20040085.pdfDATE
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
I I I LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
IESCP Approved
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RW Permit Required
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Street Use Partrut Req'd E3
EXISTING - PROPOSED
Inspection Requited
Sidewalk Required
REQUIRED DEDICATION ***Ao FT
Underground
wiring required
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METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 NO
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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STATE LICENSE NUMBER EXPIRATION DATE
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PROPERTY TAX ACCOUNT PARCEL NO.
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NEW
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ADDITION
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CHANGE OF USE
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MULTIFAMILY
SIGN
REPAIR
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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.
W PERMIT APPLICATION: 180 DAYS
IL PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
gU) APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
;N INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CIr( OF
2 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 RFQUIREMENT OF ANY CITY ORDINANCE
01 NOR LIMIT IN ANY WAY THE CITY'S 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 LAE30R CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COM PEN SATIONM SU RANCE AND RCW 18.27.
SIGNATURE (OWNER 0 AGE DATE SIGNED
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VARIANCE OR CU HORELINEORAD111 I INSPECTIONT BOND
REQ'D POSTED
OYES [RiO- I S
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED , PROPOSED ALLOWED PROPOSED
EXP 1 0 /'5' 1 17�('-
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
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PARKING I LOT_iAREA�F;LANNING REVIEWED BY DATE
REQ'D I PROVIDED
REMARKS
BY I TYPE
CTION
OCCUPANT
GROUP I
SPECIAL INSPECTION -L-PCCUPANT
REQUIRED [] LOAD
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
VALUATION
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Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
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FEE Description FEE
State Surcharge
City Surch
Plan Chk. Deposit -!,>'J-
Receipt # 42
TbtalAmt.Due
Receipt #
APPLICATION APPROVAL
This application is riot a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged In space provided,
.Ff V-S74TU DATE
RELEASED BY I DTTT
A17ENTION E)ff 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 YELLA-INSP608
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD -ASSESSOR
04,102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING
CALL
FOR INSPECTION
(425)
771-0220
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Height Calculation/Grading Verification Worksheet
Address: 0 U Permit #: (JQ 8j
Date: Cs
A. Datum Point: E
B. Datum Point Elevation: C) -S
C. Average Grade: (3
(For Grading Verification Only)
1. Lowest Footing Elevation (shown on grading plan):
2. Actual Footing Elevation:
3. Maximum Elevation Allowed: (average grade) + 25'
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4. Reference Point Elevation Shot to House:
atum elevation) +4'( U (grade to transit level line shot to house)
6. Measurements from line shot onto house to roof ridge:
3 7
8`7
Total :—k �.. 174
7. Actual Elevation: VQ Qreference point elevation) +1 fimeasurements from
#6) =—J�4-*\S —'
Conclusign: 31� dJ
1,141S (actual) is greater / 6s's th fil (allowed); therefore the house is/
is not over the height requirein er ECDC 16.20.30 requirements
LATEMMUILDINGWISOHeight CalculationGrading Verification Workshect.doc
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EXISTING RESIDENCE GRADING NOT TO EXCEED 5o CUBIC YARDS
AMY.& ISAAC CHAPPELL HEIGHT CALCS
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22731 98TH AVENUE WEST A = 105 7 5'� v 7� AVERAGE GRADE 106A
EDMONDS, WA 98020 B = 106 ACTUAL 125'
C = 107.5' MAXIMUM 131.1' NOTED
D 108.25' AFT
PARCEL NUMBER: 497300000100 E 102.5' 13Y ENGINEE IIN
LEGAL DESCRIPTION: BROOKMERE WEST BLK
000 D-00 - LOT1 SUBJ 6 5.6 7'
TO PUD AND GEN TEL
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NEW ADDITION & CK
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EXIST LOT SIZE: 8276 SO FT 11 VOW -CUT
HOUSE: 1904 SQ FT EXISANG
NEW LOT COVERAGE PERCENTAGE: 23% 75 sf FT
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7.5' ALL SIDES SETBACK FLAG LOT
100.5, 210. 0' PROPERTY LINE
D�A�IUM OINT +100'
TOP 0,
TOP OfFnUTY -
SPOUTS
TO CONNECT TO EXIST. SYST.
SITE PLAN
C-1 SCALE: 1 40 o" 0 20 40 80
ZONE NORTH
SETBACKS:,--
FRON IJ7, Aihl N I N RECSIVED
SIDE
6/ DEC .9 2003
REAR 7. 5'
OTHER PERMIT COUNTER
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: www.dedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
May 18, 2004
Isaac & Amy Chappell
22731 98'h Ave W.
Edmonds, WA 98026
Re: Building Permit: 2004-0085
Site Address: 22731 98h Ave W.
Expiration Date: January 30, 2005
GARY HAAKENSON
MAYOR
The purposd of this letter is to inform you that the iast 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.
nc ely,
n v
ny Readwin
Permit Coordinator
L\Temp\DST's\Master Letters\SRwaamLtrSFR
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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FINAL PROJFCT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM- YRE DEPARTMENT DATE
PLEASESIGN
I Vo,;?�, YJ ENGINEERING DIVISION DATE
V POEASESA&,-V
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT
SITE ADDRESS q-1611-IN&W
A
PERMIT ADBft DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine 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
0 Copy of CONDITIONS given to owner/contractor by inspector
I .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by hipector
1.
IF]
3.
RE -INSPECTED OUTSTANDING ISSUES -.GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fomis:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................... fv)
FOUNDATION:
Footing ...................... rc,
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
3-3 a-0
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
1—o
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
In
Tile Initials MT are Milton
Thoillpsoll, a temporary contract
inspector for the City.
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