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Building Permit City Surcharge
PLAN CHECK7 VESTED DAit Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY T"I(WORK NOTED. THI'S �PERMITCOVEns WORK TO Mechanical
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
cc PERMIT APPLICATION: 180 DAYS
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CL PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
I SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit Lele�)
t3 IN INTERESI AGREES TO INDEMNIFY, DEFEND AND HOLD HARMI ESS THE CITY OF
2 EDMONDS, �SHINGTON, IIS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
Ir ALL CLAIMS FOR DAMAGES OF WHATEVER NAIURE, ARISING DIRECiIY0
R INDIRECrI_Y
FROM THE ISSUANCE OF [HIS PERMII. ISSUANCE OF 1HIS PERMI1 SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMEN I OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
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0 NOR LIMIT IN ANY WAYTHE CITYS ABlLl1Y 10 ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt #
52
I HEREBY ACKNOWLEDGE THAT I HAVE READ rills APPLICATION, THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR IHE DUIY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL I hisapplicalion is nota permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED thidding Official or his/her Depuly.and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION iL�!ipt is acknowledged in space provided
WORKMEN'S COMPENSATION INSURANCE AND RCW 18 2T
OFF.IC IALS SIGNAIURF DATE
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S��AT f�' NE R ENT) DATE SIGNED
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R. �:ASFD 13Y
771-0220 q4 CAT
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IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCU_
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ORIGINAL FILE YELLOW - INS -CTOR
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PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. fJINK OWNER GOLD - ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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DRIVENA'r!5 556 5aUARE FEET
FOOTING DRAINS NOT PATIO 120 50UARE FEET
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CITY COPI PrERMI GUNIEH
GARY HAAKENSON
0, CITY OF EDMONDS MAYOR
9 121 57H AVENUE NORTH EDMONDS,WA98020 1 (425) 771-0220 FAX (425) 771-0221
Website: wwad.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
June 8, 2005
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Brandel Custom Homes
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2905 170 PI SW
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Lynnwood, WA 98037
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Re: Building Pen -nit: 2004-1079
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Site Address: 20907 Pioneer Way
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Expiration Date: 12/27/05
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Dear Brandel Custom Homes,
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The purpose of this letter is to inforin YOU that the last remaining inspection oil your
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project is a:final inspection(s). The final inspection(s) determines that there are no
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outstanding life -safety issues and approval allo ws tile City to close your p -mit file.
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The City considers the final inspection to be one of the most important inspections
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conducted on a project. In order to grant final approval the rollowing must be complete:
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smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
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and residence, egress from sleeping rooms, safety glazing, weather-stripping, any
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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 of things
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that must be complete as well as some iterris that do not need to be installed such as:
paint, carpet, moldings, wallpaper, etc. Please be advised pernlits expire one year rrom
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tile date of issuance. If you will need more time to complete the work,.perillits call be
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renewed pt-ioi- to expiration for one half fees. If the perrilit expires Without a final
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approval granted by tile Building Inspector, full fees are required in order to renew tile
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permit. This call be very costly to you and we strongly encourage yo u to check your
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pen -nit expiration date and call for the required final ilispection(s). Note: If more than
one department is required to final your project, this is noted oil Your Job Card.
Please feet free to contact me at 425-771-0220 i IF You have any questions.
incerely
J A ill _11lauf
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Pe it pecialist
LVI'ei np\DS'l"sVvl ai ter Le(te1'.%\SRW',tan)1.trSFR
Incorporated August 11, 1890
Sister Citv - Hekinan, Japan
GARY HAAKENSON
MAYOR
CITY OF EDMONDS
(425) 771-0220 FAX (425) 771-0221
NUE NORTH EDMONDS, WA 98020
121 5TH AVE
Website: wwwxi.edmondsma.us
DEVELOPMENT'SERVICES DEPARTMENT
Planning - Building Engineering
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September 21, 2005
Brandel Custom Homes
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George Brandel
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2905 170 Street SW
Lynnwood, WA 98037
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R-E: Side Sewer Fees 0
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Dear George: M
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ntion that I made an error in collecting side sewer fees C
It was recently brought to my atte > z
ce attached side sewer permits r
for 20909 Pioneer Way and 209017 Pioneer Way. Please s
it a check payable
and receipt. Please verify against your records. Would you please rem
-icse side sewer fees. I am 0 -n
to the City of Edmonds in the amount of.$1,520.00 to coverld -n
sorry for any inconvenience this may cause you.
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Sincerely, 0
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Senior Permit Coordinator
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Incorporated August fl, 1890
Sister City - Hekinan, Japan
A d 19 �fth. Earth am ultant�, 11-11C.
Field Rep.
Job No.
Page of
Report No.
co,*Illnk-al F1101 KIT',
Time on Site
Time Off Site
Date
Day of We
1805 136th Place N.E., Suite 201 Bellevue, WA 98005
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Bellevue (425) 643-3780 - Toll Free (888) 739-6670
Travel Time
Miles
Weather
FAX (425) 746-0860
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Permit No.
Hrs. Charged
Visitors
DAILY FIEL D REPORT
Project
Job Location
Client/Owner
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General Contractor
General Contractor's Superintendent
Received Unchecked By
p'�_'kj Al D E t
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Grading Contractor Grading Foreman
Checked By __1_Date
Are approved Plans/Permits on -site E] Yes M No If No, contact the building department or explain below:
Project No. Permit No.
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CA1 <17,F 21K 6 1" E- T 6-- 57—
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RECEIVED
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CITY OF EDMONDS
CONTINUED ON NEXT PAG
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DEPARTMENT OF BUILDINGS
PER INTERNATIONAL RESIDENTIAL CODE -SECTION R110
AT: 20907 Pioneer Way, Edmonds, WA Building Permit#: 2004-1079
occupancy established by this certificate: R3 Dwelling Units:
No. Stories: 2 Bas . ement: Yes Type of Construction: VB
Owner of building: randel Custom Homes
The Single Family Residence at 20907 Pioneer Way, Edmonds, WA - has been -inspected and approved complying with the requirements of the
2003 edition of the International Residential Code as adopted by the City for,the group and division of occupancy and the use for which
the proposed occupancy is classified.
Issued this 27th day of October I __ 2005 _,
Chief Building official
By:
Any change of occupancy or use requires a building permit and a new Certificate of Occupancy issued by the City of Edmonds Building Official.
HNAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
PLEASESIGN
PROJEC 0AU
SITEADDRESS— �4'147
PERMIT ADB# DATE INSPECTED 17-A [M)
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
PERFi ORMANCE 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 Signature
1:tem1):b1dg:fornis:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
06
SETBACKS .....................
FOUNDATION:
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Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
14-
NAILING ..........................
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
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Ceiling Insulation .......
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SHEETROCK NAILING ...
SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................. - v
Date
/is
D --l'. I- Purc,"..,
The Initials NIT are Miltoll
Thompson, a tenipora"y c0l't'*act
inspector for tile City.
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