20050793.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
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NAME
ADDRESS
CITY
NAME
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ADDRESS
CITY
03 Prye- V\.) ecs
ZIP TELEPHONE
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LICENSE NUMBER
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ZIP
TELEPHONE
TELEPHONE
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PROPERTY TAX ACCOUNT PARCEL NO.
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NEW
VRESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
= CYDS
DEMOLISH
TANK
-r--,A GARAGE
RETAINING WALL
WG&RRQP.+-
ROCKERY
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
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e
NUMBER
NUMBER OF
OF
DWELLING
STORIES
UNITS
DESCRIBE WORK TO BE DONE
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HEAT SOURCE L GLAZING %
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PERMIT EXPIRES
USE PERMIT
ZONE NUMBER 6
JOB SU ITE7,APT #
ADDRESS
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE $
TESCP App(ovid C3
PUBLIC RIGHT OF WAY PER OFFICIAL STRFET MAP RW Permit Required 13
Street Use Permit Roq'd 13
EXISTING — PROPOSED inspection Requited
Sidewalk Required
REQUIRED DEDICATION ---- ..e— FT Underground
Wiring required 13
METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED
YES13 NO 13 z
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REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE E5
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FIRE REVIEWED BY
DATE
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—E E VARIANCE OR CU SHORELINEORADB# I INSPECTION I BOND
PIRATION DATE Y REQ'D POSTED
1-� I I 1---� OYES ONO S
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED , PROPOSED ALLOWED I PROPOSED
02- EXP x N A� 1,91
1:1 PLUMBING MECH LOT COVERAGE 01EQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FR91121
COMPLIANCE OR 14 S C— W
0 CHANGE OF USE -65 *" I D I C) JF5 7-51 1 C) -53e-j-C->j1-0 zz
PARKING LOT AREA PLANNING REVIEWED BY DATE 5
SIGN IEI'l I PROVIDED 119 IL
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FENCE
( —. X� FT) REMARKS Q a 4/
Ei OTHER * I . +
FIRE SPRINKLER
FIREALARM
CHECKED BY ITYPE OF 1 CjN6RUCTION CODE� OCCUPANT
It, [rA� GROUP
CRITICA SPECIAL INS it 1L.."
k95�1 11 -7 4-7 9b LOAD
AREAS �PECTION AR OCCUPANT
NUMBER REQUIRED YES
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/]BC109/IRC109 FINALINSPEcTIoN REO'D,
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LOT SLOPE %
VESTED D E
VALUATION
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$ )JR, 950 -��
Description
Plan Check
Building Permit
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FEE Description
State Surcharge
7
City Surcharge_
17!
6
FEE
0,6
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Base Be
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK N�TED. THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Engr. Review
SEPARATE PERMISSION.
2
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LU PERMIT APPLICATION: 180 DAYS
0. PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review
Plan Chk. Deposit
114
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
9
IN INTEREST, AGREES TO INDEMNIF'4 DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
1,ql
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 ORDINANCE
Landscapelnsp.
Total Amt. Due
A
0
71
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
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Recording Fee
1
Receipt #
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; 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 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.
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0 1 11 S SIGNAT E DATE
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WORKMEN'S COMPENSATION INSURANCE AND RCW 10.27.
(425)
S17TUM OVREN DATE SIGNED
2WNER
if/ A 10- Z-7 ZO
771-0220
- �
,
ATTENTION
EXT 1333
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ED
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OF OCCU-
RIWAL - IL YELLOW - INSPECTOR
PANCY HAS BEEN GRANTED. UBC109/IBC110/iRC110. PINK - E� .- GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIE ,
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OCT-23-2006. 12*-32 P.02/02
PPROVED BY PLANNING
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RESUB'
JUL 28 2005
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH -EDMONDS, WA98020 (425) 771-0220 -FAX (�25) 771 -0221
Website: wwaci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
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October 17, 2006
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Mr. Bob Nelson
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20429 88"h Avenue West
Edmonds, Washington 98026
F-
RE: Building Permit #2005-0793 Post Frame Garage
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Dear Mr. Nelson,
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On September 29, 2006 the City Building Inspector posted a Correction Notice, on your
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property instructing you to submit a revised site plan showing rockeries supporting the
driveway. You were also put on notice that City policy does not pen -nit -rockeries to
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support a surcharge. For your convenience, enclosed Please find the City'sRockery
Permit Submittal Requirement handout.
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Please read the materials and inform my office in writing by October 25, 2006 how you
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intend to resolve this matter. If you have any questions about surcharging contact Jeanie,
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McConnell, Engineering Technician at 425-771-0220 extension 1778. If you have any
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other qu estions Please feel free to contact my office at 425-771 m0220 extension 1226.
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Sincerely,
Jeannine L. Graf
Building Official
Incorporated August 11, 1890
WightCalculAtion Worksheet
Date
Permit Number,� tjz-,S - CO
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FINAL PROJ9CT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASESIGN
ENGINEERING DIVISION DATE
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PLEASE SIGN
PROJECT
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SITE ADDRESS
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine compliance with approved plans. Fin ad 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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El Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION, - OUTSTANDING ISSUES
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1: temp: bldg: forms: ocaprvi 3/25/04
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ............. ........
W611..........................
Pier/Porch ....... ..........
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Retaining Wall ...........
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Slab Insulation ..........
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 ............ I .............
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FRAMING ...........
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FIRST FLOOR FRAMING...
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INSULATION ............ ......
Floor Insulation ..........
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Wall Insulation ...........
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Ceiling Insulation .......
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SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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