20040100.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUS
cc MAILING ADDRESS
W
TH
0 /0 -4,
CITY ZIP ITELEPHONE
45
NAME
t= ADDRESS
cc
41
— T 1011*1
ADDRESS
� 0
CITY
I 4:_
STATE LICENSE NUM
z
, S cp
'ROPERTY.TAX ACC
99PEW
ADDITION
REMODEL
REPAIR
DEMOLISH
GARAGE
CARPORT
'(TYPE OF USE. I
ZIPN TELEPHONE
k`)'
CBL it
ZIP TELEPHqNE
BJR EX DATE I CHECKED BV
P"TT*1-;j
n
GLINT PARCEL NO.
C.— C! — Cl, C)Ci C
Y§--RESIDENTIAL PLUMBING / MECH
COMPLIANCE OR
1:1 COMMERCIAL CHANGE OF USE
11 MULTIFAMILY SIGN
FENCE
CYDS I X FT)
19 11- a OTHER
TANK
RETAININGWALL FIRE SPRINKLER
ROCKERY FIRE ALARM
NNESS 08 ACTIVITY) EXPLAIN:
Lu NUMBER
OF
ct STORIES
DESCRIBE WQkTQ BE
L
NUMBER OF I CRITICAC` I
DWELLING AREAS SPECIAL INSPECTION IAREA V�
UNITS I I NUMBER T4 REQUIRED rj v,, /fr�_ J Jr:1, LOAD I
PERMIT EXPIRES
USE PERMIT
ZONE
NUMBER
J013 SUITE/APT#
ADDRESS 1C. 16
PLAT NAME/SUBDIVISION NO.
7
LOT NO
LID NO. C
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
street use Permit Roel"d
EXISTING PROPOS
_�D
Inspection Required
Sidewalk Required
REQUIRED DEDICATION 4p_ FT
underground
Wiring required
METER SIZE
LINE SIZE
NO. 0 F F URES
PRV REQUIRED
,
YE NO
SA
z
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
z
0 o",
ILL!
T11 LIN
Tvfcm
Ci N061il--
ENGINEERING REVIEWED B�Y/� E.�
FIRE REVIEWED BY DATE
W
M
iz
VARIANCE OR CU
SHORELINE OR ADBO
INSPECTION
REG D
PBOND
OSTED
------
1%�ES ONO
S 4
SEPA REVIEW
COMPLETE I EXEMPT
EXP X_
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
IT(5— 1
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
SLOW LJRSIDE PkAfr
t5
z.
PARKING
REO'D I PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
REMARKS
.A- MA'"Pe- -?Rio
DO&�)
/,J7 'I
:__ I 1-) 4
HEt SOURCE GLAZING %
PLAN CHECK NO:
VESTED DATE
E %
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 LIMIT. I 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
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIREC rLY 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 LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S GOIZkENSATION INSURANCE AND RCW 18,27.
DATE SIGNED
.-Vo 0 C', C /t.", -?/4 114 &',/
CHECKED BY TYPE _MSTRUCTION CODE OCCUPANT
r
ITYPE fC GROUP
34_4\4 1 71—
a
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
/Z A A
VALUATION
$ 3,1q 1 116
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapeinsp.
Recording Fee
CALL
FOR INSPECTION
(425)
FEE
Description
FEE
re
'0
State Surcharge
I
City Surcharge
416
Plan Chk. Deposit Z tV 2��
Receipt #
Total Amt. Due
3c-. e:�
I Receipt #
APPLICATION APPROVAL
This application is not a perinit until signed by the
Building official or his/her Deputy: and roes are paid. and
receipt is acknowledged in space provided.
