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20010761.pdfDATE RECEIVEDI CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION IER NAMEMAME OF BUSINESS ILak�cZ_C-Li�I (fiNS�TI ��� (�, 21P 1TELEPHONE U14�E[l "Rl%�� q�C NAME DDREss ADDRESS CITY ZIP ITELEPHONE 4,1 S (, 1 NAME S1 z cS-cu ADDRESS U I PERMIT EXPIRES u E PERMIT — Cs _ I NUMBE�00� 76 , JOB AOORESS�!'VY SU TE/APT) /mil I. `t�l ��, 11� 1 ^ �•S . PLAT NAMEISUBDIVISION NO OT NO. LID NO, I31 1 I ID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTINGq- PgOp� cv AIR- p e REQUIRED DEDICATION FT 61$ c p ^ METER SIZE LINE SIZE O. NOF FIXTURES PRV REQUIRED 3/ 11 � Ir � VES� NO ❑ — REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDIRAINAGE — CITY ZIP TELEPHONE DATE 7 STATE LICENSE N MBER EXPIRATIONDATE CHECKEDBYSHORELINE OR ADS, INSPECTION DONERE'DTED•AYES LE ONO PRO E Y X COUNT PpgC5L N�. O SIGN AREA ALLOWED PROPOSED HEIGHT gLLOWED P;0/PZOSED 2;, LJI NEW RESIDENTIAL PLUMBING I MECH LOT COVERAGE ALLOWED REQUIRED SETBAC151-1 PROPOSED SETBACKS 1-1 O(/P�05/pE,p SIDE REAR FRONT: ILIA SIDE REAR � ❑ ADDITION ❑ COMMERCIAL ❑ CHANGE OFUBE % �"•" -AFFRONT ^tbl 251 so` /15� ❑ REMODEL ❑ APARTMENT ❑ SIGN REO'O ARKING I PROVIDED L1µO/T gREA PLA R'cVl ED ATE 15 1Z. D/I /0'� ❑ REPAIR GRADING CYDS FENCE ❑ ( % IT) MARKS A 11 ^ D1�� O 1�12 /1 K ❑ DEMOLISH ❑ TANK ❑ OTHER TF}R (3 r N>✓t�l�t— MUST CARPAI ORT ❑ ROCKERY RETAINING WALL ❑ RENEWAL1411 -!T f'1r•{sp I]� ��,Ly..��.T lit PE OF USE, BU ESS OR ACTIVITY) EXPLAIN: ��I•--'—�v'_' — ECKEDOY TYPE OF CONST TION OCCUPAN GROUP NUMBER NUMBER OF CPITICAL OF DWELLING AgEAS PECIALINBPECTOR AREA !¢�"'T, I'll _'9firnT OCCUPANT/�STORIES l•JJ ��L' IV UNITS DESCRIBE WORK TO BE DONE NUMBEREQUIRED ❑ y G PER UBC 108IFINAL VALUATION 1 FEE PLAN CHECK FEE HEhT SOURCE GlA21N�°,:, LOT SLOPE ".'.a �l BUILDING `'•�� PLAN CHECK NJ: vESTEDDATE U PLUMBING P� G MECHANICAL 947— THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE OHABINBHY[L 70 _ SEPARATE PERMISSION, 1 STATE SURCHARGE PE R MITVIDED PERMIT LIMIT: 1 YEAR - PROVIDED WORK STARTED WITHIN 1BB DAYS WORK: ST80 ARTED ENC. REVIEW FEES �50 M SEE BACK OF PINK PERMIT FOR MORE INFORMATION ut 'APPLCANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS END. INSPECTION FEE ✓L �JL Tom/ IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING i EDMONDS.WASHINGTON. ITS OFFICIALS. EMPLOYEES, ANDAGENTSFREM ANYANU INSPECTION FEE ALLCLAIMSFORDAMAGESOFWHAf EVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT RECEIP NOR LIMIT IN ANY WAY THE CITY ABILITY TO ENFORCE ANY ORDINANCE PROVISION' gECEIPI TOTAL AMOUNT DUE �D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION GIVEN IS CORRECT, AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT APPLICATION APPROVAL THEREAT. LAWS REGULATING CONSTRUE- COMPLY C THE OWNER IOINS CALL This :.pplicalion is nol pnplsi. Ey lnu RK AUTHORIZEDCITY AND DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL 6E EMPLOYED THE WILL Dop,lyl Butln�ng OIllc�dl or nis/�or Oopuly: en0 Foes aro paiE. ana O W VIOLATION M THE LABOR CODE OF THE STATE OF WASHINGTON RELATING i0 N VI WORKMEN'S COMPENSATION INSURANCE AND RCW 16.27. R INSPECTION 1771-0220 pcaipl is acNnowloEBaE in space provitloo. IS TUR TOWN GENT) DATE SIGNED (425) OFF ALB SIGNATURE DATE 1 l f l(?z © I 1 RELEASES BY DATE A ENT) N EXT 1333 IT IS UNLAWFUL TO Utt' CCUPY 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 ORIGINAL FILE � ISESS pq h PINK OWNER 599 � GOLD GOLD � ASSESSOR ✓ z O "I n m c mo O� c mZ A '{ DZ n mM ON o F 4. 9 En mn ;u z Z N Z O n m ZAVALES DESIGN ASSOCIATES 1243 N.E. 152nd Street ® Suite B RECEIVED Seatt362 29ie92 A 98155 AUG' 2' 2001 MILT ZAVALES, PERMIT COUNTER LOT- GOVizAce HOD � Z IMPEZIOL15 5URFAOF-5 one # BAW5 161 T� . H�(GN7 CALLS, oa ,4 pTIIM Cie qx 100 . _. c�v __ c+ I A. � AG. - b.* 101 �: t� .:.104•.7z5 ;4; ilfi 1. H111C411: t 1MNC. -- Ia�r•Tzs� � .� YZS Lt(3 N� DAY ITY LE coQr(;',l ��° of fOGFtEP • AP OV D NNING R.AN CITY COPS' �511 \/F-3Z G I T T COWST XTI O" . - �p r 5 CAW c-^SC•MEr1T O 1— Z(g `f 1VcR t� a Ao _ LOT COVF-FAGS - - - - HcL}' tg.PC' 4� oo w 2 208 z GOVEIZbC 2 Zg/1400-S = o 1 M 1ll0l15 �i?1� 5URP5 �i' e o i � otl� EAV1;S 2 cry Sr- \ 'AS � p\ � z o $ bt2�VeYVeY We! Ks 00 aZTOIbL 3400 SF LuUj =34cn/I 4cb3 - �z 4°,10 a 22c° l 5 j % f =nLA6G PLAA1 v� 1 , ��11J 56ao�iCS b 1 M\115 f0a'-mr DS WA.� �jEy�ot 00 ,n u A W �o►s. 0 8 W cr 3, DErE►a�` =Z Li wt'(� 7411 [ SZd t3�4i{ZS � If; d am1a� L sy o �p�p.Apr' GI �ttPeP+Fdt.1D I ¢ W = S CuY�\C �0. Vi� S C� J• O S f SP Ds�-S / }1 1`fPE•51' �/ c r cLL �rcN n�u c3vr ?1Oc) 0��{Pfi1° LL 89. LEGAL. PESCRI J ]Qi� ��1aC SEWER `fir aTff1 Rgr-> D INSPECTIONS REQ'D I APPROVED AS NOTED CALL.425-771.0220 EXT.1326 BY ENGINEERING TEMPONAM CuNSTRUCTION Date: / z i `XA L� 1 • '. D ENTRANCE REQUIRED 3z CITT cnigTp�tr-rtn�-1 a.. c:) -his Q 6/u/cl7oah1IWtir� Q 66Y- qk;a M, I 18005 8011 i 0 p I t ' 8 7922 005 I �� �918 t 8017 OTH 7804O1y party:r. (0 18017 7806 8027 8020 3, 18029 1 8012 8006 18025 1 I � 1 8019 8o 18105 I 18103 18107 STANDARD DRAINAGE DETENTION SYSTEM wORKSHEET OWNER C�101_y-GHQ QeN S TQ CA.LC BY: PHONE:Do zio ADDRESS DATE: - . *' "DESIGN DATA***" IMPERVIOUS AREA PIPE OIA PIPE LG ORIFICE �� 2� (I3=-----�- PIPE LOCKING ' OYPL) —PE —LCN'D—TH-7i }I---pL---N FINISHED G MINIMUM C® OF 71GTL1 CONC BOXORapR SaCC N � . SYTO i'l. SLOPE WTL t OUTLET CONTROL MIN, R E C E I V E r) UPPER CATCH BASIN ORIFICE CONTROL CATCH BASIN JUL 2 5 'D,�l DEVELOPMENT SEFVICEs CTR. SYSTEM CROSS SECTION CITY Of- E0111C70111 m- 2'X2'X6' DEEP, 4-6' SPALLS OR EQUAL _ FROM CONTROL CB 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK XISTING GRADE 'B FROM CONTROL CUTLET WASHED ROCK Cµ PERFLPIPE TO 8E IEVEL LONG. �3-.