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627 DAYTON ST.PDF11111111111111 10833 627 DAYTON ST 0 0 ADDRESS: TAX ACCOUNT/PARCEL NUMBER:01L��4ZD�105t66 BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: E] Conditional Waiver F] Study Required n Waiver DISCRETIONARY PERMIT #'S:fiO6, CAA. �4, III ri I 4D - So I C.)U, ?Z,a V'2Z'&(2 DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS(OTHER): lab&4'zz) Zqs1'-'aZL1-6(Rd) '" V PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT:3—�2efSl BLOCK: C1 t SIDE SEWER AS BUILT DATED: S -7 J� Z SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: LATEMP\DSrs\Fomis\Street File Checklist.cloc .1. 1 1 1 Address of PERMIT. NO: 9946, City of Edmonds' SIDE SEWER PERMIT: PERMIT EXPIRES All Property Tax Account ParcelN6. 6bY Attach copies of all access and utility easements Verified and Approved by Owner and/or Contractor: Contractor License #: SPC--c i PVRI 9 13 -7 Building Permit. #C&dll:; "O;�K E] Single Family invasion into City *Right -of Way: 0, Yes No Multi -Family (No. of Units *RW Construction Permit # 0"Commercial (No. of Units Cross . other **Priv'it"e Property: El Yes No. Public, **Attach legal description and. copy of recorded easement. Owner'or- n-ntr&tor sign ture and acknowledgement statement: By signing for this permit� certify that I have read the City's public handout entitled Awke-ide Sewer Specifications, and shall comply with all City requirements outlined therein. /9 / LZI/a Date 2' CALL DIAL -A -DIG (1_800-41A'r�555) BEFORE ANY EXCAVATION-2 FOR INSPECTION CALL,'425-771-0220 extension 24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REOUESTS NOTE: IF JOB SITEAS NOT READY FOR INSPECTION WHEN INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED. job Site Ready YES -NO Date: Initial: Partial Inspection: Date: Initial: Partial Inspection: bate: Initial: FINAL INSPECTION APPROVED: Date: Z!�13 Initial: J& As -built to Street File: PERMIT MUST BE POST ED ON JOB SITE White Copy: File Green Copy: Inspector Buff Copy: Applicant' L;temp;bldg;forms-,ssperinitjlg4/00 NOTICE- NO WARRANTY OF ACCURACY The Information shown on the o"".3, i':; cnn!oyees attached map was comPfled to,- use by this City of Edm , o a-= 7:'Y f ano consultants. The City of Edmonds does not warrant tho 0 anyihing set forth on the map. Any person or entity requ.,';!T�J c PY shcu�d Conduct an independent Inquiry regarding the infoirm ation shv."ri 0,1 an -jer stub the map, includIng, but not limited to, the location of y sm co shm. nay not e)dst and may or m.-Iy nct eyjQt at J1 i. Such sociev stubs may or i 1 her the City of Edmonds nor its ernploy,,es cr the location shown, Neit this map, nor for any or-,J officers shall be liable for the information giv en on representation provided based upon said map CD i 0 X tj tj F- M M 0 X M :r- z M X U1 M 3> F'0 W V) CD I --i CD FU tzi L. Cil td t:J < ;Q V) U1 C-1 M F-4 lid E--] n tj W z :> t=j W 0:C M CA M F— M M C4 M M M 0 z 70 < M I. M 1> F9 Frl Z, tj M CIO z -0 P M X �,D ,,D G" C/) DURBIN DR. b,1 P_ ylaIR'l 15 �Pb DA Y6 CITY OF EDMONDS 18 9 0 1 91) 1z, . 6 - Address of Construction: �;z 7 ,/ Property Legal Description (Include all easements): SIDE SEWER PERMIT PERMIT N2 8882 PA IA� EomoNj)s T I Owner and/or Contractor: State License No 11 Single Family El Multi -Family (No. of Units )� Commercial 0 Public AUG1 9 a. . *1 PURI IC 1A10,Ru(%VQ nr-, Building Permit No Invasion into City Right -of -Way: No El Yes RW Construction Permit No. Cross other Private Property X No El Yes Attach legal description and copy of recorded easement N I certify that 1 -have read ��rall comply with all city requirements as indicated on the bagk of the Permit Card. Date CALL DIAL -A -DIG (1-800-424-5555). BEFORE -A NY EXCAVATION OFFICE USE ONLY FOR INSPECTION CALL 7r "-M, PUBLIC WORKS DEPT. e� 0. 09 77/-OA,35- Permit Fee: Issued By Trunk Charge: Date Issued: :3 Assessment Fee: Receipt No Lid No.: Partial Inspection: Date- Initial Comments Reason Rejected: Date Initial Final Inspection Approved: DaJ4�-�3 InitialA PERMIT MUST BE POSTED ON JOB SITE White Copy: File Green Copy; inspector Buff Copy: Applicant Fle�ised 3,190 The City of Edmonds Side Sewer Drawing EASEMENT NO . ............. .............................. NEW CONSTRUCTION E] REPAIRS 4t— LID NO . .................. . ASMT. NO . .................. OWNER............................................................ 