20040672.pdfDATE
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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NAME
ADDRESS
CITY
ADD
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STATE LICENSE NUMBER
PROPERTY
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NEW
ADDITION
REMODEL
REPAIR
DEMOLISH
GARAGE
CARPORT
(TYPE OF USE71
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NUMBER
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NUMBER OF
OF
DWELLING
o STORIES
UNITS
DESCRIBE WORK TO BE DONE
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SOURCE
CHECK NO:
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DATE I CHECKED BY
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
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( X FT)
OTHER
FIRE SPRINKLER
FIRE ALARM
CRITICAL
AREAS
NUMBERa/
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GLAZING %
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.
ul PERMIT APPLICATION: 180 DAYS
CL PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NA1 URE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIF'� WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORI)INANGE
x 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
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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 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 COMPENSATION INSURANCE AND RCW 18,27.
SLrjNATUhEA`6WN6 614-*GENT) DATE SIGNED
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In4_,� I 1PERMIT EXPIRES
ISE PERMIT
ZONE NUMBE13
JOB SUITI!�APT#
ADDRESS
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
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LID FEE $
1 ESCP Approved
13
PUBLIC HIGHT OF WAY PER OFFICIAL STREET MAP
RW Permit Required
13
Street Use Prurnit Req'd
EXISTING PROPOSED
inspection Requited
S,dow,111, Requited
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REQUIRED DEDICATION FT
Underground
Wiring required
13
METER SIZE
LINE SIZE
FIXTURES
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PRV REQUIRED
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YES 11 NO 13 1
REMARKS
OWNER/CONTRACIOR RESPONSIBLE FOR EROSION CONTROLYDRAINAGE
ENGINEERING REVIEWED BY
FIRE REVIEWED BY
DATE
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Description
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Plan Check
State Surcharge
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City Surcharge
Plumbing
Base Fee
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
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Landscapelnsp.
Total Amt. Due
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Recording Fee
Receipt #
CALL
FOR INSPECTION
(425)
771-02211�,�
APPLICATION APPROVAL
This application is not a pernut until signed by the
Building Olficial or his/her Deputy: and Fees are paid. and
receipt is acknowledged in space provided.
OFFICIALS SIGNATU?E D
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A17ENTION k"_� DIU` 13 3
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL --- J_k
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- r
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. 17
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
ORIGINAL -FILE
PINK -OWNER GOLD -ASSESSOR
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June 1, 2004
ff 16
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 * (425) 771-0220 - FAX (425) 771-0221
Website: www.dedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Dean Matzo
9430216 th Street Southwest
Edmonds, Washington 98020
RE: Shed
Dear Mr. Matzo:
GARY HAAKENSON
MAYOR
The purpose of this letter is to inform you that the City has received a citizen's complaint
regarding the construction of a shed on property you own at 9430 216th Street Southwest in
Edmonds. The City of Edmonds regulates sheds that are greater than 120 square feet (measured
from exterior walls). If sheds are less than 120 square feet no building permit is required
however, minimum setbacks distances from the property line must be maintained.
The complaint alleges that the shed exceeds 120 square feet and no building permit has been
obtained. The City hereby requests access onto your property for the purpose of measuring the
shed by June 30, 2004 (note, the City would verify shed size and setback distances to property
lines). For your convenience I have enclosed the City's public handout for sheds (Accessory
Buildings). If after reading the materials you concur that a building permit is required, please
inform the City in writing as to when you intend to file for the permit. Please be advised,
violation fees shall be assessed since work was started prior to permit issuance.
If there are other extenuating circumstances in this matter please respond to the City in writing.
We understand that you may not have been aware of pen -nit but request that you respond by June
18, 2004. If there are circumstances beyond your control that will prevent you from responding
by this deadline please contact my office. If you have any questions please feel free to contact
me at 425-771-0220. 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,
V/ "A' *- j I )
Jeannine L. Graf
Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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CIT-Y COPY /— OVERHANG I
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ADD GUTTERS /DOWNSPOUTS IEXG WA
AND SPLASHBLOCKS J4059
EXG RESIDENCE
1,5449.f.
+114' ABOVE GRADE
+13'-9* ABOVE GRAD
EXG DRIVEWAY
5259.f.
NEW SHED — — — — — — —
16,-011 219a.f. EXG CONC PATIO
±3509.f.
+14'-3* ABOVE GRADE
00
123'-0"
I —
HEIGHT CALCS
14'-3*
141-0"
13'-9"
14'—Ow
AVE HEIGHT ABOVE
GRADE
14'-0"
('11) �PLOT PLAN
SCALE: I' - 20'
DATE: PROJECT No.
07/20/0� 9430-01
IMPERVIOUS SURCACE CALCS L
EXIS11NG ROOF OLITUNE: 1,9169.f.
EXISTING DRIVEWAY, 5259.f.
EXISTING PATIO/WALKWAY: 405a.f.
EXIS-nNG CONC PATIO: 350a.f.
NEW SHED: 2199-f-
E j AS NOTED
APPH(fil " E*
BY r-NGINEE NG
Date:
ow
PROPERTY UNE
EXISTING ROOKERY
EDGE OF STREET
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OT AREA:
KAI
,840s.f.
LOT COVERAGE:
3,315a.f.(33%)
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Zone
S,tbacks
ENu:14el
Actual
1o6
Front
Sides
Rear
Other
)OB NAME:
Matzo Shed
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2 3 2004
PERMIT COUNTER
SHEET No. AO
0:
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
�ENGINEERING DIVISION DATE
-KEASIfSIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT
(L7
SITE ADDRESS 20
PERMIT # �04 —6b Z ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED Ad,11 924�
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
[I 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.
R.E-INSPECTED OUTSTANDING ISS I UES - GRANT FINAL PROJECT APPROVAL
Date Signattire
1:temp:b1dg:fonns:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
IL 1 OIL[
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
2- T-134
NAILING ..........................
Mr
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FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
a2-
e
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OCCUPANCY ..................
(i^
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'00 0
-ne initials MT arc Milt"
ThonTs011, telliporary co"tract
illspector for the CitY.
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