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20040051.pdfFDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS CITY ZIP TELEPHONE L I' 63 CX'Nt�-X:" I lk� NAME Lc\ II rL C It-IJ �t ti ADDRESS L;J V5C) SS ox Lj CITY ZIP TELEPHONE Cj)[t) D11) I)S 9 11 L NAME L) T�Pc�pl A- /,\ J_ L / � gg -cq USE S F ZONE 0 J JOB AI T I D FITE S S I PLAT NAME/SUBDIVISION NO. P I 1) IS, CII C) CEIL it CITY ZIP TELEPHONE 511 ) 1z I 0(�-j e- %1 - 2W t e `3 " , (0 STATE LICENSE NUMBER EXPIRATION DATE I CHE K B A N 0 �W 0eqV 6 /cL11 I PROPERTY TAX ACCOUNT PARCEL NO, NEW ADDITION REMODEL REPAIR DEMOLISH GARAGE CARPORT (TYPE OF USE, I PRESIDENTIAL COMMERCIAL MULTIFAMILY 1:1 GRADING CYDS 13 TANK oRETAININGWALL ROCKERY OR ACTIVITYIEXPLAIN: i u 1 11 - " U) NUMBER NUMBER OF us OF DWELLING 0 STORIES UNITS DESCRIBE WORK TO BE DONE HEAT SOURCE I GLAZING % PLAN CHECK NO: PLUMBING 1 MECH COMPLIANCE OR CHANGE OF USE SIGN FENCE ( _x FT OTHER FIRE SPRINKLER FIRE ALARM CRITICAL.4'-L-"�,� AREAS NUMBER U/A- LOT SLOPE % 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 SEPARATE PERMISSION. PERMIT APPLICATION: 180DAYS PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION IIAPPLICANT. 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 AGEN FS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECILYOR INDIFIECItY FROM THE ISSUANCE OF 'THIS PERMIT. ISSUANCE OF THIS PERMIT SHALI NOT BE DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION - 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 AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRI TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW IB.27. S(I II�,GEI�jj DATE STINED PERMIT EXPIRES --I PERMIT N U M B E R v�Xjl�) Cf)-!S/— SUITE/APT# OT NO, LID NO. ILID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION� FF METER SIZE I LINE SIZE NO. OF FIXTURES TE—SCIP Approved FIW polnit rinquited Street use Permit Roq'd inspection Required Sidewalk Requir0d underground wiring forpitrod PFIV REQUIRED YES 0 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE L I r—) 0 ENGINEERING REVIEWED FIRE REVIEWED BY VARIANCE OR CU SEPA REVIEW COMPLETE EXEMPT EXP I LOT COVERAGE ALLOWED PROPOSED DATE DATE SHORELINE OR ADB#_j INSPECTION I BOND REO D POSTED OYES ONO Ls SIGN AREA I HEIGHT ALLOWED . PROPOSED ALLOWED , PROPOSED ui z z Uj REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) FRONT SIDE REAR FRONT UR SIDE REAR z i z I PLANNING REVIEWED 13Y DATE PARKING LOT AREA I PROVIDED REOD REMARKS CHECKED BY JTYPE�OF CONSTRUCTION I -DEffiLa ____ SPECIAL INSPECTION ARE REQUIRED C] YES I REMARKS 4-acodim LdbuveptV PROGRESS INSPECTIORS PER UBC I 081FI Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee CALL FOR INSPECTION (425) If 771 -O2_20 OCCUPANT " Gr?j OCCUPANT LOAD INS[ k FEE Descrip6bn State Surcharge 0 City Surcharge Base Fee FEE Plan Chk. Deposit r Receipt # Total Amt. Due I . ... .......... Receipt # APPLICATION