20040369.pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PROPERTY TAX ACCOUNT PARCEL NO.
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(TYPE OF USE. BUSINES"R ACTIVITY) EXPLAIN:
JOB
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PLAT NAME/SUBDIVISION NO LO LID I'd
I LID FEE $
P P B L C RIG TFSCP Approwd 13
UBLIC RIGHT OF WAY PER OFFICIAL STREET MAP FJW Pornill Finquited 1-3
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Sireel Use Permit Hori'd 13
1 S I G Inspaction I'loquirod
rEXISTING PROPOSED Sidewalk Required
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REQUIRED DEDICATION F1 Wifing faquirna
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METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 13 NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
i NUMBER
OF
NUMBER OF
DWELLING
CRITICAL � V_
AR
STORIES
NITS
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DESCRIBE WORK TO BE DONE
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GLAZING %
LOT SLOPE %
PLAN CHECK r-)//— //I/ I VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
W PERMIT APPLICATION: 160 DAYS
a. PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'00 'APPLICANT, ON 13EHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND suCCESORS
LU IN INTERES T. AGREES TO INDEMNIFY, DEFEND AND Hot D HARM[ ESS THE CITY OF
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2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPIOYEES. AND AGENTS FROM ANY AND
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ALLCLAIMS FOR DAMAGES OFWIIATEVER NAT URE, ARISING DIREC TiY OR INDIRFC I iY
FROM THE ISSUANCE OF THIS PERMIJ. ISSUANCE OF IIIIS PFRMII SHAII NO] 13E
DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CI [Y ORDINANC17
21 NOR LIMIT IN ANY WAYTHE CITYSABUTTY 10 ENFORCE ANY ORDINANCE PROVISION'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMA1 ION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY ALTnIORIZED 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 (; ;NSATION INSURANCE AND RCW 18.27.
SIGNATURE �(6WNER�R AGEKT)� DATE SIGNED
A '-) I -_� i 10
ENGINEERING REVIEWED BY
FIRE REVIEWED BY
DATE
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DATE LLJ
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
BOND
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REQ D
OYES NO
POSTED
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SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE , EXEMPT
ALLOWED , PROPOSED
ALLOWED PROPOSED
EXP
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FF.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR
1, ,
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5 a5 fo, 10
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PARKING I
REQ'D 1IDED
PRO%'4
LOT AREA
PLAAING REVIEWED BY DATE
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REMARKS
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CHECKED BY
TYPE OF C ST UCTION
C.QDE.
OCCUPANT
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GROUP
SPECIAL INSPECTION
OCCUPANT
REQUIRED
JAREA
LOAD
REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
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VALUATION
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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
FEE Description FEE
State Surcharge
City Surcharge I
Base Fee I '�;� —
Plan Chk. Deposit I o�
Receipt ft
Total Amt. Due '_j C'
Receipt ft
APPLICATION APPROVAL
I his application is not a perinit unni signed by the
Budding Official or his/her Deputy. and Fees are paid, and
receipt is acknowledged in space provided
OFFICIALS SIGNATURE DATE
ATTENTION EXT 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
09;03 PRESS HARD -YOU ARE MAKING 4 COPIES
DATE
ORIGINAL -FILE YELLOW -INSPECTOR
PINK -OWNER GOLD -ASSESSOR
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APPROVED BY PLANNINI-'
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,�V ENGINEERING
Date:
I Rylous AC, CALCULATIONS LOT AREA: 935203 SOFT X3 I e?c
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EXISTING BUILDIWS ROOF OUTLINE - 3,041 SP LOT COVERAGE: 'M EQ FT (h%� 3�
PROPOSED ADDITION - 440 F LOT SLOPE: 2% )"-715
A(Lo � jo�,,-w TAX ACCOiNT PARCEL # 00411ro-000-033-00
HEIGWT-Nff—A—CE c;ALCULATION5
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AVERAGE GRADE: IWJ04'
ACTUAL: 115,
MAXIMUM: 01
DESIW —LOADS
WIND 5PEED -- W MPH ROOF SNOW LOAD: 25 pBF
WIND EXPOSER: 8 ROOF c)EAo LOAD 15 psr
SEISMIC ZONE : 3 FLOOR LIVE LOAD 40 PBr
FLOOR DEAD LOAD - 10 POF
C)ATUM PT. - TOP OF MANHOLE COVER SEWER
RECEIVED
opy - 1 20A
APR
PERMIT COUNTER
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GARY HAAKENSON
Au EDMONDS MAYOR
CITY OF
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771 -0220 FAX (425) 771-0221
Website: www.ci edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
August It, 2004
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Don and Nancy Furness
7532 Ridge Way
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Edmonds, WA 98026
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Re: Building Permit: 2004-0369
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Site Address: 7532 Ridge Way
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Expiration Date: May 18, 2005
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The purpose of this letter is to inforni you that the last remaining inspection on your
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project is a final inspection(s). The final insp ection(s) determines that there are no
the City to close your permit file.
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outstanding life -safety issues and approval allows
The City considers the final inspection to be one of the most important inspections
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conducted on a project. In order to grant final approval th e following must be complete:
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smoke detectors, house numbers, guardrails, liandrails, self -close doors between garage
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and residence, egress frorn sleeping rooms, safety glazing) weather-stripping, any
Orcourse not all of these tl iings may
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ring department requirements etc.
Enginee idea about the kinds of things
specifically apply to your project but it does give you an
that inust be complete as well as some items that do not need to be installed such as:
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paint, carpet, moldings, wallpape r, etc. Please be advised pennits expire one year from
issuance. ff will need more time to com plete the work, permits can be
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the date of you
ithout a final
renewed prior to expiration for one half fees. if the pennit expires w r
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approval granted by the Building Inspector, full fees are r equired in order renew the
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pen -nit. This can be very costly to you and we strongly encourage you to check your
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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.
cerely,
Od
J
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ny Readwin
rmit Coord�ililiator
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1.V1'en1p\DST's\tv1 aster i.etters\si�waamursl-'11
Incorporated August 11, 1890
Sister Citv - Hekinan. Jar)an
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FINAL PROJECT APPROVAL FORM
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM:
TO:
DATE:
FIRE DEPARTMENT DATE
PLEASE SIGN
T017 ENGINEERING DIVISION DATE
PLE&ESIGN
PLANNING DIVISION DATE
PLEASESIGN
PROJECT 4�017eS,�
SITE ADDRESS _1 �7 55 7,
PERMIT #_,tgod 4 cz ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
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:
X—GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tenip:b1dg:fomis:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ................... C'zsr-
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation ....... C5
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
'I'lle Initials MT are Milton
'niompson, a temporary contract
illspcctor 1,01- the City.
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