548 HOLLY DR.PDFIIIIIIIIIIIIII
11727
548 HOLLY DR
OR ys
CITY OF EDMONDS
18 9 0 1 9��
Address of Construction:
SIDE SEWER PERMIT
PERMIT N 0- 8 9 19
EDMONDS
'rREATMENT ,,
Property Legal Description (Include all easements): Oft it.-
�� 4� J VE r)
148
"J80C Wn.,,,
Owner and/or Contractor: BM -2-
State License No. k M ?—C ic I sok'A Building Permit No. on
21"Isingle Family Invasion into City Right-of-.Way:/No. /-Yes
0 Multi -Family (No. of Units—) RW Construction Permit Noe
Commercial Cross other Private Property: " No 11 Yes
Public Attach legal descriptif ?nand copy of recorded easement
'0'
I certify that I have read and Wall comply with all city requirements
as indicated on the back of the Permit Card.
011:21he
Date
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE
FOR INSPECTION CALL PUBLIC WORKS DEPT.
G o'. 0Q) _7_7/_0V_A,,3S_
Permit Fee: - Issued By - . uk"
Trunk Charge:_- xa Date Issued: I �_+\ Cl\ 9
Assessment Fee: Zr Receipt No WOK
Lid No.: —
Partial Inspection: Date —Initial —
Comments
Reason Rejected: Date —Initial —
Final Inspection Approved: Date�_Z2E �-InitiaK!_'
PERMIT MUST BE POSTED ON JOB SITE
I,
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
N
The City of Edmonds
Side Sewer Drawing
EASEMENTNO . ............................................ 'I
NEW CONSTRUCTION F] REPAIRS f--1 LID NO . .................. IASMT. NO . ..................
OWNEF . ...... rAN ....... &�ntq-ft .................................................. CONTRACTOP L ..... fn.f��;t.-Z ......... Co .............................................. PERMIT NO.
JOB ADDRESS ........ 5.9.� ........ 1.40 � 1-Y --------- jw�- . ............................ LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
r-, - --- --
Con cr e- 4-c-
PWW-0001-11/75 (REV.11/78)
.......................................................................................................................... . .........
NAME OF ADDITION ................ ..............................................................
r\ Li " c,>n c - x 'i , PL 1--ern cc>
(\
tj e-,r-
on
0n)j 0-r�Ner ISC4,JCP CIMLJII-�j
wr_�> bye- 4-c�,+-cJ on Se0eP
1/\ jq-73
Approved:
DATE ... a/a4il ................... B, ..-. ............
--------------
IS 0.24 S. 0.24 E. or PW C04.
w PROP. LM
74
or PAW. unt
HEIGHT CALCULATIONS
NOTE: DATUM POINT IS WATER ME;TER_AT HOLLY DRIVE.
HEIGHT OF EXISTING 1272.45
DE;JELOO.'�ENTSERVICES CIS.
CiTk� OF EDMOi�u,3
Fi(
r b. A -, Inv DU
yak
[ON DATUM ELEVATION
.100
102.7
98.7
95.7
100.7
99.45
117.15
124.45
Water Service Drawing
The City of Edmonds
EASEMENTNO . .....................................
NEW CONSTRUCTION REPAIPS LID NO . .................. . ASMT. NO . ..................
OWNER................................. ..... .................................................. CONTRACTOR ........................... ............... ............... ...... PERIOIT 1,10. .0.80\07-
'5-+S k4olly'DA
JOBADDRESS ....... ........................... I .......... ................................ LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ...............................
.......................................................... ............. I ................................................. 2.115.116.
.. .................. R. .0 - - - Ift-
1(,-- 115, -4
C C=b W
X-j 8 a
0 40 is
L
tip
&-Jul
. L- .1 LU
814.2
09 Uj
-MM �j3 A
"I.-
F
45 j d
0 t. i
=
I SO co -2
,z-
Approved: '. -3 -7-0 - okb _T_�-
PMV-00W-11175 (REV.1, 1178)
DATE............................................ By ............................................................
