20000369.pdfCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
PERMIT 2,00369
NUMBER
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Plan Check No. 00-8-
MECHANICAL
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This Permit Gov rs work to be done on private property UNLY.
GRADINGIFILL
Any construction on the pub IC domain Jcurbs, sidewalks.
driveways, marquees, etc.) wlt� require separate permission.
STATE SURCHARGE
permit Application: 150 Days
ST... .AINA.E IF.
Permit Limit: 1 Year w Provided Work is Started Within 160 Days
—
"Applicant, on behalf Of his or he, spouse, heirs, assigns
and
EN. INSPECTION 11!E
successors in in!,eyrest ""' to Indemnity, defend and hold
harmless I a 0 i 'Ed —rids, Washington, its Of ficials,
a ployeessand agen s from any and all claim s for damages
directly or Indirecti Tom thed issuancoe
Y
of
Whatever n lure araing
of this permit. Issuance of I his permit aha�l nnol be me"
I
PLAN CHECK DEPOSIT
modify, waive or reduce any r.lulrem.ri, 0 y y ordinance
nor limit i� any way the City 'a ability to enforce any rdi nance
TOTAL AMOUNT DUE
p rovision
hereby acknowl:dge In. I mW. read his application; that
the
ATTENTION
APPLICATION APPROVAL
Information Ivan orr.cl� and that I am I he owner. or the duly
authorized agent of the owner. I agree to comply with city
and
THIS PERMIT
This application is not a permit until
state laws regulating construction; and in doing the work authoriz.
Au OAIzES
THE
signed by the Building official or his/her
ad thereby, no person will be employed In violation of the Labor
OT
NLY
Wo RK NOTED
Deputy; and tee S are paid, and receipt is
Code is of Washington Totaling to Workmen's Compensa-
acknowledged in space provided
in n I=cSe"`GI,d RCW 18.27.
INSPECTION
jOWNER OR AGENT] GNED
DEPARTWEN'
OFF A IGN iIE
JDATE
CITY OF
ED MO NDS
TION
CALL FOR
INSPECTION
LEAS IE
60
—7L
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR 'T"'T"E
MADE AND APPROVAL OR
771-0220
ORIGINA L F,1S YEL OW — InsPeClOf
UNTIL A FINAL INSPECTION HAS BEEN
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED USC
SECTION 109
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CITY OF EDMONDS GARY HAAKENSON
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771�0220 FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
December 20, 2000
Duane Landsverk
230-174"' Street SW
Bothell, WA 98012
SUBJECT: Proposed Driveway Change at 19511-941h Place West (Permit #20036
Dear Mr. Landsverk,
It has been brought to my attention that you have proposed a change in location for your
driveway access. City staffhas met and discussed the issues involved with this change,
and the following requirements must be met prior to approval of the change in location.
1. A revised plan must be submitted, showing where the driveway access is to be
located.
2. In order for the access to be located in the City right-of-way, a locked swing gate
must be provided at the entrance off the private drive. The lock is to be controlled
by the City of Edmonds. A detail of this gate must be provided with your
drawing.
Please submit your plan for review. The portion of the driveway access within the City
right-of-way, east of the fire hydrant, must not be paved until the driveway relocation has
been approved. If you have any questions, please contact me at 425-771-0220,
Ext. 1323.
Sincerely,
awc �Wisvuy-
ama-� Wilt poilom
DON FIENE
Assistant City Engineer x—*c W"M
DF/JM/eme 0 K�4'vljm , +he-
c: Development Services Coordinator,/ PIC QW I'S 0 P1hva&,pqzrf,1
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FINAL PROJECT APPROVAL FORM
RECEIVED TO: —
MAY 11 2001 DATE:
MEMO TO: PERI�rTa BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE —
ENGINEERING DIVISION DATE—
pifk� —
PLANNING DIVISION DATE—
PROJEC
SITE ADDRESS.
PERMIT 4 D
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I_ADB#_______pATE INSPECTE
DESCRIPTION OF WORK TO BE INSPECTED R121S F—
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that.
there are no objections from the above signed Department to the granting of:
Final approval of the described work
GRANT FINAL PROJECT APPROVAL
--GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
______jAILED FINAL INSPECTION - OUTSTANDING ISSUES
I
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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FINAL PROJECT A�PPRQVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE -
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ENGINEERING DIVISION DATEAA 1LQ_L_
PLANNING DIVISION DATE
PROJEC
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PERMIT #__JAa_3&3ADB#________PATE INSPECTED L
DESCRIPTION OF WORK TO BE INSPECTED- r-WAL-
that
A field inspection was conducted to determine compliance with approved plans, Final approval denotes
there are no objections from the above signed Department to the granting of:
-Final approval of the described work
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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USE PERMIT
EDMONDS ZONE NUMBER 200369
DN PERMIT APPLICATION j-,d,,— I , SUITE/APT-1
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Legal Description of Property - include all easerner
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This Permit cover$ work to be done on private property ONLY. GRADINGIFILL
Any construction on tho public domain (curbs, sidewalks,
driveways, marquees, Bic.) will require separat
STATE SU
Permit Applicii1lon; 180 Day-
STORM DRAINAGE FEE
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behal! ,,,,s Or,.hB,,SpOUs9
ENO. NSPCCTiON FEE
ccessors in interest efend and hold
su a reas Co.
h rmless onds its officials,
'y ' "'
Y,,Wpshl�gffon,
.�'.rido.1,.nols od. an d alf cl Inns for damages of
IE
WhInav . Issuance
emp'oy:renalure. arising directly or indirectly frombth�a
PLAN CHECK 0 POSIT
Of this permit. Issuance of this permit shall not a earned to
modify, waive of mdu�. of any city or
ordinance
Cany.requirement
nor limit in any way the ty S ability to enforce any
P ro�lsion."
TOTAL AMOU NT DUE
��- V-
I hereby acknowledge that I have read this application; that the
A' 'TENTION
APPLICATION APPROVAL
,.formation given is correct; and that I:m the owner; or this duly
authorized agent of the owner. I ogre to comply with city and
THIS P RMIT
This application is not a permit until
state laws regulating cc nstruction; and in doing the work authorlz-
AUTHORIZES
THE
signed by the Building Official or his/her
ad thereby, no person will be employed In Yjolation,of the Labor
Compensa.
ONLY
WORK NOTED
Deputy: and fees are paid, and receipt is
Co =S1 too Washington relating to Workmen a
acknowledged in space provided.
ti.n ce aria HOW 18.27.
OWNER 01 -E-
INSPECTION
DEPARTMENT
CITY OF
OFFICi��,-S-G��r, RE
g
EDMONDS
-ZL-e
A S q- O11E
ATTENTION
I NSPECTION
U c R
IT IS UNLAWFUL TO USE OR OCC PY A BUILDING OR STRU, E
UNTI A FINAL INSPECTION HAS BEEN MADE AND APPROV -TLu-R
L
771-022 0
ORIGINAL FOB YELLOW ITISP-lo,
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A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
-
BE CTION 109
PINK - Owner GOLD -� Assessor
102S,