20051067A.pdfDATE RECEIVED
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PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
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NUMBER /;7 4�7
CONSTRUCTION PERMIT APPLICATION
JOB T;
ADDRESS
OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
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MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved E3
RW Permit Required 13
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EXISTING — PROPOSED
Street Use Pemit Roq'd
Inspection Required
Sidewalk Required E3
CITY ZIP
�ELEPHONE
r5 49,117 0,1") 0
7 7/
REQUIRED DEDICATION� FT
Underground
wiring"oquirod E3
NAME
METER SIZE
LINE SIZE
NO, OF FIXTURES
2V REQUIRED
YES M NO E3
ADDRESS
REMARKS
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OWNER/CONTRACIOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE
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ADDRESS
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FIRE REVIEWED BY DATE
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INSPECTION
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STATE LICENSE NUMBER EXPIRATION DATE
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SEPA REVIEW
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REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
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ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR
COMPLIANCE OR
ADDITION COMMERCIAL
CHANGE OF USE
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PARKING
REO'D PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
E] REMODEL MULTIFAMILY
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SIGN
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REPAIR GRADING rynq ( _x FT)
REMARKS
DEMOLISH TANK OTHER
Ei GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT
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ROCKERY FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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CODE
OCCUPANT
GROUP
NUMBER
NUMBER OF
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REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
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VAELIATION
Descirlption
FEE
Description
FEE
Plan Check
State Surcharge
HEATSOURCk GLAZING % LOT SLOPE %
Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
M_ Engr. Review
CC PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OFTHIS PERMIT SHALL NOT HE
9 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."
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I __ Recording Fee 97,7/q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION 9 —
APPLICATION APPROVAL
GIVEN IS CORRECT, AND TH , I AM TIIE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNF-R. I AGREE TO C PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
E CALL
TION AND IN DOING THE ALIT111ORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building 011icial or his/her Deputy: and Foos are paid, and
IN Vi6LA11ON OF THE L OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN'S COMPENSA ON INSURANCE AND RCW 18,27.
OFIF1711 SIGNATqRE D T
6110INATUIIE (OWNER X1,KEE" DATE SIYNED (425)
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L= A 771-0220
BY DATE
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TION EXT 33
ATTE 13
IT IS UNLAWFUL TO USE on OCCUPY A BUILDING OR STRUCTURE UNTIL
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ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS
BEEN GRANTED. UBC
SECTION 109
PINK - OWNER GOLD - ASSESSOR
04/02
PRESS
HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
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171
GARY HAAKENSON
CITY OF EDMONDS
MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221
Website: www.ci ed(nondsma.us
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DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Matuska Heating Services June 1, 2006
759 Laurel Street
Edmonds, Washington 98020
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Dawn Parker
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405 9" Avenue South
Edmonds, Washington 98020
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RE: Order to Correct Violation Notice Dated May 17, 2006
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Parker residence @ 405 Avenue South
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Gas Permit #20065-1067 M
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To Whom It.May Concern and Ms. Parker: C.
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As a follow-up to the referenced Order to Correct Violation Notice, a permit was obtained fo r jo-ri
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installation of a gas boiler and two gas fireplaces at the Parker residence. The governing code
Authority (the International Fuel Gas Code and Uniforrn Plumbing Code) requires that installation
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approval be granted by the City. Inspector. This inspection assures the health, welfare and safety of all
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building inhabitants as well as guests for the boiler and fireplace installation.
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The City utilizes the Civil Penalties ordinance and fines as a last resort to gain code compliance. Once
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a Notice of Civil violation is issued (note this is the next step in. the process) fines of $100.00 per day r
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are imposed and continue to accrue at the same rate until the City approves the installation. Be C CO)
advised, once fines accrue to the amount of $5,000.00 the City shall utilize our collection agency for IM 0
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the re-couping of fines. And, pursuant to State RCW Law, the.collection company collectsfines at a
rate of *150% of the amount owed plus added administrative costs.
We strongly urge you to contact our City Inspector. at 425-771-0220 extension 1333 to schedule for the
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required inspection by June 12, 2006. This is the last correspondence you will receive in this matter,
failure to schedule an inspection by June 12, 2006 shall result in the issuance of Notice of Civil
Violation and fines of $100.00 per day shall accrue until this matter is resolved to the satisfaction of Z
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the City.
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if you have any questions please feel free to contact me at 425-771-0220 extension 1226 during City
business hours Monday through Friday. It is not the City's intent to cause you undue hardship
however co lic
mpliance is mandatory for the fair and equal treatment of. all citizens and to ensure pub
health, safety and welfare.
Sincerely,
eannine raf
Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
CITY OF EDMONDS
D ELOPMENT SERVICES DEPARTMENT
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1121 5th Avenue North, Edmonds, W A 98020
(425) 771-0220
ORDER TO C( )RRECT VIOLATION..
Location of Violation (Address and Ta x Account Parcel No): 405 WhAvenute South, Edmonds, —WA
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98020 Tax Account Parcel, No. 00434207100100
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Issued To: uska Heati les
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Address Of Person This Order Is Issued To: 759 Laurel Street, Edmonds, WA 98020..
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Code Section Violated:. International F iel Gas Code Section 107 & Uniform Plumping Q ode Section
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Description of Violation:- On behalf of Matuska.-Ljqqfiag.190dg��s
residence.
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obtained a mec hanical permit (42005-1067) to i 0 as tire laces a t her
April 21, a correction
an inst)ection on 2006 and wrote
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3erfon-ned
The Cily Senior Building lns)�eqcgto���� Is to correct this
that required an-RPBA and Bat Test report. Matuska hact 14 calen dar day,
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(C—Opy attached)
condition and recall for inspection. As of this date the property.own( -r has informed thq-���
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d. Also, the mechanical perrniL�� May 1 _8,2006.
work has ngLhgM29ELQ��
Corrective Action Required: 1) Install the re ed RPBA 2) Provide a copy of the B at TeqLgoort.,
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and 3) Reca mection.
Correction is Required no later than:— 5:00pm (time) May 31, 200 i (date)
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If correction is not m 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 Vi I olation shall assess fines of
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$100.00 1)er day, or portion of a day, during which the violation continues.
Date Posted: Date Mailed: May 17, 2606 Date Served
Issuing Party Jeannine L. Graf Title
Signature
Cc:. Dawn Parker, 4 5 9h Avenue South, Edmonds, WA 98020
RECORD OF INSPECTIONS