20020503.pdf4-
C17Y OF EDMONDS
ZONE
ERMIT
NUMBER 4,�ea e,�_o -3
CONSTRUCTION PERMIT APPLICATION
JOB
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PLAT NAME/SUDDARSION NO.
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LINE SIZE
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REMARKS se
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDMINAGE
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NAME
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ADDRESS
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REVIEWEDIDATE
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DATE'
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STATE LICENSE NUMBER EXPIRATION DATE CHECKED Y
VARIANCE OR CU
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PROPERTY TAX ACCOUNT PARCEL NO. S7 .�73 '7000
SEPA REVIEW
COMPLETE EI�IPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
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EXP ,
NEW
RESIDENTIAL
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LO COVERAGE
AL OWED PROPOSED
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NUMBER UMBER OF
OF DWELLING
CRITICAL
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NUMBER
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DESCRIBE WORK TO BE DONE
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REOD
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Description
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Description
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Plan Check
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PLAN CHECK
V.-TED DATE
Plumbing
Me hanical
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THIS PERMIT AUTHORIMS ONINITHE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
C
OJAMUN (CURBS, SIDEWALKS, DRIVEWAYS MARCIU ES, ETC.) WILL REQUIRE
—C
Grading
Recording Foe
SEPARATEPtIlMiSSION.
—
Engr. Review
-
City Surcharge
PERMIT APPLICATION: 'M DA%
PERMIT LIMM, I YEAR - PROVIDED WORK IS START WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engn Inspection
Mv
State Surcharge
PPLII':NT 1111HALF OF Is .. HER SPOUSE, HEIRS ASSIGNS AND SUCCITSORS
;A
Traffic Mitigation
Plan Chk Deposit
N 'ag EgTGAGn5ES TO INDEMNI", DEFEND AND MOi.6 HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire ReRS W
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVE NATUFIE� ARISING DIRECTLY OR INDIRECTLY
THIS PERMIT
FROM THEISSUANCE or - ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY. WAIVE OR REOU EANYREQUIREMENTOFANYCITYORDINA E
Fire Inspection
I ED.
Total Amount Due
z—oz-A
NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
PLandscapeInsp.
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Cap so.
I
.. rp #
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICAT
HE
T OWNE I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
C L
CALL
,,!ON,APPROVAL
Thl,applisabon 1. Re raft-111 signed by Ina
TION; AND 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
Raising Gin [a] 11 his/her Dap,ty: and Fees are paid, and
'0C.JpH...kh.wIrd9.d lase ... p—id.d.
WORKMEN'S CqJW NICE AND RCW 18.27�
,PNSATION INSU
SIIN TURE
DATE IGNED
(425)
DAI
�A
771 0
-022
RE' D 11'� T
ATTENTIOfi
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
L
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORIGINAL -FILE YELLOW - JNSPEC�Offl
PINK -OWNER - GOLD - ASSESSOR
10/IH
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FRONT.
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SIDE
76" APPROVED
BY PLAN"NING
REAR
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4
HEIGHT
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PPROVED AS NOTED
BY ENGINEERING
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ugla E. Engison
OWNER/CONTRACTOR IS RESPONSIM FOR GUlft9flOW"�?UTS
EROSION CONTROL AND DRAINAGE AND SPLAbhbL
PLOT PLAN DR41,NAGE
P L A H
RECEIVED
7qJ49 -,Ipiz4o J:lw 4AV F�vi-AOmpsi-44. 9002&
MAY 13 2002
BUILDING DEPT.
at..V- 000 V-040 L,,,' as
.TAX rAf.4eL.:w- 57SO00002-300
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Height Calculation Worksheet
Address: (0 3tj
N
Date:
Inspector(s): VI-
L Datum Point:
z
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2. Datum Point Elevation: 6)
3. Average Grade: PO
m
:2 -n;
4. Maximum Elevation Allowed: grade) + 25'
am
�%(average
5. Reference Point Elevation Shot to House:
m 0!
a
00
(datum elevation) + (D"5 (grade to transit.level line shot to house)=
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6. Measurements from line shot onto house to roof ridge:
70
Q)
0,
0
0 rnf
cc: 0.!
in.
Total: I
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In
7. Actual Elevatiou� (reference point elev ation) + (measurements
from #6)
Conclusion:
QeS�. (actual) is greater s an (allowed); therefore the house is/
is not over the height requirew-W.
e ECDC 16.20.30 requirements
LATENMBUILDINGWISOHeigbt Cakulation Worksheet.doc
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JL 'I P-2"1 J"E
TO PERMITTEE AND/OR OWNER
DO NOT RE MOVE
PARTIAL APPROVAL CORRECTON REQUIRED Ej ENFORCEME NT VIOLATION
Owner C 14 —P- /f Permit Number
2-
ite Contact
Job Address 7
:$I —WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED
P ED PLANS AND JOB CARD MUST BE AVAILABLE TO INSPECTOR ON SITE
ROV
N'rZORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/OR THE NEXT PHASE
�OF WORK IS STARTED
RECALL FOR INSPECTION El $45 REINSPECTION FEE MUST BE PAID PRIOR TO INSPECTION REQUEST
STOP WORK.UNTIL AUTHOPJZED TO CONTINUE BY CITY INSPECTOR
-REMOVE CONSTRUCTION OR OBTAIN PERMIT AND M WO COMPLY WITH
NO PERMIT -STOP WORK AKE RK
ALL APPLICABLE CITY CODES
To C6ye,15v
zlq S �'� C'4 Fe le Z'!��fz
.1AJ..Z Ac!�/—C)!ef
7
The initials RSR are Rick S.
Roberts, a ternporary contract
inspector for the City.
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED TO BE CORRECTED WITHIN
CALENDAR DAYS OR PENALTIES MAY BE APPLIED. FOR INSPECTION CALL 425-771-0220
Kilding , j I
0 _Wjqnning 0 Engineering L] Fire U Public Works
White: Perinit File Pink: Enforcement Buff, Applicant
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FINAL PROJECT APPROVAL FORM
TO:_
DATE: —
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE
.��4 M 4 &U��j,jz ENGINEERING DIVISION DATE—_,7
PLANNING DIVISION DATE
PROJECT:
SITE ADDRESS 7,2zao 11)2kk4-- PZ- su
PERMIT #,,Z-(2" - i25�K�ADB# DATE INSPECT I ED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS nd the granting of:
GRANT FINAL PROM CT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
Copy ofCORRECTION NOTIC I E given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1Aemp:b1dg:fbrrns:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SMACKS ...........
FOUNDATION:
Footing... .................
VNS A,-Z Wall ..........................
Pier/Porch .................
Retaining Wall
...........
Stab Insulation
\tO-AA—PLUMBING:
Underground .............
Rough -In ...................
Commercial Final
HEATING:
Gas Test ..................
Gas Piping .................
Equipment .. ............... .
Commercial Final
f&N\� EXTERIOR SHEATHING
NAILING .......... -- ..........
FRAMING ............ ...........
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
01M
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY .................. fv\%
or
AukoutPuld$ -ReCelPt#
Lill PIMS
DateISSI,
watermetersa, AIIA-
The filitials NIT are Miltoll I I
ThORIPSOR, a teryiporary colltract Amount pajd_Rcceipt #—
illspWor fOr the City. DatePurebased
ROW#
kkariount, Pdd $— Receiptlil—