20060176.pdfr
Detailed Writt
en Scope of
Work Worksheet
Owner
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Plan Chec
Provide a complete detailed written scope of work for the propos d project
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Additions (additional square footage): Specify room use, floor level and square ootage
and direction if applicable (i.e. 545 square foot master bedroom/bathroom addition on the
second floor with 140 square foot deck and 245 square foot kitchen addition on the main
floor, South side of house),
Remodels (interior renovations); Specify room uses and floor levels (i.e. combine
bedrooms I and 2 on the main floor to create new master bedroom/bathroom; replace
dinning room sliding glass door with new French doors, reconfigure kitchen with new
island prep counter and install new gas fireplace in the living room).
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RECEIVED
JAN 12 2006
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MEMORANDUM
Date: 2/28/2006
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To: Duane Bowman, Development S ervices Director
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From: Marie Harrison
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Subject: REFUND
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Vendor Number: 070894
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Jana or Linda, please prepare a refund check in the amount of $355.00 payable to Third Avenue
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South Propertiesat PO Box 15 1, Edmonds, WA 980 20. 1 have enclosed a copy of our receipt
The applicant applied for an encroachment permit but really needed to
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#28122 for your records.
apply for a street use permit. Thank you.
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Sincerely,
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Development Services Division i a—ture
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City of Edmonds c�a Community Services
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CITY OF EDMONDS
DEVELOPMENT SERVICES
DATE:
Received of,
Address:
Phorie:
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he �k Cash
Total Rec
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Water Meter Size:
-Fee
water c;nnection
Sewer Permit/Repair
Sewer Connection/LID Fee
Storm System Devel pment Charge
L�Jlsr Ftee(Street / Sidewalk / Parking Tlley) -Circle one
ngnPe'on
a rin� R Vew Fees
Engineering inspection Fees
ecs
HUvv YStreet UsO / Encroachment Permit
Street Dimest6ration Fee
Traffic Impact Fee
Fire Inspection Fee
Fire Plan Check Fee
tu Id ng Pe it Fee - Type:
ai C ckrFe
HeImbursable Consulting Fees
Critical Areas
SEPA Review Fee
Shoreline Permit Fee
Zoning Application Fee - Type:
ADB Administration Fee
Sign Installation
Maps/Books
Photocopies
Recording Fee
City Surcharge
State Surcharge (622 Fund)
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MEMORANDUM
Date: 2/712006
To: Nicole Daniels, Accounting Assistant
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From: Marie Harrison
Subject: REFUND
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Vendor Number: 070894
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Nicole, please prepare a refund check in the amount of $5.00 payable to Third Avenue South
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Properties at PO Box 15 1, Edmonds, WA 98020. 1 have enclosed a copy of our receipt #28122
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for your records. This was an overpayment. Thank you.
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Marie fig mson
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Development Services Division 15irwtor's Signature
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City of Edmonds CQ Community Services
FINAL PROJECT APPROVAL FORM
TO:
DATE-:
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE-5/18
PLANNING DIVISION DATE
PROJECT P"'I')
SITE ADDRESS 423
PERMIT# ADB# PATEINSPECTED_
DESCRIPTION OF WORK TO BE INSPECTED 04 r11_0
A field inspection was conducted to determine compliance with -approved plans. Final appioval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE given to owner/contractor by inpector
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2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
I:temp:b1dg:fo=:ocapM 3125/04
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Permit Inspection Details
Permit: BLD20060176
PERMITTRA-31
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08130/2006 Ed 30
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Total Time: 30
03131/2006 Snook 0 APPROVED
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Total Time: 0
0113V2007 Bullock 0
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Total Time: 0
Total Inspections; 3
Total Time; �30
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6/5/2009 9:11:30 AM
Page 1 of 1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ............
Wall............ .............
Pier/Porch .................
Retaining Wall ...........
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Slab Insulation
PLUMBING:
Underground
Rough -in ...................
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Commercial Final
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HEATING:
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Gas Test ............
Gas Piping .............
Equipment .................
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Commercial Final
EXTERIOR SHEATHING
ITI IT!
NAILING ..........................
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FRAMING ................
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FIRST FLOOR FRAMING...
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INSULATION ...................
Floor Insulation
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 ..........
FINAL APPROVAL FOR
-3 -(3
OCCUPANCY ...............
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