20030273.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
QWTNjM NAME/NAME OF: M�S[NESS
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CITY
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NEW
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ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
[3 GRADING
CYDS
DEMOLISH
13 TANK
GARAGE
CARPORT
-1 RETAINING WALL
13
ROCKERY
WME QFb USL Blu EBB OR AC)" EXPLAIN.
NUMBER
NUMBER OF
OF
STORIES
DWELLING
UNfrS 00�
;.DESCR03E WORK TO BE DONE
TELEPHONE
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XPIRATIONDATE I CHECKEQ13Y
PERMIT EXPIRES
USE PERMIT
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NUMBER 1002
JOB .2
ADDR
Y-� 1UITE/APT
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PLAT NAME/SUBDIVISION NO,
LOT NO.
LID NO.
LID FEE
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TIES CPrrAp--
RW ps rjt Required
EXISTING - PROPOSED
Street Use Pormit Req'd
Inspection Required
Sidewalk Required
REQUIRED DEDICATION— Fr
Undammund
Wiring required 13
METER SIZE LINE SIZE NO. OF FIXTURIES
PFIV REQUIRED
I I
YESC3 NO [3
z
REMARKS
I
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
�GINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE W
I IMC
VARIANCE OR CU SHORELINE OR ADB11 I INSPECTION BOND
REO'D POSTED
13YEs 13NO is
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSED
PLUMBING/MECH
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
'N
ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR
I
oCOMPLIANCE OR
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z
CHANGE OF USE
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PARKING LOT REVIEWED BY DATE
SIGN
PROVIDED
FENCE
( _ X_ FT)
MARKS
o OTHER
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FIRE SPRINKL ER
FIRE ALARM
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CHEC PE OF CONSTRUCTIO ODE OCCUPANT
N�
FRITICAL
GROUP
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AREAS
Pt A/A
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SPECIAL INSPECTION AREA OCCUPANT
NUMBER
REQUIRED [] YES LOAD
REMARKS
2
PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REO'D
7.
< A10 retor p 7 71;1' 104-AA.,a 11
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19
HEAT SOURCE GLAZING % LOT SLOPE %
PLAN CHECK NO: I VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY OHLY. ANY CONSTRUCTION ON THE PUBILIC
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PEFIMITAPPLJCATION: ISODAYS
ERMIT LIMM I YEAR - PROVIDED WORK 19 STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR PADRE INFORMATION
'APPLICAPA ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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 MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE 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 REGULATING CONSTRUC_
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
WORKMEN'S COWX&SATION INSURANCE AND RCW 18.27.
$ ---
F
Description
—
FEE
Description
FEE
Plan Check
State Surcharge
Building Permit
30
City Surcharge
5-
Plumbing
2-0
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receiot #
Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
CALL
FOR INSPECTION
1425)
771-0220
F YT 1 AA
APPLICATION APAdVAL
This application is not a permit until Signed by th/
Building OffiCial or his/her Deputy: and Fees are paid, and
receipt Is acknowledged In space provided.
OFFICIALS SIGNATURE DATE
AE DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
L____`OLGINAL - FIff YELLWI INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNE - GOLD - ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
2100
L .. ,
%
April 14 2003
I L 0 1 H G
Equipment
In reply to: Mechanic
APR 1 2003
C' of Edmonds
Ity
121 Sth Avenue North
Edmonds, WA 98020
Attention:
Jeannine Graf
Dear Ms. Graf,
d you letter regarding the installation of mechanical equipment
I am writing to infor
m you that I receive
that a permit
ly express that I had no ideal
ical Permit. I would like to sincere
without first obtaining a Mechan
would have followed all the correct steps to insure our equipment was
was required and had we known we
install
ed in the safest way possible.
install an of our equipment and were lead to believe
We hired a licensed contractor (Ideal Energy Systems) to
would handle AlLaspects of our conversion to gas
that they
the City and you now have a more informed citizen.
We apologize for any inconvenience this causes
Thank vou for vour time.
Sincerely,
"Q
'4C "� 4V. , �' i, �'-" , ':,
V
Tam Tiameberg
A
7
r
*'-4 C. 18913
CITY OF EDMONDS
121 5TH AVENUE NORTH * EDMONDS. WA 98020 - (425) 7714= - FAX (425) 771-0221
Website: wwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building 9 Engineering
April 10, 2003
Mr. & Mrs. Christopher Tjarneberg
1234 80'Avenue South,
Edmonds, Washington 98020
RE: Mechanical Equipment
Dear Mr. & Mxs. Tjarneberg,
GARY HAAKENSON
MAYOR
The purpose of this letter is to inform you that the City has received a citizen's complaint
that mechanical equipment has been repaired, replaced or installed in your home without
firstobtaining a mechanical permit. You may not be aware but Section 1.12 of the 1997
edition of the Uniform Mechanical Code requires a permit and inspection by the City for
this type of work. If work has not been done please respond in writing to this letter as
soon as possible.
If work has been done I have enclosed, a permit application form. The highlighted
portions of the form must be completed. If a contractor performed the work the State
contractor's license number and the City business license number must be noted. Please
submit the permit application by April 24, 2003.
If work has been done we are required to collect double permit fees. Please call one of
our Permit Coordinators to determine the fees as they are based on a combination of
criteria such as the BTU's of equipment, number of outlets, etc.
If you have any questions please feel free to contact me during City business hours of
Monday to Friday, 9:00am to noon and 1:00pm to 4:00pm at 771-0220 extension 1226.
If you wish to meet in person please call in advance for an appointment.
Sincerely,
Jeannine L. G9W
Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan