20060122.pdf. `I DATE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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CITY TELEPHONE
F.-^r. 9 /� N
PERMIT EXPIRES
PERMIT jW � J
NUMBER L,' ,('� U' / �J�.
SUITEAPT
AD EBB
ADDR
PLAT NAMEISUUBD`IVIS�ION NO �WT`NYf
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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Pa,m egPn
EXISTING PROPOSED _
se RPermq Regelrea
REQUIRED DEDICATION _FT
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METER SIZE
LINE SIZE
NO. OF FIXTURES
PRVREOUIRED
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YE s ❑ No Cl
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRMNAGE
m A.CT!(-,I'! WEB; !- "",TbR ONLY N`71)/I thmugh
ENGI W OB U DATE
ADDRESS ' , •,
12J3fiL� '`_ 12�4th ST # 43
_ FIRE REVIEWED 6Y
DATE
CITY ..•M1.rf TELEPHON
VARIANCE OR Cu SHORELINE ORADep INSPECTION
tTATE LICENSE NUMBER // EXPIRATION DATE
CHECKED BY
REQ'D
❑ YES 13 NO
COMPLETED I EIIMPT
CAI
ZONE
SIGN
AREA
HEIGHT
'ROPERTY TAX ACCOUNT PARCEL NO.
WAIVER 13
ALLOWED PROPOSED
RO
ALLOWED POEED
STUDY ❑
NEW
m RESIDENTIAL
(u^
IC7C PLUMBING I MECH
)p`
LOTCOISRACE
PROPOStSIDE
REQUIRED SETSACKS(FT)
REAR
PROPOSED SETBACKS (FT.)
FRONT UPSIDE REAR
ADDITION
COMMERCIAL
COMPLIANCE OR
❑
�. MIXED USE
CHANGE OF USE
RKING
LANNING REVIEWED
—
BY DATE
(l REMODEL
MULTIFAMILY
❑ SIGN
PROVIDEDREPAIR
GRADING(ENCE XFT,)S
CYDS
kALLOWIED
rl DEMOLISH TANK OTHER
❑ GARAGE CARPORT ❑ ROCKINING ERY WALL ❑ FIREALARMKLER
tLI..PE.RTUI.T
CTIO COO OCCUPANT
GROUP
NUMBEROF G
DWELLING N CONSULTANTUNITSt� { SJ'i'S VG.t a)Ldpe n S I tOR
/1{{3/!:/%/J STRUCTURAL DESIG
1--
643
"-'FEE
Description FEE
State Surcharge
HEATSOURCE LOTSLOPE% VESTED DATE
LBUilding
City SurchargePLAN
CHECK NO:
Base FeeTHISPERMIT
AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TOBE
DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBICGrading
f DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
Engr. Review
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS ANO SUCCESSORS
Fire RBVIBW
Plan Chk. Deposit
'p IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONOS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire lnspPclionp
#
Receipt__
ALL CLAIMS FOR DAMAGES OF WHATEVERNATURE,AftI51NGOIRECTLYORINDIRECTLY
= FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
OF CITY ORDINANCE
Landsca a ins
/.`'(,�1
Total Amt. Due YP .J --
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT ANY
z NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
--"—
Recording Fee
Receipt#
I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION: THAT THE INFORMATION
APP LICATION APPROV L
GIVEN IS CORRECT; AND THAT 1 AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
Thls apphcauvn is not a perm,t until s,gneC bythe
` THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CON
(,,,`ALL
Buatllag OHleial or hisfhor DoputY and Fves Oee paid.and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
RELATING TO
FOR INSPECTION
vveipf is Rcknowlo0getl In space provided.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON
WORKMEN'S COMPENSATION INSURANCE AND RCW%2T.
OFF I PLS SIGNATURE- ATE
GIG AT RE (OWNER OR N DAT
(425)
7SIGNE
iL / >� Cv
771-UZAv
TELMGBY DAT
ATTENTION
EXT.1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI•
ORIGINAL -FILE • YELLOW - NSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109I IBC110 I IRC110.
PINK .OWNER • GOLD -ASSESSOR
MAKING 4 COPIES
101004 PRESS HARD - YOU ARE
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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/or description of location): 19213 Olympic View Drive
Edmonds WA 98026 Tax Account Parcel No. 00434600008304
j
Issued To: DJ Wilson Property Owner
Address Of Person This Order Is Issued To, 19213 Olympic View Drive Edmonds WA 98026
Code Section Violated: Uniform Plumbing Code Sections 103 & 103.5
i Description of Violation: 1) Installed pas fired hot water tank (reference plumbing permit #2006-0122)
without obtaining City inspection approval and 2) The plumbing permit expired on 8/21/06. —
Corrective Action Required: Call for the required plumbing inspection by calling the Inspection
Hotline at 425 771 0220 extension 1333 Inspection hours are Monday to Friday from 7:30am to 11:30
am and 1 15pm to 3 45pm Failure to call by the deadline below shall result in the necessity of obtammg
a new plumbing permit with new fees.
Correction is Required no later than: 5:00pm (time) November 10, 2006 (date)
If correction is not made by the date and time specified in the Order, a Notice of
Civil Violation shall be issued. The Notice of Civil Violation shall assess fines of
$100.00 per day, or portion of a day, during which the violation continues.
Date Posted: Date Mailed: October 27.2006 Date Served
Issuing Party Jeannine L. Graf Title Building Official
Signature
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Permit Inspection Details
Permit: BLD2006O122
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PGRMITTRAX
1152;, B Plumbing Flnai
d:
LE
1110312006 Snook 20 NO ACCESS (1:41 PM) LEFT DOOR HANGER TO RESCHEDI!
BEFORE 11-10-2006 p)
t
11/09/2006 Snook 20 APPROVED
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Total Time: '40
Total inspections: 2
Total Time: 40
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6/5/2009 4:12:17 PM
Page l of l '
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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:.: SETBAOKS .....................
FOUNDATION:
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Wall ..........................
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Retaining, Wall ...........
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Gas Piping .....
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING .............
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FIRST FLOOR FRAMING...
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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 ..........
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FINAL APPROVAL FOR �J `1 t __ q I
OCCUPANCY ..................
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