20010651.pdfDATE RECEI
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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FIRE REVIEWEDBY DATE
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CITY
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VARIANCE OR CU
SHORELINEORADIM
INSPECTION
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SIGN AREA
ALLOWED PROPOSED
HEIGHT
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PROPERTY TAX AOCOUNT PARCEL NO,
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0 REMODEL
0-� .. I.NTIAL
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0 APARTMENT
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0 SIGN
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REQUIRED SETBACKS (FT)
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UMBER
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11ITICAL/770 t�+
AREAS
NUMBER
DESCRIBE WORK TO BE DONE
,-THIS PERMIT AUTHORIZES ONLY THE WORK NOTED* THIS PERMIT COVERS WORK TO
BE .0.� 0. PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
L ..JUN S. ETC.) WILL REQUIRE
SIDEWALKS, DRIVEWAYS, MARQUEE
SEPARATE PERMISSION.
PERMIT APPLICATI N: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
SEE BACK OF PINK PERMIT FOR MORE tNFORMAIIOH
"I A
;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. RSIGNSANDSUCCESORS
N NTEREST. AGREES DEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
Ih TO: SOFFICIALS. EMPLOYEES. A
a EDMONDS. WASHINGTON' No AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY
PERM
FROM THE ISSUANCE OF THIS IT. ISSUANCE OF THIS PERMIT SHALL NOT BE
ANY REOUIREMENTOFAN�CITY ORDINANCE
DEEMED TO MODIFY.WAIVE OR REDUCE
NORLIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANYORINNANCE PROVISION,'
-nEMARKX
CHECKEDBY
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RCUPANTe
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S ECIAL INSPECTOR JAREAISr
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LOOCACOPANT
REMARKS 2
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'D c
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VALUATION
FEE
PLANCHECK FEE
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GRADING!FILL
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STATE SURCHARGE
ENG. REVIEW FEES
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ENG, INSPECTION FEE
LANDSCAPING
ltq�IECTKDN FEE
PLAN CHECK DEPOSIT
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TOTAL AMOUNT DUE
1� CEIPT
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. A 0 THAT I AM THE OWNER. OR THE DUSLY UTHOTI, 'ZED AGE,�.T 01
NO CON. UC
Thm P",* -il 119"d by Ih,
THEOWNER. I AGREE COMPLY WITH CITY AND STATE LAW R2 ., NO
DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
CALL
U.,90 �ar oputy:tandFe.s.,.P.,dd
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TION. AND IN
IN VI N OF THE R CODE OF THE STATE OF WASHINGTON RELATING TO
OLATIO
FOR INSPECTION
WORKMEN C20Q S p INSkYANCE AND RCW 18.27,
,,NATURE DATE
SIENATV 4OW E
DATE SIGNE
(425)
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771 -0220
EXT 333
Fj� UaW�\
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IT UNLAWFUL TO �5411 OCCUPY A BUILDING OR STRUCTURE UNT11 L
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI-
OFUGINAL-FILE . YE(L`�W-_jNSPEJTOR
CATE OF OCCUPANCY HAS BEEN GRANTEE). USC SECTION 109
FAX
PINK -OWNER - Gottf. ASSESSOR
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SIL-T
CUT 145 CY
F LL 52 CY
1
X/7/C
BALANCE 0 CY
IMPERVIOUS SURFACE CALcULA71710NS
'tTAL
T Pad 124"
WAT s g Pa 1248
SF
1 197
704
INSP ON& No 704
240
240
SF
SF
SLOPE 0.10%
s
'25
CALL42 i'62ftPW�1ty6s 125
SF
SF
P -ed
—Lwl: Let-fo diympil-e view Crest proposed Walkways 950
'5'
]SF
'F
SF
Address: ISin GL—LLLPL-
-s
o 7.dh
LQ Proposed Drive
:�267
Assessor's Tax Parcel #: o..t O&A-o ocx� 0 00 ous surface 3267
'u—a
SF
ITC— FLJ4111�
Y U TI.N
TEMPORARY TRUCTION 8000
..0
ENTRANC IRED 0
SF
F
'.�2
Lot Govera e 24% 1952
. F
SF
Owner. Westar Development
Co. In.APPROVED AS NOTSMIle: 1"0'0"
16927 90 Ave. NE
BY E GNEEIR�ING
R C E: I V PKenmore WA 99028
425-487-2757
JUL 2
Date:
CITY
COPY
[).')ELOPt"ENT SCFIVICE6
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A
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Original Current Proposed
A 342-01, 341 11 343 0
B 342 3 34 "1
C 342-00 343 343 0
343�2
0: 343�0
001. t
D 342.00
Avers e Grade 342.00 342.36 343.00 b-0
Datum = MH #3 342.91
cut / fill -0.36 0.00
Height of structure 25-00 23.58
M.imum Allowed 36700 366.58
344 -
6rwWA)7-'
S L7 M5
7
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IMP- 172-1
W_
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GRADING CALCULATIONS
CUT 145 CY
FILL 52 CY Vtftu EWZ-.
