20030839.pdf1311111!1
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEftME OF BUSINESS
N16) k TW SoM c-.Hvgc 4
MAILING ADDRESS
q0LI 13ELL- S -1kEF- I
CITY ZIP 0 ITELEPHONE
5 0 M 0 N VO.Z L1.2-3- _771,-c? -?a 0
NAME
ADDRESS
CITY
ZIP ITELEPHONE
NAME I
Ap 04N (,F-p I0L2r;q(3/ N
ADDRESS
14� Lj
CITY ZIP TELEPHONE
�- Vr- rz &V4 qr-2�& I I V.ZS- -711 -,"04
PERMIT EXPIRES
USE
Z NE
0
PERMIT
NUMBER 4tO W
JOB
ADDRESS
SUITE/APT#
ai�zzl
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 13
Aw Permit Required
Suest Use Permit Roo
EXISTING —
PROPOSED
inspection Required
Sidewslic Required
REQUIRED DEDICATION— Fr
UndeWourid
Wking required 13
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YESE3 No 0
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
REVIEWED BY DATE
FIRE REVIEWED BY DATE 1 111
I
LICENSE NUMBER EXPIRATION DATE
GgECKED EW
VARIANCE OR CLI
SHORELINEORADB11 I
INSPECTION
REQ'D
I BOND
POSTED
1STATE
Aj)yAmi0#0,2a PS 11-14 0`1
E3yEs 13NO
$ -
HEIGHT
BEIRA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
ALLOWED PROPOSED
PROPERTY TAX ACCOUNT PARCEL NO.
EXP ,
,
,
NEW RESIDENTIAL 0 PLUMBING I MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.) -
FRONT SIDE REAR
PROPOSED SETBACKS (Fr.)
FRONT LIRSIDE REAR 0
COMPLIANCE OR
ADDITION COMMERCIAL 1:1 CHANGE OF USE
z
PARKING LOT
REQ1D I PROVIDED
AREA
PLANNING REVIEWED BY DATE
REMODEL MULTIFAMILY 0 SIGN
GRADING CYDS FENC
REPAIR X FT)
REMARKS
OTHER
DEMOLISH TANK
GARAGE [3 RETAINING WALL [3 FIRESPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE. BUSINESS OR ACTIVrM EXPLAIN:
L oc A L r_ N U (e c 4
CHECKED BY
TYPE
;MSTRUCTIB
OCCUPANT6,,,;�
GROUP
NUMBER 12 1 NUMBER OF T—CRUICAL
OF WELLING AREAS
SPECIAL INSPEc-nog KROW
OCCUPANT
LOAD
STORIES Milo NUMBER
REQUIRED [3 YE S
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS
PER UBC 108/FINAL INSPECTION REOV
T IJ -S _( A LL A__171 d t') 0 t� �1-1 Afo
N k -S M
2eigil gC=t�n
VALUAnON
$
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT. SLOPE %
T
Building Permit
City Surcharge
[��HECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPEIRT`Y ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVIEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: ISODAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICAfA 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
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape Insp.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
TO ENFORCE ANY ORDINANCE PROVISION.-
L
NOR LIMIT IN ANY WAY THE CITTS ABILITY
Recording Fee
Receipt # 4 �_; :�z I
14
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRE" 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 13E EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Building Official or his/her Deputy: and Fees are paid, and
FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 10.27.
0 IGNPARE DATE
SIGNATuRNER 0 'AG �iV DATE SIGNED
1101-2 3
(425)
%
YA' 0/1��/ / h, -:�
A /
aAi!� Y10
771-0220
_..,o
I-
;4
REL ED By DATE
ATtENTION �' I
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
"19RIGINAL.
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
FILE - YELLOW-14PECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
0
M
7�.
9,
VA
DATE: THURSDAY, DECEMBER 4", 2003 �1
-12
12414 HWY 99 SOUTH #C mp*
J. C.
EVERETT, WA 98204
OFFICE: (425) 348-5100
-9792
FAX: (425) 267
ING DEPARTMENT
TO: CITY OFEDMONDS BUILD ENDENT
ERIC D. LAMPHERE, ROUGH -IN SUPERrNT
FROM WABLE IN AN
AND STUDOR VENTS ALLO
RE: 404BELL STREET. CHURCH REMODEL FOR WASTE FITTINGS.
STUCTURE AND TESTING PROCEDURE NEEDED
EXISTING
J7
M
OMPLETED: e wash
RK TKAT WAS C
WO
changing table and added wash basin in back (soulth) office. We tied th
wash basin for
Added (north bathroom. It was the only available waste line
e waste into lower drain in men
st for an ABS waste
basin from the north offic
The waters wet
e tied into the hot water tank supplies. We am asking for a running te office wash basin
ith mission bands. The back
galvanized waste linc connectcd w
connection from ABS to nnected the drain.
The Baptismal never had a vent o
added at the time of trim. as well as the
vent. The back office wash basin will also have a studor vent
ge way under the Baptismal, which is also where we co
is connected through the passa riginally and when we tied an additional I 'W' line to it and added a studor
changing table wash basin
STUDOR VENTS IS AS FOLLOWS:
REASONS FOR upper offices up through the
ts us from running vents up through the, existing room to
Structure prohibi
attio. lid 2X4's stacked
cture of the church's interior walls are made up of LAF, plaster, and so
2. The stru
together to foffn a solid wall.
vents to be brought through the roof.