7 ................................... CONTRACTOR .................................................................................... PERMIT NO. JOB ADDRESS ..... GA.7--.-.D.A-Y.T.0!V ..... ST ............................. LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... .... .. .... .. ... ... ... .... ... --- ---- EDMOII�DS -l-TffEATWi'MT"PLANT NAMEOF ADDITION .......................................... ............... I .............................................................. - - M TIV IA 7�� -T �F r. U PWW-0001 -11/75 (REV. 11/78) 10 zz Lr) e" -r, I . 1 �K- Approved: cl 7 .......... DATE........................... ............. By .......... ....................................... APPLICATION for The City of,Edmonds SIDE SEWER PERNaT NEW CONSTRUCTION REPAIRS 0 EASEMENT No . .......................................... 0 s- OWNER..... ..... 4Uqz%aL .... ..................... CONTRACTOR .................................................................................................. PERMIT No . ...................... ADDRESS ..... ...... -------------------------------------- LEGAL DESCRIPTION: LOT No . .............................................. BL40CK No . ............................................ NAME OF ADDITION 1ppLrl*. DATE................................................ By ...................................................................... CITY OF EDMONDS 250 51h AVE. N. EDMONDS, WASHINGTON 98020 (206) 771- 3202 COMMUNITY SERVICES LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR March 24, 1988 Ron Walker Walker Pacific International 627 Dayton Street Edmonds, Washing , ton 98020 RE: Permit #860763 Add Office Space Prior to final approval of your project the following item must be brought into conformance with the code: 1. Provide handrails on the new exterior stairs. Please contact the building division within 15 working days to schedule for the required City inspection. Thank you, Jeannine L. Graf Permit Coordinator PUBLIC WORKS PLANNING PARKS AND RECREATION ENGINEERING HARVE H. HARRISON C 0 T Y 0 F E 0 M 0 N E"- MAYOR 200 DAYTON ST. EDMONDS, WASHINGTON 98020 (1206) /75-2525 DEPARTMENT OF PUBLIC WORKS March 16, 1981 STREET FILE Dear Resident: On February 17, 1981, the Edmonds City Council passed Resolution 488 for construction, reconstruction and repair of deteriorated sidewalks. A public hearing will be held in the Council Chambers at the' -Civic Center . on April 21,1981 at 7:30 P.m. You are invited to attend this hearing f,o.r discussing repair of �por'tio f, e,-*, ns .:o t,"e'r'ioEa­' -d' te y.,'s-1'de%46-11k,. E f sid6waj��n abutting you"'t'pr''operty. b 0 need of reoair at the expense of the abutting property owner is provided by City Ordinance, Chapter 7.20 znd.­ Revised Code of Washington, Chapter 35.68. The areas needing repair have been marked in paint on the sidewalk adjoining your prOT)erty. Reconstruction! -and repair of these sidewalks must be completed on or before September 1, 1981. In the event improvements are not completed within the above specified tirne, the City w1ill.i. perform and complete the impr'ovcments at'. the expense'of the 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 deterioration and increased pedestrian traffic. Sincerely, PRED F. HERZBERG Director of'Public Works Z U 0 U W CQ 0 Z 0 LU V) �D CITY OF EDMONDS PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY CONSTRUCTION PERMIT A. *Address or vicin . t of Construc i NKg_7W_1 Y'7 Owner: Name & c cF-t e- Mailing Address 6 �,? D4 Y 70 -V city, Zip Code A-3 1 1-2 en el - Contractor: 0 4 �e C_ Name /tr 0 Mailing Address Z_ 1, /�, r, ev 0 0 ey /-V a city, " State, Zip Code Wit -No. 09-/5/9 Issue Date cr- ls_e2p 0 Permit Issued To: TypeofWorktobeDone: 4,5g24,aLT Atz/ Work in Connection With: 0 Sub or Plat El Single Family K Comml. / Ind. El Apt. Condo. 