20040272.pdf1- .7 1 DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
CITY
NAME
NAME
ADDRESS
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CITY
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ZIP TELEPHONE
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STATE LICENSE NUMBER
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PROPERTY TAX ACCOUNT PARCEL No.
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NEW RESIDENTIAL
PLUMBING I MECH
ADDITION COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL MULTIFAMILY
SIGN
GRADING
El REPAIR
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DEMOLISH TANK
OTHER
G A A lNING WALL
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FIRE SPRINKLER
FIRE ALARM
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�ERY
CARPOR R CK
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R ACT'VT Y
(TYPE OF BUSINESS OR ACTIVITY EXPLAIN:
PE OF B US' NESS
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NUMBER NUMBER OF
OF DWELLING
CRITICAL
R ITICAL
AREAS
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UMB
NUM13ER
0
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STORIES UNITS
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DESCRIBE WORK TO BE DONE
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PERMIT EXPIRES
USE PERMIT
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ADDRESS
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PLAT NAME/SUCIDIVI
PLAT N ULDV "'0
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LOT No
LID NO.
N
LID FEE S
Ti Approved
R OF FIC IAL STREE T MAP
PUBLIC HIGIII OF WAY PER OFFICIAL STREET MAP
RW pol Required
Street use Permit Fl
inspect an Required
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EXISTING PROPOSED
sjdowl�k Required
Underground
REQUIRED DEDICAIION� F1
Wiring required
METER SIZE
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I INIE: SIZE
041 RES
NO, OF
PRV REQUIRED
YES NO 13
H E��A )URGE at�LAZI_NG % LOT SLOP�,.%t
,T S(
ou 1-7 ice)
T S
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P P N C VESTED DATE
LAN CHEC
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ONTHE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
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IL 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
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 REQUIREMENT OF ANY CITY ORDINANCE
0 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 COP
4NSATION INSURANCE AND RCW 18.27.
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ATUFlj(� DATE SIGNED
AGE�
1_� i it 27
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REMARKS
OWNER/CONTRACIOR RESPONSIBLE FOR EROSION CONIROL/DRAINAGE
ENGINEERING REVIEWED BY
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:FIRE �REWED BY
VARIANCE OR CU SHOHILLINE OR ADB# INSPECTIONT BOND
POSTED
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SEPA REVIEW SIGN AREA HEIGHT
EXEMPT ALLOWED PROPOSED ALLOWE D PROPOSED %
ON A EA IG
BOND
POSTED
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SI D R 0 PROPOSED,
ETE N E PR P OS ED D
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FT
REQUIRED SETBACKS i PROPOSED SETBACKS FT)
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LOT COVERAGE 0
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ALLOWED PROPOSED FRONI SIDE R V iI
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PARKING LOT AREA PLAN VIEWED BY DATE
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PROVIDED
CHECKEDBY ITYPEOF
CODE JOCCUP
G�IOU�AN
OCCUPANT
SPECIAL INSPECTIUN AN -A-
'"i A- LOAD
REQUIRED YES
REMARKS
I PROGRESS INSPECTIONS PER UBC 1 08/FINAL INSPECTION RE=
VALUATION
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
FEE IDescription
St t
State Surcharge
city Surcharge
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FEE
Fire Review Plan Chk. Deposit 14) /Zly/1)
F r I s ec pt #
ire Inspection Receipt #
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Landscapeinsp. Total Amt. Due
c ipt 4
Recording Fee Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
CALL Building ofiicial or hisitier Deputy. and Fees are paid, and
APPL A N R
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T'� p
on
T It is applica Ii� is no a er
Build n Oflicial or h1sitier Deputy and Fe
I go sp cer
I g d d
FOR INSPECTION receipt is acknowledged in space provided.
0 lr_ I ' ' I U DATE
FFKIAI -,61 ATU,E,
(425)
0 /DATE
771-0220 R LrFASED BY.
C %#�r 1 12 Q 11 // 11 /11"/�, '. , /I , I ..
