19702 88TH AVE W.PDFIIIIIIIIIIII
8422
19702 88TH AVE W
The City of Edm 'Ts EET FILE
ond
APPLICATION
for
SUDE SEWER PERMIT
NEW CONSTRUCTION El REPAIRS
EASEMENT No . ..........................................
OWNER ..... .......... . ......... T11 � , /
............ ................................. CONTRACTOR ....................................................... PERMIT No.
ADDRESS .............. ............ k� . ........................... LEGAI, DESCRIPTION: LOT No...-/ ..... ................................. BLOCK No. ..../ ............ I ......................
NAME OF ADDITION ... �z ... - -------_-_--
�r . . ......................................
XOPROVED
1) L; b
Approved:
DATE.... ............................................ 13Y --- Z.
CITY OF EDMONDS
CIVIC CENTER WATEA-SEWER DEPARTMENT Call PROSPOct 6-1107 when work
Is ready for inspection. sp
SIDE:, SEWERPERMIT tions Saturday, Sunday or booll(n]"Mg), N2 3489
ADDRESS ........
U.-th .. Avenue ... j�e�Vt
......................................................................
OWNERT�L ........................................
_y r ........ _ .............. —CONTRACTOR .................... Sani
Permission is granted ................ ............. S.gfe ......
19 --- � 9., for --------------------_-- days to' REPAIR or CONNECT aside seiver
With City Sewers in accordance with application oil file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The Owners of the property may obtain EL Permit to construct sewer inside property line. A licensed
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has bee Side Sewer Contractor must
n Inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when You get Permit.
NOTE No. 3—Top Of side sewer must have at least 30 inches coverage at property line and 12 Inches Inside property line; minimum grade of 2%.
NO heads in grade sharper than Ys will be permitted.
failure due to improper worl, whJch may develop within one Year of completion.
NOTE No. 6-1t is unlawful to alt I
NOTE No. 4—Trenches in street must be water settled and surface Of street restored to original condition. Contractors shall be respdnsib e for
er or do any other work than Is provided for In the permit, or to do any work on the main sewer or Its appur.
tenances except to insert the pipe Into, the wye.
9c?
CITY OF EDMONDS
8 9 0 1 9 c�
SIDE SEWER PERMIT
'� 0 3943
PERMIT I
_T1111
I
Address of Construction: 112703� F — 1A2.
Property Legal Description (Include all easements): P5CF.1VF_D
JUN 1 9 1998
PUBLIC WORKS DEPI
Owner and/or Contractor: j),"anx, ---r. I pft a J a e— ZA cr - _GIA r C—n Vk�j� 1A CJIQ�CCC�1124�4
State License .�o. -AC-5:5— EC—C;ZDT&C Building Permit No.
Single Family Invasion into City Right -of -Way: R No 0 Yes
0 Multi -Family (No. of Units—) RW Construction Permit No.
El Com�nercial Cross other Private Property:R No 11 Yes
13 Public Attach legal description and copy of recorded easement
1 certify that I have read and shall comply with all city requirements D
as indicated on the back of the Permit Card.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
PERMIT MUST BE POSTED ON JOB SITE
If.
White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3190
TL r: 9 CA rsA Side Sewer Drawing
lu NY 5911W a EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRSjR LID NO . .................. ASMT. NO . ..................
OWNER................................................................................................ CONTRACTOR .................................................................................... PERMIT NO.
.............
JOB ADDRESS ... ................................ LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
. ...... .......... ----
31
110
P. Y. (
.................................................................................................................................................. I ...............
NAMEOF ADDITION ----- .................................................................................................................
8, D. A
ec C&14#4&#--- -ro e," NC-
6 1
11. 1 1 10, D.P.
88'r-4 AVE W.
Approved:
N
PWW-0001-1 1/75 (REVA 1/78) DATE ....... ............ . . ....... 0j..u~
... ... . ... ... ........... 6 ............ ..........
ED
City of Edmonds
. . . . . . N tP
Development Services Department
Planning Divisio * ri
Phone: 4i5:111.0220
Fax: 425.771.0221
CRITICAL ARVEJAS 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
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 surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
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 assist 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:
WIX;"—M�5. J.11T
- of,
- I q 76 z- Zlt� ag
Street Address
City State Zip
((( 7— �)
Telephone
Signature
Date
Applicant Representative:
f4ame lo
50 /(Ve-1011 'Sf-
Street Address
Z- yw &tWJ - &4. -- q !z
city State Zip
�qj.s-) �!-7 / 3 3 2
telepho—ne
Signature
q - 2-z-- 06
Date
d:reception/jana/CACLHandout.doc Revised 4/10/2000
CA FILE NO.
Critical Areas Checklist
------------------------------------ : ---------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: Lq 70 2- ay -A q S6 Z
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 I 0-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
I 0-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 distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: M ; Approx. Depth:
7. Site contains areas of seasonal standing water: A19 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 seasonaI2=.-----------kVAwt time of year9
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) Al
DETERMINATION
^ca_chk.doc; Re� 10103197
CAFILENO.
Critical Areas Checklist
------------------------------------ : ---------------------------
Site Information (soil s/topography/hydrology/vegetation)
1. Site Address/Location: Lq 70 '4111C- /Ij.
2. Property Tax Account Number: ng -6 7Z-
3. Approximate Site Size (acres or square feet): 3 4A
4. Is this site currently developed? A 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 I 0-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
I 0-feet over a horizontal distance of 33 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: 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 seasonaLZr.-----------JW4iat time of year?
10. Site is primarily: forested meadow ;shrubs ;mixed
urban landscaped (lawn,shrubs etc) /11!e
6EMMINATION
',A_chk.doc; Rev 10/03197
ED
City of Edmonds
,X:K
X..., . . . . . . ....... ....... 10
Development Services Department
Planning Division'
XXX....
Phone: 4 . 71.0220
Fax: 425.771.0221
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept: C)
CitpRpttipt No, -.I* *" -� -
4(.a -�>e) �z
Date Mailed to Applicant: f
.: CRITICAL A"REJAS 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
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 surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, alongwith 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 assist 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 (till out the appropriate column below).
PLEASE PRINT CLEARLY I
Owner/Applicant:
� A x 9 - After
M76z EVA
Street Address
-4
City State Zip
N (-:7 2
Telephone
Signature
Date
Applicant Representative:
Daoex, Doce (aArqnr"O,
Name /0 q Is t- sci
Street Address
city State Zip
�qj.s-) �� / , 3 3 Z
'Telephone
Signature
Date
d:reception/jana/CACLHandout.doc Revised 4/101200o
YDATERECEIVED
ao - cx) PERMIT EXPIRES
CITY ;F EDMONDS
USE PERMIT
ZONE
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS
7 C�
-OWNER NAME/NAME OF BUSINEJS
in a
PLAT NAME/tUBDIVI SION NO.
LOT NO.
LID NO.
LID FEE $
CC
W
0
MAILING ADDRE!ff
I 9� b .2 �n
f�, I
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING PROPOSED
REQUIRED DEDICATION- FT
TESCP Apprtr�ed 0
RW Pemft Required C3
Street Use Permit Req'd (3
Inspect on Required Q
Side=k Required 0
Underground
wiring required 0
CITY ZIP
f r,
SO
TELEPHONE
19 z s'- 6-re oos
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRWREOUIRED
YES, CI NO
W
W
ADDRESS
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
z
z
a
z
W
CITY ZIP
TELEPHONE
NAME
p�__
ENGINEERING REVIEWED/DATE
ADDRESS
10 3(y— 1�e(� f (W
IX
fo_
0
FIRE REVIEWED BY DATE
U)
W
u.
Cl Y
.5 z()69
TELEPHO�E 1-4,
1
C -12 � -)�(
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
RE9:Dj
[]YES A NO
-
BOND
POSTED
STAThIIN61E NUMBER EXPIRATION
7v
L CHECKED
C)
BY
SEPA REVIEW
COMPLETE EXEMPT
EXP
SIGN AREA
ALLOWED PROPOSED
HOGHT
PRC
ALLOWED )POSED
--j
Uj
PROPERTY TAX ACCOUNT PARCEL NO.
�9%3
gr NEW RESIDENTIAL 11 PLUMBING MECH
[3 COMPLIANCE OR
C:] ADDITION C] COMMERCIAL
CHANGE OF USE
F1 REMODEL 0 APARTMENT El SIGN
C3 GRADING C3 FENCE
F1 REPAIR CYDS FT)
X
LOT COVERAGE
ALLOWED PROPOSED
9,z)
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
1 112,1 1
-7
PROPOSED SETBACKS (FT.)
FRONT UPSIDE REAR
1411 1 1 1
11/1z 115
z
i
z
:5
0.
PARKING I
REO'D I PROVIDED
LOT AREA
IP7 G� REV EWE�BY�� ATE
/H,
REMARKS
C3 DEMOLISH [3 " TANK 0 OTHr) ,
z
r-
o GARAGE ROETAIERING WALL Ej RENEWAL
CARPORT R CK Y
dFT)
(TYPE OF, USE, BUrLINESS OR ACTIVITY) EXPLAIN:
CHECKEDBY
TYPE OF CON STRULTION
CODE OCCUPANT
GROUP
C(71
NUMBER
OF
STORI
NUMBEROF
DWELLING
UNITS
CRITICAL
AREAS
NUMBER
W
0
8
0
SPECIAL INSPECTOR
REQUIRED C] YES
JAREA OCCUPANT
urcx LOAD
2
DESCRIBE WORK TO BE DON!4_
r
CL,f CL in tz_V�L
REMARKS
IOGRESS INSPECTIONS PER UBC 108/FINAL INSPECTIO N RECI'D
0
CA o" 0
to
A -,--) V, J . <z_L
VALUATION
FEE
PLAN CHECK FEE
-7k 2`3
HEAT PIC GLAZING % LOT SLOPE %
I :>�
BUILDING
Lit> q..
PLA K N�k VESTED DATE
PLUMBING
MECHANICAL
_6
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
SEPARATE PERMISSION.
STATE SURCHARGE
uj PERMIT APPLICATION: 180 DAYS
CIL PERMIT LIMIT'. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
to 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
i
'TAMOSCAfING
I
2 EDMONDS, WASHINGTON, TS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
JUW=14�E --Z;�
,C
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
:�.
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLA14 CHECK DEPOSIT
'Zk 00
DEEMED TO MODIFY, WAIVE OR REDUCE ANY.9EQUlREMENT. OF ANY,CITY ORDINANCE
i ii: d
0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO.ERF AdEXNY`6AlJINACE PROVISION.-
TOTAL AMOUNT DUE_
R CfIPT
Pn
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECTAND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or histher Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOR 90M--RF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION A receipt is acknowledged in space provided.
WORKMEN'S C�!�FEf,5�ATION IfURANCNAND RCW 18.27.
OFj1dALS SIGNATURE DATE
S AT RE (0 R LRA NT DATE SIGNED
(425)
-7-1
771-0220
L&V1A-" 22'�
DATE
ATTENTION'
EXT/333
IT IS UNLAWFUL TO USE OR OCCUPY A PUILDING OR STRUCTURE UNTIL
771-0221
C
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORIGINAL - FILE YELLOW - INSPECTOR
PINK -OWNER GOLD - ASSESSOR
5/98
Ov. Lnko
0"
CITY OF EDMONDS
SINGLE FAMILY ADDITION /REMODEL COV
Fc
Directions: Applicants are to complete the information in the WHITE BOXES ONLY (Shaded boxes are for i#Znly).
This cover sheet must accompany each building permit application for a single-family residential addition/remodel project.
PLAN CHECK::#
.,�APPLICANT=a�
DATE RECEIVED,,
�`PROJECT ADDRESS 101 02� ga+--- A�_�
PROPERTY TAX ACCOUNT PARCEL # rc:)
DESCRIPTION OF WORK
OWNER
CONTACT PERSON7\�)(5, u v PHONE
E-MAIL
MAILING ADDRESS 16-4^ —
PHONE (o_72-'�QS2S
FAX —7 C—L-4% —
k am
L
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 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 THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY
DOCUMENTATION IN ORDER TO MAKE A COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED.
SIGNATURE DATE-
26 h IN Gil N FOR MA:TION
L:\temp\building\forms\Add-rvw.vsd -- 7/00
V70 lb
BUIL INd C6NSTRUCT16k.IN FORMATION,-.:
.CODE: E,I)ITIONW: !:
1997 UBC, UMC, UPC, WSEC, VIAQ WITH AMENDMENTS
-DESIGN CRITERIA WIND EXPOSURE B WIND SPEED 80 MPH
Floor Live Load
Floor Dead Load
NUMBER OF STORIES
LOT SLOPE %
Roof Snow/Live Load
Roof Dead Load
BASEMENTS
SOILS REPORT PROVIDED
f
FLOOR AREA.
(Mea�urecl-to at o, exterior Wall)-:', .
Existing Proposed Total
Living Space
Garage
Carport
Deck/Cov. Porch
Other
_zz-D z7z -
SEISMIC ZONE 3
Balcony Live Load
Balcony Dead Load
FLOOD ZONE
11 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 (City U-s
PIANN'ING REVIEW & APP�k'O'V
DAT
ONDITIONS OF: APPROVAL:.....'
ENGINEERING: REVIEW, APPROVAL:-.-.::
DATE:
CONDITIONS.,OF APPROVAL::'.,"...
BUILDING: REVIEW, VA
.APPRO
DATE
NDITIONS,�OF, APPROVAL
CITY OF EDMONDS
SINGLE FAMILY ADDITION /REMODEL COVER SHEET
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.
#
APPLICAN
DATE RECEIVED
PROJECTADDRESS
PROPERTY TAX ACCOUNT PARCEL # C) 2-
DESCRIPTION OF WORK
OWNER PHONE
CONTACT PERSON -2
PHONE X<:�
E-MAIL FAX —7
MAILING ADDRESS 10'2y,�, —I( C44-;,, S(j ) / ,
_j jA L^ t_
L
FAX CORRECTIONS MAIL CORRECTIONS E -MAIL CORRECTIONS
BY PIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. I T 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 THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY
DOCUMENTATION IN ORDER TO MAKE A COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED.
SIGNATURE
DATE- t Cr
ZONING INFORMATION
ZONE LOT AREA
NUMBER OF DWELLING UNITS EXISTING DEMOLISHED PROPOSED
CO —
DISCRETIONARY APPROVALS CA IS�9 Determination Wc,_j SUBDIVISION CU
VARIANCE SHORELINE SEPA Expires OTHER
LOT COVERAGE INFORMATION
EXISTING SF PROPOSED SF TOTAL SF %
HEIGHT CALCULATION INFORMATION
DATUM A 160 8 00, C-01 D .100.
AVE MAX ACTUAL i
SETBACK INFORMATION
REQUIRED FRONT SIDE -7 '/2 SIDE REAR
FRONT SIDE SIDE REAR
NO. FLAG L . OT []YES []�NO' ST. DEDIC, []Y'ES NO FT.
CkR.;LOT Y . ES, :
ADU—STATEMENT REQUIR
ED YES NO RECORDING #
STAFF COMMENTS:
L:Xtemp\building\forms\Add rvw.vsd 7/00
two. INEERING . IN . FORMATIO . N
DRIVEWAY SLOPE % GRADING CYDS EASEMENTS
EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SO.FT
EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SQ.FT.
PROPOSED NEW NET IMPERVIOUS SURFACE SQ.FT.
.(City Use OnLg
SIDEWALK REO'D YES NO DRAINAGE PLAN RE01D YE NO LID#
S
UNDERGR O*UND WIRING REO'D []YES []NO STREET DEDICATION' FT.
STAFF COMMENTS:.
BUILDING CONSTRUCTION INFORMATION,
CODE EDITIONS 1997 UBC, UMC, UPC, WSEC, VIAG 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 FLOOD ZONE
SOILS REPORT PROVIDED 1:1 YES
FLOOR AREA (Measured to face of exterior wall)
Existing Proposed Total
Living Space
Garage
Carport
Deck/Cov. Porch
Other
-zib . �
1:1 NO
(City Use OnLyj
Ceiling Insulation Window U-Value
Wall Insulat ion Skylight U-Value
Floor Insulation Glazing.%
Door U-Val'u'e' Slab Insulation
Energy: Pr escriptive [I Target 0 Systems
Whole House Ventilation'ftstem Req'd 0 Yes 0 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 (City
PLANNING REVIEW & APPROVAL DATE
CONDITIONS OF APPROVAL:
ENGINEERING- REVIEW &APPROVAL DATE'
CONDITIONS OF APPROVAL:
BUILDING REVIEW & APPROVALC�,A "a
DATE.
..,-CONDITIONS OF, APPROVAL: