20030515.pdfDATE
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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STATE LICENSE NUJBER EXP RATION DATE CHECKEn BY
PROPERTY TAX ACCOUNt PARCEL NO.
3,
13
NEW
RESIDENTIAL
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ADDITION
COMMERCIAL
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REMODEL
MULTIFAMILY
0
REPAIR
GRADING CYDS
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DEMOLISH
TANK
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GARAGE
CARPORT
RETAINING WALL
ROCKERY
(TYPE OF USE, BUSINE�S qR ACTIVITY) EXPLAIN:
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FIRE SPRINKLER
FIRE ALARM
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M UNITS NUMBER 14
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DESCRIBE WORK TO BE DONE
7 U [PERMIT EXPIRES
USE PERMIT
ZONE NUMBER
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PLAT NAME/SU 6DIVISION NO. LOT NO. LID NO.
LID FEE S
TESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Rectiored
Street Use Porinit Relit'd
EXISTING - PROPOSED Inspection Required C3
Sidewalk Required C3
underground
REQUIRED DEDICATION� FT Wiring required 13
METER SIZE LINE SIZE ES PRV REQUIRED
I YES 1:1 NO 13 1
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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ENGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE
VARIANCE 0! JHORELINE OR ADB# I INSPECTION I BOND
REO'D POSTED
OYES EINO Is
SEPA REVIEW
COMPLETE , EXEMPT
EXP
LOT COVERAGE
ALLOWED PROPOSED
PARKING
REO'D I PROVIDED
REMARKS
SIGN AREA HEIGHT
ALLOWED . PROPOSED I ALLOWED , PROPOSED
REQUIRED SETBACKS (Fr) PROPOSED SETBACKS (FT)
FRONT SIDE REAR FRONT L/R SIDE REAR
LOT AREA I PLANNING REVIEWED 13Y
CHECKED BY I TYPE OF
SPECIAL INSPECTION JAREA
REQUIRED [:] YES
DATE
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Description
Plan Check
FEE
Description
State Surcharge
FE
HEAT SOURCE GLAZING % LOT SLOPE %
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Bui,lding Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
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
F DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
3 SEPARATE PERMISSION.
Engr. Review
u PERMIT APPLICATION: 180 DAYS
L PERMIT LIMI'P. I YEAR - PROVIDED WORK IS 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
7E EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Z FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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Total Amt. Due Q4?
DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
TO E NFORCE ANY ORDINANCE PROVISION."
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY
Fee
Receipt #
Recording
I HEREBY AC . KNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
A�PPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
is no I a permit until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGU LATING CONSTRUC.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL Buil
�ilhis,
�p�iidplion
n Hicial or his/her Deputy: and Fees are paid, and
I eiptis acknowledged In space provided.
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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
OFZ1fA Sl rTQURE DATE
SIGNATURE (OWNER OR AG EN DAT IG�ko >
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771-0220
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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 - INSPECTO
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD-ASSESSOR�
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 1 FAX (425) 771-0221
Website: mvwxi.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
GARY HAAKENSON
MAYOR
117 - 9QJ Planning - Building a Engineering
C. is July 23, 2003
Massoud Khami
1427 th Avenue
Kirkland, Washington 98103
RE: 142 7'1' Avenue, Kirkland
Dear Mr. Khami:
The City Building Irispector has performed a site inspection on the house that you intend to move. The
following building, code upgrades shall be required in order for the home to be moved into Edmonds:
• Bedroom window sill heights shall be lowered to a maximum height of 44 inches above the
finished floor. A building peri-nit is required for this work.
• Smoke detectors (hardwired with battery backup) shall be provided in each bedroom and one in
the outside hall or area accessing the bedrooms. A State electrical permit may be required for
this work. Please contact State Labor and Industries.
• The house must be seismically anchored to the new foundation in accordance with current
codes.
• Insulation shall be Upgraded to R38 in the ceiling and R30 in the floor.
If you intend to pursue the house move please be advised of the following: ,
• A separate house moving permit is required and must be obtained by the house moving
contractor. The house moving contractor must provide a copy of their current insurance policy
and must obtain a City business license. House moving pen -nits are only valid for a period of
72 hours and take 2 weeks to obtain. You will need to secure the approvals of the utility
companies on yourown—be sure the house moving, permit application is signed by the
appropriate utilities noted before the application is submitted to the City.
• Prior to the issuance of the house moving pen -nit you must obtain a foundation permit for the
new Edmonds site location. Lara Palmatier has already provided you with the information
needed to submit for a foundation permit including but not limited to: site plans, foundation
plans and details, height calculations, drainage plan and calculations, etc. if you need further
submittal information please contact Lara directly. A foundation bond is also required; the
amount is the cost (fair market labor and materials) for the foundation work plus a 10-25%
contingency. Contact Lara for bond forms. It is City policy to issue the house moving permit
and foundation permit at the same time.
• The house must be placed on the new foundation within 30 days Of foundation permit issuance;
the site must be completely fenced for security until the house placement is complete.
Sincerely,
Jeannine I.-r.G-raf
Building Official
Incorporated AUgUSt 11, 1890
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FOR
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FINAL APPROVAL
OCCUPANCY ..................
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