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STRUCTURAL DESIGN
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Description FEE Description FEE
HEAT SOURCE LOT SLOPE°b VESTED DATE Plan Check State Surcharge
PLAN CHECK NO: Building Permit �� City Surcharge
Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO MBChanICBI
t BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC,) WILL REQUIRE
SEPARATE PERMISSION, Grading
W PERMIT APPLICATION; SEE ECDC 19.00,005(A)(5) Engr. Review Recording Fee
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
C SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engf, 111SpeCtlOn Pian Chl<. Deposit
in •APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
wi IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF Fire Review Receipt #
¢ EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
= ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection
C FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
= NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Landscape Insp. Receipt ri'
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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 CALL This application is not a permit until signed by the
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE ORK AUTHORIZED THEREBY,.NO PERSON WILL BE EMPLOYED FOR INSPECTION
IN VIOLATION OF LAB ODE OF THE STATE OF WASHINGTON RELATING TO receipt is acki wledged in space provided
WORKMEN'SCOMPENS ANCE AND RCW 18:27, �AnC`e� OFF S U DATE
SIGNATURNE E
AGE • Ex DATE SIGNED
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EXT. 1333 RELEASE DATC
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109 / IBC110 / IRC110. ORIGINAL -FILE YELLOW -INSPECTOR
PINK -OWNER GOLD - ASSESSOR
6/05 PRESS HARD = YOU ARE MAKING 4 COPIES
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vk GARY HAAKENSON . ?�
' CITY OF 'EDMONDS MAYOR
121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771.0220 • FAX (425) 771-0221
Website: www.d.edmonds.wams
DEVELOPMENT SERVICES DEPARTMENT :
I� c 1890 Planning • Building • Engineering
March 23, 2005
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Ms: Ida Mendez n
23515 Highway 99, Space 4 !M
Edmonds, Washington 98026
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i. RE: Remaining Violationsc o
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Dear Ms. Mendez: C r
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The City is in receipt of your letter dated January 20, 2005; after receiving it we requested that
the State Manufactured Homes Division inspector provide us with a copy of your roof permit. z
We received the roof permit application on March 16, 2005; (note at this time it is an application p r1.
and does not indicate permit variance approval ;which is required). N
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Regarding the other issues in your letter we have the following response:
• The City shall rely on the State Electrical Inspector to verify electrical code compliance. m m
• There is currently a shed at the rear of your home located between your home and Space o rn
5. By your response we assume that this shed belongs to Space 5; if this is not.correct C CO)
1 notify my office immediately. f m n
• The .Building Code requires that at each door there shall be a complying landing (3 feet ,—Zi
by 3 feet minimum) with complying guard, stairs, handrail, etc. I have enclosed details
of a typical landing, guard and stair for your use. You are required .to. construct --�
complying landings and stairs, handrails (if required), etc. at each door with a City Zl
_ building permit. Please submit the enclosed application and fee of $65.00 by June 1, ! _
2005. Once the permit is issued you must complete the work in 180 days. :
- z
If there are circumstances beyond your control that will prevent you from submitting: the permit
application by June 1., 2005 notify my office in writing and provide an alternate compliance date. rn
If you have any questions please feel free to contact me, 425-771-0220, extension 1226.
Sincerely,
Jeannine L. raf
Building Official
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• Incorporated August 11, 1890 •
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InstalledContractor/Dealer Phone
Contractor's registration number . Z
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Serial Number(s) 1 HUD Number(s)
Place fee amount In proper box Place fee amount in proper box to "1
Mechanical m
ElectricalFrontCounter C o
pump Heat Pump Heat
Air Conditioning P 1/19/2005 12:24:03 f N � n
Furnace Installation (gas or electric) Air Condidppffilt P10009 &e4 O C
Gas Piping Furnace InsTA jg@45099hXtnc) _. Z
serial o.. Wood Stovq�'�,4f applicable) m Z
Wood Stove -
Pellet Stove --- se"'t Pellet Stove (if applicable) p -�
Gas Room Heater Gas Room Heater D Z .
Gas Decorative Appliance (if applicable) t' _
Gas Decorative Appliance Range: changing from gas to electric —
Range: changing from electric to gas on
Heater replacement Electric Water Heater replacement O �t
I r Electric Water Heater replacing Gas Water Heater
Gas Water
Water Heater: changing from electric to gas Each added or modified circuit K
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Plumbing
Hot Tub or Spa (power from home electrical panel) 0 CO)
Fire sprinkler system (also requires a plan review) Replace main electrical panel O
Each added fixture Low VoltageFire/Intrusion Alarm C M
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Replacement of water piping systemFire Safety C co
Structural a. Z
Inspection as part of a mechanical installation
(cut truss/floor joist, sheet rocking) Miscellaneous X
=hangels
may require a plan review) Plan review to home when additions bear loads on home per Reinspcctiopf�t}t� Original Pem►u::: Z
the design of a professional (also requires a plan review) Irtsig"tRee t
1/19/2045 12:29:03 f' d`J
Other structural changes (may require a plan review) Other Seems
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Fire Safety er!ei :4 N
TransId:10075095 z .