0 Cy �-,,,,oUl _ON
BALANCE _SUPFACE C:� �c�TION�t
8 1 c
proposed Building Pad 4 SF
704
ITOTAL 197 proposed Garage
FLOT SLOPE 0.10% 1 proposed patio & decks 240 SF
125 SF
—f Agal.. iAt-fo ftmpf-e-VI-e-w-e—rest proposed Walkw3Ys SF
proposed Drive 950
Addrea: Ilbiti c,,LTALPL- Ltj
Assewor's Tax Parcel #: Galt 0(.+0 0�xl 0 00 3267 SF
impervious Sunhace
Lot Size 8000 SF
24% 1952 SF
INSPECTION REQUIRED Flotcoverage I
SeWe: 1"--20'0"
Owner. Wefftar Development Co
-'-11h BY ENGINEERING
C692790AVe-NE"'"'
omore WA 98028
425-M-2757 ITY COPY
JUL
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HEIGHT CALCULATIMS
Crig6l Current Proposed
OKP F
VACrum
A 342-00. 341.66 343.00
342.00 341-46 343.00
d
343.00
C 342-00 343.26
342,00 343.06 343.00 -
t
D
A�era a Grade 342.010 342.36 343.00
Vir .
r
Datum = MH 03 342.9
-0.36 0.00
TE 0 Y CONSTRUCTION
T
cut 111111
Height of Structure 25.00 23.58
CE REQUIRED
mayjmu n Allowed 367.00
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ERICOMRACTOR is RES PONSIBLE
IS
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116
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CUT 145 CY
F LL 52 CY
I
BALANCE 0 CY
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prcposed Building ad SF
TOTAL 197
,LOT SLOPE 0.10%
704
proposed Gar3ge 240 SF
proposed patio & decks
- proposed Walkways 125 SF
—LAVI' Lot B OiYrolik VIeW Crest 950 SF
M
t
LLL Fu
Address: Iltbiii GL—
proposed DdVe
Amessor's Tax Parcel #: Oo�t 0(�+o 006t 0 00 mpervious Surface 3267 SF
k
8000 SIF
Lot Size
Lot Covera e 24% 1952 SF
owner. Westar Development Co.
Inc gSeKT(ON REQUIR ED
g927 80 Ave. NE
RECEIVE ore WA 98028
fLeum
4254V,2757
JUL 2 6 2001
CITY COPY
DEVELOPMENT SERVICES CTR-
CITY OF EDMONDS
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L
Height Calculation Worksheet
Address:
Date:
lWector(s):
1. Datum Point:
2. Datum Point Elevation:
3. Average Grade:
4. Maximum Elevation Allowed: ;;2�1--�(average grade)+ 25'=
5. Reference Point Elevation Shot to House: C-( -I;rD
:�"I�datuzn elevation)+
J6(grade to transit level Une shot to house)
6. Measurements from line shot onto house to roofridge:
Total - 9,X7
7. Actual Elevation_:-��_Zt(reference point elevation) + 10.5z-(measurements
from #6)
Conclusion:
�> &6 tual) is greater / I s "th 36y'�- (allowed); therefore the house is/
( -fiot over I quiremenl-peetCDC 16.20.30 requirements
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UTENMBUILDINGMSOHeight Calculation Worksheet.doc
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FINAL PROJECT APPeOVAL FORM
TO:
DATE: —
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION .......
FROM: —FIRE DEPARTMENT DATE
ION DATE 10 0
Zaie�A"Lg Sff— ENGINEERING DIVIS
PLANNING DIVISION DATE—
PROJEC
SITEADDRESS-
PERMIT �ADB#— DATE INSPECTED-------------�,
DESCRIPTION OF WORK TO BE INSPECTE
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of:
_______—Final approval of the described work
__A,, ---GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
_____y.AILED FINAL INSPECTION OUTSTANDING ISSUES
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
ocaprvi.doc.l:tenip:bldg;forms6/98
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FINAL PRO CT APPROVAL FO
TO: —.—
DATE: —
MEMO TO: PERmrr COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT
Y..
