20030271.pdfDATE RECE I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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CITY ZIP TELEPHONE
NAME
CITY ZIP ITELEPHONE
NAME CBLN
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ADDRESS
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CITY ZIP I TELEPHONE
STATE LICENSE NUMBER EXPIRATION DATE
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PROPERTY TAX ACCOUNT PARCEL NO.
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RESIDENTIAL
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RETAINING WALL
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ROCKERY
FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVrW EXPWN:
NUMBER NUMBER OF CRITICAL
DWELLING AREAS
OF UNITS NUMBEN
STORIES I I
DESCRIBE WORK TO BE DONE,,O',- L,— . I
,o1flEAT SOURCE G ING % LOT SLOPE %
PLAN CHECK NO' C� VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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
PERMIT UMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEC BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE ��ODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSWNCE AND RCW 18.27.
DATE SIGNED
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PERMIT EXPIRES
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PUBLIC RIGHT dF WAY PER OFFICIAL STREET MAP
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RW Permit Required
Sit at Use Porinit Req'd
EXISTING —
PROPOSED
Ins:LOon Required
S id malk Required
REQUIRED DEDICATION— Fr
Underground
Wiring required
METER SIZE
LINE SIZE -1
NO. OF FIXTURES
PRV REQUIRED
YES13 NO 13
REMARKS
OWNER/CONTRACTOR
RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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REMARKS
PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REO'D
VALUATION
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Description
FEE
Descv(PtIon
FEE
Plan Check
State Surcharge
/k City Surcharge
Building Permit
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Plumbing
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Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapeinsp.
Total Amt. Due
Recording Fee
Receipt #
01
CALL
FOR INSPECTION
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1425
771-0220
EXT 1333
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.
cl IG DATE
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It IS UNLAVVFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I I � I I I I-1 I Y.,=/
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- U ORIGINAL -FILE YELL6W -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINIC-OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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PLOT PLAK:__,�$310--�
FOR
HIEIGHT CALCS.
A - 334.86 LINCOLN ESTATES - LOT 18
8 - 339.50
C - 339.33 IN NE1/4 OF SECTION 36,T.27 N.,R.3 E.,W.M.
D - 334.97 CITY OF EDMONDS
AVG. GRADE - 337-17 SNOHOMISH COUNTY9 WASHINGTON
ACTUAL HEIGHT= 362.17
MAXIIMUIM HEIGHT- 362.17 337.17 + 25')
ALLOWED SHEET 1 OF 3
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
September 3, 2003
Lincoln Estates
Attn: Jeff Dye
1910 120th PI SE
Everett, WA 98208
Building Permit: 2003-0271
Site Address: 9807 236th PI SW
Expiration Date: 4/15/04
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 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
FINAL PROJECT APPROVAL FORM
TO: —
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE_____�
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ENGINEERING DIVISION DATE
pn�Lxzm F 9 �1'
PLANNING DIVISION DATE ----
PROJECT
SITE ADDRESS -
PERMIT
ADB _____.PATE INSPECTED n
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
ci Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
1 .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT
Date Sign__�
ocaprvl.doc.l:temp:bldg:fomisIO/OI
APPROVAL
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SETBACKS .....................
FOUNDATION:
Footing ......................
wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough ...................
-In
Commercial Final ......
HEATING:
GasT est ....................
Gas Piping .................
fi�tipme
.............
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
INSPECTOR DATE APPROVED
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The initials RSR are Rick S.
Roberts, a temporary contract
inspector for the City.
96
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qDATE RECE7T
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
Lficol.ri '25(f<,ij
M MAILING ADDRESS
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CITY ZIP ITELEPHONE
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CITY ZIP
NAME CBLN
t�\� (f 6A 1�2±
ADDRESS
CITY ZIP
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STATE LICENSE NUMBER EXPIRATION DATE
HECKED BY
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PROPERTY TAX ACCOUNT PARCEL NO.
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[�S —NEW a -RESIDENTIAL Et —PLUMBING / MECH
1 ADDITION COMMERCIAL COMPLIANCE OR
:1 13 CHANGE OF USE
13 REMODEL MULTIFAMILY [] SIGN
REPAIR GM!r CYDS
E] FENCE
FT)
DEMOLISH TANK
OTHER
jk_GARAGE RETAINING WALL
F RE SPRINKLER
CARPORT ROCKERY
FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIV EXPN:
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NUMBER
NUMBER OF
CRITICAL
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NUMBER(30,7S f
DESCRIBE WORK TO BE DONE
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NUMBER jjj)/j,, �,TJV
JOB SUITE/APT#
ADDRESS Cl� m 2__ 3,rc, -41; P�, Sr, W
PLAT NAMEISUBDIVISION No.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHT (fF VAY PER OFFICIAL STREET MAP
TESuP Approved 13
RW Permit Required
Street Use Permit Roq d
EXISTING —
PROPOSED—
inspection Required
Sidewalk Required 13
REQUIRED DEDICATION— FT
Undergrowd
"Inng rqu,r—
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 13 NO 13
REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
06?EMOPS
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REVIEWED BY U I=
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T% I IN or IN 1% DATE
E -AEjNEMjf INSPECTION I BOND
RE(xD I POSTED
C3YES 'K0 1$
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEM.PT ALLOWED PROPOSED ALLOWED PROPOSED
EXP ��s I ;i�
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UR S E REAR
PARKING LOT AREA NNING REVIEWED BY 16ATE
REO'D I PROVIDED . 0,- 1 1
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I k LOAD
REQUIREDPJYES
REMARKS
PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REO'D
VALUATION
$
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Description
FE
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L _11_�
16,) Z41
Desedrition
FEE
Plan Check
State Surcharge
Building Permit
City Surcharge
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE P= TO Grading
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
3 SEPARATE PERMISSION.
I= PERMIT APPUCATION: 1150DAYS Engr. Review
PERMIT LJMM I YEAR ' PROVIDED WORK IS STARTED WITHIN ISODAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review Plan Chk. Deposit 1 (�4 U L9
'APPLICANT; ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. ANPAGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISIO*DlhECTLY OR INDIRECTLY 777
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE Landscapelnsp. Total Amt. Duel (_!:)Z:7.
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 Receipt #
21, NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION PtICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF AP
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL Building Olficial or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR�QODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION __ receipt Is acknowledged In space provided.
'WORKMEN'S COMPENSATION INS111�ANCE AND RCW 18.27. 'W_FFICt IGNPE 'DATE
SIG7NATU DATE SIGNED (425)
%W GENT)
771-022 DATE�
0 _�ELEAE
EXT 1333 Lj
d IS UNLAONFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR
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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