20050374.pdfDATE RECEIVED
FCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PROPERTY TAX ACCOUNT PARCEL NO.
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NEW ;kRESIDENTIAL
ADDITION COMMERCIAL
MIXED USE
REMODEL MULTIFAMILY
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REPAIR GRADING CYDS
DEMOLISH TANK
GARAGE RETAINING WALL
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OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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PERMIT EXPIRES
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING PROPOSED
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LID NO,
LID FEE S
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RW Permit Required
Street Use Permit Required
Inspection Requited
Sidewalk Required
Underground
W"99 required
PRV REQUIRED
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1�pe. B or L vent connectors - requ
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WAIVER 13 ALLOWED ROPOSED ALLOWED , PROPOSED
STUDY 13 1 1 1
LOT COVERAGE REQUIRED SETBACKS (FT) I PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
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PARKING LOTAREA I PLANNING REVIEWED 13Y DATE _J
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SIGN REO'D PROVIDED
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( X FT.) REMARKS
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FIRE SPRINKLER
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NUMBER NUMBER OF
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DESCRIBE WORK TO BE DONE
REMARKS
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Description FEE Description FEE
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1\j P . Ian Check State Surcharge
HEAT-�OURCE LOTSLOPE JESTED DATE &�_
6—Lk, Building Permit City Surcharge
PLAN CHECK NO: Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
Grading
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
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SEPARATE PERMISSION. Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
L PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON CCESSORS Fire Review Plan Chk. Deposit
BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SU
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
E EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
y ECTLY OR INDIRECTLY
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIR
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
CE Landscapelnsp. Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN
D NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.0
I Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT,OF This application is not a permit until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Official or hisiho(Dopuly and Fousaro paid.and
TION; AND IN DOING THE WORK AUT14ORIZED THEREBY. NO PERSON WILL BE EMPLOYED teceirit is acknoviviii(lood in spjr.e provided
IN VIOLATION OF THE LABOR COGE-15 THE STATE OF WASHINGTON RELATING TO FOR INSPECTION I
WORK MEN'S COMPE N SA�� RAN ANORCW18:27. OFFICIALSSIQNAI RE GAT ":
SIGNATURE (OV�NIER,GR GENTj:1 DATE SIGN�D (4.25)
771-0220 REffASEDDY D 41C
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ATTENT�10 EXT. 1333
IT IS UNLAWfrrJL TO USE OR OCCUPY A 13UILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL F11 1: Yl:t LOW INSPLCTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. LIBC109 / IBC110 if IRC110. PINK - OWNER Gott) - ASSESSOR
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CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
ORDER TO CORRECT VIOLATION
Location of Violation (Address and Tax Account Parcel No): 6823 180" Street Southwest,
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Edinonds, WA 98026 Tax Account Parcel No. 00513100016107
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Issued To: Ellen Gaudinier, Property Owner
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Address Of Person This,Order Is Issued To:, 6823 80t" Street SW, Edmonds, WA 98026
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Code Section Violated:. International Mechanical Code Section 107.
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Description of Violation:- On behalf of the property owner, Genesee Mechanical obtained a mech anical
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pennit (#2005-0374) to change out an existing oil furnace with a gas furnace appliance. As.of this date
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the work has not been inspected as required by Section 107 of the International Mechanical Code, also,
the mechanical peftnit expired on. 11/9/05 which is a violation of the City Development Code.
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Corrective Action Required: Call the City' Building Inspector (425 -771-0220 extension 1333) and
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schedule for the re quired inspection. If the work is perfon -ned and approved by November 28,2005 the
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pennit shall be extended to. this date. Failure to meet the deadline shall reguire that a new pqrmit be
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obtained to compIcte the work.
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5:00pm ber 28, 2005 (date)
Correction is Required no later than: time) Novem
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If correctio is n ade by the date and time specified in the Order, a Notice of
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Civil Violation shall be issued. The Notice. of Civil Violation shall assess fines of
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$100.00 per day, or portion of a day, during which the violation continues.
Date Posted: November 10, 2005 Date Mailed: .-N ovember 10, 2005 Date Served
Issuing Party— Jeannine L. Graf Title Building Official.
Signature
Cc: Genesee Q,) 3616 SouVtGenesee Street, Seattle, WA 98118
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...................
FOUNDATION:
-Footing ......... .............. .
Wall..........................
Pier/Porch .................
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Retaining Wall ...........
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Slab Insulation .....
PLUMBING:.
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Underground ......
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Rough ...............
-In ....
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Commercial Final ......
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HEATING:
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Gas'Test ........ .............
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Gas Piping .................
Equipment .................
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commercial Final .......
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EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ........................
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FIRST. FLOOR FRAMING...
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INSULATION ...................
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Floor Insulation .........
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Wall Insulation ...........
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Ceiling Insulation .......
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SHEETROCK NAILING ...
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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