1041 5TH AVE S (3)041 5TH AVE S
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
OUTSIDE ❑ INSIDE ❑ REPAIRS ❑
CARDNo . ...........................
EASEMENT No . ................................
OWNER ...................d�%V%................................................................ CONTRACTOR ...............L7 /7 /;/II(•.'.............................................................. � \...
................... .. PERMIT No.._/%
�S'i� L1✓e STREET
HOUSE No .....................
r.}
........5...............�.................�%.�..................................---...... AVENUE LOT No.............................................................................. BLOCK No.............................................................
NAMEADD...................................................................................................................................................................................
/ o eZ/ - s,o/ 6�,,
, j
g„
�``- ol
-'.
Date
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $.
SEWER WORK ORDER ISSUED ................................................
VD'
AppROVED
Approved:
.......................... DATE........ ......k-
........ YT--�....................-..,..._......
.........
Inc. 189v
j04/ SHue Sok/�
STREET FILE
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 - 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0215 • FAX (425) 775-7721
FIRE DEPARTMENT
January 25, 1999
r
Ms. Joyce Ward
Dorchester Homeowner's Condominium Association ..l
1041 5' Avenue S. #26
Edmonds, WA 98020
References: 1) 1997 Uniform Fire Code Section 1203
2) 1997 Uniform Fire Code 103.4.3
Subject: Dorchester Condominiums 1041 5' Avenue South
Dear Ms. Ward:
As discussed today, you are required to remove. all planter containers and baskets. from
the second floor path of egress at subject property which cause obstruction to the clear
width of egress. Means of egress shall not be obstructed in any manner and shall
remain free of any material or matter where its presence would obstruct or render the
means of egress hazardous. Compliance is required by reference 2).
Ms. Lirette has been provided with a similar notice for personal items causing obstruction.
A fire inspector from the Edmonds Fire Department will make a reinspection at the
Dorchester Condominiums on February 5 to determine if the necessary corrections have
been made. If the necessary corrections have not been completed by 5:00 p.m. on that
date, a citation will be issued. This would require an appearance. by you in court.
This letter is written as a courtesy to you in order to avoid future litigation.
Respectfully,
John J. Westfall
Fire Marshal
• Incorporated August 11, 1890 • .
Sister Cities International - Hekinan, Japan
DEC-15-05 05:14 PM
JAW .
425 771 6616
P.05
APPROVED
BY P N14NIr,
--o
DEC-15-0� 05:15 PM JAW 425 771 6616 P.94
42 a G E
0012aOS�
L�-iUN
,�- 42, K GUid �
DEC-15-03 03:14 PM JAW
425 771 6616
P_02
Jennifer Larsen
23726 102 P1. W.
Edmonds, WA 98020
THE DORCHESTER
1041 Fifth Avenue South
Edmonds, WA 98020
December 9, 2003
The Dorchester Board, meeting December 9, approved the addition of whoelchhl • acce"
for the first floor units, as outlined in the sketch attecbed to your December l fax to Steve
Link.
Our stipulations:
1. Tho work be done at no cost to the Dorchester,
2. A more detailed plan be presented to tho board before any coustructloo.
3. lie work be coordivated with Steve Link of Roanoke Management, property
managers for the Dorchester.
For the Dorchester Board,
Sherrill Carlson, Secretary
i
DEC-15-05 05:14 PM JAW . . . .
425 771 6616
P. 01
(/ ��iezce- �z5-77�
mac-
rz �e✓
Cum —
ow
* ****+******** -COMM. JOURNAL- * *++a- ***r* x***+ DATE DEC-15-2003 ***** TIME 15:46 *** P.01
MODE = MEMORY TRANSMISSION
FILE NO.= 193
STN NO. CON RBBR NO. STATION NRME/TEL.NO
001 OK s 94257716616
START=DEC-15 15:44 END=DEC-15 15:46
PAGES DURATION
0041004 00:01'22"
- WWkWW -
i
F E
City of Edmunds
Devet ment Services De ent
oP petVn
Bullding-Engineering-Planning
121 a Avenue North •2nd Floor
A Edmonds, WA 98020
hoc, 18O
Phone:425.771.0220 Fax:425.771.0221
XCOVER PAGE
From:,v-
To:_ �..
