20041078.pdfI
DATE RECEIVED / /
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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LID NO
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LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESGP App(oV00
FiW Permit Required
Street Use Permit Roq'd
EXISTING — PROPOSED
inspection Required
Sidewalk Roqtjirad
REQUIRED DEDICATION
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METER SIZE
LINE SIZE
NO. OF FIXTURES
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REMARKS
OWNER/CONTRAcroR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
EERING REVIEWED BY
FIRE REVIEWED BY
DATE
VARIANCE OR CU SHORELINE OR ADB# INSPECTION PBOND
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SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOW�p PROPOSit
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LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
ALLOWED PRQPOSED FRONT SIDE REAR FROPT I)ft SIDE REAR
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PROGRESS INSPECTIONS PER UBC 108 / IBC1 09 / IRC1 09 FINAL INSPECTION REQ'D I �
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Description
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Plan Check
State Surcharge
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Building Permit
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PLAN CHECK INO* VESTED DAT9
Plumbing
Base Fee
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
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W PERMIT APPLICATION: 160DAYS
a. PERMIT LIMIT., 1 YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) CCESORS
in 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SLJ
Fire Review
Plan Chk. Deposit
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND Hot D HARMI ESS THE CITY OF
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2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt H
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALI NOT BE
Landscapelnsp.
Total Amt. Due
DEEMED *To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAYTHF CITYS ABILITY 10 ENFORCE ANY ORDINANCE PROVISION 1
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Fee
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Receipt 0
Recording
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND I HAT I AM TIIE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY W1111 CITY AND STATE LAWS REGULATING CONSTRUC
CALL
I his application is not a permit until signed by the
TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/hei Deputy and Fees are paid, and
IN V6LATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING To
FOR INSPECTION
receipt is acknowledged in space provided.
WORKMEN'S COMPENSATION INSURANCE AND HCW IB,27.
OFFICIALS SIGNArURF DATE
Tu NER 0 A DATE SIGNED
(425)
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771-0220
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EXT 1333
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ITIS UNLAWFULTO USEOR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OF OCCU-
ORIGINAL FILE YELLtDW INSPEC61
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110.
13INK OWNER C40LD ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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ALL EXPOSED SURFACES TO
BE COVERED WITHIN 2 DAYS
OWN ER/C0NTPf-'1 to!'(- 1s, PiES)PONSIBLE
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MAINTAIN PLAT INSTALLED EROSION CONTROL �9)
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8 gi-'15 6'2 3
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HE=-IeHT CAL-r-ULATION (BASED F=ROM EXISTIN(� 6RAPEE)
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F MAIN 561.00
L_O.-,= - -;-:> ACTUAL E3UILDIN(Si HE
TER P4EST MAXIMUM BUILPIN(� HEI(SHT (259
+.-7' FROM VARIANCE #\/-05-104= 352-10'
SUR\/E-rOR TO Pf:ZO\/M)F- E3F-N(:-,HI-IAFZK MOST
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EASEMENT ST PL5 ON L AFROFRIATE FOR HF-I(:F,,HT \/E=
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11.27' 88.89 55z, 550 3.29' ?ooqAaosTo FORCHES
511 r Pwovee' N 89*56 2 E secfan 0,v 51,rc-, DRIVENA"i'S 556 5GUARE FEET
4r porro4/1 " " 1206 y
40 ACCEP'i"i4l'-E TIGHTLIN&TIO 1:20 SOUARE FEET
OF LOT ro (9,3 0
012 5 10 15 20 40 Ll 35(0 MA�LERIAL NALI<NA'rS 100 5aUARE FEET
-.APPROVED AS NOTED 9URI IF91 I SDR 35 TOTAL 2,455 SGUAREE FEET
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FEET OF pROFcSF=1:;) LOT COVERA61E=
1662 SGUARE
1-0164165 Fjz6-x6-,vT (INr-LUDE5 STRUCTURE, r-OVEEREL;> Fop_r_HES, DEC,<S 0\/ER 5r-
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WATER & zjt-' th
INSPECTIONS REQ'D.
CALL 425-7"4i'l-0220 FXT, 1326
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Setbacks Required Actual
Front
Sides
Rear too I Pl
Other
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FOOTING DRAINS NOT
TO BE TIED INTO
DETENTION SYSTEM R E r,-,* E I wv' E D
Ur,lqfy copy I)EC" -- 6 2004
PERMIT COUN'll-f-'i
GARY HAAK ENSON
MAYOR
CITY OF EDMONDS
(425) 771-0220 FAX (425) 77 1 -0221
121 5TH AVENUE NORTH EDMONDS. WA 98020 Website: www.dedmondsma.us
DEVELOPMENT SERVICE S DEPARTMENT
Planning Building - Engineering
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June 9, 2005
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Brandel Custom Homes
2905 17011, St SW
Lynnwood, WA 98037
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Re: Building Penn it: 2004-1078
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Site Address: 209 09 Pioneer Way
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E xpiration Date: 12/27/05
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Dear Brandel Custom Honiesr
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h t the last remaining inspection on your
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The purpose of this letteris to ilif
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project is a final inspection(s). Tile final inspectiol"(s) de tem-lines that there are no
allows tile City to close YO ur permit file.
