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20040339.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS :34 � M C + VI Cx IvA H r-1 C Ck 1) 1 MAILING ADDRESS -719oq - CITY NAME ADDRESS CITY fl, �� - so W ZIP TELEPHONE -;qA _-7 ICTelerl . ZIP [TELEPHONE PERMIT EXPIRES r I - I I - USE PERMIT 11 ZONE NUMBER ZA' JOB SUITE/APT# ADDRESS -10 0 011 � 1 5 41-, 5+, SWt MMMMMMMEM PLAT NAME/SUBDIVISION NO. 4 LOT NO. LID NO. LID FEE $ TESCP Approved PUBLIC RIGHI OF WAY PER OFFICIAL STREET MAP RW Permit Required 13 Street Use Permit Roq'd 13 EXISTING - PROPOSED inspection Required C3 Sidewalk Required E3 REQUIRED DEDICATION- FT Underground Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 0 YES No CTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE z 5 Z uj NAME CBL# wora*416 Trlic- 110 aLl ADDRESS C16 log fA.. f 44'c� le /IV e, CITY ZIP TELEPHONE SQq�k, "'11111 -1003 1 Ga -_50NVx_ 115 10 STATE LICENSE NUMBER EXPIRATION DATE CHE(fKED 13Y NOR22:s-t Igo 6,k 110 6/ PROPERTY TAX ACCOUNT PARCEL NO. I 0o's 10 loo000300 NEW RESIDENTIAL PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE El ( X FO DEMOLISH TANK OTHER GARAGE RETAINING WALL ROCKERY FIRE SPRINKLER FIRE ALARM r CARPORT I (TYPE OF USE, BUSINESS OR IICTIVITY) EXPLAIN: r j n M NUMBER NUMBER OF OF DWELLING I I CRITICAL AREAS I STORIES J:�Ve.] UNITS NUMBER DESCRIBE WORK TO BE DONE GPIC tely)tj 01 161 ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE 1411 VARIANCE OR CU SHORELINE OR ADBH INSPECTION BOND REO'D I POSTED I OYES ONO S SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP , , , LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR z PARKING LOT AREA PLANNING REVIEWED BY DATE e HEAT SOURCE GLAZING % Forad I � PLAN CHECK NO: LOT SLOPE % VESTED DATE DIED REMARKS 121.9 /-_114V6,' e21,11 'SI(I 4 CHECKED OCCUPANT GROUP SPECIAL INSPECTION AREA vuUUrMIN I REQUIRED [] YES LOAD REMARKS z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D Ei FEE Description FEE State Surcharge City Surcharge Plan Chk. Deposit Receipt # Total Amt. Due Receipt # APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged in space provided. FEICIAL5SIGNATURE DATE 0 1--) L ELE14 E -If DATE ATTENTION — IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 6RiGINAL FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 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 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 AGENr 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 COMPENSATION INSURANCE AND RCW 18.27. SIGNATUt (OWNER 0,,� T)�) DATE [IG TID VALUATION $ ol, Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee CALL FOR INSPECTION (425) 771-0220 v I z 0 A 0 M --I -n U5 --I 3: 0 M C rn 0 110 0 C 4 C M M M Z —Z 3: 0 -n n MITI 055 0 r- 0 M C C/) K C0 M Z 3: z W z 0 1 0 M .. M 4") C. is,)' GARY HAAKENSON CITY OF EDMONDS MAYOR 1215TH AVENUE NORTH -EDMONDS, WA98020 - (425) 771-0220 -FAX (425) 771-0221 Website: wwwdedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering July 16, 2004 Attn: Jaime and Diana Macandog 7804 175th St SW Edmonds, WA 98026 Building Permit: 2004-0339 Site Address: 7804 175th St SW Expiration Date: 5/6/05 Dear Jaime and Diana Macandog: The purpose of this letter is to inforrn you that the last remaining inspection on your project is a final inspection(s). The final inspection(s) deten-nines 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 pen -nit expires without a final approval granted by the Building Inspector, full fees are required in order to renew the pen -nit. This can be very costly to you and we strongly encourage you to check your pennit 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, 00 'tPern-iit oordinator Incorporated August 11, 1890 Sister City - Hekinan, Japan Z 0 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... 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 ........................ FIRST FLOOR FRAMING ... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 20*0531v/ z 0 i 0 171 —i -n C M M 0 0 —40 0 C --I 3: M M z _Z Cl) 0 _n n M M 0 0 0 M C C/) 9 Cn Q 0 Z z 3: z 0 i 0 ITI