20040510.pdfI
FBATE RECEIVED
Vh�
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
(_'4 ve;, f
MAILING ADDRESS(
CITY 17 ZIP TELEPHONE
vv
NAME
ul
ADDRESS
CITY ZIP ITELEPHONE
USE
ZONE
JOB
ADDRESS
PLAT NAME/SUBDIVISION NO
I
D=D IT 9=V0IDII=C 11,
I t
PERMIT
NUMBER C""I'D
tA. SUITE/APT#
LOT NO.
PUBLIC RIGHT OF*WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— FT
METER SIZE LINE SIZE NO. OF FIXTURES
LID NO.
LID FEE $
Mcp .47p—pr,��,50
AW Pfirmit Requited
E3
Street Use Pernrut Ron'd
0
inspection Required
13
SidoWalk Requited
E3
Underground
Wiring required
[3
PRV REQUIRED
YES 13 NO 0
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLYDRAINAGE
cc
W
z
z
a
z
W
NAME CBL4
C, ENGINEERING REVIEWED BY DATE
M ADDRESS
0
4z FIRE REVIEWED BY DATE Lu
CITY ZIP TELEPHONE
0 4 oil
VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION DATE CHE KED BY REO'D POSTED
C C, C -) /t/ I I 10YES EINO $
L lW11210-51 V/0
SEPA REVIEW S!DGN APIREOA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE , EXEMPT ALLOWE POSED ALLOWED , PROPOSED
W
_j ? 7 in 0 EXP
NEW RESIDENTIAL P?6PLUMBING)MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
W —
COMPLIANCE OR z
ADDITION COMMERCIAL E
CHANGE OF USE z
PARKING LOT AREA PLANNING REVIEWED BY DATE 5
REMODEL MULTIFAMILY SIGN REQ'D I PROVIDED IL
GRADING FENCE
REPAIR CYDS ( X Fr) REMARKS
DEMOLISH TANK OTHER
GARAGE Ei RETAINING WALL FIRE SPRINKLER
z CARPORT ROCKERY FIRE ALARM
(TYPE OF USE, BUSINESA.-QR ACTIVIM EXPLAIN:
CHECKED BY TYPE 0, ION COU OCCUPANT
IA� I . GROUP
uj NUMBER NUMBER OF RITICAL
OF DWELLING EAS SPECIAL INSPECTION AREA OCCUPANT
o STORIES UNITS LOAD
a TA
M C:54L I NLI MBER REQUIRED [3 YES
DES!7 WORK TO BE DONE .4
REMARKS
z
PROGRESS INSPECTIONS PER LIBC 108/FINAL INSPECTION REOID F3
se 03
VALUATION
Al $
Description FEE Description FEE
Plan Check State Surcharge -A-)
HEAT SOURCE GLAZING % LOT SLOPE % Building Permit _/7 �2 City Surcharge
VESTED DATE Plumbing Base Fee
7Z)
Mechanical
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 Grading
SEPARATE PERMISSION.
2 Engr. Review
M
uj PERMIT APPLICATION: 180DAYS
0. PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
I SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) Fire Review Plan Chk. Deposit
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
W
_j IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRFCTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE On REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.4
xi - Recording Fee Receipt #
1 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 APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC- CALL This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSAT�LIRANCE AND RCW 16.27.
OFFICIALS SIGNATURE DATE
T�) IG - /
SIGNATU E�)(OWIVAGEII, DATE NED (425)
T
771-0220 RELEASED 13,Y TE
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- OFAIGINAL - FILE YELLa INSPE TOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - O�VNG COLD - ASsrsson
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
z
0
i
0
M
—i -n
M
M 0
0
0
0 C:
M
M Z
ID 11
C _z
C0
0 -n
n ;U
>
MM
0 5
0 r-
0 1711
C: (1)
9 Cn
M 0
Z
z
Cn
z
0
11
0
IT!
mi,
Sc
Tk",o er v 0 LL -s
-a/c
40-fe
74�
-ta
0, /0
Lle C2
Q C\, zi
X3 3
ry
ry
eD
6L x, �2 3
D=C
8 Doi
7 71
Cf
FOOTING DRAINS NOT
TO BE TIED INTO
DETENTION SYSTEM
W 1,1/141.37
wo,
cy
4D .115,
�� 41,eo-
se
K -e c I
P. LLJ
5 w .. _
Lull*
"fer
a = -.- -
L U-1
E
Li
10
41 elets t I re-1
3.
TAI
ROVED BY PLANNING' 'V,�/
owl
20
0
M >
Zq
A
z
0
4
0
m
:; 9
c m
M 0
0
—40
0 C
X M
M Z
C2
c
0
3:9
m M
0
0
0 M
C (J) i
?. Cl)
M 0
Z
>
z
Cl)
z
0
q
0
m
GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 * (425) 771-0220 - FAX (425) 771-0221
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
117 1 S911 Planning - bUilding * Engineering
July 16, 2004
CC Construction
Attn: Carl Clapp
8415 192nd St SW
Edmonds, WA 98026
Building Permit: 2004-0510
Site Address: 18103 84th Ave W
Expiration Date: 6/28/05
Dear Carl Clapp:
The purpose of this letter is to inform 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 permit expires without a final
approval granted by the Building Inspector, full fees are required in 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 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,
Permit Coordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
Z
0
1
0
M
-n
M
0
0
C
3: M
IM Z
C) 11 1 '.,
C _Z
W
0 _n
_n
3:9
M M
_0)
0
0 M
C 0)
K (n
M 0
Z
4
X
Z
0
M
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch ................. z
0
Retaining Wall ...........
0
Slab Insulation .......... M
PLUMBING: in
-1
Underground ............. x
7 -(-0- OM
Rough -in ................... 0
M 0
-40
Commercial Final ...... 0 C
M
HEATING- M z
JO -4
Gas Test .................... C
Gas Piping .................
Equipment ................. 0 -n
n
Commercial Final .......
M M
EXTERIOR SHEATHING 0 5
NAILING .......................... ------- 0 r-
0 M
FRAMING ........................ C: Cn
Cn
M 0
FIRST FLOOR FRAMING ... Z r
INSULATION ................... ;U
Floor Insulation .........
Wall insulation ...........
Ceiling Insulation ....... Cl)
z
SHEETROCK NAILING ... 0
SPECIAL INSPECTION ... M
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
067d