20010124.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
CITY
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NAME
PERMIT EXPIRES
SEE PERMIT
ON NUMBER
QL
OR
SUITEIAPTo
DDRESS
__4
PLAT NAMEISUBDIVtSION NO
LOT 10,
LID NO,
LID FEE $
FUEL' RIGHT 01 WAY PER 011101ALITRIIT MAP
F__,
EXISTING — PROPOSED
REOUM5[) DEDICATION FT
METER SIZE
LINE SIIE
Ho..IFIXTURES
PAV REQUIRED
I
YES 0 NO 0
FIRE FlVIlWlDlY
DATE
STATE LICENSE NUMBER EXPIRATION —
0001
GHfEDSY
VARIANCE OR CU
SHORELINE OR ADEN
INSPECTION
REOZ
YES ONO
I P..N.
CSTEI
BE
BE REVIEW
COM PLITE EXEMPT
_�I.NARIA
ALLOWED PROPOSED
HEIGHT
AL LOWED PROPOSED
P EL NO.
ROPERTYTA ACCO TPAFt
0
- (Y)
(Ty'rg�_IE�P
I
,
0 NEW
9 RESIDENTIAL
I'LLMSINGIMEC.
LOT COVERAGE
ALLOWED PROPOSED
REOUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT
FRONT LiR SIDE REAR'
0 AD ITION
0
0 ND
RE DEL
COMMERCIAL
0 APARTMENT
COMPL ANCE IT
CHANGE OF USE
SIGN
R PARKING
5
DED
LOT AREA
I PLANNING REVIEWED 11 DATE
rl REPAIR
C3 GRADING CY.E PENCE X FT)
TANK
OTHER
GARAGE
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CARPORT
C
RETAINING WALL
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RENEWAL
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r (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
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OCCUPAN;��
GROUP
NUMB
OF
STORIES
NU
UK
RITICAL
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JMBE 027 7
SPECIA 1,NSPECTOR
�j JAPEA
R EOU RE
OCCUPANT
LOAD
OR'SE Wo TO BE
DESCRIBE WORK TO BE DONE
g REMARKS
tOGFIESS INSPECTIONS
PER UBC 108/FINAL
INSPECTION REQ'
VALUATION
FEE
J�
PLAN CHECK FEE
HEAT SOURCE GLAMNO I LOT SLOPE '%
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PLAN CHECK NO: TIED AT.
-1.09ma—
MECHANICAL
T.I�.PEIIMITAUTHO',"AZE�'ONIIH�lI RKNCTED. 11USIERMITC.VERSW.RKTO
L E D.NE ON FBI T PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFILL
I DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARDUEES, ETC�) WILL REaUIRE
:3 SEPARATE PERMISSION.
t: ---
2—
STATE SURCHARGE
PERMIT APPLICATION: 180OAYS
* PERMIT LIMIT., i YEAR, PROVIO D WORK IS STARTED WITHIN 180 DAYS
E
END REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
* -APPLICANT, ON BEHALF F IS OR HER SPOUSE, HEIRS, ASSIGNS-0 SUCCES.RS
:NOEM IFY. DEFEND AND HOLD HARMLESS THE CITY OF
IN INTEREST, AGREES To N
0
1C -�l
2 EDMONDS. WASHtNGTO TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
N,
IREC
ALL C�IMS FOR DAMAGESOFWHATEVER NATURE,ARISINGO TLY OR INDIRECTLY
F OM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
DREEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
IRECE
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
TOTAL AMOUNT DUE
__1 7'1�,
IHEREBY ACKNOWLEDGE THAT � HAVE RIAOT.11APPLICATI.N.THAT THEMFORMATION
APPLICATION APPROVAL
GIVEN I S CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THEOWNER. IAGREETOCOMPLY Tl AND STATE LAWS REGULATING CON ST RUG
WITH C' PERSON 'ILL BE EMPLOYED
CALL
TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
woq!�MeN S COMPENSATt;;��NqE AND RCW 18,27
. IALI lIGNAT TE
,6,
SAATQAE (OWIJ� 0.
A �E '/�? A� SIGNED
(425)
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OE
L' j
�"410N
771-0220
7,L E.Ey
A
Alfil
TTIA
EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS�SEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD - ASSESSOR
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INTEK5ECTION OF DRIVEWAY
& GENTEPLINE OF KIGHT-OF- Edmonds Street
WAY
J 'i':
�250
Lj
-120�0
+
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H00315 TO
5E 9EMOVED
4
110-00'
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FENCEI E1111-05LJP�
RECEIVED
EXISTING CONDOMINIUM
DEC I �l 20013
IS)
5R z 'H
DRAINAGE
DEVELOP
Tl�AENT SERVICES CTH.
