20040243A.pdfI
DATE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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VALUATION
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
UJI PERMIT APPLICATION: 180 DAYS
IL PERMIT LIMIT' I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
(Al 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
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�j IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
4 ALL Ci AIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIREC11Y
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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Total Amt. Due
5 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
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Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT TliE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER. Oil THE DULY AUTHORIZED AGENT 01:
THE OWNER. I AGREE TO COMPLY Willi 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
CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Olficial or his/her Deputy: and Fees are paid, and
mccipt is acknowledged in space provided.
IN VIOLATION OF THE LABOR
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
7OFFICI I I NATURE
SIGNATURE (OWN 0 01 DATE SIGNED
(425)
PDA 7E
771-0220
flyf ASFD BY DXTE
ATTBN'fION-
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING Oil STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD ASSESSOR
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CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
ORDER TO CORRECT VIOLATION
Location of Violation (Address and Tax Account Parcel No): 9725 243d Place SW, Edmonds, WA
98026 Tax Account Parcel No. 00450100000200
Issued To: Sarnatha Courtney, Property Owner
Address Of Person This Order Is Issued To: 9725 243d PI SW, Edrnonds, WA 98026
Code Section Violated:. 2003 edition of the International Mechanical Code Sections 106 & 107 & 108.
Description of Violation: On behalf of the building owner, Day & Nite Plumbing obtained a
mechanical pen -nit (#2004-0243) to install a new gas furnace in the utility room of the Court!je
y
residence. The permit expired on October 8, 2004 and both the homeowner and the installer failed to
contact the City for the required inspection in order to approve the work and close the pen -nit file.
Corrective Action Required: 1) Subinit a new application to the City for this mechanical work and
remit fees of $65.00 and, 2) Once a new pen -nit is issued contact the City Building Isnenctor within 30
days date for the required installation inspection and approval.
Correction is Required no later than: 5:00pm (tinie) May 13, 2005 (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: April 29, 2005 Date Served
Issuing Part Jeannine L. Graf Title Building Official
Signature
Cc: Day & Nite Plunibing,16614 13"' Avenue W, LyLinwood, WA 98037
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ..... ..............
FOUNDATIOW
Fo6fl6'9'** .................. 7--
Wall ...
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:.-.
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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