20040715.pdfDATE RECEIVED
zC,
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
I
-�)C.-S22z ' Zz"'IL11AIle
MAILING ADDRESS
�1 z
/, 71c�� -�; —7 -
CITY ZIP ITELEPHONE
-7 -7, f—
W
ADDRESS
CITY ZIP TELEPHONE
NAME C/4CqL 11
ADDRESS
CITY ZIP TELEPHONE
USE I
ZONE
—
JOB
ADDRES SC
PLAT NAME/SUBDIVISION NO.
PERMIT EXPIRES
PERMIT
NUMBER
ef-
A
LOT NO
LID NO�
LID FEE $
TrSCP �APPIOWd
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
SIfoo, Use Permit Roq'd
BLI R Inspection Required
EXISTING PROPOSED Solow,31h Required
underground
REQUIRED DEDICATION FT wuina required
:�'
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES NO C3
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY
PROPERTY TAX ACCOUNT PARCEL NO.
0 0 (1/k7 33/�) 2-(;749ZD z
NEW RESIDENTIAL
1:1 X
ADDITION COMMERCIAL
0
MULTIFAMILY
11 REMODEL
REPAIR
DEMOLISH
GARAGE
CARPORT
(TYPE OF1 IASEj I
CYDS
TANK
RETAINING WALL
ROCKERY
OR ACTMT)n EXPLAIN:
OF
Lu NUMBER NUMBER
0 OF DWELLING
In UNITS
0 STORIES
DESCRIBE WORK TO BE DONE
q3os. C11
HEAT SOURCE
GLAZING %
PLUMBING I MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
0
X FT)
OTHER
F1
FIRE SPRINKLER
FIRE ALARM
CRITICAL
AREAS
NUMBER;
.3c)
REMARKS
L/DRAINAGE
OWN E R/CON TRACTOR RESPONSIBLE FOR EROSION CONTRO
VXPU3�0 5X)IUCS� qclzlll��I-ff"V)
S,0rec:7( Iaklj
ENGINEERING REVIEWED BY TE
FIRE REVIEWED BY
113
DATE
ZFE
UJI
7
z
a
z
uj
Lu
Ir
M
VARIAN CE OR CU
SHORELINE------T—INSR
OR
CTION
PEQ,
BOND
POSTED
REQ,
C'
OYES NO
S
S
SEPA REVIEW
COMPLETE EXEMPT
aADB#
SIGN AREA
ALLOWED PROPOSED
IWF P OPO
HEIGHT�
L KUVOSPD,
LLOWED PROM Fu
L
f1c. Pe, A
,
EXP
LOT COVERAGE
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS (FT)
ALLOWED PROPOSED
FRONT SIDE HEAR
FRONT LJR SIDE REAR
0
z
z
5
PARKING
LOT AREA
NNING VIEWED BY DATE
0.
REO'D I PROVIDED
11
#fLKSJ�
T77
I
"\ ()6�
ov
GROUP
OCCUPANT
SPECIAL INSPECTION JAREA LOAD
REQUIRED
YES
4HEMARKS z
J�) PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D Ei
A A A r A A I t I J
LOT SLOPE %
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
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
5
Ir PERMIT APPLICATION: ISO DAYS
W
IL PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
IRS. ASSIGNS AND SUCCESORS
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HE
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS -THE CITY OF
-j
-2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
M
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF ]HIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMEN1 OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS 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 CONSTRUC-
1 ION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IU,VtCYCAfION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
RKMEh'S CO�MP=ENN ��SURANCE AND RCW W.27.
