20030679.pdfL1
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS .
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MAILING ADDRESS
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NAME
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STATE LICENSE NUMBER
EXPIRATION DATE I CHF0%k2VY-,
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PROPERTY TAX ACCOUNT PARCEL NO.
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PLAN CHECK NO: VESTED DATE
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THIS PERIArr AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPILICATION: 1180DAYS
PERMIT LIMM 11 YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, IT$ OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES Or WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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
WORKMEN'S QWPENSATIONJNSURANCE AND RCW 18.27.
DATE SIGNED
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PERMIT EXPIRES
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PROGRESS INSPECTIONS PER UBC I DOXINAL INSPECTION REO'D
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DescriptIon
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Description
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Plan Check
State Surcharge
Building Permit
City Surcharge
Plumbing
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771-0220
EXT 1333
APPLICATION APPROVAL
This applIcaltion Is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt Is acknowledged In space provided.
OFFICIALS SIGNATURE DATE
wel_5
DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL jj��44_ 4 1 14
F_ f
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR�GIN - 21 YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PNKtVMER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING rid
.4. MpcimumElevationAllowed: �73(averagdgiadc)--��2'91'='-
5 73p
5. Reference Point Elevation Shot to House:
(datum elevatign) + P (3?(grade to transit level Hne'shot to hou"'go'k
..........
Measurements from fine
.6. shot onto house to roof ridge,
.. .......
...
............
To
CITY OF EDMONDS
1215TH AVENUE NORTH* EDMONDS, WA9M 0 (425) 771-OM 0 FAX (425) 7714)221
Websfte: wwdedmondsmaus
DEVELOPMENT SERVICES DEPARTMENT
Planning 9 Building 9 Engineering
February 25, 2004
Helleren Homes Inc.
PO BOX 584.
Edmonds, WA 98020
Re: Building Permit: 2003-0679
Site Address: 20622 Maplewood Dr.
Expiration Date: Sepetember 3. 2004
GARY HAAKENSON
MAYOR
The purpose of this letter is to inform you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) detem3ines 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 do ' es give you an idea about the kinds of things
that must be complete as well as some 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.
,�ncerely,
c1p 'rW Aa
U�Wy adwin
Permit oordinator
L\Tmv\DST's\Masta LeUm\SRwaamLtrSFR
Incorporated August 11, 1890
Sister City - Hekinan, Japan
FINAL PROJECT APPROVAL FORM
TO:
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CITY OF EDMONDS'
PERMIT
NUMBER
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CONSTRUCTION PERMIT APPLICATION
JOB
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OWNER NAMEnWE OF BUSINESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pernift Required
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EXISTING — PROPOSED Inspectic I =ffnh Reld
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Sidewalk Roctisired!
REQUIRED DEDICATION FT Underwound
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METER SIZE LINE SIZ�] NO. OF FIXTURES PRV REQUIRED
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ADDRESS
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EMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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PLAN CHECK NO, VEWD DATE
Plumbing
& C&
Mechanical
TMS PERMIT AUTHOREMB ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTV ONILX ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CUREIS, SIDEWALKS, DRIVIEWAVS, MARQUEES, ETC.) WILL REQUIRE
k: SEPARATE PERMISSION.
2
Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT ILIMM I YEAR - PROVIDED WORK 18 STARTED WITHIN ISO DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Ins Ion
pect
'APPLICANVON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESCIRS
Mire"Review Olan"Ch'k. Deposit
IN INTEREST. AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS'OFFICIALS. EMPLOYEES, AND AGENTS FROM AW AND
Fire Inspection Receipt #
ALL CLAIMSfOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANME OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIF% WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape Insp. Total Amt. Due
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 INFORMWAATION
GIVEN,:118 CORRECI! AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPRovAL
THSAI*NER. I AGREE TO coMPLY WITH CITY A14D STATE LAWS REGULATING CONSTRUC-
CALL This application Is not a permit until signed by the
TION,r AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or It"er Deputy: and Fees are paid, ani,
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknovdedged In space'provIded.
WORKMENS ENSATION)NSURANCE AND RCW 10.27.
OFFICIALS SIGNATURE T
SIGNAT NT) DATE SIGNED
(425)
64
771-0220
ELEAS DATE
NTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
41�
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
5
N F
OR G, YELLOW - (NSPECTQR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
1:NK -(IVF?ER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING