20040895.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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STATE LICENSE NUMBER EXPIRATION DATE I /'CHECKE�D d13Y
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PROPERTY TAX ACCOUNT PARCEL NO.
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ADDITION
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ADDRESS 1-7,3, - - �
PLAT NAMEISUBDIVISION NO. 7NO. LID NO,
LID FEE $
TESGP Approved 13
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required 13
Street Use Permit Rqq'd 13
EXISTING — PROPOSED inspection Required 13
sidewalk required 0
Underground
REQUIRED DEDICATION FT witing required
METER SIZE LINE SIZE NO. OF FIXTURES. PRV REQUIRED
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PLAN CHECK NO: VESTED DATE
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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: 180 DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTtY OR INDIRECI ly
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIl SHALL NOT HE
DEEMED TO MODIF'� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CIlYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
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PROGRESS INSPECTIONS PER UBC 108/ IBC109/ IRC109 FINAL INSPECTION RE� �
VALUATION
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DescriptlLn
Plan Check 4
Building Permit
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; TIIAT THE INFORMATION
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GIVEN 13 CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY Willi CITY AND STATE LAWS REGULATING CONSTRLIC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMP ' dLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMP'S COMPENSATION I jt�ANCE AND RCW 18.27.
SIGNA E (OWNERR DATE SIGNED
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
FEE Description
/lots State Surcharge
City Surcharge
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CALL
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APPLICATION APPROVAL
1 his application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and V1
receipt is acknowledged in space provided. I
F74G,IA�S SIGNAIXRE DATE
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AMNTION L)k I I jjj
ITIS UNLAWFULTO USZR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE ANDAPPROVALOR ACERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110.
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
(425) 771-0220 FAX (425) 771-0221
121 5TH AVENUE NORTH EDMONDS, WA 98020 Website: www.ci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
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April 22, 2005
Chris & Anita Miller
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17324 Me adowdale Rd
Edmonds, WA 98020
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Re: Building Pe rmit: 2004-0895
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Site Address:. 17324 Meadowdale Beach Rd
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Expiration Date: 10/27/05
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Dear Mr. & Mrs. Miller,
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Tile purpose of this letter is to inforin you that tile. last remaining inspection on your
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project is a final inspection(s). Tile final inspection(s) detern in s that there are no
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outstanding life -safety issues and approval allows the City to close yo ur pen -nit file.
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The City considers tile final inspe ction to be one of the most important inspections
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conducted on a project. In order to grant final approval tile following must be complete:
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smoke detectors, house numbers, guardrails, liandrails, self -close doors between garage
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and residence, egress from sleeping rooms, sa fety glazing, weather-stripping, any
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Engineering department requirern ents etc. Of course not all of these things may
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specifically apply to your project but it does give you ail id ca about the kinds or things
that must be complete as well as sorne items that do not need to be installed such as:
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paint, carpet, moldings, wallpaper, etc. Please be advised pennits expire one year ffom
the date of issuance. if you will need more time to complete the work, permits can be
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renewedprior 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 tile
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pen -nit. This can be very costly to you and we strongly encourage yoL i to check your
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permit expiration dat e 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.
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Please feel free to contact me at 425-771-0220 if You have any questions.
Sincerely,
JoAnne ZL1lauf
Permit Specialist
LVl*en1p\DST' ANI as ter Le1(ers\.S1w,aam1.trS1-'1t
Incorporated August 11, 1890
Sister City - Hekinan, Japan
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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FINAL PROJUCT kPPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE A00j—
PLEASE SIG"P-
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT Ah e "'r
SITE ADDRESS— 1-13 Z MCI& (47,h
PERMIT �J/ E 9 ADB# DATE fNSPECTED—
DESCRIPTION OF WORK TO BE INSPECTED
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
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signaftire
1:temp:b1dg:f6rn1s:ocapn,1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall .......................... 7- 41 �__
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ................... :3 -9,1?
Commercial Final ......
HEATING:
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ................... .14 7
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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The Initials MT arc Milton
nionipson,'a telivoral'y contract
inspector f6t* the City.
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