20030391.pdfki
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PERMIT EXPIRES
USE
CITY OF EDMONDS ZONE PERMIT
CONSTRUCTION PERMIT APPLICATION JOB NUMBER�
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Building Permit
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PLAN C ECK NO- VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
:I DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
engt. Review
PERMIT APPLICATION: 180DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR.MORE INFORMATION . Engr. Inspection
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In "APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
Lu IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt #
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Total Amt. Due
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X0 NOR LIMIT IN ANY WAY THE Cl IS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Recording Fee Receipt #
I HEREBY AC�NOWLEDGE THAT I Hf1iVE READ THIS APPLICATION; THAT THE INFORMATION 1 t4�_
GIVEN SICPAREcT; XND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
T HE 01 ER; I AGqEq TO COMPLY 1)4ITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a ponnit until signed by the
0 %A D N D INP;T.HE WORK AUTIiORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Foes are paid, and
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BOR CODI� OF THE STATE OF WASHINGTON RELATING TO
" V-,, - FOR INSPECTION receipt Is acknowledged in space provided.
IN VI L rATI X4A�T%l NS)URANCE AND RCW 18.27.
WORKMEN'
OFFIgCIS DATE
SIGNATV�Re 0 N -DATE SIGNED /`�
(425)
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771-0220 I'a'91
REL" ED BY ILATE
ATIE'NtYCIN EX7 1333
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 - INSPECT&
04/02 PINK -OWNER - GOLD-ASSESSOPA
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GA RY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771 -0221
Website: www.dedmondsma,us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
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December 9, 2003
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Fifth Avenue Development LLC
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654 5 Ave South, Ste. 300
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Edmonds, WA 98020
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Hammerworks LLC
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654 5 Ave South, Ste. 300
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Edmonds, WA 98020
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RE: Permits 2003-0391, 2003-0392, & 2003-0393 Demolition of 505, 511 & 515 5th
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Ave South
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To whom it may concern:
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The above referenced permits have expired. In o rder to continue or move forward with
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the work described new permits are required. To issue new building permits for the
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demolition of the structures at the above referenced addresses new permit applications
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would need to be filled out and signed and fees in the amount of $750.00 are required.
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If you have any questions or concerns please don't hesitate to contact me at 425 -771-
0220.
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Sincerely;
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Theresa M. Umbaugh
Permit Specialist
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Incorporated August 11, 1890
Sister Citv - Hekinan.Japan
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
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Retaining V�all ...........
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Sla.b Insulation ..........
PLUMBING:
Underground .............
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Rough -In ...................
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Commercial; Final .......
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HEATING:
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Gas Test ....................
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Gas Piping .................
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Equipment .................
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Commercial Final .......
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
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Wall Insulation ...........
Ceiling Insulation .......
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SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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