20040722.pdfFDATE RE'CEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER M/RME OF,BVESS
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STATE LICENSE NUMBER P EXPIRrON DATE -HECK
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PROPERTY TAX ACCOUNT PARCEL NO,,,
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NEW RESIDENTIAL PLUMBING I MECH
COMPLIANCE OR
ADDITION D COMMERCIAL CHANGE OF USE
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REPAIR GRADING FENCE
CYDS ( x FT,
DEMOLISH TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE, SPS44ESS OR 4PTIVITY) EXPLAIU
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Lu NUMBER NUMBER OF CRITICAL
OF DWELLIN AREAS
0 STORIES UNITS NUMBER
DESCRIBE WORK TO BE DONE
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PLAT NAME/SUDDIVISION NO
[PERMIT EXPIRES
PERMIT
NUMBER
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PUBLIC RIGHT OF WAY PER OFFI,
EXISTING — PROPOSE
REQUIRED DEDICATION —
METER SIZE LINE SIZE
LOT NO
STREET MAP
FT
NO. OF FIXTURES
LID NO,
LID FEE $
I ESCP Approved
RW Permit Required
Street Use Permit Hoq'd
Inspection Roqijirnd
Sidewalk Required
underground
Wiring required
PRV REQUIRED
YES 1:1 NO 1:1
REMARKS
OWNER/CONTRACTOR RESPONS111 LE FOR EROSION CONTROL/DRAINAGE
GAS FTE �� EST MUS1 . BE
OBSERVED BY CITY INSHt-CRT
Arr"R,)AVITS SHALL i,10T
ENGINEERING REVIEWED Bq DATE
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FIRE REVIEWED BY
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SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED
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INSPECTIONS PER
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VALUATION
t 19f A U) M., I AX11114T_ f--041 k Description FEE Description FEE
Plan Check State Surcharge
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HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE Plumbing Base Fee
Mechanical h L) Iffbin
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
2 Engr. Review
Lu PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT., I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) Fire Review Plan Chk. Deposit
'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 Fire Inspection Receipt # C/C:�%
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
0 DEEMED TO MODIFV� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILRY -10 ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee eipt III
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI�ATION; THAT THE INFORMATION
IJR E APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I,&RjHE OWNER, C _ LILY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMDry WITH CITY AND ST E LAWS REGULATING CONSTRUC- CALL I his application is not a pernnit until signed by the
TION; AND IN DOING THE WO AUIHORIZED THER NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy� and Fees are paid, and
IN VIOLATIdNtOF THE LAB CODE� OF THE ST OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORK�I?A'S 'OMPENSA�10 INSURAIPCE AND RC 16,27.
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IN S�l 16, OFF SIGNATYURE eTE
q�ATURE . OWNER 0 ENT) DATF.SIGNED (425)
ell - VA
771-0220 "'EAS
,iZTTENTION EXT 1333
IT IS UNLAWFULTO USE OR OCCUPYA BUILDING OR STRUCTURE UNTILA FINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- 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
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Ednionds, WA 98020
(425) 771-0220
Location of Violation (Address and Tax Account Parcel No): 1228 Coronado Place, Edmonds, WA
98020 Tax Account Parcel No. 006-02200-201000
Issued To: David Wells & Manjln Baird, Property Owners
Address Of Person This Order Is Issued To: 1228 Coronado Place, Edmonds, WA 98020
Code Section Violated:. Uniform Mechanical Code Section 112. 1.
Description of Violation: On behalf of the building owners, Genesee Mechanical obtained a
mechanical Dermit (#2004-0557) to replace an existing gas furnace. The City Senior Building Inspector
performed an inspection on the fu nace on July 29, 004 and approved installation but also observed that
two gas - firel2l aces with piping iad also been installed. City records show no pen -nit for this portion o
work. The owner was given a total of 10 days to obtain the required perrnit and re -call for inspection on
the two fireplace units and gas piping. As of this date no permit has been obtained.
Corrective Action Required: Submi a complete permit application (including fees) for the two gas
fireplaces and piping pen -nit. After obtaining the pen -nit contact the City Inspector for i ction of the
t installation. Note, additional investi ation fees shall be installed since work
was performed prior to permit issuance.
Correction is Required no later than: 5:00pni (time), Aupust 31, 2004 Jdate)
If correction is not made by the date and tirne specified in the Order, a Notice of
Civil Violation shall be issued. 'rhe Notice of Civil Violation shall assess fines of
$100.00 per da or portion of a day during which the violation continues.
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Date Posted:
Issuing Party
Signature
Date Mailed: August 16, 2004 Date Served
Title Building Official
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETB�CKP�..-.) ....... ......
F-61J$?�TION:
Fo.6tin"'g . .............. ........
Wall .......... ..........
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
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Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ...........................
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR C�
OCCUPANCY ..................
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