Fence Deck Permit Appliction Form - City Of Bellevue

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CITY OF BELLEVUE – FENCE DECK PERMIT APPLICTION
The application will not be accepted unless the following information is completed in full.
PROPERTY ADDRESS:_________________________________________________________________________________________
PROPERTY OWNER:___________________________________________________________________________________________
MAILING ADDRESS:___________________________________________________PHONE:________________________________
DECK CONTRACTOR:__________________________________________________OCCUPATIONAL LICENSE#:_____________
APPLICANT SIGNATURE:____________________________________DATE:________________PHONE:_____________________
TOTAL COST OF PROJECT (INCLUDING LABOR):____________________________________
ZONING:
SIZE OF DECK:____________________________(SQ. FT.)
DECK HEIGHT ABOVE GRADE AT EVERY POINT:________________________________(INCHES)
SETBACKS OF DECK (FACING FRONT OF HOUSE FROM STREET):
FRONT_______(FT.) LEFT SIDE_______(FT.) RIGHT SIDE______(FT.) REAR________(FT.)
SETBACKS OF HOUSE (FACING FRONT OF HOUSE FROM STREET):
FRONT_______(FT.) LEFT SIDE_______(FT.) RIGHT SIDE______(FT.) REAR________(FT.)
BUILDING/CONSTRUCTION:
DEPTH OF FOOTERS FOR POSTS:__________________(INCHES)
SIZE OF POSTS:_______X________
IS DECK ATTACHED TO THE HOUSE (CIRCLE ONE)?
YES
NO
IF YES: SIZE OF “BAND BOARD”:_______X________
SIZE OF LAG BOLTS:_________(INCHES)
SIZE OF GIRDERS OR “BAND BOARDS”:______X_____
DOUBLE:_______ TRIPLE:_________
SPAN:__________(FT.)
SPACE BETWEEN GIRDERS OR “BAND BOARDS”:______(FT.)
SIZE OF JOISTS:______X_______
SPAN:__________(FT.)
INCHES ON CENTER:____________
HOW ATTACHED (CHECK ALL THAT APPLY)?____HANGERS
_________1½ INCH BEARING
SIZE OF DECKING BOARDS:
________X_______
HEIGHT OF GUARDRAILS (IF APPLICABLE):____________(INCHES)
SPACE BETWEEN SPINDLES:___________(INCHES)
HEIGHT OF HANDRAILS ABOVE NOSE OF STAIR TREAD (IF APPLICABLE):________(INCHES)
SIZE OF HANDGRIP:__________(INCHES)
STEPS (IF APPLICABLE): WIDTH:______(INCHES) RISE:______(INCHES) RUN:_____(INCHES)
THICKNESS OF CONCRETE PAD AT BASE OF STEPS (4-INCH MINIMUM):___________(INCHES)
DO NOT WRITE BELOW THIS LINE [OFFICE USE ONLY]
APPROVAL AND FEES
CONDITIONS OF APPROVAL:
FEES
Building
$______________
Certificate of Occupancy
$______________
Other
$______________
Total
$______________
Fee Received
$______________
ZONING ADMINISTRATOR
DATE
ZONE:_______________
BUILDING INSPECTOR
DATE

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