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23515 HIGHWAY 99.PDF1111111111 lill 14064 23515 HWY 99 . 0- 0 BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS:- �& ��o DETERMINATION: [_-] Conditional Waiver 0 Study Requir�xwaiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: 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) #:_ GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: / //X 14 1 OTHER: LATEMPOSTsTomis\Street File Checklist.doc -4 7 `0F MMONDS ..CITY Can TRospect 6-1107 when- work 11VICv�&Nkik-, WATER-SEWER'DEPARTMENT Is ready for In -:4456. Pee- tioii4�SiiturdiLy,,Sti�iAiL�,:or-holl" 7 PERMIT 9 9 ................ ......................................................................................... ...................... ...... . ............. OW �0�raer CONTRACTO ......... 7 ........................................... WER. .................................. . ..... ...... .......... ... .. -jr9*temii 7. Auguat ... 2.3�. ... ......... ...... days -to.-REPAIR - or, CONNECT: 11� side sew- er- s to I i s. ....... M.l 19 f or. witki-City ewers In accordance with on Me and, 'goirerning oird1hAnces.:'L'. A�-irtNTION IS. CALLED TO THE-]F�LLOIVING: NOTE owners -.of 'the Property may obteln a permit- to copstrupt, sewer Inside property- line. A licensed'Side 8 Contractor - must ewer - be employed: to -construct side -sewer. Ins*6t area. Do not cover* any portion of sewer. before It has been inspected; Obtain full Information reg�idlng Ordinance 41.16.030 and Regulatio governing side sewers when - you , pt p . armit. No. 2— ns jL AFNo.' 3��Top: of side -sewer - must Ifiches-coverage at:property line and,12 . triches% I , fi]s de propert . y line;:ml - nimum �grade of 2 No bonds In grade sharper-tfiair ;4 will be. permitted.. ..'NOTE No� 4—Trenches in street must be water.. settled and'Burface of street rest I ored�-_to�,orlglna.0 conditiori. Contractors shalf be reap . o . noli`16 for q failure due, to Improper work '�hlch. may develop 7 within one'year of compIqUon'., q N6rE'No.. &--,It- ts'unlawful to alter or do any other work,than- is. provided, for In the pe�mit, or to do any work. on jh6 main sewer -or Its ap- PurtenanCes except to.insert- tho."p!pe 'intothe- wye. 6 The City of Edmonds OWNER -------------- HOUSE No. 2�21 Iry APPLICATION for SIDE SEWER PERMT OUTSIDE n INSIDE[j REPAIRS 0 CARDNo . ...................................... EASEMENT No . ...................................... &�(15zj /- / 19 . .................................. ...................................... CONTRACTOR .................................................................................................... PERMIT No. ...... , /�� 0- ........................................... ...... STREET AVENUE LOT No. ..... 13LOCK No . ............................................... NAME ADD. ....... �,i.e ..... ........ � 'To - :5� Sk.tA-.-'z V.— -98" kess tA� eAi-r, -rK Lk S�ELV cP� Vk-, t—n qq N Date BACKFILL WORK ORDER ISSUED ................................... SEWER WORK ORDER ISSUED .......................................... APPROVED AUG 2 1966 Approved: DEPOSIT, $ ............................................. DATE—F ...... �Y ................ B.V gt�o / ........... ............. ......... V -------- * ---- * . Y ............. The City of Edmon& APPUCATION for CARD No. . ........... SIDE SEWEIR PERXff OUTSIDE 0 INSIDE 0 REPAIRS 0 EASEMENT No . ............... OWNER..... ............... ...... ...... ................. .......... ...... .......................... CONTRACTOR .. ............. ...... ........... STREET HOUSE No. ......... �� 5� ........... ................. AVENUE LOT No. .. ................ ....... NAMEADD � .................................... ;!z� cyll w n t,( -5 04ppoV, (I�R 10 Date Approved: BACKFILL WORK ORDER ISSUED.. .......... ...... .................... DEPOSIT, $ ....................... .... .......... ......... SEWER WORK ORDER ISSUED ................. ................. DATE.