-I PERFEENNPECIPESS V/ EH99DEE CAPS Dp p 1 P 50RNiONPLRC&hjNBP VASHLO DRnIN ROCK wPRAP ourasr RUNOFF SPREADER -TRENCH FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: �Ji%21.r 1. Call Engineering Division (771-0220) for a tightline and detention system inspection APPROVED BY before backfitling and for final inspections, 2, Responsibility for operation and maintenance of drainage systems on private property is the f/6�/ responsibility of the property owner. Material accumulated in the storage pipe must be flushed DATE out and removed from the catch basins to allow proper operation. lire outlet control orifice Table 1 — Detention Pipe Sizes Impermeable Required Pipe Diameter Area Sq . Ft. Vol Cu Ft 15' 18' 24' 30' 2000 50 40 28 16 10 j i4 2500 62 50 35 20 13 3000 75 60 42 24 15 Required pipe 00 87 70 49 28 18 length in feet 4000 100 80 56 32 21� 4500 112 90 63 36 23 { ' 5000 125 100 70 40 25 I g m- I Note: Allowable Pipe Materials: Reinforced Concrete -4 Cl ' Aluminized Steel 0 Aluminum m CMP As halt Coated p —12 ADS of permitted on roads) j i Table 2 —Outlet Orifice Sizes 1 Impermeable Area Sq. Ft. Outlet Orifice Diameter (inches) � c �i, i 2000, 5/8 5/8p'. I. o , I c 2500 3000 3/4 3500 3/4 4000 7/8 4500 7/8 I 5000 7/8 Z .i O j Table 3 —Rectangular Catch Basin Requirements n 1 e Detention Max. size Catch Basin pipe diameter knockout Type < 18' 20' Type I, CB 15 18" to 24" 26' Type IL, CB 16 i 24" to 36' 36' Type II, CB 19 19 (48" Basin) I! 36" to 42' 42' Type II, CB 19 19 (54' Basin) l*Source: Assoc. Sand & Gravel Co. Standards 5 Revised 3/16/95 RECEIVED JUL 2 5 2001 OEV6GiYEOF EDMNT CiN. CITY COPY �P�s�\aJ� cALcs C1�k7T t�{Z i�al.! a-rJ.D 58x��K3,5 = �r,e�cnIDSs;'ft�,i FR.trs7 Poo —R,f %ly -gX 3? •7Zo < 32C ( J,3d7 cF- q tz�o�irJ oo, Sr�+r yl� -TP4 ow PAC, \Aa / bi-, V Height Calculation Worksheet Address: 115U,4 Date: l Inspector(s): 1. Datum Point: �i5fl Ef 2. Datum Point Elevation: 8� 3. Average Grade: to '. �a S 4. Maximum Elevation Allowed: 7Zf�verage grade) + 25' S. Reference Point Elevation Shot to House: 170 a5 (datum elevation) + t kD (grade to transit level line shot to house)_ 6. Measurements rfrom line shot onto house to roof ridge: �g 3 2 Z ZY it- ( It Total: lj�� Z2-9 ' O�- 1. �ZS 7. Actual Elevation: %(reference point elevation) +�Smeasurements from #6) _ t22-9 , 9 5S COnCIn5l0 I(actual) is greater / ess �. 7� lowed); therefore the house is/ is not over the height requireme per ECDC 16.20.30 requirements L:\TENe\BU1LDINGWSCIHei9ht Calculation Worksheet.doc i J I i , i sm m o' A j 2 !. gm w ! Ij I J ! �ntJ FINAL PROJECT APPROVAL FORM TO: - DATE -.- MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE . 6 I t gamENGINEERING DIVISION DATE 2 OZ PLANNING DIVISION DATE Nil hIWIJcna� PERMIT # ADB# DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTED F16 == A field inspection was conducted to determine final compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the release 'of PERFO QW NCE BONDS and the granting of RANT FINAL PROJECT APPROVAL w++++++r*++w+++cawss+*w+wwwww+**+w++*++**+++rw***++***at+*++++r+w++rwww++*+++++++ww++++ GRANT PROJECT APPROVAL WITH CONDITIONS NOTED u Copy of CONDITIONS given to owner/contractor by inspector I. FAILED FINAL INSPECTION - OUTSTANDING ISSUES u Copy of CORRECTION NOTICE given to owner/contractor by inspector 1. FA 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign ocaprvl.doc.l:temp:bldg:forms 10/01 z 0 m vm cv mo On c mZ p-1 Dz r_= o-n iM mm_ o 0 m �m ZC) 2 z x 0 z O 0 m i t I RECORD OF INSPECTIONS INSPECTOR DATE APPROVED . <. SETBACKS ..................... -:. FOUNDATION: / - Footing ......................T ` fir--- /. � -. :. ...: Wall .......................... • Pler/Porch ................. Retaining Wall t - Slab Insulation .......... r -.• r PLUMBING: - Underground ............. -- 12ihw i Rough -in Commercial Final ... ... HEATING(- . Gas Test .....:.. . :. - Gas Piping .• ice— Equipment ..::...... Commercial Anal `EXTERIOR SHEATHING. �^'S1 .. - NAILING . ...........') . FRAMING ........................ `' `"• ... y }. FIRST FLOOR FRAMING... `: INSULATION ...:......:...:.... - - - �... Floor Insulation ......... t .... , _ � a . . Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... f ' i. SPECIAL SPECTION ... MISCELLANEOUS .......... ��IIJJlI - T�J� FINAL APPROVALFOR OCCUPANCY .................. i &&sewer# 4z102 AmaletPats$ .- 110 too cue ��S • a- If )ExpI wa ametersIre I..PataZ�IL-RCCIADMlg ROW AmountPuld$2i Rc metal - Date Lsuct7.. �U�S�IL—Expi"� DATE RECEIVED �' ��� I r,I pERM1T EXPIRES 1 ' CITY OF @p11110NDS PER MIT 20NE V \ '2 NUMBEI 4XI-17 CONSTRUCTION PERMIT APPLICATION ADDDRESS SUITE APT oL7-4 ���µWWI�NNER NAMEMAI�E OF BUSINESS {•-�I. 1. 1 / V �/ -i ~,/ PLAT NAMEISUBDIVI310N N0. LOT N0, LIDNO. f 3C� 0 LID FEE SI ILINO ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL ST EET MAP •p,�>/a EXISTING_ PROPO ED y�N qw��p O- CITY ZIP �, TELEPHONE -•• � i�` REQUIRED DEgI .�..� FT W q• I NAME METER SIZE LINB/I[fi- �/� A I • NO:OF FIXTURES �J/ PRV REQUIRED YES � . NO C� OL/ ( ADDRESS 1 t P- 1 REMARKS OWNERICONTRgCTOR RESPONSIBLE FOR EROSION CONTROUDflAINAOE ! CITY ZIP TELEPHONE 3L wATc STr Lei(. - . ! NAME IIj \ 2 �' �'� GINEERING REVIIEEWEDIO TE 1 ADDRESS FIRE REVIEWED BY DATE C CITV 21P TELEPHONE 4 -77• BOND+i U A E B/ INSPECTION POSTED I STATE LICENSEN MBER EXPIRATION DATE ME __ CHECKED BY REO'D C3YES 'Q NO �'/ (Q��J Q S�L..-UGCO l�7l, = SEPA REVIEW SIGN AREA HEIGHT 13: " PRO E ACCOUNT ��`"N l �'. /1 w IIIJ 0 COMPLETE I EXE PT AU_OWED PROPOSED ALLOWED PROPOSED 2r I 23� LOTCOVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACK'(11 NEW RESIDENTIAL PLUMBING, MECH ALLOWED PROPOSED FRONT SIDE REAR M07. 