20051082.pdf__�r__ '_ - FPERMIT EXPIRES
CON I'l) DATE RECEIVED
PERMIT
CITY OF EDMONDS NUMBER 4�2\
CONSTRUCTION PERMIT APPLICATION JOB FJAPT
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ADDRESS j -,?,I �
OWNER NAMEINAME OF BUSINESS gs/
j&ZLe-1- PLAT NAME/SUBDIVISION NO. LOT NO, LID NO,
MAILING ADDRESS LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ILSCI)APP(oved 0
RvV Permit 11mared 0
stleel use permt Required [3
CITY ZIP EXISTING Inspection Reqwred 0
SIOCAWK Required 0
JinderUround [3
TELEPHONE REQUIRED DEDICA1 ION FT I -
""'ng (equ,,ea [3
NAME METERSIZE LINESIZE NO. OF FIXTURES PRV REQUIRED
YESO NO 1:1
ADDRESS REMARKS 0
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z
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CITY ZIP TELEPHONE
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ADDRESS RECYCLE REVIEWED BY DATE
CITY ZIP TELEPHONE PUBLIC WORKS REVIEWED BY DATE
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STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY FIRE REVIEWED BY DATE
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lEr. 6" 61C. VARIANCE OR CU SHORELINE OR ADB# INSPECTION SEPA
PROPERTY TAX ACCOUNT PARCEL NO.
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NEW
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PLUMBING / MECH
ADDITION
COMMERCIAL
COMPLIANCE OR
OF USE
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MULTIFAMILY
SIGN
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FENCE
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RETAINING WALL
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FIRE SPRINKLER
CARPORT
ROCKERY
FIREALARM
TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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CA# ZONE SIGN AREA HEIGHT
AIVER ALLOWED PROPOSED ALLOWED PROPOSED
[3 STUDY
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
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FT.) PARKING LOTAREA I PLANNING REVIEWED BY DATE j
REQ'D i PROVIDED
REMARKS
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NUMBER
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NUMBEROF
DWELLING
UNITS
TYPE O&GONSTOUCTION
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OCCUPANT
GROUP
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DESCRIBE WORK TO BE DONE
SPECIAL INSPECTION
CONSULTANT
OCCUPANT
LOAD
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REQUIRED [3 YES
REMARKS
GEOTECH REPORT
BY:
STRUCTURAL DESIGN
BY-
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FEE Description FEE
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VESTED DATE
Plan Check
State Surcharge
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Building Permit.
city surcharge
PLAN CHECK NO:
Plumbing
Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Mechanical
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT. SEE ECDC 19.00.005(A)(6)
Engr. Review
Recording Fee
Engr. Inspection
Plan Chk. Deposit
SEE 13ACK 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
Fire Review
Receipt #
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.*
o-11 5
Fire Inspection
Total Amt. Due
Landscapelnsp.
Receipt 4
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
CALL
APPLICATION APPROVAL
This application is not a permit until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSAT��SURANC I E AND RCW 18:27.
FOR INSPECTION
(425)
771-0220
Building Official or his/her Deputy* and Fees are paid. and
receipt I cknowledged in space provided
U, U WE DATE
G�NATE [OA�fNER 0 GENT):
DA�E SIGNED
2 Y— , Z! �1�
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RELEAS BY DATE
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ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL - FILE YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 if IBC110 / IRC110. PINK -OWNER GOLD - ASSESSOR
6/05 PRESS HARD - YOU ARE MAKING 4 COPIES
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AV ENUE NORTH -EDMONDS. WA98020 (425) 771aO220 FM(425)771-0221
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning. Building - Engineering
C.
November 7, 2005.
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Eric & Brenda Magclssen
Post Office Box 2865
Vashon, Washington 98070
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RE: 8515 242"" Street Southwest #205, Edmonds
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Dear Mr. & Mrs. Magelssen:
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The City of Edmonds Fire Department has informed me of your condominiut -n fire. Oil
behalf of the City we are extremely sorry for your property loss; but thankfully no one
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ly off
was injured in this tra edy. The purpose of this letter is to inform you that n ice is
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available to assist you in obtaining a firie repair, permit as soon as you ai -e ready to repair
55
the fire damage (please see enclosed public handout oil Fire Repair permits). I have -also
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enclosed a copy of the correction notice dated 10/6/05.
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-or �tlle
The permit fee is based on a licensed -contractor's bid f repair work; it is our
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in f this
understanding that.some sheetrock.will have to be replaced due to smoke da age.. .1
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is not true please. immediately inform my office at 425 20 extension 1226. Please
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l the work the company must
be aware, if you hire a contractor to perforn be state licensed
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and must also have a city business license.
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Lastly, it is likely that you will be required to, upgra your existing smoke detectors.
The building code requires that if ceiling sheetrock is replaced you must install hard-
wired smoke detectors (with battery backup); if no ceiling sheetrock will be replaced the
code requires battery operated smoke detectors in each sleeping room and one in each
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outside hallway of sleeping rooms. If you have any questions about the permit process or
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-code requirement oil smoke detectors, please feel free to contact me during City business
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..hours of 9:00am to noon and 1:00pin to 4:00pni, Monday thi -ough Friday.,
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Sincerely,
Jeannine L; Graf
Building Official.
Inicorporated August 11, 1890"
Sister City - Hekinan, Japan