20041072.pdfDATE RECEIVED
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CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION JOB
ADDRESS
PERMIT EXPIRES
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VESTED DATE
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LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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R'N Pernut Required
Street Use Perina Required,
EXISTING PROPOSED
inspec:ion Required
Sidewalk Required
REQUIRED DEDICATION FT
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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 PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
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 DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
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
CONSTRUCTION
OCCUPANT
GROUP
SPECIAL INSPECTION CONSULTANT OCCUPANT
REQUIRED 13YES I I LOAD I
REMARKS
GEOTECH REPORT
BY:
STRUCTURAL DESIGN
BY:
VALUATION
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
LandscapeInsp.
Recording Fee
FEE Description
State Surcharge
City Surcharge
Base Fee
FEE
Plan Clik. Deposit
Receipt #
Total Amt. Due
I Receipt# kl),7741,5
APPLICATION APPROVAL
This application is not a permit until signed by the
T THE OWNER. I AGREE TO COMPLY WITH CITY AND ST TE LAWS REGULATING CONSTRUC - CALL Building Official or his/her Deputy: and Fees are paid. and
TION: AND IN DOING THE WORK AUTHORIZED jIjPKI1 Y , N PERSON WILL BE EMPLOYED receipt is acknowledged in space provided
IN VIOLATION OF THE LABOR CODE OF WSPPE OF WASHINGTON RELATING TO FOR INSPECTION
WORK 10 rCE GN I RE DATE
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL - FILE - YELLZ -
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 f IRC1101 PINK -OWNER - GOLD - ASSESSOR
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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: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building - Engineering
June 24, 2005
Robert M. Stiver
95142 24"' St. SW
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Edmonds, WA 98020
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Re: Building Permit: 2004-1072
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Site Address: 9514 224"' St SW
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Exph-ation Date: i une 21, 2005
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Dear Mr. Stivers:
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According to City of Edmonds Building Division rccoi -ds, the above referenced building
permit expired on June 21, 2005 without work commencing on this project. Edi -nonds
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Community Development Code (ECDC) Section 1.05.5.1 a. states "in order to
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recommence work on an expired permit, a new permit application with full pet -mit fees
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be submitted to the building official." ECDC Section 105.5.1 b. states "New permit
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shall
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shall be reviewed under current zoning and building codes in ef
applications
time of complete application submittal." Currently We under the 2003 hiternational
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Building Codes.
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Please note all plans and documents will be destroyed ten days frorn the date of this
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letter.
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If you have any questions please feel fi -ee to call Our offices at 425-771-0220.
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Sincerely,
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JoAnne Zulauf
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Permit Coordinator
IVI'ei1ips\Ds,r,s\Ni aster Letters\Expired Prmit.doc 7/01
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 ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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