20050238.pdfI FoRECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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CITY ZIP TELEPHONE
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ADDRESS
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l Lr PERMIT EXPIRES
USEiE PERMIT �L� �
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ADDRESS �C(255 `l ire' A t l `/
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE $
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pe Approved O
RW Permit Required ao
Street Use Permit Roq'd
EXISTING. PROPOSED Inspection Required O
Sidewalk Required o
REQUIRED DEDICATION FT Underground
Wiring required
METER SIZE LINE SIZE. NO. OF FIXTURES PRV REQUIRED O
YES ❑ NO ❑ _
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REMARKS i
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 1
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Or t r ENGINEERING REVIEWED BY DATE
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SATE LICENSE NUMBER EXPI N D T CH BY VARI CE OR CU SHORE INE ORA p .INSPECTION BOND Z
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PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED m
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Or� C �� EXP ISL ! � 01111111,LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) "n
❑ NEW ❑ RESIDENTIAL ❑ PLUMBING l MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR _ N =
COMPLIANCE OR
❑ ADDITION COMMERCIAL ❑ CHANGE OF USE NL NG i C m
PARKING LOT AREA PLANNING REVIEWED BY DATE M M 0
�j REMODEL ❑ MULTIFAMILY ❑ SIGN REQ'D PROVIDED � 0
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❑ REPAIR ElCYDS ❑ ( X FT) REMARKS _ r .
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GARAGE RETAINING WALL FIRE SPRINKLER C Z
❑ CARPORT ❑ ROCKERY ❑ FIRE ALARM
(TYPE OF USE, BUSINESS , T LAIN: 1101111110
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CHECKED BY TYPE OF CO_OCCUPANT GROUP
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NUMBER NUMBER F CRITICAL / 0
OF DWELLING AREAS SPECIAL INSPECTION AREA OCCUPANT
O STORIES UNITS. --�" — NUMBER REQUIRED [3 YES ,r LOAD =
DESCRIBE WORK TO BE DONE 9 IRI m
REMARKS 11111,10
I CUr �� PROGRESS INSPECTIONS PER UBC roe/IBC109/IRC109FINALINSPECTIONREO'D 9 Q 0)
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Description FEE Description FEE Z ;
Plan Check moo State Surcharge ..�j
HEAT SOURCE GLAZING % LOT SLOPE % (n
Building Permit City Surcharge
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PLAN CHECK NO: VESTED DATE Plumbing Base Fee
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE A4 e7n
SEPARATE PERMISSION,
Engr, Review
PERMIT APPLICATION: 18O DAYS
d PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr, Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
•APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS..Fire R@V1@W Plan Chk, Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF {j
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ()
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE LandSca e InS ��-�
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE P P• Total Amt. Due
s NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee I 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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALLThis application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
OFFI I SIGNAT DATE
SIGNATURE (OWNER OR AGFNT) DATE SIGNED (425) ) c
771 0220 RELEASE 8Y } D E
ATTENTION EXT 1333 I % x,17
110IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVALORA CERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110.
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
IAL • ILt YLLLUN • INDYtU IU
-OWNER GOLD -ASSESSOR
CITY OF JED'MONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220 i
ORDER TCOR-RXECT. VIOLATION
Location of Violation (Address and Tax Account Parcel No): Conni's Carpet 9655 Firdale
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Avenue Edmonds WA 98026 Tax Account Parcel No. 0044-9900-100 O
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Issued To: WPI Real Estate Service -_�
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Address Of Person This Order Is Issued To: 9500 Roosevelt Way NE Seattle WA 98115 m o
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Code Section Violated International Building Code Sections 106 108 & 109 m Z.
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1 Description of Violation: Construction of non-bearingwalls within an existin tenant s ace without
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first obtainingLa building permit. O
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Background Informatino and Corrective Action Required In response to a Stop Work Order issued v0 N
by the City on 9/20/004 WPI submitted a permit application to the City on behalf of Upright Cleaners c N
for remodeling work on 10/19/04.The City performed a review of the plans and determined that
additional information was required Repeated attempts have been made to get the owners to res o� nd to n
the corrections so that the building permit can be issued A drivebv inspection performed on 1/31/05 �;
confirmed that the remodeling work had not been removed but a new tenant "Conni's" is now occupyin,
this space The corrective action required by WPI is to respond to the outstanding corrections dated
11/4/04 (copy enclosed for your convenience) and obtain the required building permit. Once the t z.
building permit is issued Conni's shall be required to contact the City for inspection and obtain final
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Correction is Required no later than: 5:00pm (time) February 18, 2005 (date)
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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, during which the violation continues.
Date Posted: Date Mailed: February 3, 2005 Date Served
Is Party Jeannine L. Graf Title Building Official I
Signature
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