20050943.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OW AMEINAMIE OF BUSINESS
W MAILING ADDRESS
z
1:
0-12-1 )c J Or --
ZIP JQ)�LF�IHONE
�J, 1/1q.to CIS 6 , f q a v 0 — Z06
NAME
I
ADDRESS
CITY
STATE LICENSE NUMBER
PROPERTY
E] NEW
t11<D DITION
REMODEL
REPAIR
DEMOLISH
GARAGE
CARPORT
(TYPE OF USE. B
NUMBER
OF
STORIES
Z_
10 BE Di
HEAT SOURCE
PLAN CHECK NO:
ZIP
r-1 COMMERCIAL
MIXED USE
MULTIFAMILY
TELEPHON
CBLP
TELEPHONE
EXPIRATION DATE I CHECKED BY
GRADING
CYDS
TANK
WALL
ERETAINING
]
ROCKERY
)R ACTIVITY) EXPLAIN
E
NUMBER OF
DWELLING
UNITS
LOT SLOPE0,16
1:1 PLUMBING / MECH
El
COMPLIANCE OR
OF
CHANGE USE
F�
SIGN
1:1
FENCE
1 X
M OTHER
FIRE SPRINKLER
FIRE ALARM
VESTED DATE
PERMIT EXPIRES / //
PERMIT
NUMBER oz
JOB
SUITE APTf:
ADDRESS la 3 W
_.
PLAT NAME !SUBDIVISION NO
LOT NO
I
_),to NO
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCPAppfo�.ed
13
13
R%'v Peiria Roquir(m
Pwrld
0
EXISTING PROPOSED
Siteo Use 4eq�ue��
111svection Requou'l
Q
Smeo&k RequaL-3
REQUIRED DEDICATION
FT
Unjefqr�d
[3
MFTER SIZE
LINE SIZE
NO OF FIXTURES
PRV REQUIRED
YES13 NO13
9
LU
REMARKS
U.)
z
OWNER�CONTRACTOR RESPONSIBLE
FOR EROSION CONTROUDRAINAGE
0
z
ENGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE
W
Cr
a:
VARIANCE OR CU SHORELINE RADBO INSPFCTIO SEPA
D
REO D
REO D COMPI. ETED EXEMPT
10 YES [3NO1 I
CA9 ZONE SIGN AREA HEIGHT
LID
WAIVERO ALLOWED 'OSED ALLOV� P*�OPOSEO
STUDY 13 1 1 1 ""Op I
LOT COVERAGE REQUIRED SETBACKS (FT I PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR
z
2
z
4
PARKING LOTAREA PLANNING REVIEWED BY DATE
REO'D , PROVIDED I I
FT) I REMARKS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. 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.
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 119.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'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,*
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-
TIOW AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATIOgN L BOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S Mpt ATION INSURAN5E AND RCW 18:27
'awaTj XADATE SIGNED
WW4R CA AGENT): / / I
15
/ 0 // �/A�zs-
OCCUPANT
GROUP
SPECIAL INSPECTION CONSULTANT _C/ ANT
C
REQUIRE D33<ES LOO A
REMARKS
GEOTECH REPORT
BY:
STRUCTURAL DESIGN
BY:
VALUATION
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr Inspection
Fire Review
Fire Inspection
Landscapelnsp
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
ATTENTION / F ' / r— A I . I
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110.
FEE Description FEE
State Surcharge
City Surcharge
Base Fee
Plan Chk. Deposit
Receipt #
Total Amt. Due 1-7
Receipt
APPLICATION APPROVAL
Th,S applicat-on s not a pertn't until S,gfled by trit?
B,id nq O�ictal of h-sher Deputy ano Fees are oa,o and
re,ceipl �s ac�nohieactvd n space pfood�d
OFFICIAIL�SIGNA IRE DATE
RELEASED B� C/T E
10104 PRESS HARD -YOU ARE MAKING 4 COPIES
ORIGINAL FILE YELLO'.%, iNSPECIOR
PINK - O04NER GOLD - ASSESSOR
0
z
C3
z
0
1
0
M
--I -n
M
C
M
0
--i (-)
0 C:
4 K
X M
M Z
JO —11
C
x
0)
0 -n
nx
__j >
x 9
M M
0
0
0 M
C: Cn
F. Cn
Q
Z
.'T
X
11
r
z
C0
z
0
i
0
M
a
(o
13 od
291.5
283.5 "1 �— 27.714
t
4.
