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REMARKS
PROGRESS INSPECTIONS PER Use 11081FINAL INSPECTION REGO
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PLAN CHECK NO:63
VESTED DATE
Plumbing
Plumbing
Mechanical
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THI R HT Coal .. WORK TO
'PE MIT COVER
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t: BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON - -EPUBLIC
2 D E . IVILL. LRRE
OMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQU F'G'ETC )WILLREQUIRE
SEPARATE PERMISSION,
Grading
Recording Fee
Engr. Review
57)
City Surcharge
PE MITAPPLICATION: INDAYS
PERMIT UMM I YEAR � PROVID WORK IS STARTED WITHIN ISO DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
State Surcharge
ON BEHALF F His OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFX DEFI!NO AND HOLD HARM1111 THE CITY OF
SIMONDS, WASHINGTON, as OFFICALS, EMPLOYEES, AND AGENTS MOM ANY AND
ALL CLAIMS FOR DAMAGES OFWHATEVEn NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Traffic Mitigation
Plan Chk Deposit
Fire Review
Receipt #
Fire inspection
Total Amount Due
Landscapainsp.
F.-pt.
I HERESY ACKNOWLEDGE THAT � HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
G C"NSTAUC
THE OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAWS REQUIATIN -
TION; AND IN DOING THE WORK ALIN AGED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENG COMPENS:��RAOIZE Al.. ..W 1.21.
APPLICATION APPROVAL
This,pplicallon Is aw a pe,rallmell signed by the
CALL B,Ildlng Official or his I Depty: and Flea am paid, and
FOR INSPECTION , �eoiplil..k�.M.dg�di�.p.c.p,.vid.d.
OF�PIALS SIGNA'u DATE
(425) --
771-0220 J�j OM)M,W� lilt'ja
RELE E DATE
E 1171411,� 1,
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
EXT 1333 <1
771-0221 0 1 RIGINAJ FILE YELLOW -INSPECT R
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Height Calculation Worksheet
Address:
Date:
Inspector(s): -E)�LA
1. DatumPoint: fkd�V2-2- /11
Z,
0,
2. Datum Point Elevation: 1-7
0
r9,
3. Average Grade: 117'-10V
0 m:
4. Maximum Elevation Allowed: (average grade) + 25' /Iz
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m 0
0,
8Cr
5. Reference Point Elevation Shot to House:
m m
(datum elevation) + (grade to transit.level line shot to house ICW 4�15
g -2,
F
6. Measurements from line shot onto house to roof ridge:
0
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-4
X
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M.
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3�
6
Z:
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Total
m
7. Actual Elevation: JQJ�� -8 (reference point elev (measurements
at..)
from #6) 1122---4-1 _Nq
Conclusion: V
(�ctuai) is greater �Iess th—a�
L 012211171 (allowed); therefore the house is/
er the height requirement per ECDC 16.20.30 requirements
LATEWBUILDINGMSOHeigbt Cakulation Worksheet.doc
FINAL PROJECT APPROVAL FORM
To.
DATE-
Nzmo To: PERmrr cooRDINAToR, BumDING DIVISION
FROM: DEPARTMENT DATE —
ENGINEERING DIVISION DATE-Y10 —(d03
PLANNING DIVISION DATE---�
PROJECT --.—MS
U
SITE ADDRESS
PERMIT
-�—ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED--.�Wj ...... ........... ...
in once with approved plani Final approval,
A Held inspection was conducted to determ e final co-Pli
ove signed Department. to� the release of
denotes that there are no objections from the ab
PERFORMANCE BONDS and the granting of
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WrM CONDITIONS NOTED
a Copy of CONDMONS given to owner/conhwtor by inspector
FAILED FINAL INSPECTION OUTSTANDING ISSUES
t3 Copy of CORRECTION NOTICE given to owner/contmctOr bY MSI—tOr
2.
3.
RE-INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...................... ry)s
Wall .................
Pier/Porch ............
Retaining Wall ...........
Slab Insulation
PLUMBING:
Underground .............
—7-03
Rough -in ...................
Commercial Final
HEATING:
Gas Test .................
Gas Piping .................
Equipment
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................. ins
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