-?V,al.�.� 0 Otical Areas Checklist Site Information. (soil sftopography/hy&616e/i��d&l) TRAA L-L-- I*, 1. Site AddressAlo=io,,�)7_�PL&.Sql,.,,5_i.$; 14WY 2. Property Tax A=unt Nu7 7, 17- 96 3. Approximate Site Size �ic�es or square fept): ".. 0 -, M18-T-1 7 4. Is this site currently es; no- 6UNTER If yes; how is site developed? IFYt.,7T-it-r?� wto-1:5 t L, c-- 5. Describe the geaeral site topo&�*.,C.h Flat: less than 5-feet elevation change over entire site. ' P�4 0 Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet -over a' horizontal distance'of 66-feet). Hilly: slopes present on site of more d= 15% and less than 30% a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a, horizontal distance of less than 33-feet). 4 Other (please describe): 6. Site contains areas of year-round standing water. Approx. Depth: 7. Site coriWnsareas of seasonal stabding vraw: PZ-> Approx. Depth: What season(s) of the yearT 8. Site is in the floodway PZ) floodplain �J� of a water course. 9. Site contains a creek or an area where water flows across the grounds sufface? Flows are year- round? Flows are seasonal? IJ7Z> - (What time of year? 10. Site is primarily: forested meadow ;shrubs mixed urban landscaped (lawn,shrubs etc) C0jJ-Z_,oe_epCt_ PA--t> >1 f,;—"T- 11. Obvious wetland is present on site: t-sn For City Staff Use Only 1. Site is Zoned? 61 2. �CS mapped soil type(s)? ' 57 Alkr"A,- tA,#,,, (6,,A S!zj 3. Wedand inventory or C.A. map indicates wetland present on site? 4.-:�- -,Critical Areas inventory or C.A. map indicates Critical Area on site?' No 5. within designated earth subsidence landsli&hinrd area? ign 6. ite aei� ated on the Environmental ly Sensitive Areas Map9 Mo .DETERMINATION CONDMONAL WAIVER WAIVER Reviewed by: U Planner RcvQ1104M 5/ 24 Xyd Date 11 N r 3 RECE -7. 1 C Wt -MAY. 2 2, 1998, ou A" J z! 'PERMIT' .0f.Edato'xids, Critical' Areas Chi*ebAfist� Th. e Critical Areas Checklist contained on di.is,fdrxn 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 develcipment 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. 71be information needed to Complete the Checklist should be easily available from observalions 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 sebmititto the City. 'rbeCitywill review the checklist. make a precursory site visi4 aqd make a determination of the subsequents'tePs.necessary to complete . a development permit application. Mrith a signed copy' of this form, the aPplicant should also submit a vicinity map or plot plan for indiVidual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include atherpertinent information (e.g. site Pl2n* t0P0gr2Pl1Y map, etc.) or studies in c0ldundiOn with this Checklist to* assist staff in completing their preliminary assessment or the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate -column below). Owner I Applicant: I Name Street Address City, State, ZIP . Phone Signature Applicant Representative: _000 .6 140-r3 1.1-1 A-> Name -2_ A—V Stred Address -3 City. State. ZIP Phone 2, Si ture Date *tical Areas Checklist qb _11c) Site Information (soils/topography/hydr6l6`&`/V4&.bitio'*'n) FIWY -.q'l 1. Site AddressAocafi :a?�,Tf 1.5_A 2. Property Tax Account Nupoeq, �-F.77 6 '-7 3. Approximate Site Size es or square,fept): 4. Is this site currently dc;z� no. If yes; how is site developed? l-t0—"tj37_ P 4_f24*—' 5. Describe the general site topogiapb�_ Ch6cieo that 401y. Flat: less than 5-feet elevation change over entire site. Rolling: slopeson site generally less than 15% (a vertical rise of 10-feet -over a horizontal distance of Wfeet). - Hilly: - slopes present on site of more than 15% and less than 30% ( a vertical rise of I 0-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water. V7p Approx. Depth: 7. Site coiitains areas of seasonal staliding water. Approx. Depth: What season(s) of the year? 8. Site is in the floodway PZ> floodplain Kr-?