20030175.pdfLPERM�IT EXPIRES 0
CITY OF EDMONDS
USE PERMIT
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NUMBER
CONSTRUCTION PERMIT APPLICATION
J013 SUITE/APT#
ADDRESS
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NAME/NAME OF BUSINESS
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PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
MAILING ADDRESS
LID FEE S
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TESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Parrrit Required
Street Use Pa" it Roq'd
CITY ZIP TELEPHONE
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EXISTING - PROPOSED InspectJon Requited
Sidowatk Required
under
REQUIRED DEDICATION- FT - ud
1 vvinng required 13
NAME
METER SIZE LINE SIZE NO. OTURES PRV REQUIRED
45;1%
YES NO 13 z
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
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CITY ZIP TELEPHONE
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NAME CBL#
ENGINEERING REVIEWED BY DATE
ADDRESS
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FIRE REVIEWED BY DATE Lu
CITY ZIP NLEPHON9,
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STATE LICENSE NUMBER EXPIRATIONDXTE CHECKED By
VARIANCE OR CU SHORELINE OR ADB# I INSPECTION BOND
RED'D a POSTED
1E3YES 140 IS
$EPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
i COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
0Q% 0,3 1206
, 9-9 1
EXP
NEW RESIDENTIAL PLUMBING / MECH
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
ALLOWED FRONT REAR FRONT REAR
PROPOSED 91DE
�)D&
COMPLIANCE OR
ADDITION COMMERCIAL 0 CHANGE OF USE
V
PARKING irL DATE
REMODEL MULTIFAMILY SIGN
T kREA NIN EVIEWED
REOD PROVIDED
o FENCE
JRAFF
0 REPAIR 'CYDS X-FT)
REMARKS
DEMOLISH TANK OTHER
oGARAGE o RETAININGWALL F RE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE F USE, BUSINES OR ACTIV" OMAN.
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CHECKED BY OF T LICTION CODE OCCUPANT
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NUMBER NUMBER OF bRITICAL f
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OF DWELLING AREAS
SPECIAL INSPECT107N OCCUPANT
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ST RIES UNITS NtlME
LOAD
REQUIRED [] YES
DESCON WORK TO E DON
0
REMARKS
PROGRESS INSPECTIONS PER UBC IGOIFINAL INSPECTION REO'D
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*1 -75 --w3nm
VALUATION
$ 1 �261
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Description FEE 6e�sdrlptlan FEE
Plan Check
low
State Surcharge
URCE
GLAZIN
LEG %
LOT SLOPE %
-3,5- —
VESTED DATE
Building Permit
Plumbing
City Surcharge_
NO:
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: "' DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC:
Grading
0 OMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPAMTE PERMISSION.
It:
Engr. Review
15 PERMITAPPUCATION: IBODAYS
L
a. PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
0,
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
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
-T
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
I
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 E DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
011 NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt N
I HEREBY 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
Building Official or hisitter Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknoydedged In space Lx�vldod.
WORKMEN-S
,,POM�ENSATION INSURANCE AND RCW 18.27.
0 1
IGNAT DA-[Jr
SIGNATUR4 AGE �In
DATE SIGNED
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1,42
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771-0220
-RE
ATTENTION
EXT 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 - YELLOW - INSPECTOR
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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415 9th Ave. s. Edmonds, WA 98020
FND.(7-22-92)
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& Separate Permits
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CITY OF EDMONDS
121 5TH AVENUE NORTH * EDM00S. WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning e Building e Engineering
May 14,2003
Attn: Ward& Janice Brown
PO Box 1927
Edmonds, WA 98026
Building Permit: 2003-0175
Site Address: 415 9th Ave S
Expiration Date:
Dear Ward & Janice Brown:
GARY HAAKENSON
MAYOR
The purpose of this letter is to inform you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your permit file.
