20040701.pdfki
DATE RECEIVED -
I [PERMIT EXPIRES
USE PERMIT
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CITY OF EDMONDS 4-o7o
N U M B R
CONSTRUCTION PERMIT APPLICATION JOB sUITE/APT#
ADDRESS C
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OWNER NAME/NAME OF BUSINES , I
_�Ve%\ PLAT NAMEISUBDOVISION NO. LOT NO. LID NO.
MAILING ADDRESS LID FEE $
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0 street use Permit Req'd Q
CITY ZIP TELEPHONE EXISTING PROPOSED Inspection Requited )TO
f'N1 Sidewalk Required 13
3 76 REQUIRED DEDICATION Fr underground
Wiring required C3
NAME METER SIZE LINE SIZE NO.OF FIXTURES PRv REQUIRED
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3 1 CYDS x —FT) REMARKS
DEMOLISH TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
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= (TYPE OF USE, BUSINESS OR ACTIVIM EXPLAIN:
rL CHECKEDBY TYPE OF CONSTFI�CTION CODE OCCUPANT
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OF DWELLING AREAS SPECIAL INSPECTION AREA OCCUPANT
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0 STORIES N NUMBE REQUIRED C] YE LOAD
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REMARKS
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PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINAL INSPECTION REO'D F3
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VALUATION
$
Description FEE Description FEE
a Plan Check State Surcharge___q 5D
HE?T, SOURCE GLAZI LOT SLOPE %
C41? Building Permit City Surcharge
PLAN CHECK NO- VESTED DATE
Plumbing Base Fee
85
t Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 13o
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Cc Engr. Review
W PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 470
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND Fire Inspection Receipt It -�7
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCF Landscapelnsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
Recording Fee Receipt # I-)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION 5
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATIBN APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL 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 CqW�NSATION INSURANCE AND RCW 18.27.
TURE ZWI: (425) OFFICIALS SIGNATURE DATE
SIG qEeR E�M/ DATE SIGNED -M
7
771-0220 RELr4Er/BY
A
ATTENTION EXT 1333
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IT IS UNLAWFULTO USE OR OCCUPYA BUILDING OR STRUCTURE UNTILA FINAL L
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCU-
ORIGINAq- FILE) - ELLOW - INSPEC 0 R 'I
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK - O%�,N�y GOLD,ASSSE SOR .4
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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06/21/2013 17:41 425-7752631 HELLEREN HOMES INC PAGE 01
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Height Calculation Worksheet
Address: o
Date: t �L - %-7- - 6
lh,spector(s): M
1. Datum Point:
2. Datum Point Elevation:
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3. Average Grade: C1 Q
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.4. Maximum Elevation Allowed: 39oj�r e):4:2'
(averag6 giad 5
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5. Reference Point Elevation Shot to House:
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6. Measurements from line shot onto house to roof ridge:
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7. Actual Elevation: (reference point elevation) + xi (measurements
from #6)
Conclusion:
4 (actual) is greater L15-kB(allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
C.
CITY OF EDMONDS
1215TH AVENUE NORTH -EDMONDS, WA98020 - (425) 771-0220 *FAX (425) 771-0221
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
January 6th, 2005
Sven Helleren Construction
Attn: Sven Helleren
PO Box 374
Edmonds, WA 98020
Building Permit: 2004-0701
Site Address: 8823 205th PI SW
Expiration Date: 8/23/05
Dear Sven Helleren:
GARY HAAKENSON
MAYOR
The purpose of this letter is to inforni You that the last remaining inspection on your
project is a final inspection(s). Tile final inspection(s) detennines that there are no
outstanding life -safety issues and approval allows tile City to close your permit file.
The City considers the final inspection to be one of tile 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 perrnits expire one year from
the date of issuance. if you will need more time to complete tile work, perillits can be
renewed prior to expiration for one half fees. If the pen -nit 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
pennit expiration date and call for tile 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,
en oordinator
Incorporated August 11, 1890
Sister Citv - Hekinan. JaDan
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1�1'(,(' (')ulpter 5.30 only during tile hours ol'7:00aill to MI
weekdays and 10:00am and 6:00pill oil " at tirdays, �,Dzl tiding.
