20040471.pdfI
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CITY OF EDMONDS Z
CONSTRUCTION PERMIT APPLICATION
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PROPERTY TAX ACCOUNT PARCEL NO.
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NEW RESIDENTIAL 91 PLUMBING I MECH
ADDITION COMMERCIAL COMPLIANCE OR
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REMODEL [j MULTIFAMILY 1:1 SIGN
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PLAN CHECK NO: O� 17p
VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
CC
PERMIT APPLICATION: 160 DAYS
PERMIT LIMIT.''I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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"APPLICANI, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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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 WHATEVFR NATURE, ARISING DIRECTLY OR INDIREcrLy
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 1111S PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION
I HEREBY ACKNOWLEDGE THAI- I HAVE READ THIS APPLICATION THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DU& AUT110RIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WIT 11 CITY AND STATE LAWS REGULATING CONSTRUC-
AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF nIE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18 27.
LTION;
SIGNATURE qOWNE__R OR AGENT)
DATE SIGNED
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DDRESS
PERMIT EXPIRES t4L4L1_L*_'_1_L
PERMIT
NUMBER
SUITE/APT#
PLAT NAME/SUBDIVISION NO LOT NO LID NO.
LID FEE $
I ESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Rw Permit Requited
Street Use Permit Req'd
EXISTING
PROPOSED- inspection Required
Sidewalk Required
REQUIRED DEDICATION Fr Und010101ind
Witing required
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
I — I YES NO
1EMARKS
)WNER/CONTRACIOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
:NGINEERINO REVIEWED BY
OYARIANCE OR CU
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DATE
DATE
INSPECTION BOND
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REMARKS
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SPECIAL INSPECTION I A.REA I OCCUPANT
REQUIRED [] YES 130 1 LOAD
IEMARKS
3ROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
AM, A V L(, I i V / lo F--s r *. or I
VALUATION
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Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
FEE
Description
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State Surcharge
City Surcharge
Base Fee
CALL
FOR INSPECTION
(425)
771-0220
ATTENTION I / A E)ff 133�/'
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 CC
FEE
Plan Chk. Depositl _1 4 1
Receipt # 115,
Total Amt. Due 40 1
Receipt # t3e-,7
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APPLICATION APPROVAL
I his 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.
OFFICIALS SIGNATURE I DATF
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ORIGINAL - FILE YELLOW - INSPECTO
PINK - OWNER COLD - ASSESSOR
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APPROVED AS NOTED
LBYENGIN ERINIG
Date:
ALUF RESIDENCE ADDITION/REMODEL
1 141 2ND AVL SOUTH
EDMONDS, WA 98020
CONTACT KONST NTIN ALUF OWNER/CONTRACT0,9 IS RESPONSIBLE FOR
WORK PHONE _ 425� 744-6033
H 425 775-1384
LEI- IA: OUTH PARK ADD TO EDMONDS LOT 9 BLOCK 3- EIROSION (,'ONTRCI- AND DR#,'^AG:,
N 65FT OF W IIOFT OF LOT 9 VOL. 8 PAGE 13, SNOHOMISH COUNTY
PARCEL NO: 5820-003-009-0309
ZONING: R84 SINGLE FAMILY, LOT: 7,150 SF, BUILDING PAD: 1,200 SF, 0.17% LOT COVERAGE
GAS HEAT, 128,5 SF GLAZING AT 1100 SF OF NEW ADDITION: 11.7%
HEIGHT CALCS IMPERVIOUS SURFACE CALCS
0 +104: EXIST. BUILDING ROOF OU14INL: 1025 SF. ONS'�. IN 1961)
B = + 1 04 EXIST. DRIVEWAY: 420 SF (CONSTRUCTED 1961
C = +103 EXISTING PORCH: 30 SF (CONSTRUCTED IN 1961)
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AVE GRADE = 103.5' PROPOSED ADDTION 9 SF 0
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------------------------------------
RECEIVED
PLOT PLAN
SCALE: I" = 20' MAY 112004
PERMIT COUNTER
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C/lT-v COPY
Height Calculation Worksheet
Address:
Date:
hLspector(s):-
1. Datum Point:
2. Datum Point Elevation: c�Ic�),a-,N
3. AverageGrade: �O
4. Maximum Elevation Allowed: tS O(averaO giude):+25
5. Reference Point Elevation Shot to House:
(datum elevatign) + (grade to transit level line *shot to house)
6. Measurements from line shot onto house to roof nidge-'
Total
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7. Actual Elevation: I (reference point elevation) + e
from #6)
Conclusion:
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is not over the height requirement —perECDC 1-6.20.30 requirements
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1,17 C. is L) 13
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS. WA 98020 * (425) 771-0220 - rAX (425) 771-0221
Website: mAv.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
GARY HAAKENSOIN
MAYOR
September 8, 2004
Konstailtin Aluf
11412 "d Ave S.
Edmonds, WA 98020
Re: Building Permit: 2004-0471
Site Address: 11412 nd Ave S.
Expiration Date: June 16, 2005
The purpose of this letter is to inforill you that tile last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your perrilit file.
The City considers the final inspection to be one of tile most important inspections
conducted oil 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 roonis, 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 all idea about the kinds of things
that must be complete as well as sonic items that do not need to be installed such as:
paint, carpet, moldings, wallpaper, etc. Please be advised pennits expire one year from
the date of issuance. if you will need more time to complete tile work, perrilits can be
renewed prior to expiration for one lial f fees. If the perniit expires without a final
approval granted by the Building Inspector, Full fees are required ill order to renew the
permit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and call for the required final illspcction(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.
cer y,
J ny Rcadw in
Perrilit Coordinator
1,Vl'e111p\l)S'I"s\N4 aster Letters\SlZ%vaaml_trSFlt
Incorporated August 11, 1890
Sister Citv - Hekinan. JaDan
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
"A, t2a4 ENGINEERING DIVISION DATE 1�"4!
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PLEUESIGN
PLANNING DIVISION DATE
PLEASE SIGN
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PROJECT
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PERMIT #,Z Q 0 4 - 61)4 7/ ADB# 'DATEINSPECTED
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine final compliance with approved plans. Fi . nal approval
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denotes that there are no objections from the above signed Department to the release -of
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PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
ocaprv1.doc.1:temp:b1dg:fbmis 10/0 1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
10— LA
Footing ......................
.4
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING: -7
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment.................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING .... ...........
04
FIRST FLOOR FRAMING...
�F
INSULATION ...................
Floor Insulation .........
Wa I Insu a on ...........
Ceiling Insulation .......
SHEETROCK NAILING ... C3
SPECIAL INSPECTION ...
40
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
'Sewer#..
81de,
047/
Amout Paid $ Recelp
DateL%ucd
WaterMeterSiza
Amount Paid _� Recellpt
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