-FICIAUG SIGNATURE I DATE
lit
'2
771 -0220
F
ATTENTION
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-
CATE OF OCCUPANCY HAS
BEEN
GRANTED. UBC SECTION 109
04102
PRESS HARD -YOU ARE
MAKING 5 COPIES
By DATE /
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
GREEN - ACCOUNTING
z
0
1
0
M
--i -n
0 M
C
M 0
0
--I (-)
0 C:
M
M Z
IC) --I
C:
x
0)
o -n
n x
>
M M
0 _Cn
0 r-
0 M
C Cn
9(/)
M 0
Z
3:
z
--i
3:
W
z
0
i
0
M
01/27/2004 09:26 LAWYERS TITLE 94256?03359 NO.117 P002
'CUU0 I I ADUAQC.UU I
Names Klr%
0311250232 4 PGS
After recordinz ratem #q: 11-25-2003 09:49aM S22 00
GVARA x!RsCRM SNOHOMISH COUNTY- WASHiNGTON
7503 BMEmAR DRIVE
EMONDS, WA 98026
Atolar- 114A
REQUIRED
NOV 2 -j- 2003
BOB DAIMM, sriotwinisi) two iiiasum
6y -B_OB DANTINI
Mj(;Fk0F1LM
R E C E I WEE D
!AffAff-NTAGREEHM JAN 2 SK04
RefereneeNumbe4s) of Document auWtd or released: NotApplicable PERMIT COUNTER
Grantor(s) (Lost Game firs4 then flfst name end kddah.- Spivey. Anne, a single penola
GrAtittt(a) (Last name fint. then first name and laltials-- Soundvie
wa4gngtoll Co wtw4a Wd i P01 relile'd for
rporstion record by Lawyer& Title Agency as
accomod2lion only. It hat; not 6sen
Lepl Descripficm examined as lo proper exsC4jjjon or
(Abbreviated: Lt., lot, Nock, plat or sectlot14 townwhip, range): 83 to Its effect n tills.
Additimml legal on page of document(s) or
/*La -
A portion of Lots 1, 2 and 3 Block 41 origillal Plat of North FAmonds. Block 41, Vol. 2 of
Pints, Page, recoT6 of Snohomish County, Washington.
Asseisor's Prop" Tax Paircel/Account Number(s): 00531904100100
This agroment is entemd into between Anne Spivey, a single puson (hereinaft
referred to as "Spivey") and Soundview Home Builders, Inc., a Washington Corporation
(hereinafter referred to as "Soundview").
RECITALS
A. Spivey owns the following described property and is willing to grant an
easerricrit to Soundview fbr ingmss, egress and ut0ities:
LOTS 1, 2. AND THE NORTHWESTERLY 24.14 FEET OF LOT 3, BLOCK
41, ORIGINAL PLAT OF NORTH EDMONDS, ACCORDING TO THE
PLAT THEREOF, RECORDED IN VOLUME 2 OF PLATS, PAGE 75,
RECORDS OF SNOHOMISH COUNTY, WASHINGTON.
TOGETHER WITH TliE NORTHEASTERLY 25.00 FEET OF VACATED
LAKE AVENUE ADJACENT AND TOGETHER WrrH ALL THE 10.00
FEET OF VACATED ALLEY ADJACENT.
Easement Agreement -I-
z
0
1
0
M
01/27/2004 09:26 LAWYERS TITLE 4 942567033-59 NO.117 P003
B. Soundview owns the following described real property and has requested
Spivey grant and easement for ingress, egress and utilities to sen/c said parcel:
THAT PORTION OF THE SOUT9WEST 1/4 OF THE SOUTHEAST 1/4 OF
SECTION 13, T 27N, R 3E, WM, MORE SPECIFICALLY DEFINED AS THE
SOUTHEASTERLY 25.86 FEET OF LOT 3, ALL OF LOT 4, AND THE
NORTHWESTERLY 26 FEET OF LOT 5. ALL IN BLOCK 41, ORIGINAL
z
0
PLAT OF NORTH EDMONDS RECORDED IN VOLUME 2 OF PLATS,
—1
PAGE 75, RECORDS OF SNOHOMISH COUNTY, WA.
M
TOGETHER WITH THE 10 FOOT VACATED ALLEY ADJACENT TO
=n-
SAID PREMISES AND THE NORTHERLY 40 FEET OF VACATED LAKE
CD
AVENUE ADJACENT TO SAID PREMISES, AND,
M
C
M 0
TOGETHER WITH THE SOUTHWESTERLY 15 FEET OF THE
-10
0
NORTHEASTERLY 40 FEET OF THE NORTHERLY 124.14 FEET OF
C
VACATED LAKE AVENUE.