-' > of a water course. 9. Site contains a creek or an area where vrater flows across the grounds surface?. Flows are year- round? Flo Flows are seasonal? JJ-2�) (What time of year? 10. Site is primarily- forested meadow shrubs mixed urban landscaped (lawn,shrubs etc) r=iA-qC C PA-i> ) T*,t P_*T-) .6 P4km77_--z_ 11. Obvious wedand is present on site: For City Staff Use Only 1. Site is Zoned? 2. SCS trapped soil type(s)? 5- k,,A tk,,. u. 3. Wetland inventory or C-A. map indicates wetland present on site? 4.-:�- -,Critical Axeas inventory or C.A. imp indicates Critical Area on site?' NO 5.- - Site within designated earth subsidence landslide himrd area? Al. 6. ''Site aesiiignated on the Environmenbilly Sensitive Areas Map9 k)o .DETERMINATION "."STUDY REQUIRED CONDITIONAL WAIVER W AIVER* Reviewed by: Planner Date RAV 0 1 M4M 0.7 A� 41, ��96 PERMIT-COUNTEA, A, .9(1.191 yMIT TER, G -of E ity. . dMonds Critical Ar-bas, 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 subutittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether 2ny potential Critical Areas are or may be present on the subject property. lChe information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, MVS, or soil surveys). An applicant, or his/her representative, . must fill out the checklist", sign and date it, -,arid submit it,te the City. TheCitywill revww the checklist, make a precursory site J visit,. and make a determination of the subsequent steps -necessary to complete . a development permit application. With a signed copy of this form, the 2pplicant should also submit a vicinity map or plot plan for individual lotsof the parcel with enough detail that City staffcan find and identify the subject parcei(s). in additiom6 the applicant shall indude other pertinent infonnation (eg.'eite 'Planp tOP09raphY niap, etc-) orstudies in conjunction Vdh this Checklist to* assist staff in completing their preliminary assessmentof the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column. below). Owner I Applicant: Name Applicant Representative: .Na rne-_q'-' 2 Street Address itreet Addr= City, State, ZIP Signature z i� -3-z-q-36 Phone Date State, ZIP Phone ignature Date DA Zone J N.E. 1/4, SEC. 31 T.27N., RA E.W.M. 0*56 Su 'EC Z26 10 6,16 We 5151 72.,,, 1 v,; i .3 ft ML -a t6 =1 " I t! -1 am I; I I F.�. lkd - 1 .2246 144 S! I �gv U119 — 6 IcepiYow -rot; — — 2242A LAS =at, §9! 2&42? _j 2262C It 22 27 Z 262:3 2 21 11*22621 �2705[07 09 Z2707 77 t 70S 3 717 27/0 "OW, 711 ZZ7 2271/ 4 W 611% 22716 718 71 Go E 22719 72 22 r. 30 ICE ST. 228" S.W. 228 Sr -4 & 0 %g 07 I %_ C, 907 AMW A Age M C All, 2101 904 NOW 1 1 E AfOrl r al io Twom 912 70 R. It 22910 Eli ji 22918 ;21,17 lz z A-0 Q V. 230y" T S.W. 230y" ST S. w on SALUM"ll Tit. 4 z to ic Klw 23005 017 SIT" ff 0 FMALOr meow f g3al lk 021 30 so So" 3104 1107 1 3169 1146 131 23TIJI 1/5 #16 1117 104 Its Nam we 5 UNSET vi"Al — M/d 3.3 231241 23117 lit/ 3193 26 1 23129 127 3130, 1.2. 1, 107 2sill 23128 it 1136 Swill; IF '0 'Z3zo3 3 S Z3207 23z,l I tilts 2IT $zr7 ?322S 233-PZ ?32t3±S 2"07 _pj HAWS 011 — APYJ 3 a 23104 [Irlof 23313 sit .11 FIE If 23 1 253.4 24 AM ._j -- ---------- mrsTl- W. % Z3401. 3406 ZIA q a SSW 'r. 2341z 3 23-4 It 40 M it 23-119 + 49 2 17 70414 2M22 1 OD 35 or i PoIRK 2301W. 234 Z3496 It 102' 23432 ;475 Kv4D or j Am 23440 1Y US08- — I I Aacr I t zw(p v 0, in SIM RIMP S.W. dL 401 r RV A 1% a SSW a SUMMY 5ww4y c Z3607 06 k-9 t Z34 19 27 1 0 23433 :oD J too.. 0-1i RECEI JUL 24 2013 DEVELOPMENT SERVICES Trailer Lane Space Map COUNTER u) rn rrl 2-0 ? 9E GARY HAAKENSON CITY OF EDMONDS MAYOR 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221 Website: wwwdedmondsma.us DEVELOPMENT SERVICES DEPARTMENT C. Planning - Building - Engineering March 16, 2005 Iris Halloc.k 23515 Highway 99, Space 21 Edmonds, Washington 98026 RE: Order to Correct Violation Notice Dated December 15, 2004 Dear Ms. Hallock: Thank you for your letter dated January 5, 2005 (received by the City on March 15, 2005). After reading your letter the City concurs that the canopy and deck were part of the original construction under building pen -nit #960333. Thus, the City considers the matter concerning the Order to Correct Violation Notice, to be closed. Because of your prompt response to the Notice of Civil Violation issued on March 14, 2005, the Director of Development Services has agreed to waive the accumulated civil penalty fines in the amount of $200.00 in this matter. As a reminder, if in the future you decide to build a deck, stair, shed, etc. contact the City in advance to be sure of permitting requirements. Also, any alteration to a manufactured home may require a State Labor & Industries permit (contact phone number 425-290- 1391). If you have any questions please contact me at 425-771-0220 extension 1226. Sincerely, Jeannine L. Graf Building Official Incorp&ated August 11, 1890 Sister Citv - Hekinan. Jat)an 03/15/2005 11:45 FAX 0 16-0-02/00J January 5, 2005 City of Edmonds Develo P ment Service Department 12155' Avenue North Edmonds, WA 98020 Attn: Jeannine Graf Re-, Letter of December 15'h Dear Jeannine: I apologize for not getting back to you in as quick a manner as I had anticipated. What with the holiday season, and "stuff' everywhere, it took me awhile to find my old paperwork, I did find a couple documents that back up what I was advising you, I have enclosed a copy for you to reference. You stated in our phone conversation that all I should need to do was to write a letter advising that the covering of the deck was part of the original build. When the contractor applied for the permits he apparently was not clear, however as you can see from the bill he presented to me, the covering was part of what he built When I first moved into the park. I hope this will help resolve this issue. Thank you for your courtesy. Iris Hallock ATY OF EDMONDt DEVELOPMENT SERVICES DEPARTMENT 121 5th Avenue North, Edmonds, WA 98020 (425) 7710220 NOTICE OF CIVIL VIOLATION Location of Violation: (Address, Snohomish County property tax number): 23515 Highway 99, Space 2 1, Edmonds, Washington 98026 Tax Account Parcel No. 00960012202 100 Issued To: In's Hallock, Home Owner Address of Person Notice is Issued To: 22515 Highway 99, Space 21, Edmonds, WA 98026 Code Section(s) Violated: Edmonds Community Development Code Chqpter 19.00. Description of Violation:— Failure to respond to Order to Correct Violation Notice dated December 15, 2005. The Order required corrective action on a porch and stair addition. Corrective Action Required: In response to the Order to Correct Violation Notice, Ms. Hallock contacted the City Building Official and verbally explained that the porch and stair addition were original construction under a city building permit. The Building Official required that Ms. Hallock provide a letter in writing of her position on this matter as the building permit records at the city did not indicate a porch or stair. Ms. Hallock was repeatedly notified that a letter to the City was required. The last city letter dated 2/25/05 indicated that if a letter was not provided by 3/11/05 that a Notice of Civil Violation would be issued and fines of $100 per day shall be assessed. The corrective action required in order to stop the accumulating fines is to provide a letter stating her position with regard to the porch and stair addition. _ Be advised, the person(s) to whom this Notice is issued is being assessed $100.00 per day, or portion of a day, during which the violation continues. The imposed monetary penalties are immediately due and payable to the City of Edmonds at 121 5th Avenue North, Edmonds, WA 98020 during normal City business hours. Fines shall continue to accrue at the rate of $100.00 per day until this matter is resolved to the satisfaction of the City. Further, if correction