20040269.pdfDATE
RECEIVED
C1W OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
7 OWNER NAME/NAME OF 13USINESS
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MAILING ADDRESS
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NAME
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ADDRESS
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STATE LICENSE NUMBER EXPIRATION DATE C CKED BY
PROPERTY TAX ACCOUNT PARCEL NO.
NEW
1:3 RESIDENTIAL
ADDITION
1:1 COMMERCIAL
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REMODEL
9 MULTIFAMILY
REPAIR
GRADING CYOS
Qa�
DEMOLISH
TANK
GARAGE
RETAINING WALL
CARPORT
ROCKERY
(TYPE OF USE BUSINESS OR ACTIVITY) EXPLAIN
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( X Fr)
OTHER
EFIRE
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SPRINKLER
FIRE ALARM
PERMIT EXPIRES
USE PERMIT
ZONEJE:��,.Vl NUMBER
JOB SUITE/APT#
ADDRESS _2
AV -
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
EXISTING PROPOSED
street use Permit Roq'd E3
inspection Required E3
Sidewalk Required 13
REQUIRED DEDICATION FT
underground
Wiring required
METER S15F
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YESA No 0
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REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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ENGINEERING REVIEWED BY 4 -z_/cD) ATE
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FIRE REVIEWED BY DATE LU
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VARIANCE OR CU SHORELINE OR ADB' INSPECTION BOND
REQ'D POSTED
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SEPA REVIEW SIGN AREA HEIGHT
COMP�ETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
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A,Z-LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.)
FRONT SIDE REAR FRONT URSIDE REAR
oRLMWED PROPOSED
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PARKING LOT AREA PLANNING REVIEWED BY 6PtT
REO'D I PROVIDED
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TYPE OF CONST LICTION
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SPECIAL INSPECTION
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OCCUPANT
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LOAD
DESCRIBE WORK TO BE DONE
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
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Description
FEE
Description
FEE
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P Ian Check
State Surcharge
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HE T SOURCE
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LOT SLOPE %
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Building Permit
city Surcharge
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PLAN CHE 01.
VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: IGODAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
A
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND 14OLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND
Fire Inspection
Receipt ft
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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Amt.
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Total Due
—0
0
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION'
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
.... .
APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUT14ORIZED 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/tier Deputy. and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt is acknowiLdged in space provided
WORKMEN'S CO��SATION INSURANCE AND RCW 18.27.
.017FUCIAI-6�6iGN 7VRE DATE
SIGNAT2URE AGEN
DATE SIGNED
(425)
11 / /
T
771-0220
RE ED BY DATT
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
VINS
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL - F" E YELLOk INS ECroR
PINK - OWNER GOLD - ASSESSOH
04102 PRESS HARD -YOU ARE MAKING 5
COPIES GREEN - ACCOUNTING
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Height Calculation Worksheet
Address:
Date:
1wector(s):
1. Datum Point:
2. Datum Point Elevation:
3. Average Grade: 1) - \3
413(averago. gi-ade):T�e.
.4. Maximum Elevation AIIowed3?8
5. Reference Point Elevation Shot to House:
-78 V
datum elevation) +2'�S_ (grade to transit level line'shot to house)=
6. Measurements from line shot onto house to roof ridge:*
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84A
Total
7. Actual Elevation: (reference point elevation) + -(measurements
from #6)
CI ncluslo!-81 13
(actual) isgreate< �Is n (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
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FINAL PROJECT APPROVAL FORM,
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
.0' PLEASE SIGN
ENGINEERING DIVISION DATE
PROJECT
SITE ADI
PLEASE ';ICN
LANNING DIVISION DATE
PERMIT ADB#— DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with - appro*,ed 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 WIT14 CONDITIONS NOTED
El Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE given to owncr/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date SignatUre
1:ten1p:b1dg:rorn1s:ocaprv1 3/25/04
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TO:
DATE:
ME'MO TO:
FROM:
PROJECT
IIEI?,Mt,r COOIU)INA'I.'OR, BUIJIDING DIVISION
FIRE 13131"ARTmENTDATE
PLEASE SIGN
_E-NGINEERING DIVISION DATE �Z 7- A!
PLEASUSIGN / %,.,
I'LANNING DIVISION DATE
FIXASL SIGN
SIT� ADDRESS—eZ 51Z L 26 Y.,S 1A
PERMIT DATEINSPECTED
DESCRIPTION OF WORKTO BE INSPE-cTED (��or7
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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 tile release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECTAPPROVAL WITH CONDITIONS NOTED
El Copy of CONDITIONS given to owner/contractor by in.spector
FAILED FINAL INSPECTION - oursTANDING I'SSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE —INSPECTED OUTSTANDING I'SSUES - GRANTFINAI- I1IWJECTA.1)I1IZOVAL
Date Signatue_
1:teiup:b1dg:fbrius:ocaj)rv1 3/25/04
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DEPARTMENT OF BUILDINGS
f:erttFtttatt loot (Oct" 11nLT
PER UNIFORM BUILDING CODE SECTION 109
At:
Occupancy established by this certificate:
uilding Permit #:
Dwellina Units: '2**
No. Stories: 2
R3/U1 Typ6.construction: VN Basement: No
(Per U.B.C. 1002)
Maximum Occupant Load
Room capacity signs, wh6h`h§quired,-,must remain posted at all times.
Owner of Building: Donald Sweazey - Address: 17911':;'Lindii��Ait6hue N, Shorelihe, WA 98133
THE Sweazey Duplex HAS 13EEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1997 Edition of
the UNIFORM BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 13 th day of December 2005
CHIEF BUILDING OFFICIAL
BY:
This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall be maintained in legible condition at all times. Any change ofoccupancy cruse requires a building permit and a new
certificate of occupancy issued by the City of Edmonds Building Official.
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ........... z
0
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -In ................... M
C
M
Commercial Final ...... 0
0 C
HEATING: K
M
Gas Test .................... M Z
jo
Gas Piping .................
>
Equipment .................
o -n
Commercial Final ....... n
EXTERIOR SHEATHING
M M
NAILING .......................... 0
FRAMING ........................ MS 0
0 M
C (n
FIRST FLOOR FRAMING ... Cn
Q 0
C� Z
INSULATION ...................
Floor Insulation ......... ;U
Wall Insulation ........... >
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Ceiling Insulation .......
x
SHEETROCK NAILING ... Cn
z
0
SPECIAL INSPECTION ... --I
0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
Side Sewer
AmoutPald$
D a t e Ls s, u e d r
WaterMetersize
elpt
Amount Paid-_,_�.Rec
Date Purchased
P,ONV #
t.n. ount P�-' d