20040729.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NA /NA OF BUSI ESS
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MAILING ADDRESS
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STATE LICENSE NUMBER EXPIRATION DATE I CHECKED 13Y
ROPERTY TAX ACC NT PARCEL NO.
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PLUMBING / MECH
ADDITION
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CHANGE OF USE
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CRITICAL
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NUMBER
DESCRIBE WORK TO BE DONE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180DAYS
CLI PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANI, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES 10 INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIAL S. 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 THIS PERMIT SHALL NOT HE
DEEMEDTo MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
I HEREBY ACKNOWLEDGE THAT I HAVE READ TIIIS 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 WITIi CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTIIORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COM SATION INSURANCE AND RCW 18.27.
I PERMIT EXPIRESS,��
PERMIT 'j () 9 7—
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NUMBER
ADDRESS 3�5-Z
PLAT NAME/SUBDIVISION NO. LOT NO.
SUITE/APT#
LID NO.
LID FEE $
TESCP Acieroved r1%
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW Permit Required 13
EXISTING Street Use Permit Roq'd C3
PROPOSED inspection Requited
Sidewalk Required A
REQUIRED DEDICATION— FT Underground
Wiring required 13
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
I YES 13 NO 11
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
SY/�U _rO Af->e' A� 141AAMC,
WILL r-e.jr�--
ENGINEERING REVIEWED BY DATE
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FIRE REVIEWED BY DATE
VARIANCE OR CU HORELINE OR ADBN I ,INSPECTION I BOND
REOO POSTED
YES gNO $
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED
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EXP 'X
LOT COVERAGE REQUIRED SETBACKS (IT) PROPOSED SETBACKS (FTJ
ALLOWED PROPOSED
PARKING LOT AREA PPLAN4NG R—EVIEWkQ B *11 DATE
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Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapeinsp.
Total Amt. Due
Recording Fee
Receipt #
APPLICATION
APPROVAL
CALL
I hisapplication is not a pOlfflit until signed by the
Building Olficial or his/her Deputy: and Fees are paid. and
FOR INSPECTION
wceipt is acknowledged in space provided.
(425)
OFFICIALS SIGNATURE DATE
It 11 e-1 e- I C
11 1 - I I I I L;' . 1 771-0220
ATTENT16N V EXT 1333
ITIS UNLAWFULt USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110.
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
BY ATE
ORIGINAL - FILE YELLOW SPECTO
PINK - OWNER GOLD - ASSESSOR
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EDA,
MEMORANDUM
To: File
From: Duane Bowman, Development Services Directo
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Date: August 31, 2004
Re: Telephone Conversation with Teri Johnson
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I spoke with Teri Johnson on the telephone on 8/31/04. She asked for a clarification of t he
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comment rega rding encroachments that stated..."Per City Engineer — no portion of eave shall
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project (onto, into, over) City alley or public sidewalk." I told her that means that the proposed
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eaves must stay on private property and cannot encroach onto public right-of-way. She said that
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was what she thought but wanted to confirm the condition. She said they are not building
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CITY OF EDMONDS
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
January 11 th, 2005
Attn: Kevin Johnson
14715 57th PI W
Edmonds, WA 98026
Building Permit: 2004-0729
Site Address: 856 Main St
Expiration Date: 8/31/05
Dear Kevin Johnson:
GARY HAAKENSON
MAYOR
The purpose of this letter is to inforin 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 permit 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 following 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 permits expire one year from
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 pen -nit expires without a final
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.
Sincerely,
Permit Coordinator
Incorporated August 11, 1890
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE MN
/714 ENGINEERING DIVISION DAT
PLEASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT X�V t \,i Yo- 7_,�!,e —JOA G6i,
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SITE ADDRESS cet�,_�) (,q
PERMIT #ZtOQ 7,Z 6) ADBY '-DATE INSPECTED..)o
DESCRIPTION OF WORK TO BE INSPECTED 4 D r—
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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
ci Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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CONDITION OF APPROVAL:
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Nonconforming ADU Determination to be issued sidl�s
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prior to final occupancy. Site plan must show G
scaled property dimensions, covered walkway
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that connects the buildings, ove, ang a" 19%,
that project to the west of the ADU, eaves and soft." CITY C001PY
setback from south property line
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RECORD OF INSPECTIONS
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INSPECTOR DATE APPROVED
SETBACKS
FOUNDATION:
Footing
Wall
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Slab Insulation
PLUMBING:
Underground
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Commercial Final
HEATING:
Gas Test
Gas Piping
Equipment
Commercial Final
EXTERIOR SHEATHING
NAILING
FRAMING
FIRST FLOOR FRAMING,#,
INSULATION
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS 111.11*10,
FINAL APPROVAL FOR
OCCUPANCY
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