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20040762.pdfIDATE RECEIVED :?, CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS k), MAILING ADDRESS 131 73 ,/4f J77 CITY ZIP TELEPHONE 7 4 - 1013 c, NAME 7 AAKV-1V CU eEL� 7- ADDRESS �7 -14 2 L) /0 la9l CITY ZIP TELEPHONE 960721 4,7,,5-d8_`5_4qop NAME CBL4 104 4 7.7 ADDRESS 7 33 CITY ZIP ELEPHONE T�5 STATE LICENSE NUMBER EXPIRATION DATE CWKED BY I /0 5110/0 5- PROPERTY TAX ACCOUNT PARCEL NO. 2 7011.3 2 500 2 11600 NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR 'R7,4& CYDS DEMOLISH TANK GARAGE RETAINING WALL CARPORT ROCKERY (TYPE OF USE. BUSIYEPS OR ACTIVITY) EXPLAIN I - 21 PLUMBING / MECH 11 COMPLIANCE OR USE CHANGE OF 1:1 SIGN IFENCE FT ( X OTHER SPRINKLER EFIRE l FIRE ALARM NUMBER NUMBER OF CRITICALj/jV/T/lVC--�f-- OF DWELLING AREAS UNITS NUMBER 0 STORIES DESCRIBE WORK TO BE DONE M I , - - Pz7e41111 -Ar -1 - 79�1 HEAT souACE GLAZING % LOT SLOPE % A/ PLAN CHEqK,11`40: VESTED DATE &1 7 - -,:/ / / I THIS PERMIT AUTHORIZES o6LY 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. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 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 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIREC FLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION - PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ADDRESS 7 X; SUITE/APT# PLAT NAME/SUBDIVISION NO LOT NO. LID NO. LID FEE-$ PUBLIC RIGliT OF WAY PER OFFICIAL STREET MAP I ESCP Approved RW Permit Required L-� - Strom Use Permit Hoq'd EXISTING PROPOSED inspection Required FT Sidewalk Required Underground REQUIRED DEDICATION Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 17 YES NO El REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLiDRAINAGE— t:j<j-, L L L CI) COi I� 1 1— FIRE REVIEWED BY DATE DAT E uj z z a z W W VARIANCE OR CU HORELINE OR ADBN INSPECTION BOND REQ'Q,. POSTED Is OYES �PVO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSEk I K_ a 5 EXP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED t, - ?q FRONT SIDE" REAR/ r FROPT LPSIDfr REAR/ - z 5* /5 z �11� PARKING LOT A EA Pj� REVIEWED BY DATE RE PROVIDED �NNING REMARKS D BY I TYPE YrRUCTION CODE OCCUPANT M Ao �; I GROUP /z, SPECIAL INSPECTION JAREA ULILUrANI REQUIRED [:] YES I I LOAD I REMARKS z PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINALINSPECTION REQ'D te- VALUATION S '.!� I I /"�, 1�_� 15V;1�1 - I Description FEE Description FEE Plan Check State Surcharge 'Z71 Building Permit City Surcharge Plumbing Base Fee Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt N LandscapeInsp. Total Amt. Due Recording Fee Receipt I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF This application is not a perinit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL Building Official or his/tier Deputy. and Fees are paid, and TION, AND IN DOING THE WORK AUTIIORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION iecLipl is acknowledged in space provided WORKMEN'S COMPENSATION INSURANCE AND RCW 18 27, Of FICIA1 S SIGkjA URE DAT E TURE WNER R AGENT) DATE SIGNED (425) 4,1-1 --7 771-0220 FIF ATTENTION EXT 1333 IT IS UNLAWFULTO USE OR OCCUPYA BUILDING OR STRUCTURE UNTILA FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES BY 0141GINAL FILE YELLOW INSFJ(CTOR PINK - OWNER GOLD - ASSESSOR z 0 A 0 M -n 0 M C: M 0 0 --i (-) 0 C M M z X W o -n n M M 0 0 0 M cf) cf) M 0 Z z Cn z 0 1 0 M GARY HAAKENSON CITY OF EDMONDS MAYOR 121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221 Website: wwad.edmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning Building Engineering z 0 June 21, 2005 0 RI =i 9 C/) M C M --10 Per Zimmerlund 0 0 C 737 Pine Street M Edmonds, Washington 98020 M Z. RE: Building