M
M z
C z
AGRFY20,NT
CD
NOW, THEREFORE, in consideration of the mutual promises between the
0 -n
parties and other valuable consideration, the parties agree as follows:
n
1. Spivey hereby grants and conveys to the present (Soundview) and future
M M
0
owners of the property descriW as in paragraph B above an easement for utilities over,
0 r-
0 M
under and across 9W portion of the Spivey property described as follows:
C CD
SAID PORTION MORE PARTICULARLY DESCRIBED AS FOLLOWS:
Q 0
Z
COMMENCING AT THE MOST SOUTHERLY CORNER OF THE A13OVE
DESCRIBED TRACT OF LAND (DESCRIBED IN PARAGRAPH A ABOVE)
THENCE NORTHWESTERLY ALONG THE SOUTHWESTERLY LINE
z
THEREOF A DISTANCE OF 12.00 FEET;
THENCE EAST�EPLY TO A POINT ON THE SOUTHEASTERLY LINE
THEREOF, 16.00 FEET DISTANT FROM THE TRUE POINT OF
z
BEGINNING;
0
THENCE SOUTHWESTERLY ALONG SAID SOUTBF-ASTERLY LINE A
DISTANCE OF 16.00 FEET TO THE TRUE POWr OF BEGINNING.
M
Easement Agreement -2.
01/27/2004 09:26 LAWYERS TITLE 4 94256703359 NO.117 9004
200311250232.003
2. Spivey hereby grants and conveys to the present (Soundview) and future
owners of the property described as in paragraph 0 above an easement for ingress and
egress over and across that portion of the Spivey property described as follows:
SAID PORTION MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST SOUTHERLY CORNER OF THE ABOVE
z
DESCRIBED TRACT OF LAND (DESCRIBED IN PARAGRAPR A ABOVE)
0
THENCE NORTHWESTERLY ALONG THE SOUTHWESTERLY LINE
0
THEREOF A DISTANCE OF 8.00 FEET; M
THENCE EASTERLY TO A POINT ON THE SOUTHEASTERLY LINE
THEREOF, 2.00 FEET DISTANT FROM THE TRUE POINT OF
BEGINNING; C—
THENCE SOUTHWESTERLY ALONG SAID SOUTHEASTERLY LINE A M
C
M
DISTANCE OF 2.00 FEET TO THE TPUB POINT OF BEGINNING.
0
0
C
3. Soundview shall maintain said easements at their own expense.
M
M z
4. The easements, covenants� and restrictions herein shall inure to the benefit
of and bind the successors of the respective parties and "I run with the land, C 2
S. This easement shall be effective upon recording.
0 -n
-n
6. Ile prevailing party shall be awarded reasonable attorney fees and costs in
any court or arbitration proceeding initiated to enforce auy provision of this instrument.
MM
Venue for any such action shall be Snohomish County. or-
0 J)
0 r, 1,
M
C C()
9 C/)
DATED this 010 day of Avek,6-e,2003. Q 0
Z
S Soundview Homebuil Inc.: X
z
sidcnt
by- "RonDemn Adel, Presi
Anne Spivey cnt
Eavemedi Agrctment -3-
01/27/2004 09:26 LAWYERS TITLE 94256703359 NO.117 P005
200311260232.004
State of Washington
as.
County of S�A
I certif
y that I know or have satisfactory evidence that Anne Spivey signed this
instnment and acknowledged it to be her free and voluntary act for the uses
mentioned in the instrument.
Z�
0
Dated -So 20L03 A.
0
=n
Print Name: L
Notary Public for Stmatte
the
M
C
residing at L
M 0
My appointment expires
0
State of Washington
3: M
88.
County of
M Z
10-4
ory
I certify that I know or have satisfact evidence that Ron Den Adel signed this
instnment as the President of Soundview Home Builders, Inc, and on oath stated that he
0 -n
was authorized to execute the instrument and aftowledged it as the President of
-n
Soundview Home Builders, Inc, to be the free and voluntary act of such party f
or the us
and purposes mentioned in the instrurnent.
