20040809.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME�NAME_QF_11U�IN S
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7LAT NAME/SUBDlvISION NO. LOT NO LID N
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tIESCP APPFOved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Rvy permit Required
Street k)$o permit Rof1d
EXISTING PROPOSED— 1,spection Required
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sidewalk Required
underground
REQUIRED DEDICATION- FT w .. ngmq .. �Iod
METER SIZE NO. OF FIXTURES PRV REQUIRED
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REMARKS
OWNERICONTRACIOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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SEPA RE\,IEW SIGN AREA HEIGHT
COMPLETE EXEM,PT ALLOWED PROPOSED ALLOWED PROPOSED
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EXP I- \ �,g ___L�
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONV UR SIDEIREAR/' u
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PARKING LOT AREA NING REVIE�NED BY DATE
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REMARKS
CHEWD By jTYPE_2W4PI"
SFFECIALINSPECTION JAREA
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REQUIRED [] YES I ,
N IC E OCCUPANT
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OCCUPANT
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REMARKS
ROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RIEQ'D
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PLAN CHECK NO��
VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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PERMIT APPLICATION: 180 DAYS
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PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
III
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WIIA:TEVER NATURE. ARISING DIRECTIY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 1111S PERMIT SHALL NOT BE
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DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CIT 0 DINANCE
01
NOR LIMIT IN ANY WAY THE CIrY'S ABILITY 10 ENFORCE ANY ORDINANCE PROVISION'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM TIIE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING 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
WORKM N' YrDAI�NSATION INSURANCE AND RCW 18 27,
SIG" G F!. T)
DATE SIGNED
1-7 �0 7 -0
iALUATION
030
np-qt-rintion FEE
31an Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapeinsp.
Recording Fee
- I /* "-,\
CALL
FOR INSPECTION
(425)
771-0220
ATTENTION hx 1 1;331
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
Description
State Surcharge
City Surcharge
Base Fee
FEE
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt #
APPLICATION TPPROVAL
[his application is not a permit until signed by the
Building Official or his/her Depuly and Fees are paid, and
receipt is acknowledged in space provided.
OFFIC IS' SIGY/RE DATE
jEIFASFD BY'
Y,
ORIGlNALjA- YELLOW-INSPECTO
PINK:OWNER GOLD -ASSESSOR
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RPROVED, BY PLANNING
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Zonc- Corner A/ FlaPN4s
Selbacks Ret uired ACtUal
SKELTON'S LA KE McALEER Front
a ACRE TRACTS Sides
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EX. ASPH. DRWY-
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7.5' DRAINAGE
EASEMENT
PROPOSED
c IN RESS, EGRESS
Ax 10'Xio' POWER ESM'T _v% 20'IN
UTILJTY EASEMENT
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c nY 4C 7' -VOL-=
J7 =--r—/ 03 17 EX. ASPH. DR
-LQ EX 15' ROAll 0'-bT L �CB
-A RECEIVED
(000 �Rlj 5.00 RwlS.00
12.00'
OCT 14/2004
V kr-,o,,Llly PERMIT COUNIT"'f
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PR VE BY PLANNING
Corner Al Flag J p" I
Zone _�L 7/6 il RECEIVED
Setbacks Renuired Actual
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Sides 7 NTY C
Front py EX. ASPH. DRIVY.
Rear 7/('( 17' PERMIT COUNTER-.--
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LOT COVERAC)EI
(PROP05ED)
RE-51DENCE 1,4111 SGUARE FEET
661 5GUARE FEET
N 2 �5 EXIS'n TRM TO RMAAJN OAPAC-E 14q SWARE FEET
F�'LA ms COV. ARJEAS E-T (:2e,.r,%)
TOTAL 2;2c[5 SWARE FE
5596 HAVXel
LLJ LOT C'O RA6E
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(PROF05ED)
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U), C;T_' TOTAL 5;2o-7 50IJAF�E FEET (40.0%)
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INAGE
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PROPOSED
I'T 20' INGRESS, EGRESS
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303.17' EX. ASPH.
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Height Calculation Worksheet
Address:
Date: tn n,:s
Inspector(s): rn V
1. Datum Point:
2. Datum Point Elevation:
01
3. Average Grade: q,
.4. Maximum Elevation Allowed: 9q.15 (aveitt&- giade):4- 25
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5. Reference Point Elevation Shot to House:
MO
-10
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/80, (datum elevation) + I S-5 (grade to transit level line'shot to h* ouse) i
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6. Measurements from line shot onto house to roof ridge:
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7. Actual Elevation: to/. 3 j (reference point elevation) + 9,%.25 (measurements
from #6) 1- Lk to
Conclusion:
I Xg. t, — (actual) is greater LeAs than /.Iq -7:5 (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20-30 requirements
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'A GARY HAAKENSON
CITY OF EDMONDS MAYOR
-0221
FAX (425) 771
EDMONDS, WA 98020 (425) 77 1 -0220
121 STH AVENUE NORTH
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building Engineering
February 4th, 2005
S&S Joint Venture
Attn: Ron DenAdel
902 6th Ave S
Edmonds, WA 98020
Building Pern-iit: 2004-0809
Site Address: 23232 76th Ave W
Expiration Date: 9/29/05
Dear Ron DenAdel:
The purpose of this letter is to inform 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 the City to close your pen -nit 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 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 the work, pem-iits can be
renewed prior to expiration for one hal f fees. if the permit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew the
pem-iit. This can be very costly to you and we strongly encourage you to check your
pen -nit 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.
S ii i *ir e I y,
ennit Coordinator
Incorporated August 11, 1890
Sister Citv - Hekinan, Japan
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FINAL PkOACT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEAS13 SIGN
SF J�A�kL_ENGINEERING DIVISION DATE__6 f 13 lZa::�_ z
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PLANNING DIVISION DATE M
PLrASI: SIGN
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PERMLIT ADB# DATEINSPECTED s;51-2 7Z -:5- --1
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DESCRIPTION OF WORK TO BE INSPECTED XrWr- nal
A field inspection was conducted to determine compliance with -approved plans. Final approval Q)
denotes that there are no objections from the above signed Department to the release of 0 -n
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ing of >
PERFORMANCE BONDS and the grant E ill'
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-GRANT FINAL PROJECT APPROVAL 9 C/)
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED z
0 Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES M
El 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 Signature
1:ten1p:b1dg:r6rms:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................... (y)
FOUNDATION:
Footing ...................... L
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ................... ms
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING 04
NAILING .......................... 11_-21
M r 4n,5.*
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation ......... na LN
Wall Insulation ........... 0 —S
Ceiling Insulation ....... —0-5
SHEETROCK NAILING ... 06
SPECIAL INSPECTION
,V�p -7-
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
et 'Pr
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Date 1,30- .**a
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Tile initials MT,11'e Milt011 ......
nionipson, a temporary contract
inspector ror the City.
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