20020704.pdfX DATE RECEIVED
PERMIT EXPIRES
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CITY OF EDMONDS ZONE
CONSTRUCTION PERMIT APPLICATION JOB Sti
ADDRESS
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PLAT NAMEISUBDIVISION NO. LID NM
ING ADDRESS FLAT Lt. FEE
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED- A.' -'L.
F
-DICATION Ff
147 PEOU:RED BE
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M E RV REQUIRED
ETER SIZE 'IN' NO. OF FIXTURES P Is
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL1.1--
ZIP I TELEPHONE I
CITY ZIP TELEPHONE
STATE LICENSE NUMBER EXPIRATIOR BrTi I CHECKED BY
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1) ) 1 00 1 1 1117 (Y)
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ADDITION
0 COMMERCIAL
0 COMPLIANCE OR
CHANGE OF USE
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SIGN
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11 R 0 C K E'RNYG
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(ME OF USE, BUSINES;,�Illl.
NUMBER
OF
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0 FLUNO
STORIES
UNITS
DESCRIBE WORK TO
BE DONE
FIRE REVIEWED By DATE
VARIANCE OR CU SHORELINE OR ADO# INSPECTION PSOND
13 YREO'D DOTED
ES 0 NO
$EPA RENIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOW D ALL,
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LOT COVERAGE REQUIRED SETRATKS IFT) PROPOSED SETBACKS (Fr.)
ALL FRONT I SIE REAR I FRONT I
7Y -7 7'
15 -b 7'
PAR
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REC' PROVIDED
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CHICKEOBY I TYPE OF CONSTRUCT ON 111UPANT
SPECIAL INSPECTOR NT
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD
VALUATION $
Description
FE
Description
FEE
Plan Check
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HFAT�ORCE GLA�Z %
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BU liding
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PLAN CHEM
111T11 DATE
Plu bing
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Mechanical
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THIS PERMIT AUTHORIZES ONLY THE OnK NOTED. THIS PERMIT COVERS WORK TO
5 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUB LUC
--
Grading
Recording Fee
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) W ILIL REQUIRE
SEPARATE PERMISSION.
Engr. Review
city surcharge
PEI' D'APPUCATUM: INDAYS
PERMIT UMIT I YEAR - PROVID D WORK 15 STARTED WITHIN ISODAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
I
State Surcharge
'APPLICANT' ON BEHALF 01 HIS 01 HER 1POISE, HEIII, 1111111,11 AND SUCIE11111
Trallin Wfigation
Plan Chk Deposit
Fire Review
Receipt #
IN INTEREST, AGREES TO INDEMi Di AND HOLD HARMLESS THE CITY OF
ITS OFFICIALS, AND AGENTS FROM ANY AND
EO10NDS. WASHINGTON, LMPLOYECS.
ALL CLAIMS FOR DAMAGES OFWHATENER NATURE ARISING DIRECTLY OR INDIRECTLY
OF THIS PERMIT, SSUANCi OF THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE
0 TO MODIFV, WA E OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINA OF
Fire Inspection
Total Amount Due
15
N=IT IN ANY WAY THE CI�S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Receipt At
APPLICATION APPROVAL
READ THIS APPLICATION; THAT THE INFORMATION
I HEREBY ACKNOWLEDGE THAT � Hi
GIVEN IS CORRECT, AND THAT AM OWNER, OR THE DULY AUTHORIZED AGENT OF
E OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
This spiritso on Nool a poomil until signed
by the
TH 1—ii B.Ild.olt Olftl.t o, i Duphy:.nd r—in. psild. no
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTO14 RELATING To FOR INSPECTION —.1iol—ko-loda. —P.-Po. r
WOFIKMENNS COMPENSATION INSURANCE AND RCW 18,27, DATE
INE OR DATE SIGNE (425)
-0-t -I
771-0220 Early DATE
EXT 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771 -022 1
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR/
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD - ASSESSOR
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Height Calculation V
Address:
Date: 1-1 z- ?a�
Inspector(s): VYIJ
1. Datum Point:-T-&-�-��,-,, pck
2. Datum Point Elevatiow. —100
3. Average Grad-: CI 01
4. Maximum Elevation Allowed: (averag.
5. Reference Point Elevation Shot to House:
(datum elevation)+ Lp,01 (gradetotran:
6. Measurements from line shot onto house to roof r
-7,
Total 7
7. Actual Elevation: (reference point ele,
from #6) = 1 IS
Conclusion:
(actual) is greater /( Ce.r.�7" _Zj±:f
is not over the height requirement per ECDC 16.2
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50 requirements
0 ER]CONTRACTOR IS RESPONSIBLE
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PROJE
WE ELKINS
SCOPE OF PROJECT:
'FrA
9805 234T" SW FRONT
NEW DETACBED GARAGE. 589.5 SQ Fr. f-
q EDMONDS 99020 SOL
S06,
LOT SIZE: 70'x 120' 9400 SQ FT
:12-
-425 542 0384 R EA H
OTHEH
—
LOT COVERAGE:
TAX Nw. 5548 002 001 0300 HEIGH1
EXISITNG RESIDENCE: 1255.6 SQ Fr
LEGALkC PROPOSED:
IjMoND FRIAT GARDENS TRACTS, BLK 002 D-03 N 70 Fr OF RESIDENCE: 1255.6 SQFT
E 150 Fr OF s% LOT I LESS 30 FT THOF & TGWUND 1/3 RfF IN NEWGARAGE 589.5 SO
pRIVATE ROAD OVER SD E 30 Fr OF S 1/2 SD LOT AKA LOT I SP 89
(4-81).
TOTAL: 1841.1 SQ Fr 21.91/o
FINAL PROJECT APPROVAL FORM
TO:
DATE:
PERMIT COORDINATOR, BUILDING DIVISION.
FROM: FIRE DEPARTMENT DATE
CV U615�1 --ENGINEERING DIVISION DATE—
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PL DIVISION DATE
PROJECT
SITE ADDRESS
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pERWr # ;00 2, - 0*7o #__________DATE INSPECTED—
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DESCRIPTION OF WORK TO BE INSPEC
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A field inspection was conducted to determine flual compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WYrH CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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u Copy of CORRECTION NOTICE given to owner/contractor by inspector.
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RE-INSpEcTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date-- Sign_
ocaprvl.doc.l:tenip;bldg:fomisIO/OI
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ............
FOUNDATION:
Footing ............
Wall..........................
Pier/Porch ..........
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
0
Underground .............
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In
Rough -in ...................
0
0
Commercial Final
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HEATING:
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Gas Test ....................
Gas Piping .................
Equipment ..............
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Commercial Final
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EXTERIOR SHEATHING
NAILING
C.7
0
0
..........................
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FRAMING ............ ...........
Q 0
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR 9-)
OCCUPANCY ..................
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