20040582.pdfDATE RECEIVED
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PROPERTY TAX ACCOUNT PARCEL NO.
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EXISTING PROPOSED
REQUIRED DEDICATION FI
METER SIZE I LINE SIZE
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LID NO.
LID FEE $
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n� Perm', Required
Sunni Use ponnit Roq'd
inspection Required
Sido,alk ROquerid
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PRV REQUIRED
YES E3 NO A
REMARKS
OWNER/CONTRACTOR RESPONSIEILE FOR EROSION CONIROL/DRAINAGE
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ENGINEERING REVIEWEI
FIRE REVIEWED BY
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VARIANCE OR CU SHORELINE OR ADB# F INSPECTION BOND
RE POSTED
DYES IND Is
SEPA REVIEW SIGN AREA
COMPLETE , E EMPT ALLOWED PROPOSED ALLOWED PROPPSED
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EXP
S (FT.)
LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FROI`jT SIDE REAR FRONT LJRSI�E ;RE�R
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REMARKS
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Id . GROUP
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SPECIAL INSPECTION JAREA F
REQUIRED htYES 102-1 to OCCUFANI
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
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VALUATION
s —7 -7
FEE
Description+
Plan Check
EOPT SOURCE GLAZING % LOT SLOPE % Building Permit
�A 1-2
ILAN CHECK NO: Ott YESTED DAT Plumbing
U �fw �11 Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT C04ERS IVORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
---------- Fire Review
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp.
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTIrORIZED AGENT OF
TIIE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL
TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON REtATING To FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND I I B
(425)
DAIE SIGNED
�UR�F (0 NER 0 1 1
V\ -6[A W - 771-0220
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Description FEE
State Surcharge
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City Surcharge
Base Fee
Plan Chk. Deposit 67 te—
Receipt # L I Z
Total Amt- Due I V I
Receipt H -7
2 iPS 7
APPLICATION APPROVAL
This application is riot a permit until signed by the
Building official or his/her Deputy: and Fees are paid, and
receipt is acknowledged in Space PrOVided.
OFFICIAI.S SIGN�TURE DATE
ATTENTION EXT 1333 y
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
BY
ORIGINAL - FILE
PINK OWNER
YELLOW - INSFECTO
COLD -ASSESSOR
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p TAX No: 00511700000200 CITY COPY
ROACT ADDR—USSJLOM��E!!�'
WRALD & CAROL SAINMLIkS CAL-G�
24214 89P' PLACEWEST LEG MATHAY'S ADD 3, BLK 000, D-00 LOT 2 1
S 98020 T 27 R 04 S 31SW
EDMOND
2062764922 BUILT : 1965
LOT SIZE: 7,840 SQ. FT. .18 ACRE
Zone comer Flag_L C too.
LOT COVERAGE: Llat
REsIDENCE-GARAGE: 1515.2 SQ. FT. Setbacki E.�UiiTd Act
62125 SO. EE
ADDITION Front
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2136.5 SQ. FT. 27.5% 7V'_ 71(l �f
Sides 17
Rear +
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JUN 1 7 2004
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CASCADE TESTING LABORATORY, INC.
TESTING & INSPECTION / ENGINEERS
12919 N.E. 126TH PLACE
KIRKLAND. WASHINGTON 98034 (425) 823-9800
EVERETT (425) 259-0817
FIELD RE['_)%10_'.l1RT
TO:
rA'
PREVIOUS
REPORT No. No. 1163\29
DATE ERT. NO.
PROJECTV
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LOCATION
2��A
BLDG. PERMIT NO. OWNER
2CC4 - OS�
WEATHER TEMP. AT AM
rNGINEER M o (eS ,o AT PM
ATTN:
CONTRACZ (S)
(2) (3)
INSPECTION PERFORMED ITEMS INSPECTED — FOUNDATIONS
— RESTEEL/CONCRETE — RESTEEL ONLY — FOOTINGS — SLA B
L�E EUMASONRY — STR.ST[WELDING — AUGER CAST PILES — COLUMNS
OTHER — STR.STIBOLTING — DRILLED PIERS — WALLS
— BEAMS
o�
(4)
LOCATION (AREAS)
'k 5
(5)
CONCRETEIMASONRY MIX NO. DESIGN STRENGTH (f'c)
SUPPLIER TOTAL CU. YD. PLACED
SLUMP (INCHES) SPECIMENS CAST
A I R C 0 N T E_W"(91.) SEE CYLINDER REPORT NO.
