20040596.pdfI
PERMIT EXPIR
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USE PERMIT
CITY OF EDMONDS ZONE e_5i L,
JOB Sul E/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS
OWNER NAME AME OF BUSINESS
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
MAILING ADDRESS LID FEE $
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TESCPAPn:ni0d 0
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Peri'llit red [3
0 Street Use permit Roq'd E3
171 S� inspection Required 13
CITY ZIP TELEPHONE EXISTING — PROPOSED Sidewalk Required 0
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REQUIRED DEDICATION— Fr [3
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NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY REO'D POSTED
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SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE , EXEMPT ALLOWED , PROPOSED ALLOWED , PROPOSED
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LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
NEW RESIDENTIAL PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR
ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE z
PARKING LOT AREA PLANNING REVIEWED BY DATE
I&REMODEL MULTIFAMILY SIGN REO'D I PROVIDED
GRADING FENCE
REPAIR CYDS ( X Fr) REMARKS
DEMOLISH TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
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(TYPE OF USE, BUSINESS OR. ACTIVITY) EXPLA CHECKED 13Y ITYPE OF C�I` fSRUCTION C OCCUPANT
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'3 OF DWELLING AREAS SPECIAL INSPECTION JAREA OCCUPANT
0 STORIES S NUMBER REQUIRED E] YES LOAD
DESCRIBE WORK TO BE DONE
REMARKS
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PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINALINSPECTION REQ'D F3
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VALUATION
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FEE Description
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Plan Check (1�0-7 State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE Plumbing Base Fee c_
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, 17S OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF I HIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
Al - 5 Le -71 5-1
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY 10 ENFORCE ANY ORDINANCE PROVISION.*
X1 Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF IZOVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid and
IN VIOLATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S C��ENSATION INSURANCE AND RCW 18.27.
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ITIS UNLAWFULTO USE OR OCCUPYA BUILDING OR STRUCTURE UNTILAFINAL BY
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- Z,
ORIGINAL - FILE YELLOW - INSPECTOR
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK - OWNER GOLD - ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS. WA 98020 - (425) 771-0220 ', FAX (425) 771-0221
Website: vAmd.edmonds-wa-us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
August 16, 2004
Richard Paschal I
7804 171" St. SW
Edmonds, WA 98026
Re: Building Permit: 2004-0596
Site Address: 7804 171st St. SW
Expiration Date: January 22, 2005
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) determines that there are no
Outstanding life -safety issues and approval allows the City to close your pennit 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 f
.ollowing 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 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:
paint, carpet, moldings, wallpaper, etc. Please be advised pern-lits expire one year frorn
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 pern-iit expires without a filial
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.
J - *ic ely,
'y
uly cRea#dwiii
Permit Coordinator
1Xl'emP\DST' s\M aster Letters\SRwaaniLtrSFR
Incorporated August 11, 1890
Sister Citv - Hekinan. Janan
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
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Retaining Wall ........... 0
Slab Insulation .......... 0
PLUMBING:
Underground ............. rj) --j
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Rough -in ................... C
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0
Commercial Final ...... 0
0 C
HEATING: MM
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Gas Test ....................
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Gas Piping ................. 0 > __4
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Commercial Final ....... 0 U
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EXTERIOR SHEATHING ITI
NAILING .......................... 0 Cn
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4- U� 0
FRAMING ........................ 4— cf)
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FIRST FLOOR FRAMING... �c 0.4 Q 0
0 Z r-
INSULATION ...................
Floor Insulation .........
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Wall Insulation ...........
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Ceiling Insulation .......
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SHEETROCK NAILING ... z
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SPECIAL INSPECTION ... F)
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
Tile Initials NIT are Miltol,
Thompson, a temporary contract
inspector for tile CitY.