20020261.pdfDATE
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PLAN CHECK NO: 061 IVESTID DATE
PLUMBING
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED� THIS PERMIT COVERS WORK TO
MECHANICAL
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON T U LIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MAROUEES, ETC.) WILLERSOBIRE
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GRADINGIFILL
SEPARATE PERMISSION,
PE MIT AIPLICATIONz 160 DAYS
STATE SURCHARGE
PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG, REVIEW FEES
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
APPLICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
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N NTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPIN
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EDMONDS, WASHINGTON, ITS OFF21 LS, EMPLOYEES. AND AGENTS FROM ANY AND
INSPECT N 5ee:
10 GEE
ALLClI.ElOE.A.A.EBOF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FA M THE ISSUANCE OF THIS PERMIT, ISSUANCE THIS
OF PERMIT NOT BE
DEEMEOT E
0 MODIFY, WAIVE OR REDUCE ANY PEOUIREMENT OF ANY CITY ORDINANG
PLAN CHECK DEPOSIT
0. NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORC E ANY ORDINANCE PROVISION.-
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TOTAL AMOUNT DUE
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HEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLJCATION� THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZE. AGENT OF
APPLICATION APPROVAL
T EOWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL u.,,y
TION A I RIZEO THEREBY, NO PERSON WILL BE EMPLOYED
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VI OF THE
IN OLATI IN OF T ABOR C D STATE OF WASHINGTON RELATING TO
WORKM EN COM NSAPI15N�NS RA E AND RCW 18,27
FOR INSPECTION I.-P. �� ��k.Jadgod sp,m P'lldld
GA'S 1IGNM
SIGNA�r 0 E:,
OFF JAL SIGNATURE
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12
771-0220 A S DATE
AftENTION
EXT 1333 A;
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL FILE YELLOW INSPECTOR
FAX PI -OWNER -
8
GOLD -ASSESSOR
Height Calculation Worksheet
Addrev 14-
Date:
Inspector(s): WS
1. DatumPoint: SvM
2. Datum Point Elevation: :�i
-01
3. Average Grade: C-t U,
4. Maximum Elevation Allowed: (average grade) + 25'
5. Reference Point Elevation Shot to House:
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0 C,
Z (datum elevatio]T)—& (grade to transit level line shot to house)
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p,
6. Measurements from line shot onto house to roof ridge:
C: z
Z-
m m
0 Fn�
C: (a,
To,
ri
z
Total:
ca
0
m
7. Actual Elevation: q (reference point elevation) + �i-easurements
frorn#6)=IXO
Conclusion.,
)-I,, - 4Z (actual) is greater/ (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
FINPLt, PROJECT APPRO-VAL 11 O-RM
TO:
DATE: -
MEMO TO: PERMIT COORDINATOl?, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE-,
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE-
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DESCRIPTION OF WORK TO BE INSPECTED -EWAL
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A field inspection was conducted to determine final compliance with approved plans. Fbial approval
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denotes that there are no objections from the above signed Department to the release of
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PERFO-RMANCE BQN�fj and the granting of:
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FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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a Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING L13SUES
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u Copy of CORRECTION NOTICE given to owner/contrac tor by inspector
2.
3.
RE_INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date. Sign_
ocaprvl.doc.I:Wmp:bldg:formsIO/OI
. ...........
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
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SETBACKS ...............
FOUNDATION:
Footing....................
Wall....................
1� IOU 16_z�
Pier/Porch ...............
Retaining Wall ...........
C�
Slab Insulation
PLUMBING:
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Underground .............
MCI
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Rough -in ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping ...........
Equipment .............
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING .............
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FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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