Permit #2004-0762 @ 735 Pine Street, Edmonds > CD Dear Mr. Zimmerlund: 0 -n' n The purpose of this letter is to inforrn you that the subject building permit has been m rn extended to February 26, 2006; which represents a period of one year after the fire Cn 0 completely damaged your residence. if construction work is not complete and Final r- 0 M occupancy no t granted on the now residence by this date you have the ability to extend C K C/) the permit for an additional year for one half the original building, permit fees. Q 0 Z On a sidenote please remit to the City, payment in the amount of $ 100-00 for inspections X performed on the re -construction on your residence. which is now at the point in the I inspection process when the disaster occurred. If you mail or drop off your payment please mark it to the attention of Marie Harrison, Senior Permit Coordinator for processing. z 0 Sincerely, Jeannine L. Graf Building Official Incorporated August 11, 1890 Sister Citv - Hekinan. Jaoan 7- Ir-)Z,A;,Al — 735 Pxle c� z�z�)11-7o,,,IzDs APPI-KNED AS NOTED --e- sar- PLAO BY ENGINEEBING T�o 9- IX n IMOWPEAQU Date: //Ax, PAkc-,fz- -ZD.* 2;7632500211000 103.1 Zo7- AREA 8,,50 q7 99 99 /00 101 1 1-07- (foVEeASf,'2(300"' (3 SCAL q,7, 0 Z07- 0", R (5c)11-6 A Q A- q 6.5 13 L/E 4��VADE 14,A IAI 1c-_10oq:2004sq-1� 02 8 1t'7A>c,1,,4u1l-) =124,3' It-100R.1,3 124- 0 S�.,C4, D IoO. L 72011 ("50- 'LAI �A' 3 0,3 Osq 0 0,0e5A1 24L i ve vjA V WA Z- k vJA V 10,5 APPROVED B� PL'AN"-NIN 199NMAJA111,00-9 L5L 0,p,� /I M. '444nml'f�' 0A7161/4 /00,0' L5,S.. 0 zone 6 Corner Al Flau A/ 0 N. 15395 ,,/ Setbacks RReQuired Actual c)� ;6 1 T -ront r Sides "7 PEI RE _-, :,j Other Heiv— z 0 i 0 m STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET OWNER CALCIBY: ADDMS PHONE: 40,5- 773—/094 DATE: *****DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFIC.E Ll I 24 DOTENTION PIPE LENGTH LOCKING LID TYPICAL) FINISHED G MINIMUM N TIGHtL KEAT UR aE 0iVC6 or CONC BOX OR RISER .5Z TO IX SLOPE -TO OUTLET 4 OUTLET CONTROL IMIN. '7/§ UPPER CATCH BASIN ORIFICE CONTROL CATCH BASIN C if SYSTEM CROSS SECTION 2'X2'X6' DEEP, 4-6' SPALLS 13R EGUAL P F_ FROM CONTROL CB 2'x Z'X 3' DEEP, 3/4' CRUSHED ROCK ISTING GRADE H I b FROM CONTROL OUTLET WASHED ROCK OUTFLOW TRENCH, MIN 10' LdHG. PERF PIPE TO BE LEVEL PERF PIPE W/-END CAPS TR WITH MIRAr PRINCH SMALL BE LINEF OR TO PLACEHEN WASHED DRAIN ROCK fitpmp OuTur RUNOFF SPREADER. TRENCH FOOTING DRAINS SLULL NOT -BE CONNECTED 70 DETENTION SYSTEM NOTES.- 1. Call EngineeringDivision (771-0220) for a tightline, and detention system inspection APPR&E'D BY beforebackfilling and for final inspections. 2, Responsibility for operation and maintenance of drainage systems on private property is the -7 , ON-4 . Ix flush responsibility of the property owner. Material accumulated in the.storage pipe must. be fl. - DATE I out and removedfromthecatch basins to allow proper operation. The outlet control orifice must be kept open at all times. C z 0 i 0 T q 9 M M 0 0 C: --i K M M M Z cl) 0 71 n M M 0 0 0 M C cl) 9 Cn Q 0 Z ;a > z C/) z 0 M Table I — Detention.Pipe Sizes Impermeable Required Pipe Diameter Area Sq. Ft. Vol Cu Ft a 150 188 24. 302 2000 50 40 28 16 10 2500 62 50 35 20 13 3000 75 60 42 24 15 Required pipe 3§W 87 70 -49 --28 -18 length in feet �4V-E' 100 80 56 C�C) 21 4500 112 90 63 36 23 5000 125 100 70 40 25 Note: Allowable Pipe Materials: Reinforced Concrete nni Aluminized Ste.. Aluminum CMP Asphalt Coated N-1 2 ADS (Not permitted on roads) Table 2 — Outlet Orifice Sizes Impermeable Area Sq. Ft Outlet Orifice Diameter (Inches) 2000. 