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Fp ERMIT EXPIRES / Z�Lo
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
us PERMIT
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NUMBER llMlE101 CRITICAL
OF DWELL NO AREAS
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STORIES UNITS NUMBER ()t _
DESCRIBE WORK TO BE MkPQ�� 4 to,
SPE F
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ARE
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OCCUPANT
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ't)l
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BUILDING
PLAN CHECK NO: __3 79 jV11111 DATE
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PLUMBING
MECHANICAL
THISPERMiTAUTHO IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFILL
o
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MAROUEES. ETC.) WILL REOUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
PE MIT APPLICATION: IGG DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 18D DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG, REVIEW FEES
�APP ICANT, ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
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IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS HE CITY OF
LANDSCAPING
2 EDMONDS, ASHNGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND
INSPECTION FEE
ALLCILAIMS PON DAMAGES OFWHATEV5R NATURE. ARISING DIRECTLY OR INDIRECTLY
FIT M THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
FI DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUIREMENT OF A CITY ORDIVANG
NY
PLAN CHECK DEPOSIT
RECEIP1 jfq IT :��qo
0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY OR NANCE PROVISION. -
TOTAL AMOUNT DUE
I HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
GIVEN M CDR ECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
T EOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TiON AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
Tu" -. .,FP-1- i� 1 . P-11 -1I �lg- i,,
-o 011-1 .1 DwIlly, nd 1- - pld,-d
IN V16LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION -11ph, Ilk-ildg._ _F�
WOR�MEN S COMPEIYS2!tt��AANCE AND Rr I "I 7�
OFF ALSSONAT11N 'A'
sw�URE (OWNER E SIGNED
(425)
lit 4 t,
771-0220
11
gy� - -
hSMA�Eb lAlt
ENTION
EXT 333
/5h�-
IT IS ONLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
oRlGINA,L 'F'W- YELLOW- ASP40H
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OVAER - GOLD - ASSESSOR
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EXIST. BUILDINS FAM
(WNSTftaw IqT3) 10,15 5r
EXIST. vETAcHEo rAgAsr:l
UNSTMr-TED IT73) '136 SF
EXIST. DRIVEKAY,
INS
�C&Ismurltv I'm 5216 SF
pROPOSED ADDITION: libs Sr
264 Sr
PROPOSED DECK,
PIROPOSED C4VERED FORfA. 151 SP
OP.ApINO CAI-C.5,
MPOSED aT-.
(NEK rRAVL SPACE) 165 6U. YDS-
EXSTINS
HEISHT ANALSAll DRIV&IAY
ELEVATION AT W 1064V
ELEVATION AT (B) 10`150' "e,
ELEVAMON AT (6) 110-SU
ELEVATION AT (0) 110-15, . ......
AMS� GRAVE, IO'Wq'
134.lq' .0.
MAX. HE16K, .0.
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*****DES(GN DATA*****
PIPE LG ORIFICE
FIMPERV:IOUS AREA PIPE DIA
sr-
OMMION PIFE LrNGT IW. LID
F KD
IRM
HIM
TI OF
cow Box OR RISER
3% To in
aqp4tL r
ouTLEir CONTROL
HIM.
UPPER CATCH BASIN
RE'6011VED
CONTROL CATCH BASIN
MAY — 8 2002
SYSTEM CROSS SECTION, WILDING DEPT.
2'XrX6',I)EtP. 4-6- SPALLI.OR EQUAL
CONTROL CD 2-X VX 3' DEV� 314' CRUSHED ROCK XtSTIM GRADE
FRON
FA13M CDNIROL OUT -LET
IN V L6-
Far A", M,
PERF PIPE V
PRffRHTMP ktffAlld VJTXZR`%1R AGE`
ALF)"), MIST,
RUNOFF SPREADER.TRENCH
-BE CONNECTED 770 DETENTION SYS7EM
F0077NG DRAINS SHAU NOT
NOTES.
1. Call Engineering Division (771-=D) for alightHat,andddenfiouMtemin$PcchOzx
before backffiling and for ftal inspections. APPROVED BY
KDA
2. Re-Vonsibility for operation and maintenammoof drainage systema; on private PCOP"V is dw
responsibility of the propertY Owner. Matcriaa=umulatedizLthe.rtoragepipemustbtflus
out and rerenved from the catch basinsgo allow proper operation. ne, outlet control o]rific.5h To
I must be kept open at all times.
