20040422.pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
UVVNtH NAMEINAME OF BUSINESS
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ADDRESS
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STATE LICENSE NUMBER EXPIRATION DATE CHECK
By
PROPERTY TAX ACCOUNT PARCEL NO.
NEW
RESIDENTIAL
PLUMBING I MECH
ADDITION
COMMERCIAU
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COMPLIANCE OR
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CHANGE OF USE
REMODEL
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SIGN
REPAIR
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CYDS
FENCE
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DEMOLISH
TANK
OTHER
E GARAGE
l CARPORT
RETAINING WALL
ROCKERY
FIRE SPRINKLER
FIRE ALARM
(TYPE 0 USE, BUSI ITS
OR ACTVLTY) EXPLAIN:
N M
U IVI B EAR
OF
NUMBE� OF
QRITICAL
STORIES
DWELLING
UNITS
AREAS
NUMBER C
DESCRIBE WORK TO BE DONE
—0,51
LOT
PLAN CHECK NO: VESTED
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
M DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARCI
:i UEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180DAYS
CL PERMIT LIMIT., I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
cn 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESOVIS
cn
uj
_j IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
X- EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
x
I ALL CLAIMS FOR DAMAGES OF WHATEVER NAI URE, ARISING DIRECTLY OR INDIRECTLY
X FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 1HIS PERMIT SHALL. Nor 8
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_j DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMEN1 OF ANY CITY ORDINANCE
x 01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCF Pnnviczinm -
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�=NG THE WORK AUTHORIZED THEREBY, NO PERSON WILL, BE EMPLOYED
IN VIOLAPON 0 , THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORK)AffN S C059&4r.,ATION INSURANCE JINO�_RCW 18 27.
RV A60 DATE SIGN 1)
71
LI-04
I PERMIT EXPIRE
6SF
USE
ZONE
mo�
PERMIT
NUMBER
2
2
JOB
0 B
D D
ADDRESS
R E SS L
SUITE/APT#
P LAT NAI I'
E SUBD
PLAT NAME/SUBDIVISION NO.
IV
LOT 00
LID NO.
rXISTING
LID FEE $
1 G
PUBLIC RIGHT OF WAY PER OFFICIAL
STREET MAP
TESCP Approved
13
RW Permit Roqwred
13
E S T PROPOSED
Street Use Permit Reqd E3
inspection Requited [3
11
f1FQUIRFD DEDICATION.
FT
Sidewalk Required
Underground
E3
wiring required
0
METER SIZE
LINE SIZE
I
NO. OF FIXTURES
PRV REQUIRED
YES 1:1 NO 1:1 1
REMARKS
OWNER/CONTRACIOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
RING
FIRE REVIEWED BY
VARIANCE OR CU
SEPA REVIEW
COMPLETE EXEMPT
EXP I
LOT COVERAGE
ALLOWED PROPOSED
PARKING
REQ'D I PROVIDED
REMARKS
CHECKED BY
Iffi
DATE
DATE
BOND
SHORELINE ORAD111 I INSPECTION
REO'D POSTED
DYES ONO IS
SIGN AREA HEIGHT
ALLOWED , PROPOSED I ALLOWED . PROPOSED
REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.)
FRONT SIDE REAR I FRONT LIR SIDE REAR
LOT AREA I PLANNING REVIEWED BY
SPECIAL INSPECTION IAREA
DATE
PPE OCCUPANT/-)
Y
GROUP 1��_
OCCUPANT
LOAD .-;I-
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REMARKS 0
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'D �0
VALUATION
$4
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapeirisp
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
E XT 1111
FEE Description
State Surcharge
City Surcharge
Base Fee
FEE
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt # L
APPLICATION APPROVAL
[his application is not a Permit until signed by the
Building official or his/tier Deputy: and Fees are paid, and
receipt is acknowledged in space provided
-------------------
:kFIAWL)SIGNA�TURIF D
.1 EASE[) BY
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 ORIGINAL - FILE YELLOW - INSPECTOR
09103 PRESS HARD -YOU ARE MAKING 4 COPIES PINK OWNER GOLD -ASSESSOR
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DEPARTMENT OF BUILDINGS
ImA,
PER UNIFORM BUILDING CODE SECTION 109
At:
Occupancy established by this certificate:
R1/U1
ilding Permit #:
Dwellina Units: '4**
Construction: VIN
No. Stories: Base + 2
Basement: Yes
Maximum Occupant Load **28** -(Per U.B.C. 1002)
Room capacity signs, when required, must remain posted at all times.