_!:�-_YES —NO _ ITEMS INSPECTED WERE IN CONFORMANCEWITH BLDG. DEPT. APPROVED PLANS
REMARKS:
`7
TEST RESULTS APPLY ONLY TO THE ITEMS
HEREIN TESTED. THIS REPORT SHALL NOT INSPECTOR(S), NAME(S) PRINTED
BE 13EPRODUCED EXCEPT IN FULL, WITH-
OUT THE WRITTEN APPROVAL OF CASCADE
TESTING LABORATORY. INC. INSPECTOR SIGNATURE
REVISED 8/00 SIGNED BY
COPIES TO: 1 (0
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
121 STH AVENUE NORTH
Website: www.dedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
C. 89,11 Planning - Building - Engineering
November 8th, 2004
Attn: Jerry & Carol Sanders
24214 89th Pl, W
Edmonds, WA 98020
Build ing Penuit: 2004-0582
Site Address: 24214 89th PI W
Expiration Date: 7/19/05
Dear Jerry & Carol Sanders:
The purpose of this letter is to inforrn you that the last remaining inspection on your
project is a final inspection(s). Tile final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your pern1it 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 tile 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. Ofcourse 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 tile 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
pen -nit. 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,
Pennit Coordinat r
incorporated August 11, 1890
Sister City - Hekinan, Japan
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwad.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
'PC. 1 S,911 Planning 9 Building , Engineer ng
June 16, 2004
Jerry & Carol Sanders
24214 89th PI W
Edmonds, WA 98020
FAX: 425-771-3152 (Kristen Hanson)
RE: Vesting current plan review #04-205 under the current building codes
Dear Jerry & Carol Sanders:
We are writing to remind you of the City adoption of the International Building Codes effective
on July 1, 2004.
With the code change -over fast approaching fall permit and plan check fees are required before
July 1, 2004 to vest your application under current codes. The amount to vest your application is
$783.00.
If the noted fees in the amount listed above are not received BEFORF, July 1, 2004 your plans
must be returned to you and any fees paid to date must be forfeited.
If you have any questions please don't hesitate to contact the permit coordinator assigned to your
project at 425-771-0220.
Sincerely;
7PA,
4
Permit Coordinator
. __1
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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JUL-06-2004 09: 51t.5 P. 021.�O_*
CITY OF EDMONDS
SPECIAL INSPECUON AND TES71-ING AGRIEEWMIr
The proj mt at LDNv_.�JD-S wA Wf�L&
issued under building
require ft andlor testin er UBC Chapter 17
pemiit number 0 _�3- . s special inspectio g to this document.
mid WAC Amenwo—alts 1702. The- complete list of special inspections is attacheT
BEFORE A PERIM CAN BE ISSUED: The owner and contractor and special inspector shall
complete this agreement and the attached structural test(s) and inspections schedule including the
required acknowledgments.
APPROVAL OF SPECL4L INSPECTORS-. Each special inspector shall be approved by the
Building Official prior to performing any,duties or inspections. Each special inspector shaU subrait
Statement of Qualifications to the -Building Official for review �pecial inspectors shall display
f i special inspections on site. SpecW inspection and testing shall meet
identification when per orruing;
the minirnuin requarements of UBC Chapter 17 and the following:
A. JhdiejAknd psibilitiu-of tb!c Special Inspector
1. Observe Work - for conformance with the approved
The special inspector shall observe the site work
stmnped) plans. and specifications and applicable workmanship provisions of the UBC.
rchitect or Englmecr reviewed A dra may be used only as an aid to inspection.
10
§pecial in,�pections are to be perpooniaeWdIn" ia continuous basis --meaning that the special
111spector is on site at all times observing the work requiring special irisjpection. Periodic
inspections, ifany, must have prior approval by the City.based on a separate written plan
reviewed and approved by the Biailding Official and the engineer or architect of record.
