20020907.pdfFPERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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LEGAL DESCRIPTION CHECK ---rUBDIVISION
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 114 0
CITY 7P___TT_.L�P.011E
EXISTING REOUIRED DEDICATION
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PROPOSED
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NAME
METER SIZE LINE SIZE
P IV REQUIRED
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ADDRESS
CITY zip ITELEPHONE
NAME
ENGINEERING MEMO DATED
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REVIEWED By
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STATE LICENSE NUMBER EXPIRATION ATE CHECKEDBY
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EFA REVIEW SIGN AREA HEIGHT
LEGAL DESCRIPTION OF PROPERTY - INCWDE ALL EASEMENTS
COMPLETE I EXEMPT ALLOWED
EXP LL�i�
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PROPOSED ALLOWED PROPW5D
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�AGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
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PROPERTY TAX ACCOUNT PARCEL NO.
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LOT AREA P G REVIEW By DATE
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NEW CK RESIDENTIAL PLUMBING I MECH
REMARKS
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C3 ADDITION E] COMMERCIAL o C MPLIANCEOR
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CHANGE OF USE
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PROGRESS INSPECTIONS PER UBC 108
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NUMBER NUMBEROF .., I CRITICAL
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OF DWELLING AREAS
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FINAL INSPECTION REQUIRED
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VALUATION FEE
PLAN CHECK FEE
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SOURCE GLAZING11 LOTS"
BUILDING
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PLAN CHEM IVESTEO DATE
PLUMBING
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MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOT D. THIS PERMIT COVERS WORK TO
BE ONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TH=REC
DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS , MAROUEES.ETC.� WILL
GRADtNGIPILL
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPUCATI N: 180 DAYS
PERMIT LIMIT. I Y, All , PROVIDED WORK IS STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
PLICANT. ON BEHALFOF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESoRS
ENO INSPECTION FEE
2nn.
;A
N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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A, EDMONDS. WASHINGTON, ITSOFFICIALS, EMPLOYEES, AND AGENTS FRO ANYAN
,I ALLCLAIMS FOR DAMAGE OFWHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY
FROM THE ISSUANCE F THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TOMODIFY.WAIVEOR REDUCE ANY REQUIREMENT F ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
4
=1 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY C -
1
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tHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT 1 INFORMATION
GIVEN ISCORRECTANDTHAT$A THE OWNER, OR THE DULY AUTIT,o, 'ED AGENrOl
APPLICATION APPROVAL
THE OWNER. I AGREE TO CORK' Y WITH CITY AND STATE LAWS REGULATING CONS TRUC
CALL
Thl-PIF-1111 Is nOl �l P1114 1�ftl slglld by th,
TION� AND IN DOING THE W AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYEE)
IN VIOLATION OF THE LABOR CODE Or THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
IdIg 01IF1,11 b, 111thAl Dty: Ild F... w, p,,,d. a,d
WORKMENS COMPENSAR AN N DIN HIZ
........ P-J I :
I
SIGNATURE E.-IER GIH AGENY TMATE SIGNED
(425)
DATE j I
IALSSIGNATURE,�..
'D- -) J_'-'.;:5� 1
771-0220
. j_(I
A 10
11112k,"
ATTENTION
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T:T U [ 6
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
-
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERRFI-
ORIGINAL 1111 IELLGW INIFICTILl
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK OWNER GOLD ASSE,"ON
NoTice IF THE DOCUMENT IN THIS FRAME Is LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
GENERAL SCOPE OF WORK
, q I Non, Ashpaft N- Gravel Agel, Solid lid mm, moaning catch basin
IsI20-intoolley 140-A1716110iff 59 of 1w drain We. 2
si
oppmx 130 or mradan. basin at W and
NEW GARAGE WITH ASPHALT DRIVE
ALLEY IMPROVEMENT, NEW GRAVEL
9
1�22,72222-.!
and ASPHALT AT WEST END
Ar
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to
sit ta.tE3 0
...2 ..;;
NEW DRAINAGE IN ALLEY
11
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isal
! at
=11,11" ;7, i
is,
e. - I 191
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2.
