20050826.pdfy" \ DATE RECEIVED q
U 105 PERMIT EXPIRES
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APTN
ADDRESS
,'OWNER NAMEINAME OF BUSINESS
1f��� K�D PAT NAMEISUBDIVISION NO. LO NO. LID NO.
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i MAILING ADDRESS LID FEE $
.I S TESCP Approved 0
{ �7L''� r Z� I�., ��� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
� �--�i-' L.- � RW Pemul Required 0
CITY ZIP S,- Street USO Ponm1 Required 0
TELEPHONE EXISTING _ PROPOSED _ Inspection Required 0
Sidewalk Required 0
LiDlif1,'1C"17f-YCr �') L'Z--(�r •��—C�C1 REQUIRED DEDICATION FT underground 0
wiringrequired O
NAME METER SIZE LINE SIZE NO, OF FI URES PRV REQUIRED
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t 1 4— x
'— YES 13 NO CI z
ADDRESS REMARKS w
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE z
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CITY ZIP TELEPHONE �/-/j ir1A i?eg 11
NAME CBLN
ADDRESS
MA a1"•�
CITY ZIP TELEPHONE
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STATE LICENSE ER EXPIRATION DATE CHECKED BY
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PROPERTY TAX ACCOUNT P� NO.
❑ NEW RESIDENTIAL 200PLUMBING / MECH
❑ COMMERCIAL COMPLIANCE OR
ADDITION
MIXED USE
El CHANGE OF USE
❑
REMODEL MULTIFAMILY ❑ SIGN
❑ REPAIR GRA ❑ FENCE
CYDS ( X FT.)
DEMOLISH ❑ TANK ❑ OTHER
GARAGE z ❑ CARPORT ❑ ROCKERY G WALL ❑ FIREA ARM FIRE LER
I= (TYPE•QF USE, BUSINESS OR ACTIVITY) EXPLAIN:
0
GINEERING REVIEWED BY DATE
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FIRE REVIEWED BY DATE W
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VARIANCE OR CU SHORELINE OR ADB# INSPECTION SEPA
/ REQ'D COMPLETED I EXEMPT
DYES NO
CAN ZONE SIGN AREA HEIGHT
WAIVE, ALLOWED PRFED ALLOWED PROPOSED
STUD. E3 a' 0 251 N ko
LOT COVERAGE REQUIRED SETBACKS (FT.) ROPOSED SETBACKS (FT.)
ALLOWED PROPOSED RONT SI E REAR FRONT NR•SIDE REAR
35�• j D'/' 1 � wW Vd t y 3s'
02
PARKING LOT AREA I PLANNING REVIEWED BY DATE g
REO'D PROVIDED p
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TYPE O C TRUCTION I COD
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NUMBER NUMBER OF
DWELLING
M OF SPECIAL INSPECTION CONSULTANT
O STORIES UNITS
all
REQUIRED YES
REMARKS
V OST , GEOTECH REPORT --
Op BY:
STRUGTURAL DESIGN
BY
IvrilibJAt- - VALUATION
46nom-u : $ 'ISO: $ ' 100
OCCUPANT
GROUP
OCCUPANT
LOAD
lescription FEE Description
FE.�.�_.,
.. Plan Check State Surcharge
HEAT SOURCE LOT. SLOPE% VESTED DATE
6q 441:7 Cj c7z� Building Permit lio60 City Surcharge
PLAN CHECK NO:
615�ossb
Plumbing O Base Fee ,Do
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical ry
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� BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBIC Gradin
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE, g
L SEPARATE PERMISSION.
me PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) Engf. Review
W
a PERMIT LIMIT: SEE ECDC 19.00,005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection �C)u
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
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J IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
i EDMONOS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection ReCE l t IF
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY p
= 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 Landscape Insp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,* ffi
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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC• CALL This 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 spare provided.
WORK NSATION INSURANCE AND RCW 19:27.
OF ALS SIGNAT RE DATE
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A73! ( AGENT): DA�T7E SIGNED (425)
61 (42
771w0220 RE A BY DATE
ATTENTION EXT. 1333 C C
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL IJ
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109 / IBC110 / IRC110. o IGINAL -FIE •YELLOW -INSPECTOR
PINK ..OWNV GOLD ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COP S
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APPROVED AS NOTED �Yi oE�� �ovb S��ac C CA .,tr5!
BY ENGINEERING I _:.-.. :5-r Zw4. 12,c X�- OVILIQ , 11s-6
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Zone R�S_,_-�'_ Corner NO Flag
Set. Re aired Actual
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2+'(-Iv new bad wjnda r,6.V Side$ + Ioo•oa 1 q
Rear 16' ?;D1 view a;tTliv�-J
Other
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APPROVED er,: DRAWN lr SQ _
REVISED t�1i4`Q..= I�..�..�i1,Q.Y�...RV�&hJ6117
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.. ORAWINO NUMRII
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GARY HAAKENSON
,E ... ,.,s ,• : �' CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 -
• Website: www.ci.edmonds.wa:us
DEVELOPMENT SERVICES DEPARTMENT
jc•0 Planning • Building • Engineering
July 8,200.*)
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Telford Holding Inc. r
10421 22811, Street SW_� -n { .
6 .6Y Edmonds, Washington 98020 6
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F RE: 716 Maple Street, Edmonds C p
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To Whom It May Concern: r '
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¢ The purpose of this letter is to inform you that the City has received a citizens complaint e z
regarding remodeling of the subject residence without a building permit: According to
GANA
[ International Building Code Section 105,.a permit is, required to convert, improve, repair, add;MEANS
alter or remodel any existing building. For your convenience we have enclosed the City handout O
j for additions and remodels; please carefully.read the handout as to what constitutes a completekis
submittal. The City has established a deadline of July 22, 2005 for permit submittal in this m m
matter. If after reading the materialyou have specific questions regarding the permit process o
please contact JoAnne Zulauf, Permit Specialist at 425-771-0220 extension 1703. c N
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It is not the City's intent to .cause you undue hardship however, compliance to the codes is r
mandatory for the fair and equal treatment of all citizens. If you need additional time to submit;
for the building permit, please make a written request for extension and provide an. alternate
j submittal date. ,
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Lastly, be advised a violation fee shall be assessed since work commenced prior to .permit
ONES
issuance and City approval. z.
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Sincerely, ci
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- Jeamiine L. Graf
Building Official
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Incorporated August 11, 1890 •
Sister City - Hekinan, Japan