20020651.pdfDATE RECEIVED 7�
I PERMIT EXPIRES
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CITY OF EDMOND ZUOSNE PERMIT
S NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUFTE/APT#
ADDRESS
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METER SIZE I LINE SIZE I NO- OF FIXTURE PFIV REQUIRED
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJURAINAGE
ZIP ITELEPHONE *00ow-or- st�6(p)sg�
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FIRE REVIEWED BY DATE
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PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWS
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PROGRESS INSPECTIONS PER UBC 100/FINAL INSPECTION REOD
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Description
FEE Description FEE
A.AT.
Plan Check
State Surcharge
HEAT SOURCE GLAZING %
LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: 1E.
Plumbing
mechanical
THIS PERMIT AUTHORIZES ONLY THE ORKNOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONUL ANY CONSTRUCTION ON THE PUBUC
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Grading
3 DOMAIN (CURDS. SIDEWAU(S, DRIVEWAYS MARQUEES. ETC.) WILL REQUIRE
1: SEPARATEPEnM;SSION.
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Engr. Review
RE MITAPPUCATIOW INDAYS
PERMIT UUM 1 YEAR - PROVID WORK IS STARTED WITHIN ISODAYS
Engr, Inspection
SEE DACKOF PINK PERMIT FOR M REINFORMATION
-APPLICAN" N BEHALF F His OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, ASHINGTON, ITS OFFICIALS, EMPLOYEES,
AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NAfURE, ARISING DIRECTLY OR INDIREC FLY
Fire Inspection
Receipt # 72
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FROM THE ISSUANCE OF T IS PERMIT. ISSUANCE 01 THIS PERMIT SHALL NOT E
DEEMED To MODIFY, WANE OR BE LICE ANY REQUIREMENT OF ANY CITY ORDINANB
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Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYG ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt # Z)/-/
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
.1 EN is C.RREGI AND THAT I A. THE OwNER, OR THE BUI AAUTH.111111) AGENT 01
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APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUG.
CALL
IION� AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF T� E LABO CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Bell 'ji, I c t�j' he Dop"y: aed F are p.Jd..ed
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WORKMENS ATqW U NCE AND FICW 1..27.
OIV DATE
SIGNATURE (0 R AGEN"D 4j1'1r'j_rr DATE SIGNED
(425)
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771 -0220
WEASE 0 By DATE
ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI�
ORIGINAL - Fit." YELLOW - 114SPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER - GOUD-ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
ORDER TO CORRECT VIOLATION
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Location of Violation (Address and Tax Account Parcel N 22400 Highway 99, Edmonds, WA
98026 Tax Account Parcel No. 2704-2900-307-500
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Issued To: Suydam Antril, Antril Enterprises, DBA Edmonds Car & Truck
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Address Of Person This Order Is Issued To: 22400 Highway 99, Edmonds, WA 98026
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Code Section V iolated:. Edmonds Community Development Code Chapter 19.45, 20.10 & 20.60.
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Description of Violation: Business owner re -faced existing pole sign without first obtaining Desi
Review approval or a Sign Permit.
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Corrective Action Required: Submit a complete Wlication for Design Review and a co molete
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Mlication for a Sign Permit. Note, double permit fees shall be assessed since the sign was installed
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prior to permit issuance.
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Correction is Re uired no later than: 5:00mn (ti-e)__June 7 2002 (date)
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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 day, or portion of a day, during which the violation continues.
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DatePosted: MaY24,2002 Date Mailed: MaY24,2002 DateServed
Issuing Party Jeannine L. Graf Title Building Official
Signature
FINAL PROJECT -APPROVAL FORM
TO: —
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTNIENT DATE—
A. ENGINEERING DIVISION DATE—
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Pl, ANNI NG DIVISION DATE 51-9-09-
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PROJECT—
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SITE ADDRESS—
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PERmrr# DATEINSPECTED— L_L_L:_
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DESCRIPTION OF WORK TO BE INSPECTED�
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A field inspection was conducted to determine final compliance with approved plans. Final approval
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denotes that there are no objections from the above signed Department to the rel ease
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PERFORMANCE BONDS and the granting of
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FINAL PROJECT APPROVAL
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GRANT
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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a Copy of CONDITIONS given to owner/contractorby inspector
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FAILED FINAL INSPECTION -OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
3.
RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date— Sign�
ocaprvl.doc.l:temp:bldg:fOrMSIO/01
.. . ... ......
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ............
Wall ..........................
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PlerlPorch ................
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Retaining Wall ...........
Stab Insulation
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PLUMBING:
13 M
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Underground
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Rough -in
ITIT
15
Commercial Final
HEATING:
'Gas Test
Gas Piping .................
Equipment ..........
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Commercial Final
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0
EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING .....................
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FIRST FLOOR FRAMING
INSULATION ............
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Floor Insulation
Wall Insulation
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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