20030364.pdfDATE RECEIVED,
FCITY OF EDMONDS
CONNSTRUCTION PERMIT APPLICATION
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REMARKS
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
h BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
2
3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPILICATION: ISO DAYS
PERMIT UMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, 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 C 'TY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
7,
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIF4 WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape Insp.
Total Amt. Due 1
J6103- 6
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
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—
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Recording Fee
Receipt #
I HEREBY 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 OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC-
CALL
This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Foes are paid, and
IN VIOLAT ON OF THE LABOR C WE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space provided.
O�WORKMEN!S COMPENSALTl URAR5E AND RCW 18.27.
0 IA NAT DATE
SIGNATU_Rfi�(OWN GE
DATIE� SIGVED
(425)
771-0220&ASEID)
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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-
ORIGINAL - FILE YELLCV� - INSPE6TOR
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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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning 9 Building e Engineering
October 3, 2003
Lincoln Estates
Attn: Jeff Dye
1910 120th PI SE
Everett, WA 98208
Building Permit: 2003-0364
Site Address: 9916 - 236th PI SW
Expiration Date: 5/23/04
Dear Jeff Dye:
GARY HAAKENSON
MAYOR
The purpose of this letter is to inforin you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) detennines that there are no
outstanding life -safety issues and approval allows the City to close your permit file.
The City considers the final inspection to be one of the most important inspections
conducted on a project. In order to grant final approval the following must be complete:
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
and residence, egress from sleeping rooms, safety glazing, weather-stripping, any
Engineering department requirements etc. Of course not all of these things may
specifically apply to your project but it does give you an idea about the kinds of things
that must be complete as well as soine items that do not need to be installed such as:
paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from
the date of issuance. if you will need more time to complete the work, permits can be
renewed prior to expiration for one half fees. If the permit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew the
permit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and call for the required final inspection(s). Note: if more than
one department is required to final your project, this is noted on your Job Card.
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
Permit Coordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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FINAL PROJECT APPROVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE------�
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ENGINEERING DIVISION DATEAz2-4JzE3
PLANNING DIVISION DATE-------�
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DESCRIPTION OF WORK TO BE INSPECTED �f Nt G,9 , I N A-
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
PERFOR_MANCE BONDS and the granting of:
X__GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
1 .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
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2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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SETBACKS ....................
FOUNDATION:
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Wall ..........................
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Slab Insulation ..........
PLUMBING:
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Commercial Final ......
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Equipment .................
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FIRST FLOOR FRAMING ... lrl,.>
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Ceiling Insulation .......
SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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The initials RSR are Rick S.
IZoberts, a ternporary contract
inspector for the City.
'10146-REdIVED,
104.
[PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS iq�l., '22_36-�6
OWNER NAMEINAME OF BUSINESS
PLAT NJOEISUBDIVISION NO. LOT NO. L D NO.
4 L:D FEE $
MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit R.,V11.
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a.
PERMITAPPUCATION: ISODAYS
PERMIT UMM I YEAR - PROVIDEWWORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PF .PMIT FOR MORE INFORMATION
Fire, Review Plan Chk. Deposit X/ I.;
'APPLICAK ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND kND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLCYVEES, AND AGEtgyFROM-.ANY AN13
FireInspection Receipt # 1
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRE OR INDInfCTLY
FROM THE ISSUANCE OF THIS PERMI[T. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelinsp. Total Amt. Dud_11�11.
01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Recording Fee Receipt #
I HEREBY 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 OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR "I" OF THE STATE OF WASHINGTON RELATING TO
Building Official or his/het,Deputy: and Fees are paid, and.,
FOR INSPECTION r6delpt Is acknoyAodgad In space provided.
WORKMEN'S COMPEN RARGE AND RCW 18.27.
o OFFII�IA NATIJ1100 -DATE
dff', E
SIGNATU WN G
DATE SIGYED
(42ul 14
771-0220 R-_'q'EASED BY DATE
Off 1333
'00
IT IS UNLAWFUL To* USA CCUONODING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLO� - INSPE CTOR
CATE OF OCCUPANCY HAS BEEN G I RANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE
GREEN - ACCOUNTING
MAKING 5 COPIES