287.6 1
15.00
SETBACK
I CIONC
CONC
loo' BUFFER \ 287.8
284.9
GRASS
SHED
PROPOSED 284.3
U) BUILDING VJA
282.3
GRASS
10.0
X
194.90' T
WOOD FENCE -
SHED
0.20—
t Lij
Ld
)USE
7213
40
0
,-o LLI C)
BM TOP ci
CONCRETE ol < C)
q
290.5\
.07 >
288.0 23.91�
ASPH LO
0
288.0 0 \
28 L12
- Q6O 141-
81.131
— —1\ — —
Dlrw-� 11
ITADV KA H RIM
e"9
DW
16'
DW
16�
U)
Lu
CD
2:
— , c
—J
in ol
-aROACHLb U-ju
0 �5
APPROVED By PONNING
DW
ol
c\j
GRAPMC SCALE
80
0 10 20 40
20
IN FEET
I iNcH 20 FT.
C14
L IN
ICA (6
LE �2- I-,-,
0) A. -4 BUILDING DEPT, c-j
NO
SURVEY MADE BY ME OR UNDER MY
REQUIREMENTS OF THE SURVEY RECORDING" C3 z Lu z
c. 0 rl- (o
M R C14 cq
lu YE X- 0
in
CL 0
0 V) 04 (no
4 6A :E � �o z
CERTIFICATE NO. 29539 0 00 � ir_
Z C) 0
(Z V t:7-,7,
z
0
m
3:
M
c
m
0
0
0
--i K . I �
m
z
.0
c
cl)
0 -n
n
m M
0 —co
0 r- .1
0 m
c (/)
K. cn
M 0
Z
3:
>
z
3:
cn
z
0
4
0
m
p c I,:
z
-X
0
0 rn
c
m
0
0 0
c
rn
M Z
A Q 0 1 T Cl C—: A
Cl)
m M
k8��, �7
0 m
-y
c cn
CD
m 0
LE
o C-
Z
;u
z
z
m
APPROVED AS NOTED
BY ENIPP EERING
Date:
RECEIVED
ADD GUTTERS /DOWNSPOUTS
ng-
AUG 2 6 'LN,
AND SPLASHBLOCKS
BUILDING DEPT
CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
IN �illillill�
Location of Violation (Address andTax Account Parcel No): 7213 Lake Ballinger Way, Edmonds,
WA 98026 Tax Account Parcel No. 48880800200
Issued To: KHuongy H. Ngjjyen, Property Owner
Address Of Person This Order Is Issued To: 7213 Lake Ballinger Way, Edmonds, WA 98026
Code Section Violated:. Unifon-n Building Code Sections 106, 108 & 109 and Edmonds Community
Development Code Chapter 19.00.005 (A) (6) (b).
Description of Violation: Failure to obtain all reqj Lired inspection approvals including final approval of
construction permit by October 11, 2005. Failure to obtain new permit to complete the work.
Background Information: On 10/11/02 Mr. Nguyen obtained a building pen -nit (reference #2002-
0797) to add a two story addition/garage to his existing home. Mr. Nguyen renewed his pen -nit (as
pen-nitted by the code) in 003 and 2004 and was given a final building pennit. expiration date of
October 11, 2005. Unfortunately as of the date of this Order, Mr. Nguyen failed to obtain requi
inspection approvals and failed to obtain a new pernift to finish the remaining work.
Corrective Action Required: Obtain ew building permit to complete the outstanding work (permit
fees $1,034.00). Within. one year of pennit issuance obtain all outstanding inspection approvals
including a final inspectio
Correction is Required no later than: 5:00pni-- (tinie) October 28, 2005 (date)
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 dav, or portion of a day, during which the violation continues.
Date Posted:
October 14, 2005
Date Mailed: October 14, 2005
Date Served
issuing Party
Jeannine L. Graf
Title Building
Official
Signature -Z
z
0
1
0
M
=i 9
U5 --i
3:
OM
C
M 0
0
--10
0 C
M
M Z
jc) —4
C
Cl)
0 -n
n
M M
0—
CO
0 r-
0 M
C CO
9 C0
Q C)
Z r-
z
--I
X
W
z
0
i
0
M
7Z�
By order of the Building Official for the
City of Edmonds IEC 17
PERMIT 0.0UNT ER
All Persons Are Ordered to
P WO,-, RK
AT ONCE
Pursuant to Section 202(d) of the Uniform Building Code the Building Official for th I e
City of Edmonds hereby orders all work to STOP at the site listed below.
Address:
For the following reason(s): ell 1 1 rE it �
.0 Aw M- vmr N--.?
U4. &
i =-,I
Posted this./;X--day of
at am/pm
Building OM2 �l
7 o 9 t-, V - , "V IV "- 64 t t 4 w, .6 1
00".
I NIMV'����
WARNING
The failtire to stop work, or the
resuining of work without perniis-
sion froni the Building Official,
or the removal, nuitilation, or
concealilient of this notice is
pUnishable by fine and imprison-
ment.
z
0
—i
C)
M
--A -n
C:
M 0
0
--i (-)
0 C:
M
M Z
< u)
071
n M
>
M M
0
0
0 M
C: C/)
E: U)
M
Z
7� M
z
C/)
z
0
A
0
M