20050467.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDAESS
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CITY ZIP TELEPHONE
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ADDRESS
CITY ZIP TELEPHONE
NAME I — ICBL#
ZIP
STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY
PROPERTY TAX ACCOUNT PARCEL -NO.
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NEW RESIDENTIAL PLUM13ING / MECH
AD . DITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
REMODEL MULTIFAMILY SIGN
R R GRADING FENCE
EPAI 13 CYDS x FT)
DEMOLISH 11 TANK El OTHER
GARAGE RETAININGWALL o FIRE SPRINKLER
CARPORT 1:3
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ROCKERY FIRE ALARM
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(TYPE OF USE, BUSIMSS OR ACTIVITY) EXPLAIN:
NUM13ER
OF
NUMI
DINE
CF
AF
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STORIES
UNIT
N
DESCRIBE WORK TO BE DONE
040" J0
PERMIT EXPIRES 9-
tUSE PERMIT
ZONE N U M B E R
JOB TE/APT#
ADDRESS
PLAT NAMEISUBDIVISION NO. "'7LOT NO. LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
E3
0
Street Use Permit Req'd
E3
EXISTING - PROPOSED
Inspection Required
13
Sidewalk Required
E3
REQUIRED DEDICATION— FT
Underground
Winne require
E3
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 NO 0
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
ENGINEERING REVIEWED BY
DATE
FIRE REVIEWED BY DATE
VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
0Y REO'D. POSTED
ESXNO s —
SEPA REVIEW SIGN A�RROA HEIGHT
COMPLETE EXEMPT ALLOWED POSED ALLOWED PROPOSED
EXP )<
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED
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PARKING LOT AREA PLANNING REVIEWED BY DATE
RECI'D [PROVIDED
REMARKS
CHECKED BY ITYPE OF PObISTBUCTION CODE OCCUR
GROUP
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SPECIAL INSPECTION AREA OCCUPANT
REQUIRED [] YES LOAD
REMARKS
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1PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINAL INSPECTION REO'D
VALUATION
$ J j /-/I A -1.
I Dedcription FEE Description FEE
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Plan Check State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit zz City Surcharge 4:?
PLAN CHECK NO: :;z VESTED DATE Plumbing Base Fee 4
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN. (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
CL PERMIT LIMIT I 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 I SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit Me.)
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTiY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT LIE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due IJ95-
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee Receipt III
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 APPLICATION APPROVAI
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL This application IS not a permit until Signed by Ilia
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foos 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'SPGMPENSATION INSURANCE AND RCW 18.27.
IGNATU NE , OR AG!:L D NED (425) 0 IC S SIIGNATSE DATE
771-0220 RE
TE
ATTENTION EXT 1333
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU. ORIGINAL - FILE YELLOW - INSPrCTOIrf
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK - OWNER GOLD ASSESSOF11
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
October 7, 2004
Thomas & Ruth Pirie
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7828 206"' Street Southwest
Edmonds, Washington 98026
Dear Mr. & Mrs. Pirie:
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The purpose of this letter is to inform you that the. City has received a citizen's complaint
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regarding remodeling of your residence without a building. pern-iit. A check of City pen -nit
records did not reveal abuilding permit issued to your address. According to International
Residential Building Code Section 105, a pem-iit is required.to construct, enlarge, alter, repair,
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move, demolish or change a residence.
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Enclosed is the City's handout for additions, a permit application form, and critical areas
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checklist. Please read the information provided, prepare -construction plans'as depicted in the
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handout, complete the forins provided and submit for the required permit by October 29, 2004.
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If after reading.the material you have specific questions' regarding the pen -nit process please
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contact Jenn enior Permit Coordinator at 425-771-0220 extension 1703. If you have
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any questions about the complaint please contact me directly at 425-771-0220 extension 1226.
It is not the City's intent to cause you undue.hardship however* compliance to the codes, is
mandatory for the fair and equal treatment of all citizens. If you need additional time to submit
for the building permit please make a writt�n request for extension and provide an alternate
submittal date. Lastly, be advised aviolation fee shall be assessed on all work. that. requires a
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p -nit since work commenced prior to pen -nit issuance and City approval.
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Sincerely,
Jeannine L. Graf
Building Official
Incorporated August 11, 1890
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