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1402 9TH AVE N.PDF11111111 lill 9839 1402 9TH AVE N ADDRESS: / ` D 2 TAX ACCOUNT/PARCELNUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: DETERMINATION: ❑ Conditional Waiver ❑ Study RequiredXWaiver PERMITS (OTHER):- aall 006 0 c/— 2 x L/- V U R-1 rl k) b , PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DA' SEWER LID FEE $: SHORT PLAT SIDE SEWER AS BUILT DATED; SIDE SEWER PERMITS #: i ' , SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: '� LOT: LID #: L\TEMP\DST"s\Forms\Street File Checklist.doc PLANNING DATA NAME: VVI-IC DATE: 1 G SITE ADDRESS: d, V?, PLAN CHK#: O 7%R PROJECT DESCRIPTION: REDUCED SITE PLAN PROVIDED?: es / No MAP PAGE: CORNER LOT: es No FLAG LOT: es No ZONING: 1 `�- 0 CRITICAL AREAS DETERMINATION M Q 1- -c/yy ❑ Studv Reauired: aWaiver ❑ Conditional Waiver SEPA DETERMINATION: ❑ Fee ❑ Checklist ❑ APO list wl notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Balling r) I Exempt .en yt��2/iti —/lei f1T�4�' 1 SETBACKS: Pvt, ; (-r Oai') to Required Setbacks: , Street: X S Left Side: LO Right Side: 10 Rear. aS Actual Setbacks: Street: L 5 Left Side -I Right Side: Street map checked for additional setback regMfred? ❑ DETACHED STRUCTURES: P-eilv�tJ �_Q_..` ❑ ROCKERIES: ❑ FENCES/TRELLISES: ❑ BAY WINDOWS / PROJECTING MODULATION:' ❑ STAIRS I DECKS: - 5f V" a ( fecp�d S7a�� sec k ) PARKING: Required:_j._Actual: )' I Rear: 6 I au114n1 �� d t c ea S o f Seca' S % On. ef1r_7 We. LOT AREA: I a..6 Y �, 1 / LOT. CO ions- a � � d•� 3 � � � � . �lG Calcutatinns: BUILDING HEIGHT: too . Datum Point: M �0 Vi/ Datum Elevation• Maximum Allowed: 5 Actual Height: A.D.U. CREATED? No /Yes SUBDIVISION: LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: e / No OTHER: - Plan Review Bv: 1 `q 5S Oec kl2 R sff// O k NewBPPlanningDataFomLDOC S-93-83 931U18 86 le 6 SO46RS�Tl 1-4 IV R s N 0 2 to 60' 4 S), 4 4f > 2 i 3 1 LAND -- 0 6 15 6 60 NOR TR E A 17 ESTATES 5 19 LOT 3 S-2"T 'OP 7.9 2 (9,) WALLACE I -A TRACTS THE SUNSTONE CONDO 0 Va CC S. 6' S-27-42 13 10 PUGET PUGET DRIVE - OFFICIAL STREET N EDMONDS, WAS H I N GTON PREPARED BY' ENGINEERING DIVISION PUBLIC WORKS DEPARTMENT, CI' T APPROVED AS NOTED \ YENGINEERING XB REVISIONS TELEPHONE POLE �' Date: OWPJER/CGS ;r W ; OR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE NAGS a WO� o � � } -+_R I m } s o 8 � - u `c/W C .... �. 1..._ Z c _ X hAD 3DTTFRSID('NNSPOUTS O _ ANa; SPLAS+MOCKS, p :� I11 �' �� 1•, ! JJZ M �1f1 Q ...... .. .. i AAA � I • .. ... ... i c �� gc GIJTTERS/D0WNSPOIITS . t TO CMINECT TO EXIST. SYST. z - \ �- + + \ 0 j 1. — _ GPI GPS vv \ - CAS - Gp5 W f 22W CAg Cads - zze`N ury 2"�--ALL EXPOSED SURFACES TO tu BE, COVERED WITHIN 2 DAYS tu m \� z J j + - Q to W \ TELEPHONE POLE HE*14T CAL1-5: MPERV1OUS SPACES: i A = .105' ONWER NAME ADDRE55 DUNG STEPHEN E ! EUZASETH A B = .105' LOT AREA 2`1 ACRE (12652 SF) C = •105' STREET ADDRE55 1402 4TH AVE N - EDMONDS, WA 98020 DATE D = .10MAN IN HOL15E FOOTPRINT TOTAL 1652 5F _ 5' . TOTAL 420' PARCEL NUMBER OO60B300000203 PREY PARCEL REF92@/GE 60850000020302 �/14/09 AIMZA E BASE LNE 105' DEGC5 563 SF PARCEL LEGAL DESCRIPTION WALLAGE TRACTS BLK 000 D-05 - PTN5 LOTS 2 t 5 DAF S 70FT OF W 14OPT LOT 5 TGW N 15.BFT OF W 14OFT LOT 2 MAX ALLOYED MGT. �' 1i7 'SCALE /1/+A6L,C - ./�/� MEN AD0fTION5: USE CODE III 5NGLE FAMILY RESIDENCE - DETACHED Zone S - Comer N Flap- N , `� . Si OVER EXrSTNG GARAGE (NO NEW IMPERV) 314 5F SIZE 15ASS AC4;m Sim O p 3/16 Setbacks Required Actual NEW ENTRY 81 sF DYEWNG 1976 SPIUT ENTRY NEW DECK N FRONT OF ENTRY (= TO EXIST, NO NEW IMPERV) 30 SF RECEIVED 's Front �` � 3SHEET L R I I 1 �' TOTAL IMPERVIOUS SERPACE5 2553 5F AUG Sides aV I PROVE BY PLANNI COV 1: 15.6% 7 2004 I Rp�jr S' 6 ' 2 y(V %/ /I � ADDLTIONAL IMPERVIOY SERFAGE TOTAL 515F (.64%) 1; Other Z`/ i • FT F iLE PERMIT C OU(NTER i HeivJit J APPLICATION The City of Edmonds for SIDE SEWER PERMIT EASEMENT NO . .................................... NEW CONSTRUCTION 0 REPAIRS ❑ LID NO . .................. . ASMT. NO . .......... ....... OWNER - ------------- ........ ---------------------------------------------------------------- ------------------------------- CONTRACTOR ... �5-t, -Pl = ................................................... :- PERMIT NO. ....... JOB ADDRESS ------------- : ------- - ------------------------- ---------------- LEGAL DESCRIPTION: LOT NO.FPRT1-0t-4S ------------2¢SBLOCK NO. .................................... NAME OF ADDITION -rP2;N4---T!Z-> - . p , - - -----------------------------------------------------------------------. --------------------- By4,-,eee.t� ------------- -'Ti/75 r Y: OF ED,MOINDSY: SIDE rSE,WER: "PER, WATER -SEWER DEPARTMENT ; i ... , � � � ��v`'' rt r 5 � e � sty. •�'� 1 can. ._ na-zaza- e r'' , s ew er . na e .. .. � P ctlona- R - • F. N - ,Ins ORF, .cov - � • .. ect erin P ion w' , _ an .. e:`provlde , . Y,-•Portlon•.of -- .. d..wl[ .the. hind . con 29 hours after requst NO.Sat atructlan Sun.;` orihollday dnspecllona �. I - '.ADDRESS LOCATION OF CONSTRUCTION i :.6_ PROFERT 'J EGAAL'.DESCRIPT`ION '4Tf�:. I 2 ;.. ' .. .... .. i .. OWNER ANDyORt BUILDER {{ yc .RA SiNAME.Bs AD !s.^� w DRESS I _ ermission is;granted '� ` "" }} ._ Y- - - - - .... 1 5 P/ �leln ..... 19"s°' . lntaccordance;wlt"City of.Edinonds1bi•din for repair and/or eonnectlon, of .. once . a -side sewer' to _^the 'Cit' ATTE Y. sattitiiry .sewer N ONI9 CALLED:TO.;TFIE.FOLLOWING: :NOTE No': 1 The;ownera-of the- Property . May -obtatn.•a permit to construct sewer ±inside�.propert . � side .sewer id streeV area. Do not cover an kr. NOTE No. 2 All. workInY Portion oP-sewerbefore.at_-.has�been-1ne ,lino Aalceriaed Side Sower•,Contraclo - performed-clty right-of:w ect - r m ... 3=Obtafn�fulj, information, re regard Portion an.InJestomrof RighP=of-VBa:``p""- p ed 1.ust be.employedyto�•,eonatruct �NOTE'"No.-, 9=To B ding�-0rdina.nce, 11'.18'030 ° n Y. ermlt,obtafnab]efrom-the - - - - p of,alde aewerrinust_have at leaat'30`'in&.,,M overage at pgroperl(y ylrBeverning CItY Engineers office - sharper than`% will be Permitted. tilde aewere when you get pern,lt. in, it inust':bewater- settled -and surface of;'street r �d„12 jnches'lnside property line mtriliriumlgrade of 2 ' _ [(( '• work which-,ma.Y ddVelop. within one-• P --, ) -- - % No bends in -grade •-, Year of••c0m letion;- eatored t0. orlginal;condltlon Corifractors shall - ti_e ;area NOTD No ,�B--It-1e'(unlawiW -to •alter or do•any ,other .work than is'provided for,lri _1tho•. ponelbla for failure'due to improper. ` t sertithe�pipe into'.tliewye. permit or -[o-do any?work on the main aeweror lta,appurtenancee,excepf to in c DISAPPROVED BY Date �% B 't1PPRUVED L a y _: ..... Date.... E Date :: ., ....1� +� a� � B �s Renurrks- ... t. �� �•''� Y �'c:� ': ... . i •a, fr BO,TH Permit Copies MUST Be Si geed! By Ownei of, Firm �Berformingl Construction''PRIOR To Request •For, Inspection 1 i ry,(Owner,of bontra�dng Flrm Perfcrm,ng .Construction) '..hereby certify that the side sewer installation constructed'under { wMsplr stalled*in accordance with all governing ordinances'of she City oP.'Edliionds:` . this•:permif. i Dated this .... daY of 1 dyoudW . :ae�,1 ""' r19Telh.a ep one 0•PoVeSever, 0; Othrer, ' ddt The City of Edmonds APPLICATION for SIDE SEWER PERMIT EASEMENT NO. -----....................... NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO ................... ASMT. NO. .......... OWNER --- �-------'t" ..` .I-_I-Q..AZ-D-Z-- .-------------- ------ CONTRACTOR ---� � p '5- t"I-V � R S ---------"--"---------------------•-------_. PERMIT NO. JOB ADDRESS _____.-_----_----.__.______._5___P_�fr.._!st_____________________________ LEGAL DESCRIPTION: LOT NO. ___...__ '= r "-------"------------------ BLOCK NO. .............. ---------------------------------------------------------------------------------------------- -------------------- -------- NAME OF ADDITION f V' M . Approved: DATE-------------------------------------------- BY --------------------------------------------------- \_-_-.___�---- :d .... 