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18311 73RD AVE W.PDF111111111111 5776 18311 73RD AVE W ADDRESS: / 1� j 0 TAX ACCOUNTAPARCEL NUMBER: "Op o4 BUILDING PERMIT (NEW STRUCTURE): L COVENANTS (RECORDED) FOR: CRITICAL AREAS: :2 Do/ - DETERMINATION: F1 Conditional Waiver 0 Study Required It Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LTD #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S).#: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: LATEMP\DSTs\Fom-is\Street File Checklist.doc t, r: A A m Lo NIN '3 IN I WILcm,,61 6ETI Ev. 97.5' 'r— !5UILC)IIiS 1JE16wi. RECTA14GLE LAND5GAFIE1 - - - - - -- - - - CL CONC. FAVE lELEjV.l! I lillpt ;- OF BUILDING LINE 4R E fT ?Koo, 'Qk - Qj et r- 135, 0 -i ;!� rcl� Lcl� LLI �cs cl) Lc� lao eITF- PLAN - 10311 73fRP AVF-. W, F-PMONP5, WA /c) D Q�s TN), ckl\3 �;s TEMPORARY CONSTRUCTION ENTRANCE (PER DETAIL) RECEIVED MAR - 12001 OWNER/CONTRACTOR IS RESPONSIBLE FOR PERMIT COUNTER EROSION CONTROL AND DRAINAGE 151-01, CARW EDMONDS CONSTRUCTION PERMIT APPLICATION /-/1 / PERMIT EXPIRES IS PERMIT .U..E. .2j NORDRES. A,j 4-�l STATE�--... xo73,w, EIAI PARCEI NO, 0 A-T.N 0 -MEACHU. 0 GCNAA.EORUSI 0 RE-1 0,-ENT 0- 0 0- 9r."Ta. -1 -- 0 E-SN 0- [D WIS. 1:1 =, 0 R_-,-�,- C3 E.— f-E OF USE. BUSIES$ ;��Aftt. ST._, UITS DESCRIBE TO BE h HEATfLA!E -1- LOT SI.DRE I THLSPERRITALTIORGESONLITH-1-TID-H PERART-EAS1011TO .I.. OR ... TE PRO_ DONLAW (-BS. 61-5, RATE M.H.R...... PAR11.1-01: In 'EARI-I I - - PRO-ED-R-T."T'D ... .. ... SEE @ACX OF - PEA111 FOR -1 INFORNIATAG. -AMUCAIT 01 BEHALF .1 .11 .1 HER IPOLS1. KIII. AS.- A.. SU.E-S elXoIoRSEST AGREES TO IDEAAN-. DEFEND AND HOLD NAAAALEW TIE CITI OF GLAMS11111"ITI, 1-111CIALS. E.-II-NDAGEITSFROM AIIAII ALL .R-ESO-E1E1 NATUIE.AFISN. DRECTL1.F1NGFEGL, FROM TIE I LIKE OF T113 RERAHT SSUANGE F THIS PEALAT L HOT I DEEMEOTO -VE OR REDUCE ANY REQUIRENEToF ANY-YORDIANGE NOR UNIT I- THE CIT-81- TOEIFO- ANY R.-GE PRO-. - EAE I AI -EDGE TNAT I NAIE REI D TIS AP-101, THAT TIE IFOFMATFON 111 13 GO AECT, AID THAT I AM TIE GANIER. OR TIE GULl AUTHORIZED AGE" OF 10, 11 L-Do F�OE I PUBLIC RIGHT OF - AIR OFFICIAL STREET EXISTINO - A10POSED �--..DAGATGN- AT NO o"'"URES :�REQ�W 1E C3 AEAAARKI -ACONTRACTOR RESPDHE FOR MSHON CCXHTRCRRD-E plj�-j �j�- Pr�jVfjF_ —IHSIFI. -s. m,cGtj,,;7 — nA. R-E- --E ON CU S-E- 0. - I"IPICTIN E_ R RE_G [3,0 SIM -E, :1IT1 I IIE-T AREA ILL-1 I A-POIED EIGHT AUU-11 -11D ALL LOT -ERAGE OwED M01OSED REQUIRED SETSACIS (FT, FRONT SHDE ASNA IROP.SED IETAAGKS I ") 1-T -... RW M".. RED D M.11DIG -AREA RGIH-E. 11 DATE CHEC-Bl IT -En -7 17 Up 5PEGALINE�,TIGN JA.AN RE.L,R,D OICU MIT LOAD AEUARXS PROGRESS INSPECTION$ PER UBC 108fFINAL INSPECTION REG-D UATION FEE ALAN CHECK FEE P.M.N. .EG-.CAI .RADG-L .R-.E END REVIEW FEES //"v LA -APING GIECI DEPOSIT .SCEIPI TOTAL NIOUNT DUE 'ECEIR, -ED-R, l�REETOC��Tl�Tl�DSTATE�SAEG��C�STRUC- D;1 _L;rR�1_11-ED T"I-1 NO AS- U. BE E-L-D D CALL , T", I- TA.:. THE . I OF THE STATE OF -NO,� RELATI. FOR INSPECTIO WORAMENS -E-ON-RANCE AND - 'ell. L (425) \u—Si 771-0220 ATTENTION\j EXT/333 IT IS UNLAWFUL To USE OR OC&PY ABVILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFi- 771-0221 CATE OF OCCUPANCY HAS BEEN GRANTED. uBC SECTION 109 FAX AVM16A I IUN AVVHUVAL L. -ATU.. DATI ED BI D. -'-E- I- EG6R PIR C-EA- G-ASSESS01 81.0. 991-01 IL0IWj SETSACK LINE —s— L_ BU LDING WEIGWT A LF__ .97.5' REICL;TAJr.LF- LANDSCAPE ENTRY-SICEWALK —DECK LANDSCAPE J Ti EDGE OF WILDING v -CONC. PA ED -A DRIVEWAY PATIO F F LINE I- Fr= ism Hj H_ ELEV. %Z' ELEV. 87' PROPERTY LINE IMPERVI Al P-1H ATI~Q WEIj5WT CALCULATIONS PFRO120SED BUILDIWG FOOTPRINT - 1906 OF. POINT A. 97.5' PROPOSED PATIO . 120 SF. POINT B- 89.0' PROPOSED GARAGE - 528 OF. POINT C- 87.0' PROPOSED DECK . ioe OF. POINT D a 905' PROPOSED DRIVEWAY - 485 OF. AVERAGE GRADE 94.75 P ROPOSED ENTRYWALK - 237� Of.. ACTvJAL 119.1' TOTAL IMPERVIOUS AREA v 3376 OF. MAXIMLM 119.75' LOT AREA 9.585 OF. LOT COVERAGE 3,37ro OF . 35% OF LOT AREA LOT SLOPE 51TE PLAN - 1831173gr,)-AVF. W. El:)MOND.5, WA SCALE mtkc.