is not made by 5:00pm (time) March 28, 2005 (date) an abatement notice may be issued warning of impending City abatement of the violation. Any and all costs, including incidental costs, will be added to the monetary penalties assessed against the person(s) to whom the Notice is issued. Note, this decision is appealable to the City of Edmonds Hearing Examiner by filing a complete appeal application including written notice of appeal with the Development Services Director no later than March 28, 2005at 5:00 p.m. The appeal filing fee is $605.00. Date Posted: March 14, 2005 Date Mailed: March 14, 200 Issuing Party: Jeannine L. Graf —Title: Building Official Signature: CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 Website: www.d.edmondsma.us %.� DEVELOPMENT SERVICES DEPARTMENT I,? C. "i Planning - Building - Engineering February 25, 2005 his Hallock 23515 Highway 99, Space 21 Edmonds, Washington 98026 RE: Order to Correct Violation Notice Dated December 15, 2004 Dear Ms. Hallock: GARY HAAKENSON MAYOR As a follow-up to our telephone conversation on December 20, 2004 you agreed to send the City a brief letter outlining your home history and specifically addressing the covered porch. You told me that I would have the letter by January 21, 2005. Because I did not receive the letter I then sent a second letter requesting your written communication by February 7, 2005. Because you did not respond I was forced to send a third letter which also advised that the next step in the City's enforcement process is to issue a Notice of Civil Violation and assess fines. Please provide your letter to me via mail, fax (425-771-0221) or electronic mail graj @ci.edmonds.wa.us by March 11, 2005. Failure to do so will result in the issuance of the Notice of Civil Violation and fines will immediately begin to accrue. No further extensions shall be granted in this matter. If you have any questions please feel free to contact me at 425-771-0220 extension 1226. Sincerely, ��X Jeannine L. Graf Building Official Incorporated August 11, 1890 rl. — _.. �,! - T 1. 1 - . I - . ,(PC. 18 ()"1 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 Website: wwwdedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering February 9, 2005 his Hallock 23515 Highway 99, Space 21 Edmonds, Washington 98026 RE: Order to Correct Violation Notice Dated December 15, 2004 Dear Ms. Hallock: GARY HAAKENSON MAYOR As a follow-up to our telephone conversation on December 20, 2004 you agreed to send the City a brief letter outlining your home history and specifically addressing the covered porch. You told me that I would have the letter by January 21, 2005. Because I did not receive the letter I then sent a second letter requesting your written communication by February 7, 2005. But as of today I have not received your letter. You are aware that I cannot move forward in assisting you to resolve this until you provide me your information in writing. You have also been advised that the next step in the City's enforcement process is to issue a Notice of Civil Violation and assess fines. The City is hesitant to use the Notice and assessment of fines in situations such as yours; where progress has been made, just not completed. But if the home owner ignores City requests or simply chooses not to communicate, the 'City has no other option but to continue the standard enforcement process (which is to issue a formal Notice of. Civil Violation and impose fines of $100.00 per day). Please be advised once the Notice of Violation is issued fines are immediately assessed and are in effect until the violation is corrected. Please provide your letter to me via mail, fax (425-771-0221) or electronic mail graf Qcci.edm.onds.wa.us by February 24, 2005. Failure to do so will result in the issuance of the Notice of Civil Violation and fines will immediately begin to accrue. If you have any questions please feel free to contact me at 425-771-0220 extension 1226. 