20040529 (2).pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
M MAILING ADDRESS
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CITY ZIP TEI EPHONE
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NAME
ADDRESS
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SfATE LICENSE NUMBER EXPIRATION DATE CIU?G
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PROPERTY TAX ACCOUNT PARCEL NO.
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NEW
MV RESIDENTIAL
PLUMBING if MECH
ADDITION
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COMPLIANCE OR
CHANGE OF USE
REMODEL
MULTIFAMILY
SIGN
REPAIR
GRADING
2: (;_L) CYDS
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DEMOLISH
TANK
OTHER
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RETAINING WALL
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FIRE SPRINKLER
FIRE ALARM
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"rDTESCRIIS3E
NUMBER
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NUMBER OF
DWELLING
CRITICAL
AREAS
NUMBER
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UNITS
SO I WORK TO BE DONE
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HEAT SOURCE GLAZING % LOT SLOP %
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PLAh CHECK NO:
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THIS PERMIT AUTHORIZES ONLY THE 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
.j SEPARATE PERMISSION.
PERMIT APPLICATION: ISO DAYS
:L 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
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHAT EVER NATURE, ARISING DIRECTIYOR INDIFIECILY
FROM I HE ISSUANCE OF I HIS PERMI T ISSUANCE OF I HIS PERM11 SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CI1Y ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION
IRES
PERMIT EXPI
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it E PERMIT I
19NIF NUMBER �_2 '-
JOB SUITE/Ati ff
ADDRESS 4:5;
LID NO
PIAI NAME/SUDDIVISION NO LOT NO. 111) tl6ut
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LID FEE S C
I LSCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP FjW permit Required
Street Use permit Flett'd
inspection Accriaod Ac
EXISTING PROPOSED Sidewalk 11getuired
HFOUIRED DEDICATION—IE- FT Undeltiround
W,r,ng required C
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
I I I ;? � YESX NO 13
REMARKS
OWNER/CONTRACIOR RESPONSIBLE FOR EROSION CONTROL,T)RAINAGE
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INEERING REVIEWED By DATE
REVIEWED BY ' DATE
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SEPA REVIEW
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SIGN AREA
ALLOWED PROPOSED
ALLOWED
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EXP �A
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REQUIRED SETBACKS (Fr.)
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PROPOSED SETBACK� (Fr.)
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CHECKED BY TYP�E OF C LICTION CODE OCCUPANT
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PECIAL INS�PECTION AREA
QUIR S LOAD
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D S
VALUATION
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Description
FEE
Description
FEE
Plan Check
UP 7-l)
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State Surcharge
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Building Permit
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City Surcharge
Plumbing
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Base Fee
Mechanical
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Grading
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Engr. Review
iL4
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receip t #
Landscapelnsp.
Total Amt. Due
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Recording Fee
Receipt it
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN is CORRECT; AND THAT I AM THE OWNER, OR THE DUUY AUTHORIZED AGENT OF This application is not a permit until signed by the
THE OWNER. I AGREE TO COMPLY Willi CITY AND STATE LAWS REGULATING CONSTRUC- CALL
ILL BE EMPLOYED Building Official or his/tier Deputy: and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON W receipt is acknowledged in space provided
IN VIOLATION.OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
I n" .1,112110AII]CE AND RCW 18 27 . � Inc DATE
WORKMEN C
SI 0URE bWNER,'OR ENT) DATE SION D (425)
771-0220
EXT 1333
ATTENTION
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
ORIGINAL ( FILE TYELLON - INSF/ECTC
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P.O. Box 1034 VIKING -PROPtRTIES, INC. eF6c-7 0 - 2 7 11
Lynnwood,.,� �A�q046 Fax 774-6315
Buillin in the Scandinavian State Regis. VIKINP[137JG
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radition of Quality
Resi�ential/Commercial Building & Remodeling APPROVED Acj% NOTED
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P0. Box 1034 VIKING PROPERTIES, INC. tn er6c-7 0 - 2 7
Lynnwood, WA 98046 Fax 774-6315
Building in the Scandinavian State Regis. VIKINP[137JG
Tradition of Qu�lity
Resi�ential/Commercial Building & Remodeling RPROVED AS NOTEU
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a p-C MAY 13 2004 tt �36VEIIUO WITHIN,)2 )AYS
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Height Calculation Worksheet
Address: CI
Date:
Inspector(s): Vv-\
1. Datum Point: OIJJLP-A-)�-
2. Datum Point Elevation:
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3. Average Grade:
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4.. Maximum Elevation Allowed:10 'I (averAg& &ade)4-1. 25
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5. Reference Point Elevation Shot to House:
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L9' 01 (datum elevation) ? (grade to transit level Une 'shot to house)=