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cons. -11,
hourn, to 9 Go
distoWl.
a
594 at
723 Edmonds St
Edmonds WA 98026
18x4=72 at v
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is
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L.G.1 Lot 36 & 37 par Pat
city of Edmonds AF# 189D07095001
Bill 85 S24. T27N. R03E Snim C.
6
4
s,
Wild 2W? gangs 594 SF
fthishaasph.&N.Wfty
31
Ealsting
d
1540=3waf
Unsup�shftaafll
14..1258d
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with h chmalley'14OX12-1680.1
g
ofgmgewb
with IM20rasphr"llay
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inha wait of
ilay.
r
to M Am 130 at
with—Wdraink..m.flay
h..
no mnow
,=catfC,h basins
lodslingbach Scale
31-
drainne via splachblooks 1"= 20'
w
0
filthulne to catchbann
mosion conind nit
2i
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Lot 6600
Home 1258
i
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Porch 252 6
2Z 1
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R a.
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Porch 252
coranotowall,118
Lot 38
Lo 67
2Z
36
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Near Ginago 596 w/. mnimangs
40 Lot 39
4�4
N- Gmag. WE fth —richings
Nw Asph OW 300
N- Com, walk 72 at 4* 411W &A - IL#bo 1p
IIPFR-O�VZo %
BYPLAIMm,
NG
W
It
TU Lot Covg ad strucidars 4 pffA ju, two
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211416 .5%
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H20 Gas Elall
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fDw mo
L4 CL EdmurdsSt 60'RofW
59416
.......... ................ ..........
T9 Impar, all lbon Elevations al lag-
CHECK 96u"
38
2594166W=39. % A-97,25 (,7 (97.-
B=97.76 .22
(07.25.22) 9555 .
Elonalm, 97.5 TRANSIT SHAURE SETUP FOR
N- hapam,
966 1 WO = 14.6% C-97.75
INSPECTOR AT FRAMING INSPECTION
0-97-25 Reference El
"inciyx TO CHECK HEIGHT OF STRUCTURE.
Q7
[IRV.
0 M
in 0
Z,
-4
3. Maximum Elevation Allowed: (average grade) +
0,
-1
4. Reference Point Elevation Shot to House:
X
in m
(datum elevation)+ (grade to transitlevel line shot to house) 0
0
0
0
C ca:
6. Measurements from line shot onto house to roofridge:
0
;u
z
z
-04
in
Total:
7. Actual Elevation: L2L (reference point elevation) -�LJ�I(measuremeuts from
#6) 3-7
Conclusion:
(actual) is greater kws-s-i:4111 - (allowed); therefore the house is/
is not over the height requiremen er ECDC 16.20.30 requirements
L\TRMP\]3t9LDlNG\MlSC\Height CalculationGrading Verification Worksheet.doc
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM —FIRE DEPARTWNT DATE—
M
kA6('dnM&-tL—ENGMER1NGD1VIS1ON DAM..
--YLANMNG DIVISION DATE---�.—
snE ADDRESS AWMA S
D
PERMlT#:jt0'L0q 0 ADB#--___-----PATE INSPECTED
DESCRJPn0N OF WORK TO BE INSPECTED-4�� ialA
(3
kfield 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
PERFORMANCE BONDS and the granting of:
--�,-GRANT FINAL PROJECT APPROVAL
GRAM PROJECT APPROVAL WrrH CONDM- ONS NOTED
a Copy of CONDMONS given to owner/contmtor by inspector
FARM FINAL INSPECTION OUTSTANDING ISSUES
o Copy of CORMCnON NOME given to owner/contmctor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Datc_ Si
ocWv1.doc.1:t=V,b1dg:fbnw10/01
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
MR
SETBACKS .....................
FOUNDATION:
—S
Footing .................
wall ............
Pier/Porch .................
tp
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
C M
M
HEATING:
0
0
Gas Test ........ . ....
C
Gas Piping .................
ITI
ITI
10
Equipment ................
Commercial Final
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EXTERIOR SHEATHING
NAILING
0 -n
n
..........................
E2
FRAMING ........................
M ITI
INSULATION .; .................
0
0 F
n
Floor Insulation
C
Q 0
Wall Insulation ...........
Call Ing Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
ITI
OCCUPANCY ..................
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