20020377.pdf0
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PERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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OWNER NAMEINAME
ADDRESS
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PLAT NAMEISUBDIVISION NO. 'A NO L�D NO-
MAILING ADDRESS
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CITY ZIP ITELEPHONE
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NAME
METER SIZE I LI�E S ZE I NO- OF FIXTURES PRV REQUIRED
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ADDRESS
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Wl"ER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROIJORAINA-
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STATE LICENSE NUMBER EXPIRATION DATE
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ALLOWED PROPOSED
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PROPERTNTAX ACCOUNT PARCEL NO. 1A%7,vl3-2-I'7?odl-
RESIDENTIAL
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ciGARAGE 0 RETAININGWALI PEN.
CARPORT F.CKER, 0 L
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS UPT)
FRONT SIDE REAR
7-15' 2-5,
PROPOSED SETBACKS (FT)
FRONT UPSIDE REAR
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLMN:
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CHECKED BY TYPE OF
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CONSTRUCTION
j0q� OCCUPANT
_NUMlEl
OF
STORIES
NI" 111.01
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UNITS
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AREA OCCUPANT
LOAD
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DESCRIBE WORK TO BE GO
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REMARKS
ROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'
OF= aojt_o)"c_ ON TWO LMV6Il-
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HEAT SOURCE GL�AIING 14 LOT
BUILDING
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PLAN CHE VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHO RES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
MGRADINGIFILL
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SEPARATE PERMISSI N.
S TE SURG.-D.
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RE MIT APPLICATION: 180 DAYS
T PERMIT LIMIT.- I YEAR - PROVIDED W RK IS STARTED WITHIN 180 DAYS
SEE BAG OF PINK PERMIT FOR MORE INFORMATION
ENG. REVIEW FEES
'APPLICANT. ON BEH LF F HIS OR HER SPOUSE, HEIR . ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
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IN NTEREST, AGREE TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
2' EDMONDS. WA RING ON ITS OFFICIALS, EMPLOYEES. AND AD
i; SING DIRENTS FROM ANY AND
ALLCLAWS FOR DAMAGE OFWHATEVER NATURE, ARI ECTLY OR INDIRECTLY
INSPECTION FEE
FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERM T SHALL NOT BE
PLAN CHECK DEPOSIT
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORO; ANcE
0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY013DINANCE PROVISION,'
TOTAL AMOUNT DUE
I HERSEY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHOR ZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMP DYED
CALL
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE LATING TO
FOR INSPECTR
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27
SIGN;4E (OWNE�R DATE SIGNED
(425)
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ATTENTION
��T' 1333
IT IS UNLAWFUL 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
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VALUATION
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CITY OF EDMONDS GARY HAAKENSON
MAYOR
121 STH AVENUE NORTH - EDMONDS, WA 98020 (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
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Planning - Building - Engineering
May 23, 2002
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Steven Marshall
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Edmonds United Methodist Church
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828 Caspers Street
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Edmonds, WA 98020
RE: Performance Bond Requirement for Remaining Phase I Site Detention
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Edmonds United Methodist Church — 828 Caspers Street
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Dear Steven:
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My letter to you dated May 22, 2002 inadvertently did not address the issuance of a performance bond to
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cover the remaining portion of the storm detention, identified under permit plan check # 01-398, but
which you do not plan.to install under Phase I ofyour project A bond is required to ensure the remaining
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detcaiti6n is *installed in the event the future sanctuary is not permitted within the two years as, stilmlatiid.�
Althouih you do not need to provide the bond at this time, it will be required to be in place before final
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inspection ofPhase 1. At the appropriate time, please submit an engineer's estimate so we can determixie
'the,b6nd amount. The bond must be valid for a period of two years after the date of final approval by the
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di ofPhase I oftlu: project.
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Ifyou have any questions, please call Lyle Chrisman at 425-771-0220, Ext. 1324.
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City Engineer
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c: Marie Harrision, Development Services Coordinator
Meg Gruwell, Senior Planner
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CROFILM
Incorporated August 11, 1890
Sister Citv - Hekinan. Janan
assess&
vlettp of v40L--,bM0nb5
certitimte of OtEupatUp
PER UNIFORM BUILDING CODE SECTION 109
At: 828 Caspers Street, Edmonds. WA Buildina Permit 9: 2002 377
Occupancy established by this certificate: Dwelling Units: *N/A— No. Stories: Three
A-2/A-31B Type Construction: V I Hour Basement: No
Maximum Occupant Load Per U.B.C. 1002)
Room capacity signs, requkvd� remain posted at aff times.
Owner of Building: Edmonds United Meth2dist Chu!r%.',,; =829-Caspers Street Edmondsi WA 98020
THE Edmonds United Methodist Church. HAS SEEN pE WITH THE REQUIREMENTS
OF THE 1997 Edition of the UNIFORM BUILDtNG%CODE AS A"
OF OCCUPANCY AND THE
USE FOR WHICH THE PROPOSED OCCUPANC*.Is CLASSIFIED.
Issued this Fouft dayof_____ ARr_11 2003
C IEF BU ING OFFICIAL
BY:
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE�_
ENGINEERING DIVISION DATE -3/2�7/03
PLANNING DIVISION DATE-_
PROJECT
SITEADDRESS.
PERMIT# ADB#--------PATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED- F(r)a
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
___��GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
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2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
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there are no o ons from the above signed Department to the granting of:
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Final approval ofthe described work
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P rmance Bonds associated with the project may be released
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INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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FINAL PROJECT APPROVAL FORM
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DATE:
I�MMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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Datq_ Sign_
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ............
FOUNDATION:
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Wall .....................
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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Commercial Final
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HEATING:
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Gas Piping .................
Equipment .................
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NAILING ..........................
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FRAMING ...................
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Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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