A I = 1-4 1 1 %J
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
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
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ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
GREEN - ACCOUNTING
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Height Calculation Worksheet
Address:
Date: 5
Inspector(s):
1. Datum Point: t-+
2. Datum Point Elevation 7'79-
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3. Average Grade:
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.4.. Maximum Elevation Allowed: F76, veriao gi-ade)::W'---
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5. Reference Point Elevation Shot to House:
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�'��-C77datum elevation) + tO-3 (grade to transit level fine*shot to house) =-3-7-7 j 0
0
--10
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6. Measurements from line shot onto house to roof ridge:
9-7
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Total :3,G- -'z> I
7. Actual Elevation: -3'7'7 (reference point elevation) + 0 (measo rements
from #6) 4 O�L I
Conclusion:
less t n (allowed); therefore the house W
(actual) is greatec/ -,-CT S S �t
is not over the height requireme—nTp-er ECDC 16.20-30 requirements
FINAI, PROJECT APPROVAL WRM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: 4��7 FIRE DEPARTNIEN'r DATE/ 2-
PLEASE SIG14
ENGINEERING DIVISION DATE z
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PLEASE SIGN -i
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PLANNING DIVISION DATE M
PLEASESIGN
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PROJECT \f�yl
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SITE ADDRESS 0
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PERMIT ADB 3- 49
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ESCRrPTION OF WORK TO BE INSPECTED >
A field inspection was conducted to determine compliance ith -4pproved plans. Final approval
ase of
denotes that there are no objections from the above signed Department to tile lele
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
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
M Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
93
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signatiirc
I:Ieiiii):bldg:foi-iiis:ocapi-vI 3/25/04
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RNAL PROJECT APPROVAL FORM.
TO:
MEMOTO: PERMi,rCOOl�-I)INA,roi�,13U-n*-DINGDINIISION
FROM: FIRE DEPARTME'NTDATE
PI EASE SIGN
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I'LlIASESIGir-
PLANNING DIVISION DATE
?LL:ASFSfGN
PROJECT
SITE ADDRESS I A
PERmrr 11.2(1)(2 Z 7�2 ADBY DATE INSPECT'El
2
DESCRIPTION OF WORK TO BE INSPECTED E)qq r- 4a,, rJ,
A field inspection was conducted to determine compliance with -approved plans. Final appioval
denotes that there are no objections from tile -above signed Department to tile release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
n Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy ofCORREc,riON NO'I'ICE given to owner/contractor by inpectot-
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANTFINAL PROJECTAPPROVAL
Date Signatum
1Aemp:b1dg:fonus:oc,q)rv1 3/25/04
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t itp of (1b cub
DEPARTMENT OF BUILDINGS
IF r
PER UNIFORM BUILDING CODE SECTION 109
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At: 23132 76 Avenue W, Edmonds', WA Buili6ing Permit#: 2004-C
Occupancy established by this ce,r1ificate: Dwelling Units: **2**
R3/U1 Typ#*Z-onstructlon: VN
klittT
No. Stories: 2
Basement: No
4V'
Maximum Occupant Load * (Per',U.B.C. 1002)
Room,1papacity signs, WhA"J""T" 'di"'
p�,,require must remain posted at all times.
Owner of Building: Donald Sweazey 17921i WA 98133
THE Sweazey Duplex HAS BEEN INS ......... --ASZOMPLYING-,'.WITH THE REQUIREMENTS OF THE 1997 Edition of
F� ED AND AP0k6V`tlj::
. !kq7— —
the UNIFORM BUILDING CODE AS ADOPTED BY-THE,CITY FOR,THE GFtOUP'-AND. DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
th ber 2005
Issued this 13 day of -De m
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 of occupancy or use requires a building permit and a new
Certificate of Occupancy issued by the City of Edmonds Building Official.
1. *1 1. a
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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SETBACKS .....................
FOUNDATION: A" —
Footing ...................... -3
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................ MS Z
—
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
SideSewer#
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Date 1SSuw.�/�"xP.,*rCS__U)
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Amount Paid
Date
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