20020474.pdfJ
DATE ASCEIVED/
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4_7
PERMIT EXPIRES
CITY OF EDMONDS
'BE ERMIT
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NUMBER OC/
CONSTRUCTION PERMIT APPLICATION
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ADDRESS <
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PLAT NAMEISUBDIVISION NO. LOT NCL LID NO.
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MAILING A DRESS
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PUBLIC RIG T OF WAeY�. OFFICIAL STREET MAP
CITY
n-
EXISTING PSOPOSED A,
REQUIRED DIDICATION_ FY
NAME
METER SIZE LINE SIZE NO- 01 FIXTURES PIK.:%
YE.
I
ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTRO��AGE
CITY
NAME
6, C
REVIEWED
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ADDRESS
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ENGINEERING
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91'
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15�d
FIRE REVIEWED BY
DATE
STATE LICENSE NUMBER,,,,* EXPIRATION DATE CHECKED BY
VARIANCE OR CU
SHORELINE OR ADB#
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SIGN AREA
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PROPERTY TAX ACCOUNTT CEL NO. f
COMPLETE EXEMPT
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0 NEW
0 RESIDENTIAL
LUMBING MECH
LOT COVERAGE
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REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
'no- ME'S FEAR PONT
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I COMPLIANCE OR
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30%
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LOT ARE;MVJg
DATE
REPAIR
CYDS
F NCE
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REMARKS
DEMOLISH
[3 TANK
OTHER
GARAGE
CARPORT
RETAINING WALL
ROOKERY
RENEWAL
0
ftYPE OF USE, SUSIN
OCCUPAN;C
F.
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CHECKED BY
TYPE OF
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GROUP
NUMBER
OF
STORIES ;2
NUMBER OF
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UWELLING
Nine
CRITICAL
AREAS
NUMB
SPECIAL (NEIGTOR
REQUIRED B
101014
JAREAMAJM.,
009
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
Ile
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REOD
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Plan Check
'an Check
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PLAN CHECK NO: TTED DATE Plumbing
FGrading
_L_L�_ Mechanical
THIS PERMIT AUTHORIZES ONLYTHE WORK NOTED. THIS PERMIT COVERS WORK TO
Recording Fee
8 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC g
DOMAIN (CURB%SIDEWAtX% DRIVEWAYS REQUIRE
EPARATE PERMIMARINIEE1.1.).R.L.
SSION.
Engr. Review
_45�9
City Surcharge
PERMITAPPLICATION. ISIDDAYS
PERMIT UNIM I YEAR -PROVIDED WORK IS STARTED WITHIN INDAYS Engr, Inspection
SEE SACK OF PINK PERMIT MR MORE INFORMATION
111:v�
State Surcharge
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND BUD ESORS Traffic Mitigation
Plan Chk Deposit
CITY OF
IN INTERESI, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE C —
EDMONDS, WASHINGTON, ITS OFTIOUU-S, IMP101111, AND AGENTS FROM ANY AND Fire Review
Flecalpt #
ALL CLAIMS FOR DAMAGES OF WHATEVE NATURE ARIS NO DIRECTLY OR INDIRECTLY
Total Amount Due
FROM THE ISSUANCE OF THIS PERMITR ISSUANCI OF TI IS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENI OF ANY CITY ORDINANCE Fire Inspection
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
— — — — — — — Landscapainsp.1
Receipt #
APPLICATION APPROVAL
0.11TH�.PPH.U.� I� '. P"-`j MUnd
di�g OfS.I.1 ., hi.h., Dp.ty: IvId F...
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I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
'T it
GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWN9 . 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
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEIL$ COMPENSATION INSURANCE AND now 10 27
LS SIGNATURE DATE
S17GNA 14N R DAT'I�GNIB/ (425)
VWN 7 ' 1'.131 11 a
771-09-20
ZMENTION EXT 1333 R
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 0_5162
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFk 771-0221 YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX R GOLD - ASSESSOR
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FILE 09-2001-40
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RECORDER'S CERTIFICATE ..........
SURVEYOR'S C
'IWO LOT SHORT 0IU-
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_,,,__,.!RnFICATE
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Y
CHENOWETH
Y
PAUUL M. & S V. WHUMAN'
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& ASSOCIATES, INC., P.S.
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—AW N�
Professional Land Surveyors
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40
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APPROVED A N
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BY ENGIN RI
Date: '�06`
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APT ;ck,"c Y, HAWN,&
RECFEIVED
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REAR
OTHER JAN - 7 2002
WIG 0 . CITY COPY BUILDING DEPT.
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SDR 35 m
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RECEIVED
Date..
JAN — 7 2002
BUILDING DEPT,
MY �Copy
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OWERICONTRACTOR IS RESPONSIBLE FOR
APPROJEL) AS NOTED EROSION CONTROL AND DRAINAGE
BY ENGINEERING RECEIVED
JAN - 7 2002
Date: CITY COPY
BUILDING DEPT.
Height Calculation Worksheet
Address: 3L
Date:
lnSp-tor(S): \[IA3
I Datum Point: W\ t+
2. Datum Point Elevation:
Z'
0
4
3. Average Grade:
4. Maximum Elevation Allowed: t_Lk:�`j` (average grade)+ 25'--
5. Reference Point Elevation Shot to House:
M,
MC C3
100-a (datum elevation) +'-1 -it (grade to transit level Hue shot to house)
m m
v-,
taf
6. Measurements from line shot onto house to roof ridge:
0
C Z,
0 'M
'mm
:0
Total
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7. Actual Elevation: I (reference point elevation) + (measurements
m
from #6)
Conclusion:
3C, �,S (actual) Is greater Gei::tfi�—j (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
Lq
SETBACKS .....................
FOUNDATION:
Footing .. ....................
Wall..........................
Pier/Porch
Retaining Wall ...........
z
t
Slab Insulation
PLUMBING:
Underground .............
Rough -in
M
..........
M
Commercial Final
0
0
HEATING:
ITI
ITI
Gas Test .................
Gas Piping .................
C
>
Equipment .................
Commercial Final
01,
E XTE RIOR SHEA THING
Y^3 L 0- 9-072,
m T
NAILING _ ........................
0
0
FRAMING .......................
0 F,
C 0)
C (1)
FIRST FLOOR FRAMING...
ITI 0
z
INSULATION ...................
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1
Floor Insulation
Wall Insulation ...........
>
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Ceiling Insulation
^6'Z
SHEETROCK NAILING
z
SPECIAYNSPECTION
tj�
3_67
vv\1 . .. ... ...... . .
0
IT!
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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