20040015.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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PERMITEXPIRES
USE PERMIT
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NUMBER
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ADDRESS
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PLAT NAME/SUBDIVISION NO. LOT NO.
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7NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TLSCP Approved
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Rw Permit Required E3
EXISTING — PROPOSED
Street Use Permit Roq'd
inspection Required
Sidewalk Required [3
REQUIRED DEDICATION— FT
Undelground
Wiring required E3
METER SIZE
LINE SIZE
Nor OF FIXTURES
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STATE LICENSE NUMBER
PROPERTY TAX ACCOUNT PARCEL NO.
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NEW
RESIDENTIAL
ADDITION
COMMERCIAL
)a' -REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
DEMOLISH
TANK
GARAGE
r.APPr)PT
RETAINING WALL
ROCKERY
(TYPE OF USE, BUSINESS OR ACqVITY) EXPLAIN:
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( X FT)
OTHER
FIRE SPRINKLER
FIRE ALARM
NUMBER NUMBEfi OF I CRITICAL
OF DWELLING AREAS
STOF UNITS NUMBER
DESCRIBE WORK TO BE DONE
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REMARKS
OWNER/CONIRACTOR RESPONSIBLE FOR EROSION CONIROL/DRAINAGE
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REVIEWED BY
VARIANCE OR CU
SEPA REVIEW
COMPLETE , EXEMPT
EXP
LOT COVERAGE
ALLOWED PROPOSED
DATE
SHORELINE OR ADBO INSPECTION BOND
REO'D POSTED
GN AREA I DYES ONO I S HEIGHT -
FA L L 0 WSED PROPOSED I ALLOWED , PROPOSED
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REQUIRED SETBACKS tFT) PROPOSED SETBACKS tFT)
FRONT SIDE REAR FRONT LJR SIDE REAR
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PARKING I LOT AREA I PLANNING REVIEWED BY DATE
REQ'D I PROVIDED
REMARKS
CHECKED BY
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GROUP
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SPECIAL INSPECTION AREA uu�ur
REQUIRED [] YES
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D - 5
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iHEAT SOURCE GLAZING % LOT SLOPE %
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PLAN CHECK NO:
VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
M SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
IL PERMIT LIMIM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT. ON 13EHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
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uj IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
-1
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF I HIS PERMIT SHALL NOI HE
93 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 _j NOR LIMIT IN ANY WAY 1 HE CITYS ABILITY 10 ENFORCE ANY ORDINANCE PROVISION.'
21
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGEN1 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
WORKMEN-S..��ENSATION INSURANCE AND RCW 18.27.
SIGNA URE (0 R A
DATE SI NED
IALUATION
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Description
31an Check
3uilding Permit
�Ilumbing
Aechanical
,3rading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
FEE
Description
FEE
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State Surcharge
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City Surcharge
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Base Fee
CALL
FOR INSPECTION
(425)
771 -0220
Plan Chk. Deposk �,5p, z
Receipt # 7
Total Amt. Due L
Receipt #
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APPLICATION APPROVAL
This application is not a permit until signed by the
Building ofticial or his/tier Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
OFFICIALS SIGNATURE DATE,
REAA;E11-BY It QATE
ATTENTION L;A 1 11%300
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09�03 PRESS HARD -YOU ARE MAKING 4 COPI
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ORIGINAL - FILE YELLOW - INSPECTOR
PINK -OWNER GOLD -ASSESSOR
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...... GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221
Website: www.dedmondsmaxs
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
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January 20, 2004
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Mr. Ward Brown
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415 9'h Avenue South
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Edmonds, Washington 98020
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RE: Building Permit #2004-0015
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Dear Mr. Brown,
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The purpose of this letter is to confirm the use of that portion of existing north basement
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(previously used as a two car garage) area in your home where you obtained remodeling
building pen -nit #2004-0015.
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Prior to issuance of this permit you and I had several conversations regarding your
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preliminary proposal and specifically on code issues related to sleeping rooms. I recall
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you inquired about creating a new sleeping room in the north part of the basement area
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space, but as we later discovered there were several major code issues (specifically
egress, natural light and access directly into a garage) that would need to be resolved in
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order for this area to be converted into a sleeping room.