M M
0 CD
Dated this2—Q—A� day of—
0 r
0 M
,2003.
C 0)
9 cn,
0
Z
NOTARY PUBLIC in a;d for tbe
>
State of Washington, resi n
Y
Z
in
My appointrnent expire '0
Z
0
M
Eamment Agmwmt -4-
Grading Verification Worksheet
Height Calculation/
p _jq, 1,-4 Permit #:_as - -5�)
Address:
DateZ)40-_b�O �4—
i
-00,,bl H- 0 r4 10 -P H 0
A. Datum Point:
9
-7. 1- 9 3. h, 0
M
T4, 15
B. Datum Point Elevation:
C. Average Grade:
0 M
de)+25'= MM
3. Maximum Elevation Allowed _(average gra 06,
0
0
M
4. Reference Point Elevation Shot to House: C CO
9 ch
Q 0
(datum elevation) + (grade to transit level line shot to house)
6. Measurements from line shot onto house to roof ridge:
CO
z
0
0
M
Total
(reference point elevation) _(measurements from
7. Actual Elevation
#6)
conclusion: (actual) is greater less than (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
LATEMMUILDINGWISOHeight CalculationGrading Verification Worksheet.doc
I
0
-7F
jz
m
=:J)
0
-j
Or
0 0
It
M Z
Driveway P�o file.:
SCALE H
A." J.'
c e,% —I
:L
c: —Z
0
m M
0
-1 It IZ III !W.
t
Z
Z
-4
M.
>
z
z
RECEIVED
0
JAN 2 6 Fflll
m
PERMIT coUN,rL-,,.-,
Not"
spot I (IfIrom *IN lfsoMl :vIM pit iI,NwTrNo,r
:0 0.11001 �-V* V1,81 W.N., NO MMMM M,num, ovee 4 0410 rM~`M %, MVNVM` #0 awr MCI
I I ItIlo V1,16 ~It I.M. p, e.O�tl M. 34MV nt If I"I WIN IVIN, elp"s I'If "MIT
INM,* III, IN II`I0,fV, -If MwM.# 0 WWIMM4 M.0 AM4, I INstw ZMOII I, MCM11" wd "PIAMIJ `Ipw1l,
Irlb 4 I"IfIto 0 fIlMajold Vim a .M Me `4014 6 f" VvwI#fr I, ... a `IIwVM IM# otoifto
~ N, ..,Vr fIfo,if,p r ." MO 0 Not, NSA iftf." III,, pV% "le, of MO;s TV-01MITIMI eel No pvto
�.Pof � Ilots to w towsov MIT No ON, pi 1114100 V.,
14 If j1III941 Plut SWIM Mpt IV, if powl I 'Iw,. ft.eVol 1,111-0 ;INV mOrIMITIN Ml
;I-po fvfIj Im, No ripvt Mp �,w 0MNMf I VMM I. "AMMM, II13t Mi-for ~10 M 0". secorpip -plo"
0 MIT I
-M-M fJwMI V. I",ps f.0 IN
(J. po.l. *It. WIVI WJM JOMN 0 t.0off II&I"
41JO Ad Own VIWIMF 11 0,u 26,40.1 NoMpo vIcir T, I .11� IfT.I.0 MIT e lof ppot-vto
V404#9 if 410ANO 000,004d, 0 IWIL felpoll. am '04, 6-fif 0 Aett� (W W-MM, �9�-to If, VVw
-1 W, 0 Into, Ileporl'. "Ite I, No "I ftrao." VII? . MmMVNN ifin
..il" 40 IMAND NINO of IN W-ON, swit"d, MI fIaMpt "rMftf 4`1 #0wN"# mrsof" 0 V III 1IM. No IN It Me
N NIf ftswww.,4 It, IN, .4,.r IN, "A'scr two ~ it IwIlk" "If I "MM, IN If,M.4 1-0 = `,0 ... P`M`v No it to