Date: 9/06/00 BeamChek 2.2
Choice (2) 2x 12 HF #2 BASE Fb = 850 ADJ Fb = 978
Conditions '91 NDS
Min Bearing Area R1= 1.9 in 2 R2= 1.9 in 2
Data
Attributes
Actual
Critical
Status
Ratio
Values
Adiustments
Loads
Beam Span
7.0 ft
Reaction 1
764 #
Beam Wt per ft
8.2 #
Reaction 2
764 #
Beam Weight
57 #
Maximum V
764 #
Max Moment
1336'#
Max V (Reduced)
559 #
TL Max Defl
L / 240
TL Actual Defl
L / >1000
section (in:,)
Shear (in2)
TL Defl (in)
63.28
33.75
0.03
16.41
9.72
0.35
OK
OK
OK
266/6
29%
7%
Fb (psi)
Fv (psi) E (psi x mil) Fc-L (psi)
Base Values
850
75 1.3 405
Base Adjusted
978
86 1.3 405
CF Size Factor
1.000
Cd Duration
1.15
1.15
Cr Repetitive
Ch Shear Stress
Cm Wet Use
BeamChek has automatically added the beam self -weight into the calculations.
Uniform TL: 210 =A
Uniform Load A
R1 764 R2 = 764
SPAN = 7 FT
Uniform and partial uniform loads are lbs per lineal ft.
O,F E D _4f
CITY OF EDMONDS
%.# I.-
RECEIVF-D
ENERGY & VENTILATION DEVELOPMENT SERVICES CTR-
CITY OF EDMONDS
RESIDENTIAL COMPLIANCE WORKSHEETS,
PRESCRIPTIVE APPROACH
St. I
PLEASE COMPLETE THE FOLLOWING ENERGY AND VENTILATION WORKSHEETS AND
SUBMIT TWO (2) COPIES WITH YOUR BUILDING PERMIT APPLICATION.
DATE CONTACT PERSON:
PROPERTY
PROPERTY
JOB TYPE Lj New 14 Addition Dr�emodel
HEATED FLOOR AREA Existing New Total
OCCUPANCY Or Single Family E] Multi-Fa.mily #Units
HEATING BY XGas Electric
El Other
FOR OFFICE USE ONLY
PLAN REVIEW # DATE OF REVIEW co
GLAZING SQ.Fr. ACTU AL GLAZING
MAXIMUM GLAZING % -2 1( '?Q COMPLIANCE OPTION— -TV-
WHOLE HOUSE VENTILATION SYSTEM TYPE:
MANUAL PORT1WINDOW VENT WITH EXHAUST FAN
INTEGRATED FORCED -AIR FURNACE WITH EXHAUST FAN
COMMENTS: -,nV &0 e-6 u5au
-A
ENERGY.DOCAN07/96 .146
WINDOW SCHEDULE WORKSHEET
Complete the following form and submit one copy with each set of
Plans. The information shown on this worksheet must
correspond to the windows shown on the planL Include rough ovening,of all windows, skylights, P-lass block. Doors with
more than 50% PJazing must also be shown. The rough opening is the framed dimen
door, etc. . . Sion prior to insta . Ilation of window,
ENERGY.DOCAMB7/96
VAPOR BARRIERS shall be installed toward the warm surface as represented below:
Select one option for floors, walls, and appropriate ceilings:
Floors: Face stapled Unfaced insulation with
batt insulation El
polyethylene (4 mil)
PVA not permitted
Walls: Face stapled Unfaced insulation with
batt. insulation D
polyethylene (4 mil)
PVA paint El
Ceilings: Face stapled Unfaced insulation with
insulation El
batt polyethylene (4 mil
PVA paint
NOTE: Vapor Barrier not required where ventilatio . n space averages 12"
I
or greater above the
insulation
SLAB INSULATION shall be R-10 minimum and be located on the: F-Werior Interior
(See page 8 for slab insulation examples)
INSULATION EXAMPLE
Insulation values for Prescriptive Compliance Method using
I Option 6 for Electric Heat and Option 4 for Gas Heat
INSULATION BAFFLE
TOALLOW
VENTILATION
CEILING INSULATION: -**
ELECTRIC HEAT = R38
GAS HEAT = R-30
WALL INSULATION:
ELECTRIC HEAT = R-21
GAS HEAT = R-19 I
BATTINSULATION FLOOR INSULATION:
FACE STAPLED
ELECTRIC HEAT = K-30
GAS HEAT = Rig I
=1111 I CRAWL SPACE
6 ML VAPOR
BARRIER
BATT INSULATION
FACE STAPLED
ENERGY.DOCAlvM/96 A
VENTILATION WORKSHEET
EACH DWELLING UNIT SHALL BE EQUIPPED WITH SOURCE SPECMC AND WHOLE HOUSE
VENTILATION SYSTEMS.