Data Transmttted: IR-eciplent'sFaxNo: Z7 - - No, of Pages:
(Including oover pap .)
If there are any problems during transmission or documents are received Incomplete please
call 425. 771.0220 and ask for:
L:TompljenaMom-mMSFAX
/ a
C Y OF ED s SIDE SEWER PERMIT
�890 �9�o PERMIT 1\`0 369 1
Address of Construction: d y�� � `"` S 10QkC 514E3s72--X C U,2aS
Property Legal Description (Include all easements):
EDM ODDS
EIVED
MAY 1 7 1995
PUBLIC WORKS DEP7
Owner and/or Contractor:�'�S
State License No. 14 c 'Es_.k1 �a �'t'c Building Permit No.
❑ Single Family
Multi -Family (No. of Units �6 )
❑ Commercial
❑ Public
Invasion into City Right -of -Way:.. No ❑ Yes
RW Construction Permit No.
Cross other Private Property: EX No ❑ Yes
Attach legal description and copy of recorded easement
I certify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
/7-5J—
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
Permit F
Trunk C
Assessn
Lid No.:
OFFICE USE ONLY
* FOR INSPECTION CALL 771-, PUBLIC WORKS DEPT. *
Issued By
Date Issued:
Receipt No.: Z 9 7 V 7
Partial Inspection: Date Initial.
Comments
Reason Rejected: Date Initial
Final Inspection Approved: Date___ . _S'_Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Bull Copy: Applicant
Revised 3!90
n
The City of Edmonds
OWNER..................................................
JOB ADDRESS l ...........�-• .. G'.
Side Sewer Drawing
NEW CONSTRUCTION ❑
EASEMENTNO- --------------------------------------------
REPAIRS LID NO . .................. . ASMT. NO...................
CONTRACTOR.....................................................................•--............ PERMIT NO.
LEGAL DESCRIPTION: LOT NO. .— .................................. BLOCK NO. ....................................
...................................................................................•----....------....---.....------....------------.....-• -- •-----...............
NAMEOF ADDITION--------------------------------------------------------------------•----------•---------•------•---•--------••-------
�TN-
Approved:
DATE
f
... BY .-••.-•.-.-••..-.--•
CITY o - DMONDS BUSINESS LICENSE APPLICATION
1 0
Civic CenEdmonds, Washington 98020 DATE 6 3 LICENSE NC
City Clerk Phone 775 2525
=c�,; =F;c:;:_c;c G TYPE OF BUSINESS ANNUAL FI
__ -- CLASS YEAR LIC. EFFEC. DATE REASG. LIC. NO. SPEC. ❑ (A) HOME OCCUPATION $ 15.00
7��
BUSINESSWITH$20.00
ECEIPT NO. DATE PAID 1 TO 3 EMPLOYEES ��� NRINSPEC. BOX ❑ (C) BUSINESSWITH $22.00
FOR ISSUE OF4 TO 9 EMPLOYEES
—01 E4-J FEE PAID PENALT PAID CORRECTED BUSINESS WITH 10I LICENSE WITH ❑ (D) $75.00
I OR MORE EMPLOYEES
LC' ACTION.