2s, '6I 1215 FRONT URSIDE REAR t 1�ve, ❑ AUDITION ❑ COMMERCIAL COMPLIANCE OR ❑ CHANGEOFUSE ii�� , ATE 77 PARK G� LOT AREA PU REVI ED (' ❑ REMODEL - ❑ APARTMENT ❑ SIGN REO'D 3 "R CED J L�A DO '��' O'. EC FENCE ❑ REPAIR GRADING CYDS ❑ ( % FTI HKS �1 ' �7 On(�� (] ��L• h f7 - �_ ❑ DEMOLISH. _ ❑ TANK I ❑ OTHER �� �a�3•' T ❑ RETAINING WALL ❑ RENEWAL �/ {� ,V���.�. rtT' ` � ulM 1� E wl i; CARPORT F ( PE OF USE. BU I EBB OR AC IVITY)EXPLAIN: CHECKED BY ivPE OF CONST TION OCCUPA .14 _ - GROUP e NUMBER NUMBER OF ,r CRITICAL AREA O' SPECIAL INSPECTOR AREA REOUtRED rt I�, OCCUPANT I5 LOAD - STORIES 6�- UNITS'NG. NUMBER ❑ YES I D I DESCRIBE WORK TO BE DONE I - REMARKS PROGRESS INSPECTIONS PER UBC 1OB/FINAL INSPECTION REO•C W T- a I v �- VALUATION I FEE PLAN CHECK FEE HEAT SOURCE GLAZIN0, 0 LOT SLOPE % BUILDING 1 + ' 1 I I PLAN CHECK N6 VESTED DATE PLUMBING I, v MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC WILL REQUIRE OTABtli 1_ O 70 ] . DOMAIN (CURBS, SIDEWALKS, DRIVE WAYS, MARQUEES. ETC.) SEPARATE PERMISSION. STATE SURCHARGE , PERMIT APPLICATION: 15B DAYS PERMIT LIMIT: t YEAR -PROVIDED WORK ISSTARTEQ,W"IN TSB DAYS ENG. REVIEW FEES PINK PERMFOR MORE INFORM SEE BACK OF IT ATION i • m 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE INTEREST. AGREES 7?] IYBEMNIFY, _9EFEND AND HOLD HARMLESS THE CITY OF EMPLOYEES.AND AGENTS FROM ANY AND LANDSCAPING INSPECTION FEE RIN EDMONDS, WASHINGTON,:M1M1BB'OOFFICIALS. ALLCLAIMS FOR OAMAGESOF,WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY RECEIP i FROM THE ISSUANCE OF THI$$ PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE O D_ MEDTOMODIFY. WAIVE OHREDUCE ANY REOUIREMEN70F ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THECITY'SABILITY TO ENFORCE ANY ORDINANCE PROVISION.' PLAN CHECK DEPOSITIS /�Q TOTAL AMOUNT DUE RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN,IS CORRECT. AND THAT I AMTHE OWNER. ORTHEOULYAUTHORIZEDAGINT OF I AGREE TO CWPLYWITH CITY AND STATELAWS REGULAT ING CONETRUC CALL Th., eppi-ho-e h.,. rmit until /.g,,d by A Building Otl,c ,., bi ., Dpp.,y. and FAA/era pId.and THE OWNER. TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PER BON WILL BE EMPLOYED OF WASHINGTON RELATING TO FOR INSPECTION • o,,ipl i, eoknawlodpod in 10— provide �. W VIOLATION OF THE LABOR CODE OF THE STATE WORKMEN'S COMPENSATIONlYSUMNCE AND RCW I8.27. OZALS SIGNATURE VATE f SIGNATUR10'NNE FOR AGENT) DATE SIOP:EO (425) r ATTENTI N ! 11-V22U RELEASED BY DAiL EXT 1333�� �, /v/� D ) 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- 1 - w� ORIGINAL - FILE • YELLOW -INSPE OR - CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 � L PINK -OWNER - GOLO. ABBfis3OR ZJ J m -� 71 �m mo On C E2 10 rz O H I m M OFn Z�N i n N o j. 4 m