The City considers the final inspection to be one of the most important inspections
conducted on a project. In order to grant final approval the following must be complete.:
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
and residence, egress from sleeping rooms, safety glazing, weather-stripping, any
Engineering department requirements etc. Of course not all of these things may
specifically apply to your project but it does give you an idea about the kinds of things
that must be complete as well as some items that do not need to be installed such as:
paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from
the date of issuance. If you will need more time to complete the work, permits can be
renewed prior to expiration for one half fees. If the permit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew the
permit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and call for the required final inspection(s). Note: If more than
one department is required to final your project, this is noted on your Job Card.
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
i
i Pe --mi oordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
NIX
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FINAL PROJECT AP FORM
TO:
DATE:
MEMO TO: PERMrr COORDINATOR, BLUDING DIMION
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3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
�Date Si
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YES
NO
Home licensed (or applying for license) on or after July 1, 2001
2-,
[].
SLEEPING ROOMS
0
0
Sleeping Room #1 0 S PINS 1 0 NS2
Bedroom door is openable from the outside when locked
1;?,
0
CJoset doors are readily openable from the Inside
1?
0
Smoke alarm is Installed In the bedroom
Er.
11
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 2V wide)
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Sleeping room window has a maximum sill height of 44"
El"o
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Sleeping Room #2 0 S f!(NSI 0 NS2
Bedroom door Is openable from the outside when locked
0
Closet doors are readily openable from the Inside
11
Smoke alarm Is Installed In the bedroom
0-
0
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24"high; 20"vvide)
0
Sleeping room window has a maximum sill height of 44"
0
Sleeping Room #3 0 S 9KNSI 0 NS2
Bedroom door Is openable from the outside when locked
12"
0
Closet doors are readily openable from the Inside
Er
0
Smoke alarm Is Installed In the bedroom
[51'
0
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20N wide)
2-
0
Sleeping room window has a maximum sill height of 44"
[�-
0
Sleeping Room #4 0 S &"N'S 1 0 NS2
Bedroom door Is openable from the outside when locked
Closet doors are readily openable from the Inside
Smoke alarm Is Installed in the bedroom
Er
0
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24"high; 20"Wde)
li?,
0
Sleeping room window has a maximum sill height of 44" .
0,
0
Sleeping Room #5 0 S eNS 1 0 NS2
Bedroom door Is openable from the outside when locked
G?*-
0
Closet doors are readily openable from the Inside
@1
0
Smoke alarm Is Installed In the bedroom
El-
0
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24"high; 20"Wde)
91'
0
Sleeping room window has a maximum sill height of 4411
li?,
0
Sleeping Rci�in #6 0 S @1"NS1 0 NS2
Bedroom door Is openable from the outside when locked
5�-
0
Closet doors are.readily openable from the Inside
Er
0
Smoke alarm Is Installed In the bedroom
Er
0
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24"high; 20"vdde)
f5
0
Sleeping room window has a maximum sill height of 44"
21
0
GENERAL
Bathroom doors are openable from the outside when locked
Ell
0
Smoke alarms are Installed on all levels of the dwelling
13
All smoke alarms are audible In all parts of the dwelling upon activation of a single device
0
Access road and water supply approved by Fire Department
0
Er'PASSED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED
I ' -/- / ?- cxT
INSPECTOR: DATE:
FINAL PROJECT APPROVAL F6RM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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DATE RE
CITY OF EDMONDS " � �
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
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MAILING ADDRESS
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CITY
NAME
A . rA
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,CITY
NAME
ADPRESS
CITY
it9 A-,
STATE LICENSE NUMBER
_75R-ACCOUN
PROPERTY
a, 0!2%1!� 5
NEW
17KADDITION
)BfREMODEL
11 REPAIR
rL DEMOLISH
7\
C"RAGE
ARPORT
OYPE OF USE, BUSINE%
OF
STORIES
OESGW WORK TO
;14V-edr_i-
zip. TELEPHONE
zip hELEPHON8
PARCEL NO.
