20020741.pdfDATE REC PERMIT EX
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USE PERMIT
ZONE NUMBER T—LI
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION JOB SUTTIUAPTI
ADDRESS
!WNE �NAMEINATAE OF !�SINESS
t I PLAT NAMEISUBDIVISION NO. POT 10 NO.
56 Orr I'D
MAILING ADDRESS LID FEE I
PUBLIC RIGHT OF WAY PEA OFFICIAL STREET MAP
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REMARKS
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REMARKS
PROGRESS INSPECTIONS PER UBC, 108/FINAL INSPECTION
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SO!!S�_ L LOP
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Building Permit
City Surcharge
STED DATE
PLAN CHECK NO: "STED DATE
Plumbing
Mechanical
.. WORK"
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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Grading
DONUUN (CUR13S,SIDFWALKS,DRWIEWJWS MARQUEES, ETC.) WILL REQUIRE
t: SEPAPATEPERMiSSION.
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PE MITAPPIUCATION'. VIDDAYS
Engr. Rev"
PERMIT LIMIT B 1 D WORK IS STARTED WITHIN 180DAYS
YEAR-PROVID
Engr. Inspection
SEE 13ACK OF PINK PERMIT Fort MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIAS. ASSIGNS AND SUCCESOns
Fire Review
Plan Chk. Depos
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS T14E CITY OF
ED 111T,1111� IS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
FOR BA GES OF WHATEVER NATURE ARISING DIRECTLY OR INDIRECTLY
A'=�W
FROM THE ISSUANCM;EA OF THIS PERMIT SSUANCj OF THIS PERMIT SHALL NOT BE
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Total
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISTON,'
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Recording Fee
Receipt #
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 DULY AUTHORIZED AGENT OF
THE OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTAUC-
CALL
TIM-phaafi.d a ma . panaft..IIMTFI�d In, a
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
8,11ding Official r Waft, DdP"y; and F.a .. paid, ad
FOR INSPECTION IPT [a .0'a—ladgad P—Tcad.
WORKMENS COMPENSATION INSURANCE AND ACW 18,27.
SIONATUR DATE
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(425)
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE - YELLOW,INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER - GOLD-ASSCSSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING
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APPROVED AS NOTED
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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 N 23611 101" Avenue West, Edmonds,
WA98026 Tax Accotmt Parcel No. 004467-000-011-00
Issued To: Vince Scott, Proverty Owner
Address Of Person This Order Is Issued To: 23611101" Avenue West, Edmonds, WA 98026
Code Section Violated:. Edmonds Community Development Code Chanter 18.80.
Description of Violation: Single family driveways are required to be paved with an approved material
a minirnum of 20 feet back fi-orn the propeM line or edge of City right-of-way whichever is greater.
Corrective Action Required:- 1) Obtain a Right -of -Way Construction Permit for driveway paving
(note, only a licensed contractor may obtain such a permit and the contractor must also have a Ci
Business License to perform work in the City) AND, 2) Complete Leguired paving of the drivgy a
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City approved materials and call for the required Engineering inspections. NOTE: You are required
to contact the Citv En2ineerine Technician Danielle Gilbert at 425-771-0220 extencinn 17fil nrinr
to permit submittal and prior to commencement of driveway work.
Correction is Required no later than: 5:00ym (time)___April 18,2003 jdate)
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.
Date Posted: Date Mailed: ALnl 10, 2003 Date Served
--ALnI 10, 2003
Issuing Part Jeannine L. G Title Building Official
Signature
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FINAL PROJECT APPROVAL FORM
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DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: _FIRE DEPARTMENT DATE —
(up, OF-1- ---�ENGINEE G DIVISION DATE- '20 - 6 -3
PLANNING DIVISION DATE�—
PROJECT ---- Sco-r-F
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PERMIT#-�:-60Z-OHO ADB# TEINSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with 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:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
t3 Copy of CONDITIONS given to owner/contractorby inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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Date— Sign_
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
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SETBACKS .................. ..
FOUNDATION:
Footing ...........
Wall........................
Pier/Porch .................
Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
Underground .............
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Rough -In ...................
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Commercial Final
HEATING:
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Gas Piping ..........
Equipment .................
Commercial Final
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EXTERIOR SHEATHING
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FIRST FLOOR FRAMING...
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INSULATION ...................
Floor Insulation
Wall Insulation
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Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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