20020966.pdfDATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
US' PERMIT -
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CONSTRUCTION PERMIT APPLICATION
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
E: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
rading
SEPARATE PERMISSION.
Engr. Review
PERM"TAPPUCATI N: INDAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 10a DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr, Inspection
Chit, Deposit
OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
;,A�plp.'T'OE.Al�lT�o�N.Bl"��-LFTO NDE�IJNII OFTEN. AND HOLD HARMLESS THE CITY OF
Fire Review Plan
Receipt #
D AIHI a P IALS, EMPLOYEES, AND AGENTS FROM ANY AND
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Fire Inspection
I A LCLAI. F A F HATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
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ERMI ALL NOT E
METHTEOISSOUDAINC,e OF ETHIRS PERMIT. ISSUANCE OF THI P GtSH 8
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9 DEE REDUCE ANY REQUIREMENT TV ORDINANCE
Landscapeinsp. Total Amt. Due
0 NORLIMnINANYWAYTHE LYS ABILITY TO ENFORCE ANY
Recording Fee Receipt 9
I HERESV ACKNOWLE BE THAT HAV READ THIS APPLICATION: THAT THE INFORMATION
ICA I N APPROVAL
T T
OWEN S A DTHAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
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THE OWNECO IRAE(CREE NO COMPLY WITH Gil AND STATE LAWS REGULATING CONSTRUC-
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DON; AND IN DOING THE WORK AUTH RIZED THERESY, NO PERSON WILL BE EMPLOYED
OF WASHINGTON RELATING TO
FOR INSPECTION ""V` i—ine.ed.do-al inarded F—teded.
IN VIOLATION OF THE LABOR CODEOOF THE STATE
WORKMEN'S J=ATION INSURANCE AND RCW 18,27.
1 Al.. SIGNATURE DATE
84NA 11 A DAT NED
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771 -0220 RELEASED BY DATE I
N
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IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIG NAL - IL - YELLOW - INSPECTOR
A FINAL INSPECTION
CATE OF OCCUPANCY HAS BEEN GRANTED UBC SECTION 109
PINK OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
HEIGHT CAI.CVI.ATIQNs
A-70
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AVERAGE OWE -
ACTUAL - 107.5
KAxImw - iw
11VIERVOUS SURIAO Mcs
EXISTINGHOVSE: 2= SQ. FT.
EX STING DRIVES & PATIOS: I
EX STING GARAGE: I
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EXISTINGDECKS: eol
PROPOSED DECKADDITION: 1. so, FT.
PROPOSED BUILDING FOOTPRINT ADDITON, D
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3. Maximum Elevation Allowed: a-3 (average grade) + 25'= 0
m M
4. Reference Point Elevation Shot to House: 0 5� Y
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6. Measurements from line shot onto house to rooftidge: F:
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7. Actual Elevation: n& (reference point elevation) +92— measurements from
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Conclusion:
(actual) is greater lq�� j0q.4 (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
UTENIMBUILDINGWISOF[eight CaleulationGrading Verification Worksheet.doc
FINAL PROJECTAPPROVAL FORM
TO:
DATE:
MEMO TO: PERMrr COORDINATOR, BUILDING DIVISION
FROM: ------- YME DEPAR11,1ENT DATE
-ENGINEERING DIVISION DATE
DIVISIONDATE'
PRojEc' r V;,L,
SrrE ADDRESS— 2�LZ)n� Z_).
PrRmrr#z<�Wz-a_9L-6, ADBt______.LDATEINSPECTED_Z4�,
DESCRIPTION OF WORK TO BE INSPECTED___2LLt��.
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 MAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector.
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date-- Sign_
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FINAL PROJECT APPROVAL FORM
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FROM: -FIRE DEPARTMENT DATE -
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
PROJECT
SITE ADDRESS k 5�O -DII.&T
PERmIT4 7 -ILI -7 DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED.--A-V� ............
A field inspection was conducted to determine 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
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRE CTION NOTICE given to owner/contractor by inpector
2.
3.
RE-rNSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tcinp:b1dg:fbnns:ocaprv1 3/25104
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Retaining Wall ...........
Slab Insulation
PLUMBING:
13 M
Underground .............
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0,
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Rough -In ...................
Commercial Final
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HEATING:
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Gas Piping ...........
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Equipment ...........
commercial Final
ni 171
EXTERIOR SHEATHING
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NAILING ; ..............
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FRAMING ........................
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
..... . ....
VOOO
The Initials MT are
Milton
Thompson, a teInpOrary contract
inspector for the City.