5/8 2500 5/8 3000 3/4 3500 3/4 4000 CtaD 4500 7/8 5000 7/8 Table 3 — Rectangular Catch Basin Requirements Detention Max. size Catch Basin pipe diameter knockout Type < 180 20" T e j-,-QB �15 180 to 24" 26m Type IL, C13 24" to 36' 368 Type , B 19 19 (48" Basin) 364 to 42' 42m Type 11, C13 19 19 (54' Basin) *Source: Assoc. Sand & Gravel Co. Standards 5 Revised 3/16/95 Z 0 1 0 M -4 -n Cn 0 M C rn 0 0 --to 0 C M M Z C= co o -n n M M 0 0 0 M C Cn 9 Cn M 0 Z 3: Z —1 Cn Z 0 M Z, 7- 10Z A IV — 73 5 Plxle PAkc-,fl— -7D., 2703,3500211000 250 '75 103. Z07- AREA x q7 98 ?9 /oc> 104 4 1-07- 60V5eAS,--,' 08 60� �FCEF'IAUNIGFITLINI. ALL F-XPOW �URFACES TO MATERIAL BE\COVE ED WTHIN 2 CAYS >e vav-%tac-^ -1 gf"o &CALE: SDR 35 SCH 40 N- 12 q7' o Z07- Szoc:6-,, %0 HANCOR (501L,5 4!fZ FOOTING DRAINS NOT HE 1-6�H7 A I 6,g TO BE TIED INTO o wEt�z ooR\ 9 6.5 Ut I tNTION SYSTEM 0 67 'A 8 0 6,f .0 /1 L/E aA RA 02, 8 /V�7 1,24,_3 Fl,�,1.5,q dZAL3 Ax/^4c//v) -UA L 102.5 D /00, r_ 7 72 C)l -D exls7; 4 ou,—,cl-A zz- Zmle 7-16- 7 Y O;c IG 1'\ .0, 1,1we 0.- 7,35 A'VdF sr �6 F- WAI/ /D 7 4, (S7ZAJ 9(9-100 ^1vo loo-lo2 G vj �/o (70'P�Por-.�,cr 6/Ct/' /00 �/O c.o. rL w P rtN4 uX*i?6; 1511- pe ll��- 0 L?5?- utKetiou, MIER CO3A17-leOl- IZRAI�6- FORM _32,C-7- 04- QUIRE') INSPEC AMD 6-01 7-YlAvl�� 7-0': 7� ELAI c,6, Aomcewr 7-0 733 CON"*- z A ssc11,1P1-1ox1s I-O-R I-ouI-OA 7-10-'v e C, 4 UA -/'O\l A;.11,3,V Zoj,!jW 41-00,q SZzo — 98.0 o Irow Zow.-'Q "e200A, — o 0 cl I"C-OrlIV6 Z�ec 4001 Ab-orl"16 Z)El- 1 7/-/ 2:'�,c, ll:�W6;�RAe2F(3 S/0--c) w R AL p c lqe-f RIGHT-or--wAY CC\S)*RUCTiON PERMIT AND INSPECTION REQUIRED 35)< 0,2,994 ;7 + x 3 '40-k ZowCQ X20OR zwZ7 >e ?-:7 07 NOTED WATER & SEWER BY "ENGINELIR a a o>e bl INSP , LG 154. ECTIONS REQ'D. Cc-/.Yc&LL 425-771-0220 EXT. 1326 7 Date: 76 6 oox. 7 0 4 cc,,, y 7 Z7�-C-A L./A -r101\1 12-c C'V "rl 72:F 007-IA16 VS ro,-Jx1,EC7S 7-0 /-� , , jx- �/O'V-o 6, ---------- z 0 1 0 m 4.12 C. 1 S () 11 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 Website: wwwdedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering September 24, 2004 Mr. Per Zinimerlund 737 Pine Street Edmonds, WA 98020 RE: Private Storm Drain Line, 735 Pine Street,_Permit Number 2004-0762 Dear Per: GARY HAAKENSON MAYOR ke� ,Tao~,__e .Dpv,- �J _A*t,_e 0- 1 _�Jakh4 Thank you for meeting with us on Friday, September 17, 2004, to discuss the issues pertaining to the private storm drain line you propose to install in City right of way for your project at 735 Pine Street and your request that the City not require you to obtain an encroachment permit for the proposed private storm drain line. I have reviewed this situation with our City Attorney. We agree that; if the proposed private storm line were to be installed only along the frontage of your lot at 735 Pine Street, the City would not require you to obtain an encroachment permit. However, the fact that you propose to extend your private storm line along the frontage of your son's lot at 733 Pine Street poses additional issues and concerns for the City. The following four options would be acceptable to the City: Opti )n 1 — Construction of a private storm line within the City right of way across the frontage of both 735 and 733 Pine Street by you. With this option, we would require you and your son to execute a legally binding, recorded, three -party agreement with the City that documents the City's authorization for you to install the private storm line in the right of way, documents the fact that it is a private utility and that you and/or your son and subsequent owners of your properties will be responsible for its ownership and maintenance, and includes appropriate indemnification language and other provisions to protect the City's interests. This agreement (or a separate easement) is also intended to document that your son (and subsequent owners of