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On January 5, 2004 you obtained a remodeling permit fo r this area of the house and on
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the approved plans described the use as 'recreation room'. Be advised, this room use is
for recreation purposes only and shall not be used as a sleeping room. If you have any
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questions please contact me immediately at 425-771-0220 extension 1226.
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Sincerely,
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Jeannine L. (Sr-a-f
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Building Official /a./
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Incorporated August 11, 1890
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ALDER STREET 63- 2
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PERMIT COUNTER
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RECEIVED
J U L 3 0 2004
DEVELOPMENT SERVICES CT11,
CITY OF EDMONDS
.... ......
.... .. 200406160162 2 PGS
C.MY CLE 06-16-2004 09:35am $20-00
-`CRY OF-SDMONDS SNOHOMISH COUNTY. WASHINGTON
5TH..'OtNUE NO.
EQMONDS.-WA 08020
COVENANT
......... ...
For Adult Family Home's Second Kitchen
Whereas, the Graiktor s
-heA;i r erred to as "Grantor(s)", have received a Building
fo sin
Permit N c2005!=g0r)l 0�-which is zoned * le family residential, and is
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located at 41S' Ld
tax account parcel numbe n*�21 '4�*'_7 f) -'1,210:; igep C3 and legally
described as follows:
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Whereas, the City of Edmonds has received'fi-buil ing.,p.crinit application for an Adult
Family Home with a second kitchen to be located iq.-*" okisfing single family residence
in a single family residential zone.
Whereas, pursuant to WAC 388-76-190 an adult famit� hoine it considered a residential
use of property for zoning purposes, and are permitte� id-artai*z-6ned.for single family
dwellings. ...........
Whereas, the City desires to approve utilization of a second �kitchtiiln.flf�,Adult Family
Home as a reasonable accommodation to the facility as care prqiv I.othe Jis.abled for
so long as the second kitchen is utilized, and only utilized, in conj�1rdiiop-with t he Adult
Family Home use.
Therefore, in consideration of the City of Edmonds, Washington appri)-�'ipg-i� e'stgoud
kitchen as a reasonable accommodation by issuance of a building permii,.t.. a n.t.0 r�
agree as follows:
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This covenant and all terms hereof shall be bind ng on Grantor, heirs, assigns
aind successors in interest, and shall be deemed to run with the land and bind all
hture owners to the real properties described above.
'Tfrl� c enant shall be recorded with the Snohomish County Auditor and
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:...96n�.Vpffiiffl .1 ay for all recording fees.
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3:- tjafito rs,hOOy*V6-ven ant that the kitchen on the lower, basement floor of the
g�bjett resdenq.e-q-a�-.be used only in conjunction with the Adult Family Home
a . Ii -a thaI*ihe-s,%id-kdtchen shall be removed immediately upon termination of the
AdOt Fath . ily.-II . or.pe'gtate License# 65-05-00 for the subject facility
f `* of.the property as an Adult Family Home, unless, or until,
or ce sa(idn o . asc
ei-xvise.
zoning lAws**4l6w Q h %
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4. The provisi6ns of -parii9F.afih,`3.-9bove shall be specifically enforceable in the
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Superior Court -of -Sqofioinigh County. The prevailing part shall be entitled to its
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attorneys' fees in:s�ch.a**'p'ro'c*"e**e**ding.
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5. Grantors acknowledie qti*d-a'g'r*ce.-that-A* of the second kitchen for the
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Adult Family Home uw..an'� th-6**�ri�tiptfof this Covenant are a reasonable
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accommodation of Graxitp6.. nghts-sis a care provider to the disabled and of its
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clients' foreseeable needs. -.The.,Grantors, theeif4pre, on behalf of themselves, their
successors and assigns do hdf . e by waive *6 and ill claims of the Americans With
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Disabilities Act or the Washington La*w** Agefinst Discrimination which they may
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have as of the date of the execution"' of.thi� Covf�na& and promise to hold
harmless and indemnify the City, hp oifice-is, aoInts and employees from any
cost, claim or liability which may be*in.q.;I.rreit-iiv"d'�fense of such a claim.
By signing and execution of this Covenant, the pa'rti�s.heriet4 agree that Grantors are in
compliance with existing zoning regulations. " " ..............
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Subscribed -�R� PhIffl before me this day of
01,
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Notary fie in d for the Statof W-Os"hin
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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:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
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FRAMING........................
FIRST FLOOR FRAMING ... -7
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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