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[PERMIT
EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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HEAT SOURCE GLAZING %
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
MECHANICAL
DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TH E PUBLIC
DOE
OMAIN (CURBS, SIDEWALKS DRIVEWAYS, MARGUEES. ETC.) WILL REQUIRE
GRADINGIFILL
L SEP RATE PERMISSION.
P RMIT APPLICATION: 160 DAYS
STATE SURCHARGE
PERMIT UMIT-. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FO MORE INFORMATION
'APPLICANT ON BEHALF 01 HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
ENG, INSPECTION FEE
w IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS� EMPLOYEES. AND AGENTS FROM ANY AND
A L CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
LANDSCAP NG
INSPECTION FEE
FROM THE ISSUANCE 05 THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT 85
D FMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDIN4NC E
PLAN CHECK DEPOSIT
0 NOR LIMIT IN ANYWAY THE CITY 9 ABILITY TD ENFORCE ANYORDINANCE PROVISION '
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE TH HAVE READ THIS APPLICATION, THAT THE INF RMATION
AATT: AM THE OWNER OR THE DULY
GIVEN IS CORRECT. ANDTH AUTHORIZED AGENT OF
o R
THE NE A lE NO STATE LAWS REGULATING CDNSTRUC
TIDY NO �N E 'OR' AUTHORIZED T E 18 , NO PERSON WILL BE EMPLOYED
CALL
ORE SoCo�P.LYW'T"CATA
IN V L T T. LABOR DDE OF THE
'b A E STATE OF WASHINGTON RELATING TO
FOR INSPECTI,
W. M _ NIP N TI.NINSURANC, NO
RK A RCW1827
DATE S7
(425)
771-0220
ATTENTION/
EXT 1333
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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
VALUATION I FEE
-l" 1 7? 1!715;91 —
'��65n - '0-7c�' 50
APP ICATION APPROVAL
F.F, -1. -d
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STANDARD DRAINAGE DETENTION SYSTEM
WoRKSHEET
OVVNM CALC BY:
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ADDFXSS
DIIE:
-*'**DESIGN DATA*'**'
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
WTENTIUN PIPE LMT L=1NG LID
H . (TYPICAL)
1INI1H=_ KIMHUM %En6REh1MM1'fOP or
71GHTLI com Box OR RISER
.5z TO IV. SLOPE 0 OUTLET
OUTLET CONTROL
HIM.
UPPER CATCH BASIN ORIFICE
CONTROL CATCH BASIN
SYSTEM CROSS SECTION RECEIVED
CITY COPY JUN 15 2001
"�WIENTI.N PIPE �LEIIH ITYPICALI
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.. .......
MTNI�
M
NIL.
IV SLOPE
OUTLET
M N.
2'X2'X6' DEEP. 4-6- SPALLS OR EOUAL BUILDING DEPT.
FROM CONTROL CB 2,x 2'X 3- DEEP. 3/4' CRUSHED ROCK C�ISTII NG GRADE
ASHE' ROCK
rROH
CONTROL OUTLET W7 0 T MIN 10' LdW�
P p
PER P IPC I III L VEL
ER D CAPS
ACII I ED
11%HT 'LL L "Sp "A.' "'.ArAj, ROCK
HE. . H R
1UPPAP ourkEr RUNOFF SPREADER- TRENCH
FOOTING DWNS sHAU NOT BE CONNECTED 70 DETENTION SYSTEM
NOTES:
a tightline and detention system inspection
1� Call Engineering Division (771-MO) for APPROVED BY
before backfLlUg and for final WsPectiow-
enance of drainage systems On Privat6.P`OP"`ty is the 14 1
2, Responsibility for operation and maint t be flushed T
y of thd property owner. Material accumulated in the storage PIPO Caus r]
1�.d DATE
esponsibilit
out and re ed from the -tch b-ios to allow proper operation. 'Ibe Outlet control Orifice
Co.";must be ke" . — at all times. 0
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Table 1 Detention P ipe Sizes
Impermeable* .,.kequired Pjpq Diameter
AreiS�.Ft.. Vol Cu Ft 15. 18' 24' 3&
2000 50 40 28 16 10
2500 62 50 35 20 13
3000 75 60 42 24 15 Required pipe
3500 87 70 49 28 18 length in feet
4000 100 80 56 32 21
4500 1:12 90 61�' 36 23
5000 125' 100 .70 40 25
Note: Allowable Pipe Materials: Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N-1 2 ADS (Not permitted on roads)
Table 2 — Outlet Orifice Sizes
Impermeable
Area Sq. Ft. Outlet Orifice Diameter (inches)
2000 5/6 C111 01
2500 5/8
3000 3/4
3500 3/4
4000 7/8
4500 7/8
5000 7/8
Table 3 — Rectangular Catch Basin Requirements
Detention Max. size Catch Basin
pipe diameter knockout Type
< 18' 20" Type 1, CB 15
18' to 24" 26" Type IL, CB 16
24' to 36" 36' Typell,CB19 19(48'Basin)
36' to 42' 42" Type 11, CB 19 19 (64' Basin)
*Source: Assoc. Sand & Gravel Co. Standards
5
Revised 3/16/95
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SUNSET ZE N.