777777' C. .. .. gar •__ w....,. USE P F_RMIT -�',• . L D I N G D E P A•R T fA E N T Applicant Fill ZONE NUMBER s~` rERfAIT APPLICATION Inside Heavy Lines JOB • ADDRESS ft� _� N 'tyl E (O A M E OF BUSINESS) J LEGAL LOT LOT AREA SUBDIVISION NO. El YES ❑ NO W MA NG ADDRESS '// RIANCE OR e_����-L��G ADO NO. 3 G W t���• COND.USE NO.o - Y CITY TELEPHONE NUMBER t7 �� •�J Q - O < / PROPOSED YARDS Z HEIGHT Z FRONT SIDE REAR Z NAME ALLOWABLE PROPOSED J IL V SIGN AREA SIGN AREA f ADDRESS F OTHER _ REQUIREMENTS U Ir CITY TELEPHONE NUMBER ¢ PLANNING DEPT, APPROVAL DATE NAME ^ ' %':�� STREET R/W EXISTING STREET R/W FT. Z DEFICIENCY THIS PROPERTY 0 ADDRESS F COMP, PLAN ST. R/W FT. FT. V ¢ orun o�[c Ir CITY TELEPHONE NUMBER F Z /� 0 C1 V STATE LICENSE NUMBER CITY LICENSE NUMBS CHECKED BY Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY ❑ YES W Portions of Lots 2 and 5, Wallace WORK REO'D ❑ NO UNDERGROUND ❑ YES to Tracts, described as follows: The WIRING REQ'D El NO F- TYPE CONNECTION VERIFIED BY a South 70' of the West 1401_of lot 5, o El YES PERMIT NUMBER ir W W SEPTIC SYSTEM 3 ° togeather with the North 15A I of APPVD BY CITY ENG. ❑ NO N ¢ REMARKS � the West 140' of Lot 2 METER SIZE SERVICE SIZE CLEARANCE CHECKED BY lY W �x REMARKS F ¢ 3 © NEW RESIDENTIAL ❑ GAS LINE FIRE ZONE TYPE OF CONSTRUCTION CODE LE NON-RESIDENTIAL ❑ SIGN ❑ ADD. ❑ ❑ RETAINING SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT DEMOLISH REQUIRED GROUP LOAD WALL ❑ ALTER* ❑ EXCAVATE FENCE ❑ YES ❑ NO OR FILL ❑ ( X FT) F PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY m I REPAIR PRE -MOVE � SWIM OF EDMONDS. LOCAL SALES TAX ❑ ❑ 0 0 INSP. POOL SHOULD BE CODED REMARKS Z NUMBER OF TORIES NUMBER OF Q DWELLING J G UNITS ATURE OF WORK TO BE DONE m PROPOSED USE Z 0 pF, PLOT PLAN INDICATE BUILDING SETBACKS, ABUTTING STREETS) U N 0 m 0 PLAN CHECK NO, BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN RETAINING WALL VALUATION I FEE too SWIMMING POOL .� Opt 11 04 12:51p Chris C. Covington (425) 252-0916 p.4 ILL'- b4 + •FCT-11-2064 12:00 CITY OF EDMONDS SPECIAL INSPECTi.ON AND TESTING AGREEMENT i b issued under building permit The project at CJI�r p g r LSC Gh:�pter l7. The number - requires special ins cction and/or testing Pc owner and ntractor and complete list of spec' inspections is attached to this document. ecial BEFORE A pERMiT CAN BE ISSUED al test ) and in peel ons schedule including inspector nclud ng thereq irled complete this agreement and the attached strut acknowledgcincnts. APPROVAL OF SPECIAL INSPECTORS= Each special inspector shall be approved by the Building nspections. Each special inspector shall submit Statement of Official prior to performing any duties or i Qualifications to the Building Official for review. Special inspectors shall display identification when performing special inspections on site. Special inspection and testing shall meet the minimum requirements of Inc Chapter 17 and the following: A. Duties and Responsibilities of the S ecisl Inspector 1. Observe Work plans The special inspectur shall observe o� workmanship provis ve site work for isions of the IBC. Architect or Engineer d' and specifications and applicableSpecial inspections are to be reviewed shop drawings may be used only as an aid to inspection• Sp P eaning that the or is on site at all times observi performed on a continuous basis--minspections, ionsif SOY, tmust have prior approval by theg the work requiring special Inspection. Periodic iasp City based on a separate written plan reviewed and approved by the Building Official and the engineer or architect of record. 2_ Report ,Yon -conforming Ileum The special inspector shall bring non -conforming items to the imm dinot in att ratio manner shall for and note all such items is the daily field report Any itemof the plan deviation, error, immediate cause of the spe" Inspector to notify the Building Official change or omission. It shall also be the duty of the special inspector to promptly notify the engineer or architect. 3. Complete Daily Reports Each special inspector shall complete and sign both the special inspection record and the daily repot form for each day0o inspection- 'ram records shall remain at the jobsite with the contractor for review by the City Building Inspector. 4. Furnish Weekly Reports with weekly reports or tests and The special inspector or inspection Agency shall Dyad furnishthe as designated shall also be copied on the City inspections. The project engineer or architect, and others reports. Weekly report' mast include the following: • Description of daily inspections and tests made with applicable locations • List of all non -conforming items Report on status of non -conforming items (resolved or unresolved) • chitect, Engineer and City it trot included in non- • Itemized changes authorized by the Ar conformance items. 