9 Pavement Cut: 0 Yes 0 No 0 L- - P .5 - 0 1-7 State License Number -7-7 9 62. Telephone Number * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * B. APPLICANT TO READ AND SIGN INDEMITY: 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, of any of it's 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 220. I understand that this I Signature: must be availaWe at^ job J 6,t�� inspection purposes at all times. :7 Date THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: 4Z Z(�21r� Time Authorized: Vold after ZO —days Special Conditions: Ammendments: Permit Fee: Security Deposit: Receipt No.: 7_ Fund I I I Fee: Street Cut Dimensions X * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 z U 0 U 0 0 CITY OF EDMONDS Aw PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY CONSTRUCTION PERMIT A. *Address or vicinity of Construction 627 Davton - Edmonds 0 Owner: General Telephone Company of t NameNort[iwes,t, Inc. 3831-204th Street S-W, Mailing Address ,Lynnwood, Washington 980-36 City, S ta te, Zip Code Contractor: Same Name No. Issue Date 0 Permit Issued To: General Telephone Compa e Type of Work to be Done: Cable entry for new commercial business office. Work in Connection With: 0 Sub or Plat El Single Family E?5 Comml. / Ind. 11 Apt. Condo. e Pavement Cut: El Yes El No #210-283679 (c602) z "T"EET FILE n Mailing Address State License Number 7 1-8637 City, State, Zip Code Telephone Number NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE B. APPLICANT TO READ AND SIGN INDEMITY: 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 it's 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 220. I understand that this permi ust be avaiAllablethe job so*e for inspection purposes at all times. 1 �14 a ;Zg Signatur Da e 0Vner 9�Agent THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: J _..� Time A� rized: Vold after —days Special Conditions: Ammendments: Permit Fee: — Security Deposit: Receipt No.: — Fund 11IFee: - Street Cut Dimensions � X * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 _'k, 00 HARVE H. HARRISON CITY OF EDME)NDS MAYOR CIVIC CENTER - EDMONDS, WASHINGTON 98020 (206) 775-2525 DP-PARTMFNT OF PUBLIC WORKS January 23, 1978 Mr. Roy Baker �Baker's --Fune - ral--Rome- -- - Post office Box 519 S Edmonds, Washington 98020 FILli Dear Mr. Baker: In reference to our letter of September 30 1975, a follow-up inspection was made of your premises on January 20, 1978, by Mr. Kukuk,-Crass-Connection Control Specialist for the City of Edmonds. During t . his inspect - i - on , , problem areas were noted and the necessary corrections are as follows: 1. Main Service Line: To prevent backflow into the City's potable water supply, a reduced pressure backflow prevention device shall be installed. This device shall be installed before the service line branches to serve other areas within the building. 2. Kitchen -type Sink in Embalming Room: This r,equires the installation of an atmospheric vacuum breaker to prevent back siphonage into the supply lines within your premises. .Attached'please find'(a) an excerpt from.the "Accepted Procedure and Practice in Cross Connection Manual", which will indicate pro- per installation procedure. Also attached is (b) the September, 1977, copy of the "Approved Cross Connection Control Devices" ac- cepted by the State of Washington, Department of Social and Health Services and the City of Edmonds, and (c) a copy of the City of Edmonds Ordinance #1711, requiring the installation of backflow prevention devices. Mr. Kukuk will be making 1978, which we feel gives you corrections. If there are any please contact the Water/Sewer a final inspection on February 20, sufficient time to make the necessary .questions concerning these corrections, Division at 775-2525, extension 226. KKK: j ac Attachments e,r." (_,N z� W. Leadman Dt. t Yours very truly, SIGNED LEIF R. LARSON, P.E. Director of Public Works c2w 1/9, ?) /I � Adir ge�. / 'Dt. Mr. Roy Baker Baker's Funeral Home 627 Bayt"rstr F, C> - a gg Edmonds, Washington 98020 Dear Mr. Baker: On September 23, 1975, Mr. Ken Kukuk,,a Cross -Connection Specialist for the City of Edmonds, conducted a cross -connection control inspection of your facility. During this inspection,. problem areas were noted and the necessary corrections are as follows: 1. Main service line: To prevent backflow into the City's potable water supply, a reduced pressure backflow prevention device shall be installed. This device shall be installed before the service line branches to serve other.areas within the building. 