20020645.pdfDATE RECEIVED "7)?
PERMIT EXPIRES
US' PERMIT
CITY OF EDMONDS Z.NE R-�- \2,00,-)- NUMBER
CONSTRUCTION PERMIT APPLICATION JOD SUITEIAPT#
INER NAMEtNAME OF BUSIN 88 ADDRESS LI - 0 FEE S
_T7,707— ",,I'D
PLAT NAME/SUBDIVISION NO
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13 ;Ia< PL- U3 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
ry ZIP EXISTING — PROPOSED— 'A'
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(P. C' 9 - .111RE. DEDICATION— I — L,
ME METER SIZE I LINE SIZE I NO. OF FIXTURE,
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CRESS
—J-1—IOR RESPONSIBLE FOR EROSION CCINTROW
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NAME
ENGINEERING RE
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TELEPHONE
FI E REVIEWED By
CU IHOIEIINI OR ADS'
STATE LICENSE NUMBER
ITI-ifll-�C,c-,H OqOPO I'DIISJ.'
EXPIRATION DATE CHECKED BY
Z0Qj
SIGN
PROPERTY TAX ACCOUNT PARCEL NO.
$EPA REVIEW AREA
COMPLETE P� D
EXEMPT A�7�O
-7 Wor�;L (90909
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jA.NEW RESIDENTIAL
IUMsING I ECH
T CGVI E RED R 0 SETBACKS (FT.)
P PCs") FRO T SIDE HEAR
ADDITION OMMERCIAL
C
C MPLIANCE OR
CHANGE OF USE
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2yo
?LILLO�ID
REMODEL APARTMENT
SIGN
Go A Fa� L' IT ARIA
.VHIE�
REPAIR eyg CYOS F NCE
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oEMOUSH TANK
OTHER
GARAGE RETAINING WALL
CARPORT 11 ROOKERY 0 RENEWAL
ITYPE OF USE, SUSIN EXPLAIN:
CHICIED BY 11-1 E OF C ION
NUMBER OF
RITICAL
DUMBER
OF
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I
SPECIAL INSPECU OR e,%AT, 114�LFI
STORIES DWELLING
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REMARKS
PROGRESS INSPECTIONS PER UBC 1081FI?
I Wg 2D
VALUATION
FEE
No 131'1
IRIP IID,
1— /
'10
INSPECTION REaD
Building
J2
15
PLAN CIIJECK70� V VESTED DATE
Plumbing
dTO
Mechanical
11.1. PINIMIT —.0 0. S ORK 1401E.. TH.. ISR.17 r.VE.1 WORK
IT
BE DONEON PRIVATE PROPERTY ONLY. ANY CONST UCTIONONIHE PUBLIC
OMAIN (CURDS, SIDEWALKS. DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
a 'C B
Grading
Recording Fee
SEPARATE PERM;SSION.
S2zfi',1.
Engi. Review
City Surcharge
PERMITAPPLICATI N; 180DAYS
PERMIT LIMM I YEAR - PROVIDEDIN RK IS STARTED WITHIN 100 DAYS
BACK OF PINK PERMIT FOR UOAE INFORMATION
_5/).
Engr. Inspection State Surcharge
__,2 �5L
'APPUCANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESOITS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND CITY
Traffic Mitigation
Plan Chit Deposit
AND HOLD HAS LESS THE OF
IOMONDSWASHINOTON, Its OFFICIALS, IMPI-111111 AND AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE, ARiSING DIRECTLY OR INDIAECTIY
SS
FROM THE I BARGE OF THIS PERMIT. ISSUANCE or THIS PERMIT SHALL NOT 6
Me
DEEMED TO DIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
rite inspection
Total Amount Due
IT,
NOR LIM N ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscapainsp.,
Recelpt #
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 A�PROVAL
THE OWNER I AGREE TO COMPLY WITH CRY AN. STATE a REGULATING CONSTRUc-
CALL
INS APPI"Ifl- a P1114-01 signadby ad,
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
WORKMENS4=ATIO IN URANCs AND RCW U1,27.