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APF�POV D 13 ING
RECEIVED
JUN 15 2001
BUILDING DEPT.
MICROFILM CiTy Copy
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED K
(8 -31
SETBACKS .....................
FOUNDATION:
Footing ....................
ynS
Wall....................
Pier/Porch .................
Retaining Wall M
Slab Insulation .......... 1111 A
PLUMBING: 0 C 1
Underground
M
IS
Rough4n...................
commerclM Final
HEATING:
GasTest ................ ...
MT i
Gas Piping ..; ..............
67,
Equipment................. ----------
g
Commercial 0
Final
EXTERIOR SHEATHING to
ry)
NAILING ..........
FRAMING........................
F ST FLOO R FRAMING
IR
INSULATION ........... co
Z-
Floor insulation
d
a L-
WWI Insulation ...........
M
Calling insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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AmOna PaW $
Date bsued.ffj2/aj_EVIm-U��T
EXPIRES r6
PERMIT
ZONE
CITY OF EDMOUDS
PERMIT
NUMBER20D 1— 051
SUITUAPT,
'0'
CONSTRUCTION PERMIT APPLICATION ADDRESS
OWNER NAMENAMEOF BUSI!n, _A
PLAT NAMEISUBDIVISION NO.
LOT N..
LID NO.
LID FEE S
MAILING ADDRESS
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CITY Z
16JT11-11"O
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NAME 7/
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REQUIRED
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ADDRESS
REMARKS
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CITY
NAME
GINEERING E IEWED7ATE
ADDRESS t- , -)
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FIRE REVIEWEDBY
DATE
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TELEI"I E
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4 -T5. -7 2-- 611
S140FIELINS OR AOBN
INS PE.CTIO"
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POST ED
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STATE LICENSE NUMBER
0YEs ONO
YES
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I HEIGHT
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ALLOWED PROPOSED
ALLOWED P.fJQFOPED
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RESIDENTIAL
PLUMBING I MECH
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ALLOWED PROPOSED
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FEAR
FRONT SIDE REAV 4,1
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AREA
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EMARKS
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GRESS INSP9CTI6NS PER UBC 1081FINAL INSPECTI
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6"
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VALUATION
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HEAT S URCE LOT SLOPE
BUILDING
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PLAN CHE�F�_ VESTEDUATE
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MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
ANY CONSTRUCTION 014 THC PUBLI
L
BE DONE ON PRIVATE PROPERTY ONLY.
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS ARQUEES. ETC.) WILL REQUIRE
GRADINGIFILL
L
SEPARATE PEA4tSSION.
STATE SURCHARG 1
'50 6.
q.--o
2
PERMIT APPU(;AnON; 11HI DAYS
PERMIT Lil YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENO. REVIEW FEES
SEE BACK OF PINK PERMIT FOR RMATION
W,
'APPLICANT. ON BEHALF 0 H S, ASSIGNS AND SUCCIESOR�
ENG. INSPECTION FEE
IN INTERIS AGIR INDEMNIFY, 01%ND AND HOLD HARMLESS THE CITY OF
... ON.S. ITSOFFICIALS.E LOVIl AND A09NTS FROM ANVANO
E
NATUW. AetSING DIRECTLYOR INDIRECTLY
ANDSCAPING
IN P CTION FEE
RE
A
ALLCLA'.. 0 D OFINHATEVER
FROM THE, SUA THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
L � ECK DEPOSIT
P I(C
DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF AN CITY 0�110D,11,1�ANc
NOR LIMIT IN ANY WAYTHE CIW-S ABILITY TO E�l ANY ORDIMYANPR P A_
IR EIIT/9
TOTAL AMOUNT DUE
I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP�U'CVI
APPLICATION APPROVA
GIVEN IS CORRECT, AND THAT I AM THE OWNER OR THE D S REGULATING CONSTRUC-
AND STATE LAW
CALL
T -ppl'.."" ` .I1I,,v,d by the
Foos
T"'W N ' E TO " MPLY WITH CITY
THEREBY. NO PERSON WILL BE EMPLOYED
luddl"g"Oftim
D ale P--d
01 �AITE
D , E AUTHORIZED
I... AN I I - WORK L
T �1 I, HE LABOR CODE 01 THE STATIBOF WASHINGTON RE ATING TO
FOR INSPECTION
dept�y,.,�d
1—pli—k . g.d ..,—id-
I'll VIOLA ,
WORKM,.. MPENSATIONINSU NCEAND.C.,
,K. N.� M, Re
OF CIALS SIGNATU If
DATE
cm
D
(425)
2
IUR I WNE ENT)
V�
iv�,-
771 -0220
RELEAS 8
E
ATTENTVNK-,��\I- EXT 1333
IT IS UNLAWFULT6`�JgE OR OCCU I, NG OR STRUCTURE UNTIL
py' ' ' '
771-0221
I
DIV -P�ITO
BEEN IVIA. R 'IAI: OR A CERTIFI-
g� A� 0
S T,
TjjZ�j E ON 109
ORI06
FAX PINK OWNER GOLD ASSESSOR
BEEN GRA