1 Sincerely, Jeannine L. Graf Building Official Incorporated August 11, 1890 Sister Citv - Hekinan, Japan 40 C. 1 BC)" 0 0 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 Website- www ci edmonds wa us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering January 24, 2005 his Hallock 23515 Highway 99, Space 21 Edmonds, Washington 98026 RE: Order to Correct Violation Notice Dated December 15, 2004 Dear Ms. Hallock: GARY HAAKENSON MAYOR As a follow-up to our telephone conversation on December 20, 2004 you agreed to send the City a brief letter outlining your home history and specifically addressing the covered porch. You told me that I would have the letter by January 21, 2005. Please submit the letter at your earliest convenience but no later than February 7, 2005. 1 cannot move forward in assisting you resolve this until you provide me your infort-nation. If you have any questions please feel free to contact me at 425-771-0220 extension 1226 during City business hours. Sincerely, Jeannine L. Graf Building Official Incorporated August 11, 1890 Sister Citv - Hekinan, Javan IP ". 18 9 11 Owl AAWA CITY OF EDMONDS 121 5TH AVENUE NORTH , EDMONDS, WA 98020 - �425) 771-0220 - FAX (425) 771-0221 Website: wwwuedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering December 15, 2004 Iris Hallock 23515 Highway 99, Space 21 Edmonds, Washington 98026 RE: Regina Mobile Home Park @ 23515 Highway 99, Edmonds, WA Dear Ms. Hallock: GARY HAAKENSON MAYOR The purpose of this letter is to follow-up on an inspection performed by City Building and Fire Code officials and State Labor & Industries officials on November 18, 2004 at the Regina Mobile Home Park at 23515 Highway 99 in Edmonds. As you may be aware, the City had received a formal citizen complaint and the purpose of the inspection was to verify the allegations of potential code violations. Enclosed please find a copy of reports prepared by the State Department of Labor & Industries Electrical and Manufactured Home Divisions, and the City Fire Department, of noted electrical, manufactured home and fire code violations. Due to the nature and extent of the violations immediate action must be taken by all the affected pad owners. In order to assure your timely compliance in correcting these items on your home, an Order to Correct Violation Notice is enclosed which includes noted Building Code violations. The Order is the first step in the City's Civil Penalty process whereby compliance to the codes shall be secured. Please carefully read the enclosed reports and the Order; if you have any questions about the reports please feel free to contact the specific Inspector directly. If you have any questions about the complaint or the Order please call me at 425-771-0220 extension 1226. Please note that the Order requires corrective action by January 21, 2005. If there are circumstances beyond your control that will prevent you from full compliance by this date you must immediately notify the City in writing and provide an alternate compliance date for consideration. Sincerely, Jeannine L. raf Building Official Incorporated August 11, 1890 Sister City - Hekinan, Japan L�: La CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 121 5th Avenue North, Edmonds, WA 98020 (425) 771-0220 ORDER TO CORRECT VIOLATION Location of Violation (Address and Tax Account Parcel No): 23515 Highway 99, Space 2 1, Edmonds, WA 98026 Tax Account Parcel No. 00960012202 100 Issued To:- his Hallock, Owner Codes Violated:. National Electrical Code, RCW 43.22, WAC 296-150M, 2003 edition of the International Fire and Building Code. Description of Violation: See enclosed rgports by State Labor & Industries Electrical and Manufactured Home Divisions, Fire Department report. Noted building code violations on Space 21 include: Covered porch/deck/stairs. no permit, non -complying stairs, garbage and