IN I- MMMI IMIlwo 1IM40, .0 pog Mol MM, rfa, AMOM ." TIN IG*,Mw`MM$ `VMF pop, "10 Ns. It vicillit
IVIJI, 91""1 AM off, III, --* Itti � ortNew 1 0 W WMPMM 401.1MVII :wMM?O �M@Mj Tom
IF � JII Me I IffIr III01 f0p. $hf AO NON I oTA?` (100.6-t Iois `P 4PO ttm ." C'MI# M.-I V&,M
III M%,MM" VM$410, 1 0,160 Mfol too '.0 p.owl. wort so
Oft.Itrof-t m`W*VM, e AjAwl MpIftf ptowl
IF—. is -I) 1 ~108 @%M it ov"too M., VIMIIIo I TIC *�. pl�" SIOMWIt F� OINS, 10 0, If
it ;Vc,f Dn' MNIVIVO III " ilte `,"o N. `I
So MWIVI919 to 0 "We IfpfIMr I" V, VMII VFIM NOWIP
I MM, I M 40", *"g M INAI %N 940MAMW, 0 "I'le plMif v ,AIIV4 MI,p w VIM dampooro 11,06 IWOMMIF fift 1 0. IN
11191. 90 PIT OIV SAMOMINOt NIMIN ot `01106, AMMV#- M91. MMMVII *WMI. WO MAV 411% <% I, I ; I
0 ff. W-IIN" f4pow-W WN'tw.W19 a MlOw. MI f4w,191 IN IIII, i,pop'l M.Wtv I'M NO rov%woof so 0 &IN I \ *I ;� reA
spit ;.Mn, Allows r-O I* -april" MI MwpNpJ IN ViNIN fin Ilims O'No No Nfewtv popf wir INIM" 19 4 1% MR. II I
I, I" 11110, 4 WIVI NVIII.Ad MowIIwC* v "0, 'IMMIF "IM01 Nol "91 Erf" 0%riwes pop 44 ovis. "go Is.I IN III off IT :2
01%lot No f4p`II.Vfil �. IMF# VMF it III " -1 fIVr"i MIMI," 1, No lattiMes r.".IWX
4 1. of O~FM9 00 it MNMINI I I,
Man& 9NVf*,,I IPV.V
1 11 4ITT I M vMM.,f pmMMp,q OMNI OWN, It Or
It IING H I- ur 0 oo` 0 a Jim If, III VIIM porv-419 AMIN IN froo If# ~1 0 o,'Of"I
f f4 14 #1 Alp IINM I, "wtj IN IN
WRA.Aff
Is ORO
10�
I IN N 01? A 1;
N I fNj]L�M
sw q NI I
ff. I
Of I w vv�
f �4 I OL
q6 P #I IN "NiI
IL Proposed SiAgAe .5?NNry Paidence
owp`:� AMIN er. INGS
it
V NOM7140 'I I/V "79 LIFif
1��
4 Met Not If 4ATICAN T-Aft)POf IN
Ne"' mt�r RKNIT WN
smmt%n� I it I
KII,00 x0favilo,
RM.41 III I ;P n
4 .41 V It' Is. k a
r#:Kt III oMpty. M% N'.
%; To 3 4 Io
pcm�' n &�ll %
071, 4 z
'MOSAW, if I
M,.#@
4IMN7v%
tallt .6 NsN.
4060 --------
I .
ij
.ApkT*V IMAIN., `IA"I JAM it 14* 4 IIN),
MIT
to $I
IN IN.
I
C ------ N AND ILI%
If
I--- — 4
NOC
oo
No,
I.f 14A IN I
rdw Account M
If if
C4
44t coartnicam sequence
I IIII.
31. 1 r \NN.
U"%IT'v,IX0F No IWM AlIlls IT W.
iI%r,,- I Win re `rT% AT Ithi ALAANI
4 " IIIAnK �Iffl OGI)b AlMr. LAI
Am
I r.1,690CIEW 1VOWCE X! "WIlf we CNN Of Ann 4 v�3 A
Not NIL, i IT JAXI:114 4% c: I
I alwip joy "ll 11
it4naks IN
I
ZONE — NOT
& :)Orr.
