20030131.pdf4
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OPE MEINAUME OF BUSINESS
MAILING ADDRESS
CITY
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NAME
ADDRESS
CITY
NAME
ADDRESS
TELEPHONE
771
ZIP I TELEPHONE
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CITY ZIP TELEPHONE
STATE LICENSE NUMBER EXPIRATION DATE -T—CHECKED 13Y
PROPERTY TAX ACCOUNT PARCEL NO.
NEW
*FIESID'ENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
PICR
,10%REPAIR
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CYDS
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1 GARAGE
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ffYPE OF USE, BU INESS OR ACTIVITY) EXPLAIN:
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NUMBER
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7NUMBER
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STORIES
U
UNITS
DESCRIBE WORK TO BE DONE
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11 PLUMBING / MECH
COMPLIANCE OR
13 CHANGE OF USE
1:1 SIGN
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FIRE ALARM
PERMIT EXPIRES
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USE PERMIT
ZONE NUMBER C�A!�S
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SUITE/APT#
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PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
7ESCP Ap
RW Perrnn=ed
Street Use Permit Req'd
EXISTING — PROPOSED
Inspection Required 13
Sidewalk Required
REQUIRED DEDICATION— FT
Undo ground
11
Wiring required 13
METER SIZE
LINE SIZE
OF FIXTURES
PRV REQUIRED
7.
YES 13 NO 13 z
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REMARKS
I
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 11
DATE
FIRE REVIEWED BY DATE I
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
BOND
]
RECiD
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13YES
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PROPOSERSETBACKS (FT.)
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FRONT SIDE REAR
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REMARKS 1; 4. 6& IN
CHECKED BY I TYPE OF CONSTRUCTION cour: OCCUPANT
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SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [3 YES LOAD
REMARKS
PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REG'D
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Description
FEE
Description
FEE
Plan Check
State Surcharge
79y
HEAT SOURCE GLAZING % LOT SLOPE % Building Permit
City Surcharge
PLAN CHE:20, VESTED DATE Plumbing
-1:
a I L^d..^.g Mechanical
THIS PERMIT AUTHORIZES ONLY THE 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
PERMIT APPLICATION: ISO DAYS
PERMIT UMM I YEAR - PROVIDED WORK 15 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. Depos it
I')
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
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
Landscapefnsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
--.A-
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 applica0on Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Foes are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is ackno-Modged In space provided.
WORKMEN'S CO��TION N_MNSURANCE AND RCW 18.27.
OFFICIALS SIGNATURE A E
U 0 ER am
D�TE SIGNED
(425)
771-0220
IREL
E DATE
ATTENTION
Off 1333
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 YELLOWeINSP7TOR
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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CITY OF EDMONDS
121 sTH AVENUE NORTH 9 EDMONDS, WA9M 0 (425)771-= *FAX (425)TTI-Mi
Websb: wwdedmordsmws
DEVELOPMENT SERVICES DEPARTMENT
Planning @ Building 9 Engineering
November 15, 2002
Pam Ziegler
621 Walnut Street
Edmonds, Washington 98020
RE: Foundation Repair Work
Dear Ms. Ziegler:
PLEASE DISREGARD CITy LETTER DATED NOVEMBER 6,2002.
&-yreticiall-
GARY HAAKENSON
MAYOR
it has come to the City's attention that foundation repair work of your residence ' is currently
being performed without first obtaining a building permit. Please refer to the enclosed single
family exemption handout that describes construction work that may be performed on a single
family residence without the necessity of a building permit. Our Building Inspector performed a
drive -by inspection and determined that the extent of your work did in fact require a building
permit.
Enclosed is the City handout for remodeling. In order for the City to issue a building permit the
following documents (at a minimum) are required:
9 plot plan
e Existing foundation plan
9 Proposed foundation repair work
e Typical section view of the exterior wall
The remodel handout provides - excellent examples of the aforementioned plans. Please model
your plan submittal after our examples. Two copies of each document will be required including
a completed building permit application. If you have any questions regarding the need for a
permit please contact our Building Inspector, Michael Snook at 425-771-0220. if you have any
questions about the permit submittal or review process please contact a Permit Coordinator at the
same telephone number.
It is not the City's intent to cause you undue hardship however, compliance to the codes is
mandatory for the fair and equal treatment of all citizens. Please submit by November 22, 2002.
Sincerely,
ow§�)
Jeannine L.V�`
Building Official
Incorporated August 11, 1890 0
Sister Citu - Hekinan. 3anan
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SHORELINE HR PAGE 02
November 20, 2002
Jeannine Graf
Building Official
Development Services
City of Edmonds
121 5h Ave, N
Edmonds, WA 98020
Dear Ms. Graf,
After speaking to someone in your office today, I was told to send a written request for an
extension on the permitting process. I received a letter from you dated, November 15,
2002, regarding the foundation repair work that was started on my detached garage
without knowledge of the necessity for a permit.
