20040742.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAM E/NAME-ef-009046SS
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CITY "ZIP TELEPHONE 1. 477
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STATE LICENSE NUMBER EXPIRATION DATE 1,,/.IECKED BY
PROPERTY TAX ACCOUNT PARCEL NO.
00 f;� L -7 0 0 0 0
El NEW RESIDENTIAL PLUMBING / MECH
'OR
NADDITION COMMERCIAL COMPLIANCE.
CHANGE OF USE
M. REMODEL El MULTIFAMILY SIGN
GRINE FENCE
REPAIR 4 CYDS ( X FT)
DEMOLISH El TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
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NUMBER NUMBER OF CRITICAL
OF DWELLING AR
STORIES 2, UNITS NUI_1__._
DESCRIBE WORK TO BE DONE
PERMIT EXPIRES
USE (7 PERMIT
ZONE r"
NUMBER
JOB SUIT APT #
' f RADDRESS
PLAT NAME"SUBDIVISION NO LOT NO, LID NO.
LID FEE $
Mot,i L.C- h3 i,LO I JSCP Ar x0yed L3
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
FjW p,mil Roquirrid 13
street U50 Permit HO(I'd 13
EXISTING — PROPOSED
inspriction Required 13
Sidewalk Raquifed E3
REQUIRED DEDICATION— FT
undelground
Wiring required [3
METER SIZE
NO, OF FIXTURES
PRV REQUIRED
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YES 13 NO
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REMARKS
FOR EROSION CONTROIJORAINAGE
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OWNER/CONIRACTOR RESPONSIBLE
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DATE
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VARIANCE OR CU SHORELINE OR ADB# INSPECTION PSOND
RE 'D. OSTED
I NE OR DB" OYES NO is
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SEPA REVIEW SIGN AREA HEIGHT
COMPLETE I E'KT ALLOWED PROPOSED ALLOWED PROPOSED
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EXP
LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.)
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ALLOWED PROPOSED FROIN; SIDE 4RE;AR 1EAR
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PARKING LOT AREA NING REVIEW D BY DATE
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OCCUPANTP
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SPECIAL INSPECTION 1�11 OCCUPAIN I
REQUIRED C] YES —A Nolz LOAD
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D 5
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617 AP-.-, &C Description
VA) itV 1'z Plan Check
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HEAT OURCE GLAZING % LOT SLOPE % Building Permit
*2% 00
A 5
PLAN CHECK NO: VESTED DATE Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 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
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PERMIT APPLICATION: IGO DAYS
PERMIT LIMIT: 1 YEAR - PROVIDED WORK is STARTED WITHIN 100 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review
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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
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIREC TIY OR INDIRECT IY
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FROM THE ISSUANCE OF THIS PERM11 ISSUANCE OF IHIS PERMH SHAI I N01 BE
LandscapeInsp.
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION
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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 AUTHORIZED AGENI OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULAI ING CONSTRUC
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27.
(OwN OR t� - (G N ?I
�IGNATtt KA 10 6ty DATE
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BY ITYPE
FEE
Description
State Surcharge
City Surcharge
Base Fee
6
FEE
Plan Chk. Deposit �51 Ll
Receipt #
2
Total Amt. Due
W015
Receipt #
APPLICATION APPROVAL
misapplication is not a permit until signed by tile
Building official or his/her Deputy. and Fees are paid, and
receipt is acknowledged in space provided.
FF171 ��SICN ?RE DArE
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CALL
FOR INSPECTION
(425)
771-0220
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - IN`SSPEc/0R 7—
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK-OWNEH GOLD -ASSESSOR kk/
09/'03 PRESS HARD -YOU ARE MAKING 4 COPIES
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PROJE CT ADDRESS OWNERS- 76-t' f>t-ACF- W
KATHy & MATT COOK
18622 78TH PLACEWEST
1926 SQ FT.
EDMONDS 98026 EXISITNG (TO REM N) LIVING:
NEW LWNG 1,931.5 --ex#" SQ.FT-
425 640 3373 HOME NEW GARAGE 483 SQ. FT-
206 239 2353 Ms. COOK @ WORK -
LOT SIZE: 8413.5 SQ FT -
TAX No: 0051700001800
LEGAL: MONTEBELLO PARK, LOT COVERAGE: 2,133.25 SQ. FT. 25.3%
LOT 18
T27 R04 S18NE IMPERVI )US INCE 1977: 1207 SQ FT
BLK 000 D-00 f El I D
ZONE: RN -zs 2004 GRADING: ABOUT 60 CU YDS. TRUCK AWAY
-BU11j: 1961 AUG CITY COPY
I)ERMIl' COUI\I-f
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Height Calculation Worksheet
Address: I F L D)
Date: I S - 0,5
Inspec to r(s): sy I-', k �LC, Sn
1. Datum Point: U-)
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2. Datum Point Elevation:
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3. Average Grade:
.4. Maximum Elevation Allowed: 106., (averagb&de)425`-
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5. Reference Point Elevation Shot to House:
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(datum elevation) + .1 (grade to transit level line'shot to house) i
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6. Measurements from line shot onto house to r6of ridge:'
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Total
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7. Actual Elevation: �ot,j (reference point elevation) + �.6AVs- (measurements
from#6)= J13.OWS
Conclusion:
(actual) is greater less than 1-3,5 0 (allowed); therefore the house b/
is not over the height requirement per 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
Minheito - %� ri Primnnri-q wa.us
DEVELOPMENT SERVICES DEPARTMENT
I S911 Planning * Building - Eng nee, ng
February 2nd, 2005
Attn: Matt & Kathy Cook
18622 78th PI W
Edmonds, WA 98026
Building Permit: 2004-0742
Site Address: 18622 78th PI W
Expiration Date: 9/3/05
Dear Matt & Kathy Cook:
The purpose of this letter is to inforrn you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows tile City to close your penilit 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 tile 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 pen -nits 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 pennit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew tile
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 rne at 425-771-0220 if you have any questions.
Sincerely,
Pernlit Coordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASESIGN
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PLFXSE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine compliance wi h ap p roved plans. Final approval
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denotes that there are no objections fi -om 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
0 Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
[I Copy of CORRECTION NOTICE given to owner/contractor by inpector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:ten1j):b1dg:fbrnis:ocaj)rv1 3/25/04
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
_-LE-LI
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
A� __06_
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ...........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
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Wall Insulation ...........
Ceiling Insulation .......
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SHEETROCK NAILING ...
SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
Zo q ovO 7 q 14wsoo
Tile initials MT are Milton
Thompson, a temporary contract
inspector for the City.
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