debris on site. Corrective Action Required: 1) Take corrective action with State Electrical and Manufactured Home Inspectors to resolve all noted State - violations on Space 21 and, 2) Submit a coinplete building permit gpplication with the Citv for the porch and stairs (see enclosed City handout for submittal requirements). Note, violation fines shall be imposed for all work done without first obtaining a City permit, and 3) Clean Lip site. Correction is Required no later than: 5:00pm_(time) January 21, 2005 (date) If correction is not made by the date and time specified in the Order, a Notice of Civil Violation shall be issued. The Notice of Civil Violation shall assess fines of $100.00 per day, or portion of a day, during which the violation continues. Date Posted: Date Mailed: December 15, 2004 Date Served Issuing Party Jeannine L. Graf Title Building Official Signature A i— L .0 lit, Z Z < U En 3 (f) Ln U. < ZZ < 0 z , 0 z F- LU LLJ In ULJ z F- z 0 r7_ -- U�i CIT' IMNLIt 9`6Q333 W EDMUNDS CONSTRUCTION PERMIT APPLICATION SUIIE API 1 ,4/, NAI-E N�lt C. ou�",tss y �,q I LFiCNE NUMBER Z_ "T"EtIcENIE"j"prii E—HAIIONDATX s-7 - /IV - 9-6, Legal Do.=1pnon of Properly - include all casements Ta-_AcC'0unf P-M f0 t-- ' Z_ 0 ? 6 _/ a 0 0 0 YRESIDENTIAL PLUMBING DcoMRCAL MECHANICAL [:].A-T 0LOG r L] SIGN F-] G-OING FENCE '.E_A C'05 I x _FT) t:E%,OL.S, 1000STOVE ,.SEAT SWIM PUOL El HOT TU&,SPA G�AqAGE C 1100fiT RETAININ WALL, ROCKERyd RENEWAL CF USE OUSINESS OR Ad ("�'\ C' ', _'� I \ C_ - NU.."E. 0" 111CAL %1V'E 0- STCq!ES 0'-VELLING UNITS �qEAS �.j A CE�CRIBE '-VORK -0 BE DONE (ATTACH PLOT PLAN� OESCR'-I'O' C-Ec r"01-1- 1*1) 14-D NO I`UBLIC AIG"T OF WAY PEA OFFICIAL STREET MAP I L'i's—G __RFoU'RLDDED'cA'.0N Aw st'"i r-OPOSED S-d-1h ESCP P.' R.' U" P-11 R� a 0 0 MKI.Ild 0 ME SWE 10 0, f"ILIAES "'Ou"", YES 0 No 0 t7401;7ELRING MCNIO UATEO RLy-LYIED81 FIRE MEMU DA71,L) Ell SIGN AREA ALLOWED PROPOSED I SERA PEVIE, COMPLETE I EXEMPT EXP A1111 ;70— SmOA�LINE 7— VARIANCE OR CU PLANNING RE IEW BY DATE SET ELACKS — FEET FRONT SIDE REAR EIGHT I LOT COVERAGE HLMAHA5 CHECKED BY TYPE 0 CC A T' 3�� UCTK`N CODE OCCUPANT R.;<3 SPECIAL INSPECTOR REGUIRED 3 YES I AREA IOCCUIANT LOAD .hMA.KS PROGRESS INSPECTIONS PER UBIC 305 TION RE OUIRED I VALUATION ILL PLAN CHECK FEE BUILDING PILUMBINO Plan Check No. MECHANICAL This, Perm I Covers work to be done on private property ONLY. ORADINGfFILL Any CCrSIfUC!iOri On the public domain (cutts. sicle.piks, cl—eways. maNluees. elf:3 will fC,!uire separate pCrMISSIOn. STATE SURCHARGE Pemilt Application: 180 Days Permit Limit: I Year - Provided Work Is Starled "in 180 Days STORM DRAINAGE FC '"ADDI.Call. On behalf of his of her spouse. hers. assigns and ENO, INSPECTION FEE successors in interest. agrees to indemnity. defend and hold nz.-miess, :he City of Edmonds. WasMington. i;S officials. eir-olovees. and agents from any and all Claims I Or damages Of w"!ever nature. arising directly or indirectly fro rh thelssuance Of th. S permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT 100,!y. wa Ve 0.1 reduc: any.re 3 uiremeni of any city ordinance ric, limit in'anv way In- City S a0ility 10 enforce any ordinance TOTAL AMOUNT DUE 3V nrovis,on here by acknowledge that I have read this application; that the " I h e t. :n!ormalion given is correct; and that I am the owner. of the duly ATTENTION APPLICATION APPROVAL , 0 au:norizeO agen! of the owner. I agree to comply with city and vate la-s egulanng construclion: and in Coint; :no work authoriz. T-IS PE.V.T UT-0P..ES This application is not a permit until A ea lPe,eb,. no ce.-so.q -Ill be employed in violaton of the Labor ba C�Ly T-E - ' I d signed by the Building Official or hisV/her IT Code o: me Stale of Vlashington relwing to Workmen*s Co.mDejnsa. W OAK NOTED _P' Deputy. and fees are paid. and receipt is a LM q non Ins.ra.— and RCV/ 18 27, "S.Ec,.C.j C _I aCknoWled, ed �in Space provided. 