20040988.pdfDATE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME�F BUSINESS
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MAILING ADDRESS
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. STATE LICENS9 NUM13ER 1EXPIRATION kATE 11_:_�CKED BY]
PROPERTY TAX ACCOUNT PARCEL NO.
NEW
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
DEMOLISH
TANK
GARAGE
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RETAINING WALL
CARPORT
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITYtEXP4":
NUMBER NUMBER OF
OF DWELLING
STORIES UNITS
DESCRIBE WORK TO BE DONE
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PLAN CHECK NO: VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
W
AL PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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.'
PERMIT EXPIRES 1 7`11 1
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USE PERMIT
ZONE NUMBER
JOB SUITE
ADDRESS
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PLAT NAM EISU BDIVI SION NO. LOT NO. LID NO.
LID FEE $
TESCP Approved 0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required 13
Street Use Permit Req'd 0
EXISTING - PROPOSED Inspection Required 13
Sidewalk Required 0
REQUIRED DEDICATION- FT Underground
Witing required 0
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
I I PI) YES13 NO 13
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
ENGINEERING REVIEWED BY DATE
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VARIANCE OR CU SHORELINE OR ADB# _I INSPECTION BOND
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SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED , PROPOSED ALLOWED , PROPOSED
EXP I
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (F-T.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR C5
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PARKING LOT AREA I PLANNING REVIEWED BY DATE 5
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REO'D I PROVIDED
REMARKS
CHECKED 13Y I TYPE OFVJOCTION OCCUPANT
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SPECIAL INSPECTION JAREA I OCCUPANT
REQUIRED LOAD
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PROGRESS INSPEC71ONS PER LIBC 108 / ISC109/ IRC109 FINAL INSPECTION REO'D B
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VALUATION
$ 10,
Description
FEE
Description
FEE
Plan Check
State Surcharge
Building Permit
70
City Surcharge
Plumbing
Base Fee
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
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Total Amt. Due
Recording Fee
Receipt #
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOM THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or hisitier Deputy: and Foes are paid, and
IN VIOLATION Af-JIiE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEWSRUMPENATION INSURANCE AND RCW I - 8.27 OFUCIALS SIGNATURE DATE
SIGNATURE VWNER R AG7".0 (425)
DATE SIGIED,,,,,
7 -022
21 71 0 B DAT
A17ENTION EXT 1333 tt
ITIS UNLAWFULTO USE OROCCUPYABUILDING OR STRUCTURE UNTILA FINAL
INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OFOCCU- ORIGIN L - FILE YELLOW4- INSPECkOR
PANCY HAS BEEN GRANTED. uBC109/iBC1101IRC110. PINK - WN GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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JRR Engineering; Inc.
MICROFILM
18609 76"' Avehue West, Suite B RECEIVED
Lynnwood, WA 98037-4149
NOV 2 3 2004
I'lione: (425) 697-5108
Fax: (425) 697-4506
PERMIT COUNTER
November 22, 2004
Allison Pope
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18209-76" Ave W
Edmonds, WA 98036
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SUBJECT Kitchen Revision, Pope Addition, 1 820976 Ave. Edmonds, WA, JRR # 03-89
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Dear Mrs. Pope:
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Per Your request JRR Engineering, Inc. (JRR) observed construction revisions including removal of
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the wall between the kitchen and dinning room and the creation of a refrigerator alcove. Based on
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our observations, JRR recommends providing full bearing under the built up beam between the
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dinning and living rooms and a double 2x6 Hem -Fir header where the refrigerator is recessed into
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the closet. Refer to the enclosed partial floor plan.
Please advise if you have any questions or concerns regarding this matter.
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Sincerely,
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JRR Engineen Inc.
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Karl Rosman EIT
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Concurrence:
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Ronald K. Riach, P.E.
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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:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
YAS
OCCUPANCY ..................
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