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20030471.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS 170AI MAILING ADDRESS e JPV. CITY ZIP TELEPHONE Z�:61P 10 IV,o �5 NAME ADDRESS CITY ZIP I TELEPHONE NAME I ItSL N CITY ZIP I TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. 0&* 1513 QQ00 3 G/3 NEW RESIDENTIAL PLUMBING i MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULnFAMII.Y 0 SIGN REPAIR 0 GRADING CYDS 0 FENCE ( X FT) DEMOLISH 11 TANK OTHER 3 GARAGE .1 FIETAININGWALL 0 FIRE SPRINKLER CARPORT 0 ROCKERY FIRE ALARM (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 'PA -yw CA& 0 NUMBER NUMBER OF CRITICAL OF 2, DWELLING AREAS STORIES UNITS NUMBER DESCRIBE, WORK TO BE DON .�r 02'qA 7-Lie 102ejd*11VA1C-- �4 1�%!F Ao&_ vl' ts a4e_' oe Zol.49 40 �,ee 191VZ11 61A.,,� SAIAE. ��e 1-26-A PERMIT EXPIRES USE t PERMIT ZONE eSJ201 NUMBER 4?&3- JOB SUITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Stmet Use PeffnIt R90 EXISTING PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT UnderGmwd Wiringroquirsd METER SIZE LINE SIZ�7, OF FIXTURES PRV REQUIRED YESM NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE m5; is WW Igmeying - flihi, riw- 9A*t- I aseerruld ENGINEERING REVIEWED BY nATE �j 81(0dW'tL— �(Q 111) FIRE REVIEWED BY DATE 0 z ul cc x VARIANCE OR Cu SHORELINEORADBI INSPECTION BOND REO'D I POSTED I 13YES 3VNO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOdED ALLOWED PROPOSED EXP , LOT COVERAGE REQUIRED SETBACKS (Fr.). PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR z PARKING L4 IT AREA PLANNING REVIEWED. BY DATE REQ`D I PROVIDED --t— I 6 G1ALA_0(*_ 6 17.1 REMARKS CHECKED BY 11-YPE OF jO 'PSTARUPON C#D_ V L GOCCUPANT_ R Up A3 SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [] YES LOAD REMARKS IPROGRESS INSPECTIONS PER UBC 1OB/FINAL INSPECTION REG'D VALUATION $ Desciriptlon Plan Check FEE HEAT SOURCE GLAZING % LOT SLOPE % I AAC'14f 1. Building Permit PLAN CHECK NO: VESTED DATE 49, 160- Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO HE DOME ON PRIVATE PROPERTY ONLY. AM CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. PFRMITAPPILICATION: 180DAYS Grading Engr. Review PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection Description FEE State Surcharge 4 City Surcharge b � -" 1// 7, .01 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit 4MZ 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 Landscape Insp. Total Amt. Due XX DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee =ipt #_ 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 histher Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowlodgedla erpce provided, WORKMEN'S C9MPENSATION INSURANCE AND RCW 18.27. I OFFI GNATURE ATE 01,11 SIGK?VE fWNEIRR GENT) DATE YbNEV/ IA05) �w 03, A-4 ZLZ�V %_Fff" 771-0220 1 S DATE ATTENTION M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAII-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 1 z 9 0 M 74 --A, ai� M N 0 C: �c M M 10i 0 "n :01. Mimi (M) CO) z 0 4 0 M dj IT, 13 M i5 cr) IlL mt G L % .0 VAtAlrA Cna :w .1 A'y D c 0 m < m m m CD M= 2E 0 -4 m 0 MLSJ Ma X m C) No 67 , W . VIAi , I it! bc� W .4 C. 1891, March 26, 2003 CITY OF EDMONDS 1215TH AVENUE NORTH -EDMONDS, WA98020 - (425) 771-= *FAX (425) 771-Ml Website: wwdedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering Mr. Ronald Green 16009 North Meadowdale Road Edmonds, Washington 98026 RE: Deck Construction Dear Mr. Green: GARY HAAKENSON . MAYOR The City is in receipt of the letter written on your behalf by Mr. Jim Justafson,'thank you for the prompt response to our Stop Work Order. Since Mr. Justafson has our applicable City handouts for permit submittal requirements please submit the required application, plans and permit fees by April 14, 2003. If there are circumstances beyond your control that will prevent you or your authorized agent from submitting a complete application for the deck by this deadline please contact the City immediately. Be advised, you will be required to sign for the permit application as owner and sign a contractor exemption form since you are not using a state licensed contractor to perform the work. I have enclosed a form for your convenience. The City is always willing to work with citizens who seek to comply with the Code. lJnfortunately, our adopted code requires that double permit fees be assessed when work is initiated without the required building permit. It has