20050590.pdfS
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Description FEE Description FEE
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HEAT SO CE GLAZING % LOT SLOPE % Building Permit City Surcharge
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PLANfCHECK NO: VESTED DATE Plumbing Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
-1 SEPARATE PERMISSION.
2 Engr. Review
cc PERMIT APPLICATION: 180 DAYS
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CL PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) Fire Review Plan Chk. Deposit
tn 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Lu IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
a DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; TIIAT 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- CALL This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building ollicial or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CqDE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COM PEN!kATICITINSU RANCE AND RCW 111,27.
OFFICIALS SIGNATURE DATE
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SIGN��PE (OWNj t O� EN DkT (425)
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I L 771-0220
'ATiENTION EXT 1333 -------- - --
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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C. 1
GARY HAAKENSON
CITY OF EDMONDS MAYOR
1215TH AVENUE NORTH -EDMONDS, WA98020 - (425) 771-0220 -FAX (425) 771-0221
Website: wwwdedmondsma-us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
February 3, 2005
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Ray & Sharon Anderson
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I.W5 5"' Avenue South, 4304
Edmonds, Washington 98020
CA
RE: Gas Fireplace Insert & Piping Permit #2004-0590
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Dear Mr. & Mrs. Anderson:
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The purpose of this letter is to inform you that as owners you are responsible to contact
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the City for required inspections on the gas piping and fireplace insert installed under tile
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subject permit. Although Washington Energ,
it is to contact the City for inspection and correct any noted
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behalf your responsibility
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deficiencies.
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Unfortunately, the permit expired on Januaa 20, 2005, However, if you schedu le for
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inspection by February 18, 2005 the City will perfonin an inspection since inspection fees
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were paid under the original pen -nit. But, failure to schedule for the required inspection
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by February 18th shall result in the necessity of obtaining a new permit --with full fees
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($85), and inspection shall still be required.
If you do not understand this letter or your requirements under the code, please call me at
425-771-0220 extension 1226 during City business hours of Monday to Friday, 9:00arn
to noon and 1:00pm to 4:00pm. To schedule fo r an inspection call the 24 hour Building
Inspection Hotline at 425-771-0220 extension 1333.
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It is not the City's intent to cause you undue hardship however compliance to the codes is
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mandatory for the fair and equal treatment of all citizens and inspections are performed
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for your health, welfare and safety.
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Sincerely,
Jeannine L. Graf
Building Official
Incorporated August 11, 1890
Sister Citv - Hekinan, Japan
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .......................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retalhfrid Wall ...........
Stab Insulation ..........
PLUMBING:
Unde rground .............
Rough -In ...................
Commercial Final ......
HEATING:
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Gas Test ....................
Gas Piping .................
Equipment .................
Commercial* �inal .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
Tile Initials NIT are Miltoll
Thorripson, a temporary contract
illspector for the City.
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