20060155.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNERNAVE101"Eip' 18INES1
MAILINGADDRESS
9 6m')dpin �JaLj
CITY ZIP
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PERMIT
NUMBER 0165�
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PLAT NAMEISUBDIVt$ION NO. LOTNO L16h
LID FEE S
P BLIC RIGHT OF WAY PER OFFICIAL STREET MAP -
EXISTING _ PROPOSED
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REQUIRED DEDICATION __ FT
METER SIZE I LINE SIZE I NO� 01 FIXTURES YEPRV REQUIRED
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
FIRE REVIEWED BY DATE
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STATE LICENSE NUMBER EXPIRATION
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0 REPAIR 0 GRADING CYOS 0 'FENCE
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REMARKS
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VALUATION
Description
I'Lilding
FEE
Description
FEE
Plan Check
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State Surcharge
HEAT SOURCE LOT SLOP1% VESTED DATE
Permit
115��
City Surcharge
PLAN CHECK NO: 06-031
Plumbing
Base Fee
THI PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
Grading
RE DON ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
D (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SONMAIN
EPARATE PERMISSION.
PERMIT "PLICATION: SEE ECDC 19.00,005(A)(5))
Engr. Review
Engr, Inspection
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PERMIT L MIT, SEE ECDC 19.01005(A)(E
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-A PLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR$
Fire Review
Pl..Chk.D.p..i
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS ROM ANY AN.
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Fire Inspection
-
Receipt #
AL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECT ORINWRECTLY
FROMTHEI SUANCEOF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapebsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt It
I.ER�-YAC..-LE.GET.-I.-...ADTHI.APPLI.-ION:I.-T..I.FO NATION
[ApPROVAL
GIVEN 15 CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT Of
T EOWNER� I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL
d,,d
TION; AND IN GOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION 01 THE LABOR CODE OF THIS STATE 01 WAS"MOTON RELATING TO
FOR INSPECTION �n space Inovided
WORKMEN-S,Q"SATION INSURA NCE AND RCW 18;27.
0 F DATE
Sj� DATI SIGNED
(425'
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771-02' .20
RELVSED BY DATE I
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ATTENTION-
EXT. 1333
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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. UBC1091 IBC110 I IRC110.
ORIGIN
INKAL �FILE -.YELLO - INSPECTOR
-OWNER GOLD -ASSESSOR
10104 PRESS HARD - YOU ARE MAKING
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=TURN ADDIMS:
A
of Edmonds, City Clerk
Avenue North
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-,Edmonds, 10.111'lor moi..`
WA 98020
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/1NOTWE.OF LEWITATION AND COVENANT
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ADULT FAMILY HOME
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Legal Descdptld� bbrvfued)-,S,,c' _-�Q
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Assessor's Tax P. 4 W R)..., (111 �O Q I / �01 0- - (2)
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�—or s Tax Panel WN not yet assigned
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*QTRORIZED FOR RECORDING
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WHEREAS, the undersigned owms�o pwileentedid
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In Edmonds, Washington legally descriffed
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below or on the attached Exhibit Ai..have'oppika. for a building permit for
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compliance andfor to remodel a structure locaiWon!Jainite; and
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WHEREAS, th applicant has notified the City anppligaid's intention to .111lise the
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improvements =1 to convert an existinkstagl0`6 mfl�--�tructure to an adult
family home; and
WHEREAS, under the Uniform Building Code,.1the numher 6f occupants of a
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structure trigger certain requirements relating to ibe-Riekappreixton and exiting
requirements; and J...,
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WHEREAS, the City has notified the applicant thatIV6 perfidt'14.be Issued
conditioned on limitation ofresIdent. to (P or fewei�.4�$Iaents. and their
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caretakers; and
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WHEREAS, the City has Issued a permit based upon such repreei n ps:
NOW, THEREFORE, the undersigned property ownrl�.,-Aoi�atagftei.
