20000699.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEJNAME OF BUSINESS cb z-
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STATE LICENSE UMBEA EN,PlFATIQNUA CHECKED BY
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DESCRIBE WORK TO BE DONE � -I-- .
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PERMIT EXPIRES *R�Al
USE ERMIT
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PUBLIC RIGHT OF WAY PER 0111MAL STREET MAP
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REQUIRED C] YES
REMARKS
Dpnrmp�q INqPECTIONS PER UBC 10811FINAL INSPECTION REQ'Dl
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PLAN CHECK NO: VESTED DATE
PLUMBING
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MECHANICAL
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THIS PERMIT AUTHOMMIS Ml THE WORK NOTED. THIS PERMIT COVERS WORK TO
DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON T14E PUBLIC
MARQUEES, ETC.) WILL REGUIRE
GRADINGIFILL
UBE
OMAIN (CURBS. SIDEWALKS, DRIVEWAYS'
SEPARATE PERMISSION.
STATE SURCHARGE
PE RMT APPLICATION: 1.0 DAYS
A. PERMIT LIMIT. I YEAR. PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG, REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
FEE
W ;APPLICANT, ON BEHALF F His OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
AGREES TO DEFEND AND HOLD HARMLESS THE CITY OF
ENG. INSPECTION
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N INTEREST. :NDEMNIFY,
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A ATEV R NATURE.ARISING DIRECTI-YOR INDIRECTLY
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THIS PERMIT SHALL NOT BE
DEPOSIT
RECEIPT
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x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF
M DEEMED MODIFY. WAIVE OR REDUCE ANY REOUIREMENTOF ANY CITY ORDINANCE "
ENFORCE ANY ORDINANC PROVISION.
PLAN CHECK
RE El T
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0 MORLIMI IN ANYWAY THE CITY'S ABILITY TO
TOTAL AMOUNT DUE
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I 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
Thl, pplb, 1 pl—I 11 llg by I'.
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
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81101�9011,6,1h,�lh` 'puIy;�,dFl11.l.Pl-dd
TION; AND IN DOING THE WORK AUTHORIZED THERESY� NO PERSON WILL BE EMPLOYED
SHINGTON RELATING TO
,p..kIldqlP 11 ... F,d
FOR INSPECTION
IN VIOLATION OF THE LARD ODE 01 THE STATE 01
CoVpg� URANCE AND RCW 18,2
WORKMEN S Ag
_�ll AL. KINAT.FE DATE
____
(425)
SIGNATU NER
A 1 A!'.4 dgj I& �4 4L)014
771-0220
LEASED By U
I
TW4�
EXT 333
IT IS UNLAWFUL OCCUPY A BUILDING OR STR UCTURE UNTIL
771-0221
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINA .111-F YELLO I SPECT A
ASSESSOR
A FINAL
OF 0 C CUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNEE GOLD
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Leph Lot:13 O"ple View Crest impervious Surface
)RE:CEiVED Address: 1240.6 &TZ5�)124-10- _square feet
Assessor's Tax Parcel P.
JUIL� 2 1 2090
DEVELOPMENT SERVICES CTR.
CITY OF EOMONDS
owner. Arestar Development Co. Inc Scale: P-2010"
16927 84'b Ave. NE
Xmmam WA QW-9
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proposed Building Pad 1200
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SF
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Proposed Garage 830
reposed Patio & decks 230
P p P.s
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proposed Walkways 78
SF
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TOTAL 2838.25
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WEIGHT -CALCULATIONS
Original Current Proposed
A 344.00 346.24
344-00
1
B 344 ' 00 345.20
345-00
C 344.00 344,66
345.GO
D 344.00 345.99
344.00
Grade 344.00 345-52
344-50
�Average
Dat M = CB #1 342.70
cut / fill -1.52
0.00
1
Hpinht of Structure
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1.92
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impervious Surface
Leph Lot 13 O"pic View Crest feet
Address: M106
Awassor's Tax Parcel 4: j 2--7 1- c.+-zZ 3
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Qjl� Of owner. Westar Development CO- Ise Scale: 1"=,20'0"
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1200 SF z
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630
Proposed Garage 230 SF Vj-
Proposed Patio & decks
Proposed WalkwaYs 78 SF Z'
proposed Drive 700 SF
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TOTAL 2838.25 SF
-MM HEIGHT CA S
Original Current Proposed
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A 34400 346.24 344.00 1
B 344'00 345.20 345.110
C 344 ' Oo 344.66 345.00
D 344.00 345.99 344-00
Average Grade 344.01) 345.52 344.50
342.70
Datum = CB #1
-1.52 O.OD
%RFww?;! wwp�'�' cut I fill
MR-F"W"
H ' ht of Structure 24.42 1
Allowed 369.00 368.92
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MAXIMUM ELEVATION ALLOWE
ACTUAL RIDGE ELEVATION_:?7�-S
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Mode12036
FAMILY , NOOK��
MASTER BEDROOM IVING ROOM
BEDROOM 2
M. KITCHEN
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Project Review Checklist
Project Name: Ik-i eo Plan Check #: 0,��
P I roject Address: tA� Receipt Date:
RECEIVED
Ju� 71200
shi I,&
'Underground Wiring Required PUBLIC
WORKS 01
Hydraulics Permit
Plat/Subdivision Requirements
Street Dedications
Easements - Public/Private
Engineering Storm Drain Review Feel
C E V E: D
Engineering 2.2 Inspection Fee
Drainage Plan (On -site) F"15-12-
9
JUL
Setback.- Storm Drain Line
DEM0PIIr:Ny �,%RVICES CTR.