11,11d,ng Officlai a, 'Whal Daply; and FOOS St. Paid. and
FOR INSPECTION '_irn 1, a,knwI,d9,,d In 5P4CO pfmid,d,
v
ATE SIGNED
(425)
Cl��.l I !RDNATI191 DATE
'W � . �
'7
05
771-0220
_ J.a
ATTENTION EXT 1333
1EIIASE. .�Y f GAT
L
IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
KR
OR N�"j'j YELLOW. JNSp CTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
10/01
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�EVELOPME SERVICES CTR,
CITY OF'EDMONDS
MAR 19 2002
DEVELOPMENT SERVICES I TFI.
CITY OF EDMONDS
4
41.41' 84.04'
i-foe4-111 c3,Ak.,q%)
MAXIMUM DRIVEWAY SLOPE
ALLOWED 141/o
W
IPPROVED AS hOlio
BY INMRING
OwNffiloommoTce IS REM&F91 W' TV �covj�tv(�:w kofx.
EROSION CORMOL AND DAIWAG9
Height Calculation Worksheet
Address: Y\'
Date: I 2--IZ -
Inspector(s):
1. Datum Point:
2. Datum Point Elevation: S44AZ
0,
3. Average Grade: 4-7
M!
'(avera
4. Maximum Elevation Allowed: ge grade) 25'
C M
m Oj
00i,
Reference Point Elevation Shot to House:
:1
0
T4�
AL44datum elevation) + (grade to transit.level line shot to house)
M to
g
6. measurements from line -hot onto house to roof ridge:
co
0'1
'0
X
Z!
Cn
z
0.
Total
m
7. Actual Elevation:3*192Z (reference point elevation) +42S 3 (measurements
from #6) 27/ . 35
Conclusion:
(actual) is greaterOesMIRA (allowed); therefore the house is/
"M
is not over the height requi rem -per6SC 16.20.30 requirements
LATENMBUILDINGUISCBeight Calculation Worksheetdoc
Ir
M W i � Me W .1 1
TO:
DATE:
NIEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTIVIENT DATE
--ENGINEERING DIVISION DATE—_
__—PLANNING DIVISION DATE
PROJEC
65
am
SITE ADDRESS 3 -33 SS
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rn 0
0
_AO-0
PERIvff #L Q��ADB#____DATE INSPECTED
80
C
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In
DESCRIPTION OF WORK TO BE INSPEC17ED EOW
10
co
A field inspection was conducted to determine final compliance with approved plans. Final approval
0
denotes that there are no objections from the above signed Department to the release of
PERF211MANCE BONDS and the granting of:
x
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U5
GRANT FINAL PROJECT APPROVAL
0 rn
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z 0
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
x
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE_]NSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
ocaprvl.d(>c.l:tenip:bldg:fomisIO/OI
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDAT ION:
i� —,:f- (3
Footing
.............
M3 0'2—
Wall ................
Pier/Porch ................. —
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
am
C:
M
Rough -In
-4 0
00
C
Commercial Final
IR
HEATING:
0 iz
_i
GasTest ................
a
Gas Piping ..; ..............
0 -n
Equipment .................
-n
Commercial Final
M M
EXTERIOR SHEATHING
0 r-
OM
NAILING .....................
a ca
r. ca
FRAMING ................ .
Q 0
z
FIRST FLOOR FRAMING
71
ICZ
INSULATION
Floor insulation
z
Wall Insulation ...........
Ceiling Insulation
z
SHEETROCK NAILING
0
9
0
SPECIAL INSPECTION
.... . ...... ....
171
M16CELLANEOUS ...........
FINAL APPROVAL FOR
OCCUPANCY ..................
SideSewerg
AMOut Paid 6 0
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