00warel) in consideration of the issuance of a building permit and In 9rder.i to.;
confirm the promises upon which such issuance Is based while providing to:
any future owners or mortgagon of the property does hereby stlpull.�,
and agree as fbllows�
1. Covenant: Limitation on Residence, The owner hereby stipulates
at 9�cupsncy of the structure as an adult family home shall be limited
...to—,: or fewer adults and their caretakers as allowed by applicable
proVialons of state law. The owner acknowledges that in the event that the applicant
s6ksWvIslon of the applicant'sfiate license to operate an adult family home with
'An occupancy of greater than g.7 residents or attempts to rent, lease or
oth��e provide residence for additional residents above the
In the current occupancy classification, the structure shalt
%he vacnied and al"Iesidential use censed until such time as the property is brought
in t a cola pile -th
pcewffli e provisions of the State Building Code� under the edition of
theAlulf. "fld:, a then In effect. The owner further stipulates that this
cove **, U, as ce the land so long as the present structure and use
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7s the land to all future purchasers and assigns.
--slubig"t Tact. a above stipulation and promises shelf apply to and
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u Its ft land with respect to a residential structure located at IM
onds, Washington and legally described as:
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3. Notification to Future Mid "Is-W This notification
and covenant has been recorded In the records offtb County, Washington
In order to provide notice to any and Oil ruture�.A)wa�rs �f,tbe.-preperty of the
limitation at the current level of Improvement to Aglelikinilles'a"a adult family
home residents fewer than '4— In number.
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4. Enforcement In addition to any and oIh.r-r.,mMI4cWfi'4r criminal
which the City may have, the property owner hereby agreikan-A Apula&&-ftt this
grant of covenant shall entitle the City to enforce by tejunctt�aAe �mijslons of this M
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code and, in so doing, to recover Its reasonable attorney's fees a 4" is-
AUTHORIMD FOR RECORDING
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1311ATED this day of_ e
AC&PTED BY: APPLICANT/PROPERTY
--`OWNER-
.......... Applicant
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owner
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Owner
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COVENANT AND
NOTIFICATION..'
ACKNOWLEDGED:
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Mortgagor
NOTARY FOR OWN6'§i-b4kTURES
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State ofWashington y
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I certify that I know or havisaWsictbry evidengo.that ab—dO 1
signed this InStrm tent, on osib stated that hetalie 44as authorized to execute the
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loncrantent and acknowledged it as the QlAlfte,V (tItIe)of-
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loom of party on w ins' ent was executed) to be
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.iuntary act of'such ppr*.. forlbe IS gles and urposes mend this
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Instrument. Subscribed and sw1F to befom"ni 14 day 0
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commission expires
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I certify that I know or have So ry evidencee tkat
signed this instrument� on oath stated that hetshe was at III
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instrument and acknowledged it as the 7� .. jw
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If on wh e�t4aamjftcuted) to be
(name of party on �.j
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the free and voluntary act ofsuch Party for pur meptions In this
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intrurnent, Subscribed and sworn to befor a th
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Notary Public In and for the State of Washl#$�nr'
My commalssion expires.-
AUrHORIZED FOR RECORDING ..
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CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
ORDER TO CORRECT VIOLATION
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Location of Vio lation (Address): 8524 Bowdoin Wqy, Edmonds, WA. 98026
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issued To: Abdoulie Faal, Business Owner
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Address Of Person This Order Is 1 ssued To: 8524 Bowdoin way, Edmonds,.WA 98026
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Code Section Violated:. International Residential Building Code Section R 108 &. R I 10 and Cit
Business License Chapter 4.72.
Description of Violation: Failure to submit for required City business license and failure to 1) vide a
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copy of the State Adult Family Home License.
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Corrective Action Required: 1) ubmit a copy of the State Adult Family Home License and, 2) Make
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a complete an lication for the.required City business license (includi ng fee). Note, the home is no
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pernitted to have clients until a.City Busi ess License is issued.
