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THIS PERMIT AUTHORIZED OMLYTHE W08X NOTED. THIS PERMIT COVERS WORK TO
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BECOME ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ONTHE PUBLIC
DOMAIN SIDEWALKS,
Grading
Recording Fee
(CURBS, DRIVEWAYS UARaU
EEPAFMTE PERM;SSIOM. SEE, ETC.) WILL REQUIRE
Engr. Review
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City Surcharge
PER ITAPPUCATION: ISIDDAYS
PERMIT LIMIT I YEJaR -PROVIDED WORK IS STARTED WITHIN INDAYS
SEE SACK OF PINK PERMIT FOR MORE i"FonuatTiou
Engc inspection
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State Surcharge
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'APPLIC ON RENAL F His OR HER SPOUSEF HEIRS, ASSIGNS AND SUCCESORS
IN R ST, AGREES INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Traffic Mitigation
Plan Chk Depos it
B ONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AMID AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. SSUANCi OF THIS PERMIT SHALL NOT BE
Fire Inspection
Total Amount Due
0.
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY C ORDINANCE
NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
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I HEREBY ACKNOWLEDGE T14AT 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.
CALL
This appli,agon Ise— peneft until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
13,11ding Officlal,r hitifthor Barney: and Fees - paid, and
IN VIOLATION LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S C E14 TION INSURANCE AND RCW 18,27.
FOR INSPECTION
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SIGNATURE Nm ]DATE
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81 NED
(425)
OF . PIALS.IIGN�T E DATE
771-0220
L ASED BY
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
04,
FAX
PINK - OWNER - GOLD - ASSESSOR
6
Height Calculation Worksheet
Address:
Date:
Inspector(s):
1, Datum Point: MtA
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2. Datum Point Elevation: C)D' do
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3. Average Grade: I b
U -�-(average grade) + 25'
4. Maximum Elevation Allowed: kO(,b
0:
5 Reference Point Elevation Shot to House:
m 0
k-ID-Jo (datum elevation)+; 351 (erade to transit level line shot to house)
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6. Measurements from line shot onto house to roof ridge:
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7. Actual Elevation: (reference point elevation) + (measurements
from #6)
Conclusion:
(actual) is greater /<!ess (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
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BUILDING DEPT.
FINAL PROJECT APPROVAL FORM
TO:
DATE:
NiEmo To: PERmrr COORDINATOR, BUILDING DIVISION
FROM: DEPARTMENT DATR—
ENGINEERING DIVISION DATE-4-L(&
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PLANNING DIVISION DATE
PROJECT POATIFZ
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DESCRIPTION OF WORK TO BE INSPECT13D-EJ10A
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release -of
BONDS and the granting of
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL wrrH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
ci Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date. Si
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ................ .......... .. ...
FOUNDATION:
Footing ....................
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Pier/Porch ................
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Retaining Wall ...........
Slab Insulation
PLUMBING:
Underground
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HEATING:
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Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..............
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