been our experience that many people such as you, are unaware of permit requirements even though the City goes to great length to provide such information; regardless, double permit fees must be assessed to ensure the fair and equal treatment of all citizens --especially those who have paid double permit fees before you. When you are ready to submit for the permit please meet directly with Lara Palmatier, our Senior Permit Coordinator. If you have any questions about the application submittal requirements or the permit process please contact her directly at 425-771-0220 extension 1703. If you have any questions about the enforcement process, stop work order or double permit fees contact me directly at 425-771- 0220 extension 1226. Our City business hours are 9:00am to noon and 1:00pm to 4:00pm Monday through Friday. Lastly, I will not be in the office the week of March 31 to April 0. Sincerely, Jeannine L. Graf Building Official Incorporated August 11, 1890 Sister City - Hekinan, Japan FINAL PROJECT APPROVAL FORM z 9 0 m c ma 0 80 c �c m m 10 0 3: m m a V5 or- 0 rn C co) 9 co M 0 z M z cl) z 9 0 m RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign, ocaprvl.doc.l:temp:bldg:fonnsiO/01 t _7 EIVED DATE REC . 0 [PERMIT UPIRES ./f jlqlo CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER MMEINAME OF BUSINESS MAILING ADDRESS .)V. 7 CITY ZIP ELr:PHONE. NAME E ADDRESS CITY NAME CITY , ZIP ITELEPHONE USE PERMIT ZONE e:EdxNUM I BER JOB SUITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S TFACP APP"rod 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Por.rA Requked I---- stmet Us* POMIN " EXISTING PROPOSED InapecUon Requkod Sidewolk R#q**d REQUIRED DEDICATION— FT UWArwm-nd VAM9 mquind METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED I YESO NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE ,�155 d W19 192aJ1616 - Mh L 9Z rfAIA I— I 0V_SW_,CT1#A1 IICBL# ENGINEERING REVIEWED BY DATE I 9'[Q 0 W I I tao FIRE REVIEWED BY DATE ZIP' IELEPHONE VARIANCE OR CU SHORELINE OR ADS# 1[3YEs,W10 INSPECTION REO'D BOND POSTED is STATE LICENSE NUM13ER EXPIRATION DATE IIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. 00 3 &13 - COMPLETE I EXEMPT K ALLOWED V� I PROPOSED ALLOWED ____L_ PROPOSED 5 . ww� EXP E I NEW RESIDENTIAL PLUMBING/MECH LOT cbvERAGE REQUIRED SETBACKS (Fr.) REAR PROPOSED SETBACKS (Fr.) FRONT LIRSIDE REAR ALLOWED PROPOSED FRONT SIDE 0 ADDITION 0 COMMERCIAL COMPLIANCE OR ............. CHANGE OF USE REMODEL muLnFAmiLy SIGN PARKING REO`P LOTAREA PLANNING REVIEWED BY DATE _I _PROVIDED 9RAIINI )&REPAIR CYDS x _D REMARKS DEMO ��TANK 0 OTHER GARAGE RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM MEOF,USE, BUSINESS ORA IVITY)UPLAIN: P/ eft" /4cvom , CHECKED BY Tyl PE OF 90 PSTRUCTIO I Vw OCCUPANL__ GROUP NUMBER ' "r OF 2, NUMBER OF DWELLIr CRITICAL AREAS SPECIAL INSPECTION JAREA OCCUPANT STORIES UNITS NUMBER REQUIRED F-11 LOAD )RK TO BE > 79.6e rim. E ilAooj HEAT .4 4D& ts lbz 0 oe _?W Ac alle.-L --s ofo rr4o6� % LOT SLOPE % PLAN CHECK NO: VESTED DATE TM5 PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO HE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN JCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATEPERMISSION. PERmrrAPPLI�ATION:, 180 DAYS �ERMIT UMIr I YEAR - PROVIDED WORK 19 STAIRTIED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS 11 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 MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CRY ORDINANCE NOR LIMIT IN ANY WAY THE CnVS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN 19 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 WORKMENS CQMkENSATION INSURANCE AND RCW 18.27, j;,WWMNE! _VGEND DATE P(GNEg( . %, 0 DA,--- 1 411197AWO-14 ATTENTION " IS UNLAWFUL I U Ubr- UM UUUUrT f% DUILUINU UM 0 1 MW� I Ung: U1`4 I IL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-0 VALUATION VVIVIN amen I BMW. Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposilt Fire Inspection Receipt # Landscape Insp. Total Amt. Due Recording Fee Receipt N CALL FOR INSPECTION IAOC% %—Aul 771-0220 EXT 1333 APPLICATION APPROVAL This zippilcation Is not a pormit unw Mgnod by Via EMIding oniew or hisAw Deptty: and Foes are paid, and reoelpt Is acknovvlefted)n sj!oo ptowided. OFFIqP"GNATURE Cy W� -11% 1 1 M "RA S Y DATE f'�; ORIGINAL -FILE YELLOW- INSPECTOR PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUWING J; M M N OC 3! C M IS cm O� MITI g z 0 M