20020999.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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City Code. ECDC 19.30.0 0 (C)
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STATE LICENSE NUMBER EXPIRATION DATE
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EXISTING 1"i!" i70 UPC (;1).,. 21
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REMARKS
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REMARKS
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AFFIDAVITS SHALL NOT
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SPECIAL INSPECTION
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REMARKS
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FEE
Description
FEE
Plan Check
State Surcharge
HEAT ��U�Cg GLAZING % LOT SLOPE %
Building Permit
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City Surcharge
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PLAN CHECK NO: VESTED DATE
Plumbing
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I= 0 DOME ON PAIVATEPROPERTY .141,1.41,11 CONSTALICT.O. ..THE PLIBLI.
Grading
:r DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
2
SEPARATE PERM;SSIoN'
Engr� Review
PER TrAPPLICATION: UIDDAYS
PERMIT UM r. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
NT, ON BEHALF 11 F H15 OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fir. Review
Plan Chk. Deposit
IN INTEREST, AGREES TO IND MNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUA CE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total Arrit. Do.
NOR LIMIT IN ANY WAY THE C"S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Recording Fee
Receipt,
I HERE THAT � HAVE READ THIS APPLICATION; THAT THE INFORMATION
AVEN IS CORRECT, AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER, I AGRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC'
CALL
ThII; �pplinfi.,, 1, n.I. r—ft -til �ign.d by fl,,,
TION; AND IN GOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RgLATING TO
FOR INSPECTION
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'ORKMEN'S COMPENSATION I NCE AND RCW 18,27,
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SIGNATURE (OWNER 0 IATI 1101111
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(425)
771"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 OR A CERTIFI-
ORICINAL-FILE YELLOW -INSPECTOR/
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION '109
P(NK-OWNEP GOLD-ASSESSOn
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORIH -EDMONDS, WAN= - (425) 771�= -FAX (426) 771-0221'
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DEVELOPMENT SERVICES DEPARTMENT
Engineering
Planning Building
C. 1
December 16, 2002
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Noel & Trisha Johnson
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16632 71" Place West
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Lynnwood, Washington 98037
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RE: 22005 76' Avenue West, Edmonds
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Plan Check #02-508
VIA FACSWILE
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Dear Mr. & Mrs. Johnson:
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I am in receipt of your facsimile dated December 14, 2002 regarding a request to install a residential
heating system in the building you own at 22005 76"' Avenue West in Edmonds, You have been duly
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notified by separate City letter of the requirements to convert from a single family into a medical building.
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Part of the required upgrades includes compliance to mechanical heating and ventilation provisions of the
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State. Non -Residential Energy code and the State Ventilation and Indoor Air Qua lity Code, (refer to City
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letter dated November 5, 2002).
It is highly unlikely that Absolute Gas could install a residential heating, air conditioning and ventilation
system that would be in compliance to commercial standards. However, since it is your desire to
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temporarily heat the building the City shall issue a mechanical permit for the forced air furnace system for
heating purposes only. This permit shall not include any other gas piping fixtures. An inspection shall be
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required to verify furnace installation and be inspected to residential standards. Be advised, since
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mechanical work has already commenc ed double permit fees shall be assessed on this permit.
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Lastly, the City concurs that you as owner are responsible for all required commercial upgrades to the
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building including the future HVAC system.
Sm*cerely,
Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing
"o� will .............
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Pier/Porch ...........
Retaining Wall ...........
Slab Insulation ..........
PLUMBINGt
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Underground ..........
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Rouqh-In ...................
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10-4
ATING
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P,
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Gas Piping ..........
Equipment ...........
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Commercial Final
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EXTERIOR SHEATHING
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NAILING ........................
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FRAMING ... . ...........
FIRST FLOOR FRAMING...
INSULATION ...................
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Floor Insulation
Wall Insulation ...........
Calling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ...........
FINAL APPROVAL FOR
OCCUPANCY ..................