20040532.pdfDATE RECEIVED
C1W OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PROPERTY TAX ACCOUNT PARCEL NO.
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NEW
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ADDITION
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MULTIFAMILY
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FIRE SPRINKLER
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PLAT NAME/SUBDIVISION NO. LOT NO
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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REQUIRED DEDICATION— FT
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METER SIZE
LINIESIZE
I NO. OF FIXTURES
PRV REQUIRED
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REMARKS
OWNER/CONIRACTOR RESPONSIBLE FOR EROSION CONIROIJDRAINAGE
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ENGINEERING REVIEWED By DATE
FIRE REVIEWED BY DATE
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VARIANCE OR CU SHORELI NEORADB#_j INSPECTION BOND
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BY REO'D OSTED
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SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXE�PT ALLOWED PROtPOSIED ALL.QWED _ PROPOSED
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LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE REAR JFR F lj[),SIDE /REAR /, a
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PARKING LOT AREA P( NZNING REVIEWfD PY DATE
REO'D I PROVIDED
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SPECIAL INSPECTION JAREA OCCUPANT
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D F2
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VALUATION
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Description
FEE
Description
FEE
Plan Check
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State Surcharge
HEAT SOUVCE GLAZING % T SLOPE: %
Building Permit
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City Surcharge
PLAN CHECK NO: TED
Plumbing
Base Fee
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Mechanical
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
13E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
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PERMIT APPLICATION: 180DAYS
PERMIT LIMIT11 YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
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IN INTEREST, AGREES -TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIREC I IN OR INDIRECItY
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FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PFHMI1 SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUI13EMENT OF ANY CITY ORDINANCE
Landscape Insp.
Total Amt. Due
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NOR LIM11 IN ANY WAY THE CITYS ABILITY 10 ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
lReceipt#
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, rilAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
I his application is not a permit until signed by the
THE OWNER.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Building Official or hisitier Deptily: and Fees age paid, and
FOR INSPECTION receipt is acknowledged in space provided
IN VIOLATION
WORKMEN��ENSATION INSURANCE AND RCW 18�27.
OFFICIAI S SIGNAIURF
DAI E
Rt. A AG - DA1 E SIGN
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(425)
61
771-0220
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ATTENTION t:,& 1 1 JS3%3
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 YELLOW-INSPEC7TC
PINK OWNER GOLD -ASSESSOR
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Height Calculation Worksheet
Address: -7b
Date:
Inspector(s):---
1. Datum Point:
2. Datum Point Elevation: 1-7d "�9
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3. Average Grade: -3 -7 -T-1 7
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.4.. Maximum Elevation Allowed: (averttgib ghade)'4)W" Q
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5. Reference Point Elevation Shot to House:
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21. A (datum elevation) + t:3 (grade to transit level line'shot to house) =17fo (.o 6
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6. Measurements from line shot onto house to rdof ridge:'
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(-�O (reference point elevati n) + ts
7. Actual Elevation:_3�?d (measUremen
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from#6)=. 401 ITS—,
Conclusion:
(actual) is gX-eater/ Q�Iih (allowed); therefore the house is/
is not over the height -requirement per ECDC 16.20.30 requirements
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
1215TH AVENUE NORTH EDMONDS. WA98020 - (425) 771-02201 FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building Engineering
May 19, 2005
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Ryan Payne
1573 S. Silver Fir Dr.
Camano island, WA 98282
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Re: Building Permit: 2004-0532
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Site Address: 7607 232"" St SW
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Expiration Date: 07/07/05
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Dear Mr. Payne,
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The purpose of this letter is to inform you that the last remaining inspection oil your
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project is a final inspection(s). The final inspection(s) dete irniries that there are no
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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
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conducted oil a project. in order to grant final approval the following rilust be complete:
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--close doors between garage
smoke detectors, house numbers, guardrails, liandrails, self
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and residence, egress from sleeping roorns, safety glazing, weather-stripping, ally
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Engineering departrilent requirements etc. Of course not all of these things ma y
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 welt as some items that do not need to be installed Such as:
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paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one yeai from
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the date of issuance. if you will need more time to complete the work, permits can be
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renewed prior to expiration for one half fees. if the permit expires Without a final
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approval granted by the Building Inspector, full fees are required in order to renew the
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permit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and call fo r the required final inspection(s). Note: If more than
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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.
Sincerely,
JoAnne Zulaur
Permit Specialist
,p\i)sls\Ni aster I-eitei-s\,Sl?.",aatill-ti-Sl-'It
Incorporated August 11, 1890
Sister Citv - Hekinan, Japan
Structural Design Associates
North Star Building
2210 Hewitt Ave, Suite 401
Everett, WA 98201
425- 339-0293
(Fax) 425-252-0916
July 14, 2004
Ryan Payne
1573 Silver Fir Dr.
Camano Island, WA 98292
Subject: Wet Set Vertical Concrete Reinforcing Bars
To whom this may concern:
At the request of Ryan Payne, this office reviewed the subject project for wet set vertical
reinforcing straight bars.
Vertical reinforcing bars, wet set into the freshly poured concrete, are acceptable providing
the wall height does not exceed 2-feet in height.
Please contact this office if you have any questions concerning this letter.
Ve t I 'you
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Chris Covin to , P.E. of WAS
LEX - P1 . RES-I/ 310C.
RECEIVE�D
JUL 16 2004
DEVELOPMENT SERVICES CTR.
MY OF EDMONDS
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
4(ifL1 -NGINEERING DIVISION DATE
A _E
PLANNING DIVISION DATE
PLEASESIGN
PROJECT
SITE ADDRESS -
PERMIT # 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:
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 ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:romis:ocaprv1 3/25/04
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PE I M OR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLLASC SIG� ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE
PLEASI? SIGN
PROJECT. ;;?A Aig
SITE ADDRESS- �7 -7 Z
PER.MIT#_Q'f 019-3 t— ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED L_P6 ('x 2-
A field inspection was conducted to determine compliance Nvith -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
GI�XNT PROJECT APPROVAL WITH CONDITIONS NOTED
5K Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
F1 Copy of CORRE CTION NOTICE given to owner/conti'actor by inpector
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3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Datc Signature
1:tenip:b1dg:forms:ocaj)rv1 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:
6P
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final ....... --------------
EXTERIOR SHEATHING
NAILING..........................
FRAMING........................ ------ L
FIRST FLOOR FRAMING ...
INSULATION................... ---------------
Floor Insulation ........
Wall insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS .......... -------------
FINAL APPROVAL FOR
f%nH0AtJCy ...............
S id
Amout Pz!r! 4/
Date Issu, C r��
Amount 11— J
Datte Pare!: ----
Low
Arnounf. P_-*r_2
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,rijorripsori, a terriporary coiltract
illspector [br the CitY.
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