20040266.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICAT ION
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PERMIT EXPIRES
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PtAr NAPA17,SUDDIVIGION NO
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
HFOUIRFD 0FDICATION__ Ff
METER SIZE LINE SIZE NO OF FIXTURES
SUITE/AN`#
LID NO
LID FEE $
JESCP Approved
Rw Permit Required
S;roAl Use permit Roq'd
inspection Required
Sidewalk Required
UndClaro,ind
Wiring required
PRV REQUIRED
YES NO
REMARKS
OWNER/CONIRACTOR HFSPONSIRIF FOR EROSION CON I ROI /DRAINAGE
ENGINEEFUNG REVIEWED BY DATE
FIRE REVIEWFD 13Y DATE
VARIANCE OR CU
SEPA REVIEW
COMPLETE , EXEMPT
EXP
LOT COVERAGE
ALLOWED PROPOSED
SHORELINE OR AD130 INSPECTION BOND
REO D POSTED
OYES ONO S
F—SIGN ARE -A HEIGHT
ALLOWED . PROPOSEoT ALLOWED . PROPOSED
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REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT)
FRONT SIDE REAR FRONT UR SIDE REAR
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PARKING LOT AREA PLANNING REVIEWED BY DATE 5
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D ii
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HEAT SOURCE GLAZING % LOT SLOPE %
PLAN CHECK NO: VESTED DATE
THIS PERMIT 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.
ul PERMIT APPLICATION: 180DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 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
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
IM
< 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 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
�?l NOR LIMIT IN ANY WAY THE Cl rY'S 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 CITYAVD STATE LAWS REGUL.ATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZEE1 TJAEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LAPOS—C—Cibik OF TjiE/STATE OF WASHINGTON RELATING TO
WORKMEW&-�;OM PEN SATION INSURANCE AND/RCW 18.27,
SIG
DATE
VALUATION
$
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
FEE Description
State Surcharge
City Surcharge
Base Fee
FEE
Plan Chk. Deposi
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Receipt ii
Total Amt. Due
Receipt H.... 9
APPLICATION APPR VAL
I his application IS not a pertnit until signed t)y the
Building Official or his/her Deputy and Fees are palc. and
receipt is acknowledged in space Provided
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1 -lAy6j-IGNATLJRE /1 JAIF
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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09iO3 PRESS HARD -YOU ARE MAKING 4 COPIES
D BY DAT
ORIGINAL -FILE YELLOW - INSPECTOR
PINK -OWNER GOLD.ASSESSOR
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221
Website: wmdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
May 18, 2004
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Joseph and Andrea Osborne
20302 81" Ave W.
Edmonds, WA 98026
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Re: Building Permit: 2004-0166
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Site Address: 20302 8 1 " Ave W.
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Expiration Date: March 1, 2005.
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The purpose of this letter is to inform you that the last remaining inspection on your
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project is a final inspection(s). The final inspection(s) determines that there are no
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outstanding life -safety issues and approval allows the City to close your permit file.
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The City considers the final inspection to be one of the most important inspections
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conducted on a project. In order to grant final approval the following must be complete:
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smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
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and residence, egress ftom sleeping rooms, safety glazing, weather-stripping, any
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Engineering department requirements etc. Of course not all of these things may
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specifically apply to your project but it does 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:
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paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from
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the date of issuance. If you will need more time to complete the work, permits can be
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renewedprior to expiration for one half fees. If the permit expires without a final
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approval granted by the Building Inspector, full fees are required in order to renew the
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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
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one department is required to final your project, this is noted on your Job Card.
Please feel ftee to contact me at 425-771-0220 if you have any questions.
Sincerely,
4 j y Readwin
nit Coordiinator
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L\Temp\DST's\M aster Letters\SRwaamLtrSFR
Incorporated August 11, 1890
Sister City - Hekinan, Japan
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
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Retaining Wall ...........
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Slab 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...
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INSULATION ...................
Floor Insulation .........
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Wall Insulation ...........
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Ceiling Insulation .......
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SHEETROCK NAILING ...
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SPECIAL INSPECTION
171
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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