2. Report Non-conforrnin& ItfUs
The special inspector snail bring nonconforming itenis to the immediate attention of the:
contractor and note all such item in the daily fiel-d report. Any item not resolved in a timely
manner shall be immediate cause of th.0 special inspector to notify the Building Official of the
plan deviation, error, cliangeor onussion. It shall also be the duty of the special inspector to
promptly notify the engineer or architect.
3. Complete Daily Reports
Each special inspector shall complete and sign both the special inspection record mid the daily
report form for each day's inspection. These records shall remain at the jobsite with the
contractor for reNrievi by the City Building bupector.
4. Furnish Weeldy ReporU
'nie special inspector or inspection. agency shall ftumish the City with weekly reports of lests
alad inspections. The project engineer or architect, and others as designated shall also be
copied on reports. W'"k-ly reports must inolude the following:
Description of daily inspectioms, and tests made with applicable locations
List of all nonconforming items
Report on status of nonconforming items (resolved or.iinresolved)
Iteinized changes authorized by the Architect, Engineer and City if not included in
nonconformance items
S. Fundsh Flual Construction Report
i,he special inspector or inspection agency shall subrnit a firial siped report to the City stating
that all iterris rNumng ecial inspection and testing wc= fulfilled and reported. And, to the
I Se c project is in confonnance with the ,
best of hisfher Icnowle.1 th ipprove.d. plans and
if i , approved change orders and the applicable workmanship provisions, of the
specl canons,
'UBC. Items not in conformance or unresolved items or my discrepancies in inspection
coverage, (i.e. ssed imspections, periodic inspection when contilmous inspeciions were
reqairid, etc.) 011 be specifically iteffiLzed in this report.
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FROM L.O=U-N AND SCNS CLINST lt.jC t,.Ci, 2577140531
(.� j C- (-: U J
Jul. 13 2� 07:40PM P3
F, - 03
- a 9JxLL-JLfAJkQ kh i l h I I I t I M
I. Not* fte Special Inapmair
It is U"r' CUty of tht Contmelor to 1: ltL' 1 the YPCCi&1 iMPVWQr Whon Work
ir-OPWtim Not$, the itemc; Ued Lm U ready ror speeill
Ow =Whed nhedule wd as 11OW on tbC approved
PLWU and spedficatieOF W Mqjg; 6 1 havm nVPcJw jolp"tiolm, Adr4"&ta
ne IX�njliar With ft
Mvided bY tho coutractor so Uizt,, m Ptcial il�ctor has tiane to bcc*r
project.
2- P'rOvJd9 JUMS 10 Appravtd Mans
IU =tractw is Mponsible, for pt -,�,i the "cial in;pe", W,,, to Ppr.VM pin,
at
-I. Rewtk ovew LASPOCtICIM Ascards
The 00atr4clut i$; MIPM610 te, ML 13 it the bwitt L-all fPftjJJ impeCtio,11 rccor& submiuc
by the 9K%6al inspmtor. These ruc is 0
IM tO C Provid M to the Ci ty brui UN -ICWP=tor upion
-C, Oftof '14MVAd&&A4Me Drunrull �H uguWaaft
1. Approvt qwxjal hupoctm or laqp* tic I agescix
The buil&ng departme�nt &hall -,4 y(c ?e ag spftir
.1 inspect.
requ11-t=ent& 'an &t1d spec,a] nSplact,()o
2- w1calkw spetim) Wpectialt anti appr 114 wesidy fropolu
Wcwk Cial
111�r
8=11 the !erf,,�MAnec
Yn", tormICT it sVeC1VJ,1,nrors &M1 be
,;s%, .1g In Pe lot. Maex ta,
P)Ic-ftment P V=M Q1 awoval tuned prior to
oc', icr RTM IM Ar, ViSIN in Wition lo tAal oftha
TU D-J.L.. Oal-li L— iii.
*,o ;,w. LL. kxuupmjo� anvh� w';Ck1V spwfal inspeofior
qVil hJVr- t�t $UhW4W Md "ted.
