20020584.pdfD
-1PERMI1
CITY OF EDMONDS
USE
ZONE PERMIT
RS? NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
SUITE/APT#
OWNER NAMVWME OF BUSINESS
ADDRESS
PLAT NAME/SUBDIVISION NO, I LOT NO.
LIO NO
MAIL NO ADDRESS
"'ata.,,V�
LID FEE S
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-UBLIC SIGHTIOR WAY PER OFF111AXIET MAP
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CITY ZIP ITELEPHONE EXISTING pr,'
REQUIRED DEDICATION Fr
NA
METER SIZE I LINE SIZE No (11 FI-UR11
4 A 0/
III REQUIRED
YES NO C3 3
AI)Dj�
REMARKS
t.�NE7 S��
OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
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ENBIlEE11111 IEVIIWEIIIIIATI
ADDRESS
P( FIRE REVIEWED BY DATE
CITY
0
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STATE LICENSE NUMBER EXPIRATION PBOND
[3YERSE50O OSTED
REVIEW
$EPA
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EX�MPT ALL, ALLOWE� PROPOSED
00-5 S -CX!> 11 t C51; EXP
NEW RESIDENT! L LOT COVERAGE REQUIRED SETBACK$ (FE) PROPOSED SUBACKS (ff.)
ILUI&A. I NIECH
A POSED FRONT AN FRONT UA al E, BEAR
X
C MPLIANCE OR
-�ADDITION COMMERCIAL CHANGE OF USE PRGS7, 2�0`55' ;?.0 5 Id .20.5
0 PARKING LI IT AREA I P
EMODEI 0 APARTMENT 0 SIGN REDD L�M`N- FEVBR`
PROVIDED
if
REPAIR 0 1 NCE
( —X—Fr) R
DEMOLISH 0 TANK [3 OTHER
.A-PO&T 0 %—CR:R")G VMJLL
jkAD [:1 RENEWAL
frIE OF USE, BUSINESS OR ACT
CHEC ED By TYPE OF �MION CCUPANT
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—NUMBER 7 UMBER
- OF RITICAL
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OF 0 a S OCCUPANT
S JES UWELL SPECIAL IHSPECT01 IAIIE=
TOR NITS'NG NUMBER nEou"M LOAD
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DESCRIBE WORK TO HE DONE
REMARKS
PROGRESS INSPECTIONS PER USC 1081PINAL INSPECTION REOD
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V A L U A T N
VALUATION $ /—Z
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Description FEE Description FEE
..c r P
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Plan Check
'a
HEAT SOURCE
C, All��
13 ilding
'd Ing ?Z56
PLAN CHECK NO: �TEO DATE
P u bing
I
Mechanical >90
FInspection
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMET COVERS WORKTO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION Off THE PUBLIC
Grading
G, Ing
?_
10 Recording Fee
ONAIN (CUR11% SIDEWALKS, DRIVEWAYS MARQUEES, MCJ WILL REQUIRE
SEPARATEPERNII SaRIN.
Ingr. Review
519
PERMITAPPLICATION: INDAYS
PERMIT LIMIr. I YEAR - Pno" 20 WORK 15 STARTED WITHIN DAYS
(City Surcharge
'80
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr.
State Surcharge
—PLICANT ON BEHALF 01 HIS OR HER SPOUSE HEMS. ASSIGNS AND SUCCESORS
Traffic Mitigation
o
Plan Chk Deposit
,
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGION, TFS 01111MLI, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Review
Receipt #
FROM THE ISSUANCE OF THIS PERMIT. =LANCE 01 THIS PERMIT SHALL NOT BE
D EMED TO MODIFY, WAIVE OR REDU E ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total ArrIount Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Landscape lose.
Receipt #
Z
I HERE 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
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
71vppft.II.n I —I . P—h unfil �Igrnd by 1h.
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
Buildr�g OffinI.I.ItI1,IZ, D.p.1y: and F - pid—d
_,Ipl is--rodged In Snace Providnd..
WORKMEN'S COMPENSATIO
,�H_HGLIRANICE AND
,�HNG�LANICE AND 18,27.
SIGNATURE (OWNER OR (AGE ATE SIGNED
(425)
OF�+M_S �IGNATURE
L& I W fik� ?_
771-0220
—RELEAE
E
ATTENTION
0 S10RDr
EXT 1333
/DA
ITISUNIAVIFUI PYA BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE - YELLOW-14PECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
1:AY
PINK -OWNER - GOLD -ASSESSOR
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RECEIVED
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002 -17 JUL 12 2002
N 09*221st PERMIT COUNTE
64.87'
BUILDING
ETBACK SCALE 1*=20'
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330.77 337. PU LIC PEDESTRIAN
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PROPOSED DECK: N/A
FOR
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LINCOLN ESTA 7ES LOT 16
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8 337 '3* IN NE174 OF SECTION 36,T.27 N.,R.3 E.,W.M.
C 333 54'44
D 333:3#0
CITY OF EDMONDS
AVG. ORADE - 335.0#,7 SNOHOMISH COUNTY, WASHINGTON
ACTUAL 361.0
MAXIMUM 361.01
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Distribution: Sianature: A-&-,
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Atachements: d- �1^,\ DEVELOPMENT SERVICES CTR,
CiTY OF EDMONDS
17625-130th Avenue NE, C102, Woodinville 98072 425-844-1977 + (Fax) 425-844-1987
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RECEIVF—D
DEC 2 3 2002
UEvELt)pMEN I SERVICES C111,
CITY OF EDMONDS
Height Calculation Worksheet
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Address:
Date: t--s
hispectoi(s): W)-�
1. Datum Point-
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2. Datum Point Elevation:
ge Grade: S3�t (A
3. Averag
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imum Elevation Allowed: (ay.. e grad.) 25' -3 u I
4. Max 9
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5. Reference Point Elevation Shot to House:
M 07
371-'�Td-atum elevation) +,5,33 (grade to transit.level Hue shot to house)
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6. Measurements from line shot onto house to roof ridge:
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Total :.X
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ial Elevation-Vb- eference point elevation) +c?4'1 f (measurements
7. Actt (r
from
Conclusion:
-SQ 1�61 (actual) Is great less than (allowed); therefore the house Id
is not over the height requirement per ECDC 16.20.30 requirements
LATEWBUILDINGNISCReight Calculefion Worbbeet.doc
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TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIR DEPARTMENT DATE—
D4A L ElZq- ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE—
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PROJECT
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DESCRIPTION OF WORK TO BE INSPECTED—F-00ALf
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A field inspection was conducted to determine final compliance with approved plan na approva
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denotes that there are no objections from the above signed Department to the release of
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PERFORMANCE BONDS and the granting of:
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FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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a Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT AP PROVAL
:
Date_ Sigu_
ocaprvl.doc.l:temp:bldg:fomisIO/OI
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .......... ..........
FOUNDATION:
Footing ..........
wall
PlarlPorch ............
Retaining Wall
Stab Insulation ..........
PLUMBING:
-4 n
Underground ............
0
M
Rough -in ................
-4 0
0
Commercial Final
c:
-13:
HEATING:
= M
M
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Gas Test ...........
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Gas Piping .............
Equipment � ............
0.n
Gornmercial Final
M M
EXTERIOR SHEATHING
3 C4 'Z-
0
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r NAILING ............... ..........
0
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FRAMING ............
FIRST FLOOR FRAMING...
INSULATION ...................
Insulation
Floor
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Wall Insulation ...........
Ceiling Insulation
NAILING
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SHEETROCK
SPECIAL INSPECTION
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IT!
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................