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21209 82ND PL W
ADDRESS: 2-1207 2-1 0--0q. lov --g�z tu
TAX ACCOUNT/PARCEL NUMBER: Al--,�90) 027,0
BUILDING PERMIT (NEW STRUCTURE): 4,026 -6 Zq,�l Id
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:-(—)!j 05 DETERMINATION: 0 Conditional Waiver Q Stu�y Required Xwaiver
DISCRETIONARY PERMIT #'S:02 � q: 7e � (ffm, aiwl .9521,WIP� I W49-05-171
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DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED: �e
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
OTHER:
11
LID
LOT: BLOCK:
LATEMP\DSTs\FonTts\Street File Cheeklist.doc
7
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
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STATUS: ISSUED 3/27/2007
Expiration Date: 3/27/2008 ll'�--�'.�"-%t� ']vjectAd&'es's
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BLD200
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Parcel No: 00467400002800
PROPERTYONNINER APPLICANT CONTWkCTOR
MICHEL CONSTRUCTION INC MICHEL CONSTRUCTION INC MICHEL CONSTRUCTION INC
7907 212TH ST SW STE 102 7907 212TH ST SW STE 102 7907 212TH ST SW STE 102
EDMONDS, WA 98026 EDMONDS, WA 98026 EDMONDS, WA 98026
425-776-2211 425-776-2211 425-776-2211
LICENSE #: MICHEC1061 D5 EXPA/19/2008
JOB DESCRIPTION
4w —SF R
VALUATION: $168,230
PERMIT TYPE: Residential
PERMIT GRO P: 64 - Single Family Residence New
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: R3
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 2003
OTHER: N ------- OTHER DESC:
ZONE: RM-2.4
INUMBER OF STORIES: 2
VESTED DATE:
NUMBER OF DWELLING UNITS: I
INNI'll'Im
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 698 2ND FLOOR: 966
3RD FLOOR- 0 GARAGE- 0 DECK. 0 OTHER- 0
13RD FLOOR- 0 GARAGE- 440 . DECK 0 OTHER 0
FRONTSLTBACK SIDESEYBACK RE-kRSEYBACK
REQUIRED: 15 PROPOSED: 15 ��REQUIRED: 10 PROPOSED: 10 �Q�UIRED: PROPOSED:
HEIGHT ALLOWED:30 PROPOSED:25 IREQUIRED: 10 PROPOSED: 10
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULAT ING CONST RUCT ION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THISA�aICAjft IS,�!VA PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR Hl��,Ell DEPUTY AND ALL F�ES AU PAID.
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nature PrAfit Narne
ATTENTION
ITIS UNLAWFUL TO USE OROCCUPY A BUILDING ORSTRUCTUREUNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HASBEEN GRANTED. UBC109/IBCI 10/ IRCI 10.
ARCHWE APPUCANT ASSESSOR E�/OTI- Z7't-. W-b
9 0
STATUS: ISSUED
BLD20060795
If Landscape Sprinkler System is installed must have a required backflow prevention assembly installed and tested and send
report to Public Works.
Lot line stakes must be in place at the time of foundation/setback inspection.
Installation, use and maintenance of per manufacturerd equipment and components shall be per manufacturees specifications,
installations instructions, and applicable state codes. Provide manufacturees inforniation on she for Building Inspector.
Approval of this foundation design is conditional subject to inspection of e)dsting she soil conditions.
Retaining Walls must be designed and constructed to res is t the lateral pressure of the retained material.
Provisions must be made for the control and drainage of surface water around buildings.
• Installer shall provide the manufacturer's installation, operating instructions, and a whole house ventilation system operation
description. A label shall be affued to the whole house tinier control that reads "Whole House Ventilation" (see operating
instructions).
• Maxhmm Height 25 feet. Measured from average elevation of undisturbed soil at comers of e)dended building rectangle.
Subject to field check by building department.
Hose Bibbs (wderior faucets) are required to have a permanently affixed anti -siphon device installed.
In addition to the required pressure/relief valve, an approved listed e)pansion tank shall be installed on all hot water tanks. Per
UPC 608.
Ty pe B or L vent connectors requ ired on fuel -bum ing appliances pas s ing through unheated spaces. Per IMC 803.2
Obtain Electrical Permit from State Department of Labor & Industries. 425-290-1309
Pursuant to UPC 605.2 a water service shutoff shall be installed on the water line as it enters the building.
Gas pipe test rrmst be observed by City Building Inspector, affidavits shall not be accepted.
City approved plastic piping may be used in water service piping provided that where metal water service piping is used for
electrical grounding purposes, replacement piping shall be of like materials (UPC 604.8). A state electrical permit and
inspection is required if electrical grounding is altered, removed, improved, or added. Contact State Dept. of Labor &
Industries Bectrical Division at 425-290-1309.
Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancyinspections.
Provide combustion air per IMC Chapter 7 for commercial and nitilti-family residential installations, and IRC Chapter 17 for one
and two-family dwellings.
Any request for the modification, variance or other administrative deviation (hereinafter "variance") must be specifically called
out and identified. Approval of any plat or plan containing provisions which do not comply with City code and for which a
variance has not been specifically identified , request an ' d considered by the appropriate City official in accordance with the
appropriate provision ofCity code or State lawdoes not approve any items not to code specification.
Pursuant to UPC 608 a pressure regulator valve (PRV) shall be installed near the water shutoff.
Sound[Noise originating from temporary construction sites as a result of construction activity are exempt fronithe noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00prn on weekdays and 10:00am and 6:00pm on Saturdays, extuding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activites must comply with the
noise litnits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
I INSPECTIONS I
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCT10N ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
I BUILDING (425) 771-0220 EXT. 1333 1 ENGTIEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 771-0215 1
I PUB LIC WORKS (425) 771-0235 1 PRFTRFATNIENT (425) 672-5755 1 RECVCLING (425) 2754801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, 1),pe of Inspection being
reauested Contact Name and Phone Number. Date Prefereed. and -Abether vou Prefer nwrning or afternoon.
E-StonnTightline
&Ston-n Connect to Stub
E,Footing Drain Connection
F,Footing Drywell
E-Water Service Line
B-Cross Connection Final
E-Engineering Final
B-Setbacks
B-Footings
B-Foundation Wall
B-Foundation Drainage
B-Isolated Footings[Piers
B-Slab Insulation
B-Plumb Ground Work
B-First Floor Framing
B-Plurnb Rough In
B-Gas Test/Pipe
B-Equiprnrnt-Mech
B-E)derior Sheathing
B-ShearNaifing
B-Height Verification
B-Framing
B-Wafl Insulation/Caulk
B-Floor Insulation/Caulk
B-Ceiling Insulation/Caulk
B-SheetrockNail
B-Plumbing Final
B-Mechanical Final
B-Building Final
P-Planning Final