2. Kitchen -type sink in Embalming Room: This requires the instal- lation of an atmospheric vacuum breaker to prevent back siphonage into the supply lines within your premise. stallation and use of an electro-aspirator with a built-in. ealp gap is required in the embalming room to prevent back ,siphonage into the potable water supply within your premise. Attached please f ind (a) an excerpt from the "Accepted Procedure and Practice in Cross -Connection �.Ianual," which will indicate proper instal- lation procedure. Also attached is (b) the September, 1975, copy of the "Approved Cross -Connection Control Devices" accepted by the State of Washington, Department of Social and Health Services and the City of Edmonds,. and (c) a copy of the City of Edmonds Ordinance 91711, requiring the installation of backflow prevention devices. Mr. Kukuk will be making a final inspection on which ,we feel'gives you sufficient time to make the necessary plumbing corrections. I . fthere are any questions concerning these corrections, please contact the Water/Sewer Department at 775-2S2S, extension 226. Sincerely, jal KKK: t Atta&hments �-StGN FD J. HERJ3 G I LBO Director i!/ CITY of EDMONDS 200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525 Department of Public Works 1012- "'Mr. Roy Baker Baker's Funeral Home 627 Dayton Street Edmonds,, Washington 98020 Dear Mr. Baker: September 30, 197S STREET FILE On September 23, 1975, Mr. Ken Kukuk, a Cross -Connection Specialist for the City of Edmonds, conducted a cross -connection control inspection of your facility. During this inspection, problem areas were noted and the necessary corrections are as follows: 1. Main service line: To prevent backflow into the City's potable water supply, a reduced pressure backflow prevention device shall be installed. This device shall be installed before the service line branches to serve other areas within the building. 2. Kitchen -type sink in Embalming Room: This requires the instal- lation of an atmospheric vacuum breaker to prevent back siphonage into the supply lines within your premise. 3. The installation and use of an electro-aspirator with a built-in air gap is required in the embalming room to prevent back siphonage into the potable water supply within your premise. Attached please find (a) an excerpt from the I 'Accepted Procedure and Practice in Cross -Connection Manual," which will indicate proper instal- lation procedure.. Also attached is (b) the September, 1975, copy of the "Approved Cross -Connection Control Devices" accepted by the State of Washington, Department of Social and Health Services and the City of Edmonds, and (c) a copy of the City of Edmonds Ordinance #1711, requiring the installation of backflow prevention devices. Mr. Kukuk will be making'a final inspection on November 4, 1975, which we feel gives you sufficient time to make the necessary plumbing corrections. If there are any questions concerning these corrections, please contact the Water/Sewer Department at 775-2525, extension 226. KKK: j t Attachments Sincerely, spikirr) J. HERB GILBO Director AL I YPICAL INST* LATION. OF REDUCED PRESSURE PRINCIPLE DEVICE IN BUILDING MINIMUM CLEARANCE -' 12"+ NOMINAL DIAMETER OF DEVICE- ADEQUATE ROOM FOR MAINTENANCE AND TESTING WILL VARY WITH SIZE OF DEVICE ,-*'-APPROVED,.,,,,, AIR G P-2 DIA,,,�INIMUM D DR IN�� <-*�� , R IN .9n - . I I I I . .1 . .1 I I . I � _� ._.� � _� I - _. - � I . . - I . . � - , I , � - � . . . I . .. . : , , I . . I . � . ­ .. -------- lm� . , I , � � - 7 � ': , . I �- I .. . � . . . � � I I I . . I � . . : . . . I - . . 11 . I .1 , - :.. . - � � I . . . . - . - "..., .­.-_�l . I . . I I .. �.. � - . : . . .. I . . � . . . I . . . �� . I . - % ..�: . ­ � . 1� . . . . � . . . . . I I . . . . CONDITIONAL PERMIT . - . I , , � " .. I... . . I ., t . . . . .. ­1 I -_ I I - . . � , ': . ,77- 1 t � . - I I . . ; - . . 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