20000786.pdfDATE RECEIVED q
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWN A NAMFJNAME OF BUSINIESr4
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MAILINGADJ�RESS
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ITY ZIP
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CITY ZIP
NAME
IPERMIT EXPIRES
USEE PERMIT
ZO 1ZN NUMBER
JOB SUITEIAPT#
ADORES$ 5.��eC _
PLAT NAMEISUBDIVISION NO, I LOT NO, LID 111,
LID ff�S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MI — p
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EXISTING— PROPOSE.—
PEOUIREDDEDICATtON— FT
NO.011IXTURES YEPIIV REQUIRED
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REMARKS
MNFRZONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
ENGINEERING RETIETIEO/DATE
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DATE
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DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS
PER UBC 108/FINAL INSPECTION REO'D
VALUATION
FEE
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PLAN CHECK III
HEAT LOTSLOIE/.
IF
BUILDING
BUILDING
PLAN CHECK NO: ... IED DATE
PLUMBING
MECHANICAL
MECHANICAL
TO
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRWEWAYS� MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
GRADINGIFILL
STATE SUACHARGE
PERMIT APPUCATION: 180 DAYS
IF PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
!RECEIPT
L.j ;AFl�LCA.NTj0AN.5FHALT.0' HIS OR HER EIOUEE� HERE, ASSIGNS AND SUCCESORS
N T R E. INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
DMON,%WASHINGTAOI� I.TgO1,11CIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALLCLA'M .S.A. BE ATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROMETH,,o,=,NYE OF THIS PERMIT ISSUANCE OF THIS P AMIT SHALL NOT BE
DEEM IUVE OR REDUCE ANY REQUIREMENT OF ANY ITYORDINANCE
NOR LIMIT IN ANY WAYTHE CtTY-S ABILITYT. ENFORCE ANY ORDINANCE PROVISION '
ENG. INSPECTION FEE
LANDSCAPING
INSPECTION FEE
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
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'AT : HAVE READ THIS APPLICATION: THAT THE INFORMATION !,P 12� APPROVAL
'H'REBY AC'NOWLEBO' T� F.—, o' ,, —
GIVEN IS CORRECT, AN. T AT A. THE OWNER, OR THE DULY AUTHORIZED AGENT 01
THE NE. AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL
N� NEW. KAUTHORIZEDT EREBY. NO PERSON WILL BE EMPLOYED
T R H FOR INSPECTION
IN VICILA PN A, CODE OF THE STATE .1 WAE.INGT.N RELATING 1. F —P... p'—d.
W.B,M T' SC OF THE L T OR
EN .PENEA ON INSURANCE AND RCW 1827. .111 �LE SIGNATURE DATE
IGNATU (OWNE ADEN DATE S!GNI�G (425)
w I _ 0 --6v
771-0220 FILE ED By DATE
A(rTEj4TION EX-11333
IT IS-01;LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI,
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX
ORIGINAL FILE YELLOW. -SPEeTOR
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PINK OWNER GOLD - ASSESSOR
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JAMES R. IRWIN & ASSOCIATES
ARCHITECT
DBA DESIGN/CONSTRUCTION ASSOCIATES
2507 N.W. 202ND ST.
RECEIVED SHORELINE, WA. 98177
2000 42-9191, (206) 546-9681 FAX
(206)5
DEVELOPMENT SERVICES CTR.
CITY 01: EDN40NDS
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September 29, 2000
C:, M
Mr. Don Fiene, P.E.
M
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Engineer
City of Edmonds
M
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Engineering Division
10
121 5th Ave. No.
;N'
Edmon s,WA 98020
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Re: Stockpile of sandy soil
o"n
660 Bell St.
MTL
Edmonds, WA 98020
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Dear Mr. Fiene:
M 0�
We would like to stockpile approx imately 390 cubic yards of sandy
topsoil on the above referenced site, I am aware of the high level of
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sensitivity in doing this both from an aesthetic and environmental impact.
This stoc kpile would only last approximately two weeks in duration. It is the
ca�
backfill and grading material which will be returned to the site at 645 Bell
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Street, one block to the south. I will be on site at 645 Bell Street for the
OR
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entire duration of this stockpiling event and will do a daily on -site review of
the condition of this material with respect to erosion and sediment control.
to ensure
I intend to employ the Best M anagement Practices
stabilization of exposed areas and would like to meet w ith your inspector
prior to commencement of activities. We will cover the material in plastic if
you wish. It is extremely sandy and does not allow ponding or standing water.
We will protect adjacent properties with the erosion fence as shown on our
deemed
drawing. Should the need any Erosion Sediment Control measures be
necessary for control and maintenance, I will be happy to comply.
