20030094.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
CITY TELEPHONE
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LID FEE $
PUBLIC RIGHT Of WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
Street Use Permit Reci'd
EXISTING PROPOSED
Inspection Required
REQUIRED DEDICATION
Sidewalk Re quit"d
Underground
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Wiring required
METER SIZE
LINE IZE
NO. 0 FIXTURES
PRV REQUIRED
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YES;K NO 13
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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Description FEE Description FEE
Plan Check State Surcharge
LOT SLC %
_)9E Building Permit A" City Surcharge
VESTED DAT7C) Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
61
SEPARATE PERMISSION.
Engr. Review
PERMIT APPUCATION: 180 DAYS
IL PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
AW
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR OAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY: NAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
0 NOR LIMIT IN ANY WAN THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
X1
Recording Fee
Receipt #
HEREBY ACKNOWLEDGE TH,%T I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECT; AND THAi I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMP'Y WITH CITY AND STATE LAWS REGULATING CONSTRLIC-
CALL
This application is not a permit until signed by -he
TION; AND IN DOING THE WORK. WTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paia. and
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space provided.
WORKMEN!S COMPENSAT2ga.04 JRANCE AND RCW 18.27.
(425)
OFFICI�A� IGNATU DATE
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SIGN=A( WN A N-0
DATE GNED
771-0220
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BY
RELEABIED rF
AT#_AAOW
Off 1333
IT IS UNLAWFUL TO
USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW 'INSiO4ECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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EX. FIRE
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HYDRANT BENCHMARK OIL
235TH PLACE PK = 332.59"'F
RECEIVED
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TAX ACCT. PARCEL #:
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LOT SLOPE
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RIGHT-OF. 24 10' PRIVATE
I Ay CONSTRUCTION PERMIT
AND Sp SANITARY SEWER
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APPROVED BY PLANNING
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Date: o -3 FOR
HEIGHT CALCS.
A = 333.04 LINCOLN ES TA TES LOT 26
B = 331.25
C = 332.34 IN NE1/4 OF SECTION 36,T.27 N., R. 3 E. j W. M.
D = 330.70 CITY OF EDMONDS
AVG. GRADE = 331.83 SNOHOMISH COUNTY, WASHINGTON
ACTUAL HEIGHT= 363.05
MAXIMUM HEIGHT=363.05 (25' + 6.22' VARIANCE)
ALLOWED SHEET 1 OF 3
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44 C. 18913
CITY OF EDMONDS
121 5TH AVENUE NORTH o EDMONDS, WA98020 , (425) 771-= *FAX (425) 771-0221
Website: wwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning e Building - Engineering
May 6, 2003
Lincoln Estates
Attn: Jeff Dye
1910 120th PL SE
Everett, WA 98208
Building Permit: 2003-0094
Site Address: 9912 235th PL SW
Expiration Date: 2/7/04
Dear Jeff Dye:
GARY HAAKENSON
MAYOR
The purpose of this letter is to inform you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your permit file.
The City considers the final inspection to be one of the most important inspections
conducted on a project. In order to grant final approval the following must be complete:
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
and residence, egress from sleeping rooms, safety glazingi weather-stripping, any
Engineering department requirements etc. Of course not all of these things may
specifically apply to your project but it does give you an idea about the kinds of things
that must be complete as well as some items that do not need to be installed such as:
paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from
the date of issuance. If you will need more time to complete the work, permits can be
renewed prior to expiration for one half fees. If the permit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew the
permit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and call for the required final inspection(s). Note: If more than
one department is required to final your project, this is noted on your Job Card.
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
Permit Coordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
a
Height Calculation/Grading Verification Worksheet
d\:) 0-
Address: 0 2-35 Permit #:
Date: 4-
A. Datum Point: W\X-)
B., Datum Point Elevation: -33,1 Od
C. Average Grade: 33i .(�3
3. Maximum Elev* ation. Allowed: 3 average grade)+ 25'=
3
4. Reference Point Elevation Shot to House:
3 ap
-3AT 4t(datum elevation) + S,d� (grade to transit level line shot to house) = 3 r
6. Measurements from line shot onto house to.roof ridge:
Total C,
7. Actual Elevation: (reference point elevation) (measurements from
#6) 0
Conclusion:
-3 U,� - 05 (actual) is greater( --
less ifi—
A.5 (allowed); therefore the house is/
is not over the height requireme-nTper ECDC 16.20.30 requirements
L\TEMBUILDINGWISOHeight CalculationGrading Verification Worksheet.doc
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
NZASE SIGN
C, ( Lgepr ENGINEERING DW-ISION DATE__�,, �(O S
KEMSMN
PLANNING DIVISION DATE
PROJEC
SITE ADDRESS q'� ['2-
PERMIT#.' )-00 -�> -0'2-03 ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED F(na I
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 WrIH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
I .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
I .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date- Sign
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
yns,
SETBACKS .....................
FOUNDATI ON:
Footing......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
445-0
Rough -in ...................
Commercial Final ......
HEATING:
GasTest .....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
4
FRAMING........................
7
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
C'
OCCUPANCY ..................
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CITY OF EDMONDS ZO
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CONSTRUCTION PERMIT APPLICATION
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'HIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
ILI
PERMIT IUMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
2
APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
!4
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
�EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
1
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
EROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
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-REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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EN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
TH
- OWNER. I AGREE M COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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COMPENSAT,1� �NSU�ANCE AND RCW 18.27.
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LID FEE $
UBLI ER OFFICIAL STREET MAP
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inspection Required
XISTING PROPOSE
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METER SIZE
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ROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REO'D 9
VALUATION
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Description
FEE
Description
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State Surcharge
Building Permit
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Mechanical
Grading
Engr. Review
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Fire Review
Plan Chk. Deposit
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Fire Inspection
Receipt N
Landscapeinsp.
Total Amt. Due
Recording Fee
Receipt #
CALL
FOR INSPECTION
(425)
771-0220
APPLICATION APPROVAL
This application Is not a permit until signed by the
Building official or his/her Deputy: and Fees are paid, and
receipt Is acknowledged In space provided.
N DATE
OFFIC 4YE
, FIA IG ATU
R'ELEA8ED BY DATE
EXT 1333
Y/ )/0
IT 13 UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
- YE OW. INq/rrTOR
V-./ PINK -OWNER - GOLD -ASSESSOR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI ORIGINAL - FILE -
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 's
ll � GREEN - ACCOUNTING
04/02 PRESS HARD -YOU Atit: MAKI
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