5. Furnish Final Construction Report the City staling The special inspector or inspection agency sod test g wermelfulf►tled and repot & final signed rted t And, to the best of at all items requiring p P L:\TEMPiBUQ.DING\Spvc_lla'Peco°,,,V, ,aBGdoc 7104 Qpt 11 04 12:51p Chris C. Covington (425) 252-0916 v p.2 •QCT-11-2004" 12:01 zu REINFORCED CONCRETE, GUNITE. GROUT AND MORTAR: MASONRY: _ Sps d hnpeeeier saes+o Uscd p►t6minary Aaec➢gnee Tan IAiswmP Un+s. WaD Pr:anol ' ' _ srbcom+r Teen (M."w. Greaa. Fidel WAD Pmmsl PlacemcN bnpaeion of Unite ADDITIONAL INSTRUcnom OR OTHER TF-� AND INSPECTIONS: STRUCTURAL STEELIVAMDING: _ Saaopk Md Tea (lin .9-Aw m brl—) swr Mmoid Ideauraeaeimm — Wadiof ;a. O s4op 0:-3d uf!{aaopie buvsli m O Shop O FeeM Via, D 5+pp O F-ld o~325 oN ox OF O M90 Meal Dock Wellies bapemon l _ Rd,lasis$ Swd Wddibf Mcw sine vmdinE LupK,6- _ co we low" Wddeg1up-i— FTREVROMNG: rammas Impasim Dunig I- - 7%ieknae Teets Impeet D -hing INSULATING CONCRETE: Samplt mtd Ten Plaeummt b Fecdc" _ Unit vue3Eltt FILL MATEBI AL- Acctp usa Tcsb Pbmueene Impm- Fae D,ay. STRUCTURAL WOOD: _ sbew Wall Nailing loepeaice — h►.pmwn of cA*-bm Fab. (nePceeios G(Ttvsa )doe Fab. Sa mpie and TOP CamP— Title_ ices wntpletd Duet Tiiglws Nw: ' TOTAL P.04 Oct 11 04 12:51p Chris C. Covington, (425) 252-0916 p.3 r . u.,, u, �']CT-li-20V�4' 12=01 roved plans and SpeeiGcationS, his/her knowledge the project is in conformance with the aprp rove Provisions of the MC. (teats not in approved change orders and the applica bleworkmanship iesa inspection coverage, (i•c missed conformance or unresolved items or any P wired. etc.) shall be specifically inspections, periodic inspection when continuous inspections were req itemized in this report. B. Contractor Res nsibilities [or special 1. Notify the Special Inspector the special inspector when work is ready ulc and as noted an the roved lens and It is the duty of the contractor to notify P inspection. Note, the items listed on the attached4socb Adequate notice shall be provided by the specifications are required to bave special inspections. contractor so that the special inspector has time to become familiar with the Project. '2, Provide Access to App roved Plans roved plans at the The contractor is responsible for providing the special inspector access to approved jobsite. pecial Inspection Records on records upon submitted by the 3. Retain S The contractor is responsible to retain at the jobsite all Special inspection ector u n request. special Inspector. These records are to be provided to the City building iosp C. Cit dmonds Buildin De artmeat Res oiisibd ' s 1. Approve special inspectors or inspection agencies The building department shall approve all special inspectors and special inspection requirements. 2. Monitor special inspection and approve weeldy reports and the performance of special inspectors shall be monitored by work requiring special inspection the city Building Inspector. �m o thap of the stpecialinspector. er to placement of concrete or other similar activities in addition t 3. Issue Certificate of Occupancy a Certificate of Occupancy after all weekly special inspection reports The Building Official may insne including the final report have been submitted and accepted. U. Owner Restionsibilities the engineer or architect of record acting as the owner's agent shall fun The protect owner or special inspection seTces. E. The Owner SpecialInspcctor ,c teet f Record Res oaa;ibilitles ecial inspection rcquiretnent5 on the plans and �ir or a chitect of record shall include Sp Ins. C�owLEDGEMENTS pve !ea an r to co pfy with the terms and conditions of dais a/greement Date t U (� ( LC i Date General Contractor c City Building Official UTEMP\BUILDW �SP,4,WI iptcaiocAgreementlBC.doc 7104 Date Date —4L24- 10�-lo NO SP(t-AV— J ILLS D, RCUDD\NklS QE&. AT JM S AVEA 510611 19'-9 3/8' 51051 ca 0 zo NEW FRONT ENTRY AL7171TION TO BE BUILT W/ NEW 19OUNPATION AND UP. h 25'-6 / 1 NEY�4 ENTRY 12- APZ71TION I 1��11 a11N1111 S7 Y��1 ` so 1428 1428 1428 I of N I NEW I G� D N G1 l 6-9 /811 10'-1 3/8" 2650 2650 2650 dOV 10'-8 3/8" 52'-0 15/16" OFFICE BED' TO BE BUILT C,AR.AGE FC 111 1Off MIN. TINS 6X16, 12" BELOW GRADE nNUOUS, TYP. TAIR^ELL V-5" x l'-6, ---51068- --- --- -1 V�N t Z ON GRAD FOUNDATION:'ING TO NEW FOUNDATION:H/5" HOLES INSERT #4 REBAR W/IOi� VERY 8". REBAR STUD SHOULD P 24" AND BE WIRED TO" { OU5 REBAR. MIN 2 #4 PER I { ALL. N b S"-OWWAUS ©" ----T NEW PORCH FOUNDATION ONLY. ADDITION OVER GARAGE WILL USE EXISTING GARAGE FOUNDATION 19'-8 1 /8" )TES: Z. GENERAL )UNPATION NOTES AGE 1 hA FROM DWELLING EXISTING 14" X 5" BEAM SUPPORTING OUTSIDE WALL AND ROOF ABOVE. HE 5 ` HDFIA -2 3/16" 6'-10 5/8" 52'-0 15/16" LIVING AREA 1006 eq ft 12'-5 13/ 16" U EXI5TIN GARAGE FOUNDAT 24'-10" x 2: "IDLO W N W-M EX I S R EFE1Z TV 1-3 / S 1 9070 9'-01, 6 25-6 3/16" NEW FLOOR JOIST 4 ROc TRUSSES SPAN TO OUTS WALLS OF GARAGE ADr NOMINAL LOAD TO EXIS' GARAGE BEAM AND HV TYVEK HOl 15/r)2" [AX PI WALL 5E 9117INCP TO MATC 2X6 1 /2"X10" ASS "UT 4 Y4A5HER5 CE u, Structural Design Associates 2210 Hewitt Avenue, Suite 401 Everett, WA 98201-3 425.339.0293 December 9, 2004 Steve Dunc 1402 91" Avenue N. Edmonds, WA 98020 REVISED PLAN APPROVED CITY OF EDMONDS BUILDING DIVOW PLANS EXAMINER N) DATE Subject: Epoxy Bolt Special Inspection, Shearwall evaluation, and Holdown substitution for the Dunc residence at 1402 9'h Ave N., Edmonds, WA. SDA Job #2569 To Whom It May Concern: At the request of Steve Dunc our office was contracted to perform the special inspection of epoxy bolt holdowns. In addition, we were asked to re-evaluate the need for the shearwalls and holdowns at the left side of the new entry and to analyze the substitution of Simpson `PHD' holdowns for the "HDBA' holdowns. Epoxy Bolt Special Inspection On December 8, 2004, our office visited the subject residence to observe the installation of the epoxy anchor bolts and holdowns. For each installation a hole was drifted in the foundation to the specified depth and diameter. The hole was then blown out with compressed air, brushed out with a wire brush to remove remaining debris, and then blown out again with compressed air. Each hole was filled approximately half way full of Simpson `SET -PAC' epoxy and then a clean threaded rod was pushed to the bottom using a turning motion. With every installation epoxy was seen oozing out of the hole. Our office observed the installation of every anchor bolt and holdown. It is our determination that all bolts and holdowns were installed correctly, in conformance with the manufacturer's specifications and in the locations specified in the structural plans. Shearwall and Holdowns at Entry Addition After re-evaluation of the loading at the new entry, addition we determined that neither the holdowns nor the shearwall are required. The entry addition provides no additional lateral wind load to the house and provides a negligible amount of additional weight for seismic loading. The remaining holdowns called out for the addition are sufficient to resist the entire added loading. Please refer to the attached drawings for specific locations of the holdowns in question. Holdown Substitution Our office has determined that the Simpson "PHD6-SDS3' holdown is an acceptable substitution for the Simpson "HID8A' in all locations of the subject residence. If you have any question regarding this letter please contact our office at 425.339.0293 Sincerely, RECEEIVED Andrea Sauter DEC 10 2004 Project Engineer PERMIT COUNTER PERMIT ADDRF Z �� Date � � � � . � LEG/IL pFSCP1� BUILDING PERMIT REVIEW = ENGINEEP,IPIG DFPARTMMT CUECK LIST Instruction: 1—� Check Accuracy of, Legal Description Check Against Assessor's Man for Leal Subdivision Does it conform to City.Approved Subdivision? 4- Reviewer's Initials 1. This lot included in Sub 2. Site Inspection made on: 3: What are ground. water and soil conditions? 1497 4. Site Drainage Checked? 9 1'ePS 1-7 (0 5. Storm Sewer. Availability: �'� Sht. of fern. Mo. - Project Roadside Ditch k)0 tel 6. Grading F, Final Contours: �) '4- 7. Septic Tank System Design Approved: 8. Sani tary Sewer Avai l abi l i ty Sht. �,of ►hr9. Plo. s OOPro.ject L I O l0. Side serer availability: IFRIIN"Z L1MM 9. Sanitary Sever Connection Fees ftIn5a 10.. Vater Mains A Fire hydrants (Indicate Size !lain) �Ij� G+ � 1� O, Check Fire Dept.'s Comments 11. Sidewalks: (Site inspection shows conditions of sideralks as folla.rs) 12. Curbs: NJ io qrade and r•ri dth) : 13. 14. 15. 16. 