20020567.pdfDATE RECEIV 0
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CITY OF EDMONDS
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STATE LICENSE NUMBER EX MOTION DATE
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NUMBER
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NUMBER OF
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CRITICAL
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SPECIAL INSPECTOR AREA
REQUIRED Cj YES
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OCCUPANT
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DESCRIBE WORK To BE DONE
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EMARKS
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Description
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Plan Check
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HEAT SOURCE
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Building
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Plumbing
THIS 1EFn1n.D1...GdU;..I,, ORKNOTED. TH uns COVERS WORKTO
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Mechanical
BECOME I, SAW . nice ."s,
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DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS EIPUBLIC
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MARQU ES,ETC.)WILL BODIES
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Grading
30
SEPAR4TEPERM;SSIOM.
Engr, Review
City surcharge
PERMIT APPLICATION: INDAYS
PERMIT SINCE, I YEAR. PROVIDED ORKISSTA D WITHIN 100 DAYS
SEE 13ACK OF PINK PERM T FOR MORE
IW RINUFORMATION
Engr. inspection
State Surcharge
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY� DEFEND AND HOLD HARMLESS THE CITY OF
Traffic Mitigation
Plan Chk Deposit
Fire Review
KINSPECTION
Receipt #
X EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FG0,M,N ANY AND
ALL CLAIMS 1011 DAMAGES OF WHATEVER, NATURE, E
ARISING DIRECTLY BUT CTLY
FROM THE ISSUANCE OF THIS P ERMIT SSUANCE OF THI EAMIT SHALL NOT 8
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENTS P ANY CITY ORDINANCEE
Fire Inspection
Total Amount Duo
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENF04CE AMY ORDINANCE PROVISION -
1 HEREBY ACKNOWLEDGE
Landscapelosp.1
Receipt #
-
THAT I HAVE READ THIS APPLICATION; THAT TH5 INFORM IN
AT,
GIVEN IS CORRECT; AND THAT I Am THE OWNER, OR THE DULY AUT14ORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRuc.
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APPLICATION APPROVAL
no"' D`NDO'NGTH' AUTH
AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIC TION
CALL
U."Thi-ppi 1, rol Ga pe- I InIll signed by Me
d.QOISsjCI.,IV.ft FOOS
HE Do. IF THE STATE OF WASHINGTON RELATING TO
.EXMEN _�UNANCE AND RCW 18.27.
FOR
OR SP
P.,Yi Ond SIO psid, a,d
f—iPt is ac�dodged In Space Pfmidld,
SIGNATU E
DATE SIGNED
OFrIA11 "IMMURE DATE
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(425)
7 71-0220
EXT 1333
IT S NLAWFIII TO ..qF R 11, G OR STRUCTU
MFIFASVD BY E
7 /1,
'Pr.Tir 1., 771-0221
APPROVAL OR A GERTIFI�
01110INAL - FIVI.- YELLOW - INSPECT
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION ifig FAX PINK - OW, . GOLD -ASSESSOR
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NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
LOT r-o\IERA6F- 061-0.
1025
LOT AREA: 12,043.50 5�F. 555L
c,OVV AREA: 5,450.00 S.F.
— i� - — LQ 00
AREA / LOT AREA: 25.45%
F W
PROPOSED:- 8 - 0
HoueE1rvARA(5E: 2265 S.F. <
5.F,
--i:O-TAL 5430 S.F�
RESIDENCE
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LE&AL PE5CRIFTIQ M2555A3 00
:MAIN: -1450' K
UPPER: 104.33� W
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T.O. RID&E: 11'150'
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D.F, FINLEY CONSTRUCTION, ING. &ARA&E ow
LO 5LAf3: C!3341. -.7
b4O5 54TH AVE N. 2
MUK -152,75 KI HI 5LAE: -15.67' p I
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HOU5E F-LEVATION5
q4.25'
FRIVATE AD
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3-75.15 4 > q4bq� - AV6. f3LD'6 6RADE STORM PRAINA6E PUMP Z.
+ 25.00' HT. LIMIT PETENTION RESERVED) w CIO
ARjA
MAX HT. ALLONED
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sat-
u 2
5 6q'24'Yq 1025
APPROVED AS NOTED 0
BY ENGINEERING 51TE PLAN 11 1 M
SCALE : 11 b�f�
Ill = 20--0" 0 20 40 60
Date: S� V)
AnPVE B P A ING
7-M CITY COPY
'10 2002
L
PERmfT couNTER
Height Calculation Worksheet
Address:
Date: fA -I Oz
I Datum Point: 1�
-- -tab
Z�
In
2, Datum Point Elevation:
3. Average Grade:94' If)
t
4. Maximum Elevation Allowed: Ct (A + 25'
C
in
0'
javmg, grade)
c�
5. Reference Point Elevation Shot to House:
in
104-J- (datum elevation) +G-)5 (grade to transit.level line shot to house)
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6. Measurements from line shot onto house to roof ridge:
n
M
(p -0 9-"
in
0
0 rn�
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Total
0:
7. Actual Elevation: 05 .6 (reference point elevation) + IS, 7 (measurements
from #6)
Conclusion:
xitOS (actual) is greaterele—gsth'4n (19 A09 (allowed); therefore the house is/
is not over the height requireme&T-e—r ECDC 16.20.30 requirements
L:\TEWBUIIDJNG\hGSQHeight Cakulation Worksheet.doc
FINAL PROJECT APPROVAL ORM
TO:
DATE: —
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE —
FROM:
�� �60'3
1�i LIDPI- ENGINEERING DIVISION DATE-
PLANNING.DIVISION DATE —
PROJECT r 0
SITE A DDRESS- 1A)'
PERMIT# ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED --I—::
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
'PE LMANCE BONDS and the granting of:
--ZGRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES by inspector
u Copy of CORRECTION NOTICE given to owner/contractor
1.
2.
3.
RE-INspECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date— Sign,
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INSPECTOR
DATE APPROVED
SETBACKS ....................
FOUNDATION:
Footing ......................
wall ....................
Pier/Porch ..............
Z
Retaining Wall ...........
0
Stab Insulation ..........
LUMBING:
Underground .............
17-6Z
M
Rough -In ..................
MO
Commercial Final
0
0
C
HEATING:
17 -
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Gas Test ...................
Gas Piping .................
6quIpment
CA
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Commercial Final
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EXTERIOR SHEATHING
NAILING
M M
0
. .........................
0
0
FRAMING ..............
on,
FIRST FLOOR FRAMING
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INSULATION ...........
Floor Insulation
Wall Insulation
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Ceiling Insulation
jv�
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SHEETROCK NAILING
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SPECIAL INSPECTION
7,
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MISCELLANEOUS
FINAL APPROVAL FOR
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OCCUPANCY ..................
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