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20030678.pdfDATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER "EINAME OF BU�LNESS joe__ Pelv-4e r CITY ZIP esesm NAME ADDRESS CITY NAME ADDRESS CITY STATE LICENSE NUMBER 0. ZIP TELEPHONE I 7CBL N de ZIP TELEPHONE NEW Ila- RESIDENTIAL PLUMBING/MECH ADDITION [] COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL 0 MULTIFAMILY SIGN REPAIR GRADING 0 CYDS FENCE X ( _ Fri DEMOLISH 1:1 TANK [3 OTHER P" 23RA" 1"CARPORT [3 RETAININGWALL ROCKERY o FIRE SPRINKLER FIRE ALARM (TYPE OF USE. BUSINES S OR A I]�ML NUMBER NUMBER OF CRITICAL OF DWELLING I AREAS I STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE �y HEAT SOURCE I GLAZING % I LOT SLOPE % PLAN CHECK NO: — i —A n_n I VESTED DATE PERMIT EXPIRES USE PERMIT ZONE NUMBER L ADDRESS CR9 1 .2 1 q (�_� UITE _ 6 PLAT NAME/SUBDIV�SION NO. LOT NO. LIDAID ------- LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I EScP APP'ov W Per. R=Ir. EXISTINn__cE" PROPOSE Sir at Use Permit Rsq'd Ins=n Required R*q.jr6d REQUIRED DEDICATIOtr______,`_ sidewalk UrAerwatxxi Wiring(equirod 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO 13 REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 011MI'MT FIRE REVIEWED BY VATI: W VARIANCE OR CU SHORELINE OR ADB11 INSPECTION BOND 7 'It I POSTED 10YES JaQ $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED, PROPOSED , , :XP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR if I /51 J'J,2 I'// 7.5 0 PARKING LOT AREA P NNING REVIEWED BY DATE RECYO PROVIDED j< CHECKED BY ITYPE OF CONSTRUCTION V_A1 CGt*7 9-f OCCUPANT GROUP Aog SPECIAL INSPECTION REQUIRED [3 YES JAREA )v OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC IOB/FINALINSPECTION REQ'D 4 I'll L, 11_j_� 1� —I.A. I, _. 11 LI-1 I I I 1 31 q-1 e) Description FEE Description FEE Plan Check , 1% — I State Surcharge Building Permit RJL3 - City Surcharge Mechanical THIS PERMIT AUTHORIZES ONLY TH==. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading a -) WILL REQUIRE DOMAIN (CURBS, CIDEWALKS, DRIVEWAYS. MARQUEES, ETC 3 t SEPARATE PERMISSION. Engr. Review a PERMIT APPLICATION: 160 DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection b19 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 '&,:�7 IN NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF a EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY IALL FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 21 NOR LIMIT IN ANY WAY THE CITYS 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 Oificial or his/her Deputy: and Fees are paid, and VIOLATION Of_TVF LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. �IN WORKMEE AND RCW 18.27. OFFICLALJ SIGNfiTURE DATE SIGNA1 WNEMRANCE SIGNED (425) 4,7711t� __LDATE 71 7 -0220 .. 'r I L ED Y DATE NT1014 Off 1333 .4 A 4 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL V A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW-ASP;?TOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING I L z 0 4 0 M =P% co � rn rn 0 C � K M M z C4 o.nl _n M M 9 0) 0 Fn C 0) 0) 0 z 0 4 0 M ,(.n C. 1891, April 8, 2003 CITY OF EDMOND S 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 Website: wwdedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning * Building - Engineering Mr. & Mrs. Vincent Wheeler 8311 Northeast 166h Street Bothell, Washington 98028 GARY HAAKENSON MAYOR RE: Shed Roof Extension for Carport & Nuisance Items @ 2212196 th Avenue West, Edmonds Dear Mr. & Mrs. Wheeler: As a follow-up to my phone conversation with Mr. Wheeler on March 14, 2003, he informed my office that the subject property sold in early March and that the City would be getting a letter signed by the Wheelers turning over the permit application on file (PC-03-073) to the new owners. The purpose of this letter is to inform you that my office has not received such notification. If there is a new property owner, and if tho, . se person(s) want to take over the permit application on file under PC-03-073, the Wheelers are required to provide a letter requesting such change. If not, a new or future owner must be placed on notice that the carport structure was constructed without first obtaining a building permit and it has come to our attention during review of the Wheeler plans that structural members are over -spanned and do not meet code minimums for structural compliance. The permit application on file expires on August 24, 2003. If the Wheelers or a future owner fail to obtain the required permit by this expiration date, the Ci will be forced to reco ence enforce e procedures to gain code compliance. ty min in nt If you have any questions please feel free to contact me during City business hours of 9:00arn 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 a mutually agreeable day and time as I am frequently assisting other citizens and not always available. Sincerely, Jeannine L. Graf' Building Official Incorporated August 11, 1890 Sister City - Hekinan, Japan 4M, 6i .41 �J, -04 11 an Wil" F77777777 -GARY HAAKENSON -IT-rV nC M-)NAnNIT-IQ P'. ct me during normal City business hours. at 77 1 -!0220 If you have any questions please feel ftee to conta eable day and twncinn 1 ??6 If vnii Wish to meet in verson iDlease call in advance for a mutually agre lways available. For your convenience, I have time as I am frequently assisting other citizens and not a authorizes the enclosed the Order to Correct Violation Notice issued on August 6, 2002 which subsequent issuance of the Notice of Civil Violation. sincerely, X*4) 61AW Jeannine L. Graf Building Official Incorporated August 11, 1890 Sister Citv - Hekinan. Javan GARY HAAKENSON CITY OF EDMONDS MAYOR 121 57fi AVENUE NORTH EDMONDS. WA 9W2O (425) 771 -0= FAX (425) 771-0221 Website: wwdedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning Building Engineering i2c. December 10, 2002 Mr. Grant Wheeler 8311 N6rthe ast 166"' Street Bothell, Washington 98011 RE: Shed Roof Extension for Carpo rt & Nuisance Items 22121 9e Avenue West, Edmonds Dear Mr. Wheeler: As you know our City Building Inspector verified that the c arport structure on the subject property meets required setback distances. However, a building pe rmit is still required for the structure. Please submit a complete application fo r permit (including double permit fees) by December 31, 2002. f control that will prevent you fr om meeting this deadline please inform there are circumstances your my office immediately. If you have any questions please feel free to contact me during norm al City business hours at 771 extension 1226. If you wish to meet in person please call in advance for a -0220 requently assisting other citizens and not always available. mutually agreeable day and time as I am f Sincerely, Jeannine L. Graf Building Official Incorporated August 11, 1890 Sister Citu - Hekinan. Janan .1.4 C. 189%3 GARY HAAKENSON CITY OF EDMONDS MAYOR 121 STH AVENUE NORTH, EDMONDS, WA98020 e (425) 771-= *FAX (425) 771-Mi Website: wwadedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering Ms. Karen Wheeler September 5, 2002 Mr. Grant Wheeler 8311 Northeast 166th Street Bothell, Washington 98011 RE: Shed Roof Extension for Carport & Nuisance Items @ 22121 96h Avenue West, Edmonds Dear Mr. Wheeler: As a follow-up to my letter dated 8/13/02 as you know it is the City's position that- the carport/roof extension structure is non -conforming and not approved by the City. A deadline of August 30, 2002 was established for you to submit documentation to the City, however, as of this date nothing has been submitted. Therefore, a new compliance date of September 2&, 2002 is established for the submittal of the following information to the City: • If the structure was built in the County, please provide a copy of the County building permit. If you agree that no permit was issued for this work you must make complete application for a building pe*it. Note, double permit fees *shall be assessed. • Since the structure encroaches into required setback distances from the new short plat property line you must choose one of the following options to resolve this issue: 1) obtain a demolition permit to completely remove the structure, 2) apply for a variance (discuss this option with a City Planner to be sure it.is a viable solution as there are many issues to consider and criteria to be met in order for a . variance to be approved), 3) apply for a permit to alter the structure in order to meet required setback distances. Please submit by September 20'h, 2002 failure to respond shall result in the issuance of an Order to Correct Violation Notice the first step in the City's Civil penalties process whereby compliance to the codes shall be obtained. If you have any questions please feel free to contact me during normal City business hours at 771-0220 extension 1226. If you wish to meet in person please call in advance for a mutually agreeable day and time as I am frequently assisting other citizens and not always available. Sincerely, �Ilffll Jeannine L. Graf Building Official Incorporated August 11, 1890 Sister City - Hekinan, Japan .1.4 C. 189 �3 August 13, 2002 a CITY OF EDMONDS 121 5TH AVENUE NORTH o EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 Website: www.dedmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering Ms. Karen Wheeler Mr. Grant Wheeler 8311 Northeast 166" Street Bothell, Washington 98011 GARY HAAKENSON MAYOR RE: Shed Roof Extension for Carport & Nuisance Items @ 2212196 1h Avenue West, Edmonds Dear Mr. Wheeler: Thank you for your phone call on Augu st 8h, as promised I have researched the City short plat file and have met with the City Planners to verify what was approved on Parcel A. Unfortunately, there is a discrepancy in the filing documents that do not support your opinions regarding the shed/carport roof structure. Within the City short plat file is a survey prepared by Brent L. Eble, Professional Land Surveyor that was submitted to the City on 5/29/01. A partial copy of the plan is enclosed for your review. Please note that the plan does not show the shed/carport roof extension off the east side of the existing house on Parcel A. If the surveyor would have provided a true and accurate survey the shed/carport roof encroachment would have been resolved during the short plat process. For example, the City would have either required a variance to keep the structure or the lot line could have possibly been relocated to accommodate setbacks or the City would have required that a portion of the structure be removed to meet setback standards. Since this was not done the structure is non.conforming and is not approved by the City. Therefore, the following is required to be submitted by August 30, 2002 to resolve this matter: • If the structure was built in the County, please provide a copy of the County building permit. If you agree that no permit was issued for this work you must make complete application for a building permit. Note, double permit fees shall be assessed. • Since the structure encroaches into required setback distances from the new short plat property line You must choose one of the following options to resolve this issue: 1) obtain a demolition permit to completely remove the structure, 2) apply for a variance (discuss this option with a City Planner to be sure it is a viable solution as there are many issues to consider and criteria to be met in order for a variance to be approved), 3) apply for a permit to alter the structure in order to meet required setback distances. InCOrporated August 11, 1890 Sister ritti-44-1-:-- - agrutmolo Udy tuiu t1mr, ao I a"I Sincerely, Jeannine L. Graf Build' Official Ing 0 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 121 5th Avenue North, Edmonds, WA 98020 (425) 771-0220 ORDER" TO CORRECT V10"LAT101"I"111 Location of Violation (Address and Tax Account Parcel No): 2212196' S, WA 98026 Tax Account Parcel No. 0054-4200-102-500 Issued To: Karen Wheeler, Propegy Owner per Snohomish County Assessors Lecords M r 1h M Address Of Person This Order Is Issued To: 8311 Northeast 166 Street, Bothell, -WA 98011 0 Code Section Violated:. Uniform Building Code Sections 106,108 & 109, and Edmonds Communi M DeveloRment Code Chgnters 16.20 & 19.00 & 20.110. C Z Description of Violation: 1) Construction of a cgMort without first obtaining a building Rermit, 2) Construction of a caMort within reguired setback areas, 3) Debris and nuisance items visible from eM lines. A letter was sent to the propeM owner on July 9. 2002 which reguired submittal of permit and variance Fn @RR ications by July 31, 2002 OR, demolish the jLnpennitted structure by August 30, 2002. The letter also reguired nuisance items to be removed from site. The owner has failed to respond to this letter. Corrective Action Required:- 1) Make g"m lete gpplication for a carport building permit(double gpplication fees shall be assessed), 2) Make complete gRplication for a variance (double gpplication fees shall be assessed), OR, 3) Remove the cgWort by first obtaining a demolition permit, and 4) Remove all debris and nuisance items from the cnort area and remand to an gpl2roved dumR location or place in covered storage such that none is visible from pro egy lines. R Z 0 -4 Correction is Required no later than: 5:00pm (time) August 30, 2002 (date) M. If correction is not made by the date and time specified in the Order, a Notice of Civil Violation shall be issued. The Notice of Civil Violation shall assess flnes of $1,00.00 per day, or portion of a day, during which the violation continues. Date Posted: August 6. 