Correction is Required no later than: 5:00pm -(time) April 18,2008.._ date)
If correction is 'not made 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: Date Mailed: April 4, 2008 Date Served
Issuing Party Jeannine L, _Graf Title Building Official,
Signature /-;ffi-jnK)
Z GARY HAAKENSON
� . . . . . . . . . . . . ...
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221
Website: �Cj.edmondSma.uS
DEVELOPMENT SERVICES DEPARTMENT
c 80� Planning - Building Engineering
October 5, 2006
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Abdoulie Faal
Lovingheart Adult Family Home
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8524 Bowdoin Way
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Edmonds, Washington 98026
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RE: Adult Family Home @ 8524 Bowdoin Way
Permit 92006-0155
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Before the City can grant final approval on your Adult Family Home at 8524 Bowdoin
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Way you must submit the following documents:
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Copy of the issued State Adult Family Home License
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9 Submit for required City Business License, fee required
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If there are extenuating circumstances which would prevent you from fully complying by
March 15� 2008 please immediately contact me at 425-771-0220 extension 1226.
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Sincerely,
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Jeannine L. Graf
Building Official
Incorporated August 11, 1890
Sister Citv - Hekinan. JaDan
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FEB 0 2 2006
PERMIT COUNTER
REQUEST FOR INSPECTION- Adult Family Home
APPLIcArliom NumsER: 7AC&
Applicant must complete sections 1, 2, 3, and 4. Application must be complete to be processed.
SECTION I - PROPERTY INFORMATION
snEADDREss:��2_* 6,06,� C/7 4V ASSESSOR'S TAX/PARCEL ---------
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SECTION 2 - APPLICANT INFORMATION
PROPERTY OWNER NAME: 7,9�6 d10 u lz�a� OAYT1MEPHONE'.(�AZJ_');?7f -*9Z
LICENSEE NAME (iF mrFERmt), DAYTIME PHONE:
SECTION 3 — FLOOR PLAN
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A complete floor plan must include all sleeping rooms, identified by number (#1, #2, #3 etc.) and all components for
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exiting, i.e. stairs, ramps, platform Ift and elevators. (Attacti additional sheets if necessary)
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SECTION 4 — DISCLAIMER/ SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and that I am authorized by
the owner of the above premises to request inspection for and operate an Adult Family Hom at this bcation. I further certify that I have made
application to the Department of Social and Health Services and the jurisdiction for the appropriate license(s) to conduct such buslnez at this
lootion. I further agree to hold harmless the jurisdiction conducting such inspections at my request as to any claim (including costs, eXpenses, and
atiorneys'lees incurred in the Investigation of such claim), which my be made by any person, Including the undersigned, and filed against the
jurisdiction, but only where such claim arises out of the reliance of the jurisdiction, including its officers, and employees, upon the accuracy of the
information supplied to the jurisdiction as a part of this application.
NAME/TIM: .346(ou DATE: 6
VPROPERTY OWNER WAPPLICANT V1.1.141SEE
SECTION 5 - INSPECTION CHECKLIST
YES
NO
Home licensed (or applying for license) on or after July 1, 2001
SLEEPING ROOM
Sleeping Room #1 -1 S NSI X, NS2
Bedroom door is openable from the outside when locked
Closet doors are readily openable from the inside
Smoke alarm is installed in the bedroom
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 21" high; 20" wide)
Sleeping room window has a maximum sill height of 44"
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Sleeping Room #2 71 S NSI I NS2
Bedroom door is openable from the outside when locked
Closet doors are readily openable from the inside
Smoke alarm is installed in the bedroom
Sleeping room window has a minimum net openable area of 5.7 Sf. (minimum dimensions- 24" high; 20" wide)
Sleeping room window has a maximum sill height of 44"
Sleeping Room #3 D S NSI NS2
Bedroom door is openable from the outside when locked
Closet doors are readily openable from the inside
Smoke alarm is installed in the bedroom
Sleeping room window has a minimum net openable area of 5.7 sf. (rminimum dimensions- 24" high; 20" wide)
Sleeping room window has a maximum sill height, of 44"
Sleeping Room #4 Al S NSI
Bedroom door is openable from the outside when locked - V�NS2
Closet doors are readily openable from the inside
Smoke alarm is installed in the bedroom
Sleeping room window has a minimum net operable area of 5.7 Sf. (minimum dimensions- 21" high; 20" wide)
Sleeping room window has a maximum sill height of 44"
Sleeping Room #5 --] S NSI PS2
Bedroom door is openable from the outside when locked
Closet doors are readily openable from the inside
Smoke alarm is installed in the bedroom
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide)
