20030091 (2).pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
DR. � Ii4e-.5 :5-111RA02-S
UAILING ADDRESS
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CITY ZIP ITELEPHONE
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ADDRESS
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NAME CBL#
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ADDRESS
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STATE LICENSE NUMBER E�
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PRO ER7Y TAX A COUNT PARCEL NO.
7 c
6-1 - ow-ool - 0100
NEW 0 RESIDENTIAL
0 ADDITION COMMERCIAL
1:1 REMODEL MULTIFAMILY_
0 REPAIR GRADING CYDS
[3 DEMOLISH TANK
oGARAGE RETAININGWALL
CARPORT ROCKERY
(ME OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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NUMBER NUMBER OF
OF DWELLING
STORIES 2- UNITS 76
ZIP
DESCRIBE WORK TO BE DONE
PLAN CHECK]
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TE I CHECKED BY
IPERMIT EXPIRES
USE PERMIT
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ILL NUMBER L4�.2
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JOB
SUITE/APT#
ADDRESS
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PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Pennll Required
Street Use Pannit ReWd
EXISTING — PROPOSED
Inspecdon Required
Sidevralk Required
REQUIRED DEDICATION- FT
Underground
Wiring required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES13 NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
BY DATE
FIRE REVIEWED BY DATE
OR CU SHORELINEORADB# I INSPECTION I BOND
REO'D POSTED
13YESMNO $
BEIRA REVIEW SIGN AREA HEIGHT
COMPLETE . EXEMPT I ALLOWED . PROPOSED I ALLOWED . PROPOSED
10,
LOT COVERAGE
REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr)
PWM131NG / MECH
ALLOWED PROPOSED
FRONT SIDE REAR FRONT
I
LIRSIDE REAR
COMPLIANCEOR
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CHANGE OF USE
PARKING
LOT AREA PLANNING REVIEWED BY
DAT, 916
SIGN
REQ`D I PROVIDED I
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REMARKS
OTHER —
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FIRE SPRINKLER
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CHECKED BY TYPE OF CONSTRUCTION
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AREAC SPECIAL INSPECTION JAREA
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NUMBER11 -Ilelq REQUIRED
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
VALUATION
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Deacription FEE
Description FEE
Plan Check
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State Surcharge
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LOT SLOPE % Building Permit
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City Surcharge
A " 0 "r,
VESTED DATE Plumbing
Mechanical
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THIS PERMIT AUTHORIZES ONLY TUE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
PFAMITAPPLICATION: ISO DAYS
IL PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
PERMIT. THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE OF THIS ISSUANCE OF
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
21 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt #
1 HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
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 REGULATING CONSTRUC-
CALL
This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Official or hie/her Deputy: and Fees are paid, and
receipt is acknowledged In space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW JI!,27. pgert ens L
DATE
BIG E (OWNER Q AGE 00 1§01FIGO 1
a��L�VA
(425)
,MNATURE
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771-0220 LI
450211161EMBY DATE
ATTENTION
EXT 1333
1
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
-1 —
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YELL -INIPEC16R
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
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RE ""IMED
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PEK'J' '- OUNTEV
CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
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Location of Violation (Tax Account Parcel N ments 0, 23& & 76"' Avenue
West, Edmonds, Tax Ac ount Parcel No. 0057-6700-000-10100
Issued To:-- Suhrco Residential PMRerties, LLC
Address Of Person This Order Is Issued To: 10655 NE 4. Suite 711 Bellevue, WA 98004
Code Section Violated:. Uniform Building Code Sections.. 106, 108 and 109 and Edmonds Communi!y
Development Code ChgRter 19.00.
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tairlivi
L=Jujaw-Tr�
for re-ingpection of decks W d under building 1jennits #2001-0822 and #2001-0823 (see attached
correction notice dated 12/27/02—these issues are still outstanding). 3) Failure to make corrections
recall for final ingpection of foundation KWair work issued under building pennit #2002-0681 (see
-1-A In/0117/r%n mrA ctai nioctnndinal- 4) Downsnouts not
Corrective Action Required: 1) Call and schedule for inspection (425-771-0220 x 1333). 2) Make
reguired corrections based on the 12/27/02 notice and recall for the reguired final ingpections. 3) Make
Mguired,corrections based on the 12/27/02 notice and recall for the reguired final inmection. 4) Connect
down.apouts and call for ingnection.
