20030309.pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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MAILING ADDRESS
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CITY ZIP I TELEPHONE
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NAME
ADDRESS
CITY
NAME
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CITY
STATE LICENSE NUMBER
ZIP ITELEPHONE
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ZIP I TELEPHONE
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PERMIT EXPIRES
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USE PERMIT
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NUMBER
JOB SUITE/APT#
ADDRESS IS I �O V
PLAT NAMEISUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Ps""It Required
Street Use Peffnit Req'd
EXISTING — PROPOSED
Inspection Roquifed
Sidewath Required
REQUIRED DEDICATION— Fr —
underground
Widng required 13
METER SIZE
LINE Slii—I
NO. OF FIXTURES
PRV REQUIRED
YES13 NO 13
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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FIRE REVIEWED BY DATE
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DATE CHECKED BY REq2� POSTED
------------ 113YES ;RNO $ — -
I SEPA REVIEW SIGN AREA I HEIGHT
::] COMPLETE . EXEMPT I ALLOWED . PROPOSED ALLOWED , PROPOSED
PROPERTY TAX ACCOUNT PARCEL NO.
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09 NEW
RESIDENTIAL
PLUMBING I MECH
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COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
El REMODEL
MULTIFAMILY
0 SIGN
0 REPAIR
GRADING
13 CYDS
[3 FENCE X
FT)
DEMOLISH
0 TANK
[3 OTHER
GARAGE
CARPORT
RETAINING WALL
Q& ROCKERY
0 F RE SPRINKLER
FIRE ALARM
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
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NUMBER
UMBER OF
CRITICAL
OF
WELLING
AREAS
STORIES
UNIT
NUMBER
DESCRIBE WORK TO BE DONE -Y
TE�-,vi�,Pctzo
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LOT COVERAGE CKS (FT.)
D PRO I REQUIRED SETBACKS (Fr.) PROPOSED SETBA
ALLOWE OPOSED FRONT SIDE REAR FRONT URSIDE REAR
PARKING LOT AREA I jLANNWG REVIEWED BY �ATE
REO'D I PROVIDED 1 1 /-46 -
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CHECKED BY I TYPE F CONSTRUCTION
SPECIAL INSPECTION JAREA
REQUIRED [3 YES I
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OCCUPANT
GROUP
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REGI-D
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VALUATION
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Description
FEE
Descriptlon
FEE
DIF 51F_ -
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
city Surcharge
PLAN CHECK NO: VEST T
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7 -9
(44
Plumbing
- 10 &4 (41
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PEAMIT 6OVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
I
PERHITAPPUCATION: 150DAYS
IL PERMIT LIMM I YEAR - PROVIDED WORK 16 STARTED WITHIN 180 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
X EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
IALL CLAMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9i DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt #
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 hisfher Deputy: and Fees are paid, and
IN VICLATIO OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknowledged in space provided.
WORKMEN'S SATION INSURANCE AND RCW 18.27.
IAL N 0 E
,,ffl=E R AGE" DATE SIGNED
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771-02 20
RELEASED Y TE
ATTENTION
Off 1333
1 11A
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
1231 -
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
%RIGI`�Al_ - FILE YELLOW - INIPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNEV GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
2
OV ED4.',
F� N UAO"h'TIC
TO PERMITTEE AND/OR OWNER
DO NOT REMOVE
PARTIAL APPROVAL CORRECTON REQUIRED 56 ENFORCEMENT VIOIATION
Owner�_ZSA to eso w Permit Number Woo-y" 6E5Tft1kw'b
JobAddress ite Contact
WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED
APPROVED PLANS AND JOB CARD MUST BE AVAILABLE TO INSPECTOR ON SITE
AND/OR THE NEXT PHASE
CORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED
_OF WORK IS STARTED
01-11 ON $45 REINSPECTION FEE MUST BE PAID PRIOR TO INSPECTION REQUEST
RECAI.L FOR INSPECTI
STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY CITY INSPECTOR
NO PERMIT -STOP WORK -REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH
ALL APPLICABLE CITY CODES
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I ACTIO.NS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED TO BE CORRECTED WffHW
131 %%I-t-f -L e*tRNVA*0A*6 OR PENALTIES MAY BE APPLIED. FOR INSPECTION CALL 425-771-0220
Building El Planning Engineering El Fire El Public Works
Inspector Date
White: Permit File Pink. Enforcement Buff: Applicant
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CITY OF EDMONDS
121 STH AVENUE NORTH* EDMONDS, WA98020 - (425) 771-0220 o FAX (425) 771-Ml
Website: wwdedmondsma.US
DEVELOPMENT SERVICES DEPARTMENT,
Planning o Building 9 Engineering
April 11, 2003
Darrell Jacobson
18140 84" Ave. W.
Edmonds, WA 98026
Case: # EE-02-157, 157A, 157B, BE-02-322
Subject Property: 18140 84h Ave.W., Edmonds, WA. 98026
. Dear W. Jacobson,
GARY HAAKENSON
MAYOR
This letter is in regard to the tree clearing that took place adjacent to the subject property in the City of
Edmonds right-of-way. Tree clearing in the City right-of-way is a violation of the Edmonds Community
Development Code (ECDC).
• ECDC 18.45.020 — Permits. No person shall engage in or cause any land to be cleared without
first obtaining a land clearingpermitfirorn the planning division manager or hislher designee.
• ECDC 18.45.0703 — Anypersonfound violating theprovisions ofthis chapter may befined by
theplanning division manager in an amount not to exceed $1,000per day andlor $500.00per tree
to a maximum of $10,000. Anyfine imposed by theplanning division manager is appealable to
the hearing examiner. This civilfine shall be in addition to any criminal, civil or injunctive
remedy available to the City.
• ECDC 18.60.000.A Permits. Required. A permit is requiredfor any excavation, construction or
other invasion of city fights -of -way by any person.
Corrective action required:
Please supply records in the form of work contracts, bill of sale or other appropriate information
that document the arrangements in the removal of the City trees by April -1*,'2003. The City will
review this along with other pertinent information to bring the case to conclusion.
If you have any questions, need information, or if there are any extenuating circumstances that make it
difficult to communicate or execute the actions above please call me. Thank you in advance for your
cooperation and assistance.
Sincerely,
Mike Thies
Code Enforcement Inspector
Thics@ci.edmonds.wa.us
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 o (425) 771-0220 - FAX (425) 771-0221
Website: wwadedmondsma.us
DEVE)LOPMENT SERVICES DEPARTMENT
Planning- Building* Engineering
May 8, 2003
Darrell Jacobson
18140 84h Ave. W
Edmonds, WA 98026
ermit #2003-0309
RE: NOTICE OF CORRECTION9 P
A final Engineering inspection has been performed at 18140 840, Ave W. As part of the
rockery permit approval, the City did not allow for another driveway entrance. Upon
field inspection of the site, it appears as though the driveway entrance is still in place.
The crushed rock driveway must be removed and bark or other landscaping installed in
order to comply with the permit requirements. Please remove the driveway and call for a
final Engineering Inspection by May 23, 2003 to prevent further code enforcement
action.
The Engineering inspection line phone number is 425-771-0220, ext. 1326. If you have
any questions regarding these requirements, please contact me directly at 425-771-0220,
ext. 1338.
GARY HAAKENSON
MAYOR
Thank you,
Je ie McConnell
Engineering Technician
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Street file
Incorporated August 11, 1890
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RECEIVED
APP 2 9 2003
NGINEERlNG DIVISION
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