21505 89TH AVE W.PDF111111111111
8578
21505 89TH AVE W
-x-
C.
May 7, 2002
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwwci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
GARY HAAKENSON
MAYOR
Mr. Robert Foos
21505 891h Avenue West STREET FILE
Edmonds, Washington 98026
RE: Building Permit #2000-0034
Laundry room, bathroom and dining room Addition
Dear Mr. Foos:
The purpose of this letter is to outline the status of the subject building permit. As you are
aware, the building permit for the referenced work expired on January 17, 2002. In the future
when you have the funds to complete this work and start your Phase Two project you will be
required to submit a new building permit application, pay all applicable permit fees and possibly
revise your plans. Since the permit has expired you are no longer vested to the 1997 edition of
the Uniform Building and Energy code and it is highly possible that a new code may be adopted
as early as July of 2002. Any pen -nit received after the adoption of a new code edition is subject
to that code and could effect your existing and phase two construction.
For the record the City requires the following inspections:
Phase One Sheetrock Nailing and Final Building Inspection
Phase Two Framing, Insulation, Shectrock Nailing and Final Engineering and Building
Inspection
Lastly, be advised you are not authorized to continue with any additional work until you have
first obtained a building permit.
If any of this is unclear to you please contact our office.
Sincerely,
Jeannine L. Graf
Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
CA FILE NO. Lot
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 915-06- J`9 1�v� lc)-e.5�
2. Property Tax Account Number: -3726 Oo6001010J
3. Approximate Site Size (acres or square feet): Z -5-d C)
4. Is this site currently developed? --X— Yes; _no.
If yes; how is site developed? --- q-e 'r. k 0 0,7 of
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
1 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please descnbe):
6. Site contains areas of year-round standing water: 0 _; Approx. Depth:
7. Site contains areas of seasonal standing water: 0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway /L77floodplain 0 — of a water course.
9. Site contain reek or an area where water flows across the grounds surface? Flows are year-
round? �y 6 Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow shrubs ;mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
0 1
. .. .....
0, . ....
SC
04,0,00
d'
4 le
nt .jn Ap -P
n 0
W
M
:1 d, Aw ....
A'
e
.,q,ar . . ....
'M s i e. z
S-4
art. ...........
..... ....
f
�.y Ar
RIf
'1C&_Chk.doc; Rw 10/03/97
City of Edmonds
RECEIVED
JUN 15 1999
PERMIT COUNTER
CRITICAL AREAS 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. The
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).
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.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form, In addition, the applicant shall include
other pertinent information (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
g, �'n-i /G 0 -.�
Name
VIq / 0 e�' � 6 ()-( Lt),
Street Address
A ��L)u
city State Zip
�' �' S- - 2-
Telephone
Signature
Date
Applicant Representative:
Name
Street Address
City S tate Zip
Telephone
Signature
Date
(over)
PLANNImr., DATA
NAME:-
AaLm__
JFA
SITE ADDRESS:Z
i6-0� TV A -Lb. DATE:___1LL/09,
ZONING: 66-11 qq
----- PLAN CHK#: q
PROJECT DESCRIPTION:
CORNER LOT_j)tEtk_Ve) (Yes/No) FLAG LOT ---.(Yes/No)
SETBACKS:
Required SktbAqk§*
Front: Z�� Left Slde:1
Actual Setb ILRIght Side:- _Rear:_I�_
Front:4— Left Side: Right Side: Ilea,
Street map chec ed for additional setback requiredl 1�'Le&slNl)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED!Z4�.(Y/N)
LOT COVERAGE: ._m�49
Maximum Allowed: —Actual: � /1,65
BUILDING HEIGHT: ' 1 4
Maximum Allowed: _________.ActuaI'HeIght:
Datum Point: aturn Elevation: ...
1�
A.D.U. CREATED?: -4-
SUBDIVISION:
--------------
CRITICAL AREAS #:
SEPA DETERMINATION:
LOT AREA:
OTHER:
Plan Review By.-,
c%d1a%pm%dfe0jmdadw
E
V-)
0-)
4-
4-
< 100ft
-- ----------------
Property line
LOT COVERAGE
2422 SQ.FT. (16/)
LOT AREA
15,17 7 S Q. F T.
TAX ACC.PAR.#
3736-006-001-0100
L '47 - -
Oin
11-
44--
CO
to
114 jr)
I--- —
23f 21n
7
I
Existing house
1817 sqft.
Second floor
682
sqft.
—1 6ff
Ca -rp-o r- t
07 sqft.
3in
26fl- 8-
in
0, 1-t
r
P 0+- VO�) A /91
L(Ck
'ater meter
2-1121
. Oin- Scale -
2 � 505 6� f H.
wh-F, vr
I
0 IA��
C:
!Ve-7V"* C 72)12- I.S
RECF.IVED
DEC 14 1999
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
'CuE
VIL
lit 20'
w 6 f
NOTIC�:
. ... . 7----T- aa-.�
No war-r a in. - y ... & .
