20060034.pdfCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PERMIT
NUMBER
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FLAI NAME—BOA11SION No LOT NO LID No
1.o FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING _— PROPOSED R,
REQUIRED DEDICATION _ FT
LINE ll!:E= PRV REQUIRED
YES 13 No 13
REMARKS
OWHENCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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NGINEERING REVIEWED BY
GIN BERING REVIUE'
DATE
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0
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NUMBER I "11R IF
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SPECIAL INSPECTION CONSULTANT
OCCUPANT
$TO IES
UNITS
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LOAD
DESCRIBE WORK TO BE 0 NE
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Description FEE Description FEE
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MIN (p Et FI- 1 A )
Plan C In a c
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State Surcharge z/. 60
HEATSOURCE LOT5LOPE11, I 111STIED DATE I
ENA� I
it"
Building Permit 0
Id n g
City Surcharge
PLAN CHECK NO:
I IT IT
Plumbing
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/go
Base Fee
THI PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERM T CQVERS WORK To
[R
:70
L
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
.,.,fing
Grading
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
T" Rev.._
PERMIT APPLICATIOW SEE ECDC HIAD.005ok)(5)
PERMIT LIMIT. SEE ECDC 1ILMILD05JAH61 gP I nspe.""m
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr Inspection
S, 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND sUccEsSQ,U
.view
Fire Review
'ro
Plan Chk. Deposit 4365
11 INTEREST, AGREES 10 INDEMNIFY, DEFEND AND "OLD "ARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS� EMPLOYEES, AND AGEN TS ROM ANY AND
AL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
F". Inspection
"m HPSDG�Rc
Receipt N
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT 'HALL "' "'
Landscape InSp.
Total Amt. Due
DEEMED TO MODt Y. WAII E OR REDUCE ANY REQUIREMENT 01 ANY CITY R.,NANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
I
Recording For.
N
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; T14AT THE INFORMATION
APPLICATION APPROVAL
GIVEN is CORRECT: No THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT 01
Ti,,� "N'b-1— ".., " P.111I�l 111��Ild Py th,
THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CON"RUC-
BATTENT(O
CALL
d.,g Offi-I , P.�h,, D,pu"y and F,, ,, A,d. r�d
TIOIN AND IN D014G THE WORK AUTHORIZED THEREBY, NO PERSON WILL HE EMPLOY D
IN VIOLATION OF THE LABOR CODE OF THE STATE Of WASHINGTON RELATING 1.
FOR INSPECTION
WORKMEN'S COMPENSATI�T..RANCE AND RCW 18;27.
(
.11 '1 1 SIGNATUm DAT�/J,
(425)
va W-L
!A
771-0220
D�Tt
EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
IFCATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC`110 I IRC110.
PINK -OWNER - GOLD ASSESSOR
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ALL EXPOSED SURFACES TO
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Sides -7.5, 1.5 1,JA
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LOT 11. 51ERRA VILLA6E DIVI51ON *A*
ACCO]WIN5 TO THE PLAT THEREOF RECOPDED IN
LOT COVERAI59E
VOLUME 17 OF PLATS, FACE50, REODRDS
LOT 0221 Sf
or SNOHOMISH COUNTY, M.
PROPOSE FMSIDEWE COVERA&E 2300 SF
% LOT COVERA6E �5%
ASSE5SOR5 FAFrEL NO.
0051250000'10102
HEIGHT rALCULATION5;
ll�friflll I P JECT VE5CRIPTION:
MARK W C0RSTFtXtT A 2-STOlttY ADDITION TO THE
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MARK *0* EXISTINkS SINGLE FAMILY RESIDENCE.
AVEfZA&E &P-APE RECEIVED BVILDIN6 AREA5:
ArTUAL HE16,HT 51- — - -----
mAxImm HEt� fl, DEC 1 Z 2005
2,
LO�R FLODR AREA �l 201 14D
EVEL MAINAVPER LOOR AREA 1505 621 Iq2q
IMPER'/IOUS AREAS: DEVELOPMENT SERVICES CTR, TOTAL WINS APZA 1,6q qDS 2(,W-
CITY OF EDMONDS
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ISK STINE, EVILOINS ROOF OMIKE 16 SF PRE-FIll
'5*5F PRE-1111 GARXGE/ST� APZA D-4q[ 411
EX TINk9 KALK DRIVEKAY 51 TOTAL WILDINS AREA 51&Zl
EXISTIN01 VIS,X 46q 5F
PROPOSED ADEN PDOF OVTLINE 8B4 SF
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Height Calculation Worksheet
Date C)
Permit Number
Address IG��,30 8-3'�' P1
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I Permit: BLD20060034
Pr RMIT-f
1001 - E-Erbsion Control/Mobilizatl6fi
complete?
y
12/12�2066 Sibrel 30
Y
Total Time:
30
1077 E-Engilneering Final
Complete?
-y
12112/iOO6 Sibrel 10
Y
Total Time:
10
1106'. B-Setbacks
Complete?,
02/ 1 03/2006 MS 0 PER SURVEYED PR OPERTY LINES
Y
Total Time:
0
1108 -'B-Fdotings:,
Complete?
Y
ovow�006 Mis G APPROVED
Y
Total Time:
0
I jib -'ji-F66nolittion
ore let 4.
C .-P T-1
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02/08&06 Ms 0 APPROVED
y
Total Time:
0
I It 6 Ion
Complete,
62/0812006 MS 0 APPROVED
Y
Total Time:
0
iii '-�b�PlurWGround.Workl
, ?
02/2212006 MS 0
Y
Total Time:
0
1M-B;F1rst:FIoor- Framing,
kiie�?"' i �'�
� :' 8
04126/2006 MS 0
Y
Total Time:
0
11�6-�'6-Pll mbkouibl�nl,,",r,,:�"'��,'�i'��,
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04120/2006 MS 0
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Total Time:
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041�012006 MS 0
Y
Total Time:
0
113� B-�itiarlor,.Ahoatfil Ing S:
CompleteZ
0312112006 MS 0
y
Total Time:
0
1136 - B-Sliezur Nall1w:
complete?:
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031�U2006' MS 0
Y
Total Time;
0
1140., , B�Helgltt.Verlfi ca Ito
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04126/iOO6 MS 0
y
Total Time:
11142 - B-Framing
im plate?
Y'
04/2612006 ME 0
y
Total Time:
0
1144 - BMall Insulation/Caulk.
o pl a te?
�C in
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05/0112006 M� 0
Y
Total Time;
0
1 - B-Floor Insulation/Caulk
46
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05tol/2006 MS 0
Y
7/l/2009 11:39:12 AM
Page I of 2
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Page 2 of 2
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing
.... .................
Wall..........................
Pier/Porch
Retaining Wall ...........
Si
Stab Insulation
PLUMBING:
Underground
Rough -In ..............
yo�
Commercial Final
HEATING:
C)
Gas Test
IPA
Gas Piping ............
Equipment .............
Commercial Final
EXTERIOR SHEATHIN G
NAILING ..........................
FRAMING ...............
el -d 14o-
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
ol,�
OCCUPANCY ..................
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