-r ze� I to R 11 0 C>rL k a V fy)i 251-0,, 951-01 BUILDING SETBACK LINF---,, LEV. 97.13- FLE V. I eUILDIWs ' RECTANGLFM� LANDSCAPE F-NTRY-SIDEW,.ALK ol DECK LANDSCAPE T EDGE OF MILDING DRIVEWAY If PATIO 0 I OF LINE --- — — — — — — — — — — — — — — -- ELEV. 90-9, ELEV. 87' PROPERTY LINE -0.2 IMPERVI A At e'lil ATl~Q MEIQWT CALCULATIONS PROPOSED BUILDIW, FOOTPRINT . 190ro OF. POINT A- 97.5' PROPOSED PATIO . 120 S.F. PROPOSED GARAGE 52S POINT 5- 89.0' . S.F. PROPOSED DECK - 100 OF POINT C- 87.0' POINT D. 9ro.5, PROPOSED DRIVEWAY . 409 OF. AVERAGE GRADE '94.79- PROPOSED ENTRYWALK 137,SF. AMAL ug.r TOTAL INPERVIOUS AREA 337ro Sp. MAXINLH 119JO, 9.58D LOT COVERAGE 3,37ro OF . 35% OF LOT AREA 13% f N SITE LAN 193 11 73R 0 AVE. W- EDMOND-5, WA SCALE V-20'-o- RECEWED Dkja-k k prL a sj� RED 0 T 2PS51 DEVELCPMENT,,'j;ERVlCES CTR. /Ilk L "CN CITY OF . D-M 103 0 a HLE I —15UILDING SETBACK LINE--,,.. LEV. 97.51 WILDIW6 WE16PT RZECTANGLE LANDSCAPE 713 ENTFRY-SIDEWA"LK DECK LANDSCAPE If - - - - - - ------ 'JI1111111 EDGE OF 5UILDING -T Milli CONC. PAV'E C )RIVE WAY PATIO -ROOF LINE N 44 M, c- ELEV. 9ro.5' ELEV. 87' —PRO—PERTY —LINE IMPERVI A A[-r-IJI ATIe)KM ITION PROPOSED BUILDING FOOTPRINT . 1906 Sp. POINT A- 97.5' PROPOSED PATIO - 120 SF. POINT 5- 89.0' PROPOSED GARAGE . 528 S.F. POINT C- 870' PROPOSED DECK . 100 SF. POINT 0- 96.5' PROPOSED DRIVEWAY - 485 5F. AVERAGE GRADE 94.75- PROPOSED ENTRYWALK 337�$F_ ACTUAL 119.1' TOTAL INFERVIOUS AREA 337ro SF. MAXIMUNI 119.75- LOTARFA 9.505 SF. LOT.COVERAGE 3�37rb SF . 35% OF LOT AREA LOT SLOPE OKI 'IN SITE PLAN IB31173RD AVE, W. -EDMONDS, WA SCALE V-20'-O' puns ZONE Rs - s SETBACKS: FRONT — SIDE T/2, REAR is, OTHER HEIGHT A7 MNNING AA 'o Q 11L �--, I� .. .. , -519CWAL LANDSCAPE c C PAIEO — --------- ,R�1111 -L.E OEt / (:ZJ-T,-/ C>-f-- <a-"D�-vol)-5 HIL z2sl QP- -2-4, Q I -z— �)Q-rr- ALL- -T-0 ��X IC)�X 2 ' r-k L- P IT C-UJlEk�E-t> -AL-L- :jz I L--re-� PROPOSED BUILD04 FOOTPRimr . 1906 SF. P"ROPOSE PAriO' i2v 9F. Zn�� ars, PROPOSED GARAGE - 518 SF. PROPOSED POIN F-0111' 8: .880' 7,0** DECK 00 5,F. PROPOSED ORJVEWAY . 405 SF. PROPOSED ENTRYWALK P4,44rc r 0. 9-b5' A18 GRADE 7 REC:EIVED 237 SF. TOTAL "PER�IOUS AREA 94.79- - 337;7R-3;. MANWIL14 119.75- LOT IRFA 9.985 SP. MAR L.1 All.. Its( pr-RMIT COUNTER . ..... ..... .. 2-SI 9 P2A�J' L-\ l)-Z 1,A ZW3- Z>W-, A3 c, '-J AQ- b D QA,) 44 WATER SERVICE INSPECTIONS REQUiRED. CALL 771-ft5xz-4atraw IVILEO. tritical Areas Checklist --------------------------------------- Site Information (soilshopoi� ydrology/vegetation) 1. Site Address/Location: 2. Property Tax Account Number: � 3 4. 5. Approxim ate Silt 6 Size (acres or square feet): Is this site currently developed? _yes; no. If yes; how is site developed? Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a horizontal distance of 66-feet). >�j Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of I 0-feet over a horizontal distance of33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: \NK) Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? — (What time of year? J 10. Site is primarily: forested ; meadow shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: N�� Y7 .L. Site Js Zqned? .2. SCS mappdd�soil.-type(s)T1:.-.. 0 LA14 D . 0-6 1'Y1 1 WetiOd inventory -or C.A.. - map.4ndicates-wetland.: prosentvii sitt?:.. 4. Critical Areas invembry. pr. C-.A--::.M - i;wdicates.Criticaj Ar6j on tel:-� KID, si 5. Site within:designate.d::earth:-tubsidtn*c.e.�i,�fidsli*d*e:hazard.iaiea?:::I MC� 6. Site4eitignaied on thi:tnviro'nmentally S6ntitiw:AYeas M : ? ap DIEMMINATION ST-UDY:.REQtJMED . CONDITIONAL WAIVER: . ..... ... . X - WAIVER Rev.iewed.bY! Plannor: ^=_d&.d=; §Wv 10103M City of Wonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECEI 1-10- 0.1 I SP tG6SE> CITY RECEIP� Critical Areas File #: c)(0 Critical Areas Checklist Fee: $45.00 DATE MAILED TO APPLICANT: 111 5/zog 0 CRITICAL AREAS CHECKLISrRECEIVED JAN 10 2001 The Critical Areas Checklist contained on this form is The City will review the checklist, make a precursory to be filled out by any person preparing a Development site visit, and make a deterr*t"Ti 00IMTOsequent Permit Application for the City of Edmonds prior to steps necessary to complete. a development permit his/her submittal of a development permit to the City. application. The purpose of the Checklist is to enable City staff to determine 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 areas inventories, maps, or soil �urveys). An applicant, or his/or representative, must fill out the checklist, sign and date it, and submit it to the City. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. 0 I have completed the attached CRITICAL AREAS CHECKLIST and attest that the answers provided are factual to the best of my knowledge (fill out the appropriate column below). PLEASE PRINT CLEARLY Owner/Applicant: Applicant Representative: Name Street Address Name Street Address QVU )(� 7 City State Zip City State . Zip Telephone: Signature Date: c:mydocumaiWspc1hn=tformztCACL Formdoc gAarcAempJJans/fcmuCACL Formdoc Telephone: (.0 SO Signature te: D d'. Ittiol 000% 56 35 > 34 < �8 1 1 U Is skaftch Is for I he apprallmeN W 1041100A of th oramloas without ectusl survey on: I%Icego Title eas he liability Oecror"nnection with th, ISCOSIGURMS, .... . *I m 10 RECEIV I�RjRMIT COUN la 16 17 10 19 MiX 21 22 d �3�-Ljj OCUDIHn -73 ENO. tritkal Areas Checklis#R - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Site Information (soils/topogr, ydrology/vegetation) I Site Address/Location: 2. Property Tax Account Number: 3. Approximate Site- Size (acres or square feet): 4. Is this site currently developed?_ yes; no. If yes; how is site developed? 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a horizontal distanced less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: For;dv Stff 13se:0111Y7, ---- — ---- J. Site is ZQn*ed? I- ..:SCS mapped -soil -rype($)T-: - &L-00-RW06D URBAKL LAt4,DC,6l)4PL&X Zj&j0Az5LoPF-, .1 Wedand inventory.:gr..C.-A�:map.:indi,cates.wetland:present..on,:S*iti?.: 4.* CritiolAreas inveht*,,or. CA;: map.-indita;gs.-Critical Area on sitV*, 5. Site withinl:de,signated��::tub.�i.d.en.,ce.:I�uldslidt:hazard�i a?::: 6. Slte:&sipaied on th'e:Environne tat!*. 96§iiiveAr� . - .. 1. .... .... ... P .- . . � . . .....as Map? 6EMMINAT-10N ft�_ft.d= R" 10103M City* of E&onds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECEI I)WtG`6'SE> CITY RECEIP� Critical Areas File #: 2001—()(0 Critical Areas Checklist Fee: $45.00 DATE MAILED TO APPLICANT:_ V A!��z-o _ CRITICAL AREAS CHECKLISrR E C E I VE D JAN 1 �0 2001 The Critical Areas Checklist contained on this form is The City will review the checklist, make a precursory to be filled out by any person preparing a Development site visit, and make a deterrpoftTi @OtftT[Osequent Permit Application for the City of Edmonds prior to steps necessary to complete a development permit his/her submittal of a development permit to the City. application. The purpose of the Checklist is to enable City staff to deterinine 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 areas inventories, maps, or soil surveys)., An applicant, or his/or representative, must fill out the checklist, sign and date it, and submit it to the City. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. I have completed the attached CRITICAL AREAS CHECKLIST and attest that the answers provided are factual to the best of my knowledge (fill out the appropriate column below). PLEASE PRINT CLEARLY Owner/Applicant: Name Street Address City State Zip Telephone: Signature Date: c:mYdocumenLdzP�1hn%Wfbmu/CACL Forrmdoc g:dwtAemprJana/far=CACL Formdoc Applicant Representative: Name C - Street Address City State Zip Telephone:'—�(-O Signat�re te: D 1'0-7�- RMIT NQ,:�_- 9488 City - 0* f. E.dmonds.. PE : PERMIT EXPIRES SIDE SEWER PERMIT Address of Construction: Property'Tax Account Parcel No. (--)0 00 Attach copies of all access and utility easements Verified and Approved b Owner and/or Contractor: Contractor License #: Single Family Multi -Family No. of Units Commercial (No. of Units F1 Public Iding Permit Y Wo Invasion, into City,*R . ight-of Way: El'es *RW Construction Permit Cross other "Trivate Property: El Yes No **Attach legal description. and.copy Of recorded easement. Ow*�br akntra igiiature �and acknowledgement. statement:.. bate signing fbr 1 ii ' rmit I certify that I have 4ad the City's public handout entitled I %ir S, 110ide Sewer. Specifications, and shall comply with al. 1. City 'requirements outlined therein.. CALL DIAL -A -DIG. (I -800-425,6555).11EFORE ANY EXCAVATION R FOR INSPECTION CALL, 425-771'0220 extension:329-V 24 HOUR NOTICE REOUIRED FOR ALL I.NSPECTION REOUESts 9 NOTE: IF JOB SITE IS NOT READY FOR.INSPECTION WHEN INSPECTORARRIVES A-$45 RE -INSPECTION FEE WILL BE'CHARGED..,*, Job Site Ready YES NO Date: Initial: Pa�tial Inspection: Date: Initial: Partial Inspection: -Date: Initial: Initial: "As-b ilt,tor Street File: FINAL INSPECTION APPROVED: Date: u 15,_PERMIT MUST BE, POSTED ON JOB SITE't WhiteCopy: File Green Copy:. Inspector Buff Copy:, Applicant L;te.mp;bldg,forms-,sspeffnitjlg4/00 d uj c. o il,--" 13; IOU 'CIBW SlLp UO 112A) C�*,:!,:- 10, oil C:7,�ojd= q JOU 8PU0UJP3 10 045 '01 BLD lomes Aug p wpool 041 P,-.. uOpw �.t:,C)48 Jolul stp oulpsai ful7tli US --rn co t;K--,QqS UOIWUIX" 941L A�AtiiijaV �J AL-gridiA Ull :33LLO" 180TH ST Li C/o > 15' (y) 94 31 CITY OF EDMOND.S SIDE SEWER AS -.BUILT ADDRESS 1 18311 73RD AVE W PERMIT NUMBER 9488 HOMEOWNER CONTRACTOR SILVER CITY DATE 06/08-/01 DRAWN ISMAEL ABILA 13Y SdOi mu - '�'- u - I. --, N-1 -Z fy) -IS -..L I �' . � 'p N'".CE: NO WAFMAMY OF ACCUPACY The ftjfMMWjc-j c --'Pl: J ` - I - 71t, ab c -� c d mZ!) c Y 1,�e CRY Of Edmonds ana ThO cf EC-i,'Grids don ad ho 2 �-1 c, '- f r L.) c j- j, WMM the acc�u,--,., j Any perso a a shc -.j S'Ill a C�--� 'IL� "i (71 nWest c. ---.qt bquiry regvft% the hwniavonllst-�-.J -.1 to, the locatlon of any --r r,-.y not CX'st and may officei-S C:-�Y cf Ed.-monds ncr IM C._."�:: cr .iven an m8A nor for �:Jy or, I -bi'�, for t�e ircrniatioll r. rePresentavon p, Ovided bcsed upon WA in* W" r�-N I 0 0 0 "*N SYSTEM STANDARD DRAINAGEPETEN - 1� xm W--t I I, 11iim io L CAW *****DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG 377S- L) I �2-4 !�i 3� arm"Illm PWt U'WT% r umm"a 0 ?lam M. Ta. M. $-Lon '0 m "m UPPER CATCH BASIN I.Vw AWJ I ORIFICE LID wou mcm w4qjcr MCI COWROL Him. rtf4r CONTROL CATCH BASIN SYSTEM CROSS SECTION wt E'Xg'X6'.DEEP. 4 6' $PALLS OR MAL row CONTROL ca el DEEP, W4, CRUSWD R= rRm catTRM F rL I �XPAAP ouna RUNOPP SPREADER. TRENCH F0072NG DRAINS SHAU NOT RE CONMCMD 270 DBTENTION SYMM N07ES.- I. M llr4iinming Division MI-=O) for a tiodine md detanfian system inq bdm bwJdiUin# mad fbr fiml inspwAkm& I , APPROVED BY45 2, Responsibility for opastion sad mginknmm of dtslmW gydcm an privoc pmpM'is ft t favommlyof"propmyowm ow and removed fiom do cm& bLatim to allow wwa opoabon. iu owd conw amm must he L'Ant nvwm at all @4� 10'.18C)I3 August 20, 2004 .t,o 0 CITY OF EDMONDS 121 5TH AVENUE NORTH , EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 Website: wwwci.edmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering Dina L. Marie Castillo -Roush 18311 73rd Ave. W Edmonds, WA 98026 SUBJECT: Asphalt Paving/Sealing Within City Right -of -Way Dear Mrs. Castillo -Roush, GARY HAAKENSON MAYOR Our records indicate that you are the property owner of 18311 73rd Ave. W. It has been brought to our attention that a contractor has performed some asphalt paving and/or sealing of your driveway and/or parking area adjacent to your property. Paving activity within the City right-of-way requires an approved right-of-way construction permit. It appears as though several residences on 73d Ave. W have completed this work with some joint efforts. The City of Edmonds will only require one right-of-way construction permit to be obtained by each contractor involved in performing this work within thegiven project area of 73rd Ave W (Olympic View Drive to 182 nd St. SW). A separate pen -nit will not be required for each individual property, however it remains the property owners responsibility to ensure all required pen -nits are obtained. Please coordinate with the other properties involved to have the contractor(s) obtain a right-of-way construction permit from the City of Edmonds. The contractor will need to provide their state contractors license number, their City business license number, and sign for the permit. 3 copies of a site plan will also be required as an attachment to the permit, showing the project area and detail of work performed at each of the property. The right-of-way construction permit must be obtained no later than September 6, 2004 to prevent code enforcement action. Double permit fees will be assessed for failure to obtain permit prior to commencing work. Please feel free to contact me should have any questions at 425-771-0220, ext. 1338. Sincerely, 9wtm"Akt� Jeanie McConnell Engineering Technician c: Code Enforcement Officer Street file Incorporated August 11, 1890 Sister City - Hekinan, Japan 'City of Edmonds Row ermit No: _0 �s RIGHT—OF—WAY CONSTRUCTIONTERMIT issueDatej-P A. Address of Vicinity of Construction: B. Type.of Work (be.specific): 105*qAmj�- Or I Inuun f;jxj1x1a C� C. Contractor: Contact: '5�_IL�3FJIT (ZD Phone: ZLO 5-0' Mailing Addres§NR State License #: MCC) Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side. Sewer Permit # (if applicable): E. Commercial Subdivision Ej CityProject E] EUC (PUD, GTE, P.SE, CHAMBERS, OVWD). Multi -Family Single Family F] Other INSPECTOR- F. PAVEMENT: YES , F-1 NO G. SIZE OF CUT X H. Charge: $ CONCRETE CUT: YES z''n NO APPLICANT TO REAP A14, SIG1 IDEMNITY., Applicant understands by.hislher signature to this application helshe holds the City of Edmonds harmlessfrom injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any of its departments or employees, inc . luding but not limited to the defense of any legal proceedings including defiehse costs and. attorneyfees by reason ofgranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS 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 B Y CITY FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger i�iuo be trained as required by (WAC) 296-155-305 and 'must have certificatiow.,verifying completion of the r -quired tr�ining in their possession. e accordance with City codes. All street-cu t trench work shall be patc hed w ith asphalt or City - Restoration ig\to be in ov.ed niateka6rior to the end of the workday — NO EXCEPTIONS. appr #�,Three sets of construction drawings of proposed work are required with the permit application. JHA VE READ THkABO'VE STATEMENTS AND UNDERSTAND THEPERMITREQUIREMENTS AND ACKNOrWLEDGE THAT I MUST MAKE THEPINK COPY OF THE PERMIT AVAILABLE ON SITE ATALL TIMES FOR INSPECTIONS Signature: Date: (Con&kactor or Agent) CALL DIAL -A -DIG (11-800-424-5555) 'PRIO R TO BEGINNING WORK UPON COMPLETION OF PERMITTED WORK, AN ENG.INEERING.FINA- INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMOND COMMUNITY DEVELOPMENT CODE. FINAL APPROVAL OF PERMITTED WORK(::�40 9�m nal igspk TE: TOR'S SIGNATURE DA' For inspection req-uirements see Engineering Information Handout� NO WORK SHALL BEGIN PRIOR TO PERNIIT ISSUANCE .i� DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS S) MAILING ADDRESS CITY. ZIP TELEPHONE 'Nm—, I 1;H NAME 114 K -, f ADDRESS u 9Y ZIP TELEPHONE NAME ADDRESS "7,117 1- ZIP TELEPHONE z CITY 0 'j ?�V 7 79- STATE LICENSE NUMBER EXPIRATION DATI! CHE KED B)i �_\R�C( C57-,( PROPERTY TAX ACCOUNT PARCEL NO. ILI C) co (Doc - NEW 14 RESIDENTIAL PLUMBING / MECH AUDITION C3 COMMERCIAL o COMPLIANCE OR CHANGE OF USE 0 REMODEL APARTMENT SIGN FENCE REPAIR CYDS 0 X FT� DEMOLISH [3 TANK OTHjR ,)qt GARAGE E] RETAINING WALL Cj RENEWAL z 4J%CARPORT ROCKERY (-fYPE OF USE, BUSPESS OR ACTIVITY) EXPLAIN: Q. NUMBER NUMBER OF CRITICAL j,jW a OF DWELLING AR do U1, o STORIES UNITS DESCRIBE WORK TO BE DONE C,\, HEAT SqURCE GLAZING %0j.) LOT PLAN CHECK NO: IVESTED FATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO B E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE :3 SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION APPLICANT, ON BEHALF OF -HIS OR HER SPOUSE, H . EIRS. ASSIGNS AND SUCCEs6RS U) Lu ;N INTEREST, AGREES TOANDEMNIFY, DEFEND AND HOLD HAhMLESS'THE`CITY'.'OF _j 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND CC , ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 0 _j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 01 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* x I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION. GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THEOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DO NG THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED It IN VIOLATION OF THE LABOR CODE OF.THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION I NSURANCCAKD RCW 18.27. ;IAIT(OWNE 0 0 NT) E QATE SIGNED A17-ENTION \,)�) IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL .A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 5/98 PERMIT EXPMS USE ZONE PERMIT NUMBER JOB SUITE/APT# ADDRESS -Z PLAT NAME/SrIOMS �] LOT NO. LIDNO.Zi5ft 7) LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appmed 0 RW Pamir Required EXISTING __7__ PROPOSED Street Use Permit Req'd Impaction Required IM Sidewalk Required 0- REQUIRED DEDICATION- FT Underground f Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 14 ES)r NO 0 9. REMARKS IJU z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE z Uj (,jA rez V/ eg� ENGINEERING REVIEWEDZATE FIRE REVIEWED BY DATE U. U, VARIANCE OR CU SHORELINE OR ADB# INSPECTION RE I PBOND POSTED OYESINO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I X 215 1 1 12.+, 4 EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED P OPOSED FRONT SIDE REAR 1 2 FRONT UR SIDE REAR 2-5 z _S z PAR)6NG LOT AREA P�/'N G REVI,�WED.-PY,,.- DATE REO'D I PROVIDED I 7 QL CHECKEDBY JTYPEQ�FCST LICTION CODE I OCCUPANT —1//7 GROUP 'e , :!� SPECIAL IN 9 11 AREA OCCUPANT SPEPTO t"Ir eu. LOAD REQUIRED, D'YES -7 REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D I x r--4 I - ppf? I ciq-1 11-1 J;:�_ A ' j Il r-, W" VALUATION FEE PLAN CHECK FEE BUILDING III M PLUMBING C;�q^ MECHANICAL -7r) GRADING/FILL /901 7 STATE SURCHARGE ENG. RFVIEW FEES ENG. I NSPECTION FEE LANDSGARLUG I � � -) PLAN CHECK DEPOSIT I // 71 1 oq- t_ _4�4 � I TOTAL AMOUNT DUE I ROCTI . I 0 APPLItATION APPROVAL CALL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid. and FOR INSPECTION receipt is acknowledged in space provided. (425) OFFI ALS SIGNATURE DATE, 771-0220 I '� 0-16 u i /I wi-i A �le '_' .11, - Rvk9iD BY bATE,r'- EXT1333 771-0221 FAX ORIGINAL - FILE YELLOW, INSPECTOR PINK -OWNER GOLD - ASSESSOR 0 0 K. E CITY OF EDMONDS. SINGLE FAMILY/DUPLEX COVER SHEET Directions: Applicants Ws to COMP16" the Information In 'he WHITE BOXES ONLY (Shaded.boats are for City use only). This cover ghost must accompany each building permit application for 4 new single-family residence. PROJECT. ADDRESS / 121f, -j I I 1—.n - Auf4� PROPERTY TAX ACCOUNT PARCEL "PLICANT DESCRIPTION OF WORK -- PHONE --)Pko `:)Q I Q OWNER�� C ..T., T PHONE 42t� J!�JQ ZI(n (03 ONTACT E-MAIL FAXt1j 25 - MAILING ADDRESS J [FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTIONS E 0 a I 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 INQUIRIES On THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT UBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE MIITED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A S=Y APPROVALS ARE REQUIRED. THAT To THE BEST OF MY ABILITY Ky COMPLETE APPLICAJION AND NO 2S E &INBA SIGNATURE DATE —0 ZONING INFORMATION 0 � �6 " LOT AREA ZON4 At� -, J NUmBER-OF DWELLING ONITS'EXISTING DEMOLISHED PROPOSED_,/ DISCRET16NARY APPROVALS CA Determination aAZL49f SUBDIVISION — CU VARIANCE SHORELINE SEPA_ ExPires OTHER LOT COVERAGE INFORMATION . . 4 EXISTING'SF PROPOSED SF TOTAL SF HEIGHT CALCULATION INFORMATION A473o C�: D DATUM iA ACTUAL AVE X SETBACK INFORMATION ffMjaM FRONT SIDE Sidt REAR EBD2Q,Ua FRONT SIDE SIDE REAR Y NO --ST.' []iO T.: CNR LOT DYES NO FLA610T[3 ES[]' jgk5jAjE INT REQUIRM YESEI'NO". RECORDING 0 STAFF COMMENTS: ENGINEERING INFORMATION DRIVEWAY SLOPE G . RADING CYDS EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977. S,Q.FT EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SO.FT. PROPOSED NEW NET IMPERVIOUS SURFACE cltX'Uaa only SIDEWALK REQUIRED [:]YES []NO ..DRAINAGE PLAN REQUIRED [:]YES [:]NO UNDERGROUND WIRING REQUIRED [:]YES [:]NO STREET DEDICATION T. LID# STAFF COMMENTS: SPECIAL INSPECTIONS REQUIRED FOR THIS PROJECT (City Use Only) SOILS., START OF WORK EXCAVATION & GRADING 0 SHORING INSTALLATION & MONITORING PROOF ROLLING CIPLACEMEN I i OF FILL & CO . MPACTION SUBSURFACE DRAINA GE VERIFY SOIL BEARING PILE. PLACEME NT EROSION CONTROL ]GENERAL SITE MONITORING BY THE GEOTECHNICAL ENGINEER OF RECORD EIGENERAL SITE M ONI TORING BY THE GEOTECHNICAL ENGINEER OF RECORD *DURING WET W . EATHER CONSTRUCTION FINAL GRADING & FIELD REPORT El OTHER- OPLACEMENT OF REINFORCEMENT PLACEMENT OF CONCRETE BOLTS INSTALLED IN CONCRETE IDS T.RUCTURAL MASONRY []STRUCTURAL STEEL ERECTION DHIGH STRENGTH BOLTING WELDING (WABO CERTIFIED ONLY) OTHER PLAN CIRISICK 0 DATS RECSIVED BUILDING CONSTRUCTION INFORMATION CODE EDITIONS 1997 UBC. UMC, UPC. WSEC, VIAG WITH AMENDMENTS DESIGN CRITERIA WIND EXPOSURE 0 WIND SPEEO�_110 MPH SEISMIC ZONE 3 Floor Live Load 4-0 Root Snow/Live Losd�� Balcony Live Lcad_Lait? Floor Dead Load-Zo Root Dead Load - 41) Balcony Dead Load__,/,D NUMBER OF STORIES. BASEMENTS FLOOD ZONE LOT SLOPE %_,4T // % � SOILS REPORT PROVIDED [:] YES 4 No FLOOR AREA (MEASURED TO EXTERIOR FACE OF EXTERIOR WALL) Existing Proposed ' Total Living SP&cG Garage Carport Dock/Covered Porch Othsr� ENERGY CODE COMPLIANCE INFORMATION EUEL-IM J�JGAS, OIL ELECTRIC [:] OTHER V1 FORCED AIR HEAT PUMP [-]HYDRONIC [:]OTHER jai METHOD- PLIANCE RIPTIVE: List Option 0 —7R= FOR CITY USE ONLY TARGET UA APPROACH: Provide UA Calcustions Coiling Insulation SYSTEMS ANALYSIS: Provide Computer Analysis Wall Insulation Floor Insulation iz- 191 Door U-Value o4o Window U-Valuo a (05 ENERGY1VENTILATION WORKSHEETS PROVIDED Skylight U-Value 0 LoK WINDOW SCHEDULE PROVIDED GIs Ing VENTILATION CODE COMPLIANCE INFORMATION KITCHEN FAN CFM LbO BATHROOM FAN(S) CFM SD LAUNDRY FAN CFM JZ-0 WHOLF HOUSF VENTILATION SYSTEM EXHAUST OPTION FRESH AIR TO BE PROVIDED TO WINDOW VENTS WALL PORTS EACH HABITA13LE ROOM WITH: --i-X-H'iu-5t-Fkk-70-BE-COriTfiOLLED.WITH 24-HOUR-TIMER-ANO SIZE ED AS FOLLOWS:—- [3 1 - 2 BEDROOMS: 50 - 75 CFM El 4 BEDROOMS: 100 - 150 CFM El 3 BEDROOMS: 80 - 120 CFM El 5 BEDROOMS: 120-180 CFM 1:1 HVAC INTEGRATED OPTION 0 DEDICATED HEAT RECOVERY VENTILATION OPTION SEPARATE PERMITS (City Use Only) ORIGHT OF WAY CONSTRUCTION PERMIT 0MECHANICAL PERMIT OENCROACH MENT PERMIT C]PLUMBING PERMIT STATE ELECTRICAL PERMIT [DWATER METER 13FEkCE PERMIT El SIDE SEWER PERMIT [DRESiDENTIAL FIRE SPRINKLER PERMIT 0IRRIGATION (SPRINKLER SYSTEM) 13 OTHER— OTHER Any request for modification. variance or other administrative deviation (11411111181101 *Variants*) Must be Specifically called out and Identified. Approval of any Pill Of Plan Containing Provisions wniCh do not Comply with the city code and for which a VsfIAnc0 has not b8sn specifically identified, requested and considered by the APPrOPtlAts City Official In accordance with the a pproprista provision of city Code or state low does not approve any items not to Code 'pacification. U401 PERMIT ISSUANCE A OVKLIrty PLANNING,REVIEW & APPROVAL_ CONDITIONS OF APPROVAL: Use Only) DATE ENGINEERING REVIEW & APPROVAL CONDITIONS OF APPROVAL: DATE BUILDING REVIEW & APPROVAL CONDITIONS OF APPROVAL: It K CITY 0 EDMONDS SINGLE FAMILY/DUPLEX COVER SHEET Directions: Applicants are to complete the information In the WHITE BOXES ONLY (Shaded boxes are to# City use only). This GOVff 1111140t Must Accompany each building permit application Ior a now single-family residence. PROJECT -ADDRESS PROPERTY TAX ACCOUNT PARCEL # DESCRIPTION OF WORK OWNER PHONE CONTACT PERSO P H 0 N E L--fJ I IV) (0 E-MAIL FAX',I'Z5 -2P�0 MAILI GADDRESSd(�b C-4011)-L- ID FAX CORRECTIONS 0 MAIL CORRECTIONS E-MAIL CORRECTIONS By SIGHING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR This PROJECT. 17 Is My RESPONSIBILITY TO COORDINATE ALL SUBMITTALS W17H THE CITY AND ONLY I CAN MAKE INQUIRIES 00 THE STATUS OF THE APPLICATION. I UNDERSTAND IT 16 My RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT usjusITAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE To THIS PROJECT. I ACKNOWLEDGE BMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A SUBMT THAT TO THE BEST OF MY ABILITY SU COMPLETE AP I) No kjS4E7IN'ARY 0 PPROVALS ARE REQUIRED. —0 SIGNATURE DATE q��l ZONING INFORMATIO4 Z . ON4 LOT AREA ee� NUMBER -OF PWELLING YkITS'EXISTING DEMOLISHED- PROPOSED_/ DISCRET16NARY APPROVALS CA 191-"6 Determination a&dZLAn�— SUBDIVISION— ' CU— VARIANCE SHORELINE SEPA_ Expires-- OTHER. LOT COVERAGE INFORMATION . ' - ';?!:; 7 EXISTiNG'SF PROPOSED SF!� L�'7,�� TOTAL SF HEIGHT CALCULATION INFORMATION A-f7,5 B 9)? C.: D DATUM ACTUAL' AVE SETBACK INFORMATION REQUIRED FRONT 25 SIDE Sot. 7. 5' REAR FRONT 7�Z SIDE SlDi::Z 4 RCAR_�� "LOT[:] 9 CNR--LO 'r - T ]'Y:Ej NO FL -AG Y NO --ST.-DFDIC. -[:]YgSjD4O'.RE'66RblNG STAFF COMMENTS: - ENGINEERING INFORMATION DRIVEWAY SLOPE %— / -:0/j GRADING CYDS EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 S,Q.FT EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SO.FT. PROPOSED NEW NET IMPERVIOUS SURFACE Z4 CItX*UjUi Only SIDEWALK REQUIRED 0 YES ON . 0 DRAINAGE PLAN REQUIRED OY'ES ONO UNDERGROUND WIRING REQUIRED OYES ONO STREET DEDICATION T. LID# STAFF COMMENTS: SPECIAL INSPECTIONS REQUIRED FOR THIS PROJECT (City Use Only) SOILS* 1:1 START OF WORK 13 EXCAVATION A GRADING 1:1 SHORING INSTALLATION & MONITORINQ4 [] PROOF ROL.LING EIPLACEMEN I i OF FILL A CO . MPA.CTION SUBSURFACE DRAINAGE1 VERIFY SOIL BEARING 13 PILE. PLACEMENT 1:1 EROSION CONTROL IGENERAL SITE MONITORING BY THE ]GEOTECHNICAL ENGINEER OF RECORD EGENERAL SITE M ONI TORING BY THE IGEOTECHNICAL ENGINEER OF RECORD -DURING WET WEATHER CONSTRUCTION FINAL GRAQING A FIELD REPORT DOTHER E]PLACEMENT OF REINFORCEMENT 13 PLACEMENT OF CONCRETE 13 BOLTS INSTALLED IN CONCRETE [:]STRUCTURAL MASONRY [:]STRUCTURAL STEEL ERECTION OHIGH STRENGTH BOLTING 11 WELDING (WASO CERTIFIED' ONL Y) 13OTH ER PL&N 'PuRCK APIP . LICANT �5/ DATZ RSCSIVZD 9-,121z9 BUILDING CONSTRUCTION INFORMATION CODE EDITIONS 1997 Us C, UMC, UPC. WSEC. VIAG WITH AMENDMENTS DESIGN CRITERIA WIND EXPOSURE 8 WIND SPEER 80 MPH SEISMIC ZONE 3 Flo . or Live Load 4-0 Final Snow/Live Load -1!5: Balcony Live Load / db Floor Dead Load_j Balcony Dead Load .Q Root Dead Load _Id> NUMBER OF STORIES BASEMENTS FLOOD ZONE LOT SLOPE %—,4T . SOILS REPORT PROVIDED 0 YES M NO FLOOR AREA IMEASUREID TO EXTERIOR FACE OF EXTERIOR WALL) Existing Proposed in 5? 1 Total t-7 S- I Living SPACS 1:�2 Garage Carport �a) C4 Dock/Covered Parch other ENERGY CODE COMPLIANCE INFORMATION FUFL TYPE 19 GAS, OIL 1:1 ELECTRIC 11 OTHER M FORCED AIR C]HEATPUMP []HYDRONIC OOTHER r.Nggny COD[ uFTHOD OF COMPLIANCE hK PRESCRIPTIVE: List Option # 2T,— FOR CITY USE ONLY Uj- TARGET UA APPROACH: Provide UA Calcustions Collins Insulation El SYSTEMS ANALYSIS: Provide . Computer Analysis Wall Iftsulatl an El Floor Insulation Iz- I� I [a Door U-Valus Window U-V&II1 ENERGYIVENTILATION WORKSHEETS PROVIDED Skylight U- Val. WINDOW SCHEDULE PROVII)ED Glazing % -Q1 VENTILATION CODE COMPLIANCE INFORMATION KITCHEN FAN CFM 1,60 BATHROOM FAN(S) CFM SD LAUNDRY FAN CFM LM IUSE VENTILATION SYSTEM 0 EXHAUST OPTION FRESH AIR TO BE PROVIDED TO WINDOW VENTS %,k WALL PORTS EACH HABITABLE ROOM WITH: FXIf,AUST-FAN TO BE CONY ROLLED -WiTH'24-HOUR TIMER AND StZED AS FOLLOWS: 13 1 - 2. BEDROOMS: 60 - 76 CFM 0 4 BEDROOMS: 100 - 150 CFM 0 3 BEDROOMS: 80 - 120 CFM 0 5 BEDROOMS: 120-180 CFM KVAC INTEGRATED OPTION f-JDFDICATED HEAT RECOVERY VENTILATION OPTION SEPARATE PERMITS (City Use Only) ORIGHT' OF WAY CONSTRUCTION PERMIT OMECHANICAL PERMIT 0ENCROACHMENT PERMIT OPLUMBING PERMIT EISTATE ELECTRICAL PERMIT 0 WATER METER 0FE9CE PERMIT 0 SIDE SEWER PERMIT 0 RESIDENTIAL FIRE SPRINKLER PERMIT 0 IRRIGATION (SPRINKLER SYSTEM) 0 OTHER 0 OTHER 11 Any request for Modification, Variance of other administrative deviation therinallor -v*-) I must be specifically Called out and identified. Approval of Any Plot Of Pion 90014111.100 111 no which do not Comply With in@ City Code and 'at Which a Varian" has no' been &P@Clflgaliy identified, requested and Considered by the APP(OPFISIS City OIIIC'Sl In 866010&06@ With 'he pplopriste provision of city code Or state law does not approve any Items not to code :Pecillcation. Aur a PERMIT ISSUANCE zo�Ir z OVA.L PLANNING REVIEW III APPROVAL CONDITIONS OF APPROVAL: Use Only) DAIS ENGINEERING REVIEW & APPROVAL CONDITIONS Of APPROVAL: DATE BUILDING,RZVIZW At APPROVALS:��'.�-- C014DIT10146 OF APPROVAL: ATE 3)-7 if