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outstanding life7safety issues and approval
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Tile City considers tile final inspection to be one o f the most important inspections
tile following Must be complete:
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conducted on a project. In order, to grant final approv al
house guardrails, liandrails, self -close doors between garage
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st-noke d etectors, numbers,
and residence, egress'from sleeping roorns, safety glazing, weather-stripping, any
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Engineering department requirem ents etc. OrCOUrse not all of these things may
idea about the kinds of things
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specifically apply to your project but it does give You an
te well as some item s that do not need to be installed such as:
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as
that must be comple pire one year from
paint, carpet, moldings, wallpaper, etc. Please be advised permits ex
time to complete tile work, permits can be
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the date of issuance. If You Will need more
for one half fees. If tile permit expires without a Final
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piration
renewed prior to ex tile Building Inspector, full fees are required in order to renew tile
approval granted by You to check your
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to you and we strongly encourage
permit. This can be very costly spection(s). Note: If more than
date and call for the required final in
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permit expiration
one department is required to final your project, this is noted oil Your Job Card.
Please feel free to contact me at 425-771-0220 ifyou Ilave any questions
Sincerely,
JoAnne Zulauf
Permi t Specialist
i-etters\SKwaarnLtrS1'1k
Incorpoi-ated August 11, 1890
Sister Citv - Hekinan. Jar)an
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GARY HAAKENSON
CITY
MAYOR
OF EDMONDS
1215TH AVENUE NORTH -EDMONDS. WA96020 (425) 771-0220 -FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
C. jgc)�) Planning - Building - Engineering
-iber 21, 2005
Septen
Brandel Custorn Homes
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George Brandel
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2905 170 Street SW -1
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Lynnwood,.WA 98037 M,
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RE: Side Sewer Fees
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Dear George: 0 C:
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ntion that I made an error in collecting side sewer fees M z
It was recently brought to my atte
for 20909 Pioneer Way and 20907 Pioneer Way. Please see attached side sewer, permits z
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and receipt. Please verify against your records. WOUld YOU please remit a check pa able
ount of $1,520.00 to cover these side sewer fees. I am 41,
t * the City of Edmonds in the am
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sorry for any inconvenience this may caUSC YOU.
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Sincerely, M
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Senior Permit Coordinator X
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Incorporated August 11, 1890
Sister City - Hekinan, Japan
1.
A deg MA-k. Earth Consultants Inc
F-EieldRep.
Job N—o.
Page of
Report No.
Clximnv tkxi & (IN) I 9_-nias
rim 0
Time On Site
m Site
Time Off Site
Ti Of�
Date
Day of Week
1805 136th Place N.E. Suite 201 Bellevue, WA 98005
-3
3- f �J
wgo
Bellevue (425) 643-3780 - Toll Free (88B) 739-6670
Travel Time
Miles
Weather
FAX (425) 746-0860
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DAILY FIELD REPORT
Permit No.
Hrs. Charged
Visitors
Project
ation
Client/Owner
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General Contractor
General Contractors Supedntendent:�
Received Unchecked By
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Grading Contractor
Grading Foreman
Checked By
Date
7Tr� approved Plans/Permits on -site - E] Yes [] No If No, contact the building department or explain below:
Project No. Permit No. -
As /�'E
Alf F-r-1 /ZER_ WAS cAl <InE ;n:2 1296R-16' =E571
7-5
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/-ILI' TA t Trw� EF A1061- VIK4 6-, AF Z
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RECEI V ED
AN 2..
DEVELOPMENT SERVICES CTR.
f'1TV QF FiDMONDS
CONTINUED ON NEXT P
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASFSIGN
ENGINEERING DIVISION DATE --- LU
PLEASttlGti
PLANNING DIVISION DATE
PLEASESIGN
PROJECT
1pf 0Y)
SITE ADDRESS —
PE RMIT ADB# DATEINSPECTED ct-he
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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 CORRE CTION NOTICE given to owner/contractor by inpector
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date SignatUrc
1:tei1i1):b1dg:f6rn1s:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
2_(A -4-5 ts
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING .....................
FRAMING ........................ (VA
FIRST FLOOR FRAMING ...
INSULATION ................... 6 z as
Floor Insulation ......... (y) -Z, - 0 <
Wall Insulation ...........
Ceiling Insulation ....... T s
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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Th011'Pson, a teillpol.,Il.y colltl.,Ict
illSI)eCtOl. fol.
tile city.
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