)e
SUIRIM,; and Fedenil Holiday.l. At ali.offie" tit' ERMIT#: 91404 -0
villics nitist comply with the P
11rom coiisiniclion site., --Ii
a v.,11-itillce has been granted
lilllits of Chapter 5.30, EXPIRES:
purstialit to FCC 5.30.120.
ISSUED:
City of Edmonds
THIS CARD MUST BE POSTED ON SITE AND AVAILABLE TO THE INSPECTOR
Owner:. Wl�d,m
Site Address: uze�r/ L
Proiect:
e
Inspections Approved I Date Notes
#1 ENGINEERING
MOBILIZATION AND EROSION CONTROL INSTALIATION MUST BE APPROVED PRIOR TO COMMENCEMENT OF ADDITIONAL WORK.
(425) 771-0220 x1326 Mobilization / Erosion Control -:1W OF Tl-� L S---
------ i--5
Tightline
Detention
Forms (sidewalk, driveway) - - - - - - - - - - - - - - - - - - - - - - -
Water Service - - - - - - - - - - - - - - - - - - - -
Permit # Side Sewer - - - - - - - - - - - - - - - - - - - - - - - -
Permit # Right -of -Way
(s/w, c/g, paving)
#2 SITE/DEMOLITION Pre -Demolition - - - - - - - - - - - - - - - - - - - - -
Asbestos SAPCA Permit - - - - - - - - - - - - - - - - - - - - - - - -
Sewer Cap - - - - - - - - - - - - - - - - - - - - - -
Cleaned Site/Final
#3 FOUNDATION Setbacks - - - - - - - - - - - - - - - - - - - - - -
Footings - - - - - - - - - - - - - - - - - - - - -
Foundation Wall - - - - - - - - - - - - - - - - - - - - - -
Piers - - - - - - - - - - - - - - - - - - - - - - -
Retaining Wall - - - -- - - - - - - - - - - - - - - - - - - -
#4 PLUMBING
Permit #
Ground V
Rough In
#5 PUBLIC WORKS ��ss Connection Control
(425) 771-0235 /+T -M:ET95�
X�-/
#6 MECH/HVAC Gas Test/Pipe
Permit # Equipment
------------------------
1
#7 FRAMING Exterior Sheathing-
Shear Nailing
First Floor Framing
Framing
Height Check
-----------------------
- - - - - - - 7 - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - -
—
#8 INSULATE / CAULK
#10 FIRE Hydrant - - - - - - - - - - - - - - - - - - - - - - -
(425) 771-0215 FDC - - - - - - - - - - - - - - - - - - - - - - -
Fire Protection System — - — ---- - - - - - - - - - - - - - - - - - - - - - - - -
Extinguishers - - - - - - - - - - - - - - - - - - - - - - -
Addressing Visibility
FINAL PROJECT APPROVALS
Sewer Division
Water Division
Planning
Fire
*** FINAL OCCUPANCY APPR
����DI�NQ �INSPECTQR I W-dil 1-11-4-
THIS BUILDING OR ANY PORTION THEREOF 15 NOTTO BE OCCUPIED PER UBC 109, UNTIL ALL
APPLICABLE CITY DEPARTMENTS HAVE GR NTED A FINAL APPROVAL
Call (425) 771-0220 x1333 for BUILDING INSPECTIONS
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEA SESIGN
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ENGINEERING DIVISION DATE
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PLEASCSIGN
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—PLANNING DIVISION DATE
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PIXASI: SIGN
PROJECT
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PERMIT #
DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to d etermine compliance with -approved plans. Final 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
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0 Copy of CONDITIONS given to owner/contractor by inspector
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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
Hemp :bldg: forms: ocaprvi 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
3
SETBACKS .....................
FOUNDATION:
Footing ......................
ck —
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
9 4/- Q
GasTest ....................
2-4
Gas Piping .................
Equipment .......... I ....... Cq-
Commercial Final .......
EXTERIOR SHEATHING MY'
NAILING..........................
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
ECTION
SPECIAL INSP
/Ve ; e, WS
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
s�
Annul. P
it 70
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The initials M,r are millon
... . ............. Thollipsoll, �i tempol-ary Contract
Inspector for (Ile City,
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