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1229 8TH AVE S.PDF1229 8TH AVE S LIS- (00 TV DEVELoPMEAy sLlivfCEs cTR. CITY OF EDMONDS f=-ic° FILE APPLICATION -� ,��, for The City of Edmonds ; �, SIDE SEWER PERMIT EASEMENT No ........................................... NEW CONSTRUCTION ❑ REPAIRS ❑ 401-02300 ---- K. A. Snaw1CIC...-...... OWNER CONTRACTOR............................................•---............----....------........................ PERMIT No....................... ------------------------- ADDRESS ....... IZ29...8..th..Avenue... S.................................................. LEGAL DESCRIPTION: LOT No. .............................................. BLOCK No. ............................................ NAMEOF ADDITION....----••--•...........................•---••---..............................--........................................................ Dye Tested On Sewer 1972 Approved: DATE................................................ By.....---........................----.................................. STREET FILE The City of Edmonds _IS APPLICATION for EDWONDS -rRE,;TVENT SIDE SEWER PERMIT i---- NEW CONSTRUCTION 0 REPAIRS 0 Els-iffiiER �N,..* ........................................ OWNER............................................................................glvli' - CONTRACTOR ................................... PERMIT No.._. ......... ADDRESS........ ................... ............................................................................ LEGAL DESCRIPTION: LOT No. .............................................. BLOCK No. ............................................ NAME OF ADDITION Approved: 4— DATE ...... ... ... ...... By ... • 'I CITY OF EDMONDS SINGLE FAMILY ADDITION/REMODEL COVER SHEET /se. IE9� Directional Applicants are to complete the information In the WHITE BOXES ONLY (Shaded boxes are for City use only). This cover sheet must accompany each building permit application for a sinale-family residential addition/remodel orolect. c c "pi AxT5., RECEIVED: •..o yr n PROJECT ADDRESS PROPERTY TAX ACCOUNT PARCEL ti oiZ - l30 Z - 001 - LA DESCRIPTION OF WORK OWNER ' PHONE 7�/-� O I 0 t CONTACT PERSON l PPHQNE I b E-MAI (ia. Pl Ak -1 k1S el MAILING ADDRE ��' , ^�} I 'FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTIONS BY S GNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO IS PROJECT. I ACKNOWLEDGE THA TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATI R TO MAKE COMPLETE AP LIC N AND NO DISCRETIONARY APPROVALS A REOUIRED. I 1 SIGNATURE DATE `ZONING INFORMATION . (,r ZONE \F� LOT AREA ,. r NUfYIBERaOF:D,VVECLING^UNITS:: EXI G DEMOLISHED PROPOSED `f)ISCRETIONARY APPROVALS CA Determination SUBDIVISION CU VARIANCE SHORELINE SEPA Expires OTHER 1 LOT COVERAGE INFORMATION EXISTING SF. t. ; .. ,. PROPOSED SF; TOTAL SF ' ti HEIGHT'CALCULATION INFORMATION` r r x -DATUM B- C D :ACTUAL SETBACK INFORMATION z t y. REQUIRED FRONTS; " $ :SIDE r: SIDE _ ¢< S ;:.REAR :PROPOSE1 { S DE SIDE . � REAR �,... - =CNR:NO `;FLAG LOT::, YES NO 'ST:'DEDIC. ., YES f NO-` a.FT': T REQUIRED r. $TATEMEN YES••- NORECORDING�g _ s r STAFF COMMENTS r L:\temp\building\lorms\Add_rvw.vsd •• 7/00 0i ENGINEERING -INFORMATION RI DVEWAY SLOPE % GRADING EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SQ.FT EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SQ.FT. PROPOSED NEW NET IMPERVIOUS SURFACE SQ.FT. 'e-`�,•, - s. a .s:. ''� �..✓' � w �ctCliy Use-Only1'' s: },�:� ,crT �_ '"�.: - i •'l�t-".r. .,�,wa.'..5..•7'-' e Y. i= - �L, ..� ~^ ._i-�,:: y .s. i,C.F .tee". � L : YES NO DRAINAGE PLAN R- ' - <t t. SIDEW.ALK:REQ,D• EO D' YES.' NO, ;;c• _LiDi, . i:.. '' � S- i w ors �' i?h ❑ -s. �t �`Fp'`i_ c.. -6., .. ,e, o.;. _ UNDERGROUND IRING REQ'O ❑YES^❑N0; STREET DEDICATION actr'=FT `z STAFFrCOMMENTS _ h. - s - BUILOINGaCONSTRUCTION�INFORMATION $ •� �` ,' t ' - '� CODE -EDITIONS. 