Open Ditch - Existing
CITY OF EDIJONDS
Culvert Required
Culvert Size
Shoulder Drainage/Shale Open R-Off
Catch Basin Required
DAveway Slope &Vehicle Access 1114%
Sidewalk Required
Curb & Gutter Required
Curb Cut for Driveway Required 'P-16-17-
Street Paving Required 1"11571-
Right-of-Way Construction Permit Required 00
Bond Required for Public Improvements 00
FEMA Map CheckfWater Table
Side Sewer Availability q"
Calculate Sew er Fee if No LID#
Water� Meter Size
Water Meter Charge Required 3 _n_z
Hydrant Required
Street Cut
Miscellaneous
RW Permit # Date Issued —
Receipt#
01
Receipt #
SS Permit Z.Dq Date Issued
Date �J
Receipt #
Meter Size Paid
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIR DEPARTMENT DATE
A/J/,& -ENGINEERING DIVISION DAT
PLANNING DIVISION DATE�--
PROJECT
SITEADDRESS
PERMIT# ADB# DATEINSPECT LD N
PECTED 7=N&==/=P=jnA
DESCRIPTION OF WORK TO BE INS
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Departrnent to the granting of:
Final approval of the described work
GRANT FINAL PROJECT APPROVAL
--2GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
1
AILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
voy
Footing ......................
Ci I
Wall..........................
Pier/Pomh ..........
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
_4
10 M
Rough -in .................
Mai
commercial Final
—10
0
HEATING:
Test vv" S
C
171
Gas ..............
10
C
>
Gas Piping .................
EquiPm6nt .................
Commercial Final
0 Irl
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EXTERIOR SHEATHING vyls
m T
NAILING ..........................
(j)
0
FRAMING........................
0
FIRST FLOOR FRAMING
IT! 0
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INSULATION .................
Floor Insulation
Wall Insulation ...........
Coiling Insulation
t';
SHEETROCK NAILING
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SPECIAL INSPECTION
0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR %Y)Y
P, 0
OCCUPANCY
__09-
�t"`VDATE RECEIVEb
/� I k� PER�IT EX01"RES
S114 42 1
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U'E PERMIT
CITY OF EDMONDS ZONE _NUMBER 2-DOPIT"
OR
CONSTRUCTION.kRMIT APPLICATION ADDRESS
SUIrPTI
OWNER NAME/N ME OF BUSI LOI LID N
kks-r.q), Pev.
IJVJ�IL
LID FEE S
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C MAILING ADDRESS PUBLIC RIGHT OF WAY PER IDIRCIAISTREET MAP
I U.. p_' Hg'a
4,0127 'a4 7_�4 lQt)
C . EXISTING
— PROPOSED
CITY ZIP TELEPHON E
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6(wmmocm 9So2-.o t47-5);
1401,14rZC'IA� (A
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I: ADDRESS RICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
OWNI
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ZIP TELEPHONE
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NAME
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STATE LICENSE NUMBE
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EXEMPT ALL PROP -
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:AGE , REQUIRED SETBACKS (Fr.) PROPOSEDSETBAC
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qrNEW PLUMBING MECH ALLOWED PROPOSED FRONT SIDE HEAR FRONT UR SID FEAR
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NUMBER NUMBER OF CRITICAL 144, SPECIAL INSPECTOR AREA NT
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REMARKS
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MECHANICAL
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ONTHEPUBLIC
GRADINGIFILL
DNA. (CUN.E' SIDEWALKS . DRIVEWAYS, MARCUEES. ETC.) WILL REOUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION! 180 DAYS
PERMIT LIMIT. I YEAR ' WORK IS STARTED WITHIN 1 BD DAYS
PROVIDED
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
FEE
n ;AFPLlUA.-" F HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
AGREES T INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
ENG. INSPECTION
0MOSCAMM. 0 L)
N NTEREST,
E E E N ARMIN T I iCIALS,EMPLOYEES�A DAGENTSFROM ANYAND
E ITS OFFICIALS, EMPLOY EES� A
N
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ALL C I iIF GESOF HATEVERNATUFIE.AFISIHr
AA ""A A
.. PE`ffie� (si
RECEIPT
x FR THE ISSUANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT SHALUN.T RE
PLAN CHECK DEPOSIT
0 DEEMEDTO ODIFY, AIVE.HFE.UCEANY HE UIRE ENT FANYCITYORDINAN E
AYTHECITY 'S ABILITY To ENFORCE ANY ROINANCE PROVISION.-
RE El T
i N RLI ITINANY
TOTAL AMOUNT DUE
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPlICATION: THAT THE INFORMATION
APPLICATION A PROVAL
GIVEN IS CORRECT: ANOTHAT I AMTHEOViNEFL ORTHE DULYAUTHORIZEO AGENTOF
A NO STATE LAW S HE . D 111 N . C.NSTFUC
The 'a - - le-1 -,I 1,`Ild by Jh0
CALL D—w: Ie,d F a', Pd. ad
THE OWNEI IN I AD R EE.TgC M�p LYUWIT.��Cl TY
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..IN. OF A TH ZEDTHEREB NO PERSON WILL BE EMPLOYE
""'R "'ca' ' "c..,
jet I, ,Ie,I,dg.d pace prov.ded.
TION. AND
IN VIOLATION OF THE LARD ODE OF THE STATE 0 F WASHINGTON RELATING To
FOR INSPtCTION
DATE
W09KMEN SCOMP Q IN UR)I�CE AND RCW 18.2?
OF 61ALS SIGNATURE
SIGNATU ER
(425)
L j " oa
77 1 -Ve4o HIELEASED BY DATE
EXT 333 �'�fi/
I
TI
/
IT IS UNLAW UL - -USE_� OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221 - YEL W -I SPEC OR
FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE
. ASS
PINK -OWNER - GO ESSG�Cj
A HAS BEEN GRANTED. UBC SECTION 109
FAX
CATE OF OCCUPANCY