17. p Curb Cuts/Driveways (Check driveways for safety, location, Underground M rinn:1 Street Linhts:• Street Right-of-way F,. Cldg. sethacks:� '(go Sht +of official Street Map. Existing Utility Access Easements: Site Plan checked 18. Special Requirements listed in Memo to, Bldg. Dept. 19. Commercial & Apt. Renuirements form completed?. �J 20. Drawings stamped F( notations made? 401! 21. All Items filled in on Bldg. Permit Application? 22. Ronds posted for site r,rork? 23. Right -of -x-ray Invasion permi t requi red?_ wn COMMENTS: Iro-1!71 pw) �� �� OINT-OFFICE COMM UNI`;ATIC.:S STREET FILE DATE SPntPMhar _19-76 TO Harry !'hitcutt 1.1010ing Official FROM pick Allen . Assistant City Engineer SUBJECT: Wijildinq permit Ppnlication for Eylander Construction at 1402 9th Ave. N After review of the Subject application, we have the following comments: 13. Building and utilities locations are the responsibility of tf a bui 1 der. 2. Connection to sanitary sewr required. 3. Lot drainage to be contained on site or directed to City storm sewer system. 4. Driveway slope not to exceed 14 percent. RHA:rnjr U 0_4 CITY Or EDMONDS ENGINEERING .DEPARTMENT 505 BELL STREET EDMONDS, WASHINGTON 98020 APPLICATION FOR INVASION OF RIGHT-OF-WAY (Submit In Duplicate) Permit to be issued to: C' 0 St 2wk-1 z Y For work at: (address or vicinity) j 4d Type of work to be done. C IA S 7 R t X' i .4 2 (Attach Drawing When Applicable) S 7h tq % t I Owner: 'h"6 44 7- Name day IL 9 9 Mailing Addreas �- y .ti�i w 3- 2 290 s' C1ty Slate Telejdhune Numbe� _ e 1 . 7' Contractor: N e (J(:011 1551 ?Il^,r of tl?i; i; •;aril. th^ contractpl responsil, it . Mafling.Addreae a PU10 t Of L,`lii_ ' r f,,ll_��•,u.-) inspection \ the.re;toritio_ii I I;u: City State Teleplmne Number Signature. �.,.�i •S— _ 1 /— 3 — 7 !i Owner or Agent Date Mgned DO NOT WRITE BELOW .THIS LINE (To be completed by Issuing Agency) Permit Issued (date) //• (o Permit. Number— 7h '=VQ,� IZcmarks • r•- ENGINEER'S APPROVAL DATE I r** cig Aod a� atalciWo®r NW3*wlsn JoN, NO4LWWJ9ZJ °J1.�6�`ti No 0,14 Aob. CITY GFEDMONdDS PUBLIP W KS DEPARTMENT, ENGINEERi IVISION STREETARLET-ION' FOR RIGHT—OF—I18Y CONSTRUCTION PERMIT THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A. Permit to be issued to: For Work at :(address or vic Type of Work to be done: R/ (attach drawing when applicable) Time Req fired -- Start: r d �1a b Finish: Owner:C N %96 Mai 'n Address City /State ip Telephone Number Contractor: Tee r'b Name State License Number l Meiing Address City State Zip Telephone Number B. INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any ,kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is subject to inspection and restoration in accordance, with City Code. A 24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220. I understand that .this permit must be available at the job site for inspection purposes at all times.; .. p. Signature: Date: �%b r or Agent („ TO BE COMPLETED BY ISSJV NG AGENCY: Date Issued: 712817A Permit No.:79) GS. % Fee: /:5 uo Security Bond: -- Time Authorized: 2 Z $ % APPROVED BY Date:Z/7J�0'2 10-771v (Revised) Oki xv/F A vr: A'S6 S4 A I 0 U -ts >. a� Ln i N CC o N Drev ry0 col TELEPHONE POLE + + s s AM GUTTFRS/D03MPOUT5 - cR1V0 SKAS-HPLO ;KS j y t GUTf ERWOWNSPOL" , TO �-TO +.. , TO ALL EXPOSED SURFACES BE COVERED WITHIN 2 DAYS TELEPHONE POLE HEIGHT LALOS: 0= G= D= •105' AOTAL 420' vERAGe BAse Lme tos' MA% ALLOYED NGT. 3yO•' �l MPERVICUS SeRFAGP3: A ACRE (12632 5P) _—_. —__ —_. LOT AREA — MMI HOUSE POOIPRYVT TOTAL 1652 5P DeOIC9 363 5P - NeW ADDITIONS: —..._ o..eR ewsTwG GARAGe MD New InPeai—..— .— 3u sP NBY ENTRY NEVI pEGK M PRONT OP ENTRY . TO Ex6T, NO NEW IMPEIi'/I 30 SP TOTAL MPERVIGI9 SERPAGe_ 2353 Y LOT CP/ERAGE 1H 6% ADR}bW.L enPERVpS gERPAOE TOTAL DtSF M%1 APPROVED AS NOTED BY ENGINEERING5�5 Date: -3 0 OWNER/CON', RA0' 3 jc IS RESPONSIBLE F R n EROSION CONTROL AND DRA NAGS `k J a u j J Z i dl 0 z w zw� _-- I dtliER NAME ADDRE55 CLING STEPH@t e . eLJUBCfH /� b STREeT ADDRE53 1402 mN AVe N - EDMONOD, 1'aA 9D020 DATD PAROEL NUMBER OOSOD3�00209 PR^/ PAROEL REFERENOe bOH3000N' 20302 T aroD PAItOEL LEGAL OEDLWPTION WALLAGE TRAGTD BLK WO D09 - PTN3 LOf3 2 . 