My husband is doing the repair work himself, so he is the person with the knowledge
needed to work with your office in securing the permit. He has been called out of state
on a family emergency for the last two weeks. I am not exactly sure when he plans to
return, hopefully, within the next week or two. Since he is the only one working on this
project, no further I work has been done or will be done until he returns. I will have him
contact your office regarding the permit process as soon as he returns to town, And, he
will not resume work until we have secured the permit.
D I ue to this circumstance and the approaching holiday season, I ask that you extend the
time frame for my permit process for approximately two months, to January 17'h 2003.
We will mak I e every attempt to complete the process as soon as physically possible.
Thank you for your understanding and consideration to this request.
Sincerely,
t::::::: � ��p L.,
6 '�
Pamela R. Ziegler
621 Walnut Street
Edmonds, WA 98020
(wk) 206-546-7858
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DATE RECEIVED
C17Y OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
QPATE RECI
0 ER NAME.
�NAME OF B21NESS
15 MAILING ADDRESS
CITY ZIP [TELEPHONE
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NAME
E
ADDRESS
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NAME
ADDRESS
CITY
STATE LICENSE NUMBER
, ZIP ITELEPHONE
ZIP TELEPHONE
EXPIRATION DATE
CBL N
CHECKED BY
IROPERTY TAX ACCOUNT PARCEL NO.
NEW
9&RESIDENTIAL
PLUMBING/MECH
0 ADDITiON
0
COMMERCIAL
COMPLIANCE OR
13 CHANGE OF USE
"0. REMODI�L
0 MUL11FAMILY
SIGN
::.
;P&REPA*IR
[] GRADING CYOS FENCE X
Fri
DEMOLISH'
TANK
OTHER
GARAGE
RETAJNINGWALL
FIRE SPRINKLER
CARPOFO.
ROCKERY
FIRE ALARM
(ME OF U , BUOINESS
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OR ACTIVIM EXPLAIN:
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USE
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JOB
ADDRESS 6al
�] PERMIT EXPIRES
PERMIT
NUMBER C� 40,
SUrrEJAP`T#
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
YESCP Approved
MN Perff* Requkod
Sueel Use Pennit Wd
EXISTING — PROPOSED
wispoction RequIred
Sldewa* "Ired
REQUIRED DEDICATION- FT
Undeforound
I VVInno raqw9a 13
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES13 NO 13
I
z
I
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
DATE
FIRE REVIEWED BY DATE I %!
ir
VARIANCE OR CU
SHORELINE OR AD1111
I.NSPECTION
BOND
I
REO'D,
POSTED
I
13YEs IEKo
s -W*o
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALL("4ED PRCPOSED
I
1 0
1 "S. �441
,
EXP
I
LOT COVERAGE
REQUIRED SETBACKS (FT)
-1
PROPOSED SETBACKS (F7.)
ALLOWED PROPOSED
FRONT SIDE REAR
1
FRONT ^ LIR SIDE REAR
7W
R 1.
C; 6
13,10* X
4.4- 3'
420.
,
PARKING
LOT AREA
PLANNING REVIEWED H DATE
RECID I PROVIDED
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6,
OF
h5A!!! X/1-1 I
REMARKS
CHECKED BY
OF CONSTRUCTION
�*7.
OCCUPANT
ITYPE
1 74
GROUP,�
-
SPECIAL INSPECTION JAREA
OCCUPANT
REQUIRED [] YES 1_
LOAD
REMARKS I
PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REG'P 9
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Ct
Building Perm City Surcharge
PLAN CHEC20- VESTED DATE
Plumbing
Mechanical
THIS PEMIT Ain'HORIZES ONLY THE WORK NOTED. THIS PERUWCOVERS WORK To
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIOWON THE PUBLIC
Grading
0 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, Elp.) WILL REQUIRE
3
SEPARATE PERMISSION.
t__ —
Engr. Review
PERMITAPPLICATION: 1180DAYS�,
IL PERMIT LIMM,11 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
� I SEE SACK OF PINK: PERMIT FOR[MORE INFORMATION
'APPLICAN'r. 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
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapeinsp.
Total Amt. Due "77
DEEMED TO MODIFY: WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.1,
01sed
Recording Fee
Receipt # CQJ
I 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 untO signed by the
'noN; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or h1olher Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN'S C��SATION INSURANCE AND RCW 18.27.
OFFICIALS SIGNATURE DATE
TUR Dr- SIGNED
1111-3 )
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-10
4M
73 4 74— 0�
771 -0220
IDATE
am
EL
ATMWI014 Off 13
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL ELI- A&A, 4,
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. ORIGINAL -FILE YELLOW �INSPE&OR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
ON
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