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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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NAME
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NAME
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PERMITEXPIRES
0"i PERMIT
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NUMBER
IF0111
ADORESS
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PI AT NAME/ SUBDIVISION NO
LOT NO
LID NO
LID FEE $
PUBLIC HIGH1 OF WAY PER OFFI CIAL
STREET MAP
I tSCP Apprnveo
0
HW Pofflilt R"Quawl
0
EXISTING _ PROPOSED
Stmot Uso Porinit Aoqi
IfISPOrtiOn Hequired
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0
so"Wati, Hequiroa
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REQUIHED DFDICATION�
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undogicund
Wiring required
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METER SIZE
LINE SIZE
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OF FIXFURES
PRV REQUIRED
YES 11 NO 11
REMARKS
OWNERICONTRACIOR RESPONSIBLE FOR EROSION CONIROLIDRAINAGE
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cc ADDRESS 72 1 ENGINEERING REVIEWED BY DATE
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a: --- FIRE REVIEWED BY DATE
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STATE LICENSE NUMBER EXPIRATION DATE C.JHECKEDBY VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
REQ'D POSTED
SEPA REVIEW SIGN AREA OYES ONO S HEIGHT
< PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE , EX ALLOWED I PROPOSED ALLOWED PROPOSED
a EMPT
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R 2 7 L,000 0-0-2 0 0 0 EXP
NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT)
K $4.. ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR
ADDITION COMMERCIAL COMPLIANCE OR z
CHANGE OF USE 2
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REMODEL MULTIFAMILY PARKING LOT AREA PLANNING REVIEWED BY DATE 5
SIGN REO'D PROVIDED 0.
R GRADING FENCE
F� REPAI CYDS ( X FT) REMARKS
DEMOLISH E] TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT JIOCKERY E] FIRE ALARM
(TYPE OF BIUS�E OR TIVITY) flPLAIN:
FE t7L I CHECKED BY ITYPE F C01r,16TRUCTION CODE OCCUPANT
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GROUP P -53
Lu NUMBER NUMBER OF CRITICAL
OF DIN
ELLING
UNITS AREAS SPECIAL INSPECTION JAREA OCCUPANT
0 STORIES V I NUMBER REQUIRED [] YES LOAD
DESCRIBE WORK TO BE DONE k�
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D ZF3
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471— &A otet VALUATION
Description FEE Description FEE
Plan Check 7/z,-7 -- State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE % Building Permit 100 � -,->/ � 7 — City Surcharge
PLAN CHECK NO: /� VESTED DATE Plumbing Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO C
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU13LIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
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SEPARATE PERMISSION.
Engr. Review
Lu PERMIT APPLICATION: 180 DAYS
IL PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
(n 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Plan Chk. Deposit
(n Fire Review
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_j IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt # �el_
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTI.Y
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED TO MODIFN� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY's ABILITY 10 ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT., AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/tier Deputy: and Fees are Paid, and
IN VIOLATION OF T OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided,
Wo��EN'S COMPENSA N INSURANCE AND RCW 18,27.
OFFICIALS SIGNATURE DATE
(0 BAT SIGLD, P, I..
L (425)
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-------- 771-0220 RFIFASF. BY' TE
ATTEATIOk� E)ff 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR NAL- LE YELLOW INSPECT
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 Plllt�4NER GOLD -ASSESS
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
Planning Building Engineering
Mr. Gary Stebbins September 10, 2004
1121 Brookmere Drive
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Edmonds, Washington 98020
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RE: Building Permit #2003-0848
Dear Mr.�Stcbbins::
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As. a. follow-up to our telephone 'conversation, on August 27, 2004 according to City permit
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records,the subject pennit will'expire on.October 31, 2004. If portions. of work (as noted on the
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face'of the Oermit):will not be complete by this deadline (for example�the deck) you, have the
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following options:
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1 Prior. to permit expiration you may renew the pen -nit for an additional year at one half the
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-ees $804 one half would be $402)., OR,
original permit fees (original f
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2., As we discussed, if the deck will not be complete by 10/31/04, prior to permit expiration,
You could protect the sliding glass door fall (this fall is greater than 30 inches above
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grade).with a complying guardrail (36 inch minimum, no openings greater than, a 41inch
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sphere, resisting 20plf, etc.).or.provide an alternate proposal ofadequately securing the
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slider (subject to City approval) and, request a final inspection to sign off all other
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c mpleted portions of the project. No life -safety issues can remain . in order,for the
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building inspector, to sign off on permit #2003-0848. And, in the, future you �would be
required to make a new permit application for the deck work (and pay.applicable fees)
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and note, deck permits�are only, valid for 180 days and carinot be renewed.
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I will attach a copy of this letter to your permit file so that any Permit Coordinator assisting you
will have this itifori-nation readily available.
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Lastly, several persons in rny office recall assisting you during the permit review process. My
staff members were concerned with your impressions as they believe youvere given. excellent
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service especially in meeting, your timeline for permit issuance. It is my understanding that you
will be submitting for a baseinent remodeling project and I hope that we can improve your
impression of the City during this next permit.
Sincerely,
Jeannine L. (5faf
Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Mk
Ceiling Insulation .......
1.
SHEETROCK NAILING ... ----
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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