20020369.pdfDATE RECEIVED
/�,L2_ 1 PERMIT EXPIRES
C
CITY OF EDMONDS
USES FdRMIT
ZON NUMBER
C 0 N S TR
CONSTRUCTION PERMIT APPLICATION
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JA00BRESS SUITE/APT#
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OWNER NAMEINAME OF 6 SINESS
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PLAT NAP SUBDIVISION NO. LID NO.
M A N FIESS
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ADDRESS
REMARKS
0 Will,
SPONSIBLE FOR EROSION CONTROL/DRAINAGE
OVINERICONTRACTOR FES
CITY
j)rTEI�Ttotj Wj_�H<iftf PLAI, NA-L-tk1`,D(2W1,J RES(If
NAME
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t'211NEMIN, 141�,Mr' REVIEWEDIDATE
Kliert.,
ADDRdSS
FIRE REVIEWED By DATE
TrT, I (&�
[ANCE OR C U SHORELINE OR ADB# INSPECTION BOND
STATE LICENSE NUMBER
NAZVXD'�\Dr)
EXP ATION DATE
11�M (L
REDD IPOSTED
13Y. E3--
SMA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT f ---------
EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
es
061-01
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RESIDENTIA
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PLUMBING /MECH
LOT Co"'A" EQUIRED SMACKS (FT) PAOP�F�SETSPACKS (FT)
ALLOWED PROPOSED FRONT SIDE HEAR, 1'1'01,S,1.11 19, 11 EAR
EW
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0 AD COMMERCIAL
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0 REPAIR CYOS
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0 1 _ X FT)
REMARKS
0 DEMOLISH 0 TANK
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A A.P."T 0 RocKE'iNG
0 RENEWAL
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REMARKS
INSPECTIONS PER USC 10$/FINAL INSPECTION REO'D
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Description
FEE
Description—
FEE
Plan Check
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Building
ba -5 e
TE. DA'.
Plumbing
aLLL
Machani Cal
C/(,
THIS PERMITAUTHORIZIES ONLY THE ORK NOTED. T141S PERMIT COVERS WORKTO
BE ROME ON PRIVATE PROPEFMONLY.,ANY CONSTRUCTION ONTHE PUBLIC
Grading
Recording Fee
3 10MAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, M.) WILL REQUIRE
1: SEPARATE PERMISSION.
Engr. Review
City Surcharge
PE MITAPPUCA"ON: "'IDAYS
PERMIT LIMIT. I YEAR - PROVID 0 WORK IS STARTED WITHIN IM DAYS
SEE BACK OF P NK PERMIT FOR MORE INFORMATION
Engr. Inspection
Le State Surcharge
'APPLICANT ON BEHALF OF HI S OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Traffic Mitigation
-3
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
ITS 11111CIALS, EMPLOYEES AND AGENTS MOM ANY ME)
Fire Review
Receipt III
IDIPION111, WASHINGTON,
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARI�NG DIRECTLY On INDIRECTLY
I
FROM THE I SUANCE OF THIS PERMIT ISSUANCE F THIS PERMIT $HALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE
Fire Inspection
Total Amount Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Landscapoinsp.1
I Receipt # -r-mi I
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THAT HE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
sprXsni.. R-1. p—hindil.ign.d by Me Y/
TIC N; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN V N OF Till LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
SiPP"This
ding offleral or hien" D'Pdy: add Fees.. isid, end
FOR INSPECTION !Pseeirrl Is a�RIedqnd I, sp ... pne,ld,d.
WO.X!O TION INSURANCE AND DOW 18.27,
a _ C� - ---
HE A R AGEIPIT) DATE SIGNED
(425)
-
F1 N I. *TE
,
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771-0220 D / DA-9t
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RELEA
Z A TION
/'
EXT 1333
UNTIL
k 2—
. IS L NLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
TTE
771-0221 1
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTHFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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NSPECTiONS RlQ`D
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APA ACCEPTABLE TIGHTPNE
MATERIAL
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F001ING DRAINS NOT
TO BE TIED INTO
DETENTION
N-12
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SYSTEM
IN
APPROVED 13Y PL ANNING
& SIDEWALK FORM
1"k. Alvbg� INSPE CnONS REQUIRED
RE:C
RIGHT-OF-WAY CONSTRUCTION PERMIT
sae town Itiv kp- vi e*wto& *10 Em sEptiocEs
AND INSPECTION REQUIRED, DVELCOIPT, omo%)s
oft* $740"o. VA 4%om, rot pmw wohlo .- lqe W.".
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Height Calculation Worksheet
Address:
N
NI!,
Date:
Inspejt---r-(�J—.—"—
1. Datum Point: C-
A
2. Datum Point Elevation:
ZI
3. Avera g. Grade:1
0'
4. Maximum Elevation Allowed: (average grade) + 25'
Vi X
5. Reference Point Elevation Shot to House:
C in
(datum elevation) +,21,��) (grade to transit,level line shot to house)
in M�
6. Measurements from line shot onto house to roof ridge:
C� "D
N'�
01� �9
0
-TS
mm
0
C
in 0'
F
Total 9G 3 -7—
ZI
9
0
in
7. Actual Elevation: 9 (reference point elevation) + (measurements
from #6) 2
Conclusion:
(actual) is greater 14e , s s th , aj Oa9l (allowed); therefore the house is/
is not over the height requirem'elit-pzFECDC 16.20.30 requirements
UTEWSUILDINGWISOHeight Calculation Worksheet.doc
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE- -VZ1 11 0 "-7
PLANNING DIVISION DATE --
PROJECT
SITE ADDRESS
PERMIT 0S ADB# DATEINSPECTED
DESCRIPTION OF WORK TO BE INSPECTED---eZAn_e—
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE B and the granting of
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
R &INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACK$
FOUNDATION:
Footing . .....................
wallI ................
Pier/Porch ............
z
0
Retaining Wall ...........
vot
-,,Z—
M
Slab Insulation
PLUMBING:
\jvA
74 "n
Underground ..............
M
M0
0
Rough -in ...................
C.)
C
Commercial Final
--I
HEATINGt
I" Z
Gas Test ...............
Gas Piping
Equipment
0 _n
n
-4
Commercial Final
M M
i9116OR SHEATHING
0 vi
0
NAILING .......................
0
C
FRAMING ........................
M 0
FIRST FLOOR FRAMING
INSULATION ...............
Floor Insulation
z
Wall Insulation ...........
Ceiling Insulation
z
SHEETROCK NAILING
0
SPECIAL INSPECTION
ITI
MISCELLANEOUS
FINAL APPROVAL FOR
)L
OCCUPANCY ...............
Side SeNver 9
Amout paid$ 2LL—necelpto. /a2L
Date
WaterMeterS' L
AmountPoldl 2L& Receipt#
DatePureb ed
ROW#— LvL
Amount Paid $—Recelpt