2002 Date Mailed: Auggst 6. 2002 Date Served Issuing Party. Jeannine L. Graf Title Building Official Signature Cc: Emerald City Builders 5710 200th Street SW. Suite 101, Lynnwood, WA 98036 .1.4 C. 1 SON3 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering GARY HAAKENSON MAYOR Ms. Karen Wheeler July 9, 2002 8311 Northeast 166th Street Bothell, Washington 98011 RE: Shed Roof Extension for Carport & Nuisance Items Dear Ms. Wheeler: The purpose of this letter is to inform you that the City has received a citizen's complaint that a shed roof has been extended on your property for the use as a carport without a required building permit. It has. also appears that the structure does not meet the required setback distances from the property line as required by the zoning district. A check of City permit- records could not find a permit issued to your property for such work. The Uniform Building Code requires a building permit to construct, replace or repair a carport. The Edmonds Community Development Code requires -minimum setback distances from all property lines. In order for the City to resolve this violation you -are required to make complete application for a building permit by July 31, 2002. Since the structure is within required setbacks you are also required to make complete application for a variance by this deadline. Please be advised, double permit application fees shall be assessed since work was started prior to permit issuance. Another option to resolve this matter is to obtain a demolition permit to remove the structure, if you choose this option the City could extend the compliance date to August 30, 2002 for the complete removal of the structure. The complaint also describeg nuisance items stored within the carport area. Edmonds Community Development Code Section 20.110.030 regulates junk, garbage and nuisance items visible on private property. The City shall require that all such items be removed from the carport area by July 31, 2002 and stored in an enclosed manner. It is not the City's intent to cause you undue hardship, however compliance to the code is mandatory for the fair and equal treatment of all citizens. If you have any questions please feel free to contact me during normal City business hours at 771-0220 extension 1226. If you wish to meet in person please call in advance for a mutually agreeable day and time as I am frequently assisting other citizens and not always available. Sincerely, ±�T Building Official Incorporated August 11, 1890 Sister City - Hekinan. Javan M CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 121 5th Avenue North� Edmonds, WA 98020 (425) 771-0220 ORDER TO CORRE CT VIOLATION Location of Violation (Address and Tax Account Parcel N 121 _96e Avenue West, Edmonds, O)L.Z2 WA 98020 Tax Account P ircel 40. 0)5442-001- 32501 'Issued To: -Renee K. Poiler, ProRPM Owner ner Snohomish Coun Assessn-P—M-, Address Of Person This Order Is Issued To: 22121 (Wh ku-iv- ur- s—t Edmonds, WA 98020 Code Section Violated:. Uniform 106,108 & 109, and Edmonkgqm�muni Development Code Chgpters 16.20 & 12.00. Description of Violation:-Ij onstruction of a camort without first obtaining a building mmit. The Qy contacted the previous PXOR�M own r on July 9. ZQ-02 I and ENuired submittal of mrmit and variance WRfications by July 31, 2002 OR rovideri th,- 0 - AuW§t 30,2002. The owner at the time, Karen %eeler m iolish the HWermitted structure b 2/24/03. Durin review nf tht- cation several correcti Iding permit on ons were reguired of the owner, however as of this date there has been no response and the iDermit has not been issued. Q&4/14/03 Ms. Renee Porter contacted the Qijy and i . nformed th,--Building Official that she was the new -owner of the propejV and disclosed that the us owner would obt —Muired camort RULD-0 ain the --- - .-Rennit approvals. UnfbrhmaLe�as of this date they failed to do jo and it is the resvonsibility of the nurrpmt ro e owner to resolve all code violations on prop= they own. Corrective Action Required: 1) Revise the p t gRplication on -file with the Citv to show the current propea owng, 21 Reapond to all outstanding Citv corrections to date. 3) h' it is determined that the structure is wi n mguired setback areas make complete gpplication-for a variance Eviolation fees shall be assess§41-0-R 4) Remove the cmport by first obtaining a d Note the permit emolition pgmlit. .1 application — e with the City EXPIRES ON AUGUST 24, 2003 t issued by this -gn fil if the t)ermit is no datetheowner hall be Lequired to file anew Application form and Pw new plan review fees. Correction is Required no later than:-- 5:00pm (tim (date) If correction is not made by the date and time specified in the Order, a Notice of Civil Violation shall be issued. The Notice of Civil Violation shall assess fines of 1100.00 Per day, or portion of a day, during which the violation continues. Date Posted:- August 14, 2003 Date Mailed: August 14, 2003 Date Se rved Issuing Party, i ne L. Graf Title Building Official —Warmi Signature FINAL PROJECT APPR&AL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION z 0 m :q:ii am a ma 0 -40 0 c: -4 C X M M Z cl) 0 -n Ti mm 065 0 r- 0 M C cl) c cl) M 0 Z z z 9 0 m 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:temp:bldg:fonnsIO/OI A RTD PERMIT EXPIRES DATE RECZ 11 USE PERMIT ZONE / CITY OF EDMONDS NUMBER OJW5-4 CONSTRUCTION PERMIT APPLICATION JOB OWNER _.NE§q_&L ADDRESS _j_ IE/NAME OF BUP PLAT NAME/SUBDIVISION NO. LOT NO. LID NO---�, MAILly E, LID FEE $ TESCP Approved PUBLIC RIGHT OF WAY PER OFFICNkTREET MAP RW PGMAt Street Use Insoectio Perrnh Req�d ZIP T EXISTINn'_ PROPOSE n Req J?LEPH(XNE Sldw&tk ulred RequIred Undo(ground REQUIRED DEDICATIO��_ WW9 required 7 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO E3 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE CITY Zip TELEPHONE RAME nICBL# ADDRESS CITY ZIP TELEPHONE STATE LICENSE NUMBEA EXPIRATION PHMEFPY,ZAX-ACCQUNT-PARr.EL.NOr-..,'- 13NEW RESIDENTIAL [3 ADDITION COMMERCIAL [3 REMODEL muLnFAmiLy [3 REPAIR I GRADING CYDS 13 DEMOLISH TANK 0% �ARPORT RETAINING WALL 13 ROCKERY (TYPE OF USE. BUSINESS OR ACII Y� -7 F-7 OF NUMBER OF NUMBER DWELLING STORIES' UNITS DESCRIBE WORK TO BE DONE . . . . . . .... rCTFrA MICIP 0 �j PLUMBING / MECH COMPLIANCE OR CHANGE OF USE SIGN oFENCE ( — X—FT) OTHER FIRE SPRINKLER FIRE ALARM CRITICAL AREAS NUMBER �r LOT SLOPE % REVIEWED FIRE REVIEWED BY DkE I VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND POSTED� I REqD , I 13YEs,;3QP s SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED-' EXP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) I ALLOWED PROPOSED or FRONT SIDE REAR 1 1 FRONT LiRSIDE REAR if wk I 35% ?,eo 7-51 -j.S 1.5 10.17 M PARKING LOT AREA PLANNING REVIEWED BY DAT RECrD PROVIDED ;z- I �- 1500 I A�?�07_ Wrm�� " "S c e, Z c oxp- p �P-�4 CHECKED BY TYPE OF_ CqNSTRUCTION C Q1V?,OCCUPANT,0 !2 V_?V j I q-f GROUP IS2 _ SPECIAL INSPECTION JAREA :7 Z OCCUPANT LOAD REQUIRED [3YES REMARKS PROGRESS INSPECTIONS PER UBC I 08/11FINAUNSPECTION REG'D 5 Ahx�t. MW LeVAfolit Description FEE Description FEE Plan Check li::6 - State �§urcharge 7— Building Permit CIC2 City Surcharge PLAN CHECK NO: 1, IAZ 1,1— VESTED DATE 1 U " 421" .2 Mechanical THIS. P IT AUTHORMES ONLY THE WORrN*_0TE-n- THIS PERMIT COVERS WORK TO h BEENE: ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DO N (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL REQUIRE N t: SEPARATE PERMISSION. Engr. Review 2 PERMIT APPUCAnox* ISO DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS ANDsUCCESORS -, Fire Review Plan Chk. Deposit ;APIP N ZAK REST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE QI[TY-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 NOT BE v FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL Landscapeinsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE I NOR LIMIT IN ANY WAY THE CiTYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- IALe"' 7- 7 T-,.,, Recording Fee Receipt # I HERE13Y 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 hisftf Deputy: and Fees are paid, and CODE OF THE STATE OF WASHINGTON REWING TO IN VIOLATION R DO FOR INSPECTION receipt Is acknowledged In space provided. OFW%.OR TIO WORKMEW T101 4SURANCE AND RCW 18.27. OFFICIALS SIG URE DATE SIGKATUR (OWNE P07_E.' DATE SIGNED (425) 7A. ;4 aj zj�vj �0 771-0220 A- DATE ATTENTION M 1333 7D A 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 YFI I OW - IGPEAOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUKING z 0 I 0 M M M -48 r M z 0 _Tl "n M M 8 ca o Fn M :3t z 0 1 0 IT11