'GV' :E S,G -ED CITY OF C, U-C 7 fir E 0 M. Or' 0 S 5 � �7 ATTENTION CALLFOR INSPECTION Lit"'D a, t' IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE —File UmTIL A 7MAL INSPECTION HAS BEEN MADE AND APPROVAL rp '71 771 -0220 — ORIGINAL Y_ ELLOW — Inspector Lff A CERT I CATE HAS OF OCCUPANCY BEEN GRANTED. USC CHAPTER 3. PINK Owner GOLD Assessor 0 0 C 0 0 U Ln 0 LU > -b� Z 0 z Wu LU Lu (e, U cr U q z o" 0 0 0 .0 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................... FOU14DATION: Footint;....... ............. Wall................ ...... PiertPorch.... ........... RetainingWall ............ Slab li,sulation ............ PLUMBING: uncierground ............. Rough -In ................. Commercial Final .... HEATING: GasTest ................. GasPip;ng.. E.quipment. ...... Commercial Final ......... EXTERIOR SHEATPING NAILING ........ FRAMING .................... INSULATION: Floor insulation viall Jr.sulatiun ........... Ceiling insulation ......... SHEETROCK NAI LING ...... SPECIAL INSPECTION ...... RADON MONITOR AT SITE. F NAL APPROVAL FOR OCCUPANCY ....... I a CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS — � I /Z 1 15 ki A 1,1- K M_A_12!DDRESS )U ?,A '45 1., 4). L C- TELEPHONE NUMBER NAME ADDRESS -26�� CITY ZIP ELEPHONE NUMBER Cr-WAVO 147, 4i 6 2 ey ZT STATE LICENSE NUMBER EXPIRATION DATE e_j Legal Description of Property - include all easementsaw W-Z; 4 77,Ae- I- (I:-- P") "Wilm"y Tax Accou Plii�sl No. nl r .7 67 - 0 D 0 — 0 —Z S - 6 6 0 IsNEW M RESIDENTIAL PLUMBING ADDITION COMMERCIAL MECHANICAL E] REMODEL A . PT. BLDG. SIGN GRADING FENCE REPAIR — CYDS. I— x _FT) DEMOLISH WOODSTOIE SWIM POOL INSERT HOT TU9/$PA GARAGE RETAINING WALL/ C ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: '?Ile) e, k L=7- , - - / e NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS _ I NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) IP57^--LL� C7 I Al 03? L. CT USE ZONE PERMIT NUMBER 96033Z JOB SUITE/APT # ADDRESS C., 171 .27 1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved 0 RW Permit Required 0 EXISTING REOUIRED DEDICATION — Street Use Permit Req'd 13 Inspection Required C3 PROPOSE Sidewalk Required C3 METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED E YES 13 NO 13 RE S xi A 6,vlk 1W,q1A1NP65-r 'Foyp 7AA5 SIGN AREA I COMP SEPA REVIEW ADS NO. ALLOWED I PROPOSED LETE I I I I EXP I I VARIANCE OR CU PLANNING REVIEW BY I DATE LSETBACKS — FEE T HEIGHT I LOT COVERAGE FRONT SIDE REAR Z R MARKS 5 BY AAlf SPECIAL INSPECTOR AREA OCCUPANT REQUIRED 13 YES I LOAD I PROGRESS INSPECTIONS PER UBC 305 I FINAL INSPECTION REOUIRED VALUATION PLAN CHECK FEE C-1144 t; BUILDING HEAT SOURCE: GLAZING t I I— C_ UL� IN) PLUMBING Plan Check No. 9 & !�z MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewpiks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Start . ad Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE ,n successors in interest, agrees to indemnify, defend and hold 2. harmless the* City of Edmonds, Washington, Its officials, 3 employees, and agents from any and all claims for damages of cr < whatever nature, arising directly or Indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance 0 x nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the information given is correct; and that I am the owner, or thp duly ATTENTION authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and in doing the work authoriz. AUTHORIZES ed thereby, no person will be employed In violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED tion Insurance and RCW 18.27. INSPECTION SIGNATURE (OWNER (GENT) DATE SIGNED DEPA RTMENT WOR * CITY OF EDMONDS ATTENTION CALLFOR INSPECTION AT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. -3r/ APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and fees are paid, and receipt is acknowledged in space provided. NATURE 'PATE 1170 DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor