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1428 10TH PL N.PDF1111111111 546 1428 10TH PL N 44C.1890 k GARY HAAKENSON CITY OF EDMONDS MAYOR 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 Website: www.d.edmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering April 27, 2004 Anne Spivey 1428 10`h Place North Edmonds, Washington 98020 RE: Fence with trellis Dear Mrs. Spivey: The City is in receipt of your plan to install a six foot fence with two foot trellis on the south side of your property. After reviewing your plan it appears that you meet all conditions of Edmonds Community Development Code Section 17.30.035(A4)(C1) copy enclosed and are exempt from permitting requirements. Specifically: • The property is not located in a designated critical area, • The proposed fence is not within 10 feet of an easement or right-of-way, • The proposed fence does not exceed 6 feet in height, • The proposed trellis on top of the fence does not exceed two feet in height, • The proposed fence and trellis do not exceed 25% of the total length of the south property line. Therefore, although we greatly appreciate your willingness to comply with code requirements and obtain permits, we cannot issue a permit for work that is specifically exempt. Therefore, we are returning your check #6600. Please feel free to contact us if you have any further questions about permit requirements. Sincerely, a-Aft'foT' Jeannine L. Graf Building Official Incorporated August 11, 1890 Sister City - Hekinan, Japan Ile >V too : kT tt I 00�� I A -1 4-11 lOq v I i W-10 4T TOkIl'i PLANNING DATA NAME: ' 2m�; SITE ADDRESS: I L� ZD 1O/ 41, DATE: ? Z-� ZONING: i / -(b PLAN CHK#: / 7— U S PROJECT DESCRIPTION: 14 °L ��✓�13L CORNER LOT ND (Yes/No) FLAG LOT A)p (Yes/No) SETBACKS: Required Setbacks:` Front: 05 Left Side: �a Right Side: a Rear: �5 Actual Setbacks: Front: —Left Side:lo,,)_Right Side: Rear: SL Street map checked for additional setback required? (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED -, (Y/N) LOT COVERAGE: Maximum Allowed: 3l7 �• Actual: } BUILDING HEIGHT: Maximum Allowed: 25 Actual Height: ZS Datum Point: Datum Elevation: C4P�.D.U. CREATED?: NO JBDIVISION: 4 rFITICAL AREAS 0 SEPA DETERMINATION LOT AREA: /"T, Y410 OTHER: Plan Review By rlfi1asVeffnit%Ap1andnLdoc CA FILE NO_ Critical Areas Checklist - Site Information (soils/topography/hydrology/vegenatiion) 1 1. Site Address&ocation: /!�;ZJV /0 D 2. Property Tax Account Number: J5 — 0 — o 0O � EC E coJV E 3. Approximate Site Size (acres or square feet): q3 MAR 21 1995 4. Is this site currently developed? yes; no_ pt, tigiNG DEPT• If yes; how is site developed? S. Describe the general site topography. eck 1 that apply. flat_ less than 5-feet elevation change over entire site. 7t?�'� �� Rolling-" slopes on site generally less than 15% (a vertical rise of 10-feet over a v �" horizontal distance of 66-feet). S Hilly: slopes present oo site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 6"eet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please desaiber 6. Site contains arras of year-round sbmd'atg water: l�t.e : Approx. Depth: 7. Site contains areas of seasonal standing water: k-U : APprox- What season(s) of the year? 8. Site is in the floodway__Y0 floodplain of a water course. 9. Site contains a creek or an arc where water flows across the grounds surface? Flows art year- vound? Flows are seasonal? (What dme of year! 10. Site is primarDy. forested ; iz allow, ; duubs . mixed , .. • . . - urban landscaped (lawns uWx etc) ._ • - _ 11. Obvious wetland is present on srtc CRYStaffust ;1:'. Situ is • • :. . �: • "' upped r I� Qt/' uoy %czn,t- r;. •>F fie�liod or C.A. map,$i4mftwadaodpmseoRcnsite3: -- :. :�E�d�:, j't�? K rS to wi8ii�i iiesi gated �acti� ivbsida�oe laodsCde 6aurd�riea? /V ��. ,, :i ;i '' ' ' : ��''caitheEuvirourll'•/• .•��, C ': . J7 --- -COM M - �: a+ K is t• < ' .• . �9�-199v. City of Edmonds Critical Areas Checklist The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to dctermine whether any potential Critical Areas are or may be present on the subject property. The information needed to complete- the Checklist should be easily available from observations of the site or data available at City Hall (Critical Arm inventories, maps, or soil surveys). An applicant, or his/her t pr ive, . must fill out the checklist, sia and date it, and submit it to the City. The (Sty will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for jjWividual lots of die parcel with enough detail that city staff can find and identify the subject parocl(s). In addition, the applicat stall inctnde Other pertinent infernation (e g. site per, topography !gyp, etc.) or stndies in cogjuaction with this Checklist to assist atatiin completing their preliminary assessment of the site. I have completed the attached Critical Anew Checklist and a ca that the answers p atr facxiial, too the best of my lanowledge efill out the appropriate column bdow). .. Owner I Applicant: Naas ftxt naa= city. state zip Phone G to Applicant Representative: =V.r-► City. State, ZIP Phone Signature Date rEcnROEn 13A NAR 12 FM 1: OB ti T -:2 7Z ci Qf Cc Q. rm � 14 113 T NOV. 1+; 1571 L lo,tt A P- TI 4 I G01 1 Sou-04 1-0-F /V A s CD C�:> CP- A, 890 - lq°1- City of Edmonds RIGHT-OF-WAY CONSTRUCTION STREET �ILE IT Permit Number. — 173 Issue Date: (") O� (0 - A. Address or Vicinity of Construction: 1428 10 PZ . N. (9322529 ) B. Type of Work (be specific): Install New Service C. Contractor: Washington Nat'l. Gas Co. Mailing Address: 815 Mercer St.Sejjtt1%. W State License #: Contact: Frank Swan Phone: 224-2278 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): 1. E. ❑ Commercial ❑ Subdivision ❑ City Project )pg( Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: 1N � F. Pavement or Concrete Cut : ❑ Yes :0&o G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to h Vs. y of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may behe City of EdmondA_ae W o its departments or employees, including or noplimited to the defense of any legal proceedings including fensnd attorney fees by ret son fdranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA7kiALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE�41` fgCANT. 4 Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all times for inspection purposes. Signature: (Contractor or Agent) Date: August tR 1<993 CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: �.—`t� RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER F-A DAYS DISRUPTION FEE/FUND 111: SPECIAL CONDITIONS: K) k RESTORATION FEE: COMMENTS: DATE: PERMIT FEE: TOTAL FEE: _ RECEIPT FEE: ISSUED BY: If NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. 1)iv. 1991 FIELD INSPECTION NOTES Comments Diagram (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: CITY OF EDMONDS ASSET INFORMATION SHEET LYJ NEW • ❑ ADDITION ❑ RETIREMENT STREET FILE P55E No 40�9� ADDITION TO ASSET NO DESCRIPTION SERIAL NO. LOCATION a o DEPT NO. 4 o "PURCHASE ORDER NO. _ PURCHASE ORDER DATE COST *PROJECT NUMBER PROJECT COMPLETION DATE COST lei 1, 7 B.A.R.S. ACCOUNT NO. • ESTIMATED LIFE INITIATED BY DATE APPROVED BY *SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST `SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY O DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT _ • G.L. ENTRY REFERENCE DATE e'tj VERIFIED BY PROCESSED BATCH NO. _ INITIAL DEPAnTIV;ENT FILE CITY OF EDMONDS ASSET INFORMATION SHEET lYJ NEW ❑ ADDITION ❑ RETIREMENT ASSET NO. ADDITION TO ASSET NO DESCRIPTION ) / SERIAL NO. LOCATION AlDEPTjNO. "PURCHASE ORDER NO. _ PURCHASE ORDER DATE Cd61� t PROJECT NUMBER PROJECT COMPLETION DATE COST f`/ /- B.A.R.S. ACCOUNT NO. ESTIMATED LIFE a� INITIATED BY DATE APPROVED BY *SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST `SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY LJ DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT _ 40 G.L. ENTRY REFERENCE DATE G �j VERIFIED BY PROCESSED BATCH NO. _ INITIAL by FINANCE STREET FILE /92-8 /0/-'�L ��fti- April 30, 2004 City of Edmonds 121 5th Ave N Edmonds, WA 98020 RE: Fence with Trellis Dear Ms. Graf: RECEIvEE: MAY 0 3 2004 DEVELOPMENT SERVICES CTF, CITY OF EDMONDS Thank you for your letter and your help. I am glad I applied for a Permit because I now know that my trellis is legal and doesn't 'require a permit, Yours sincerely, i Anne Spivey I RE Cl"", I VLD I AIVIPHOVED 6Y PLANNING MAR 3 1 1995 Ki "Niff CGU.'j", Ut vp -V(X 7wire -1,55., <.04jo VA-P, Tp��* &��Aq (OA r-oaf 7CM6 it Al Af is 0 A&HOVED BY PLANNING ®4 HEI #'lfi MAR 3 1 1995 F IT CSl CITY COPY SER 997 I o cl! 7t A4- WM2i:-S, k)-, A.B.Mvill SEP 181997 Mil � � tyly*- I V.- W lal I STREET FILE TE RECEIVED PERMIT EXPIRES CITY OF EDMONDS USE PERMIT r , ZONE YNUMBER !� CONSTRUCTION PERMIT APPLICATION JOB SUITE/APTN ADDRESS / �✓ -,r' /---.L�L PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ m Z 3 MAI_. C +C'Z= SS / / / /j 'T LZ/�(// PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved p RW Permit Required � O (/ ( EXISTING PROPOSED REQUIRED DEDICATION FT Street Use Permit Req'd Q Inspection Required O Sidewalk Required o greq�M Widrinn g required TE-EoHO�'.E NAM: /// / METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES ❑ NO ❑ ( t i V` i s+✓ W ADD ._:.: REMARKS Z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE a C. Z w CITv ZI° TELE?HOf1 e') . f — NAME I+l % ENGINEERING REVIEWED/DATE ADDRESS CC V "' A� • FIRE REVIEWED BY DATE W CITY Z TELEPHONE 2 2 LL VARIANCE OR CU SHORELINE OR ADBN INSPECTION RE 'D BOND POSTED STATE _:CEhSE %UWEc= EXPIRATION DATE CHECKED BY ❑ YES NO ^ r SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED ( 11 J PROP" . TAX {,CCC;j'•T o+RCE_ 1,C JJ77 ❑ NEW ?ES,DENTIAL ❑ PLUMBING/MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT LgSIDE REAR O ❑ ADDITIOti ❑ COMMERCIAL ❑ COMPLIANCE OR p �.[-Tr� Fr��h) �151/)I /�l� I Z�y C�J IC �7 Z Z CHANGE OF USE PARKING REOYD PROVIDED 1,-j LOT AREA r+/ PLANNING REVIEWED BY) QATE f °l �I r A- I �' ❑ APARTMENT ❑ SIGN a TT IREMODE_ .... / �_5�..� T// G 7 4'i I ; 'J/v'%�✓%��' /�f�� GRADING FENCE ❑ REPAIR ❑ CYDS ❑ ( X FT) REMARKS OTHER DEMOLISH TANK ❑ ❑ CARPORT GARAGE ❑ RETAINI YG WALL ❑ RENEWAL Z O (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 9 CHECKED BY TYPE. NSTR CTION % CODE OCCUPANT r� GROU? w O J NUMBER OF NUMBER OF DWELLING CRITICAL r- AREAS C -f 111 SPECIAL INSPECTOR AREA OCCUPANT OSTORIES UNITS NUMBER -� ) REQUIRED ❑ YES -OAD DESCRIBE W RK TO BE DONE Y REMARKS -' PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D z s J m VALUATION - - PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % „ .. BUILDING PLAN CHECK NO:, VESTED DATE PLUMBING / / l �7) MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE F SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 180 DAYS W _ d PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG.-REVIEW FDES SEE BACK OF PINK PERMIT FOR MORE INFORMATION I to 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE (/1 uj IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE CC ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEIPT = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT /J r O ANY REQUIREMENTOF ANY CITY ORDINANCE J DEEMEDTO MODIFY, WAIVE OR REDUCE = NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' RECEIPT i �� -- TOTAL AMOUNT DUE A�1 / 1 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 Tr s a-. : _. _: _t -r s i :a -r : THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- • CALL s. a•::•. a TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED E.::.dny 0" c.=: r' Ztn.r. e-,: "us s.-a :.i IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. 0::= JA.5 SIG'.:-•___ :.+ SIGNATURE (OWNER O AGENT) DATE SIGNED (425) 771-0220 ATT ION EXTJ333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX�''-- 5/98 vA ' zAk CITY OF` EDMONDS ONE PERMIT rg► NUMBER l'� Q CONSTRUCTION, PERMIT APPLICATION JOB SUITE/APTp OWxNAER� NAME/NAME OF BUSINESS ADDRESS. \ 5Pt reLEGAL DESCRIPTION CHECK SUBDIVISION NO. - UD'NO. w MAIU G ADDRESS (/%�{�.�� 0 ' ' ` OL, 0. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.. TESCP Approved ❑ CITY ZIP TELEPHONE NUMBER RW Permit Required ❑ j� ��.(N (�,Q,/1h �t EXISTING REQUIRED DEDICATION Street Use Permit Req'd ❑ lam/ `Jry�,/� ` �YV)� b t PROPOSED Inspection Required ❑ NAME Sidewalk Required ❑ 'u akaaStcaol METER SIZE,_ LINE SIZE NO. OF FIXTURES PRV REQUIRED Q ADDRE�S 4r , � �YES ❑ NO ❑ 3 J REMARKS _ Z a CITY ZIP w / TELEPHONE NUMBER z NAM ADDRESS U1 �24 �j "ICI 14 ENGINEERING MEMO DATED REVIEWED BY CITY Y' �t `/"/`�ZIIP ttt 1 TELEPHONE /N�U�MBBERQR !-.t��}�, ayy FIRE MEMO'DATED REVIEWED BY Q STATE LICENSE NUMBER v" ✓``&' cEXwP�I�RATI N D. TE LL /I /TC17 VARIANCE OR CU ADB # SHORELINE F. Legal Description of Property - include all easeme is $EPA REVIEW SIGN AREA HEIGHT COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED I PROPOSED a r EX P /'' voc LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) Lu p fiF " ALLOWED I PROPOSED FRONT SIDE. REAR- FRONT lJR SIDE -REAR Property To Account rf�C�� /1,.� �,ry� Q OT AREA ANNIN REVI W BY ATE a Parcel No. " v' 1 CJ�� vW t7 ��.. �� .REMARKS NEW RESIDENTIAL D PLUMBINGIMECM El ❑ COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE REMODEL APT. BLDG. SIGN REPAIR a GRADING CYDS. FEt NCE x—�. CHECKED BY TYPE OF CO STRUCTION... CODE OC 1:1—zq ?� GR DEMOLISH INSERTTOVE HOT TUB SPA POOL SPECIAL INSPECTOR AREA OCCUPANT GARAGE RETAINING WALL/ YES ] REQUIRED LOAD (3 CARPORT ROCKERY RENEWAL REMARKS a (TYPE OF'USE,.BWSINESSOC�CTIgJTIy EX PLAIN; PROGRESS INSPECTIONS PER UBC 108 0 _ _J Q � m NUMBER NUMBER OF CRITICAL l o OF DWELLING AREAS 0 STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLO PLAN)) e A' o �A slct�_, FINAL INSPECTION REQUIRED Remove ck' - h UC VALUATION FEE PLAN CHECK FEE EE HEAT SOURCE: 5 GI GLAZING BUILDING L= tAf t IN, PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADNGWILL Any construction on the public•domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Q Permit Application: 180 Days Permit Limit:1 Year - Provided Work is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE - successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, 5 employees, and agents from any and all claims for damages of Cc whatever nature, arising directly or indirectly from the Issuance(Rol of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT — _Q. l�l{, modify, waive or reduce any requirement of any City ordinance xx nor limit in any way the City's ability to enforce nylofdinance provision:" i TOTAL AMOUNT DUE I hereby acknowledge that l have read this applicat on; 1gat the "` + information iyye is correct; and that 1 ameazci�r a• �t�fe•dul ATTENTION APPLICATION APPROVAL authorized aty117 n f ffhe owner. i aere E comply u41 lty and E 1 �4 THIS PERMIT state laws regul tr g construction; a li i Ding the work authoriz- AUTHORIZES This application is not a permit until ed-thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance aria RCW 18.27. INSPECTION acknowledged in space provided. SIGN _ DATE SIGNED DEPARTMENTS q OFFIMIG ATE / �9 CITY OF • / EDMONDS A�1_ CALL FOR ATTENTION INSPECTION,RE EA By: E r Q D IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE t UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 7/1 �220 ORIGINAL — File YELLOW —Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC % / SECTION 109 PINK — Owner GOLD — Assessor CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS l' ! __r, /19_D;o _-A ZIP TELEPHONE NUA s .FOB o 4, E pk 1 W , ADDRESS !` CITY ZIP TELEPHONE NUMBER i/'! NAMIE l I I ✓� N ADDR S CITY ZIP TE EPHO E NUMBER D p 17 �- STATE LICENSE NUMBER EXPI ATI DATE G(J/J 1i/4M -X /31677 /" Legal Description of Property - include all easa3mdnts Property i Tax Account i✓� ,^ D / —Co Parcel No. �/ 1'y�6 _ `(�JCJ rw ' NEW RESIDENTIAL PLUMBING DADDITION COMMERCIAL MECHANICAL APT. BLDG. '� REMODEL SIGN GRADING FENCE aa REPAIR CYDS. ( x_FT) DEMOLISH WOODSSWIM ❑ POOL El El INSERT HOT TUEISPA I RETAINING WALL/ 11 CARPORT ROCKERY RENEWAL O (TYPE OF E. BUSINES OR ACTIVITY) EXPLAIN: C P' WNUMBER NUMBER OF CRITICAL t] OF DWELLING AREAS C STORIES UNITS NUMBER DESC IBE WORK TO BE DONE (ATTACH PLOT PLAN) 1 c-. , l 07_ n rl D /7 A D PERMIT ZONE U5 Q303 zoNE NUMBER JOB ADDRESS �� (� 1�f✓ � �j .EGAL OE50HIPTION CHECK SUBDIVISION NO. LID NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved O RW Permit Required O EXISTING REQUIRED DEDICATION Street Use Permit Req'd O Inspection Required I] PROPOSED Sidewalk Required O METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES ❑ NO 13 REMARKS Int�'�.1. %Iv(3'r..�rlslTrnA)n�C�n/OrC �Sb.C��t�•i�1L, ENGINEERING MEMO DATED REVIEWED BY FIRE MEMO DATED REVIEWED B 1 N AREA SEPA REVIEW AD O. ALLOWEl!"' J PROPOSED TE EXEMPT /1 SHO INE N / EXP VARIANCE U N EVIEW BY TE SETBA IGHT FRONTCK�,EESIDE / l / REAR) �j< LOT � OVE 1� CHECKED BY ]TYPE OF CONSTRUCTION CODE OCCUPANT 9 i GIJAUP SPECIAL INSPECTOR AREA OCCUPAIift REQUIRED LOAD ❑ YES REMARKS PROGRESS INSPE &IONS PER UBC 305 FI PLAN CHECK FEE r BUILDING HEAT SOURCE: GLAZING % PLUMBING Plan Check NO. �'^ MECHANICAL GRADINGIFILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curls, sidewalks, driveways, marquees, etc.) will require separate permission, STATE SURCHARGE Permit Application:180 Days Permit Limit: 1 Year - Provided Work is Started Within 189 Days STORM DRAINAGE FEE ENG. INSPECTION FEE 1 C� "Applicant, on behalf of his or her spouse,�tleirs, as igns and successors in Interest, agrees to indelTrhify,; defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and 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 PLAN CHECK DEPOSIT QED = nor limit in any way the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE �� 5v ! ir117 It I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL Information 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 construction; and in doing the work authoriz• THIS PERMIT AUTHORIZES This application is not a permit until Ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is t10 . insurance and RC 18.27. INSPECTION acknowledged in space provided. SIG AT RE IOWNER OR AG 1 , DATEJIGNED DEPARTMENT +1 5 CITY OF OFFICIAL'S SI E GATE EDMON ATTENTION CALL FDS INSPECTION RELEASED BY: DAT I9 _5 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 1 �� OLO ORIGINAL —File YELLOW —Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. U.SC CHAPTER 3. PINK — Owner GOLD — Assessor 102•B7 a t7 Z z z 5 a V �E ED y "r CITY OF EDMONDS - a - SINGLE FAMILY ADDITION/REMODEL COVER SHEET 5911 Directions: 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 single-family residential addition/remodel project. APPLICANTS �' PLAN CHECK # DATE RECEIVED PROJECT ADDRESS PROPERTY TAX ACCOUNT PARCEL # DESCRIPTION OF WORKA14�jj) OWNER NER PHONE y„),r,"- 7y�_ 9� 'CONTACT PERSON evov PHONE E-MAIL FAX `r"D % 'j �!Cot-d- MAILING ADDRESS laFAX 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 THIS PROJECT. JACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO M-AXE<COMNETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUI7'a SIGNATURE DATE �P P ZONING INFORMATION ZONE LOT AREA NUMBER OF DWELLING UNITS EXISTING _ DEMOLISHED PROPOSED DISCRETIONARY APPROVALS CAT( ./' Determinations SUBDIVISION CU VARIANCE SHORELINE SEPA Expires OTHER LOT COVERAGE INFORMATION EXISTING SF PROPOSED SF HEIGHT CALCULATION INFORMATION DATUM AVE J,2--7. SS MAX _.. _ ------- SETBACK INFORMATION REQUIRED FRONT Z-Ij SIDE I PROPOSED FRONT �j f,.I SIDE 100 i CNR. LOT []YES ONO FLAG LOT :[]YES MN( TOTAL SF �i % A Ebb B C D 1� ACTUAL �2,` 1 SIDE /f0 REAR �I SIDE 10 ! REAR 52 I ST. DEDIC, YES 0 NO FT. ADM STATEMENT REQUIRED ❑ YES p NO RECORDING # STAFF COMMENTS: ENGINEERING INFORMATION DRIVEWAY SLOPE % GRADING CYDS 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. (City Use Only) SIDEWALK REQ'D 1:1 YES ❑ NO DRAINAGE PLAN REQ'D YES [:] NO LID# UNDERGROUND WIRING REQ'D [:]YES[:]NO STREET DEDICATION FT. STAFF COMMENTS: .._........_.. _ BUILDING CONSTRUCTION INFORMATION CODE EDITIONS 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS DESIGN CRITERIA WIND EXPOSURE B WIND SPEED 80 MPH SEISMIC ZONE 3 Floor Live Load Roof Snow/Live Load Balcony Live Load Floor Dead Load Roof Dead Load Balcony Dead Load NUMBER OF STORIES LOT SLOPE % BASEMENTS SOILS REPORT PROVIDE FLOOR AREA (Measured to face of exterior wall) Existing Proposed Total Living Space Garage Carport Deck/Cov. Porch Other FLOOD ZONE D ❑ YES =0 (City Use Only) Ceiling Insulation Window U-Value Wall Insulation Skylight U-Value Floor Insulation Glazing % Door U-Value Slab Insulation Energy. ❑ Prescriptive ❑ Target ❑ Systems Whole House Ventilation System Req'd ❑ Yes ❑ No Any 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 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. .... ... .. . ... .--__ ..-- _... - _.... PERMIT ISSUANCE APPROVALS (Cit/=eO ) l y y� PLANNING REVIEW &APPROVAL� j DATE_ CONDITIONS OF APPROVAL: " ENGINEERING REVIEW & APPROVAL DATE CONDITIONS OF APPROVAL: BUILDING REVIEW & APPROVAI!<-3trije�p,7, S::!f:1 o,4R A,&—t, DATE CONDITIONS OF APPROVAL: L:\temp\building\forms\Add_rvw.vsd -- 7/00