SOURCE SPECIFIC VENTTLAT71ON: Exhaust fans are required in each kitchen, bathroom, laundry
room, indoor swimming pool, spa, and other room(s) where excess water vapor or cooking odor is
produced. Complete the following table:
I:f
WHOLE HOUSE VENTILATION: Each dwelling unit shall be equipped with a whole house ventilation
system supplying outdoor air to all habitable rooms and exhausting stale air out via a designated fan.
Complete the following questions and table: Not applicable for additions less than 500 sq.
it
FRESH AIR SHALL BE PROVIDED FOR EACH DWELLING UNIT AS FOLLOWS
(choose one):
E] MANUAL THROUGH -WALL PORT OR WINDOW VENT TO THE EXTERIOR (min. 4
sq. in.), tested, screened, and controllable. One required in each habitable room. Provide
manufacturer's specifications.
INTEGRATED FORCED -AIR FURNACE VENTILATION which delivers 'outside
makeup air through the duct system.
A WHOLE HOUSE EXHAUST FAN MUST BE PROVIDED FOR EACH DWELLING UNIT AS
FOLLOWS:
ENERGY DOCAMB7/96
RECEIVE
DEVELOPMENT SERVICES CTR.
CITY OF ED,%4OoL,3
CITY OF EDMONDS
ENERGY & VENTILATION
RESIDENTIAL COMPLIANCE WORKSHEETS
PRESCRIPTIVE APPROACH
%
PLEASE COMPLETE THE FOLLOWING ENERGY AND VENTILATION WORKSHEETS AND
SUBMIT TWO (2) COPIES WITH YOUR BUILDING PERMIT APPLICATION.
DATE CONTACT PERSON:
PROPERTY
PROPERTY
JOB TYPE Lj New Addition PrRemodel
HEATED FLOOR AREA Existing 1?0 New Total
-34 3 to R
OCCUPANCY j4Single Family Lj Multi -Family
HEATING BY XG.. Electric 0 Other
FOR OFFICE USE ONLY
#U.nits—
PLAN REVIEW # (7) (P5 DATE OF REVIEW C/Ag Inf)
GLAZING SQ.Fr. ACTUAL GLAZING %_ 4/ 510.
MAXIMUM GLAZING % COMPLIANCE OPTION —
WHOLE HOUSE VENTILATION SYSTEM TYPE: NIP<
MANUAL PORT1WINDOW VENT WITH EXHAUST FAN
INTEGRATED FORCED -AIR FURNACE WITH EXHAUST FAN
"1-,? /1 ton A A
COMMENTS:
ENERGY.DOCAMB7/96
WINDOW SCHEDULE WORKSHEET
Complete the following form and submit one copy with each set Of plAnL The information shown on this worksheet must
correspond to the windows shown on the pl&nL Include rough opening of all windows, skyliebts, 21ass block Doors with
more than 50% PJ ing must also be shown. The rough opening is the framed dimension prior to installation of window,
door, etc.
mg, �iR
E �0' NO I
011"*M
/Y
q
Q4
IyIL(
1A jlkdQu
r
&_66i2ol h�sz
TWA Glazing
Area (rough openings)
Total Glazing Area (rough openings) Sq.FL
Total Heated Floor Area
Sq.Ft.
Actual Glazing Area Percentage (Line A divided by line B x 100)
%
Maximum Allowed Glazing Area Percentage (detennined by compliance option -
sm revene charts) %
ENERGY.DOCAhdB7/96
VAPDR BARRIERS shall be installed toward the warm surface as represented bel . ow:
Select one option for floors, walls, and appropriate ceilings:
Floors: Face stapled Unfaced insulation with
batt insulation polyethylene (4 mil)' El PVA not permitted
Walls: Face stapled Unfaced insulation with
batt * insulation polyethylene (4 mil) PVA paint
Ceilings: Face stapled Unfaced insulation with
batt insulation P polyethylene (4 mil PVA paint
NOTE: Vapor Barrier not required where ventilation space averages 12" or greater above the
insulation
SLAB INSULATTON shall be R-10 minimum and be located on the: E] F-7derior El Intetior
(See page 8 for slab insulation examples)
INSULATION EXAMPLE
Insulation values for Prescriptive Compliance Method using
Option 6 for Electric Heat and Qption 4 for Gas Heat
INSULATION BAFFLE
TOALLON
VENTILATION
CEILING INSULATION:
ELECTRIC HEAT = R38
GAS HEAT = R-30
WALL INSULATION:
ELECTRIC HEAT = R-21
GAS HEAT =. R-1 9
aATTINSULATION FLOOR INSULATION:
FACE STAPLED ELECTRIC HEAT = k-30
GAS HEAT = R19
=IIIH CRAWL SPACE
0 MIL VAPOR
BARRIER BATT INSULATION
FACE STAPLED
ENERGY.DOCANM7/96 3
VENTILATION WORKSHEET
EACH DWELLING UNIT SHALL BE EQUIPPED WITH SOURCE SPECIFIC AND WHOLE HOUSE
VENTHATION SYSTEMS.
SOURCE SPECIFIC VENTILATION: Exhaust fans are required in each kitchen, bathroom, laundry
room, indoor swimming pool, spa, and other room(s) where excess water vapor or cooking odor is
produced. Complete the following table:
WHOLE HOUSE VENTILATION: Each dwelling unit shall be equipped with a whole house ventilation
system supplying outdoor air to all habitable rooms and exhausting stale air out via a designated fan.
Complete the following questions and table: Not applicable for additions less than 500 sq.ft
FRESH AIR SHALL BE PROVIDED FOR EACH DWELLING UNIT AS FOLLOW . S
(choose one):
MANUAL THROUGH -WALL PORT OR WIND OW VENT TO' THE EXTERIOR (min. 4
sq. in.), tested, screened, and controllable. One required in each habitable room. Provide
manufacturer's specifications.
INTEGRATED FORCED -AIR FURNACE VENTILATION which delivers outside
makeup air through the duct system.
A WHOLE HOUSE EXHAUST FAN MUST BE PROVIDED FOR EACH DWELLING UNIT AS
FOLLOWS:
NVHOLE HOUSE FAN (Choose one)
1-2 Bedrooms: 50 CFM
3 Bedrooms: 1 80 CFM
4 Bedrooms: 100 CFM
5 Bedrooms: 120' CFM
ENERGY.DOCAMB7/96
CA FIIX NO
Critical Areas Checklist
V
Site Information (soils/topography/hydrology/ egetation)
1.
Site Address/1,ocation:
2.
Property Tax Account Number: 72;-:�>
3.
icpu
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.
XRolling: slopes on site generally less than 155ro (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 30% present on site (a vertical rise of 10-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: . AZ�2 Approx. Depth:
What season(s) of the year?
8.
Site is in the floodway floodplain of a water course.
9.
Site contaips. a creek or an area where water flows across the grounds surface? Flows are year-
Flows
round? are seasonal? /4/0 (What time of year?
10.
Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc X
11.
Obvious wetland is present on site:
PLANNING DATA
NAME: -
SITE ADDRESS:- r 01- DATE:
ZONING: 46 PLAN CHK#:
PROJECT DESCRIPTION: 'evy aeen�e
CORNER LOT --,A/ —(Yes/No)
SETBACKS:
FLAG LOT (Yes/No)
Reguired Setbacks:
Front: d Left Side: Right Side: Rear:
Actual Setbacks: -
-A�* 115*9: j ?—L41i Side: Side:
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED d (Y/N)
LOT COVERAGE:,
Maximum Allowed: Actual:
A
BUILDING HEIGHT: STREET
Maximum Allowed:— A!!� Actual Height:
Datum Point: Datum Elevation:- Z
.42
A.D.U. CREATED?: 4-1P
SUBDIVISION:
CRITICAL AREAS #: v- //f2
SEPA DETERMINATION:
LOT AREA: 16, Kid
OTHER:
.L/ -.
clo
F I
10 -
ILI
aw
5TH AVE
I I
ci d
11 2� 141 :4
I :!) a 119
I � j 6
4� o
0 P
04
fit' Q4
.6.
C=l::.lL..l7 10.
*JOHN MARGE HAMPTON
z
.94
m
LLJ
01
cc
0-
0-
occ
890-199-
City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on
this form is to be filled out. by apy.per$pn,
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.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
w7,�7 a4dl
�ac 47%1�16 )�
Street Address U
City, State, ZIP Phone
Signature
Date
Applicant Representative:
Name
6!�CV(4 lvf-,
Street Address
City, State, ZIPf Phone
I
R M.,
7L
PA: I
wl I of Iff
SANOIAR)
o0co C)
n
Pi
POINI
Pt KAKAII.
"Pk
SIIIA )COMA
Ab
Orolfa C
S qFF MP
192K
ST
sl
20:
FAR,
- *� Am 1;
sl
st
1 7
'NW- NW. 25
01\10, 9/
XO X.0
-39
53
YOLLtY Dripa
%L /3j- "W . . ... SAO
4" If
pov
@9
(44,3
9q,
f04
404
B 14-S-7
�7)
WOMELAND Drive
JAO
1. firs
AD PITION JVO- 2.
17
sx, 97
P6 2-947
71 'At
a 0,
e SIV
1. f,
17900
77
M --I -A544
10 :>
867301
ljo
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n(,g
07�
-
(71)
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703
704
5 IS
1
MEMORANDUM
BRT ARCHITECTS
2006 NE Ravenna Boulevard
Seattle, Washington 08105
Phone: 206.524.250 Fax: 206.628.1104
To: Date: -/'—
Project:
Phone:
Fax:
Pages including cover:
Re:
7/�VVP�11 1&5147e,C�
I am sending you the following attachment for your review and comment.
These notes are an accurate account of our discussion to the best of my knowledge.
Action required as indicated
W
Pr
By: Betty R. Torrell Copies to: VVI/
7" 7
If any part of this facsimile is not clear and readable please notify me at, 206.524.2559
APPLICATION
for
The City of Edmonds SIDE SEWER PERMT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
lc�� —
OWNER ...... ----------- (=>C=C= L - CONTRACTOR ..............
............................ ........ ...... ......................... ---- -------- .................................................................................... PERMIT No . ......................
ADDRESS.......................................................................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION .....................
CS,YFE -rV_=,S-ra0 4=N
Approved:
DATE................................................ By ..........................................
CITY OF EDMONDS
SINGLE FAMILY ADDITION/ REMODEL COVER SHEET
TO..
Directions@ Applicants are to complete the Information In the WHITE BOXES ONLI (Shaded boxes are for City use only).
This cover sheet must accompany each building permit application for a single-family residential addition/remodel project.
777=.
5.
CHECK 4
APPLICANT
D
� � � . 'I " ". ATE RECEIVED
U
PROJECT ADDRESS k�'�A
PROPERTY TAX ACCOUNT PARCEL If
DESCRIPTION OF WORK G k/ L-�
OWNER PHONE
CONTACT PERSON Yaf& —/6'�/,//w PHONE— -�� --;?6 V- 7 7 7 7
E-MAIL P->1 .. lo,�Sy-1, 60jLe,'a FAX -2(-�, 2& V — 771
MAILING ADDIiiSS
E] FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECT IONS
BY SIGNING THIS STATEMENT I UND E ASTANO THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO
C 0 0 RDITATE ALL SUBMITTA LS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I
UNDERS AN D 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 Mj%KE A COMPLETE APPLICAT19N AND NO DISCRETIONARY APPROVALS ARE REQUIRED. I
1� ,
SIGNATURE y DATE
ZONING INFORMAT N
�O
Z NE
0 LOT AREA
NUMBER OF DWELLING, UNITS EXISTING DEmo, qidn PROPOSED
DISCRETIONARY APPROVALS CA
_2W Determination SUBDIVISION CU
VARIANCE SHORELINE___T_ SEPA Expires OTHER
LOT COVERAGE IF
�7"M
_ql ON
It XISTING SO PROPOSED SF TITAL -7 %
HEIGHT CALCULATION INFORMATION
DATUM qf�l 4 Mbel
Aq
M -7 .`1 C�_
4VE_--4� AX TUAL_
SETBACK INFORMATION -*1FLPtC-v L-0-rib, iflr-A" 'T -Al
Rk6UIRFD
FRONT 91DE 'k 15,�
E
PROPOS,96.. . 0 1 S I IDE::: 1:: SI . DE -REAR:
FLAG LOT NO 7ST.'DEDIC. []YES
CNR, LOT 0 YES [:J NO NO.: FT.
:YES NO
RECORDING #
ADU STATEMENT REQUIRED
STAFF COMMENTS:
L:%temp\building%formskAdd-rvw.vsd -- 7/00
BUILOINGtOkSTROdTiON INFORMATION
CODE EDITIONS
1997 UBC, UMC, UPC, WSEC, VIAG WITH AMENDMENTS
DESIGN CRITERIA WIND EXPOSURE 8 WIND SPEED 80 MPH SEISMIC ZONE 3
Floor Live Load 4-0 Roof Snow/Live Load 2.5 Balcony Live Load—
Floor Dead Load L 0 Roof Dead Load Balcony Dead Load I/
NUMBER OF STORIES 5fU*rL6Vt5t9ASEMENTS FLOOD ZONE
LOT SLOPE % SOILS REPORT PROVIDED �ES NO
FLOOR AREA (Measured to face of exterior wall)
Existin. Proposed Total
Living Space
Garage
Carport
Deck/Cov. Porch
Other
(City Use Only)
Coiling Insulail on_f.—JC> Window U-Value'L�a
Wall Insulation 12_�_ Sk*
yllght U-Value
Floor Insulation Ile— LCI Glazing %
Doorlf-valui -Slab Insulation
Eno , rg . y ! 111�iescrlptive 'Elfargat E3 systems
"I; Hu,,,' Venfilation System Reg'd E3 YesANo.
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 Use 0 nly
PLANNLNG REVIEW &'APPROVAL— DATE 97 7- oa,
CONDITIONS OF APPROVAL:
ENGINEERING REVIEW & APPROVAL DATE
CONDITIONS OF APPROVAL:
,BUILDING REVIEW & APPROV41,��2
CONDITIONS OF APPROVAL:
W
WE RECEIVED
71 "1
PERM,1T EXP 3
Uzi /0
7
CITTOF E DIMONDS
Fee
USE ERMIT
P d.
ZONE
'731
;'NUMB -2
ER,: .00
NSTRUCTION PERMIT,,'APPLICAT ION
JOB'' SUITE/APT#
R�AME/�AME Of BVSINESS
dll�OWN
PLk NAME/SUBDIVISION"N6
LOT IW.
LID NO';
LID FEE $
LU
MAILING AD6R S
PUB LIC, RIG OF WAY PER OFFICIAL STR.EET,MAP
T ESC Alproved'.
RW P:." Required C]
/Vf
Street Use'Permit Req'd 0
CITY ZIP
4AW 6)1A
TELEPH ONE
1
PRO�OSED
REOPIRED'DEDICATION FT
Inspe.0lon Required 0
Sidekalk Required 0
PnitergTund
0
wiring required 0
NAME
MET�fl:SIZE
SI I ZE'
NO. OF FIXTURES
PRV REQUIRED
YES
z
LLI
FC
ADDRESS
4 `�� ll� Oil
REMARKS
0 /90 '6 SIBLE FO
WNER NTRACTOR�FlEsp N R EROSION CONTROUPRAINAGE
z
Lid
ZIP
'JEPHONE
41), �4.d 15AX
NAME
A;
5%
ENGINEERING DATE
RE EWED/
�ADDRESS'
7Z
FIRE,REVIE ED-BY DATE
LU
TE41EPHONE
—71:
z
0
�70
VARIANCEO.R dU
�SHORELINE OR ADB#
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COMPLIANC E OR
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VALUATION
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AT SOURCE! ZING % 9PE�
HE BUILDING�-�
A;r
A5LAN CHRtK NO" VESTED DATE PLUMBIN,
ALI
MECHA NICAL
,'THIS PERMIfLAUT:H'ORIZ"ESONL�'X"�TrHE,,WqRK NOTED. THIS PIkRMITCOVERS,W0RKTO.
�E -ON THE PUBLIC
BE DONE ON PR!VA�T P.ROPEFITY ON�Y.'ANY�,CqNSTAUCT'ON
GRADING/i LL
DOMAIN' (CURBS,: SIDEWALKS,,,,'PRIVEWAY§, M�RQUEES, ETC)WILL REQUIRE.
'V:
SEPARATe,PERMISSION.
X
STATE SURCHARGE�
, �� PERMIT AIR P, ILICATiOW� 1160'Mil4g:
idd 't, . ; I I I
PERMIT LIMIT: I YEAR- PROVIDED w'6kK IS STARTED WITHIN PO'DAYS REVIEW:F ES,
ENG,
OINK
SEE BACK OF PERMIT'FOR MORE IkFORMdikTI6N1
ENG� INSPECt" N4
�O.
"APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESO.RS �E
W IN INTEREST; AGREES TO INDEMNIFYDEFEND AND,HOLD HARMLESS THE CITY 00
i
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROW ANY AND:
are, mexE
1149FI!e Oil FE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE,:ARISINGDIREbTLY6RINDIR�9PT�Y, . , N L jL
REOFIPT . I.. I
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 7
P N
LA , PHECK DEPOSIT 077,
DEEMED TO MODIFY, WAIVE OR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE
01 NOR LIMIT'IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-. RECEIPT
T�A T a
TO L AMOUN DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ,THIS APPLICATION; THAT TH E INFORMATION
�'APPQC PPROVAL
GIVEN § CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTH991ZED AGENTOF, ATION 4
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE ILAW� REGULATING CONSTRUC This application is, not,a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBXJNi�Okl�SON WILL BE,EMPLOYEb .,PALL OruildirNg Official or hii/her Deputy: and Fees are paid. and
IN VIOLATION OF THE*LABOR CODE OF -THE S ..',OF�'WASHINGTON RELATING TO I - cknowledoed in space provided.
4 FOR INSPECTION receip is a
WORKMEN'S C OMPENSATION I NSURANCE AN RPWAV'27.
DATE
SIGNATURE (OW D
R 0 ArIl G (425)
'��3771'1`0220
ATE
NT
ATTE 16N E,XT'3$ /0
. 4
IT IS UNLAWFUL TO USE OR,OCCUPY A BUILDING OR STRUCTURE UNTIL.* '77 1" -04A'
A FINAL INSPECTION HAS MADE�AND APPROVAL ORLA CERTIFI-, /'ORIGINAL FILE YELLOW - INSPECTOR
0
CATE OF OCCUPANCY HAS BEEN'GRANTED. UBC SECTI N 1,09
FAX PINK -OWNER - GOLD - ASSESSOR
5/98
USE
ZONE PERMIT
CITY OF EDMONDS NUMBER
rCONSTRUCT110N PERMIT APPLICATIO)INjoB
SUITE
0 IOWNER.NAME/NAME OF BUSINESS mmmess
AAILING ADDRESS
1A.1; 1_-4-n
'ITY
ZIP TELEPHONE NUMBER
�F�'V n
I AME
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�6 ADDRESS
3:
cc CITY
ZIP
21 _r.
TELEPHONE NUMBER
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TELEPHONE NUMBER
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STATE LICENSE NUMBER
EXPIRATION DATE
Legal Description Qf Property - include all easer�, On
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Property
Tax Account
Parcel No.
NEW
RESIDENTIA
PLUMBINGIMECH
17-1/
COMPLIANCE OR
ADDITION
rl-
COMMERCIAL
CHANGE OF USE
1:1
E] APT. BLDG.
REMODEL
SIGN
GRADING
FENCE
REPAIR
— CYDS.