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS DESIGN .CRITERIA _'. WIND EXPOSURE B WIND SPEED SEISMIC ZONE 3 Floor Live Load Roof Snow/Live Lo Balcony Live Load Floor Dead Load Roof De oad Balcony Dead Load NUMBER OF STORIES BASEMENTS FLOOD ZONE LOT SLOPE % SOILS REPORT PROVIDED ❑ YES ❑ NO FLOOR AREA (Measured to face of exterior wall) Existing Proposed Total Living Space Garage Carport Deck/Cov. Porch Other (City Use Onlvt Ceilinginsulatlon b; Window U ;Value Wall Ineulation Skylight U Value s � Floor Insulation =. Glazing %r r poorU VBlue r' t Slab Insulation EDBiSY: ❑ Pieacrlptive ❑Target SyateMa Whole'House•Ventilation Syatem`Rec'd 0 Yea 0 No 4ny request for modification, variance or other administrative deviation (herinafter 'variance') must be specifically called out and Identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a rariance has not been specifically Identified, requested and considered by the appropriate city offical In accordance with the Ippropriate provision of city code or state law does not approve any Items not to code specification. PERMIT ISSUANCE APPROVALS (City Use Only) ' PLANNING REVIEW aiAPPROVAL : • .: DATE CONDITIONS OF.APPROVAL . Y t _ rc Y `ENGINEERING REVIEW `fk APPROVAL ' - -DATE. - CONDITIONS OF: APPROVAL: :` s :-BUILDING REVIEW &. APPROVAL ' ATE_ , .CONDITI OF PRO ` t N9 {�pL. :r • a"; - , of x 1" ��••"`N{,,.,,- r,.I •,y, any:• vq�`y'i _`� S.•a. T _ �.. , ..�. .. - -. .. 's.-e s r'y;,,'•a' b';�;4! y 4.• ATE RECEIVED S PERMIT€S . .CITY OF EDMO N D,...., , Ks. USE ,- PERMIT S ZONE _ g NUMBER CONSTRUCTION PERMIT APPLICATION JOBsulT APTN ADDRESS,./ OWNER NAME/NAME OF BUSINES6 , PLAT NAME/SUBDIVISION NO. LOT NO: LID NO. LID FEE $ cr MAILING ADDRESS /, TESCP Approved ❑ W � J PUBLIC'RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Q Street Use Permit Req'd ❑ O EXISTING PROPOSED Inopectbn Required Q CIT ZIPTELEPHONE Sidewalk Requtred ❑ REQUIRED DEDICATION FT Underground l.. o- 0 ) f Wiring requ4ad :. TER SIZE .. LINE SIZE NO. OF FIXTURES PRV REQUIRED r, ',ir ,:ME NAME - .. YES ❑ NO r .. i r ADDRESS REMARKS z = OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE Z cc CITY !' ZIP TELEPHONE NAME, ENGINEERING REVIEWED/DATE ADDRESS y O ar FIRE REVIEWED BY DATE CC Z CIT ZIP TELEPHONE LL !i'�li 14 VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND STATE LICENSE NUMBER O EXPIRATION DATE CHECKED BY REQ'D POSTED „ .. .... YES NO C�/y ✓ r 77 ` Z� O .SEPA REVIEW I SIGN AREA .' HEIGHT a PROPERT TAX ACCOUNT PARCEL NO. / PI`16PER?T�TAXCOMPLETE EXEMPT ALLOWED' PROPOSED ALLOWED PROPOSED w .. Q �- d EXP" I J LOT,COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) RESIDENTIAL, PLUMBING 7 MECH. ALLOWED ""' PROPOSED 'FRONT SIDE � `REAR FRONT UR SIDE REAR ❑ NEW z z COMPLIANCE OR ❑ z AUDITION ❑ COMMERCIAL ❑ CHANGE OF USE I PARKING LOT AREA PLANNING REVIEWED BY DATE g I REMODEL ❑ APARTMENT ❑ SIGN REO'D PROVIDED I' FENCE ❑ REPAIR ❑ GRADING CYDS ❑ ( X FT) REMARKSY i ... . ❑ OTHER - ❑ DEMOLISH ❑ TANK z ❑GARAGE ❑' "RETAINING WALL ❑ RENEWAL CARPORT RtjrKERY 0 (TYPE OF. USE, BUSINESS OR ACTIVITY) EXPLAIN: a CHE KED BY TYPE OF CONSTg�I{pN 1 C E OCCUPANT % x � , . '�f� � GROUP SPECIAL, AREA` —• OCCUPANT w NUMBER NUMBER OF CRITICAL I m OF DWELLING ` AREAS REQUIRED LOAD O STORIES UNITS NUMBER YES DESCRIBE RK TO BE DONE REMARKS, Z v PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D o fi T ik I t�7? �CbG Vlto rl VALUATION; FEE �.26 3 PLAN CHECK FEE M—CANQ . I� HEAT SOURCE GLAZING % LOT SLOPE % BUILDING Z:- to G �.•cl PLAN CHEC. NQ: VESTED DATE PLUMBING �l• i MECHANICAL 1 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS, PERMIT COVERS. WORK TO „ LIC t- BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBGRADING/FILL''• DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE J SEPARATE PERMISSION. STATE SURCHARGEcc PERMIT APPLICATION: 180 DAYS w I u PERMIT LIMIT: 1YEAR -PROVIDED WORK IS STARTED, WITHIN•.180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION'' rn ENG. INSPECTION FEE APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS rn W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND.HOLD HARMLESS.THE CITY OF ppm C 4�t� S v J f EDMONDS, WASHINGTON. ITS OFFICIALS; EMPLOYEES, AND.AGENTS FROM ANY AND p aN pEE 4 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY ORINDIREC1 RECEIPT _.N a ^� W = FROM THE ISSUANCE OF THIS PERMIT.'. ISSUANCE;OF•THIS PERMIT SHALL NOT BE RLAN CHECK DEPOSIT Zit of DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE U"rV = NOR LIMIT IN ANY WAY THE CITY'SABILITY TO ENFORCE ANY ORDINANCE'PROVISION." RECEIPT j•� TOTAL AMOUNT DUE ll I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT.THE INFORMATION APPLICATION APPROVAL j GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This;application is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION recel t is acknowledged in ace provided. � IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO p g p WORKMEN'S COMPENSATION INSURANCE AND RCW 1827: nC OF IALS SIGNATURE DATE SI ATUR OWNS R AGENT) DATE SIGN (425) ({�J i 77 f/]� <:iCf LA / 12-o V 771-0220 EASE BY DATE i EXT 333 c� ATTENTIO .2 / 0(} IT IS UNLAWFUL TO USE OR OCCUPY A•BU�tDNG OR STRUCTURE UNTIL %71-0221. j A FINAL INSPECTION .HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER • GOLD -ASSESSOR F 1 CITY OF EDMONDS SINGLE FAMILY ADDITION/REMODEL COVER SHEET ire. 1f90 Directions:.Applicants are to complete the Information in the WHITE BOXES ONLY (Shaded boxes are for City use only). ..U11 uuming permit application Tor a single-family residential addition/remodel project. i,,:PLAN CHECK f APPLICANT. v.. - .DATE RECEIVED PROJECT ADDRESS_ PROPERTY TAX ACCOUNT PARCEL # 1 DESCRIPTION OF WORK OWNER PHONE CONTACT PERSON �i i ..- f- PHONE N 2-y5- — �('l ^ l l% G tt MAILING ADORES %�' % I ���^ �. ^� -. �j �� A ` ( P FAX CORRECTIONS ❑ MAIL CORRECTIONS E-MAIL CORRECTIONS BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INOUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO IS PROJECT. I ACKNOWLEDGE THA -TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTAT19 TO MAKE A COMPLETE APPLICX AND NO DISCRETIONARY APPROVALS AgE REQUIRED. SIGNATU DATE 10 ZONING INFORMATION r ZONE -^t__ __ , \a.i lt�,0.. '`' \ LOT AREA NUMSER,OF DWELLING UNITS EXIST G DEMOLISHED PROPOSED DISCRETIONARY "APPROVALS . CA Determination SUBDIVISION CU VARIANCE SHORELINE SEPA Expires OTHER LOT COVERAGE INFORMATION EXISTING. SF ="`" >..>. _. PROPOSED SF TOTAL SF - 9f, HEIGHT CALCULATION INFORMATION DATUM. A t3. C G AVE : - . _ - .K,. MAX ACTUAL SETBACK INFORMATION . REQUIRED ;FRONT •" ' '' "SIDE SIDE ` REAR PROPOSED FRONT SIDE SIDE REAR CNR LOT ^❑ YES : NO FLAG LOT YES. NO . ST. DEDIC. []YES ❑ NO FT. STATEMENT REQUIRED YES NO RECORDING li .`.ADU STAFF COMMENTS:_' L:\temp\building\forms\Add_rvw.vsd -- 7/00 ENGINEERING INFORMATION DRIVEWAY SLOPE % GRADING CYDS EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SQ.FT PROPOSED NEW NET IMPERVIOUS SURFACE SOFT. SO.FT. (City Use Onlvl ,r , SIDE" YES NO RAINA WALK REO„D,❑ .❑ _ D GE PLAN REQ'D YES NO .` LIDt' � - `UNDERGROUND WIRING REQ'D YES ❑NO STREET DEDICATION— , STAFF COMMENTS 1 BUILDING' CONSTRUCTION INFORMATION CODE EDITIONS 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS DESIGN CRITERIA .. WIND EXPOSURE B WIND SPEED SEISMIC ZONE 3 Floor Live Load Roof Snow/Live Lo Balcony Live Load Floor Dead Load Roof De oad Balcony Dead Load NUMBER OF STORIES BASEMENTS FLOOD ZONE LOT SLOPE % SOILS REPORT PROVIDED 11 YES ❑ NO FLOOR AREA (Measured to face of exterior wall) Existing Proposed Total Living Space Garage Carport Deck/Cov. Porch Other "(City Use Only) Ceiling Insulation— Window U-Value Wall Insulatlon- " Skylight U-Value Floor Insulatlon Glazing 96 Door.U-Value '= •Slab Insulation Enerav: ❑ PrescrlPtive ❑ Target ❑ Systeme Whole House Ventllatlon System ReG'd ❑ Yes ❑ No Any request for modification, variance or other administrative deviation (herinefter 'variance') must be specifically called out and Identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a variance has not been specifically Identified, requested and considered by the appropriate city offical In accordance with the appropriate provision of city code or state law does not approve any Items not to code specification. Or