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DATE RECEIVED
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C1W OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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STATE LICENSE NUMBER EXPIRATION DATE I CHECKED 13Y
PARCEL NO.
1:1. NEW
WRESIDENTIAL
$,"ADDITION
COMMERCIAL
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MULTIFAMILY
REPAIR
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COMPLIANCE OR
CHANGE OF USE
SIGN
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FIRE SPRINKLER
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CRITICAL
LOT SLOPE %
VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
W PERMIT APPLICATION: 180DAYS
PERMIT LIMIT. 1 YEAR -PROVIDED WORK IS STARTED WITHIN 180DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESOns
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EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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* ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
* FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF IHIS PERMIT SHALL NOT 13E
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_j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITY'S ABILI1Y TO ENFORCE ANY ORDINANCE PROVISION'
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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EXISTING PROPOSED
Inspection Hoquirod
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REQUIRED DEDICATION F1
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METER SIZE
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NO. OF
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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SPECIAL INSPECTION JAREA OCCUPANT
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PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REQ'D z
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VALUATION
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Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscape Insp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
A17ENTION I / DIU 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUnE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 4
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
I HEREBY ACKNOWLEDGE T1 IAT I I IAVE READ THIS APPLICATION Tf IAT T1 IE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DU& AUTHORIZED AGENT OF
THEOWNER 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 VIbLATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S cq�PENSATION INSURANCE AND RCW 11127,
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Receipt # 2LJI�
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Total Amt. Due
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Receipt _3
APPLICATION APPROVAL
I his application is not a perinit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receirit is acknowledged in space provided.
OFFICIALS SIGNATURE DATE
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APPROVED AS NOTED
BY ENGINEERING
Date:
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SETBOS: 7'il RECEIVED NORTH
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
44. 121 5TH AVENUE NORI H EDMONDS. WA 98020 (425) 771-0220 FAX �425) 771 -0221
Websile: wwadedniondsma.us
DEVELOPMENT SERVICES DEPARTMENT
()Q� Planning - Building - Engineering
October 5, 2005
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Dave Bolster
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8520 Maple Lane
Edmonds, WA 98026
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Re: Buildin- Permit: 2004-0459
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Site Address: 8520 Maple Lane
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Exph -ation Date: 06/14/06
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Dear Mr. Bolster,
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The purpose of this letter is to inform you that the last remaining inspectioi on youi
p roject is a final inspection(s). The final inspection(s) deteri-nines that there are no
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outstanding life -safety issues and approval allows the City to close your pern-iit File.
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Tile City considers the final inspection to be one of the most important inspections,
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-ollowing must be cornplete:
conducted on a project. In order to grant final approval the f
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I andrails, self -close doors between garage
smoke detectors, house numbers, guardrails, i
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and residence, egress from sleeping rooms, safety glazing, weather-stripping, any
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Engineering department requirements etc. Of course not a 11 of these things may
specifically apply to your project but it does give you an idea about the kinds of thinas
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that must be complete as well as some items that do not need to be installed Such as:
paint, oarpct, moldings, wallpaper, etc. Please be advised permits expire one year from
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the date or issuance. if you will need more time to complete the work, permits can be
renewed prior to expi ratio n lor one lial f fees. Iftheperi ilit expires Without a final
approval granted by tile 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
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permit expiration date and call foi- 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 YOLH-.Job Card.
Please feel free to contact me at 425-77 1-0220 if you have any questions.
Sincerely,
loAnnc ZLIlauf
Permit Specialist
1_%'I'e111Ii\1)ST's\N4as1cr Letters\SRwaamim-SFR
Incorporated August 11, 1890
Sister Citv - Hekinan, Japan
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FINAL PROJECT APPROVAL FORM
TO:
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DATE: 7ZIL
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE. DEPARTMENT DATE
ENGINEERING DIVISION DA
TE
&I ES I G N
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT 3 0_� de__L_
SITE ADDRESS- MCe_aL
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PERMIT # -i�)4-5`) _ADB# DATE INSPECTED I
DESCRIPTION OF WORK TO BE INSPECTED e. � , e, _/_ 2
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A field inspection was conducted to determine 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
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
F-1 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING I . SSUES - GRANT FINAL PROJECT APPROVAL
Date SignatUre
1:temp:b1dg:1'orms:ocaprv1 3/25/04
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INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
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Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground ............. V�
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Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
3 L/,d
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
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Wall Insulation ...........
Ceiling Insulation .......
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SHEETROCK NAILING ...
SPECIAL INSPECTION
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MISCELLANEOUS ..........
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FINAL APPROVAL FOR
OCCUPANCY ..................
nic Initials MT are MOW"
'nionipson, a temporary Contract
ilispector ror the CitY.
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