Owner of Building: 548 Dayton LLC, David Calixto_Address: 13256 Northup Way #10, Bellevue, WA 98005.
THE 550 Dayton Street Condo HAS BEEN 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 2nd - day of June 1 2005 _
C EF 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 cruse requires a building permit and a new
Certificate of occupancy issued by the City of Edmonds Building Official.
I.P.. A. 44"'. 447. 4-M. O.AU S.-M 4
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DEPARTMENT OF BUILDINGS
TEMPORARY CUUNCY
do rAtt 0
Ut
PER UNIFORM BUILDING CODE SECTION 109
ENTIRE BUILDING gXCEPT SUITE 102
At:
occupancy established by this certificate:
R1/U1
uilding Permit
Dwelling Units: **4'
Construction: VN
No. Stories: Base + 2
Basement: Yes
Maximum occupant Load **28** (Per U.B.C. 1002)
ust remain posted at all times.
Room capacity signs, when required, M
owner of Building: 54 xto, Address, 13256 Nort A 98005
THE 550 Dayton Street Condo HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1997
Edition of the UNIFORM 13UILDING 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 4th day of- Mav 2005
TEMPORARY OCCUPANCY EXPIRES JUNE 2,2005
CHIEF BUILDING OFFICIAL
BY:
This certificate shall be posted in a conspicuous public area and shall notberemoved,mutiiated 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.
sale.
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE
ILCAIESIGN
PLANNING DIVISION DATE
PROJECT
SITE ADDRESS
PERMIT #,40:� ADe#_ DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with -approved plans. F 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'
[:1 Copy of CONDITIONS given to owner/contractor by inspector
I
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tenip:b1dg:rorms:ocaprv1 3/25/04
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MEMO TO:
FINAL.C)ROJECT APPROVAL M--.A
I - TO:
PERMIT COORDINATOR, BUILDING DIVISION
DATE:
FROM: FIRE DEPARTMENT DATE
EASESIGN
ENGINEERING DIVISION DATE_.��Z_S 1 �6 6-
4. �I-E t I -
PLANNING DIVISION DATE
PLEASE! SIGN
PROJECT— (I 6;,6.2< 1:0
SITE ADDRESS
PERMIT _ADB# DATE INSPECTED . '�"Z,?_ 7 110-5
DESCRIPTION OF WORK TO BE INSPECTED X_ use_
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
GRAW PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
1 .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
13 Copy of CORRECTION NOTICE given to owner/contractor by inspector
I .
pi
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
ocaprv1.doc.1:temp:b1dg:fomis 10/0 1
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PER -MIT COORDINATOR, BUILDING DIVISION
FROM: FIRE, DEPARTMENT DATE
411���_.,_
PLWE SIGN
ENGINEERING DIVISION DATE -
PLEASE SIGN
PLANNING DIVISION DATE
PLFASR SIGN
PROJECT 4C _2(
SITEADDRESS
DATE INSPECTED'
PERMIT ADB#
DESCRIPTION OF WORK TO BE INSPECTED r)
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
PERFORMANCLBONDS and the granting of
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
2.
3.
RE -INSPECTED OUTSTANDING ISS UES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tcnip:b1dg:r6m1s: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 ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................. -gym-,
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Height Calculation Worksheet
Address: S7 0 -Pa s_o—
Date:
hispector(s):
1. Datum Point:
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2. Datum Point Elevation:
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3. Average Grade: Orc) -7
4. Maximum Elevation Allowed: (averA& giade):;2§"—
CO
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5. Reference Point Elevation Shot to House:
M 0
0 0
(datum elevation) +,S - �'7 (grade to transit level line *shot to house) 03J7
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6. Measurements from line shot onto house to roof ridge:
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Total:,�-?,Q
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7. Actual Eleva don: (reference point elevation� (meastirements
from #6)
Conclusion:
Qc�,07( (actual) is greater /07ess:th�jAin '87 (allowed); therefore the house is/
is not over the height -requirement per ECDC 16.20.30 requireinents