103doll
,I—If'RESIDENTIAL
COMMERCIAL
MULTIFAMILY
CBL N
IT EXPIRES
PERM
USE PERMIT
ZONE,RS
NUMB'ER
JOB q-t4- SSUrrr:/A"#
ADDRESS 4
PLAT NAME/SUBDIVISION NO.
NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Appro-d 113
AW Permit Required
Street Use Permit Roqd
EXISTING — PROPOSED
Inspection Required
Sldews& Required
REQUIRED DEDICATION— FT
Underground
Wking required 13
METEi'll SIZE
LINE SIZE
PRV REQUIRED
I :[:!2URES
I YESK NO 13 z
.
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTR 2 1:115—RAINIAGE,
ENGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE us
11C
C__ -? - M
U.
VARIANCE OR CU HORELINE OR ADBP INSPECTION BOND
;ATE CHECKED BY REQ'D I POSTED
..-MA I S 113YEs VNO 1$
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED.1
A- e"%1_W_1 'Ilag, 01
EXP r-1woo orc ;
LOT COVERXGe
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (Fr.)
PLUMBING / MECH
ALLOWED PROPOSED
FRONT
41�Splx_
REAR
I
FRONT
I
REAR
COMPLIANCE OR
A af&o,
Milan,
5
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CHANGE OF USE
SIGN
PARKING
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LOT AREA
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REVIEWED DATE
it . ___ — 7�tx I
FENCE E
"74 R. g CYO X FT)
t� S REMARKS
[:] TANK o OTHER
0 RETAININGWALL �rl FIRESPRINKLER
ROCKERY -L-J FIRE ALARM
OR ACTIVrM EXPLLAIN
�Ul:r
CHECKED BY PE OF 69.. %�
OCCUPANT
.
I 1
AF
-GROUP
NUMBER OF 'CRITICAL 1'
JCTRUCTI
DWELL ING AREAS
SPECIAL It 4SPE ION AREA
OCCUPA NT
UNITS NUMR-_
YES
LOAD
ON
7tV
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D
. - - - . - - _7 . i5:;�A .'A- 3
111- - - a- I
VALUATION
WAR&
/
$
'11 _W '4W A 2
M
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PURCE
TP
.
F
LOT SLOPE %
s, s-
Building Permit
City Surcharge
/7"
P�T
LANCHECK NO:
VESTED DATE
Plumbing
Mechanical
THIS PERUIT AUTHORIZES CHIN THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
2
Grading
�A
3 DOMMN (CURBS, SIDEWALKS, DRI[VIEWAYS, MMQUEES, ETC.) WILL REQUI RE
SEPARATE PERMISSION.
Engr. Review
J,
PERILIFT APPLICATION: 180 DAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
CANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SU CCESORS
Fire Review
Plan Chk. Deposit
EREST, AGREES TO INDEMNIFY; DEFEND AND HOLD HARMLESS THE CITY OF
EDMOND&WASHINGTON, ITS OFFICIALS, EMPLOYEE9, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
REQUIREMENT ORDINANCE
Landscapelnsp.
Total Amt. Due
MODIF%WAIVEOR REDUCEANY OF ANY CITY
NOR LIMff IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee
Receipt #
A HEREBY ACK14OWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
OWN 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 untH signed by the
TION; AND INPOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building
Olficial or hisftr 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.
WORKMENS AOVENSATION INSURANCE AND RCW 18.27.
ONA DATE
-10
IG
S NATUR(j9Wjk OR AG5n
DAT E SIGNED
1-t-0)
,. 1
2
7m
2- /a/ AV
771-0220
DATE
TTENTION
Off 1333
RET
IT IS UNLAWFUL TO USE OR OCCOPY A BUILDING OR STRUCTURE UNTIL
6 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
.h"
` -�'bkgbF UBC SECTION
'ORIGINAL - FILE YELLOW INSPECTOR
OCCUPANCY HAS BEEN GRANTED. 109
i_04/02
'IN
PINK OWNER GOLD - ASSESSOR
PRESS HARD -YOU ARE
MA K
GREEN ACCOUNTING
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