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20040345.pdfDATE US2ZONE C1W OF EDMONDS )Z15 JOB CONSTRUCTION PERMIT APPLICATION ADDRESS E�R NAME/NAFAE OF BUSINESrr-- MAILING ADDRESS CITY C:r.- r__,Nn NAME rr U ADDRESS CITY i'-) -n (A ADDRESS CIT�-N STATE LICENSE NUMBER (V j -_Ij k) lTELEPHONE o L / 0,--) TELEPHONE 17) C4- T, ZIP TELEPHONE (0 PROPERTY TAX ACCOUNT PARCEL NO. EXPIRATION DATE 9LNEW RESIDENTIAL 4ADDITION COMMERCIAL 17,27-HEMODEL El MULTIFAMILY REPAIR EQ NG CYDS El DEMOLISH El TANK GARAGE CARPORT RETAINING WALL ROCKERY (TYPE OF USE, BUSINESS ORjACTIVITY) EXPLAIN: NUMBER NUMBER OF OF z DWELLING STORIES UNITS DESCRIBE WORK TO BE DONE HEAT SOURCE GLA7ING % PLAN 0 PERMIT EXPIRES PERMIT NUMBERr-5�Z�,Z/_ PLAT NAME/SUBDIVISION NO. LOT NO, -6qt�,a i->Akk AQ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED SUITEIAP1 LID NO LID FEE $ TESCIP ApPrOved RW Pormil Requirod 94001 11 Po"1111 Raq 'it Inspeclion Raquired Sido�walk Relluffirld REQUIRED DEDICATION— FT I undergroun 1 wiring mitmod METER SIZE LINE SIZE NO. OF FIXTURES I PRV REQUIRED YES 1 3 REMARKS OWNEWCONFRACCOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CIO'. INSPEc-rIn', (r,) in /,C-0 n s. I �i) P, I p EJ4�E CBLP -itA) CHECKED BY PLUMBING / MECH COMPLIANCE OR El CHANGE OF USE El SIGN FENCE X FT) OTHER FIRE SPRINKLER FIRE ALARM S) REVIEWED BY DATE 0 z RE W z z W FIRE REVIEWED BY DATE Lu VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND REO'D - POSTED 10YES r�dKlr) $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT. ALLOWED PROPOSED ALLOWED PROPOYD EXP x I a, 5 1 ;�A LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR i t -3 '3 OIL; A 6. 7'� to'"( z I z PARKING LOT AREA Pj.4NNING REVIEWED BY DATE :3 REQ-D PROVIDED q0 J��5 L?ect(�,V qllql,oq REMARKS.,� SEAA /,rt oVel L ..7 C (I r S e _4 (ACK) --6,- 5--tJ e) ctJ I%eLl ckd'd, CHECKED BY ITYPE OF CONSTRU TION �P K_1V CODE q7 OCCUPANT GROUPF':; a F M CRITICAL L161 AREAS NUMBERA5�_ 7 SPECIAL INSPECTION JAREA REQUIRED [] YES IREMARKS OCCUPANT LOAD PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECI'D 2zt,044 SLOPE % VESTED DATE THIS PERMIT AUTHORIZES ONLY AE 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: IBODAYS 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 ALI. 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 TIIE 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 COMPENSATION INSURANCE AND RCW IB 27. SII ((kWNEa.6R AGENTi I I DATE SIGNED VALUATION $ Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee FEE :J-;3 50 �:_J A - CALL FOR INSPECTION (425) 20 771-02 ATTENTION j EXT 1333 1 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF1 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 Description FEE State Surcharge City Surcharge Base Fee Plan Chk. Deposit Receipt # Total Amt. Due Receipt # APPLICATION APPROVAL� This application is not a permit until signed by tile Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged in space provided. OFFICIALS SIGNATURE DATE f x RFt U B Y. /DATE .7 j ORIGINAL - FILE YELLOW INSPECTOR PINK -OWNER GOLD -ASSESSOR 09!03 PRESS HARD -YOU ARE MAKING 4 COPIES 0 0 ITI -n 0 M C M __j 0 0 0 C M Z C= z > Cn 0 -n -n M M 0 C0 0 r- 0 1711 C Cn 9 cn ITIO Z r > z --I X 0) z 0 --I 5 ITI lie 102' Sit Fence per Edmonds Stondaro Dotage Details El.l. E1.2 & El.3----% I r MY 77, 8 102. 