2 - -3192
PROPERTY ADDRESS ZONING /� M —/, 5-
LEGAL DESCRIPTION
PLANS SUBMITTED FOR APPROVAL:
1. Building Plans - Preliminary
Site Plan
9
Final V/
v/ Landscape Plan kl/ Elevations V
2. Sign Elevations Site Plan Landscape Plan,
3. Modification of previous approval
EXISTING USE OF PROPERTY_ (�,ALU
DESCRIPTION OF PROPOSAL
APPROXIMATE DATE WORK WILL BEGIN ON PROJECT MA �P— -'�q +-
ESTIMATED TIME FOR COMPLETION OF WORK mo's'
RELEASE/HOLD HARMLESS AGREEMENT: The undersigned applicant, his heirs and assigns, in
consideration for the City processing the application agrees to release, indemnify, defend and
hold the City of Edmonds harmless from any and all damages and/or claims for damages,
including reasonable attorneys; fees, arising from any action or inaction of the City whenever
such action or inaction is based in whole or in part upon false, misleading or incomplete
information furnished by the applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY: The undersigned applicant grants his, her or its per-
mission for public officials and the staff of the City of Edmonds to enter the subject
property for the purpose of inspection and posting attendant to this application.
I
Signature of Applicant)
Date ....... z..!?:-.—?Z:Z
No/'5 No .........................................
Meter ....... Tap
..................... Size ................ . ...........
Oe ... .......
Mfgrs. Style .... Rz.AL�'
......... ..... .. .. ........ . ....... . ... . . . ........
For .40 ......... ... . .
...........
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............ . .......................... . . . .........
..... .. . ....... . w_ ........... . .. . .. . ..........
................... ............ ............................
LotNo ........................................... Blk. No .................................... . ..............
Add. ..................................................................................................... . ....................
.Service Location ..................................................................... -.1 ......... .........
................................... I ............................................... ........................
.c - Y1::7'e 0.�:l .......... E, . . ...........
Meter Location ... 0 .... 7 ........... . ...... ............
A
Ma6lap................................................. ; ................................................... . ........
....................................................................................... .......................... .... . ..........
Pressure.............................. lbs. Test ..................................
SendBills to .......................... . ........................................... . ....... . .... ! ........... . .....
............................................
�q. - ---- --- ----------- --
Dateof Work .............................. . ..... . ... . .................
Foreman
Guar. Voucher No ........................................... $ ................... i .............. .....
.......................................
Remarks: ..... . ....
. .... . . . ............ .
...................................................................................... . ................ . .......
.............................................. . ....... . ....... . .......... . ..
...............................
..................................................................... I ............................................ . ....... . ..............
........................................................................................................................................
OUTGOING Index ......... Reg ....... Route Bk ......... Stencil ..... Car&._
INCOMING Index .......... Reg ...... Aoute Bk ......... Stencil ...... Card. ... ...
ROUTING SLIP
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DATE- -4'7_e_3
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STORM SEWER
OTHER
SERVICE.INSTL:-
YES .
EFUTURE
ORE: CUT:
SURCHARGE:
YES NO
LOCK
CREW
DATE: INITIAL:
UNLOCK
DATE: ///j4/?31NITIAL:
METER SHOP
ACCOUNT NUMBER: -5'— //
SUPPLIER:,,5'F- -
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TREATMENT PLANT
SIDE -SEWER PERMIT
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INITIAL: DATE:
TAP CARD
METER
SIAPPLICATION/
UTILITY
DISPATCH
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