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DEMOLISH
WOODSTOVE
SWIM POOL
El
INSERT
HOT TUB/SPA
GARAGE
RETAINING WALL/
RENEWAL
CARPORT
ROCKERY
(TYPE,OF USE. BUSINESS OR, ACTIVITY) EXPLAIN:
. .. . ...... 1�
NUMBER
NUMBER OF
CRITICAL
OF
DWELLING
AREAS
STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
.r-U.L Ucoumir I 1UN L'"MA]
5IL15DIV15ION ND�
LID NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved 13
EXISTING REQUIRED DEDICATION
RW Permit RequiredA//.4 0
Street Use Permit Req'c!A�A
PROPOSED
Inspection Required yE,��3
Sidewalk RequiredA?,, 0
METER SIZE.
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 NO 13
"C AIE-r- ZAIC C-0-1 >F //V C-
,rl IVA 4 V Pr-- C 770 A/ Z e4? C�l all,
iiNgERING,MEMO DATED REVIEWED
// 14 / _e-)6 rrxl_�,
VARIANCE OR CLI
ADB #
SHORELINE 0
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
EXP X.
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42"�� I
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
RONT 1��IE_
F REAR
PROPOSED SETBACKS (FT.)
FRONT UR SIDE REAR
LOT
AREA
I __T;ANN1N"EV)SW BY
DATE
0 4 A0, 1,1/1
BY I TYPE
I �5- -3 7_50 LOAD
REQUIRED
;YES
REMARKS
I PROGRESS INSPECTIONS PER U BC 108
FINAL INSPECTION REQUIRED
VALUATION
PLAN CHECK FEE
;14'44�a
'010
BUILDING
HEAT SOURCE:
,,
All
le: C,
:5, Lp.
PLUMBING
Plan Check No. 4?'�/ 7.
MECHANICAL
This Permit covers work to be done on private property ONL ri
GRADINGWILL
Any construction on the public domain (curbs, sidewolks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit, Limit: 1 Year - Provided Work Is Started Within,180 Days
STORM DRAINAGE FEE
ENG. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
'LOU
harmless the City of Edmonds, Washington, its officials,
m
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
PLAN CHECK DEPOSIT,
modify, waive or reduce any requirement of any city ordinance
0
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or th i e duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and in doing themork authoriz-
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance aria RCW 18.27.
INSPECTION
SIGNATURE (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
7
/o �) ) C) 0 J__ �� I �, / a
.--/ /0.
CITY OF
EDMONDS
M
ATTENTION
CALL FOR
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0 20
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
SECTION 109
�j C(117
APPLICATION APPROVAL
This appli cation is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
TE
IIGINAL — File YELLOW — Inspector
PINK — Owner GOLD � Assessor .
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-12.5-
126.00
;PROPEHTY DESCRIPTION:
THAT PORTION OF THE NORTHWEST GUAHTER OF THE NORTHWEST GUARTER OF
SECTION 25. TOWNSHIP 27 NORTH, RANGE 3 EAST, W.M., DESCRIBED AS
iFOLLOWS: BEGINNING AT A POINT 124 FEET SOUTH AND 550 FEET EAST OF THE
,NORTHWEST CORNER OF SAID SECTION 25; THENCE EAST 110 FEET; THENCE
SOUTH 206 FEET: THENCE WEST i10 FEET; THENCE NORTH 206 FEET TO POINT OF
BEGINNING: EXCEPT THE EAST 96 FEET OF THE NORTH 126 FEET THEREOF:
SITUATE IN SAID COUNTY AND STATE.
ELEVATIONS:
ASSUMED DATUM
ELEVATION = 250.00
7-ONTOUR INTERVAL = 2 FOOT
0
0
AREA 10,563.91 SO. FT.
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0 CONTINENTAL ENG. CO.
10007 GREENWOOD AVE. N.
P. 0. BOX #33725
SEATTLE WA. 98133
[2061 783-7177 FAX. [2061 789-5568
PREPARED FOR
JOHN & MARGE HAMPTON
OWN. BY N. A. P DATE 3-5-97 JOB NO. 97043
CHKO. BY F. W. H. SCALE V - 10, SHEET 1 OF I
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