A Owlkler
T110 RNect OwtIft or the engineer Or an dt ell of record
sp=ld Ingpec6w senices. Actiug R-9 Lbe OWAWS agent aw fund
w I? iord F ast
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901 i Oh �Pbuial Inupecdon 1Cq*rCMC= an the P,
specificatiow. um am
AC"OV U DGMENTs
I ho read and 0 COM 1Y wit) A fe"rJ and cmdilions qfzhr,,r agreement.
Owner_ T) -
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Speci&�l T Wo r
GOUCTS.
City Building Offici
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JUL—CIG-2004 09: 56
P. 04,04
SPECM INSPECTION AND TESTING SCHEDULE
PMECT hAmE buiBiwinivinpoo.
PAW='AD01t= 71%nKVVMPZCn0N AaD&'Y w SPECI^L 1i1$P9Cftw
REMORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTUILMASTEtliWELDING:
comertor Go"le Gfout M"w -- Samp�e and 1ast (list specific nwrribers below)
Midurcief Tests
Mix Destom
Reiaf6rcial P*CMAC
Bkh FLOLLAT!!�O—n— —
hupwPlacing
Cut "MVNICS
%&-up
comprcssion Tests
— Sk? Matetija Idodficittion
— Weldiag Inspvcsion 0 Shop 0 FWW
Ukriiscirtic Inspection C3 Shop 0 Field
Higb-miso Bolting
hap,clion 0 Shop 0 Field
[3A325 0 N E3 X Ll F
OA490
MeW Dcctk Welding Lnsp--dm
Reinforcing Sift) WcIdixg lapmlion
— Miul Stud Wading InsyAmai=
PRECASTtPRISTRESSED CONCRETE: — Cof=tt IrAc" Wel"s Inspectiori
rim Pow-Tem nIt-Te" Clad
Astr"we Tests
Rainforcin; Tau
TcrJon Tetts
Mix Desig"
Iteiriforcing Placement
Insal Placirrim
ctaimte Batcling
coromu Plawnwat
JwLallhtiov Insepction
Cam Samples
Pick-up Samples
compre -1s
slionTif
FM PROOFING;
placemem In"woll
Density Tests
TWcknes&'T?.-$t$
Inspect Botching
NSULATING CONCRETE!
— Sturipir and Tesi
— Placement Inspection
— ULift Weighu
FILL MATERIA.I.:
Accepwitce Tests
MASONRY:
FUcenwnt lidpection
— Special Suesscs Used
Field Density
— ftliminaxy Acceptance Tew (Mmmy Units. Wall Ns=l
STRUCTURAL WOOD:
Subuquent'14U (MortW, Grout. Field wAll Mms)
placcave"t lnspecti*n of Units
— Shear'Wall Nailing Inspecdois
— 4upw4on orau-jam r4b.
— 1pipcution of Truss Joisi Fab,
ADDITIONAL INSTRUCTIONS OR OTHER TM'S
— Sample arw Tell comportenif
AND INSPECTIONS:
Fom comploird br.
Telephorse No.: Date:
,rO-Til— P. 04
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PROJECT APPROV
FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM- FIRE DEPARTMENT DATE
PLFASE SIGN
tq,< -/ENGINEERING DIVISION DATE—Z���
MIMI: SIGN
PLANNING DIVISION DA'rE
PIXASE SIGN
PROJECT
SITE ADDRESS- 2 4z 4 L' P1 ---V4 -71 71a�5- .-
PERMIT Z_—ADB4 DATE INS ECTED
DESCRIPTION OF WORK TO BE INSPECTED
..........
A field inspection was conducted to determine compliance with -approved plans. Final appioval
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 inspectc r
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJI�,CT APPROVAL
Date Signature
I:teiiii):blclg:i'ortils:ocaprvI 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
VV\
Footing......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
16 11
FRAMING ......
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK.NAILING ... s- no e/
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
0*_
FINAL APPROVAL FOR
c�.
OCCUPANCY ..................
5
T11C initials MT arc Milton
,1,11ollipson, a temporary contract
illspcctor for thc City.
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