20030690.pdfDATE RECEIVED 6
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEMAME OF BUSINESS
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MAILING ADDRESS
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CITY LEPHONE
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ED FENCE X
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DEMOLISH
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FIRE ALARM
(rYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
[PERMIT EXPIRES
USE ERMIT
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NUMBER
JOB SUITEIAPT*
ADDRESS
121 NUMBER NUMBER OF R'TICAL LAO'Y�7 I V=i
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OF DWELLING CA EAS'0
STORIES I I UNITS n2q
DESCRIBE WORK TO BE DONE
HEAT SOURCE I GLAZING % I LOT SLOPE %
PLAN CHECK W-7 -7 - // I VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPUICATION: 180 DAYS
PERMIT UMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE 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
ALI. 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 VIOLATIOl`jQF'THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMfN'SROMPE�SATION INSURANCE AND RCW 10.27.
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
Street Use Permit Raq 'd
EXISTING - PROPOSED
inspection ReqLared Q
Sidewalk Required C3
REQUIRED DEDICATION- Fr
Underground
Wiring required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
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YES 13 NO 13
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REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 0
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ENGINEERING REVIEWED BY DAT
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VARIANCE OR CU
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REQUIRED SETBACKS (FT)
PROPOSED SETBACKS (Fr.)
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FRONT SIDE REAR
FRONT URSIDE REAR
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PARKING
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PLANNING REVIEWED BY IL
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SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [:] YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION ncu-u
A,,-A-6t4, fit_tm;_d�
VAWATION
$
Description FEE Description FEE
Plan Check State Surcharge
City Surcharge
Building Permit
Plumbing
Mechanical
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Engr. Review
Engr. Inspection
Fire Review PlanChk.Deposft 15 1
Fire Inspection Receipt ii
ILandscapelnsp Total Amt. Due
Recording Fee Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
CALL Building Official or his/her Deputy: and Foos are paid, and
FOR INSPECTION receipt Is acknowledged In space provided.
OFFICIALS SIGNATURE DATE
(425)
771-0220 DATE
IALEASE � 1
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- ORIGI�A�,4E YELLd. INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINI?.'OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
04/02 PRESS HARD - YUU ARE nflAKING a COPIES
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RECEIVED
JUN 2 5 2003
PERMIT COUNTER
N W21 V6' W
14
ExisTOqG HOUSE
NEW ENTRYIPORCH
AS NOTED
(E) DRIVE APPROVED
ENGINEERING
APPROVED By PLANNI G
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CITY COPY
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C.L. 226th ST. S.W.
SITE PLAN
SCALE: l" = 20'-0*
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wmdedmondsmams
DEVELOPMENT SERVICES DEPARTMENT
Planning * Building - Engineering
October 31, 2003
Attn: Mitchel Lemas
10609 226th St SW
Edmonds, WA 98020
Building Permit: 2003-0690
Site Address: 10609 226th St SW
Expiration Date: 9/8/04
Dear Mitchel Lemas:
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
��Z, 1kc, LLd-,- ENGINEERING DIVISION DATE- 112-
PLANNING DIVISION DATEL-------
PROJE
SITE ADDRES 7-
DATEINSPECTED
PERMIT #
DESCRIPTION OF WORK To BE INSPECTED &C4,- tI
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
GRAM PROJECT APPROVAL WITH COMMONS NOTED
a . Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPEC17ION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
I .
2.
3.
RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_-----.
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................... (v
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .... i ........
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final ........
EXTERIOR SHEATHI NG
NAILING ..........................
FRAMING ........................
4_4
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FIRST FLOOR FRAMING ...
U
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INSULATION ...................
vor nsu at on .........
Wall Insulation ...........
ation ....... "Ay
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Ceiling Insul I
4-b 40. SHEETROCK NAILING ...
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4 4-J SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
7
DATE RECEIVED
0 PERMIT EXPIRES.
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USE DI=CRAIT
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CITY OF EDMONDS NUMBER
JOB SUITEIAPT,*
CONSTRUCTION PERMIT APPLICATION ADDRESS / )
OWNER NAMEIqAME OF BUSINESS
fn i-i-& PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
MAILING ADDRESS LID FEE $
TESCP APPIZed
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit , "ad
16610? Street Use Permit Req'd
CITY ��PH�0; EXISTING — PROPOSED Inspection Requlted
Sidewalk flaqu red 13
DM oh_)b S REQUIRED DEDICATION— FT Underground
w1mg rqu— 13
NAME METER SIZE LINE SIZE I NO. OF FIXTURES REQUIRED
I YEPs'1VI No 13
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ADDRESS REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROURRAINAGE 5
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CITY(�� . ).31P TELEPHONE
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NAME
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ADDRESS �2 D
FIRE REVIEWED BY DATE
CITY
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SRTE LICENSE NUMBER
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EXPIRAT19N DATE
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REPAIR CYDS X Fr)
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CARPORT ROCKERY -FIRE ALARM
WOE OF USJE. BUSINESS OR ACTIVITY) EXPLAIN: y
dc N.2!Elu I fsi� /
i NUMBER NUM'BER OF 7FRITICAL
a. OF DWELLING AREAS
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DESCRIBE WORK TO BE DONE
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HEAT SOURCE I GLAZING % I LOT SLOPE %
PLAN CHECK bft*,7 _-17 0 'r ;( I VESTED DATE
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VARIANCE OR CU
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SIGN AREA
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ALLOWED I PROPOSED
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LOT COVERAGE
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REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
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FRONT LIR PIDE,, REAR f
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REO'D I PROVIDED
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HECKED BY ]TYPE OF CVUNSTRU U
_:VON L; 'Pt L, MNX.,j :.4
7-1— U6 U
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SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [] YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 1108/fINAL INSPECTION REG'D_ 9
'�� UA4.41 A V AUL A )5~1, At #2AA-7 I '
VALUATION
$ W110 Ulm
Description
FEE
Plan Check
Building Permit
Plumbing
Mechanical
Description FEE
State Surcharge AI52
City Surcharge
,r'3 /I �- , e-5�je_
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t:
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
2
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
f5
PERMIT APPLICATION: ISO DAYS
LIMM I YEAR - PROVI ED W RK 18 STARTED WITHIN 180 DAYS
D 0
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
PlanChk.Deposft
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS I I iE 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 PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
1WV
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape Insp.
Total Amt. Du6
0
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NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
L Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; I. tAT 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
Building Official or his/her Deputy: and Foos are paid, and
IN VIOLATION 0
.QTHE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space provided.
WORKM
�N'S ff"eWTION INSURANCE AND RCW 18.27.
OFFICIALS SIGNATURE DATE
SIGNATI.
R�V�E,,�,A�ED,
DATE�ME
1495)
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771-0220
RELEA7S DATE
ATTENTIONf�C/ C-1
W11SLDING
EXT 1333
IT IS UNLAWFUL TO US� O(hCCU
OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR�GKlt�7,12 - YEL�OW'.INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PN OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GFIEEN - ACCOUNTING
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