`C_ 1 ❑ NEW APPLICATION
0 RENEWAL
❑ CHANGE
(PLEASE MAKE ANY NECESSARY CHANGES) ❑ DELETE
NAME OF FIRM BUSINESS PHONE NO. OF EMF
xl,-1)0h.cH EsTEk nPr�� s r�—i711
MAILING ADDRESS NATURE OF BUSINESS E
PO B X 8 APART'IENT
EDMONDS WA 98020 APR
BUSINESS ADDRESS -- INDIVIDUAL PARTNERSFMONLI
can �.�flcv �(S) �(P)
�-, T-+-f-tfdC1041 Fifth Ave. South
OWNERS NAME HOME ADDRESS ;)00 4ALNU T ST
PAYNE b! EDI"'0N1)S WA
HOME PHONE DATE OF BIRTH PLACE OF BIRTH SOCIAL SEC
0/00/00 —
EMERGENCY NOTIFICATION (1) NAME 8 TELEPHONE P AY I1 ~ — 77 3— b 06 5
(PLEASE LIST TWO) (2) NAME 8 TELEPHONE P n Y �I C " — 7 76— 4 r 4 4
i - c
WASHINGTON STATE TAX NO. — — APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVP
SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTh
~Y ` PLANNING DEPARTMENT
''-_- APPROVE ❑ DISAPPROVE DATE 3 I LAND USE CODE ZONII
SIGNATURE
CONDITIONAL USE PER
j777COMMENTS
BUILDING DEPARTMENT
& -APPROVE ❑ DISAPPROVE DATE C �} - l i - 83 Building ❑ Hotel/Mo
SIGNATURE jZeeY+✓S Permit ❑ Apt. BldS
❑ Office BI
Occupancy ❑ Restaura.
COMMENTS: Group ❑ Hosp/Nul
CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS) 1 ❑ School
I
;._,,�.:_: FIRE DEPARTMENT DATE — 3 U.F.I.R.
APPROVE ❑ DISAPPROVE
SIGNATURE L&j f
=`�=?` •�,� COMMENTS:
is "
POV61E DEPARTMENT
APPROVE ❑ DISAPPROVE DATE SIGNATURE
COMMENTS:
# PUBLIC WORKS DEPARTMENT
❑ APPROVE ❑ DISAPPROVE DATE 5 t2 SIGNATURE
COMMENTS:
`....._,.. __....---...w . PLEASE RETURN TO CITY CLERK
RETURN REPORT TO:
Re oRDEO 6-22.W
EDM. w'rR. -DePT
e BACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT
OVER-ALL ENT[RPRI#E§
Cali 0mial and Resideft 91*0rtmme
':IRM
�pTzG i-1 ES-rE.2 FILE NO
1041 S-r*k
N
ZIP J NO. —/l l( f4
PARTY CONTACTED jU«6c, REDUCED PRESSURE BACKFLOW DEVICE ❑
DOUBLE CHECK VALVE ASSEMBLY
MAKE OF DEVICE DEL SERIAL NO. SIZE
DATE INSTALLED / METER NO.
LINE PRESSURE PSI PRESSURE DROP ACROSS FIRST CHECK VALVE PSI
- - A
LOCATION OF DEVICE QAQ aR
DIFFERENTIAL
TEST
CHECK VALVE NO. 1
CHECK VALVE NO. 2
PRESSURE RELIEF VALVE'
BEFORE
REP" "'S
LEAKED
❑
LEAKED
❑
OPENED AT PS
CLOSED TIGHT'
`,'
CLOSED TIGHT
IiEDUCEO PRESSURE
PART CLEAN'
REPLACE
PART CLEAN
REPLACE
PART CLEAN REPLACE
NEW
❑
❑
_El
❑
El
❑
❑
❑
❑ ❑
PARTS
AND
❑
❑
❑
0
❑ ❑
REPAIRS
❑
El
El
❑
El ❑
REMARKS:
TEST
AFTER
CLOSED TIGHT
❑
CLOSED TIGHT
❑
OPENED AT PSI
REDUCED PRESSURE
REPAIRS
REOUIRED ONLY ON REDUCED PRESSURE BACKFLOW DEVICE
TESTED BY 9S v ATE —
REPAIRED BY
DATE
FINAL TEST BY DATE
TESTER'S WASHINGTON STATE CERTIFICATION NO
T 05A5
i
WA-reR SeAvtcE
.. w 6 Drawing
The City of Edmdsc t ayr., i FILE EASEMENT NO- ------------------------------------------_
NEW CONSTRUCTION ❑ REPAIRS ® LID NO- ------------------ -ASMT. NO. -----.------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR------------------------------------------------------- ---------------------------- PERMIT NO. ....................
JOB ADDRESS .... 1.0.4-I--------- 5-T-K---So-�--------------------------------- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO. ----.....---------------------------.
NORTH
--------------------------------------------------------------------------------- --------------------------------------------------------------------------------
NAMEOF ADDITION-----------------------------------------------------------------------------------------------------------------------
5TN P.,/E.. So.
Approved: �9
PWW-0001-11/75 (REV.11/78) DATE.......�G� /'.Q.At................... By ALAN...�1NSae.9..-----..........1.-
"A Good Customer is Worthy of Every Consideration"
i=
WESTERN UTILITIES-3UPPLV CO. V
Waterworks & Sewerage Supplies
5409 OHIO AVE. SO. E. 4000 BOONE
P.O. BOX 3524 2304 112TH ST. E P.O. BOX 11437
SEATTLE, WA 98124 TACOMA, WA 98445 SPOKANE, WA 99211
(206) 762.7025 (206) 531-1144 (509) 535-1396
C> CC_ S�;oG
cor;
`7
� �.r'- J�11
RL (v
TOLL SEATTLE SROKANE
FREE 1-800-562-1065 1-800-772-6004 1-800-572-0531
i
v F
�s _. SHEET 2 OF 5 SHEETS T
D-OR-CHESTER
A _CONDOMINIUM _- ! .. a
IN SW 1/4 NW 1/4-SECTION 25, T.27N., R.M., W.M. - a
CITY OF EDMONDS, SNOHOMISH COUNTY, WASHINGTON o p
CY
--------------------------------------_--- ---
----- - -tA
Na-37.00'W 246• - - I ` I
a
NOTE: ALL PAR1aNa AREAS P-1 THROUGH P-19 ARE IAOTED COMMON AREA I A ci
I I rru.en ¢•
SCALE I' - 20• I N039'00'W 156.00' ---------------- i -' -
1 u-
I
LEGEND
Lu C.A. COMMON AREA I » 3
��„� L.C.A. LIMITED COMMON AREA ' i SSSttt I� J - �Ar u { 1 A
63 1
® SET IRON REBAR W/CAP No. 4561 i i ® C0/ 'A� r r�A1°°�° g I 6V' ^ ^ 8
24; SET BOAT SPINE W/WASHER No. 4561 I 1 `r as' r r r r ar _ 1 I I Le 6 I `� l®.•
li
SET TACK IN LEAD PLUG Ld I I y 11 U /'� a� 7 I L L f w/�t7�J
W/WASHER No. 4561 5 I I< 6 1 �Y-`T C. 1 i i • - w I <
LU J I - F
I' s 10}} 3 Vat �A� u . OM ABOVE ,� 1
`' i l i tl GLNDN3�L nm z W I I
b caNc WALL c)
3 STORY BUILDING INCLUDING BASEMENT
1041 SU, AVENUE S I 4
k�
�QQ ? --%
2 2
1 q ,as A STRIP OF LAND 7' IN WIDTH I O
CCC171 7ia' W LYING 3 1/2' ON EACH SDE -OF,
... .... THE C OF THE ELECTRICAL • /�/
r FACILITIES
A I 1
15
' �0' \ 246, -- ------ I — Q W
I
EXIST. CASE
1/4
e NW COR. SW 1 1 /
NW 1/4 SEC. 25 I N079'00'! 4 �/
1 _ 1-- -------------_— ——
T --- a7-60�-------------- Sth AVENUE S. I OBENCH MAM'
Sf O
_ A1STATES HYDRANT
,r LOCATED ON E. SIDE OF SD, q
rA,A AVENUE S. ABOUT SS' ! N. OF I J
SOUTH PROPERTY LINE
ELEVATION 152.2E
DATUM: CITY OF DATUM:MONOS M.L..I.W.