20060164.pdfDATE RECEIVED /
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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EXISTING _ PROPOSED
REQUIRED DEDICATION _ FT
METER SIZE I LINESIZE I NO:ZTURES RRV REQUIRED
YEE 13 NO Cl
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
ENGINEERING REVIEWED 8
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DATE
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REMARKS
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Description
FEE
Description
FEE
Plan Check
15-119
State Surcharge
LOTSLOPE% VESTED DATE
Building Permit
City Surcharge
PLAN CHECK NO;
Plumbing
Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PEAMIT COVERS WORK TO
Grading
BE DONE ON PRIVATE PROPER Y ONLY. ANY CONSTRUCTION ON THE PU81C
DONMAIN (CURBS, SI EWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Enqr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A) (5)
Engr. Inspection
SEE a PERMIT LIMIT. SEE ECDC 19,00.0sS(AI(6)
ACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR$
Fire Review
Plan Chk. Deposi
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND "OLD - - -,
AND AGENTS FROM ANY AND
#
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES.
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Rec( ipt
FROM T SUANCE OF THIS PERMIT. ISSUANCE OF THIS P JURY SHALL NOT BE
ORDINANCE
Landscape Insp.
1-1 Due
C
IDEEMEDHICIS2DIFY, WAIVE OR REDUCE ANY REQUIREMENT OFEANY ITY
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Recording Fee
Receipt It
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATt N
APPLICATION APPROVAL
GE
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED A NT OF
CITY AND STATE LAWS REGULATING CONSTRUC,
T'—ppl-h—, -, pv uILI S191ed bY the
THE OWNER. JAGREE TO COMPLY WITH
TION; AND IN DOING, T HE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF THE STATE OF WASHINGTON RELATING TO
CALL
FOR INSPECTION
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IN VIOLATION OF T E LABOR CODE
WORKMEN'S COMPENSATION INSURANCE AND Hew 18:21.
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771-0220
kRELS D BY PATE,
ATTENTION
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-
ORIGINAL -FILE - YELLOW INSPIECAR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I ISC110 I IRC110L
PINK -OWNER - GOLD - ASSESSOR
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Address:
Plan Check 9:
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Provide a complete detailed written scope of work for the proposed project.
Additions (additional square footage): Specify room use, floor level and square footage
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and direction ifapplicable (i.e. 545 square foot master bedroom/bathroom addition on the
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second floor with 140 square foot deck and 245 square foot kitchen addition on the main
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Remodels (interior renovations): Specify room uses and Door levels (i.e. combine
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bedrooms I and 2 on the main floor to create new master bedroom/bathroom; replace
dinning room sliding glass door with new French do ors, reconfigure kitchen with new
island prep counter and install new gas fireplace in the living room).
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BUILDING, DEPARTMENT
APP 8 NOTED CITY OF EDMONDS
lifl. NOTICE—
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CITY COPY
SCOPE OF WORK:
PROJECT ADDRESS:
CONSTRUCT 484 SF ADDITION
23325 — 76TH AVE. W.
TO EXISTING HOUSE.
EDMONDS, WA 98026
OWNER:
RODRIGO GAMBOA JR.
PARCEL
23325 — 76TH AVE. W.
00488800400704
EDMONDS, WA 98026
IMPERVIOU SURFACE:
LEGAL DESCRIPTION:
EXIST. BLDG. ROOF OUTLINE: 1528 SF (1953)
LAKE BALLINGER LAND CO.
SUBD BLK 004 D-04—W
EXIST. COVERED PORCH: 20 SF (1953)
11OFT LOT 7 LESS N 6OFT ALSO
EXIST. DRIVEWAY — 240 SF (1983)
LESS S 60FT
PROPOSED ADDITION: 484 SF
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PROPOSED BACK PATIO: 20 SF
HEIGHT CALCS:
A = +99.6'
AREA OF COVERAGE:
B = +98.5'
'A =5
LOT AREA: 7370 SF
C = +98.5'
LOT COVERAGE: 1684 SF (22.85%)
D = +99.6'
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AVE. GRADE: +99.05'
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ACTUAL: +118.20'
MAXIMUM: +124.0'
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SCALE: 1" 20' —0"
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Permit Inspection Details
Permit: BLD20060164
PERMIT-r;�;z-',
100i - E-Erosion Ciintroilmotiltizati6n.
�y
07/26�N(6 MS 30
y
Total Time:
30
lo�5,�E!SewerLateral/Malnittsppct[6n
Complete?
0712612006 Ed 30 Side Semr Permit Req'd. Cleanout not installed per site plan.
N
08116/2006 jh 30
y
Total Time:
60
1077 -:EmEnglrteering'Flnai�.
Com lete'?,
p
"Y
07/26/2006 Ed 30 Failed. NOSS insp, no cleanout installed per plan.
N
08129/2006 Ed 30
y
Total Time:
60
'Setbac s,,
iiiiii; - B-
��Comp ate-
:;Y-
03121/2006 MS 0
y
Total Time:
0
i4:
�y
03�21ii(306 MS 0
y
Total Time:
0
ji,16.e. oundatitmWafi;��
C I
03 /2312006 MS 0
y
Total Time:
0
1121,' S-Flist.,119doi:11P ran) qq:
.... .. .. . .
mii612006 MS
y
Total Time:
0
jjj61,-'B-'Plumb katiah Jn,
Ohio
04/2412006 MS 0
y
Total Time:
0
11130,-S-11�qqlpmentWec ,
..... .....
'y
05123/2006 MS 0 E�HAU ST FA14
y
Total Time:
0
Y-
65/23/2006 MS 0
y
Total Time:
0
1136 - B.Shear, Nalfirig
...... ... . .
0512W2006 MS 0
y
Total Time:
0
1142�13-Fmming
-Compiete?'C�l
Y,
ok312606 MS 0
y
Total Time:
0
'1144-Z-WallInsulation/Ca ld
?
oniplete, �.
'y
I I � I i� 1, 11
06�25/2006 MS 0
y
Total Time:
0
1146 - B-Floor InsulationlCauk
complete?,,
0512512006 MS 0
y
Total Time:
0
1148-B-Coiling,insulation/Caulk�:
Compleito.
�y
05/i5/2006 MS 0
y
Total Time:
0
6123/2009 11:40:30 AM
Page I of 2
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Total Time: 0
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0812512006 JR
0 APPROVED
Total Time: 0
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08125/2006 JR
0 WROTE CORRECTIONS. NEED SO IN EXISTING BEDROOMS AND HOUSE NUMBERS IN
ON BUILDING. RE -CALL FOR INSPECTION.
0813012006 JR
0 LEFT BLUE DOOR HANGER CARD. NO ONE HOME. NEEDS TO RE -CALL FOR FINAL. N
08/3112006 JR
0 APPROVED y
Total Timin. 0
Total Inspections: 22 Total Time: 150
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6123120G9 11:40:30 AM
4,
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS
FOUNDATION:
Footing ..................
-4,
wall..........................
Pier/Porch .................
Retaining Wall ...........
Stab Insulation ..........
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PLUMBING:
0
Underground .............
-4 46
Rough -in ..............
3:
Commercial Final
ITI
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0
HEATING:
0
Gas Test ....................
3: 1111
Gas Piping .................
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Equipment
>
..............
Commemlat Final
EXTERIOR SHEATHING
0 -n
NAILING ..........................
3-0 U
ITI ITI
FRAMING ........................
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0 r-
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FIRST FLOOR FRAMING
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9 C/)
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INSULATION
Floor Insulation
Wall Insulation ...........
Calling Insulation
NAILING
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SMSETROCK
SPECIAL INSPECTION
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0
0
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................