his property) grant permission for you to construct, maintain, repair, reconstruct, etc. your private storm line in the right of way along the frontage of his property. This is required because, although the City owns the rights that go along with our right of way ownership, the abutting property owner owns the underlying property rights. Owning the right of way does not give the City the authority to allow someone to put privately owned utilities that are not owned and operated by a utility company with a franchise from the City in the right of way in front of someone else's property. - Incorporated August 11, 1890 0 Z 0 i 0 M q M C: M 0 0 C M M Z _Z Cn o -n n M M 0 V5 0 r- 0 M C cl) 9 (D M 0 Z Z Cn Z 0 0 M We would require you to draft a proposed agreement for our review and approval prior to execution. Upon execution, this agreement (and easement if separate) must be recorded against both properties (733 and 735 Pine Street). We would also require a right of way construction permit, but would require only one permit for the work in front of both properties. One of our concerns is ensuring that future property owners and utility companies are aware of the existence of this private storm drain in the right of way. To assist with this, we would require a yard drain at each bend in the storm line and a cleanout at the property line between 733 and 735 Pine Street. 012tion 2 — Construction of a private storm drain line within the City right of w4y across the frontage of 735 Pine Street by you and construction of the portion of the private storm line within the City right of wU across the frontage of 733 Pine Street by your son (the owner of 733 Pine Streetj. With this option, we would require a separate right of way construction permit for each property. Your son would apply for and obtain a right of way construction permit for construction of the portion of the private storm line along the frontage of his property with the intent that, when he builds a new house on his lot, he will connect to the storm drain line. He could extend the storm line along the frontage of his lot to the property line between your lot and his, and provide a stub and cleanout at the property line for you to connect your ston-n drain to. This would establish him as the owner of the portion of the storm line in the right of way fronting his lot. We would not require you or your son to obtain an encroachment pen -nit. However, we would require you and your son to execute and provide us a copy of a legally binding, recorded agreement whereby your son and subsequent owners of his lot, grant to you and subsequent owners of your lot the permanent permission to connect your private storm drain to his private storm drain line along the frontage of his lot. Again, we would require you to draft a proposed agreement for our review prior to execution. Upon execution, this agreement must be recorded against both properties (733 and 735 Pine Street). As with Option 1, we would require a yard drain at each bend in the storm line and a cleanout at the property line between 733 and 735 Pine Street. Option 3 - Connect your private storm drain line to the City storm system within the limits of your property frontage. This would require only a right of way construction permit. Option 4 — Construct all portions of the private storm drain line that is beyond the limits of your property frontage and parallel to the right of way on private-proper!y outside the right of way. This would require only a right of way construction permit for the portion of the private storm drain line that is within and perpendicular to the right of way, and an easement from your son granting you permission to install and