APPROVAL—T This application is not a permit until signed by tire Building Official or hisitier Deputy: and Fees are paid, and receipt is acknowledged in space provided. F - C I A A S I G N AT U jHy)) DATE .4 71ASED 13Y ZDAT ATTENTION t:)k I 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 O9iO3 PRESS HARD -YOU ARE MAKING 4 COPIES ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR 0 z z 0 M --I -n 0 M C M 0 0 C) 0 C: M M Z x 0) 0 -n n --I x M M 0 0 o M C cl) F, U) Q Z z C/) z 0 If 0 M a LU LL LUUJ F/5 a z C) r,4 Cl) a - a. CL ::c I j RIGHT-OF-WAY CONSTRUCTION PERMIT AND INSPECTI N REQUIRED ACCEPTABLE TIGHTLINE MAIERIAL HEIGHT CAI ULATIONS SDR 35 RESIDENCE SCH 40 A= + 102.25' N-`12 B = +102.2r HANCOR b 19 19 C = +102.7r b, �e va �v D = +102.76 Total = 41*.W + 4 = 102.50 7N 10ft 03 RESIDENCE XURTING IAX)d Iwmmm "DITION am of, Ir F9,,.10 7 jr-A M=NrUERIFAC MAMNIUM LOT COVERAG&CALCUIATIONS N1- PROPOSED (after additlow) ---gP&d: Pad: E3dodng Building Pad: 1,690 BE Proposed Building Pa*. 6"9L Exisdag Porch: 1865E Exiod" ExistingGara": 207 of. Naiad" West Dri Existing Pedo I" of. Riledng voway, B=Mftd Patio Existime Tnial Q03mm a-A.&4 in. 3�M at (COMAGA) + 9.8" BE (LAY11 w $0.70V (*Lesm jbKm 35% Maximmums lAt Cowmeraw Allowed) AVERAGE GRADE MAXIMUM HEIGHT MAXIMUM ALLOWED PROPOSED BUILDING FF I Z,-? t; 1 6 RESPONSIBLE FOR EROSION CON CROL. AND DAMAGE 103.50, Z&A, 127.50' W, PRVM TWA -- 1-r gelmati 00 w-wKik- vweg"'14 Wx MOT -10 C-V-bs5 P-T. +1W tTOTP "OF DRAIN q �mlj IV ED. i L 15 2003 CS CALCUIATIO -Tj6E-A-ttA,4c in4 E t;> -15 d qE SITE PLAN PERMIT COUNTER MALE 307 of. is at on at a" St. I" of. Mich&el Dalumida A Ckarleen M. Forenoon 7144 FSL $422 - 216m 9W, FAmmmix, WPL 98M AS NOTED PPROVED sammu BY ENGINEERING Date: -STREET FILE GARY HAAKENSON CITY OF EDMONDS MAYOR 1215 TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221 Website: www.dedrnondsma.us DEVELOPMENT SERVICES DEPARTMENT 1117 Planning Building - Engineering C. March 19, 2004 Charleen Ferguson Z. 0 Mike D'Alineida 9422 216"' Street SW Edmonds, WA 98020 RE: Building Permit 2003-0973 C/) 0 M C M 0 Dear Ms. Ferullson: 0 0 C We are in receipt of Your request to withdraw the above mentioned building permit. It M ITIZ has been withdrawn. We have submitted a request to our finance department to refund _Z 80% of the building permit fee. On a separate note, I see that you have not called for your final inspections Oil Your 0 -n -61� demolition permit (permit number 2004-0051). Please call our Engineering department at 425-771-0220 extension 1326 for a final insp ection. After Engineering, please call our M M Building department at 425-771-0220 extension 1333 for a final inspection. 0 r 0M Sincerely, C 0), M 01 Z X. arrison Marie ai permit Coordinator zl� 0) Z' 0 0 M Incorporated August 11, 1890 Sister City - Heldnan, Japan 02/02/2004 14607 FAX 206 689 4073 01/30/04 T4RI 17;28 FAX 21 o y C) 13 AgMaYUs"Only -L)1jropIurtyOWL%ur8 "I I1 L -re JjrL Ad&css; III I -�FL�JU4 7�6 61V A c� ttmar r) 1Dm SM Address" PS CLEAN AIR Z001010001 Ij GET �S 0 UN D C LE ANfw IIJAN 3 A 'NCY 2304 GE I jOLjL%iO13StTCIZt,sutte5OO FEB 012 04 11c NVA9910 I a2038 sc:at .5ERtti OES GTR. tA Ds 04 NE 57 sc) ean aiT. org 042011cyI)s8u(Ily CITY 01 EMA IDS 1. dvoZr)T1c-,E;,O-.F1NTENT ........ I DIInicilitionO v liti -Re & LeAsb t �sRc �v"' 77 p , r5.44/ Is' / q 9JL L/6 0 'ASbestOsSulve Yor at'lPrestu ed Inspector6 tart Durnoliti011 Mt 1b Dates Information' Del, coniTac,or, 6 " V, Friable AsbcstO$ .of 9 Al c It certkficationN: & 1) &7 OAI 5 6 Faxw 0 �e Z mm z ContvactuT jobNcio! ROM& 00calphonc: as 7"F 1cd? OYO*l W015-� onfrj%b1vAsbrstosjd'ntiF IS jo !acopyofihesurvp-yvhe?ll�icibipt'&Yb'!"O i( f jjasnctbee?1ideJ1ti,,d. ' p No -of 21, Struc:tuures, W W.11 b 4 friableasbeatosbc illnon md o ,j jfyesjisttypeandqt;yV�V es 0 10 No WQrkDaYs1MT%I`Su oil tOs QNo paintS �Tc*61wedC L, %*% 4e c0atillgs ved: ,t,IULqt%IIr tobc-Remc". pipcInsulatiOrl rr-N.r2,,4,jI-Ir',PWP'wu1I&&ap I. -r. Duct'[Dau Ttio�,U,�KIPEM�" 11 t r rvurcace11151 s -c- Fria4M 'Finiub1c FTO�Odmg p LI ccilleat Lprw I)tifica Tccm =Boatd aii�] g,rleso projec CategoricISM, /][))eMO1Lt3On i Er 1) OtIce up c 'e, %J� P N 1j, ASbestos ce(ownermuccupied): It B I AOI p + 1. Sing e.FauaHyRP-6s%ideT1 pq 6), B61 )DaYs novalp,lojectonly AV ClAsbustosRer it hoUtasbestoSIGM I 6j 0 projcct(withorw ahitIodas � Onfic DemoliLton I b - wmolitionmiustw 7�ingtll- wresidenceri4s III I i a )(]M,c)*Liflc3tion.de:=:=:;ii;-E�I -jorwillbeus istheused c s to s r 5mmo III aal c: a a t� .1=::,��O?jOfOrjjijywhohasbm _�.Jj "0 b) jjp,�ViA 7VI r ujencc,sownE!d NoWirf(thesingle am y cs histsploranownermoccupledr ......... I Xly 4L1 u LV 4 ck d e mxw 40 "1 1,11— MeMbmeStoS i0r1l3maybeche e 0 v I I nixed-usebuildh a 0 m ',I- am, U' �k�ese cl do j" 11111U11,1111 r2rnil nifs,oran 01 JODays ]A 0 '0 rexidencedocs?'O removajorNonfria IeAsbestos Iti r nO�,,ojitionswjLhnoAsbcstOG r I AhUtln3tr A! bestos 2, p v 0 ce a FriableASDes'"' L w Vtarid/OT Z4.8-.1.5,9.S.92,R �,10.2,57TInwrfee Ll;;�- !Te 3 19jiucarfuetaridlorl 60t-4*999$9!E=E�eLfcr`m&1 4. 260"95 fcctofw ,taitce and/01>540"Os ualr' CyAsbestosprojec 6, E, racrgen, emorgencyT=iI .nr ,ctarr le'raxwlyhosid cxrn, 1,1citirtifiJed att cinforrnatioticonw6i j,djTjtjjjbnQtia:mI signature 6.160(P-rvi5md1/O')Ts U k t.&COrnPluto c e T 50 0 Licion ru,I10 V.- FeeSurchary hl� 0 c theribov 200� ,ASjj7gJC,I Twi ut-,Proj II�CtPMI�- XII z 0 �i 0 m c M M 0 0 0 0 C 'I C M M M Z 10 c 0 -n m m M 0 �5 0 re 0 M C (n 90) M 0 Z ;u �q M z z 0 �q 0 m 02/02/2004 14:06 FAX 206 689 4073 PS CLEAN AIR 01,-'30/04 FR 1 17: 28 FAX [a002 "EJ-1 EICEIVED R E- tionbeforeanypers011r-O cme"Oes afLiableasbesto-sprQlect juiresadvancenotifica P, fee and for all dcrnoli1!QA,.Pr * t 'rh,Pug),etSOUDdCleanA'rAge'ncyr'-' 10 Un car feet or 48 squaT l206quarafo:et(Rvk�-lL1ii It Nall involvirtg Mterials equal to or gruateT in ';�/e t"an OL C' that squetwes With aproi ectedroofate great r (regardless of asbestos coutclAinvolV1119 stbr-submittedtOtbe \,gencyOncurrW3riA'%a00f sERVICE5 CTR. M,Axtjr.1r;4). All asbestos removal ar)d demolitionnotificatiOns Inu tjoenolific;.i�tion�tbrt�dr)�6�IUFi �6)kl�, ,ialsand5t'Mc=abeJov fornis, sbesto emova . dde oli 'On ra Ctsinv 1V*n q4 6. ^ c ulatiorIHI�AxticL_t, will review tllufounand retuln tif aj ectfce, the Agunc) I 4-�no cation with the appropriato pr 41%, our ralidatednotificatiOn- After recolvIng a comP V There tun' U'r-OPY dclemolitioncontrao;torbYmall- copy totheasbi estosan MOM LUS ;uRN nerICEO'. ,"UM"r J 'SIVII-Lu 0 Demolition A kA /Ax"..4 tvJzWD9AddTC5S' Fax; GUII)F-LINESFORSUBMITTINGANASBESTOS\DENIOLITION 40TIFICATION -!II—�t,r ul sbeetvinylo.00ring,cement Step J,QJ3erM�;aPP[UJJJ La'�Y-IJ—­0 X- asbv,stosboa-rdsiding,aladductinsu]oLtion.N materials. villdo\vpLitt),,Lind,n,,",tl'ooflllg stp-p2.EnterproperL-yo\vtiarinforMaTi-c'nitl'B"13 crinfOrmation,iftheproPeTtY owileriscond ictingas-inglr-,familYtesiduntial Step 3. Enler&PUbestos contr.actororproPertY own _taumaffinglubel. p er roi - 't D 1t0.XC.PratrlcarlythiSjsyQurrr BoxD Formillti-';tructurr-lprojectsoEti:ach supplemel)tal sheetwitli asiter, all Step4- EnWrthesite address forallnotificatiOrls in stostober(niovedrionl(3achq.;tructure. (includranad&essforeachsitr)andalistofthetypeandamountoffriablcasbr nedin Bo%F,,Alldem01ition6req lire that un Asbesto sJ-JazaTdEMcrguricy ormaterialpresiu hP Step5, Ctierkeithcrasbc9t0s survey �I�MRAbtiildinglnsptetor Atiarhtig2RIEifi�-stlrvOvtOth, urveybeconductedbyacertified) tedor. bK.,Lur ve.v. ,,.,%,ct(A11ERA)asbestos9 at1t,".ar litto Itwh enonl I *ableasbastORDE110a est -ificationofadcmd- n2ro 00"DWIL-2-4-4--W-9- BoxF.a.ndcheckthetrai�ningfirearorderedde Moli . tionboxifapprOPliEtt'z(ac(.ipyofthr Step6 , FntrrtheprojeGtinf0rm3t`ionin Ved prior to conducti ni OL trWning fire. Additiomil Lraillitig fire off b(z attached). All asbestos must be rema' t1fr-jableasbeRtosmaterials willbuleftinPlaceduringde M01iLi013- .Icial order roust requi rements are containedin RelZul2EiGUIlSeCtiOnS-08-IfQnyno checkycstindlistthetypeandq,uantityofniatelial- materi;.Itobercmoved:iDrfacing"n',AtPri-,'ISL'cllas tosproject'infonnaii0nird3oxG.ListtypesaffriableasbgggL� :)oardsidingorpipe,ctc. Step7.Ento;rA-qbcs1 hoetviuYltIcoring,cluctanApipeinsulation,cementasbe"'o' popcorriceilingsorpla.9ter,s ects,check BOXIIIA br renovatioli Projects ur 13()X*Hl . 13 for r-accupied Single-FantilY Residential proi vemoval may be C ynduated after a coinpitte notification is Step S. For ownc: (with orwithoutasbcstosreynoval). Asbestos tification ;sreceived. dernuliti011 PyOjc�cts s can oilly begin on t1le 10 "' day after the no Yco;eived, but demolition auti.vitie. rwilibeusingiheresidenceastheird6micile,bo reslAorIBYnckybedlecked r,evidenceisolvng,dbyanef,a)71izywhohasbeeno 411ding Si'nglafamityreside,nredoesiiaiincii4de ilyR.sider tial),checktlicprojectoategorykl")- cts(oirprojectstbLnrdnnotquiLlilryali"ng'eFam t ian it involved, include the appropriate surcburge For CoinmercialagbestOW038 'noVed. Ifadernolit priateboY.1 -5and the friable asbestos thatwill berm )n prq --c�checktheapPrOl, 5 thatmatclics the amount Of einergelleyasbcatogordt�iiialiti( owpordemonstlatiTUS-L 110 t. Tof ileforan Lb �,ttrzr'rom ie ro e (additional fee) i 11YOUrPaymen ncyre eat m I t* n4.0 c IQ inRcPrulalk III ser e iaxei edinc ndur-tth f0lecti ationprovidcolby gig lingthenotiricai.ioninBoxI StLP9, Pl.figecortifytheVLCrUILLOYaUdJCDMP'etenr'SSoftheillforM atcgary, ctIaLlgctht: types of asbesk)S tlfit;aLtionarerr-qWrL-,dforchani�es thatincreasctlirprc jectc ' *ects. I\ i MandatorYaniendmentst0theno otnplctiondatolmEINVOrkBchedulefOrao'be! tOsproi ofezzisrequ rcdf0f materi al s tobercmovc-d andchauges to start date, c Lhc Agency wOrIc schedule Car, Program. A, $25.00 procussing fee i-S Work SGhOdUle CllangCS if ibe, coutractoris PaTtioiPating in requiredforallamendments, sbestosr*guJati0D9=df0r"scan bcdownloadedfrorrIL ieAget'cYwebpagL�aLww%y,p..;r-JeFnair.org- Pugetsoundcle-anAirAgencya )689-40 5 Band foradmini stmClv ainqiLiiri escall (20 6) 6 9 9-409 T,Ortechnicalzssir,to,ncec-ail(206 J�UgCtS oundCleanA JrA gcnryFornN0-:66 - 160 (gavl god 1104)TS z 0 i 0 M 0 M C M 0 0 0 0 M M M Z g) -4 C M Cn o -n n MM 0-0) 0 r, 0 M C Cn 9 C/) M 0 Z ;U --I 3: z W z 0 1 0 M FINAL PROJECT APPROVAL FORM r, , �;/' TO: q DATrlE--' MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: -FIRE DEPARTMENT DATE PLEASE SIGN ENGINEERING DIVISION DATE -PLANNING DIVISION DATE PLEASESIGN PROJECT i /X- V L SITE ADDRESS Al PERMIT # ADB#---------PATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTED A field inspection was conducted to determine compliance with -approved plans. Final approval denotes that there are no objections from the above signed Department to the release of PERFORMANCE BONDS and the granting of: �,,__GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED 0 Copy of CONDITIONS given to owner/contractor by inspector FAILED FINAL INSPECTION - OUTSTANDING ISSUES 0 Copy of CORRECTION NOTICE given to owner/contractor by inpector 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature 1:temp:b1dg:f6rnis:ocaprv1 3/25/04 z 0 M --i -n Ui --I 0 M C: M 0 0 __40 0 C -1 K M M M z -Z X Cn 0 -n n ;d > M M 0 ui 0 r- 0 M C Cn 9 Cn M C) z r- .Am ;U z --i X Cn z 0 M I 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 .......................... FRAMING........................ FIRST FLOOR FRAMING ... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOU .......... FINAL APPROVAL FOR 44 - -.7-b­ C)-f OCCUPANCY .................. 00 z 0 1 0 M ­11 M C ITI 0 0 C M ITI Z C _Z C0 0 -n n M M 0 0 IT! C0 (D Q 0 Z z z 0 I 0 M