I to demolish the upper offices to allow for
The church does not wan erve the original design
down and to prcs
a viable option to keep costs
We informed them of studor vents as would be needed for this to be adequate
pecial approval
aware that s
church. We did also make them
of the
eptable from the Building Department of the City of Edmonds.
and ace
t with your inspector on DWV due to water currently
Please
notify our office with a time for a running tes
being under street pressure
VOAN'
ou for your time and cooperation.
Thank y
VW C/
A
Sincerely, 03
Eric D. Lamphere
in Superintendent
Rough-
TrZVEGEGZV sg:TT EOOZ/t7g/Zl
H ?:9Nianjd C30NVAGV
TO 3SVd
I
USE
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
NO kT44 sou�Jio c4mcc 4
MAILING ADDRESS
0 Ll T,( FE
0
MAI' I
I
C
R
0
N
G
ADC
CITY ZIP ITELEPHONE
OM ONO Lj),4 'ro.� 1.1,2)
0-
NAME
A RESS
DDRESS
CITY ZIP
NAME GULN
Ar VAN 6: e2 10LUvm6/NjC_q_
ADDRESS
Li ILI IYW
CITY TELEPHONE
L-Wrze-7-1 4194 -7V1-,2-7U(6
STATE LICENSE NUMBER EXPIRATION DATE
ADVAMPOOdol P 14- - 01-11 FjQ111
PROPERTY TAX ACCOUNT PARCEL NO.
0 NEW RESIDENTIAL
0 ADDMON COMMERCIAL
0 REMODEL MULTIFAMILY
REPAIR GRADING CYDS
DEMOLISH TANK
GARAGE RETAININGWALL
CARPORT 0 ROCKERY
'ME OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
L OC AL U f? C 14
NUMBER NUMBER OF
OF DWELLING
3 _1_7
STORIES UNITS
DESCRIBE WORK TO BE DONE
PERMIT EXPIRES
USE PERMIT
ZONE � 5 Z
NUMBER 4d,
JOB SUnVAPT#
ADDRESS 6-z:
PLAT NAmF/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
7ESCP Appr-w
RW Permit RaWk6d
EXISTING — PROPOSED
SVW Use Parmh RoqV
Inspectic" Required
Side*&* R*Wlred
REQUIRED DEDICATION— FT
Undawound
Wldng raquM 13
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
I
ES C3 NO 13 z
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
DATE
FIRE REVIEWED BY DATE Ul
cc
I M
VARIANCE OR CLI SHORELINEORADBI I INSPECTION I BOND
REO'D POSTED
OyEs ONO $
SEPA REVI—EW SIGN AREA . HEIGHT
COMPLETE , EXEMPT ALLOWED , PROPOSED ALLOW ED , PROPOSED
Exp no^"Inen c�Ae%lta pononacn SETBACKS 1fr%
PLUMBING / MECH
LUI %.UVCMUM
ALLOWED PROPOSED
%
FRONT SIDE REAR
FRONT LIRSIDE REAR
COMPLIANCE OR
CHANGE OF USE
PARKING
LOT AREA
PLANNING REVIEWED BY DATE 0.
SIGN
REOD PROVIDED
o FENCE
X Fri
REMARKS
OTHER
FIRE SPRINKLER
FIRE ALARM
CHECKED BY
TYPE Or% rONSTRUICTIAP
1C9PE
OCCUPANT
I . ) ///)I
1,/
GROUP
I
CRITICAL
AREAS
SPECIAL INSPECTIOA
_
pm -
OCCUPANT
NUMBER
REQUIRED 171 . I
LOAD
.
ALLA--TI 0IJ OF WO
L AOL-,4.-/j tj
I\j k VL&99
HEAT SOURCE GLAZING LOT SLOPE %
PLAN CHECK NO: VESTED DATE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD'
$
Description FEE Description FEE
Plan Check State Surcharge
� A� �
Building Permit City Surcharge
Plumbing
Mechanical
t:
THIS PERMrf AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPEffFY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DMVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
i �
PERMrr UCrOK* S180 DAYS
PERMrr LIMIr I YEM - PRC= ORK I STARTEDWITHIN 1180DAYS
SEA BACK OF PINK PERMIT FOR MORE INFORMATION
Grading
Engr. Review
Engr. Inspection
Fire Review
I.,
-APPLICANT. OKBEHALF OF IIS OR HER SPOUSE, HEIRS, ASSIGNS AMILI SUCCE89RS
Flie.Inspection
IN INTEREST- AGREES TO INDEMNIFY, -DEFEND AND HOLWHAnmLESItTHE
r IANP,�
EDMONDS. "iHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM 'ANY
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR IhDIREa"r&,,
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY43 ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Landscapeinsp.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY ALF(HORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CEONPITR -
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE M ED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELA7h TO
CALL
FOR INSPECTR
WORKMENS COMPENSATION INSURANCE AND RCW 18.27.
IA95)
771-0220
SIGNATUrRER OR(AGftN_iTj/)
DATE SIGNED
0
EXT 1333
ATTENTION
Plan Chk. Deposit
ocelpt
Total Amt. Due
Receipt #
APPLICATION APPROVAL
'\q U,,Thls applicallon Is not a porrnit Until signed by the
ding Official or his/her Deputy: and Fees are paid, and
)N Ipt Is acknowledged In space provided.
F KINVARE DATE
j
JA A
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUR UNTIL
Fl-
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A ME
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
JU
04/02 PRESS HARD -YOU ARE MA NG 5 CCOPIES
BY
IGINAI . FILF YF1 LOMW .41 PECTOF
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING