20000995.pdfDATE RECEIVED
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USE �ERMIT
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CITY OF EDMONDS JITEIAPTO
JOB
CONSTRUCTION PERMIT APPLICATION ADDRES�
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WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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NAME
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IF ADDRESS DATE
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CITY ZIP TEL PECTION
8. SHORELINE OR ADBI PEG 0
REGO OSTED
STATE LICENSE NU E3V ES GrAo
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SIGN / ALLOWED PROPOSED
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0 REMODEL APARTMENT 0 SIGN REO'D I PROVIDED
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NUMBEROF PECI L INS LOAD to
- NUMBER DWELLING AREAS REQU RE
. OF ISS UNITS NUMB
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DESCRIBE WORK TO BE DONE ARKRF SPECTION REO' F
OG _SS INSPECTIONS PER U13C 1081FINAL INspr
VALUATION FEE
PLAN CHECK FEE
IN I LOTSLOPE-�. BUILDING ?Yl 7 7
I VESTED DATE PLUMBING -1 c;
PLAN CHEC NO: —70
MECHANICAL
VERB WORK 1.
AUTHORIZES OHL, THE WORK NOTE.. MIS PERMIT C.,HE PUBLIC
THIS PERMIT GNP VATE PROPERTY 0 GRADING(FILL
BE DONE NLY. ANY CONSTRUCTION ON
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. STATE BURCH AGE
PERMIT APPLICATION: "OOAVS WITHIN 1EEGDAYS
PROVIDED WORK 'S ST RTED ENG, REVIEW FEES
PERMI I INA. PINK PERMIT FOR MORE INFORMATION
CK OF ENG, INSPECTION FEE -wo
UCCEIORI
ME I SE,ME ASS'ONIAND ' CITY OF LANDSCAP NG
;APPLICANT. ON BEHALF OF HIS B HAF.L.S THE
N INTEREST, A REES N�, ITS E NFY. EFE H L G NTSFR I � I ANU INSPECTION FI E
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N 0 NY AYT E ITY S ABIL T ENF INA TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION IPPROVAL
JE OWNER, OR TH GAZED AGENT OF 7h., IPPI11111- -1 a P-11 �,- -d
GIVEN IS CORPECTi AND THAT I AM TH E U A . TAU, ALL B.,Id,lg 011,11 1 hlllhl ep.ty d F ,, p1d.
-EO COMPLY WIT" CITY AND STATE D Ly UM , - NS _ C r lkfjoodgld 11 o p-.d1d.
THNOW A I AGREE A B E-U IN. E PL... .,pjaiol
ORK AUTHORIZED THEREBY. L . A. WILBE - TO PECTION DATE
Ng,� THE N 'E ON N.
T. , A F WASHINGTON RELATE FOR INSPECTION
IN VIOLATION OF THE LABOR CODE 0 THE STATE 0 OFF IALS SIGNATURE
WORKMEN" COMPENSATION INSURANCE AND ACW 18.27. E SIGNED (425) - , ki
2=&4 —/,,/ 771-0220 SED BY
ATTENTION EXT1333
IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING 08 STRUCTURE UNT L 771-0221 ORIGINAL - FILE YELLOW - INS CTOR
TI I- PINK - OWN5 GOLD -ASSESSOR.,q
A FINAL INSPECTION HAS BEEN MADE AND APPROVAl- OR A CERTI
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX
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04?04/01 11:10A P-001
FORSMN ENGINEERING
3-19.211) 23, Place South
We,. ""03
March t6,2001 RMCEIVer)
Bob Eckberg APR 17 2001
Eckberg Construction
7 lxx I S 1�1 place SW (Lot I 9-Madrona Hill, vol 19 P6 115) 41f, OPMENT URWCE,
Edmond,. WA CITY OF EDUO103
Dear Bob,
As requested I have rcrviewed the use ofMST 49 straps in lieu of die HPAHD22 hold downs. specified an
the approved drawings for your home under co-truction at the above Adress.'As a condition ofthis
substitution, the roltowing procedures as disictissed in your [im dated March 2,9, 2001 must be liallowis):
I ) The straps are to be mated with a watr-proofsubstaree prior to installation.
z) M117the strap is to be-mouracd to the cwrete foandAtion. the other half is to be mounted to
the timber house ka-
3) The upper lialf shall have all nail holes rilled-with. 16d naih� the lower shall have (3)/2'
diameter bolts embedded into the con—tc, 51, minimum. The top bolt shall bc no closer than
6" from top offoundation wall.
4) Upon completion ofinstnilation, the installed straps shall be re-inspcctcd.
Should you hav�any furihmquestions, pleammotact-ment 251KI 5,9182. Thankyou.
Sincerely,
W
Arnold E Forsmari, P.E.
AL
armet@harbomet.com 253.927.1278
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DENNIS JOULE, P.E.
CIViLENGINEER
Geolechnical Engineering - Ground & Surface Water Hydraulics
FIELWMEMORANDU
Project/g//,T -7Q 'Ialle- 1,0,— Date
For—'gyaz'
This is to confirm that I have inspected the foundation subgrade at the project site
listed above. At the time of the inspection the;
X building pad had been excavated
foundation forms were set
reinforcing steel was in place
The foundation subgrade has an allowable bearing capacity
of at least
,?000 pounds per square foot.
Seepage is anticipated and footing drains are required for;
)e- upslope exterior perimeter footings
'Xi all perimeter footings
all perimeter footings and interior footings
Additional Comments: A4:2
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DenniS JOWC, PX
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32729 S.E. 44th Street Fall City, Washington 98024
(206) 392-1108
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Project Review Checklist
ProjectName: Aeb ZWkI64246�,- Plan Check #:
Project Address: Receipt Date:
Underground Wiring Required
Hydraulics Permit f RECEIVEt)
Plat/Subdivision Requirements 14 OCT 1 8 2000
Street Dedications
-fasemems "?ublic/Private--- WORKS DEPI
Engine ering Storm Drain Review Feel
Engineering 2.2 Inspection Fee '�
Drainage Plan (On -site) S- - 14
Setback - StormDrain Line
Open Ditch - Existmg
Culvert Require S (4-
Culvert Size
Shoulder Drainage/Shale Open Runoff
Catch Basin Required 5-00-(4
Driveway Slope & Vehicle Access
Sidewalk Required
Curb& Gutter Required '4e5
Curb Cut for Driveway Required
Street Paving Required
Right -of -Way Construction Permit Required qez—,
Bond Required for Public Improvements NeS. 4,-c4> (4
FEMA Map CheckfWater Table
Side Sewer Availability
Calculate Sewer Fee ifNo LID#
Water Meter Size Z/1/
Water Meter Charge Required
HydrantRequired Av-OP-14-
Street Cut
Miscellaneous
RW Permit # Date Issued Receipt# 7
SS Permit 4 9 2L Datelssued. /41111ol Receipt#
Date(21��_ L00 Receipt # N (.o
Meter Size Paid S'6'9(00.
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FINAL PROJECT APPROVAL FORM
FIECFIVEt) TO:
AUG 14 2001 DATE:
E Glt4F
_Efllt4a
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE
4-1--:J"INGINEERING DIVISION DATE
PLANNING DIVISION DATE —
PROJECT LAA?�-_
SITE ADDRESS.
PERMIT ADB#-------PATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPECTE
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of:
Final approval of the described work
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL wITH CONDITIONS NOTED
I
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
1. .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
ocaprvl.doc.l:temp:bldg:fonns6/98
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
IT
Footing ......................
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Wall ..........................
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Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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Underground .............
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Equipment ..........
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EXTERIOR SHEATHIN G
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FRAMING ........................
FIRST FLOOR FRAMING
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INSULATION .............
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Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
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FINAL APPROVAL FOR
OCCUPANCY ..................
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�ERMIT�EXPIRES
USE PERMIT
CITY OF EDMONDS ZONE NUMBER
JOB 'SUIT PTI
CONSTRUCTION P6RMIT APPLI&ATION OF
JADDRESS�
��ER NAMEINAME OF BUSINFSS
PILAT NAM:;;oivt/si7O. LOT NO. NO.
LID FEE 12,006-
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IN P PU�
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EXISTING PROPOSED
CITY ZIP TELEPHONE A,
THIS
REQUIRED DEDICATION
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METER I E
NAME If
LINE SIZE
NO. OF FIXTURES
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YESX NO 0
ADDRESS OWNERCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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NAME P;Alllt 1A1SJVef7d1J - v �111
I1_11;mlll=y It,
REVIEWEDIDATIE
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3 FIRE REVIEWED By ATE
ITY
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VARtANCEORCLV 1p RAE GION GONG
"PI-1— DATE ONE KEDBY
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STATE LICENSE NUMBER 0
ar&o
vo, - (ov HEIGHT
SEPA REVIEW SIGN AREA
EXEMPT ALLOWED PROPOSE. ALLOWED lHO101 D
PROPERTY TAX AD NT PARC L NO. COMPLETE I
I
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LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS IFT) I
NEW RESIDENTIAL PLUMBINGIMECH ALL ED PROPOSED, FRONT SIDE REAR 1 .1
OW FRONT Up SIDI REAR 12
'17 1 2-5. OZ4
� 1. �
0 ADDITION C] COMMERCIAL o COMPLIANCE OR 1 2-1.
CHANGE OF USE PARKING I LOTAREA I PLANNING REVIEWED BY DATE
SIGN RED 'D IPIIVIIEDI,,,,,,,.;,l
C] REMODEL APARTMENT El *,V,, 17
1
FENCE
REPAIR X FT) REMARKS
X
F1 DEMOLISH C] TANK OTHER
�(GARAGE C] IETIINlNl ILI RENEWAL
ROD 0
0
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPI-AIN: CHECKEDBY JTYPE��S;UTGN ICIIIANk
OUP
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NUMBER 0 CRITI
NUMBER DWE111 G fl A EAS S ECIIA INS6PZTOR JAREAtnu-kC.'. 4,)--75 ..A.D.
OF W E REQUI 0
UNIT" RE IL
U TS 8 YES
STORIES N N
DESCRIBE WORK TO BE 0 NE
REMARKS S PER UBC 108/FINALINSPECII......
PROGRESS INSPECTION
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VALUATION
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?A _�E % B ULDING
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eD
PLUMBING
PLAN CHEC NO VESTED DATE
-70
PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
—
BE 00,%olUI.P.R�1VATE PROPERTY ONLY. ANY C..Sl RUrTw. 0. THE PUBLIC
GRADtNGtFILL
DOMAIN C SQEWALKS,ORIVE AYS, MARQUEES, ETC.) WILL REQUIRE
Z/, 5eq
SEPARATE PERMISSION. STATE SURCHARGE
PERMIT APPLICATION: 100 DAYS
PERMIT LIMIT.- 1 YEAR - PROVIDED WORK IS STARTED WIT14IN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG, REVIEW FEES
;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, H El RS. ASSIG NS AND SUCCESORS
INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
ENG. INSPECTION FEE
LANOSCAPI a
M ANY AND
I EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
INSPECTIO F E
ALLCLAIMSFOR DAMAGESOFWHATEVER NATURE.ARISING DIRECTLY OR INDIRECTLY
OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT
x FROM THE ISSUANCE
0, DEEMED TO MODIFY WAIVE OR REDUCEANY REOUIREMENTOF ANY CITYORDINANCE -
TO ENFORCE ANY ORDINANCE PROVISION,
C
0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY
T TAIL AMOUNT DUE
IR F�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT HEINIORMATION
APPLICATION APPROVAL
GIVEN S CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
, -11-P '� hy',,-
—PP".
THE OWINER. I AGREE TO COMPLY WITH CITY AND STATE UWSF EGUI.ATINGCONSTRUC
CALL
CALL
�,�g Otfi—I ol Wh,,l D.lull: Pd F .. — P W. .�d
'u"T
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
WASHINGTON RELA�tNG TO
R INSPECTION ,.,,pt 1. Ilklowlodgld 1. 1pacO prmldod.
FOR INSPECTIO
IN VIOLATION OF THE LABOR CODE OF THE STATE OF
DATE
WORKMENS COMPENSATION INSURANCE AND RCW 1 B.27.
—
OFF/Y)ALS SIGNATURE
0-1 S GNED
SIGNATUR� RAGp,,,jo
(425)
�NER
1
771-0220
ELi�,ASED By
ATTENTION C.,
EXT1333
.. , A.
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OFIGHNAL-FIL YELLOW INSPECTOR
HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER GOLD-ASSESSO-
CATE OF OCCUPANCY
5/98
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