No is permit expires one year after date of purchase. (Non-refundQdr�e0 �_
Works completed at this time. An inspection is requested. n
Work is NOT completed at this time, I will call when ready, m
Make check payable to: Dept. of Labor & Industries Signature of .applicant or authorized representative
FEES DUE X r---
' uesf'denied';tiecaus, t.:s' ecific violations of Washington rules and: 'regulaE ons.
(� litegtiest approved 9r Req p;..
.a.::.,._._._.. r:.. a :,a;,..;a .e... ester„:;: na(brl,wsthrn 2niavC`�f the nnttee.oEvtolatton date..>latlure to comply
ry Per. mom.
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Own tut name first name Day time phone Date
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m/ce . -
I �P� y�� v• ......... �9........ .
A1.11 .....................................................................lr..7.................y.�
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Address City State ZIP
3 S i 5 h`w y 9 9 s 1°« r e 41 00.001 mowds ' wey YO =z (0 /1
InstalledContractor/Dealer Phone
Contractor's registration number . Z
.... ..
........................ ........
.....................................................
Address City .. .... State ZIP+4
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Serial Number(s) 1 HUD Number(s)
Place fee amount In proper box Place fee amount in proper box to "1
Mechanical m
ElectricalFrontCounter C o
pump Heat Pump Heat
Air Conditioning P 1/19/2005 12:24:03 f N � n
Furnace Installation (gas or electric) Air Condidppffilt P10009 &e4 O C
Gas Piping Furnace InsTA jg@45099hXtnc) _. Z
serial o.. Wood Stovq�'�,4f applicable) m Z
Wood Stove -
Pellet Stove --- se"'t Pellet Stove (if applicable) p -�
Gas Room Heater Gas Room Heater D Z .
Gas Decorative Appliance (if applicable) t' _
Gas Decorative Appliance Range: changing from gas to electric —
Range: changing from electric to gas on
Heater replacement Electric Water Heater replacement O �t
I r Electric Water Heater replacing Gas Water Heater
Gas Water
Water Heater: changing from electric to gas Each added or modified circuit K
rn
Plumbing
Hot Tub or Spa (power from home electrical panel) 0 CO)
Fire sprinkler system (also requires a plan review) Replace main electrical panel O
Each added fixture Low VoltageFire/Intrusion Alarm C M
ca
Replacement of water piping systemFire Safety C co
Structural a. Z
Inspection as part of a mechanical installation
(cut truss/floor joist, sheet rocking) Miscellaneous X
=hangels
may require a plan review) Plan review to home when additions bear loads on home per Reinspcctiopf�t}t� Original Pem►u::: Z
the design of a professional (also requires a plan review) Irtsig"tRee t
1/19/2045 12:29:03 f' d`J
Other structural changes (may require a plan review) Other Seems
2
Fire Safety er!ei :4 N
TransId:10075095 z .
No is permit expires one year after date of purchase. (Non-refundQdr�e0 �_
Works completed at this time. An inspection is requested. n
Work is NOT completed at this time, I will call when ready, m
Make check payable to: Dept. of Labor & Industries Signature of .applicant or authorized representative
FEES DUE X r---
' uesf'denied';tiecaus, t.:s' ecific violations of Washington rules and: 'regulaE ons.
(� litegtiest approved 9r Req p;..
.a.::.,._._._.. r:.. a :,a;,..;a .e... ester„:;: na(brl,wsthrn 2niavC`�f the nnttee.oEvtolatton date..>latlure to comply
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CITY O F E D M O N D S GARY NAAKENsoN
•,�£-t4 MAYOR''
_ �ticatf?: 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221
.; Websilei w,aadedmondsma.us
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DEVELOPMENT SERVICES DEPARTMENT
jj? c 1$qp Planning • Building • Engineering
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December 15, 2004
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Ida Mendez m
23515 Highway 99, Space 4 -n
Edmonds, Washington 98020 _
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RE: Regina Mobile Home Park @ 23515 Highway 99, Edmonds, WA
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The purpose of this letter is to follow-up on an inspection performed by City Building and Fire
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Code officials and StateLabor & Industries officials on November 18, 2004 at the Regina r
Mobile Home Park at 23515 Highway 99 in Edmonds. As you may be aware, the City had
received a formal citizen complaint and the purpose of the inspection was to verify the
allegations of potential code violations.
mm
Enclosed please` find a copy of reports prepared by the State Department of Labor' & Industries
Electrical and Manufactured Home Divisions, and the City Fire Department, of noted electrical, c N i
manufactured home and fire code violations. Due to the nature and extent of the violations C ca
immediate action must be taken by all the affected pad owners. In order to assure your timely
compliance in correcting these items on your "home, an Order to Correct Violation Notice is
enclosed which includes noted Building Code violations. The Order is the first step in the City's
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Civil Penalty process,whereby compliance to the codes. shall be secured.
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Please carefully read the enclosed reports and the Order; if you have any questions about theco
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reports please feel free to contact the specific Inspector directly. If you have any questions about
: the complaint or the Order please call me at 425=771-0220 extension 1226. Please note that the O
-Order requires corrective action by January 21, 2005. If there are circumstances beyond your 0 -
control that will prevent you from full compliance by this date you must immediately notify the rn
City in writing and provide an alternate compliance date for consideration.
Sincerely,
Jeannine L. Graf �>
Building Official
. . Incorporated August 11, 1890
4 Sister City - Hekinan, Japan