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CONSTRUCTION PERMIT APPLICATION Joe
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PROGRESS INSPIECTIO 4S PER UBC 108/FINAL INSPECTION REDD
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VALUATION
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III` Deschlo[jon FEE Description FEE
Plan Check
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LOT SLOPILN
50 Building Permit
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City Surcharge
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PLAN CHEC
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SESIED DATE
Pl.mblng
THIS PERMIT AUTHORIZES ONG"He ""' NOTED- T S PERMIT COVERS WORK TO MechanIcal
IT F "K To Mechan"
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a . ...a ' T. PROF. 0. 'N 0" IN S
P..A Ll ANY G. G_...
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R RIEWALK B."'. st, ES To WILL B
To SOULIC Grad,
B E �RATS �FNUIMH...
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RE "Iff APPLICATION: IN DAYS Engr. Review
PERMIT IUMM I ,A, PROVIDED WORK IS STARTED WITHIN I
SEE BACK OF PINK PERMIT FOR MORE INFORMATION 80 DAYS
I
Engr. Inspection
'APILICA ON BEHALF 01 B SU
NT. NHIS OR HER SPOUSE, HEIRS. ASSIGNS AND succEsoRs
DEAN LE HEC -'Ty0`IF
IN INTEREST, AGREES TO I E B
'M E. T
AND HOLD HA MILESS THE CITY OF
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re
Fire Review
Plan Chk. Deposit
or A
F. LGQE�
ALL G !T. .11LJAID;'FENG " AND S.T. FROM ANY AND
F ANAG. �' WHATEVER I., . AGENT' a Fao
a' .. ' OIRECTLY 08 MINDINRYCAULoy
FROM THE ISSUANCE OF =,A,.
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F! re Inspection
-
I Receipt
IRS PERMIT
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IF S
MEDT_0-""--' PERMIT SMALL NOT BE
0 DEE MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY ORDINANCE
Landscape Insp.
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Total AT
SO FORCE ANY 08DINA27Y
NOR LIMIT IN ANY WAY THE CITYS ABILITY To EN
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I HERESY ACKNOWLEDGE . I HAVE READ THIS APPLICATION: THAT THE INFOR NATION
GWEN IS CORRECT, AND THAT I A. THE OWNER. on
I ecording Fee
Receipt
THE DULY AUTHORIZED AS
THE END OF
OWNER � I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRIC.
APPLICATION APPROVAL
TION; AND IN DOING THE WORK AUTHORIZED T ERE5Y, NO PERSON WILL BE EMPLOYED
HSTATE
CALL
-PPIjKP n.S. pel.1-111 Signed by IhO
IN VIOLATION OF THE LABOR CODE OF THE OF WASHINGTON RELATING TO
WO81A4EN,
FOR INSPECTION
UvPThiS
de,g 01ficial 01 his/her DOP'sY: �d FOOS 810jeaedd
COMPENSATION INSURANCE AND RCw 18,27.
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SIGNATIJ_ C RIOR AGENT)
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C�FFA.1.1 1iRNA.1U11 OAT
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771-0220
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REL7 .0
ION
1. BY
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
Off 1333
,/ED
AIGINAL �RIEYELI!�,.�p'.T.�
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFj-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
04/02 PINK�OWNER - GOLD -ASSESSOR
PRESS HARD -YOU ARE MAKING 5 COPIES GREEN . ACCOUNTING
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APPROVED AS NOTED
BY ENGINEERING
Date: o
ADD GUTTERSIDOWNSPOUTS
AND SPLASHBLOCKS
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
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rj-n"T - - ----- RECEIVED
-111-1 f5 AUG — 2 2002
Fi,
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--�UILOING DEPT.
HEIGHT-
5
21905 80th AV
Edmonds, WA
98026 -7803, US w AP
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Project De6cription - Comotruction of a-5e�3 5F adiition to an exiotine reolderice,
Project Adelreoo - 21905 50'h Ave W, Edmom le, Wa. 9502ro
1-coal 1 HADLEY5 ACRES, 13LK 002, D-02, N 75 FT OF LOOT 11
Tax # - 00 4610 002 Oil 02
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Lot Area - 9,555 5.F.
Lot Govera0e - 240+5F 25,09
W
5etbacko
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Front Allowed - 25'
0,
11
L3ack - 20'
51cle 5'
side -10,
ME
0,
Allowable helel-it - +
0
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Actual maximum heieht - (oce buildime elevationo)
3: M'
Floor aroao - (1,2CO 5.F. total heated opace)
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New Addition - ( ;o4 5. F.
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Exiotirie - 696 5.F.
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Garaoc - 528 5.F.
Deck 140 5. F.
3:9
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-.-Glazlno amount 220.0 SF (total hcate6i c9pace
0
0
Katio of glazime to heatecl floor area =220,O5F/l-300.GiO5F=lG.1:�1`/`
Mo.
lmoulation
RECEIVED
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Goilitio K/55 in all roofo
Wallo P, / V-) AUG - 2 2002
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Under floor- KI-2
BUILDING DEPT.
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umd& olal� - K/10
Windowo
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All witidowo are to be Miloard vin 1pnito with aroo4gao. They ohall have
tecned "U" value ratino of for picturco, -,49� for caomento and
ep
for olidera. All elazime below lb" above the floor line ohall be,
tempered. All bedroon-irg to have at leact one operable window providino a
minimurn clear openino of 20" wide and 24" hi0h and minimum oquare
footaoc of 5.7 5F. The oill ohall be a minirmum of 44'above the finiolhed
floor,
Doom
All exterior doom ohail be fully. weatherotripped- if there io elazine 11;
ohall, be. double tempered 6ilaeo ancl any .1lazin6i within 24 incheo of that
FINAL PROJECT APP
ROVALFORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: -FIRE DEPARTMENT DATE
__j3NG RING DIVISION DATE
DIVISION DATE
PROJECT
SITE ADDRESS —
PERMIT # Iml 6149 ked 3
_.ADB#__DATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPECTED
A field 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
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
o Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATIOW
Footing ......................
Wall ..........................
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Pier/Porch .............
Retaining Wall
Slab Insulation
PLUMBING:
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Underground .............
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1711
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0
Rough -in ..............
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Commercial Final
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to
HEATING:
C z
Gas Test
Gas Piping ...........
0 n
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Equipment ..............
Commercial Final
0
EXTERIOR SHEATHIN G
0
6 Fn
C= C/3,
NAILING ...................
IT 0
FRAMING ........................
1 05
FIRST FLOOR FRAMING
INSULATION vy�
X
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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fyNs
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0
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...........