T. 1 2.40 TV Me Vim � 'ATO NO Ilint At �AXNI Vit WMV%ft .46 4Iv
SEMAVKS6 IX-N-1 fl
UTUM CONFUCT NOTE. U
CAL"
FRON 4§64 ;1 GRAT11:17 3CALE
IN
INN
61folf dim r
SIDE
oll, 4 W"W"ALAUX Maw" or w aw.1 4
`,lM r
REAR_
OTHER
HEIGHT--L6��
Not
RECEIVED
CITY co"Opf"t
0 JLOY JAN 2 6 20.011
PERMIT COUNTER
A
1 4
. . .... GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221
Website: wwwxi.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering Z'
June 4, 2004
Soundview Homebuilders
9026 1h Ave S.
Edmonds, WA 98020
Re: Building Permit: 2004-0100
Site Address: 1422 10" PIN.
Expiration Date: February 4, 2005
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, pen -nits can be
renewed prior to expiration for one half fees. If the pen -nit 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, n
Mnny Readwin
Permit Coordinator
L\Temp\DST's\M aster Letters\SRwaamLtrSFR
Incorporated August 11, 1890
Sister City - Hekinan, Japan
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLrASR SIGN
ENGINEERING DIVISION DATE
z
PLEASr SIGN
0
PLANNING DIVISION DATE
M
PLISASESIGN
PROJEc r ZY0
ui
7- 2 /0
M
0
SITE ADDRESS
0
PERMIT # ADB# DATE INSPECTED
0
0 C:
--i ?.
IeIWA4424174�4W4�74* 14161dF7
a: M
M Z
DESCRIPTION OF WORK TO BE INSPECTED
C
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 P]�OJEC PRO L
K t
/-7/er
" 71* Vj/* 9 A
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED 41� CIU9,3_
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
I .
FA
3.
RE-INSPEcTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
I:tetiip:bldg:i'oi-iiis:ocal)i-vI 3/25/04
r— --i
3:
Cn
0 _n
n X
--i >
x 9
M M
0 Ui
0 r-
0 M
(n
Cn
Q 0
Z r-
M
z
Cn
z
0
1
0
M
MEMO TO: PE
FROM:
PROJECT
SITE ADDRESS
PERMIT #_2_&A0,,
DESCRIPTION 01
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE
nXASE SIGN
PLANNING DIVISION DATE
PLEASESIGN
El 4
iez-
ADB# 'DATEINSPECTED Z.2-1101,5
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:
---K-GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITII CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
1 .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign
ocaprvl.doc.l:temp:bldg:for=10/01
z
0
4
0
M
--i -n
Ui -4
r
M
C
M 0
0
0 C:
--I K
M M
M Z
10--i
C')
0 _n
n
3:
M M
0 Y)
0 r-
0 M
C Cn
K Cn
M
Z
r
z
z
0
I I
0
M
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ........... z
0
Slab Insulation .......... -1
0
PLUMBING:
Underground ............. 76-
Cn
Rough -In ...................
0 M
C 0 i
Commercial Final ...... ITI 0
HEATING: 0 C
--I K
X M
Gas Test .................... ITIZ
C _Z
Gas Piping ................. >
Equipment .................
Commercial Final ....... 0 -n
-n
--I
EXTERIOR SHEATHING x
M M
NAILING ..........................
0
FRAMING ........................ 0
Cl)
FIRST FLOOR FRAMING... Cn
M 0
INSULATION ................... Z
Floor Insulation ......... ;U
--I
Wall Insulation ........... >
z
Ceiling Insulation .......
SHEETROCK NAILING ... %fAS
z
SPECIAL INSPECTION ... 0 -1
M
MISCELLANEOUS ..........
FINAL APPROVAL FOR 0
OCCUPANCY ..................
C! r
Arr. C.
D, itials MTql-e Miltoll
Tile In
'IrY contract
Tilollipson, a tenlPOr,
inspector ror the City-
r
na 15 nl