Don Flene - September 29, 2000 Page 2
This is a very short term project. With respect to the neighbors and
in impact.
city officials, I intend to make this process touble free and minimal
Thank you.
tru' yours,
trul yours,
0
e!s wiin
ames R.,Irwin
am Ir
7tect
Project Ar hitect
Project Ar h
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DATE R,O"V,o
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
M AILING ADORES
!4501 11
CITY ZIP [TELEPHONE
PERMIT EXPIRES
BE PERMIT
DNE NUMIER
SUfTE/APT#
DDRESS
PLAT NAMEISUBDIVISION NO,
ID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXIS ING — PROPOSED�
p., qd
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PRV REQUIRED
YES 0 NO 0
RE
IMARKIS—TR-TOR
RESPONS18LE
FOR EROSION CONTROUDRAINAGE
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ADDRESS
CITY ZIP TELEPHONE
FIRE REVIEWED By DATE
VARIANCE OR CU
SHORELINE OR AD84
STATE LICENSE NUMBER EXPIRATION VAI h BY
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SE;A REVIEW
COMPLETE I EXEMPT
EXP
SIGN AREA
ALLOWED I PROPOSED
HEIGHT
ALLOWED , PROPOSED
ERTY TAX ACCOUNT PARC
TRoP EL NO.
0 —NEW1 RESMENT1,41-, 0 PLUMBING I MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT�)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT URSIDE REAR
I_I PLIANCE OR
0 ADDITION o CO
CHANGE OF USE
PARKING
LOT AREA
PLANNING REVIEWED BY DATE
C] REMODEL 0 SIGN
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0 REPAIR ol FENCE X
X
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REMARK.
DEMOLISH 0 TANK OTHER
GARAGE RETAIN WALL RENEWAL
PORT L R.CXE��G 0
LJ CA 0
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PE OF USE, BUSINE ICTIVITY1 IXI-IN:
TYPE OF USE U.IrR�
I_P, 0 USE BUS'��
CHECKED By
TYP E OF CONSTRUCTION
CCUPANT
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117 10
JOCRA.
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OF
STORIES
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NUMBER OF
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RE �OUJ;EG n YES
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DESCRIBE TO �GEDCNE
REMARKS
PROGRESS INSPECTIONS PER UEC 10SfIFINAL INSPECTION REG'
_5zyApb9x4__/
A, r- ,� /-%- /-/,I vs
VALUATION
FEE
PLAN CHECK FEE
HEATSOURCE GLAZING I
LOT ILOPE%
BUILDING
PLUMBING
PLAN CHECK NO:
IVESTED DATE
MECHANICAL
_
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
13E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
SIDEWALKS, DRIVEWAYS , MARQUEES,
L DOMAIN (CURBS. ETC.� WILL REQUIRE
SEPARATE PERMISSION,
GRADINGIFILL
STATE SURCHARGE
P MIT APPLICATION: 180 DAYS
E
PERMIT LIMIT.- 1 YEAR - PROVIDED W K IS STARTED WITHIN 180 DAYS
SEE SACK OF PINK PERMIT A MORE INFORMATION
ENG. INSPECTION FEE
'APPLICANT, ON BEHALF OF HIS 08 H SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TOINDE NI , DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS LS. EMPLOYEES, AND AGENTS FROM ANY AND
ALLCLTME =GAMAGE10 HATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
'ROM THE ..E OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMEDTO MODIFY WAIVE OR REDUCE ANY REQUIREMENTOF ANYCITY ORDINANCE
NOR LIMIT IN ANY WAY THE CIT Y'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
LANDSCAPING
INSPECTION FEE
PLAN CHECK DEPOSIT
IAL AMOUN T DUE
To'
8 C P
I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION; THAT 11-11 INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF -
THE OWNER: I AGREE TO COMPLY WITH CITY AND STATE LAWS PEGULATING CONSTRUC
T ; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
ION L MG
IN VIOLATION OF THE LABOR C DE OF THE STATE OF WASHINGTON RE AT' TO
-_
CALL
FOR INSPECTION
APPLICATION
Thil IPPI-t- i, -
B.1,19 Offilill llisthOl
_t-do�,
APPROVAL
. p.-I Iil,ip d Il -
Ild Foos ara olld. ,d
" R,_
WOPKMEN'S COMPENSATION INSURANCE AND RCVV 18.27. OFFI ALE SIGNA RE DATE
IGNATU E JOWNE ADEN '? RE, DATE SIGN (425)
771-0220 IELE EDBY DATE
�E EX11333
,NTION
IT IMLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW INSPE TOR
PINK -OWNER - COLD - ASSESSOR
CATE OF OCCUPANCY HAS 13EEN GRANTED. URIC SECTION 109 FAX
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