The information . shown on the attached
map(s) was cOm piled for use by the City of
Edmonds/ its Employees and Consultants.
Th,.e City of *Edm.onds does. not. warrant the
accuracy of anything set for.th on t. - hese
M a p ('�). A n . y person or e.ntity -requesting a
copy should conduct an independent
inquiry regarding the inform . ation shown on
t-FiE� -map(s), Including, but not limited to,
th . e lociation of any sewer stub shown. Suc
sewer stubs may or may* not e.xist- and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
empl-o-yee-s O-r offi-ce.rs -sha-H be 1--ia-b-1--e for the
information given on this map(s), nor for
e representation provided based
any on
upon*said map(s).
PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE
NUMBER 200031
CONSTRUCTION PERMIT APPLICATION
JOB
SUIT11A1T#
ADDRESS
.V
OWNER.NAME/NAME OF BUSINESS
LEGAL DESCRIPTION CHECK
SUBDIVISION NO
J
LID NO.
z
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING REQUIRED DEDICATION
TESCP Approved '/1"
RW Permit RequiredA4� 0
Street Use Permit Req'Wt/,O
0
CITY ZIP
/d)
TELEPHONE
Inspection RequiredYZ
PROPOSED
Sidewalk Required .1vo 0
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
0
YES 0 NO 'R
M
uj
x
ADDRESS
ARKS
Lu
z
L)
cc
;Ar 4-
z
CITY ZIP
TELEPHONE
L"'-4
UJI
NAME
j"
ENGINEERING M MO DATED REVIEWED!Y
ADDRESS
cc
0
FIRE MEMO DATED REVIEWED BY
uu
CITY ZIP
TELEPHONE
z
U.
0
V RIAN
A
OR CU
DB#
LINE If
fi
[E
STATE LICENSE NUMBER EXPIRATION DATE
SEPA REVIEW
kN AREA
HEIGHT
COMPLETE
EXP E7
ALLOWED PROPOSED
A!
ALLOWED PROPOSED
?a h
-2 1]-/
z
0
LEGAL DESCRIPTION OF PROPERTY - INCLUDE ALL EASEMENTS
t-
L
L
r t' Ijj
L OT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
L3
to
uj
ALLOWED pjROPOS�v
FRONT SIDE REAR
FRONT YR IDE REAR
IV, h)
75' P"I"
r.14 717 A
z
X ACCOUNT PARCEL NO.
o f) 6 — 0 '9 0
X,PROPERTY
uj
LO'T AREA
P NINGrEVIEW
BY 116ATE
q
CjL
f NEW RESIDENTIAL PLUMBING) MECH
If
fV1 ADDITION COMPLIANCE OR
0 COMMERCIAL E3 CHANGE OF USE
11`�j
REMODEL APARTMENT SIGN
REPAIR GRADING C FENCE
YDS ( X FT)
'�DE
—
CHECKEDBY
JTY--�=UCTION
OCCUPANT -
GROUP
F-1 DEMOLISH E] OTHER
F-1 TANK
o GARAGE
REN
CARPORT [:] RETAINING WALL EWAL
SPECIAL INSPECTCR JAREA
REQUIRED [:] YES
OCCUPANT
LOAD
Z
0
ROCKERY
P:
0.
FE
(TYPE OF USE, BUSINESS 0 ACTIVITY) EXPLAIN:
-
REMARKS
z
, a
PROGRESS INSPECTIONS PER UBC 108
W
NUMBER
OF -L
NUMBER'-,QF
DWELLING
I
CRITICAL
AREAS
I
o
STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
'e,
6.1 '17
FINAL INSPECTION
REWIRED
Z0 Cl 1 1, C;z 'e 'y /4 V
VALUATION
FEE
PLAN CHECK FEE
J.EAT SOURCE GLAZING % LOT SLOPE %
,
BUILDING
1'e C-4
HECK NO: VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
D DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE
I'_ SEPARATE PERMISSION.
cc
STATE SURCHARGE
uu
0. PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
Ch
(n
uj APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
;N
ENG. INSPECTION FEE
_j
2 INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
a: EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
<
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
0 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
_j
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
0
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. "
I
I
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
f
GIVEN IS CORRECT., AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APP ROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
This application is not a permit until signed by the
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION Building Official or his/her Deputy: and Fees are paid. and
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
receipt is acknowledged in space provided.
ro, IE .1
slstq QF
URE(OWN,.�
�AGENT) DATE SIGNED
�a
1 Gr/ ;URE I DATE
I
OFFf9x0 si kr,
(425) '4�'j I
771-0220 t
ATTENTION
RELEA ED-BY DATE/
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
P1. " _7
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER - GOLD - ASSESSOR
5!98