20020309.pdf—LAECEIVED L I I 1 17
PERMIT EXPIRES
CITY OF EDMONDS 20'NE
CONSTRUCTION PERMIT APPLICATION JOB
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PLAT NAME/SUSDIVISION Not I LOT 110,
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LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
Facon Aton.
ZIP
EXISTING — PROPOSED—
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REQUIRED DEDICATION— FT —
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METER SIZE LINE 1111 NO. 01 FIXTURES
REQUIRED
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REMARKS
NER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRANAGE
CITY
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FIRE REVIEWED By
DATE
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SHORELINE OR ADB# INSPE& FON
ITATE LICENSE NUMBER
EXPIRATION DATE
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SEPA REVIEW
SIGN AREA HEIGHT
ROPEAT7 TAX ACCOUNT PARCEL wu
EXEMPT
ALLOWED PROPOSED ALLOWED PAGE I'D
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LOT COVERAGE REQUIRED S a (Fr. PROPOSED SETaACK$ tFT,)
ECr—RE.M.14 IAL ST ACKS
[:3 NEW 13 PLUMBING i MECH ALLOWED PROPOSED FRONT SIDE BEAR FRONT UR SIDE REYtR
[3 ADDITION 0 COMMERCIAL
o COMPLIANCE R
C,QE or USE
PARKING
LOT AREA PLANNINO REVIEWED BY DATE
0 REMODEL APARTMENT
0 SIGN
8EQD I PROVIDED
0 REPAIR 0 GRADING CYDS 0 FENCE
( X Fri
REMARKS
DEMOLISH [0—TANK
0 OTHER
RETAINING WALL
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CGARAGE
ARPORT 13 ROOKERY
[j RENEWAL
UWE OF USE. BUSINESS OR ACTIWM7�14
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CHECKED BY
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NUMBER NUMBER OF
OF WELLING
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CFATICAL�
AREAS
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OCCU IT
STORIES +lr'v UNITS
NUMBER
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LOAD
DESCRIBE WORK TO BE DONE
REMARKS
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PROGRESS INSPECTIONS PER URIC 11081FINAL INSPECTION REOtD
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FEE I Description I FEE
Plan Check
HEAT SOURCE
I "WIN" 1 10, 11 OP
Building
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
OAK TO
THIS PERMIT AUTHORIZES ONLY THE ORKNOTED. THIS PIUMNATCOVERSVIIJ
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ONT EPUBLIC
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OR I g
Girading
Recording Fee
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DOMAIN (CLIFIRS, SIDEWALKS, DRIVEWAYS, MARQUEES, a REQUIRE
M 3C.) Will REQUIRE
c SEPARATE PERMISSION.
Engr. Review
City Surcharge
PERMIT LIMA. I Y"PIE- PMA'TOAVIPpltjDCWATOIORKN�'IS'SOOTAUSATYESO WITHIN 10 DAYS
Engf. Inspection
State Surcharge
get SACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS Or' HER SPOUSE, HEIRS, ASSIGNS AF40 SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST AGREES 10 IN0111 111, DEFEND AND 110111 HAIMLESS THE CITY OF
Receipt #
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AN AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAG18 OF WHATEVER NATURE, ARISING DIRECTLY 09 INDIRECTLY
PERMIT ISSUANCE PERMIT SHALL NOT BE
Fire Review
FROM THE ISSUANCE OF THIS OF THIS
DEEMED To MODI=IVE OR RED ICE ANY REQUIREMENT OF ANY CITY ORDINANCE
fire Inspection
Total Amount Due
—ELL
NOR LIMIT IN ANY HE CITY% ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
—
Landscapemsp.
Receipt # 1
I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION, THAT THE INFO MATION
APPLICATION APPROVAL
I
GIVEN IS CORRECT� AND THAT AM 141C OWNER. OR THE DULY AUTHORIZE AGENT OF
Thin application in no, a capl,�,Ignaacl by Ann
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
TION. AND IN DOING THE RK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
we
CALL
pan,at
Hall ding Otfi.fia at Warn., Labatt; and or& Paid. and
IN VIOLATION OF TIT ODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
R71
.606
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WORKM SC
,qw OMPENS I IN N E AND ACW Is 27.
OFFICIALS SIGNATURE
�.ATE
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(425)
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7 "0220
RELEASED BY A'.
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI�
ORIGINAL FILE YELLO - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER GOLD -ASSESSOR
10/01
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AL _FORM
TO:_
DATE*-
1,4EM0 TO: pERMT COORDINATOR, BUILDING DIVISION
FIRE DEPARTNIENT DATE
FROM:
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—�
PROJECT—D& 15' �0 �2,S 7-
srrEADDREss 6 1 LJC- e 2, 7 . .....
2 ADB#
INSPEC L9 16
PERMIT #-- --Q-4
DESCRIPTION OF WORK TO BE INSPECTED—P-32—
was conducted to determine final compliance with approved plans. Final approval
A fleld inspection
denotes that there are no objections from the above signed Department to the release of
_pERFORMA.NCF,BONDS and the granting of
-GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WIT11 CONDITIONS NOTED
Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector-A—(r-"4C-e,—X-,D
1.
2.
3.
GRANT FIN_A�,VROJECT APPROVAL
RF-INSPECTED OUTSTANDING ISSUES
Sign---,-fZ7
Date
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Mati 15 02 02:Sep Budget Tanks 2063069061 P.1
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BUDGET TANK REMOVAL
P.O. BOX 77552
SEATTLE, WA 98177
(206) 306-9061 Fax (206) 306-9091
May 15, 2002
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Attn: Mke Smith
Edmonds Fire marsball
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Fax (425) 775-7721
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Re: Felix DeMello Property at 1022 Spruce street Edmonds, WA 98020,
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On May 10, 2002, Budget Tank Removal Servii;es, Inc. pulled a tank a the above addres�
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During the removal a very small release of heating oil was noted (approx. 1/4 yard
in M.
Additional exploration was done around the hole and down firt her into the hole, and ri
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further contamination was detected,
in C)�'
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
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Wall.....................
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Pieir/Porch ................
0
Retaining Wall ...........
Stab Insulation ..........
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PLUMBING:
M
Underground .............
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0
Rough -in ...........
Commercial Final
M
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HEATING:
Gas Test ..........
Gas Piping .............
Equipment .................
3
Commercial Final
Ill.
EXTERIOR SHEATHING
0
NAILING ......................
(=
C C4
FRAMING .......... .............
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FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ...............
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