20040671.pdfDATE RECEAVED.__�7
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
130B 4 HF-RTWA LF.DFO)RD
MAILING ADDRESS
-7341 MAN
CITY ZIP TELEPHONE
ED M io N os- , WA 1150 44 2,19W - In - 3
NAME
I.- ADDRESS
CITY ZIP TELEPHONE
NAME CBL#
15F.IATTLV: DE-Sl6w go LQ�Llacl lq'2-S
ADDRESS
om PTME. S.
CITY ZIP TELEPHONE
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STATE LICENSE NUMBER' EXPIHAJIUN UAIt
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PROPERTY TAX ACCOUNT PARCEL NO.
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00 4AWL a577_0 7-7C9 0
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NEW Fer RESIDENTIAL
10,
0 PLUMBING / MECH
ADDITION E] COMMERCIAL
COMPLIANCE OR
1:1 CHANGE OF USE
REMODEL MULTIFAMILY
1:1 SIGN
GRADING
REPAIR CYDS
FENCE
( X Fr)
DEMOLISH TANK
OTHER
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GARAGE Ei RETAININGWALL
CARPORT ROCKERY
FIRE SPRINKLER
FIRE ALARM
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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NUMBER
OF
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NUMBER OF
DWELLING
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CRITICAL
AREAS C,
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STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
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USE
ZONE
JOB
ADDRESS
PLAT NAME/SUBDIVISION NO
[PPLERMIT EXPIRES
PERMIT
NUMBER
SUITE/APT#
LOT NO. LID NO.
LID FEE $
TESCP Approved
0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
RW Permit Required
13
Street Use Permit Roq'd
13
EXISTING — PROPOSED
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inspection Required
13
Sidewall, Required
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REQUIRED DEDICATION— FT
Underground
Wiring required
METER SIZE
LINE SIZE
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NO. OF FIXTURES
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PRV REQUIRED
YES 13 NO El
REMARKS
OWNER/CONTRACIOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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ENGINEERING REVIEWED BY DATE
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FIRE REVIEWED BY DATE W
VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
REq'D - POSTED
ES XNO IS
SEPA REVIEW SIGN AREA HEIGHT
-ETE , EXEMPT ALLOWED PROPOS 0 ALLOWEP I PROPOSED
EXP
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDI� REAP FROVT U� SID�,- REAR/
5 1 �, z
3 3o,7 5 16
PARKING LOT AREA I PrNING REVIE ED BY DAIE z5
�OC) 6fo�� 01.
REQ'D I PROVIDED
REMARKS
CHECKED BY ITYP=CTION CORE OCCUPANT
1 U.3 GROUP
SPECIAL INSPECTION JAREA— OCCUPANT
LOAD
REQUIRED [] YES
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINAL INSPECTION REaD
VALUATION
L& N D �-N( �10t)J�7-L
C..7 $ i 3s, 1
RD10 \i k- o F 0 �JE 6' )(71 F4M 0 (2
Description
FEE
Description
FEE
1-7 6 AV, IFJR
Uhl. -ro-;E 9��A�Eb U
Plan Check
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State Surcharge
HEAT %AZING % LOT SLOXV %
SOVRCE
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
? Base Fee
Mechanical
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
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
=I
I`_ SEPARATE PERMISSION.
Engr. Review
cc PERMIT APPLICATION: 180 DAYS
W
Q. PERMIT LIMIT' I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
V)
C111 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
UJI 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 #
cc ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
X FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapelnsp.
Total Amt. Due 41Y,
0 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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-
Recording Fee
Receipt # Ll LL2
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND T14AT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
I his application is not a permit until signed by the
Deputy. Fees are and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO 13EFISON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Building Official or his/tier and paid.
FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSAPO�PNM . R4NCE AND RCW 18 27,
OFFICIALS SIGNATURE DATE
SIGN TURE (OWNE�ROF A ENT) DATE SIGNED
(425)
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ff ) S.- r) 0 (-,cc (_V5/( ,
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771-0220
1 __
��TE
R SED BY
ATTENTION
EXT 1333
USE OR OCCUPYA BUILDING OR STRUCTURE UNTILA FINAL
IT IS UNLAWFULTO
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCU-
ORIGINAL FILE YELLOW - INq(EGT4R
PANCY HAS BEEN GRANTED. UBcjo9/IBC110/IRC1l0-
PINK - OWNER GOLD - ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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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: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
sql� Planning Building Engineering
October 4, 2004
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Bob and I-Ic'rtha Ledrord
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739 Main St.
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Edrno I rids, WA 98020
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Re: Building Permit: 2004-0671
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Site Address: 739 Main St.
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Expiration Date: August 10, 2005
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Tile 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) deten-nines 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 toilbe one of the most important inspections,
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-ollowing must be complete:
conducted on a project. In order to grant final approval the f
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smoke detectors, house numbers, guardrails, handrails, se f-clos doors between garage
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and residence, egress rroin sleeping rooms, safety glazing, weather-stripping, any
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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 permits expire one year ftom
the date of issuance. if you will need more time to complete the work, permits can be
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renewed pi-iot- 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
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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 free to contact me at 425-771-0220 if you have any questions.
Since ely,
'e'y'
Ji
q
ny Reaidw,,in
a
-rnit Coordinator
P p .111it Coor( i1v tor
LVI'en1p\1)S'1" S\,i\l aster I_etters\,SRwaart1I_trsFR
Incorporated August 11, 1890
,tp.r Citit - HPkinan Janan
.1P,.
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................... 9 d-3-
FOUNDATION:
Footing ...................... V,\n
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation .......... vn
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ........................ 0
FIRST FLOOR FRAMING ...
INSULATION ................... 0
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR C,
OCCUPANCY ..................
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