Sleeping room window has a maximum sill height of 44"
Sleeping Room #6 -1 S NSI -1 NS2
Bedroom door is openable from the outside when locked
Closet doors are readily openable from the inside
Smoke alarm is installed in the bedroom
Sleeping room window has a minimum net openable area of 5.7 Sf. (minimum dimensions- 24" high; 20" wide)
Sleeping room window has a maximum sill height of 44"
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GENERAL
Bathroom doors are openable from the outside when locked
Smoke alarms are installed on all levels of the dwelling
All smoke alarms are audible in all parts of the dwelling upon activation of a single device
Access road and water supply approved by Fire Department
iPASSED L CORRECTIONS REQUIRED :1 PERMIT REQUIRED
INSPECTOR. DATE: '07
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GARY HAAKENSON
CITY OF EDMONDS
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221
Website� �ci.edmonds.—us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
October 5, 2006
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Abdoulie Faal
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Lovingheart Adult Family Rome
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8524 Bowdoin Way
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Edmonds, Washington 98026
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RE: Adult Family Home @ 8524 Bowdoin Way
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Building Permit #20056-0155
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Please call for the required final occupancy inspection by October 19, N06 (inspection
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hotline 425-771-0220 extension 1333). As you know, the WAC law governing Adult
Family Homes requires that you comply with local building, fire and licensing
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requirements and technically the building permit expired on October 2, 2006.
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If there are extenuating circumstances which are preventing you from fully complying by
this deadline you must immediately notify me in writing and include a compliance date. If
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you have any questions I can be reached during most business hours at 425-771-0220.
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Sincerely,
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Jeannine L. Graf
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Building Official
Incorporated August 11, 1890
Permit Inspection Details
Permit: BLD20060155
PERMITTRA.X
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02128/2007 Snook 20 NOACCESS-LEFT DOOR HANGER-11:OOAM
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0310112007 Snook 40 CORRECTION NOTICE WRITTEN
N
07/11/2007 Readwin 30 WROTE CORRECTION. NEW WINDOW STILL DOES NOT MEET EGRESS. N
07126/2007 Readwin 20 APPROVED.
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Total Time: 110
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FAROR 1—,4
0 INSPECTED AND APPR Eb'
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07/26/2007 SmIthM
Total Time: 0
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5 Total Time: 110
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41712009 9:22:43 AM
Page I of 1
Permit Inspection Details
Permit: BLD20060155
PERMITTRAIC
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02/2812007 Snook 20 NOACCES&LEFT DOOR HANGER-11:00 AM
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03/01/2007 Snook 40 CORRECTION NOTICE WRITTEN
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07111/2007 Readwin 30 WROT E CORRECTION, NEW WINDOW STILL DOES NOT
MEET EGRESS. N
07/26/2007 Readwin 20 APPROVED,
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Total Time: i10
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07/26/2007 SmIthM 0 INSPECTED AND APPROVED
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Total Time: 0
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Total Inspections:
5 Total Time: 110
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5/2812009 2:59:04 PM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
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Stab Insulation ..........
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PLUMBING:
Underground .............
Rough -in ...................
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Commercial Final
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HEATING:
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GasTest ....................
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Gas Piping ...........
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Equipment ...........
Commercial Final
O"n
EXTERIOR SHEATHING
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NAILING ..........................
FRAMING ........................
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FIRST FLOOR FRAMING,..
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INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Calling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR 7-06-07
OCCUPANCY ..................
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