20040425.pdfDATE RECEIVED/�,
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP sw Permit Requifed
street use Permit Floci'd E3
EXISTING PROPOSED� inspection Rewind
Sidewalk Required J8
underground
REQUIRED DEDICATION FT wrn,,cq .. led 13
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
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NUMBER NUMBER OF
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
cc PERMIT APPLICATION: 180DAYS
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PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) OAPPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
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W 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
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x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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-3 DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
21 Noll LIMIT IN ANY WAY THE CITYS 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 COMPENSATION INSURANCE AND RCW 111.27.
SIGNATURE (0 11j DATE SIGNED
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VALUATION
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Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fiie Review
Fire Inspection
Landscapelnsp-
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220,"
FEE Description
State Surcharge
*5`2 city surcharge
Base Fee
FEE
Plan Chk. Deposit
Receipt #
Total Amt. Due r
Receipt # t-�
APPLICATION APPROVAL
This application is riot a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided,
FF,lCIAL�j_aGNATURE DATE
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ATTENTION t)k I I Jjj �L
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09/03 PRESS HARD -YOU ARE MAKING 4 COPI
ORIGINAL - FILE YELLOW - INSTECT�
PINK OWNER GOLD - ASSESSOR
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NORTH CITY COPY
GARY HAAKENSON
q CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS. WA 98020 (425) 771-0220 FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building Engineering
September 30, 2004
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David Spe nce and Nicole Faghin
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18226 91" Ave W.
Edmonds, WA 98026
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Re: Building Permit: 2004 -0425
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Site Address: 18226 91" Ave W.
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Expiration Date: June 3, 2005
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The purpose of this letter is to inform you that the last remaining inspection oil your
project is a final inspection(s). The final inspection(s) deterinines that there are no
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OLItstandin 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 oil a project. In order to grant final approval the following must be complete:
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-close doors between garage
smoke detectors, house numbers, guardrails, handrails, self
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and residence, egress from sleeping rooms, safe ty 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 ail idea about the kinds of things!
that must be corilplete as well as some items that do not need to be installed Such as:
paint, carpet, moldings, wallpaper, etc. Please be advised perrnits expire one year from
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the date of issuance. If you will need more tirne*to complete the work, permits can be
renewed prior to expiration for one lial f fees. ir tile permit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew the
pen -nit. This can be very costly to you and we strongly encourage you to check your
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pemlit 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 oil your Job Card.
Please feel free to contact me at 425-771-0226 if you have any questions.
c &el y,
J j iny'Readwin
Permit Coordinator
1ATc mp\DS'I"s\N1 as ter 1.etters\SRNvaan11.trSFR
Incorporated August 11, 1890
Sister Citv - Helkinan. Jat)an
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: PLEASE SIGN FIRE DEPARTMENT DATE
�tl NGINEERING DIVISION DATE
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PLANNING DIVISION DATE'
PLEASE SMN
PROJECT
SITE ADDRESS /leeZ'z, 6
PERMIT #,�Z ADB# DATE INSPECTED -r—
DESCRIPTION OF WORK TO BE INSPECTED
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
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
VY
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
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NAILING ..........................
FRAMING ........................
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FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
The Initials MT are Milton
Thompson, a temporary contract
inspector for the City.
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