20020585.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
19 NAMENAME OF BUSINESS r �
CITY ZIP
NAME
CITY
USE 'ERII'T
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IN ER,gZa-�=?
JOB SGITEj,UnT1
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ADDRESS
PLAT NAMEISUBDIVISION NO.
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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EXISTING — PROPOSED
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REQUIRED DEDICATION— FT
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METER SIZE
LINE SIZE
OF 11-�11..Sf
IAV REQUIRED
YESM NO 0
-MARKS—T.—T— TFRIP.-L.IF FOR EROSION CONTROUDRAINAGE
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` IMSTALLED ON THE
-NGINEERING ITE= L-" J 111, 31 UJLrW
FIRE RVIEWED By DATE
STATE LICENSE NUMBER
ES 13NO
I E3Y RE 'D Is P
SERA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEMPT ALLOWED I PROPOSED ALLOWED , P101 ED
E P
NEW
RESIDENTIAL
ST
)M—PLUMBINGIMECH
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE BEAR FRONT UR SIDE BEAR
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ADDITION
COMMERCIAL
C MPLANCE OR
CHANGEOFUSE
rl REMODEL
0 MULTIFAMILY
0 SIGN
PARKING T AF DATE
PROVID ti,
REGm I jL
REPAIR
f-1 GRADING CyOS
o FENCE
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T WATER SHMFF
GARAGE
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NUMBER
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AL
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NUMBER
REQUIRED DAD
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DESCRIBE WORK TO
BE DONE
REMARKS
PROGRESS INSPECTIONS PER U11 111111NAL INSPECTION BEG' B
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VALUAT
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T-11,5117—IN MvIi-E, INS-IAJ12ED.
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Description
Des"'I p on
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING LOT SLOPE I
In Permit
Building Permit
kGrading
City Surcharge
PLAN CHECK NO:
Plumbing
echanical
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THIS PERMIT AUTHORIZES ONLY THE ORK NOTES. THIS PERMIT COVERS WORK TO
IEI*"Illlllpllpllo"IANIIO"IIIIIONI"I"IPUILI
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DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUI FICE
SEPARATE PEAMiSSION.
Engr. Reviesv
PE MITAPPLICATION: 11RIDAYS
PERMIT LIMM I YEAR - PROVID D WORK IS STARTED WITHIN 180 DAYS
Engr, Inspection
SEE SACK OF PINK PERMIT Fort MORE INFORMATION
'APPLIC RE. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
—
a EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt
ALL CLAIMS FOR DAMAGES OF WHATEVER, NATURE, ARISING DIRECTLY OR INDIRECTLY
ISSUANCE OF SSUANCE OF THIS PERMIT SHALL NOT UE
FROM THE THIS PERMIT.
DEEMED TO MODIFY WA VE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE
Landscapoinste.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE AMY ORDINANCE
Rec IS
Recording Fee
Receipt N
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I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER� OR THE DUL Y AUTHORIZED AGENT OF
OWNE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
THE LA
CALL
Thin apeftatku, 1, not a pennut until signed by end
N; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
TIC 0 WILL RE EMPLOYED
IN VIOLATION OF THE LABOR ODE OF THE STATE OF WASHINGTON RELATING TO
TPROVIWON.'
Building 0111.1.1 ., hieths, Dpnety� end Fees — rude.
FOR INSPECTION neeelpt is lCk—ledgod in space F—Ided.
WORKMEN5 COMPENSATION INSURANCE AND RCW 18,27,
0 DATE
SIGN ADEN TE SIGNED
(425
1
.0
7 71-0220
RELEASED BY
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI-
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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GARY HAAKENSON
CITY OF EDMONDS
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - J425) 771-0220 FAX 1425) 771-0221
Websile: �.ej.edmonds.",us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
March 11, 2003
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Leslie Novick
655 Maple
Edmonds, WA 98020
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Re: Building Permit: 2002-0585
-110,
Site Address: 655 Maple
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Expiration Date: February 2, 2003
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Dear Ms. Novick:
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According to Building Division records, your contractor failed to call the City Inspector
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for the required inspection on your water service line permit. Plumbing permits are valid
for 180 days from the date of issuance. We understand you may not be aware that the
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City requires an inspection of the line, materials and connections but this inspection is
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required per the Uniform Plumbing Code to assure minimum life safety requirements
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have been met on the permitted work.
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Ifthejob was canceled, please mail/fax a note to us and we will close out your file
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immediately. Unfortunately, it is the homeowners' responsibility to make sure the
inspection is completed prior to the permit expiration date. In order for the inspection to
be performed, the entire line must be exposed and under test. Please call the Engineering
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Department to request the required inspection by March 24, 2003 (425-771-0220 x1326).
If you do not received your final inspection by March, 24, 2003, you will need to apply
for a new permit and pay new permit fees.
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Ifour records are incorrect, please contact us immediately.
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Sincerely,
Jeannine Graf
Building Official
cc: File
L\reMps\DST'S\M8SW Letlem\Expimd mchanical-plumb.dw
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
ORDER TO CORRECT VIOLATION
Location of Violation (Address and Tax Account Parcel No): 655 MWle Street, Edmonds, WA
98020 Tax Account Parcel No. 004342 -096-02100
Issued To: Leslie Novick. PropertyOwner
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Address Of Person This Order Is Issued To- 655 Wole Street, Edmonds, WA 98020
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Code Section Violated:. Edmonds Community Development Code Chgpter 19.30 & 2000 Unifonn
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Plumbing Code Section 103.5 & 602.
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Description of Violation: Failure to obtain installation inspection aPproval on wafer service line issued
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under permit #2002-0585.
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Corrective Action Required: The property owner obtained a perinit on August 2, 2002 to replace the
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water service line between the residence and the water meter. Section 103.5 of the Uniform Plumbing
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Code requires that the line be inspected, tested and approved prior to cover. The Property owne
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completed the work and failed to contact the City for Inspection. The corrective action required is to
eKpose the line and contact the City Engineering Inspector for inspection. Any corrective action require
by the Engineering Inspector during in§pection shall also be performed.
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Correction is Required no later than: 5:00pm (time May 9,2003 (date) z
If correction is not made by the date and time specified in the Order, a Notice of
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Civil Violation shall be issued. The Notice of Civil Violation shall assess fines of
$100.00 Per day, or portion of a day, during which the violation continues.
Date Posted: April 25, 2003 DateMailed: Ai)4125,2003 DateServed
Issuing Party —_Jeannine L. Graf Title Building Official
Signature
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE -
ENGINEERING DIVISION DATE_'V�
PLANNING DIVISION DATE-
PROJEC
SITE ADDRESSk Max �l
PERMIT ADB# ATEINSPECT 1 12-6 / I L
DESCRIPTION OF WORK TO BE INSPECTED. -
A field inspection was conducted to determine final compliance witk approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of
"G T FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a 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
2.
3.
RE_INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date_ Sign_
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