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6. Measurements from line shot onto house to roof ridge:
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7. Actual Ele-vation:-14US-f(P (reference point elevation)+ -(measurements
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from #6)
C nclusion:
(actual) is greater (Gs thi (allowed); therefore the house is/
is not over the height requiremen-Cper ECDC 16.20-30 requirements
GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221
Website: mvwxi.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
October 14, 2004
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Eric SunqUiSt
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PO BOX 1034
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Lynnwood, WA 98046
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Re: Building Perni it: 2004-0529
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Site Address: 9019 240"' St. SW
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Expiration Date: July 7, 2005
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The purp ose of this letter is to inform 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
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outstanding life -safety issues and approval allows the City to close your pennit file.
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The City considers the fi . nal inspection to be one of the most important inspections
conducted on a project. In order to grant Final approval the 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 from sleeping roorris, safety glazing, weather-stripping, any
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Engineering department requirements etc. Of cours e not all of these things may
specifically apply to your project but it does give you all idea about the kinds of things
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that must be complete as well as some items that do not need to be installed such as:
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paint, carpet, moldings, wallpaper, etc. Please be advised pennits expire one year from
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the date of issuance. if you will need more tinle to complete the work, permits call be
renewedprior to expiration for one half fees. If the pennit expires without a final
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approval granted by the Building Inspector, rull fees are required in order to 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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-or the required final illspection(s). Note: If more than
permit expiration date and call f
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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.
lie -cly,
ennyy Rea4dwin
Pennit Coordinator
LVremp\DS'r's\N1 aster Letters\Slt%vaaniLtrSl'
Incorporated August 11, 1890
Sister Citv - Hekinan. JaDan
FINAL PROJECT APPROVAL FORM
T 0:
DATE: �,lq
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE- DEPARTMENT DATE—
PLCASPSIGN
ENGINEERING DIVISION DATE
PLEASESIGN
C) PLANNING DIVISION DATE—ILI 9105)L_
PLEASE SIGN
PROJECT
SITEADDRESS—
PERMIT ADB# DATEINSPECTED
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 tile release of
PERFORMANCE BONDS and the granting of:
X.-GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
El Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
F1 Copy of CORRECTION NOTICE given to owner/contractor by inpector
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2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signaturc
1:tem1):b1dg:fomis:ocaprv1 3/25/04
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FINAL PROJECT APPR.-OV,,kL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE
FROM:
PLEANIM
1< —ENGINEERING DIVISION DATE_At� z
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pLANNINGDIVISIONDATEL___�
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SITE ADDRESS--aLL 2ADI- S-FS�
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PERMIT # 4_-6S_/0_ADB DATE,INSPECT`
DESCRIPTION OF WORK TO -BE INSPECTED____.,�_�.
A fleld inspection was conduicted to determine rinal 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
Copy of CONDMONS given to. owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES inspector.
Q C ' of CORRECMON NOTICE given to owner/contractor by
opy
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL.
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
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Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
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Slab Insulation ..........
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PLUMBING:
Underground .............
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Rough -In ...................
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Commercial Final ......
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HEATING:
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Gas Test ....................
Piping
22
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Gas .................
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Equipment .................
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Commercial Final .......
EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING ...
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INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
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Ceiling Insulation .......
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SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
The Initials MT are Milton
Thompson, a temporary contract
ilispector for the City.