20020809.pdfDATE RECEI I,
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CONSTRUCTION PERMIT APPLICATION
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DEMOLISH rj TANK Ej OTHER
GARAGE RETAINING WALL 1 RE SPRINKLER
CARPORT 13 FOCKERY FIRE ALARM
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NUMBER 0 CRITICAL
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STORIES UNITS NUMBER
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Description FEE Description FEE
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Plan Check State Surcharge
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Building Permit City Surcharge
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PLAN CHECK NO: STED DA—TE
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Plumbing �7/
THIS PEAMR(AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TMEPUBUC
DOMAIN (CURBI5, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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PERMIT APPLICATION: 180 DAYS
Engr, Review
PERMIT Luam I Y
SEE EAR -PROVIDED WORK IS STARTED WITHIN ISODAYS
BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
*APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES
Fire Review Plan Chk. Deposit
TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EOMONDI, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS PRO. ANY AND
Fire Inspection Receipt N
ALL CLAIM' FOR DAMAGES OF WHATEVER NATURE. ARIS No DIRECTLY OR INDIRECTLY
FROM .E'.sUA..E 0, T RMIT LSS ANCE OF THIS PERMIT SHALL NOT BE
DEEMED To stool". WAIVE HIS PE C
OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN E
Landscapeinsp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILRY TO ENFORCE ANY ORDINANCE PROVISION,
Recording Fee Receipt It
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMAtION
GIVEN IS CORRECT . AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGRiE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL This appli-lon Is-, F—H-11,Igned by the
TION� AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMFLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
ding Off Cal 0, Wainer Dept, and Fees— paid, and
FOR INSPECTION 'aal�pt Is ack—knigad I —pace ph,Adad�
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OFFICIA7 SIG7 TUBE DATE
(425)
L=WHER /(0
771-0220 RELEASED BY 1
ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL - FILE YELLOW - INSPECTOR
FINK�OWNEH GOLD-ASSESSOF1
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
01RDER TO CORRECT VIOLATION
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Location of Violation (Address and Tax Account Parcel N 16917 76th Avenue.West, Edmonds,
WA 98026 Tax Account Parcel No. 0051-3100-0121-07
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Issued To: Dennis Walker, Property Owner
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Address Of Person This Order Is Issued To: 16917 76th Ave West, Edmonds, WA 98026
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Code Section Violated:. Uniform Mechanical Code Section 116 and Edmonds Communi
Development Code Chapter 19.25.
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Description of Violation: Mr. Walker obtained mechanical pennit #2002-0809 on October 14, 2002
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for a izas to gas hot water tank change out in his residence. According to building division records no
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inspection has been Muested or perfonned as required by the Mechanical code. The violation is: 1)
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Mechanical pennit #2002-0809 expired on 4/14/2003 without first obtaining the required installation
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inspection and installation gpmval.
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Corrective Action Required: 1) Submit a new permit application (forin enclosed) and remit wi
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Dennit fees of $65.00. And, 2) Once the vennit is returned to you in the mail, within 30 days, contact the
City Inspector for an installation inspection, if M corrections are noted during this inspection
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corrections must be made within 30 days.
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Correction is Required no later than: 5:0opm (time) date)
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: July 15, 2003 Date Served
Issuing Party Jeannine L. _Graf Title Building Official
Signature
'RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
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Footing ..............
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
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Underground ............
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Rough -in .................
Comm r erclat Final
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HEATING:
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Gas Test
Gas Piping ..........
Equipment
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Commercial Final
EXTERIOR SHEATHING
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NAILING ............. ............
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FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
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Floor Insulation
Wall Insulation , ..........
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Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
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OCCUPANCY ..............
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