5\ --E?1�TI"Q ?RIVEWAY\1'1 FF ELEV. BOTTqM FOOTING iui.za FF ELEV. 103.25 PROPOSED GARAGE / WORK AREA ABOVE oil 114' 112' 110, Sit Fence per Edmonds Standard Detalls Details E11.1. E1.2 HEIGHT CALCULATIONS A - IOZ25' 8 - 102.25' G 4/9 C - 102.75' D w 109.75' TOTAL - 417.00- 4 104.25' AVERAGE GRADE 11 G4.25' MAKIMUM HEIGHT 25.00' MAXIMUM kLLOWED 129.25' "MUM _ D 1 5, 109.7V / Zrlal q MAMMUM LOT COVERAGE CALCULATIC PROPOSED (,It, no* Existing Residence Pad 1.620 of. EYJstIng Porch 130 of. Proposed Garage Pad 594 of. Proposed Breezeway 19a of. 121gLrdm. 2-542 at Z542 of. (coverage) / Q,a40 It- Oc (*Less then 35X Maximum Lot Cove 103, I Da, 106, GRADING NOTE. Grading wul be la" max. at tooting area only. All sall will be used on site no calculations needed. A - IOZ25' -4- -s 16 EMSTING VEWAY - PROPOSED STE (after now garage) IMPERVIOUS SURFACES CALCULATIONS Existing Residence Pad 1,620 of. Existing Porch 130 of. Proposed Garage Pad 594 of. Proposed Breezeway 198 St. Existing Driveway Existing Driveway �W=l :If: 25.21333xv proposed Drivewo 41 s Allowed) Tiatcl_&M Existin + Pr for water 09 —NEW ROCKERY 36" MAX HEIG oft OVA" 100, PROV DATUM PT. +100 TOP OF DRAIN (CIty's Storm System) (1) 4* Ught line driveway area t== 9 Wt D APR 2 7 2004 PERMIT COUNTER MICHAEL DALMEIDA & CHMLEEN M. FERGUSON PROPOSED SITE PLAN 9422 — 216TH SW. rev. 04/22/04 EDMONDS, WA. 98020 SCALE 1/164 - V-00 9__rk`hX7 U ,4 ".Ze Q-,,� v 0 0 in 9537 0 Chloitno WALNUT 8 1" 926 m 0 1016 21208 W 02 4; m U$ 515 923 212il w 1� 024 048 136 131 141 1012 0 (%QPI 21214 3: 1209 CM C ARbI 1014 %1'10) 21220 21215 922 [fJ4 KFe' 21222 9506 -j 21217 21230 941 959 — 21218 130iv z %d� 1059 9508 0 0 MV 21232 9215 910 918 926 928 956 960 1060 1004 7 'o 707 721 717 9152 714 11 7 11 1006 ANE 21400 9630 1010 731 725 718 9626 21412 21414 803 9813 2416 214TH PL SIN ail gall 9801 980' K215THSTSW 08 g8W 96W 9802 215-212 2424 ST 1009PINE N 21606 1013 1015 21628 wt 101 V630 kI 1037 21702 41 21705 60 1 0 21611 c.) j it Ir - 21515 21125 Cr t2 T m . v 21223 YVA Y 74 21224 21302 9510 3: 21301 21303 2130 w MOS w 9232 *1 15L �Z 21315 21309 3.1 0 21320 = 213 2 21308 _j CL 21317 21401 to- 0) 21323 21318 cc" 21313 21316 a z 21412 21326 21329 cli 21411 21406 2 321 C) 21420 2 403 F4 3: % 21424 1 V419 21408 21328 21327 IL 21409 2142 t-n 21423 21414 21415 a) 21427 2141 9527 9515 9503 9429 9423 I 3: < 21425 215 ST SW 21510'� Cz' 215 21509 1 215 2i 216TH ST SW 92 2161� 2i6TH PL SW 9626 9610 f3 9730 9704 21627 21628 217TH ST SW 21829 21626 21701 217G4 21703 21700 21701 21710 21707 21710 21709 21 21705 21719 21M 21714 21717 94CDA4 21714 LL I 1051 26 926 21718 1061 21 922 21728 1109 917 T 918 1 21804 915 916 M12 1123 1125 5; 12 21820 913 910 21824 901 911 906 21910 900 902 w :P- w N 21722 9401 9325 9223 21725 21718 1 21723 21720 41'.. S 21726 2172 C, 21723 N 21730 9405 217TH PL cn 21729 21726 21727 21728 N 21731 9331 9224 1 21802 218TH PL IN 9230 21801 2160 21802 2 807 21806 isos 8 K 21810 > . 21811 9330 �: 21805 21817 21814 21819 21816 Ul 9404 -j IL 2l8i2 21811 2181 21811 21815 21818 21819 21618 0 21819 21823 21824 cc 21821 21822 21826 21813 21825 21826 CO m 21827 21821 21821 9615 9603 0) 21829 21 '2� 21823 21825 E I wuwu 21901 183 219TH ST SW 21900 2191521830 9604 219oi M05 0 21821 191 m 1) x 21909 21900 21912 21909 9415 94 0 21926 21915 21925 9417 940 9607 !2 4 22006 9414 0 2 2014 22017 22011 204 153 ql]-)155 104 w 2200 220116 2,201 2201 a 21 z 0 4 0 m -n CO rn m 0 0 0 C: —4 K M M M z nc --I c —z r- -4 o -n n m M 0 0 rn cn cn M 0 Z ;u z cn z 0 i 0 m N I Harrison, Marie From: Mike D'Almeida [mdalmeida@seattletimes.com) Sent: Tuesday, May 04, 2004 11:02 AM To: harrison@ci.edmonds.wa.us Subject: Regarding permit 04-086 Marie, This is to inform you that we removed approx. 80 cubic yards of dirt from our yard while doing our rockery work. The reason I am telling you this after the fact is because I wasn't aware that I needed a permit for grading until just recently. we removed around 50 cubic yards f rom our backyard and about 30 f rom our f ront yard. This is in reference to #6 from the inquiry from a J. Graf Hopefully we have answered all of your questions and will be able to get our permit soon. Thank you Charleen Ferguson Mike D'Almeicla permit # 04-086 MICROFILM Owner - Project Address_ Building Valuation & Fees Pinin PhniA- 4, x)I/J 1/2<?-Z, -Date USE AREA VALUE PER SQ. FIP VALUATION SFR COM Basement Semi -Finished 69.30 $ Basement Unfluished 23.10 Garage/Carport 24.30/16.60 $ First Floor 92.40 $ Second Floor If 92.40 $ Unheaftd/Storage 23.10 $ Deck-/� 17.00 $ Unheated Sunroom 25.00 $ 42.1 NO 10,11=00,10101,11 TOTAL VAT UATION WES �'f$3,60g' Permit Fee $ Plan Check Fee $ Base Fee $85 !0,11i State Surcharge $4.50 NO , "It W �.-pj City Surcharge $15 I E Investigat on Fee ($205 min or double) Plumbing $ Mechanical $ rl'$-3 Grading [Yardage $ 01. W"Iffisipl, W46'5 u1i"I"I'M a I R.-I 'gr.fl, NO Total Fees Calculated -by Checked by.,'�',, i ,� y Z 0 M I --i -n 0 M C: 0 M 0 0 C M M Z C Z C) 0 -n ri ;U > M M 0 U5 0 r- M C/) Cn M Z 7-1 M ;U A /J1 Z CO Z 0 A// Planning Fees 1% Inspection Fee $65 minimum Bond Amount$ SEPA $420 up to 5 hours More than 5 hour Charge Recording fee Base $ + #Pages, ADB Administrative Approval $100 Critical Areas $135 Other Total $ A,/b 4 Fees Calculated bv:, LATEMMUILDINMHANDOUnfee sheet itemized form.doc07/25/03 Microfilmed Owner Plan Check # Project Address ��Date —4LY- LZ2 Buildhig Valuation & Fees oU USE AREA SE AREA i- ed Basement Sem,,Finish BasementUnrinishe:d a —d— r ort: GaragelCar ort C First Floor Second Floor Unheatqd/Storage Unheated Sunroorn Plaiming Fees 1% Inspection Fee $65 minimum SEPA $420 up to 5 hours Recording fee ADB Administrative Approval Critical Areas Other VALUE PER SQ. FT SFR COM 69.30 23.10 VALUATION 24.30/16.60 $ 92.40 $ 92.40 $ 23.10 $ 17.00 $ 25.00 $ T TAL UATION $ Permit Fee s - Plain ChecEkFtEE $ se ee Bars e kee $85 State Surcha 4.5( $4.50 $ City Surcharge $15 le) lWy--estigation Fee ($205 min or d0ubble) $ Plumb' Mechanical Grading [Yarda e- Bond Amount $ - More than 5 hour Chare-e $ Base $100 $135 EES, D A -I Total $ c -D,6 Fees Calculate Checked b T Eot a TI$ Alb 4 b Ei E Fees Calculated by. LATEMPTUILDINMHANDOUTWee sheet itemized form.doc07/25/03 Microfllmed Z 0 1 0 M -i -n U5 --i 3: 0 M C M 0 0 C) 0 C: --I K :r M M Z cl) 0 -n n ;d --i > a: 9 M M 0 0 0 M C Cn K U) M C) Z r- i M r Z C/) Z 0 0 M COST X # OF INSPECTIONS Storm Drainage Review SIR >5000 sq.ft. $50 $ SFR Inspections $50x $41ao- (0 Commercial/MF Inspections 2.2% (Bond Amount $ $ Right of Way Base $160 + $15 Surcharge $ Right of Way Inspections $50x Street Cut Fee $ Water Meter Fee Size $ Water Connection Fee $ Side Sewer Connection Fee $ Side Sewer Permit Fee ($30 SFR, $100 Com/MF) $ Alley Disruption Fee 111.000.000.344.110.000.000.00 Base $140 Parking Disruption Fee 111.000.000.344.120.000.000.00 Base $140 Sidewalk Disruption Fee 111.000.000.344.130.000.000.00 Base $140 Storm System Dvpt. Charge New SFR 412.200.000.379.000-000-000.00 $428 Trafric Mitigation Fee $ Development Project Peer Review Fee $50 Plus Actual Cost In Lieu Sidewalk Fee LF $ Fee $ $ Other Total $ e0o. 0 Fees Calculated by: -r "-!-. IV___ .1 &F A ILIVIO Plan Review Fee ($50 per hour) Number of Hours $ Inspection Fee $50 x Number of Inspections $ Fire Connection $345 $ Total I Fees Calculated :bi-.::j Description— Department $ otal $ Building Planning Engineering $ e? 10 (23 - 6? Fire $ Investigation Fee $ Miscellaneous $ 4"' Review $170 5"' Review $170 -W"-R—eview $170 Grand Total LATEMP\BUILD1NG\HANDOUT\fee sheet itemized form.doc07/25/03 Microfilmed z 0 M --4 -n U5 -j 0 M c M 0 C) 0 C: -1 K T- M M Z ID --i c: M 0) o -n n ;d > M M 0 U5 0 r- 0 M CZ cn F. C/) M C) Z r- i M ;u r z —i X (1) z 0 M E! ROANOKE HOME RESTORATION, INC. Complete Restoration & Remodel Services 1934 - 14th Avenue E. Seattle, WA 98112 RECEIVED APR 2 7 2004 January 6, 2004 (Revised April 19, 2004) PERMIT COUNTEF' Mike Daftneida and Char Ferguson 9422 216* SW Edmonds, WA 98020 Dear Mike & Char. We are pleased to offer the following bid to revise the roof on your existing house to a 6/12 pitch hipped roof. This bid has been modified to include current material prices.(Note: labor and subcontract pricing did not change, except for some additional items.) SCOPE OF PROJECT: This bid inclues all materials and labor to accomplish this task including: • Project management and layout • Set up and tarp installation • Maintain the work area in a neat and orderly manner. • Demolition of existing roof to the sheeting, cut back eaves, remove diagonal glass. • Frame pony walls on top of old roof, install headers in wall over windows and doors, and brace pony walls as required. (Architect may require a post from new roof structure to ground on both sides of windows and doors through existing walls and would be accomplished on a time and material basis.) • Insulate portion of side walls exposed to the interior. • Install sheetrock on interior walls as required and blend into existing. • Install 5/8" T I I I plain siding from the top of the existing siding to the top of the new pony wall and trim the top and bottom of the new paneling. • Install new roof trusses and sheet with 1/2" CDX sheeting and 15# roofing felt • Extend chimney • Extend electrical mast • Extend plumbing vents • Install 24' x 32' %" subfloor in new attic • Install 5/4"X6" cedar facia • Install new 30 yr architectrural roofing • Install clear cedar soffit and vents • Install R38 batt insulation over entire old roof. • Install one skylight over existing bathroom and sheetrock tower from ceiling to the new roof. • Prime all new sheetrock. • Install access hatch to attic storage • Install 5 lights, one switch and one outlet in the new attic. • Dispose of all scrap and tearout and clean up. • Note: all painting will be done by owners SCHEDULE: This project will take approximately five weeks and could be started after the first of the year. Licensed, Bonded, Insured ROANOHRO55NB PHONE: (206) 329-6139 FAX: (206) 329-9508 Member: Capitol Hill Chamber of Commerce Master Builders Association A 1 z 0 4 0 M =i =6 M C M 0 --10 0 C M M Z g) —1 C Cn 0 -n n M M 0 0 M C Cl) K Cl) M 0 Z 3: z 0) z 0 0 M COST: The cost of this ob, including all material and labor, will be $ 42,444.43 plus tax. Materials and Labor $42,444.43 Sales Tax 3,650.22 Total $46,094.65 TERMS AND CONDITIONS: z Terms and conditions in Attachment A apply. Payment terms shall be: 0 10% upon signing $5,000.00 M (Already received) 50% prior to start $23,050.00 co 40% upon completion $18,044.65 M M GUARANTEE* 0 0 All workmanship is guaranteed for one year. 0 C M Please indicate ur acceptance by signing and returning one copy of this bid with your deposit. If you have rn Z YO any questions, feel free to call me. I look forward to carrying out this project for you. C z 3: Since 0 M� MM e 0 0z ROANOKE HOME REST TION, INC. 0 M Accepted: C W 9 Cn rn 0 z ;U z Date: z 0 rn Height Calculation Worksheet O,\ I Address: Date: 2-191- hispector(s): 1. DatumPoint: 2. Datum Point Elevation: 10-!3, 3. Average Grade: 4. Maximum Elevation Allowed: C4-driaverag6 giade) 4" 25Y 5. Reference Point Elevation Shot to House: (datum elevation) + i�;,? (grade to transit level Une'shot to house) DT, 6. Measurements from line shot onto house to roof ridge: Total Z�3 7. Actual Elevation:( 03, D-I�s -- (reference point elevation) (measurements from #6) '7 Conclusion: d 13 a _ (actual) is greater �s ja / A, ) (allowed); therefore the house W -I— CDC 16.20.30 requirements is not over the height requiremen per E z 0 M -i -n M C M 01. -40 0 C M M z IC) C —Z. 0 -n M M 0 0 0 M C W CI) M 0 Z ff z W z 0 -4 0 M GARY HAAKENSON CITY OF EDMONDS MAYOR (425) 771-0220 F (425) 771-0221 AX 12 1 5TH AVENUE NORTH EDMONDS, WA 98020 Website: www.d.edmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning Building Engineering C. z 0 September 8, 2004 M Charleen Ferguson fi 9422 21611, St S.W. C_ Edmonds, WA 98020 M C M 0� 0 0 C Re: Building Pennit: 2004-0345 M Site Address: 9422 216"' St. S.W. M z 10 Expiration Date: May 7, 2005 z Cn _n Tile purpose of this letter is to iriforin, you that the last