7MO&� ___.ENGINEERING DIVISION DATE
PLANNING DIVISION DATE—
PROJECT—_$�Ukkif
SITE ADDRESS \sw _�o V�
# CTED
PERWr _q�!5 �I�ADB# ATE INSP
INSP
DESCRIPTION OF WORK TO BE INSPECTED
determine final compliance with approved plans. Final approval
A field inspection was conducted to
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
_�GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date-- Sign_
ocapTvi.doc.l:temp:bldg:fomisIO/OI
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall .................
Pler/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Gas Test ....................
C
Gas Piping .................
Equipment .................
? Commercial Final n
EXTERIOR SHEATHING
NAILING .......................... rn T
FRAMING ........................
a
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ........... e),
G
Coiling Insulation
SHEETROCK NAILING
Z
SPECIAL INSPECTION
M
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
4.
ATE RECEIVED
JQ
PERMITEXPIRES 'n 0
C 'OF-EDMONDS
ir.,
USE PERMIT
ZONE NUMBER
CON§TRUCTION P&RMIT APPLICATION
ADDRESS Bill
JOB LL"'�'�22 -,- � t 4 f /_
F BUSINESS
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PLAT NAM Alli
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LID FEE S
MAILINGADDRESS
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P BLIC RIGHT OF WAY PER OFFICIAL STREET MAP
BAY I.= 11=
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CITY ZIP ITE4EPHONE
lf� c(Go 7,S
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46 467
EUISTING — PROPOSED —
REQUIRED DEDICATION— F1 —
I
_
W.,.,.,. _X
N7Y_y
MAI
ETE ZE
LINEJSIIE
No. OF 1I.TU1l
I 11FIED
No C3
_71 b�/ crars
ADONESS
REMARKS !ISLE FOR EROSION CONTROLIORAINAGE
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A� GIGil
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H-m-E. 2..'
UMBER OF
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A'R"F'A'-S' ,l
OF
STORIES
U N TS
NUMBER
DESCRIBE WORK TO BE DONE
FIRE REVIEWED By DATE
VARIANCEOROU
SHORELINE OR ADEN
INSPECTION
RECIND
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POSTED
E3YES E3NO
4jEPAR IT
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1111 AREA
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VALUATION
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FEE
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00. (A z)
-FaN C
rSTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVER. W 1.
Y El
BE DONE ON PRIVATE PROPERTY ONLY. AN CONURUCTION ON THE PUBLIC
IGRADINGVFIU,
DOMAIN JCURBS, SIDEWAI DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
ZI
SEPARATE PERMISSION.
PERMITAPPLICATI N: IBODAYS
PERMIT Ull 1 YEAR. ROVIDED WORK IS STARTED WITHIN 160 DAYS
P
SEEBAC , F PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON 0 1 OF HIS 08 HER SPOUSE. HEIRS, ASSIGNS AND SUCCES.RS
END. INSPECTION FEE
I
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD MLESS THE CITY OF
ANDSCAPING.
IOMOI Vill TON I S OFFICIALS. EMPLOYEES. ANDHAAGRENTS FROM ANY AND
' No '
AD
LLC'1S'FOR'D'A= F WHATEVER NATURE. ARIS DIRECTLY.R INDIRECTLY
IN
PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
'PLAN CHECK DEPOSIT
WECE 77T
TH A F THIS
I FROM BE I No' 0 ANY CITY ORDINANC
El T ...
FY�WTA.IME ORY%EA...'CE ANY .....REM ENT 01
W Y ECT PROVISION,
C NOR LIMIT IN AN LITY TO ENFORCE ANY ORDINANCE
Y
FIECl
DOE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
I HE"I"'Ey '5A
APPLIC ION APPROVAL
THAT M THE OWNER. OR THE GUILY AUTHORIZED AGENT OF
=T. No IA
Ti pplil I, A,I & pearni unist.6"i by".
T COMPLY WITH CITY AND STATE LAWS FlE.Ul C.NISTRUC-
TH?WN" 'A' EH. ED HERE RS N WILL BE EMPLOYED
.. AUT.ORIZ T NOMPEERIO
CALL
Ball ding Official a, Wall Doputy: and oes are Paid. and
To,' ANi CON"ET E
TH STATEN!,
IN VIOLATION F THE A CODE OF E E OF INGTON RELATING TO
FO R INSPECTION
amipt I, a-011al 11 SP411 Plovidi
WORKMENICO S I NINE NCE AND 11827,
SIONAT DAY E
(426)
0 1 ALS SIGNATURE DATE
all
Iti
1\ 7 -0220
71 LEASED By
'EXT333
EN I
IT UNLAW ULTO OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-02il
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL il A CERTIFI- ORIGINAL - FILE YE L INSPE TOR
CAME OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - Ol GO SSESSOR
w" a-