Cl OF EDMONDS
Lu <11
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L
'r
HEIGHT
T
CALCULATION5
C LCU L TIO
A�A N5
DATUM KIM
-13#3 50.20'
PARKIN
A 52.88'
1356.211
($1
C 56.60'
5
1) 52.34�
APPROVED BY PLANNING& p 'LOT PLAN
N
54,51'= AVERAGE GRADE
5
EX16TING TOPO
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rl?npo,;Pr) Tnpn
Height Calculation Worksheet
Address: g-��44 2,0 A,,, --
Date: I -Lj -211
Inspector(s): 722912111 Y A-1�--�&
1. Datum Point: 7
0''
2. Datum Point Elevation: lisp.
rq:
3. Average Grade:
00
4. Maximum Elevation Allowed: �55?�O (average grade) + 25'
rmn!
ma
01
'010.
0
W"
5. Reference Point Elevation Shot to House:
M M
(datum elevation) + (grade to transit level line shot to house) ing 2
C 2
>
6. Measurements from line shot onto house to roof ridge:
0 M
'n
-4 LO,
Mm
0
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Total
M
-20 (reference point elevation) +,2�-00(mea u
7. Actual Elevation:0 - s rements
from#6)= 53-!:5.Z'9
Conclusion:
ctual) is greater 1�� (allowed); therefore the house is/
height requirement per ECDC 16.20.30 requirements
LATF?aTUILDINGWSC9eight Calculation Worksheet.doc
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CONFORMED COPY
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03/13/200 1 11:48 AM Snohomish
P.0002 RECORDED County
RETURN ADDRESS:
M,
City of Edmonds, City Clerk
:_fi
1215" Avenue North
d
Edmonds, WA 98020
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DECLARATION OF RESTRICTIVE COVE' NANT
MUTI-FAMILY RE SIDENTIAL
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Reference c)
Grantor: MICHEL CONSTRUCTION, INC.
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Grantee: City of Edmond5...
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Twn,2
Legal Descripti in (abbreviated): See ")/)(R,g
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OR Lot____�!_Block_��Plat
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Assessor's Tax Parcel ID#(s): (1)
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—Assessor's Tax Parcel ID# not yet assigned
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WHEREAS, MICHEL CONSTRUCTION, INC . . . ....
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is the owner of the following described real estate in the City of Edmonds, to wit:
TH
Property Address: 141
Legal
Description, 4--7- JA gz,�,c_k Y or
'7 7-
0.- C
7�k
AUTHORIZED FOR RECORDI]
City of Edmonds
BY: ULC Date ZIQVI
4
WHEREAS, the above named owner is desirous of imposing a restrictive covenant
ses in compliance with Section 19.00.040 of the Edmonds Community
upon said premi
Development Code. WITNESSETH , that for and in consideration of the premises, the above
named owner does hereby declare and grant to the City of Edmonds as Grantee the following
restrictive covenant, to-wi.t:
That at the time of the execution of this Covenant the Grantors have agreed to the
ple family housing may
Ordinance of the City of Edmonds provide that no building for multi
be erected on subject property containing more than----i�--nits.
Said Covenant shall be binding upon all present and future owners of said real estate and their
heirs, successors and assigns.
DATED this r.?- day of _2��o -e— 2000
GRANTOR
State ofWashington
)ss
i County ocl-�-w
hat
I certify that I know or have satisfactory evidence t
signed this instrument, qa tated that he/she was authorized to execute the instrument and
oth s L -
acknowledged it as th (title) of
(name of party on behalf on whom instrument was e cuted) to be the free and voluntary act
of such party for the uses and purposes mentions in this instrument. Subscribed and swom to
before me this��Z�-�jay of L.�)ih5n, 6,5a-, 20-s��—
%V
Notary Public in andforthe StatdofWashingtofr�
- rvtm
My.commission expires --s-
0,
AUTHORIZED FOR WRECORDING WAC"."
CityofEdm ds
B Y: C-T Date
Page____O�_o'
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ............
wall ............... ..........
Pier/Porch
Retaining Wall ..........
Slab Insulation ..........
PLUMBING:
Underground
Rough -in ...................
Commercial Final
HEATING�
Gas Test ...............
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ..............
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
IA- 0
OCCUPANCY ..................
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