3 DAP 3 TOPT OP W nOPT LOT S TGW N 14 DPT OP W taOPT LOf 2 bCALD usE coce ttt DNGLE P.waY REsiDENce - DETACHeD 3/16 Dux BASE. ACRe sls D.2n DWelldvG 14ib SPL?ENTRY RECEIVE DEe AUG 2 7 2004 2 PERMIT COUNTER RECEIVE M; ; 2 9 20( t DEVELOPMENT m SU/'1M�'RGtli4' REsroFJ�'�' �� /�a2 9��r9✓e/� - �'dr SQN04Q3 d0 AlIO ' 1Aw11yqi ?4) 98020) Wn SO;LT TOOZ-SO-duw Al 5' 9 SO/TO'd TEEOTLL017 MAR-13-2001 14115 CITY OF EDMONDS 4257,710221 P.03%03 Critical Areas Checklists CA file No: 1o�4D Site Information (soils/topUo�graphy/hydrology/vegetation) 1. Site Address/ Location: 1 U 1 )II -VC A l 2. Property Tax Account Number. (,0 %3 OCO CC-2-03 3. Approximate Site Size (acres or square feet): C" G 4. Is this site currently developed? _ yes; T no. If yes; how is site developed? 5. Describe the general site topography. Check all that apply, Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water; _, ; Approx. Depth; 77 7. Site contains areas of seasonal standing water:_; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a watercourse. 9. Site contaip a creels or an area where water floW$ a�Cross the grounds surface? Flows are year-round? Flows are seasonal? ) (What tune of year? ). 10. Site is primarily: forested : meadow : shrubs __ : mixed urban landscaped (lawn,shrubs etc) .;WLL 11. Obvious wetland is present on site: 0:L4ham\LibrarylPlanniug\Porms\f'ubIic handouts\ Critical Area CheckH9r D=t1.16.1001 TOTAL P.0.3 5 MAR-13-2001 14:14 CITY OF EDMONDS City of onds Developmcnt Sorvices Department Planning Division Phone: 425,771.0220 ioFax 423.771.0221 o, � a9� 42577102^1 P.02iO3 DATED RELt1V3 CITY RECEIPT #:zl -/ :z Critical Areas File tk Critical Areas Checklist Fee: "S.00 DATE MAILED TO APPLICANT:. CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds priorto his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City- stab to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical areas inventories, maps, or soil surveys). An applicant, or hialor representative.. must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map, along with the .signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. I have completed the attached CRITICAL AREAS CHECKLIST and attest that the answers provided are factual to the best of my knowledge (fill out the appropriate column below). PLEASE PRINTCLEARLY Owner/Applicant: Name Street Address A 1 o City State Zip Telephone: Signiture' Date: Applicant Representative: Name � - .3U Street Address City State Zip Telephone: Signature Date: 0:1SharelLihwyT1wmWff o=Tubhc Handouts% Critical Ames QwWist Doc/1.16.2001 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS C IX w MAILING ADDRESS Z r /, O CITY ZIP --]TELEPHONE 7 NAME ADDRESS cc CITY ZIP TELEPHONE f 7 : 1 `c7 Z Cam, J NAME C ADDRESS 1' CITY ZIP TELEPHONE Z I' .-7 _1vI STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY. . G PROPERTY TAX ACCOUNT PARCEL NO. 2 NEW RESIDENTIAL ❑ PLUMBING / ME CH ///❑��� AUDITION ❑ COMMERCIAL ❑ COMPLIANCE OR CHANGE OF USE ❑ REMODEL ❑ APARTMENT ❑ SIGN ❑ REPAIR ❑ GRADING CYDS ❑ FENCE X FT) ❑ DEMOLISH ❑ TANK ❑ OTHER GARAGE ❑ CARPORT ❑ RETAINING WALL ❑ RENEWAL Z ROCKERY .(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: 1 eNUMBER NUMBER OF CRITICAL Ala Ia OF DWELLING AREAS O STORIES UNITS NUMBER v -r DESCRIBE WORK TO BE DONE. HEAT SOURCE I GLAZING % I LOT SLOPE PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO F BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE J F SEPARATE PERMISSION. cc tz W PERMIT APPLICATION: 180 DAYS a PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS. SEE BACK OF PINK PERMIT FOR MORE INFORMATION y 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS W W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF J M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE c DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE i NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKME"\COMPENSATION INSURANCE AND RCW 18.27. DATE SIGNED _?,!�2 USE ZONE JOB /B ADDRESS 1 r _ PLAT NAME/SUBDIVISION NO. PERMIT EXPIRES _1 411 Il / fl PERMIT NUMBER,--q4,w- a�� 4, SUITE/APT# 4 LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP CP RW Pe Approved rmk Required Q 0 Street Use Permit Req'd Q EXISTING PROPOSED Inspection Required p Sidewalk Required O REQUIRED DEDICATION FT underground Wiring required 0 METER SIZE I LINE SIZE NO. OF FIXTURES PRV REQUIRED YES ❑ NO ❑ ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 5/98 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING FIRE REVIEWED BY REVIEWED/DATE DATE a Z Z Z 0 Z W 2 LL VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REQ' POSTED .."