20020317.pdf11 DATE RECEIVED
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Description FEE Description FEE
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Mechanical
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THIS PERMIT AUTHORIZES ONLY WE WORK NOTED. THIS PERMIT COVERS WORK TO
-
BE GONE ON P11 PROPERTY 1111 All 10"11.11111" 1" THE P11-
SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REGO IRE
Grading
Recording Fee
G.MAIN (CURBS,
EEPARATSPERMHSSION�
Engr. Review
City Surcharge
PER ITAPPUCATION: INDAYS
PERMSTUMMI YEAR-PROVI ED WORK IS STARTED WITHIN 1 0 DAYS
Engr, ln!!!!!�j
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Plan Chk Deposit
-APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
.
Fire Review
ace'"
Receipt #
V W
EDMONDS, WASHINGTON, ITS OFFIOLAUS, EMPLOYEES, AND AGINTS ROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY ORINDIRECTLY
PERMIT $HALL NOT BE
—
FROM THE ISSUAND OF THIS PERMIT. ISSUANCE OF THIS
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE
Fire Inspection
A�o
Total Amount Due
.1 �A-.unt
61� a2,
NOR LIMIT IN ANY WAY THE CITYS AS[ TY TO ENFORCE ANY ORDINANCE PROVISIONL'
Landscapeinsp.
1 HERE ACKNOWLEDGE THAT I HAVE BE. I.I. APPLICATION THAT THE INFORMATION
BY
P
A 1�14 APPROVAL
R - AND THAT I AM THS OWNER, OR THE DULY AUTHORIZED AGENT OF
GIVEN IS GO SECT.
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THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CON ISLTORYE'
TION; AND IN DOING THE W RK AUTHORIZED THEREBY. NO PERSON WILL BE EM D
CALL
gBGKK,.I., P-I'
IN VIOLATION OF TH L48OR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
I d
WORKMEN'S COMPENSATION INSURANCE AND ROW 18,27.
F1ffiAL!.IGN E DATE
D57fNE!L
(425)
771-0220
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ATTENTION
EXT 1333
0
ITISUNLAWFULT 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
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RECEIVED
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APR 15 2002
AF
APPROVE LO,
TELLOPMENT SEAVICES 6TR,
G E ING CITY OF EDMONDS 10
IN(3 c',
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WATER & SEWER
INSPECTIONS RE17D
CALL 425-771-0220 EXT. 1326
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TEMPORARY CONSTRUCTION
ENTRANCE REQUIRED
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STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
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DATE- ------- F—
*****DESIGN DArA **** *
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
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Mey"Tum PIK LENGTH OCKING LID
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I TL
-u To In st.0pr
OU'LET CONTROL
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UPPER CATCH BASIN ORIFICE
CONTROL CATCH BASIN
SYSTEM CROSS SECTIO�
Z*Xe'X6'.DEEP, 4-6' SPALLS OR COLIAL
FROM CONTROL CO VX el 3' DLCF�* 3/4' CRUSHED RUCK ISTING GRADE
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LIM,
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NOTES.-
X
P1 Call Engineating Division (771-M) for a tightline, and detantion "Stm iwPOCfiOn
()befom backfillins and for final insiIections.
m
G) Respons'"ty for Operation ad mainteumm Of dminAgO system 00 Private PrOPOM 'a the
asibility of &0 property OvAm. M&wW accummul" in the storage PiPO mug be flus
0 !� .p..
M I,- -,Ja, control onfice,
a ll out and ratmoved from t1tecatch basins to -11— PVOW OP ---
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Height Calculation Worksheet
t
Address -
Date:
Inspector(s): fnV,-
1. DatumPoint:
2. Datum Point Elevation:
—04�
3. Average Grade:
LQ,
4. Maximum Elevation Allowed: erage grade) 25' =,,NI
—?�hv
5. Reference Point Elevation Shot to House:
a in
C &
in 0
4 C)
r J�14�datmn elevation)+ 2 —,<--Z(grade to transit.level line shot to house)
C,
M
�'V
6. Measurements from line shot onto house to roof ridge:
in in
0
C
C
MO
z
Total A,
6j:
z
0
M
i
7. Actual Elevatiop: (reference point elevation) +L9 ?(measurements
r1g, Tf 7—
from #6)
Conclusion:
actual) is greater Cess thzin 'r)4 ?J'(allowed); therefore the house is/
is not over the height requiremen'tPrECDC 16.20.30 requirements
LATEW\BUILDINGUISCHeight Calculation Worksheet.doc
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE-
g'(-IrAdjk� ENGINEERING DIVISION DATE--2kq-LO-Z
PLANNING DIVISION DATE -
PROJECT 13tu—r
SITE ADDRESS �746'1 Wffleer IAIQM/
PERMIT -ADB#---------PATE INSPECTED.
DESCRIPTION OF WORK TO BE INSPEC TED J��L . ... ....
A field inspection was conducted to determine fWal compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WrM CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector,
2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign_
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ............
S,
Wall ..................
Pier/Porch .. ...............
Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground .............
A
rn 0
Rough -in .................
b-I
0
-4 0
C
Commercial Final
IT! ITI
4 HEATING:.
Gas Test
z
� ...................
Gas Piping .................
Equipment .................
Commercial Final
IT1 R1I
EXTERIOR SHEATHING
0
NAILING ...........
FRAMING
C
v)
Q
........................
FIRST FLOOR FRAMING
z 0
-4
INSULATION ...................
Floor Insulation
z
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
's
SPECIAL INSPECTION
RR
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY
..................
SideSetiverV,4t0zA
)i6lllt PWd 21
'bate
ires
Water A facr '02�-:� t
dc."Ie"IL7
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