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AII&S REMARKS
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"Scription
FE� Description FEE
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Plan Check A�z
9
HFAT SWRC GLAZING %
Building
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PLAN CHIEC
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THIS PERMIT AUTHORIZES ONLYTHE WORK NOTED, THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANN' CONSTRUCTION ON THE PUBLIC
3 COMMN SIDEWALKS.
Grading
Recording Fee
(CURBS, DRIVEWAYS MARQUI ES, ETC.) WILIL REQUIRE
sEPARATEPERm;rsioN. E
Engr. Review
City Surcharge
Er
P 'MITAPPUCATIO": I. —
A. PERMIT UUM I YEAR - PROVI ED onK 15 STARTED WITHIN IN DAYS
Engr. inspection
State Surcharge
KOFFINKP
SEE BAD EFtMNT FOR MORE INFORMATION
'APPLIC . ON SE14ALF OF HIS OR HER SPOUSE. HEIR% ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARML SS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt # A&M
ALL CLAMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
1110111111 1 IUANCE 01 THIS PERMIT, INS ANCE 01 THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE MY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
I
Total Amount Due
NOR L MIT IN ANY WAY THE OITY1 ABILITY TO ENFORCE ANY ORDINANCE PIOIISIO...
[
Landscapeinsp.,
Receipt #
N ERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
G " TH
WEN IS CORRECT, AND THAT I AM THE OWNER, OR E DULY UTHORIZED AGENT OF
—
APPLICATION APPROVAL
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
I E
IN VIOLAT ON OF TH LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 19.27.
FOR INSPECTION
.11din, 010"I.1 ., hl,ft, D.p.y: d F - p.1d, rd
P-1d.d.
DATE S NED
"'7
(425)
01 IALS SIGNATU DATE
771-0220
*T
ATTENTION
Off 1333
to
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTiFl-
H'a 4AL-FILE - YELLOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
FAX
PINK -OWNER - GOLD�ASSESSOR
Height Calculdtion Worksheet
A
Address: S", A_ (7
Date: T
hispector(s):
1. Datum Point:
01,
2. Datum Point Elevation:
in
3. Average Grade: 10
4. Maximum Elevation Allowed: -LOS (average grade)+ 25'=
am
C a
in R
S. Reference Point Elevation Shot to House:
&
Zjd.W. elevation) + (grade to transit.level line shot to house)
M,
in
C
6. Measurements from line shot onto house to roof ridge:
0 0 -Ima,
'55'.
0
0
M
a
:�k
Total
in
0
7. Actual Elevation: I Z - I(a(reference Point elevation) + t 00 (measurements
from #6)
Conclusion:
(actual) is greater (les-s-thim (allowed); therefore the house is/
is not over the height requireme'arperlICDC 16.20.30 requirements
L.\TEN2\BTJILDING\MIS0Height Cakulation Worksheet.doe
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO T14E QUALITY OF THE DOCUMENT.
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
? SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch ..........
z
Retaining Wall ...........
Slab Insulation ..........
M
PLUMBING:
Underground .............
.7m
Rough -in .............
IT 0
0
Commercial Final
M
HEATING:
M
Gas Test .................
Gas Piping .................
Equipment
0 _n
"n
Commercial Final
M M
EXTERIOR SHEATHING
a
0
NAILING ..........................
.
0
C co,
FRAMING ...................... . ..... ... .
I FIRST FLOOR FRAMING
90
IT 0
all
INSULATION .......... ...
Floor Insulation
Wail Insulation
Ceiling Insulation
0)
z
SHEETROCK NAILING
SPECIAL INSPECTION
0
ITI
MISCELLANEOUS
FINAL APPROVAL FOR
(VIS
i OCCUPANCY ..................