I
Correction is Required no later than: 5:00pm —(tim _(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: March 11, 2003 Date Mailed: March 11, 2003 Date Served
Issuing Party Jeannine L. Graf Title _ Building Official
Signature
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Cy
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DATE RECEIVED)/
PERMIT EXPIRES
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I gessessesse.
CITY OF EDMONDS
USE PERMIT
ZONE '49
NUMBER
CONSTRUCTION PERMIT APPLICATION
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JOB SUnVAP`T#
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OWNER NAMEftWE OF BUSINESS
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PLAT NAME/SUBDIVISION NO. LID NO
177
%4AILING ADDRESS
LID FEE $
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW P9Mjft=9d
CITY ZIP TELEPHONE
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Street Use Peffnit PAq'd
EXISTING — PROPOSED Inspection Required
Sidewalk Required
REQUIRED DEDICATION— FT Undww"o
Wiring required 13
N
METER SIZE LINE SIZE i NO. OF FIXTURES PRV REQUIRED
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N(_(Z C,4.ej_S00
YE s 13 NO 13
ADDRESS
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
14- 14.qw- NS
c'T� ZIP.,JELEPHONE
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NAME CBL#
ENGINEERING REVIEWED BY DATE
ADDRESS
I q it I? 5iE A u&2ew 9Lk, WA 446 W b Z AjD
CITY ZIP HONE
FIRE REVIEWED BY DATE
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A U e'u C1 tok 451 D - q0
VARIANCE OR CU HORELINE OR ADBN 1,31NSPECTION BOND
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY I � REO'D !OSTED
is
A:�Se-r RM 0 33 Sol*2' Alp 5 IM
No
�"jm '4-? YES:W
SEPA REVIEW SIGN AREA HEIGHT
PROREFITY TAX ACCOUNT PARCEL NO.
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
EXP
NEW RESIDENTIAL PLUMBING/MECH
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR
IADDITION COMMERCIAL COMPLIANCE OR
3 CHANGE OF USE
REMODEL MULTIFAMILY 0 SIGN
PARKING
REQ'D I PROVIDED I LOT AREA I PLANNING REVIEWED BY
16-R&La'e—
IL
19 REPAIR 0 GRADING [3 FENCE
.
CYDS ( X FT)
REMARKS
DEMOLISH 0 TAINIK 0 OTHER
JD5 1-�r —ID F1 A T-C4J
GARAGE RETAINING WALL FIRE SPRINKLER
ER
CARPORT ROCKERY FIRE ALARM
(rVE OF USE, BUSINESS OR ACTIVTM EXPLAIN:
CHECKED BY TYPE OF CONSTRUION C OCCUPAW
GROf�
4777,
NUMBER NUMBER OF I CRITICAVjff4
OF DWELLING -76 A
2�
SPECIAL INSPECTION JAREA OCCUPANT
LOAD
—STORIES UNITS_ N__
REQUIREE
DESCRIBE WORK TO BE DONE
REMARKS
INSPECTIONS PER LIBC 108/F INAL INSPECTION RECVD
_ f_ L51,015
)q)? r)ej'.qr1W&:' otrr
&P
[PROGRESS
VALUAnON
Description FEE Description FEE
Plan Check
State Surcharge
A10
HEAT SOURCE GLAZING % LOT SLOPE %
I Building Permit
City Surcharge
41
5,
PLAN CHE VESTED DATE Plumbing
Mechanical
t:
2
3
THIS PERMIT AUTHORLITS ONLY Am WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
coum licuRas, siDEwA=pnqwAys, MARQUEES, urc.) WILL REQUIRE Grading
PERMISSION. Engr. Review
PERMIT APPLICATIOW 180DAYS
PERMIT LIMM. I YEAR - PROVIDED WORK 18 STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEKA.LF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk.
;APPLICANT.
INT REST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
M E
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
jDepwft
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
L
TotalAmtDue
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording FeeT
Receipt #
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORREaP, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application Is not a permit until signed by the
TION; AND IN DOING THE WORAAUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FORINSPECTION
Building Official or tilaftr Deputy: and Fees are paid, and
!=Ipt Is acknowledged In space provided.
WORKMEN'S COMPENSATION INSURANCE A14D RCW 18.27. 3>RjqP5eTs em L
NATURE DATE
E (OMER OR GE
1,425
771-0220
ElrBY
4�ffi
DATE
AMNTION
off 13133
71 ,
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INIPECT&
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER - GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
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