20030338.pdfDATE RECEIVED
PERMIT EXPIRES
I
CITY OF EDMONDS
USE PERMIT
ZONE IL NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
SUITE/APT#
— OWNER
ADDRESS
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PLAT NAME/SUBDIVISION NO. J!X
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15 MAILING ADDRESS
RIGHT OF
L D FEE $
PUBLIC WAY PER OFFICIAL STREET MAP
RW Perrr9l Required
CITY ZIP TELEPHONE126 77e-1�033
EXISTING — PROPOSED
Strom Use Permit Raq'd
Inspection Required
REQUIRED DEDICATION— FT
Sidewalk Required
UndorWound
I Wiring required 13
NAME
METER SIZE
LINE SIZE
NO. OF
QUIRED
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ADDRESS L/
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
CITY ZIP TELEPHONE
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NAME C`L
ENGINEERING REVIEWED BY
DATE
ADDRESS
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CITY ZIP TELEPHONE
FIRE REVIEWED BY
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NUMBER NUMBER OF
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DESCRIBE WORK TO BE DONE
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REQUIRED SETBACKS (Fr.)
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AREAS SPECIAL INSPECTION JAREA OCCUPANT
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REMARKS
PROGRESS INSPECTIONS PER UBC IGO/FINAL INSPECTION REG'D
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DeRcription FEE Description FEE
Plan Check — I State Surcharge Z/ 6-1
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Building Permit
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PLAN CHECK NO:
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V E ST E D DAT E r-45—,15-
Plumbing
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Mechanical
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THIS PERMIT AUTHOREZES ONLY THE WORK IT COVERS WORK TO
I=
2
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN
Grading
3
(CUR138,6113EWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t:
SEPARATE PERMISSION.
PERMITAPPLICATION: DAYS
Engr. Review
916
ISO
PERMIT LIMIT! I YEAR - PROVIDED WORK IS STARTED WITHIN ISO DAYS
Engr. Inspection
5"d
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
C 21
'APPLICAK 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
,
.
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMM ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY C17Y ORDINANCE
Landscape Insp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION..
I
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Recording Fee
Receipt #
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
APPLICATION
APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application Is not a permit unfit signed by the
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
FOR INSPECTION
receipt Is ackw3witidged In space provided.
WORKMEN'S.qWENSATION INSURANCE AND RCWf 18.27.
SIGNATUBI(Z,OW RJR AGENI�7
DATE SI N
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OFF I S IGNrAtM DATE
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ATTENTION
771-0220
EXT 1333
EL9AS ED Y DATI!
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL YELLM/ INSPEITOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - 0 GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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Height Calculation/Grading Verification Worksheet
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Address: Permit #:
Date:
A. Datum Point- -A) P
B. Datum Point Elevation: 10,6,0_3
C. Average Grade: (3-0
3. Maximum EleOationAUowed:(IO.X,-,J" average grade)+ 25? C900.0
4.. Reference Point Elevation Shot to House':
(datum elevatfon).+9.1 OQ X
(grade to transit level line shot to hous�)
6. Measurements from line shot onto house to.roof ridge:
Total:
7. Actual-Elevatio rence point elevation) Imeasbrementsfrom
conclision:
allowed).-, thoretore the-hotise W
127,.Uy (2CtU2Q is rt ter
is not over the height ZquLm _;_6&0.(30 requirements
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CITY OF EDMONDS
121 STH AVENUE NORTH - EDMONDS, WA 9M 0 (425) 771 FAX (425) 771 -=I
Website: wwdedmondsma.us
DEVELOPMENT SERViCES DEPARTMENT
Planning * Building - Engineering
October 31, 2003
CC Construction
Attn: Carl Clapp
8415 192nd St SW
Edmonds, WA 98026
Building Permit: 2003-0338
Site Address: 8928 196th St SW
Expiration Date: 5/14/04
GARY HAAKENSON
MAYOR
Dear Carl Clapp:
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
renewedprior 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,
Pi- mit Coordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
FINAL PROJECT APPROVAL LF,,ORM
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RE_,NSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date Sign
ocaprvl.doc.l:tenip:bldg:formsIO/OI
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
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Footing ......................
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Wall ...........................
Pler/Porch .............
Retaining Wall ...........
X_
Slab Insulation! -:..z .......
PLUMBING'*
Underground.............
Wis
Rotigh-In ..................
Commercial Final
HEATING:
Gas Tist ........
Gas- Piping ......... ......
Equipment.................
Commercial Final
EXTERIOR SHEATHING
-4
NAILING ...........................
FRAMING ....................
�FIRST FLOOR FRAMING'
ASINSULATION
...................
Floor Insulation .........
.,Wall Insulation ...........
Coiling Insulation
NAILING
g
SHEETROCK ...
SPECIAL INSPECTION ...
Utz
MISCELLANEOUS ..........
FINAL APPROVAL FOR
-Tea - 04r
'7
_o12 0"7
OCCUPANCY ..................
The initials RSR are Rick S. nec-IP
AMOUt
Pz;!1 4�
Roberts, a temporary contract
wes
inspector for the City.
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71 DATE RECEIVE
PERMITEXPIRES �2
USE ERMIT lo r<
ZONE UMBER
CITY OF EDMONDS 9S -IL PN 22
JOB SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS W
Ss 40 0 mr .5w.
OWNER NAMEINAME OF BUSINE 7 721 PLAT NAME/SUBDIVISION NO. LID NO.
L
15 MAILING ADDRESS LID FEE S
TESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PerffA Required
Street Use permit Req'd
CITY ZIP TELEPHONE19-5 77 EXISTING PROPOSED— Inspection Required
_41X37 Sidewalk Required
42 REQUIRED DEDICATION— FT UnderWound 13
1: Wiringrequired
NAME METER SIZE LINE SIZE NO.Of URES PRV EQUIRED 0
NO 13
0rl ea 5 A I
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'ADDRESS REMARKS z
OWNER/CONTRACTOR RESPft/SIBLE FOR EROSION CONTROUDRAINAGE
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ITELEPHONE T
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VARIANCE OR CU SHORELINE OR ADBN BOND
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PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED / PROPOSED
a? 0 .2 /-4;?00 EXP
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) M
RESIDENTIAL PLUMBING MECH
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COMPLIANCE OR
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13 OCCUPANT ITI ITI
'LLING SPECIAL INSPE 'TION A EA
OF WE AREAS
STORI MBE S LOAD
ES UNITS_ NU R REQUIRED YES
:X DESCRIBE, WORK TO BE DONE
REMARKS o Fn
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD
fli�;/W- 4;ew 521VI-71'r, M 0
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(A
VALUAMON
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ptio—n FEE Description FEE.
Descri CI)
Plan Check State Surcharge
IL z
HEAT SOURCE GLAZING % LOT SLOPE %
Buildl4i0ermit city su
rcharge
F 3,37 170 60
0
PLAN CHECK NO: VESTED DATE Plumbing ITI
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Mechanical
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THIS PERMff AUTHORM98 ONLY THE WORK ;PERMIT COVERS WORK TO
I= EtE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE 17,9
SEPARATE PERMISSION.
Engir. Review
PERMIT APPI�14TION. ISO DAYS
IL PERMIT LIMM I YEAR - PROVIDED WORK IS STAKED WITHIN 180 DAYS Engr. Inspection r_Q 569
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESCIR . S .. �Ire RWew- PlanChk.Deposit
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 DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Total Amt. Due
MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp
EMEDTO I
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Recording Fee Receipt #
I HEREBY ACKNOWLE E THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; D THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREEI COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Is not a permit until signed by the
3 CALL
TION. AND IN DOING WORK AUTHO ID THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and
B oN WILL er
IN VIOLATION OF TH BOR CODE OF E TATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided.
CW I
WORKMENSPMPEN NINSURANCE D R 8.27 DATE
OFF AfAIGNAT7
NED I A
SIGNATU (0 R R AGE (425)
771-0220 DAT,
j DATE SI
ATTENTION ev/90V fib /s&v EXr 1333
IT IS UNLAWFUL TO USE ARCICCUPY A BUILDING OR STRUCT E UNTIL
'ERTIFI- ORIGIN& - F�E - YELLOI/ INSPE�TOR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A C
CATE OF OCCUPANCY H�S B�EN GRANTED. UBC SECTION 109 PINK-OVMER - GOLD -ASSESSOR
04/02 GREEN - ACCOUNTING
P RESS HA R D - YOU ARE MAKING 5 COPIES J