remaining inspection oil your 0 ines that there are no -n project is a final inspection(s). The final inspection(s) determ ity to close your permit file. outstanding life -safety issues and approval allows the C M M 0 cn, ne of the most important inspections 0 r- The City considers the final inspection to be o 0 M C 0) conducted on a project. In order to grant final approval the following must be complete: F. CD smoke detectors, house numbers, guardrails, handrails, self -close doors between garage Q 0 Z -ns,, safety gl, ing, weather-stripping, any and residence, egress from sleeping rooi 1z 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 te as well as some items that do not need to be installed such as: that must be comple z paint, carpet, moldings, wallpaper, etc. Please be advised pen -nits expire one year from the (late Of issuance. if you will need more time to complete tile work, permits can be renewed prior to expiration for one half fees. If the permit expires without a final z 0 approval granted by tile Building, Inspector, full fees are required in order to renew the 0 permit. This can be very costly to you and we strongly encourage you to check your M permit expiration date and call for tile required final inspection(s). Note: If more than one department is required to final your project, this is noted oil Your Job Card. Please feel free to contact me at 425-771-0220 if You have any questions. qiic ly, nily Readwin rc ermit Coordinator i_vremp\I)S'Is\N1 aster Letters\,SRwaan11.trSFR Incorporated August 11, 1890 Sister Citv - Hekinan. Japan FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: -FIRE DEPARTMENT DATE PLEASE SIGN ENGINEERING DIVISION DATE_2Z� PLEASE SIGN PLANNING DIVISION DATE PLEASE SIGN PROJECT �v_nez SITE ADDRESS 61 c,— y, 2— Z �2� PERMIT LADB# 'DATE INSPECTED 2//dE/ DESCRIPTION OF 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: GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED a 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 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign_ ocaprv1.doc.1:temp:b1dg:fbmis 10/0 1 z 0 i 0 M -i -n o M C M 0 0 --1 0 0 C M M Z -Z Cn 0 -n n x > M M 0 U5 0 r- M C/) Cl) M C) Z r z U) z 0 i 0 M A RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Von Underground ............. Rough -in ................... CA Commercial Final ...... HEATING: Gas Test .................... vv� Gas Piping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... FRAMING........................ FIRST FLOOR FRAMING ... 4-� INSULATION ................... Floor Insulation ......... C) Wall Insulation ........... Ceiling Insulation ....... C13 lj� �, U (� — I - �4 0 0 SHEETROCK NAILING ... C/) 7�i SPECIAL INSPECTION ... 4-1 Cd vv� En MISCELLANEOUS .......... C) C�) FINAL APPROVAL FOR OCCUPANCY .................. SideSewer#_ 5 s4!� Amout Paid $ RM1110-2- Ll (1) IS'/4- 1 V.,xvilire., Date Lssucd-, WaterMeterSiz Amount Prjd�� RCCCPt It D.-,,te Purch=cd Arnount Pa!d, u2�Izccclpt z 0 A 0 171 -4 -n M rn 0 0 C --I K X M M z rL) C 0 -n n MITI 0 0 0 M C: C/) 9 0) Q 0 Z z --I a: 65 z 0 0 ITI