-" .." ❑ YES O SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I Ali LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) OSED ALLOWED&2- FRONT SIDE REAR FRONT UIJISIDE REAR r, 251 to l 251 53fi 5(0l z o 12 PARKING LOT AREA P GREVI WED't DATE S REQ'D' PROVIDED oe�sneve fi(.Q / n Y .. CHECKED BY TYP OF CON T UCIRON CODS OCCUPANT GROUP SPECIAL INSPECTOR AREA OCCUPANT REQUIRED ❑ YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION VALUATION FEE PLAN CHECK.FEE BUILDING PLUMBING MECHANICAL GRADING/FILL STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE tANDSCA'PIN% PLAN CHECK DEPOSIT ' ] %4�;_ fit• TOTAL AMOUNT DUE RE APPLICATION APPROVAL GALL This application is not a permit until signed by the FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged in space provided. O ICIALS SIGNATURE DAT (425) 771 -0220 LEASED BV DATE EXT/333 //ell, 771-0221 FAX ORIGINAL -FILE • YELLOW- INS ECTO PINK -OWNER • GOLD -ASSESSOR RECEIVED NAME NAME - ■ al ADDRESS CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION R NAME/NAME OFP'1J tS ING ADDR� S � ZIP^ TELEPHONE LEPHONEOUloAL�S- s i -IRIC"J 3 v�.1. ZIP TELEPHONE CBL #, CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY PARCEL ❑ NEW x RESIDENTIAL ❑ PLUMBING / MECH ® ADDITION ❑ COMMERCIAL COMPLIANCE OR ❑ CHANGE OF USE ❑ MULTIFAMILY ❑ SIGN ❑ REPAIR ❑ GRADING CYDS ❑ FENCE ( X FT) ❑ DEMOLISH ❑ TANK ❑ OTHER ❑GARAGE CARPORT RETAINING ❑ ROCKERY WALL FIRE ❑ FIRE ALARM SPRINKLER (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: a NUMBER Q NUMBER OF " "" ' CRITICAL OF STORIES ® /// DWELLING UNITS AREAS r ffly NUMBER nt DESCRIBE WORK TO BE DONE' PERMIT EXPIRES _�L4 L't- (� REMARKS ORESPONSIBLE FOR EROSION CONTROL/DRAINAGE OWNER/CONTRACTOR IZE D S Pr (7-/ a /nr N ru G Q0 Z- i( H ?' L I N yr �� S r r i�l usE � �pERMIT ZONE NUMBER JOB . ADDRESS 14 V � (._i`-i'j' ',�^ SUIT lAPT# a FI N AL :NGIN €RING REVIEWED BY DATE E 'REVIEWED B DATE _z ual z z a z W(7 W R LL VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REO' I POSTED ❑YES XNO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE E)ZPT ALLOWED PROPOSED ALLOWED. PR]OPIOSED / /x� / 5 EXP t Ail LOT COVERAGE REQUIRED (Fr.) PROPOSED SETBACKS (FT.) ALLOWED P✓1U FRONT E REAR FROq 9a�SIDE �6�� 35 0 ��17 tSETBACKS �7' a5� �3 i�R lGROPOS z PARKING I LOT AREA P NNING REVIEUDY DATERE PFi01/IDEDg1110� REMARKS CHECKED BY TYPE OF RUCTION C OCCUPANT GROUP SPECIAL INSPEC N AR A OCCUPANT REQUIRED YES LOAD. REMARKS PROGRESS INSPECTIONS PER UBC 1DO/ ISC109/IRC109fINALINSPECTION REO'D z 9 as = m U Description FEE Description FEE `}` -� Plan Check . State Surcharge HEAT SOURCE GLAZING % LOT SLOPE %. Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Base Fee THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. ' THIS PERMIT COVERS WORK TO Mechanical g BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading, t SEPARATE PERMISSION. Engr. Review u¢i a PERMITAPPUCATION: ISO DAYS Engr. Ins ection PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS' SEE BACK OF PINK PERMIT. FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Dep IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD. HARMLESS THE CITY OF. EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. �p Total Amt. Duel = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # ?G. I HEREBY' ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL This application is not a permit until signed by the IN 410LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON. RELATING TO WORKMEN;WORKMEN;q COMPENSATION INSURANCE AND RCW 18.27. FOR INSPECTION Building Official or hie/her Deputy: and Fees are paid, and receipt is acknowledged in space provided. SI N O UAC-EN IGN (425)14*V OFFICIALS SIGNATURE DATE /0 g e4-7- 771-0220 ATTENTION ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL Off 133 L/ ED DATE ,` V 2� V INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- PANCY HAS BEEN GRANTED. UBC109 / IBC110/ IRC110. ORIGINAL. FILE YELLOW - INSPECTOR 09/03 PINK - OWNER GOLD - ASSESSOR PRESS HARD -YOU ARE MAKING 4 COPIES