BLD20110923.pdf� y o� c Moen
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
��c. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 11/15/2011
Expiration Date: 11/15/2012
Parcel No: 00467400000100
JEREMIAH CENTER MARK WALDIN N/A
LUTHERAN CHURCH EDMONDS 15510 33RD AVE SE
23525 84TH AVE W MILL CREEK, WA 98012
EDMONDS, WA 98026-8611
(425) 419-7938
LICENSE 4: EXP:
COMPLIANCE FOR COLD WEATHER SHELTER
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 43 - Miscellane
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N 0 X 0 FT.)
CODE: 09
OTHER: N -----OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT t!:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE- 0 DECK 0 OTHER 0
FRONTSETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: I REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE UMNOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
IS APPLICATION IT A Fr UNTIL SIGNED BY THE BUIL WG OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
Signature Print Name Date Released Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR OTHER—jW
STATUS: ISSUED
BLD20110923
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
• Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays,
excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must
comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, 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 for this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City """"s ability to enforce any
ordinance provision.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 FIRE (425) 775-7720
PUBLIC WORKS 425) 771-0235 1 PRE-TREATMENT 425) 672-5755 1 RECYCLING 42 5) 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
beine requested. Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• B -Building Final
• F -Fire Final
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��° E°M Inspection Comments
BLD20110923 43 - Miscellaneous
Applied: 11/04/2011 Issued: 11/15/2011
4'�c. 189
Address: 8330 212TH ST SW, EDMONDS
INSPECTION DATE
1158 - B -Building Final 11/16/2011
Comment:
1985 - F -Fire Final
Comment: Temporary use approved.
11/17/2011
Expires
INSPECTOR
BJORBACK
WESTFALL
11/17/2011 10:29:29 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220
11/15/2012
ACTION
CMP
CMP
Page 1 of 1
Inc. 1890
CITY OF EDMONDS MIKE COOPER
MAYOR
121 5th AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221
Website: www.ci.edmonds.wa.us
DEVELOPMENT SERVICES DEPARTMENT
November 16, 2011
Mark Waldin
15510 33rd Ave SE
Mill Creek, WA 98012
Re: Jeremiah Center Cold Weather Shelter
Dear Mr. Waldin,
The final inspection of the Cold Weather Shelter at the Jeremiah Center located at 8330
212th St. SW in Edmonds has been completed and approved and the facility is now
approved to operate as a shelter under the conditions of the associated City of Edmonds
compliance permit. Please be aware that this permitted use is temporary and will expire
May 16, 2012.
Regards,
V'
Leif jor ck
Assistant Building Official
City of Edmonds
(425) 771-0220
• Incorporated August 11, 1890 •
Sister City - Hekinan, Japan
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