20050931.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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FOWNER.NA.ME /NAME OF BUSINESS
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MAILING
CITY ZIP) rTELEPHONE
NAME
ZIP TELEPHONE
CBL#
PROPERTY TAX ACCOUNT PARCEL NO.
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0001221 if
NEW
—�rRESIDENTIAL
PLUMBING / MECH
ADDITION
COMMERCIAL
COMPLIANCE OR
MIXED USE
CHANGE OF USE
REMODEL
MULTIFAMILY
SIGN
REPAIR
GRADING
CYOS
21E&
& FT.)
D EMOLISH
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TANK
_
OTHER
GARAGE
CARPORT
Ei
RETAINING WALL
ROCKERY
FIRE SPRINKLER
FIREALARM
(TYPE OF USE, BUSINESS OR PLAft
I—
PERMIT EXPIRES
PERMIT
NUMBER
JOB
ADDRESS.
SUITE/APTss
PLAT NAMEISUBDIVISION NO,
LOT NO.
to NO.
:
LID FEE
—1
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCPApproved 0
RW Permit Required 13
EXISTING __ PROPOSED
Street Use Permit Requited 13
Inspection Required
Sidewati, Required
Undregiound
REQUIRED DEDICATION FT
Witing required
METER SIZE
LINE SIZE
rURES
PRV REQUIRED
YES [3 NOE3
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REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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ENGINEERING REVIEWED BY DATE
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FIRE REVIEWED BY DATE Lu
VARIANCE OR CU
SHORELINEORADB#
INSPECTION
SEPA
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REQ'D
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I COMPLETED
I EXEMPT
13YES 15 NO
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SIGN AREA
HEIGHT
WAIVER [3
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ALLOWED 'ROPOSED
ALLOWEID PROPOSED
STUDY
If
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bf
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSE
FRONT SIDE REAR
FRONT
L/RSIDE REAR
W /A —
PARKING
1
PLANNING REVIEWED BY
DATE
REO'D
PROVIDED 1,,LOTAREA
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TYPE QE, CONSJ��Y41LPU. 7CCUPANT
rl�Z,__A I CArE�2 GROUP
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS
E L�f 'y
SPECIAL INSPECTION
TION
REQUIRED 13YES
YES
DESCRIBE WORK TO BE DON
REMARKS
o evine
GEOTECH REPORT
BY:
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STRUCTURAL DESIGN
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VALUATION
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Description
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Plan Check
HEAT SOURCE
LOTSLOPET 7__T
VESTED DATE
Building Per it
PLAN CHECK NO:
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NbTE15' THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
Engr. Review
PERMIT APPLICATION: S . EE ECDC 19.00.005(A)(5)
PERMIT LIMIT* SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
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 INDIRECTLY
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 CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
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Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
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-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO P6RSON WILL BE EMPLOYED
IN* VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN IS,90,",SATION INSURANCE AND RCW 18:27.
CALL
FOR INSPECTION
(425)
SIGNATURE�(JIWNE>hR
AGENT)'
. �e,
DATE SIGNE
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CONSULTANT
OCCUPANT
LOAD
FEE Description
State Surcharge
City Surcharge
Base Fee
FEE
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt 0
APPLICATION APPRI
This application is not a permit until signed by the
Building Official or his1hoi Deputy: and Foes are Paid,and
receipt is acknowledged in space provided
JPIIIIALS��,N URE DATE
A I
771-0220
ATTENTION EXT. 1333
ITIS UNLAWFULTo USE OROCCUPYA BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110.
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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ORIGINAL -FILE - YELLOW -INSPECTOR
PINK -OWNER - GOLD - ASSESSOR
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A`d�' NOTED
F -INEERIIN OFence must be located on private property.
APPROVED BY
*Property owner responsible for determining
property lines.
*Fence shall not enclose or prevent access to any
Dale:
MUStM tft -?,W r-e— L4 I' K d city maintained utilities.
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Existing neighboring fence
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161.14"
Underground drainage
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Property line.
Catch basin
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3/13/06
Buildina Division RECEIVED
City.of Edmonds
MAR 1 F
121 Ave North
Edmonds, WA 98020 BUILD
Ref: Permit #2005-093 1, fence
Dear Sir/Madam
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In connection with the above, we received a card reminding us that the permit will:expire
on 4/11/06. We would respectfully like to petition for an extension based on the
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preparation tion, we found that rocker
following reason. In makin,,, s for the fence installa y
placed by our. neighbor is encroaching our property. Since the rockery is in the way of the
fence, we asked the neighbor to remove the encroaching rocks but they refused to do so..
Thus we were compelled to settle the matter in court. Due to the congested court
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schedule, the hearing will not take place until 6/6/2006.Therefore contrary to our original*
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plan we cannot install the fence by 4/11/06. Due to this unforeseen circumstance beyond
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our control, we would appreciate it very much if you could extend the permit for another
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6 months. Thankin- in advance,
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Yours sincerely
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Mitsuru Kurosaka
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7529.172 t SW, Edmonds, WA 98026
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) M-0221
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
C C)" Planning Building. - Engineering
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March 17, 2006
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Mitsura Kurosaka
.752917 2 "d Street Southwest
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Edmonds, Washington 98026.
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RE: Fence Pen -nit 92005-0931
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Dear Mr. Kurosaka,
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f ence pen -nit
Thank you. for your letter dated March 13, 2006 regarding the status o your f
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referenced above. Unfortunately, our Edmonds Community Development Code does not
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allow fence pe —regardless of the circumstance.
rmits to be extended
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However, we can refund you 90%, of the original fence permit fee of $50.00 (total refund
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of $40.00) and have already initiated the refunding process. You can expect the partial
refund within 10 business days. Your current fence permit #2005-�0931 will be voided.
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-ence please
After the future court proceedings are complete if you desire to still install a f
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remember that you must re -apply for a newfence permit (total fees $65.00).
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Sincerely,
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Jeannine L. Graf
Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
27425
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