DATE Q,16NED
CHECKED By jr
VALUATION
$
Description
Plan Check
Building Permit
Plumbing
mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
FEE Description
State Surcharge
City Surcharge
Base Fee
CALL
FOR INSPECTION
(425
771-0220
FEE
Plan Chk. Deposit
Receipt #
Total Amt. Due
47
Receipt #
/I Z/.,) - 5 r
APPEICATION APPROVAL
-This application is not a permit until signed by the
Building 011icial or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
FbFIIS SIGNATURE DATE
ALS
e ��)
ATTENT)ON EXT 1333 LLI
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 COPIES
PAQ
ORIGINAL - FILE YEL.Low/INSPECTC
PINK - OWNER COLD - A13SESSOR
z
0
I
0
M
Cl)
0 M
C:
M 0
0
10
0 C:
X M
M Z
IC) —1
C -2
>
Cn
o -n
-n
M M
0 6
0
M
CD
(n
M 0
Z
>
z
--i
0
z
0
M
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
. ':a -VA' ' e7� /. -.=-- '� 0 -`-"c:)-7 ;,7 /
Z:
CC
__j
CL
'gvnQ-L?vcz) rk>do-Lc7'3s&cfotfd`
Wc4
4301
C -LQ-7
NV W
>- * " --- -= �V �-L - 1-7
0-7 -L tv V
77'N, Dort
0 ic_lr
t/ LQ-7
-la 01-
ONIH33NION-3' A5
(1310N SV
U31INnoo 11r4un, oft
gnv
All
Adoa'ALII;3
ffl-
CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5tli Avenue Nortli, Edmonds, WA 98020
GIRDER TO CORRECT VIOLATION
Location of Violation (Address and/or description of location: Tax Account Parcel No.
00463302800201
Issued To: Linnane, Scott Gregg — property owner
Address Of Person This Order Is Issued To: Address not assiL-ned
Code Section Violated:. Ednionds C0111MUnity Development Code 18.40.000 — Gradjagpemiit
required ..
Description of Violation: 1) Fill and grading without required pen -nit
Corrective Action Required: Per attached letter dated October 15, 2003: 1) Obtain permit; 2)
Call for final inspection
Correction is Required no later than:— 4:00i)m (time) December 11, 2003 (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
$100.00 per day, or portion of a day, cluring which the violation continues.
Date Posted: Date Mailed: December 2, 2003 Date Served
Issuing Party Mike Th ies Title - Code Enforcement Inspector
Signature
z
0
q
0
M
=i 9
5i
M
0
0
-10
0 C
-i K
X M
MZ
cl)
0
n
M M
0
0
0 M
C (j)
9 C/)
Q 0
Z
z
--i
X
65
z
0
i
0
M
mi
s Y
CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
ORDER TO CORRECT VIOLATION
Location of Violation (Address and/or description of location: Tax Account Parcel No.
00463302800201
Issued To: Linnane, Scott Gregg - L)roperty owner
Address Of Person This Order Is Issued To: Address not assigned
Code Section Violated:. Edmonds COMMUnity Development Code 18.40.000 - Grading,perrnit
required
Description of Violation: I Fill and grading without required pen -nit
Corrective Action Required: Per attached letter dated October 15, 2003: 1) Obtain permit; 2)
Call for final inspecti on
Correction is Required no later than:- 4:0o�M_(time) December 11, 200 (date)
If correction is not made by the date and time specified in the Order, a Notice of
assess fines of
Civil Violation shall be issued. The Notice of Civil Violation shall
$100.00 per day, or portion of a day, during which the violation continues.
Date Posted: Date Mailed: Decen-lber 2, 2003 Date Served
Issuing Part Mike Thies Title Code Enforcement Inspector
Signature
z
0
0
M
-i -n
M
C
M
01
0
0 C
M
M z
C
> z
F-
V)
0 -n
n
M M
-0)
0 r- I
0 M
C 0)
9 0)
M 0,
Z
3:
z
Cn
z
0
1
0
M
.'-M
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Websile: wwdedmondsmams
DEVELOPMENT SERVICES DEPARTMENT
S9,11 Planning a Building 0 ringineering
October 15, 2003
Greg K. Scott
24305 91"Ave. W
Edmonds, WA. 98026
GARY HAAKENSON
MAYOR
Case: # ZE-03-257
Subject Property: Parcel # 00463302800201 Edmonds, WA. 98026
Dear Mr. Scott,
An inquiry regarding fill and grading at the subject property was made to this office. It
does appear that a grading permit is required for the fill and grading that has taken place
at this parcel.
