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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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2 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
.j SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
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9L PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANI ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
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UJI IN INTERE�T, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMiESS THE CITY OF
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2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
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* ALL CLAIMS FOR DAMAGES 0 IT SHALL NOT BE
* FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERM
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I HEREBY ACKNOWLEDGE THAT I HAVE READ TwS APPLICA110N. THAT THE INFORMATION APPLICATION AP AL
GIVEN IS CORRECT� AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF I his application is not a perinit until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL Building Official or his/her Deputy: and Fees ate paid. and
11ON AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED receirit is acknowledged it, space provided
IN V�61_ATION OF THE LAJ30R CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION *A
or'-N 18 27 OFF' IAIR R1(1NAF11AP TIAI E;
WORKMEN'S,PCWP�ENSATION INSURANCE ANIJ
SIGNATUR( (OAI!q�,011 49ENT)
DATE SIGNED
(4251
771-0220
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Off 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL
A FINAL INSPECTION HAS
BEEN MADE AND APPROVAL OR
A CERTIFI-
CATE OF OCCUPANCY HAS
BEEN GRANTED. UBC SECTION 109
ARE
MAKING 4 COPIES
09/03
PRESS HARD -YOU
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PINK -OWNER GOLD -ASSESSO11
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STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: 6"e-- bz,(j
Edmonds, Washington
Legal Description:
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Assessor's Parcel Number: 10 xw zw �z
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code and understand that an Accessory
Dwelling Unit, including a second kitchen, is prohibited until after an Accessory
Dwelling Unit permit has been approved by the City of Edmonds.
I also understand that approval of an Accessory Dwelling Unit permit is subject to
compliance with identified criteria, to public commen.4 and neither this statement nor
the issuance of a building permit shall act to limit the discretion of the City in the review
of any application for an Accessory elling Unit permit.
Property Owner Signature: All
Date: Llo?-
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that W1 L-L-lAsM /-A
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
Notary's pressure seals must be smudged. Dated: 24922�—�� 1.2, 02066
i,k S Signature of
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T'iii�'DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
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I'APPROVED AS NOTEU
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PERMIT (,Qf
Date: gpRo?V�D, BY PLL�NNING
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AUG 2 2004
PERMIT COUNTER
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Height Calculation- Worksheet
Address: Ck 0, m St S LJ
Date: S A t
Inspector(s): M
1. Datum Point:
2. Datum Point Elevation: z
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Elevation Aflowed: et 25 74 -n
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Conclusion:
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is not over the height requirement per ECDC 16.20.30 requirements
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117 C. I S) "I
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 1 (425) 771-0220 - FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
June 13, 2005
Martenson Construction Inc.
8901 217"' St. SW
Ednlonds, WA 98026
GARY HAAKENSON
MAYOR
Re: Building Permit: 2004-0768
Site Address: 8901 217"' St. SW
Expiration Date: 09/14/05
Dear Martenson Construction Inc.,
The purpose of this letter is to inform you that the last remaining inspection on your
project is a final inspcction(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 tile final inspection to be one of the most important inspections
conducted on a project. In order to grant final approval tile following must be complete:
snioke detectors, house numbers, guardrails, Ilandrails, selr-close doors between garage
and residence, egress from sleeping roorns, safety glazing, wcather-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 or 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 frorn
the date of issuance. if you will need more time to complete tile work, perillits can be
renewed rior 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 tile
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 oil your Job Card.
Please feel fi-ce to contact me at 425-771-0220 if You have any qLICStiOns.
Sincerely,
JoAn� e Li au f
Permit S )cciali t
L\'renip\DS'r' s\N,l aster
Incorporated August 11, 1890
Sister City - Hekinan, Japan
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT____J���51�....��������
SITE ADDRESS 014 1 Ll 7 tL ) �-
PERMIT #__00 4 -63 (t 8 ADB# DATEINSPECTED
DESCRIPTION OF WORK TO BE I1,4SPECTED__ 4dd
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
PERF ORMANCE BONDS and the granting of:
X GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
I .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE given to owner/contractor by inpector
1.
2.
3.
RE-fNSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:ten1p:b1dg:rbmis:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................... ro
FOUNDATION:
Footing ......................
Wall.......................... (),Xia
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING .......................... Tkn
FRAMING ........................ A
Ply/
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ........... 3
Ceiling Insulation ....... CA5__
SHEETROCK NAILING ... PIT -
SPECIAL INSPECTION
&.06 �, _�_ — s,
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
'vv, "Mt r
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1q-T R uffz;;k ber
The initials Ware Miltoll
Thompson, it temporary contract
illspector toi- tile City.
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