20050148.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF 13USINESS
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NAME
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STATE LICENSE NUMBER EXPIRATION
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PROPERTY TAX ACCOUNT PARCEL NO. I
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NEW RESIDENTIAL
PLUMBING / MECH
ADDITION COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL MULTIFAMILY
SIGN
GRADING
REPAIR �to CYDS
FENCE
( X� FT)
DEMOLISH TANK
OTHER
GARAGE RETAINING WALL o
CARPORT ROCKERY
FIRE SPRINKLER
FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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NUMBER
OF
STORIES
NUMBER OF q
DWELLING
UNITS
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AREAS
NUMBER 0
DESCRI13E WORI?TO 13E DONE
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HEAT SOURCE
PL-AN CHECK NO:
GLAZING %
LOT SLOPE %
VESTED DATE
PERMIT EXPIRES
USE PERMIT
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ADDRESS
PLAT NAME/SUBDIVISION NO. LOT NO.
LID NO.
LID FEE $
7T;FS7CP �APPMVO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
Rvy permit Required
street use Permit Ron'd
EXISTING — PROPOSED
inspection Required
Sidewalk Required
REQUIRED DEDICATION— FT
underground
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METER SIZE
LINE SIZE
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NO. OF FIXTURLS
PRV REQUIRED
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROODRAINAGE
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FIRE REVIEWED BY
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SIGN AREA
ALLOWED PROPOSED -
SALOWED
HEIGHT
PROPOSED.
EXP ,
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (F-17.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT
UR SIDE REAR
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PARKING
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REMARKS,
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SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [] YES
REMARKS
PROGRESS INSPECTIONS PER UBC 1081 ISC109/ IRC109 FINAL INSPECTION REO'D
VALUATION
Description
Plan Check
Building Permit
Plumbing
Mechanical
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FEE Description FEE
17p State Surcharge
nCity Surcharge
Base Fee .
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
W PERMIT APPUCAIrION: 11BODAYS
CL PERMIT LIMIM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
I SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review
P Ian Chk. Deposit
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Inspection
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Receipt #
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
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
LandscapeInsp.
Total Amt. Due
Receipt #
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C CI1YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
NOR LIMIT IN ANY WAY THE
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Recording Fee
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORREC-r; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGU LATING CONSTRUC.
CALL
This applicalloin is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
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
FOR IN SPECTION
receipt is acknowledged In space provided.
WORKMEN'S COMPENSAT119!j�U RANGE AND RCW 18.27.
F LS SIGNffURE DATE
(425)
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SIG TURE (OWNER 0 GENT)
DATE SIGNED
I/ I'M
771-0220
CEASED BY DA1rE
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Off 1333
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IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL - " r- . _>
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- RIGINA FILE YEL -INSPECTOR
PANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. I INK- NER GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 OAX (425) 771 -0221
Website: wwwb,edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
111 C. C) Planning Building Engineering
September 15,2005
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Fredrick A. Wolgamott
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503 Avenue North
Edmonds, Washington 98020
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RE: Building Permit #2005-0148 for Retaining Wall
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-Dear Mr. Wolgamott,
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According to City permit records you are required to obtain a'Final Engineering and
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Building inspection approval on Your retaining wall pen -nit. Final approval must be
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granted in order to close out the permit.
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Please call the Engineering Technician, Jeanie McConnell at 425-771-0220 extension
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1326.and the City Building Inspector, Michael Snook at 425-771-0220 extension 1333 by
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September 30, 2005 to schedule for the required final inspections. Enclosed please find a
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City Engineering Correction Notice dated 8/23/05 that requires that tile drainage line and
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If there are circumstances beyond your control that will prevent you from complying by
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the September 30'h deadline please inforni my office immediately by calling 425-77 1 -
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0220 extension 1226.
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Sincerely,
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Jeannine L.. Graf
Building Official
Incorporated August 11, 1890
Sister Citv - Hekinan, Jar)an
FINAL PROJECT APPROVAL FORM
TO:
/10
DATE: _5
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
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Graf, Jeannine
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From: McConnell, Jeanie
Sent: Wednesday, October 19, 2005 6:54 Am
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To: Graf, Jeannine
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Cc: Hawkins, Jaime
Subject: RE: Wolgamott retaining wall @,503 9th Ave N
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Let's just require him to finish what he needs to on the retaining wall to close out
that permit and we will make notes with the SFR permit that the wall drain needs
to be connected to the storm system.
So, for Engineering we need to have him expose the drain pipe (perf -pipe) and
backfill material along the end of the wall. If any special inspections were done
then we will need to see those reports as well.
Thank you,
Jeanie.
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ......................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
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Slab Insulation ....
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PLUMBING:
Underground . .............
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Rough -In ...................
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Commercial Final .....
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HEATING:
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Gas Test ....................
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Gas Piping .................
Equipment .................
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Commercial Final .......
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING .........................
FIRST FLOOR FRAMING...
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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 ..................
200S lye
Thc Initials MT are Miltoll
Thompson,a teniporary contract
inspector fbi- the City.