Please find enclosed the Grading, Fill and Excavation handout. Please make an
application for a grading permit at your earliest convenience by November 5, 2003.
Investigation/penalty fees will apply.
Thank you in advance for your cooperation and assistance. If you have any questions
regarding this letter please call me at 425-771-0220 x 1716. A permit coordinator will
accept your application.
Sincerely,
Mike Thies
Code Enforcement Inspector
thies(@,ci.edmQnds.wa-us
c. J. Graf, Building Official
0 Incorporated August 11, 1890
Sister City - Hekinan, Japan
z
0
i
0
M
-n
0 A
C
M 0
0
--40
0 C
M z
Cn
0 -n
M M
0 5)
0 17-
0 M
Cn
Cn
M 0
Z ff
z
X
W
z
0
0
M
CITY OF EDMONDS
12l 5TH AVENUE NORTH - EDMONDS, WA 98020 a (425) 771-0220 - FAX (425) 771-0221
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
112 1 SO, Planning * Building - Engine., ng
December 30, 2003
Scott Linnane
24305 91" Ave. W
Edmonds, WA. 98026
GARY HAAKENSON
MAYOR
Case: # ZE-03-257
Subject Property: Parcel # 00463302800201 Edmonds, WA. 98026
Dear Mr. Linnane,
From our phone conversation on December 29, 2003, 1 have located your file. It appears
you have filled out the Critical Areas application (03-172). This is "step I" in the
submittal requirements as indicated on the enclosed Grading Fill and Excavation Permit
Submittal Requirements handout. Once you have received your Critical Areas
determination it will, be necessary to continue your application process as the handout
describes.
Please complete the building pen -nit application and fees by January 23, 2004.
Thank you in advance for your cooperation and assistance. If you have any questions
regarding this letter please call me at 425-771-0220 x 1716. A permit coordinator will
accept your application.
Sincerely,
Mike Thies
Code Enforcement Inspector
thies(@ci.edmonds.wa.us
c. J. Graf, Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
*1 A
FINAL PROJECT APPROVAL FORM
M1611
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT Ll rtna_rL_e�
SITE ADDRESS 243d
PERMIT _ADB# DATE INSPECTED
DESCRIPTI ON 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
F� 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
1.
2.
3.
RE -INSPECTED OUTSTANDING ISS I UES - GRANT FINAL PROJECT APPROVAL
Date SignatUre
1:temp:b1dg:fbnns:ocaprv1 3/25/04
z
0
M
--� -n
U5 —1
0 M
C
M 0
0
0
0 C:
M
M Z
0 --1
C _Z
C')
0 _n
n;u
__4 >
r ?.
M M
0
0
0 M
C Cn
9 U)
M 0
Z r-
M
;U
--I
r
z
z
0
1
0
M
� r
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall..........................
Pier/Porch ................. z
0
Retaining Wall ........... --i
0
M
Slab Insulation ..........
PLUMBING:
W
Underground ............. 0 M
C
Rough -In ................... M
0
__10
Commercial Final ...... 0 C
M
HEATING: M Z
Gas Test .................... C
Gas Piping .................
0 -n
Equipment ................. -n
Commercial Final .......
M M
EXTERIOR SHEATHING
NAILING .......................... 0 r-
0 M
C cl)
FRAMING ........................ Cn
Q 0
FIRST FLOOR FRAMING ... Z r-
INSULATION ...................
Floor Insulation .........
>
z
Wall Insulation ........... --i
Ceiling Insulation ....... Cn
z
SHEETROCK NAILING ... 0
0
SPECIAL INSPECTION ... M
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
o715