maintain your private storm drain line across his property. z 0 1 0 M =i =5 M C M 0 0 0 C —i K M M MZ JO -i C Cl) 0 n M M 0 0 0 M CI) CO M 0 Z M --I 3: z C0 z 0 i 0 M Again, any of the above options would be acceptable to the City. Please note that we are willin g* to allow Options I and 2 only because we have already approved your building permit with your plot plan showing your private storm drain line connecting to the existing City catch basin adjacent to 733 Pine Street. In the future, we do not intend to approve installation of private utility systems in the right of way along the frontage of neighboring properties. If you have any questions, please don't hesitate to call me at 771 0220. Sincerely, 4AVID K.�GEBERT, PE City Engineer M =i =5 0 4 (-//,/o //,/6. *2oo4-0 762 7,3 5 671ece-7 Oclle-'OIA16 141 C5.S, 1L,)A1,(,yCY-e Z,1,0 0/,( S77 /z" 7'4X,."=04'1"=24.o8' 7-0 /6 -8 + 1D 6-Zetl /00.04/14F 124.3o A 0 15395 RECEIVEE JAN 12 2005 DEVELOPMENT SERVICES Cl CITY OF EDMONDS z 0 0 m 0 7b 2-- MiCROFILM 2/11/05 City of Edmonds Development Services Department Engineering Division RECEIVED 121 5th Ave. North Edmonds, WA 98020 FEB 1 2005 z Re: Private Storm Drain Agreement ENGINEERING DIVISION M (Building Permit #2004-0762) Attention: David K. Gebert, P.E City Engineer Ui 0 M C Dear Dave: M 0 0 0 Enclosed please find a copy of the recorded storm drain agreement concerning the 733 M and 735 Pine St. properties. M z The storm line will be installed in conjunction with the required undergrounding of C power, telephone and cable from the approximate S.W. property comer of 733 Pine St. along the city right-of-way. 0 -n -n The work will be performed by Zimmerlund Construction Inc. as permitted by right- M M of -way pen -nit # 2004-0204 issued for necessary right-of-way construction as required for CD 0 construction of new home at 735 Pine St. 0 M C co 9 Cn M 0 Z Sincerely, ;U Per E. Zimmerlund z 737 Pine Street Edmonds, WA 98020 z 0 Enclosure: Storm drain agreement 0 M 9 ---------- CONFORMED Copy 2005020flOB36 2 PG9 $20.00 02-08-2()05 04 '. 01 FPMWAsti I MGT ON SNORMISH COUNn f:"-r 1z I jo 737 P"Ae- St (,zip U— EA'"OVLA.) LJVI PPJVATE STORK DRAIN AGREEIMEN-1- PropertylAddress: 733 Pine Street, Edmonds, WA 98020, and 735 Pine Street, Edmonds, WA 98020 Burdenc Property's 27032500202100,and flied faf Tax Pardil ED #: Said dOMM8471(s) WOM don .CWd by Paelfic N.W. Title Us *WAnWnoda 27032500211000 only. It has to, been examined as tO propef execution Of as to its affect upontitlS. STEPHEN 2DAMERLUND (owner of the property at 733 Pine Street, Edmonds, WA), his heim successors and/or assigns hereby authorize and grant permanent permission to PER E. ZDAMRLUND (owner of the property at 735 Pine Street, Edmonds, WA� his heirs, sucfessors and/or assigns to connect the privately owned and maintained storm drain system for the property at 735 Pine Street to and to discharge stormwater from the property at 735 Pine Street into the privately owned and maintained storm drain line located in the Pine Street right-of-way along the frontage of 733 Pine Street. STEPHE�l ZDdMERLUND and PER E. 2MVbMRLUND, their heirs, successors and/or assigns v'leasc from liability, indemnify and hold harmless the City of Edmonds, Wasl�ng, on, fi-om. any claim arising or resulting from this agreement or from the ownershi i, use, operation, maintenance, repair, replacement, or reconstruction of the said p . rivate al Drm drain line, or from the failure to perform Maintmance, repair, replacement, or reconskruction of the said private stonn drain line or any other obligations associated with this lagreement. SfGNED THIS day of 2005. A erl S tebfien ZimrrAff&� Per E. z 0 1 0 M :; 9 U5 -j M 0 M C Mo 0 --10 0 C M MZ M U5 q -n n --i a: M M 0 V5 0 r- 0 M C Cj) 9 Cf) M 0 Z M z --i X C/) z 0 i 5 M 0 STATE OF WASMNGTON Ps. COUM-Y qF ()n this day personany appeared before me Stephen Zimmerlund, to mr, known to be the individual described in and who executed the wiain and foregoing instrument and acknowledged ftt he signed the same as his fi= and voluntary act and deed, for the uses and purposes therein mentioned. '9 day of Dated tWs _1 —&,� —Ir--.Ij) 2005. W 3 L V4 . ........... A 0 de 0 O-P, PSI Old- ATE oF�IwAsmmrON UNTY 6F jqAiP� ARY PLTBIJC in and for The y of Washington, at Myappoinftnent expires on this day personaUy appeared before me Per E. Zkmnwxhmd, to me kumm to be the indivukW described in! and who executed the within and foregoing instrument mid acknowledged dW he signed the Sam as his Oce and voluntary act and deed, for the uses and purposes therein mentioned. Dated this __��_day of 2005. (Id X4, SjY.PUBLIC in and for the of Washingtion, residing at My appointment miresy 1 -0,7 4-J �-V' uUU z 0 1 0 M --i -n Y) -4 OM C MO 0 --10 0 --I M M M Z g) -q C Cn o -n n M M 0 C—n 0 r- 0 M C Cn 9 Cn M 0 Z .'T X --I 3: z 65 z 0 i 0 M #2oo4-0762 7,3 5 c5 IA16 14105 A kd-6clle-DIA16 -0 ey ?-/z6/os- Oe/ 'e'e �, 0 =Ag A I I A 6 'De= ey /00'0 4. oB "Z 5.S, I-Ar , Lf4. o �'= / �24. i �co)"ZD �141,! e 124. 30 It-451-uy A4 A RECEIVED ry 0 95 CIS, JUN 1 .0 2005 r N AL yl DEVELOPMENT SERVICris rTn CITY OF z 0 m q =H MEMOTO I HNAL PROJECT APPROVAL FORM PERMIT COORDINKroR, BUILDING DIVISION TO: DATE: FROM: FIRE DEPARTMENT DATE rLEASF SIGN J1/V_ k_L4J-_, NGM� ERING DIVISION DIATE PLFASESIrN PLAAING DIVISION DkrE PLEASE SIGN PROJECT /Y Z14 /7!-: 0 1, 1) Pl L") SITE ADDRESS 23-E Rt��LE PERMIT ItZ DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTED A field inspection was conducted to determine compliance with -approved plans. Final ap&oval denotes that there are no objections from the -above signed Department to the release of PERIFORMANCE BONDS and the granting of: -GRANT FINAL PROM CT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOT�D El 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:(etnp:b1dg:rorms:ocaprv1 3/25/04 z 0 M -n M M 0 —10 0 C --i K X M M Z 0 --1 C -Z Cn o -n n ;u --I > 7-9 MM 055 0 r- 0 M C Cn 9 U) M Z X z z 0 M DEPARTMENT OF BUILDINGS PER INTERNATIONAL RESIDENTIAL CODE SECTION R110 AT: 735 Pine Street occupancy established by this certificate: R3 No. Stories: 2 Basement: N/A Building Permit#: 2004-0762 Dwelling Units: I Type of Construction: VB Owner of building: Per & Virginia Zimmerlund The Single Family Residence at 735 Pine Street has been inspected and approved complying with the requirements of the 2003 edition of the International Residential Code as adopted by the City for the group and division of occupancy and the use for which the proposed occupancy is classified. issued this 27 th day of December 1 2005 Chief Building Official By: Any change of occupancy or use requires a building permit and anew Certificate of Occupancy Issued by the City of Edmonds Building Official. RECORD OF INSPECTIONS SETBACKS ..................... FOUNDATION: Fooling ...................... 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 ... C, MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 2WVo07&c2 'rhe Initials MT are Milton Thollipsoll, it tenipol'al'), Contract inspector flor (lie CitN. INSPECTOR DATE APPROVED C4— C� / C) -- ��, —Qeq� <; .,� <; 15 ��, I V In — .2-- - __00-r 6 - % 0 - 6 'j Ake "q- rn T- &-to -05 Aq- � . r V-- - - Q� to P1F4v_f(,r4/ 0 TPN fy%-v &—to -05 A q- V. r 9--t P e- T)nt- rn, r a. 1, PC rc'.,., 0 L z 0 i 0 M -i -n M M 0 0 0 C --j K x M M Z 1c) --i C 0 -n n --I 3:9 M M 0 0 0 M cl) C/) Q 0 Z 3: z —i 3: 0) z 0 M Is