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LPERMIT EXPIRES 7
CITY OF EDMONDS
USE PERMIT
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CONSTRUCTION PERMIT APPLICATION
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PROGRESS INSPECTIONS PER UBC 1108MINAL INSPECTION RE ID,
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Description FEE Description FEE
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Building Permit City Surcharge
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PLAWCHECK ]NO:- VESTED DATE
Plumbing
2,2—
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 NO
OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) W ILL REQUIRE
SEPARATE PERMISSION.
Engr. Review 60
PERMIT APPUCATION: 180DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection CW;-
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
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
FnMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
SHALL NOT BE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
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Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Building Otficial or his/her Deputy; and Fees are paid, and
FOR INSPECTION feyelpt Is acknowledged In space provided.
WORKMEN!S COMPENSATION INSURANCE AND RCW 18.27.
QFFIV14 NATY". DATE
SIGNATUJ�R:�AAG�ENT) DATE SIGNED (425)
4
771-0220 REASED BY I DATE
ATTENTION E) ff 13 3 3 All '.-,-3
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 YELLOON-INS413TOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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P.O. Box 1034 ROPERTIES, INC. Fax 774-63'5
Lynnwood. WA 98046 VIKING P State Regis. VIKINP1137j��
Building in the Scandinavian
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Residential/Commercial Building & Remodeling
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INSPECTIONS REqD
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SETBACKS:
CITY COPY
FRONT
FIRE AND AID ADDRESS HECURAE
RECEIVED
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REAR
OTHER DEC 12 2002
HEIGHT- PERMIT COUNTER
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Height Calculation Worksheet
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Address: 96(-),
Date:
Inspector(s):
1. Datum Point: M
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2. Datum Point Elevation:
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3. Average Grade: 4 0 - 7S
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4. Maximum Elevation Allowed: averagd grade)'+ 25 7-1 1-
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5. Reference Point Elevation Shot to House: r:.
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6. Measurements from line shot onto house to roof ridge:'
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7. Actual Elevation4)76 (reference point elevation) +3 (measurements
from #6)
Conclusion:
4-(�d -7> i (actual) Is greater Te=s--s--trian (allowed); therefore the house Isl
napis'not over the height require per ECDC 16.20.30 requirements
C.
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98M e (425) 771-0220 - FAX (425) 771-0221
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning- Buildings Engineering
May 6, 2003
Viking Properties
Attn: Eric Sundquist
PO Box 1034
Lynnwood, WA 98046
Building Permit: 2003-0109
Site Address: 9012 240th St SW
Expiration Date: 2/12/04
Dear Eric Sundquist:
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 glazing, 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
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PIZASZSIGN
----3NGMERWG DIVISION DATE C
PLEASE SIGN
PROJECT
SITE
--2LANNING DIVISION DATE
PLEASE SIGN
W
PERMIT # 20 �3--6101 ADB#- DATE INSPECTED S5 (I S 10--5 —
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 ft-orn the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
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 Si
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
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FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
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Rough -In ...................
Commercial Final .......
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Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION
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Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY
..................
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[DATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
"" / NUMBER
CONSTRUCTION PERMIT APPLICATION
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PROGRESS INSPECTIONS PEF1 UBC 108/FINAL INSPECTION REO'D
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Description FEE Description FEE
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HEAT SOU E GLAZING % OT ILIPI %
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Building Permit City Surcharge
PLAWCHECK 0* VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
THE PUBUC
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON
a DOMAIN SIDEWALKS, MARQUEES, ETC.) WILL REQUIRE
Grading
(CURBS. DRIVEWAYSo
3
L: SEPARATE PERMISSION.
a—
Engr. Review
15 PERMIT APPUCATION: 180 DAYS
IL PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON 13EHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review Plan Chk. Deposit,
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fi Alh ofta - #
OR INDIRECTLY
r". eceipt C,
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY
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DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
a
d p al Amt. Due 3X4
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
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Recording Fee eceipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATIO? )VAII
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
This application 13 not a permit until signed by the
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
,polpt Is acknowlo
FOR INSPECTION to dged In space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 10.27.
FFICIA'AS IGNATI DATE
W9'
SIGNATUI��NER R,,, GENT) DATE SIGNED 1425)
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771-0220 RE�tAsED BY DATE
ATTENTION
EXT 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- INS9ECTOR
OF OCCUPANCY HAS UBC SECTION 109 �5KWY 'I" PINK
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CATE BEEN GRANTED.
-OWNER -ASSESSOR
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04/02 5 COPIES GREEN COUNTING
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