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IMPERVIOUS SURFACE CALCS
EXIST. BUILDING PAOt
t,[)�NG DEFT.
(CONSTRIJOTED 1,113) 1110 SF
EXIST. DETACHED GARAGE%
(CONSTRZTEP MIS) q5b SF 4
EXIST. VRJVEMY,
(CONSTRUCTED lcM5) 5216 SP WING z
lo 0 N,
DETACHED
0
PROPOSED A1701TION GARAGE
w/ OVFRHAN65t 5F
(5bqb Sr - 11-10 SF) 2526 SF k",
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PROPOSED DECKS
DEYONO OVERHANGS; 5114 SF M,
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PROPOSED Cvr.. r
(NEV4 CRAKL 5PACE) 165 U. YDS- M
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HEIGHT AN DRIVEKAY >
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ELEVATION AT (A) 101-06' .4
ELI! VATION AT (5) 10q.12' 0
ELEVATION AT (6) 10q.10
ELEVATION AT V IOqA2' m m
BL
BLLWlr5TONE P
W/ C, STE OF
AY&. GRADE; 10q-15' 0 n�
CURB (PA TO
MAX, HEIGHT-. 154.15'
BE INED)
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All
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PROPOSED m
RESIDENCE
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TABLE 1 - DETENTION PIPE SIZES
IMPERMEABLE REQUIRED
PIPE DIAMETER
AREA SO FT VOL CU FT
15" is" 24" 30"
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 112
90 63 36 23
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5000 125
100 70 40 25
WA,BLE PIPE MATERIALS
ALLOWABLE TIGHTLINE MATERIALS
�El �F6RCED� CONCRETE
SDR35 (ASTM D-3034) PVC
ALUMINIZED STEEL
N-12 ADS (DOUBLE WALLED)
t6�
ALUMINUM (16GA)
SCHED 40 PVC
CMP (ASPHALT COATED)
HANCOR (F810) PVC
ca
M
1A
N-12 ADS (2' MINIMUM COVER UNDER
ROADS/DRIVEWAYS)
0 c
.7 ORIFICE SIZES
m
m z
10-4
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IMPERVIOUS
OUTLET ORIFICE DIAMETER (INCHES)
AREA SQ FT
2000
5/8
0,
'�V
2500
3000
5/8
3/4
x C
m M
3500
3/4
a vi
4000
7/8
4500
5000
7/8
7/8
7',
[TABLE 3- RECTANGULAR CATCH BASIN REQUIREMENTS
DETENTION MAX SIZE
**CATCH BASIN
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PIPE DIAM KNOCKOUT
TYPE
<18" 20"
TYPE 1, CB 15
18" TO 24" 26"
TYPE IL, CB 16
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24" TO 36" 36"
TYPE 11, CS 19 (48: BASIN)
36" TO 42" 42"
TYPE 11, CB 19 (54 BASIN)
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**SOURCE: ASSOC. SAND AND GRAVEL CO. STDS.
.
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. . . . . . . . .
REVISI
NS
STANDARD DETAIL
TABLE OF STANDARD RESIDENTIAL DETENTION SYSTEM SM
'ago- 199
DATE 7/24/01 SCALE
NTS
DWO NO. E5.12
FINAL PR6A& APPROVAL FORM
TO:
DATE:
MEMO TO: PEP1vff COORDINATOR, BUILDING DIVISION
'FROM: FIRE DEPARTWNT DATE—
G (1-A 17-)RT ENGINEERING DIVISION DATE 3/26/0 2
---
T T—
PLANNING DIVISION DATE
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PROJECT—Ngt-C-01�
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PERMIT# 40OA-00--)-/ ADB# DATE INSPECTED 3 16? S-/ 0 21
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DESCRIPTION OF WORK TO BE INSPECTED SS ef ME ca
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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
0 n
BONDS and the granting of
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\,,-GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL wrm CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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a Copy of CORRECTION NOTICE given to owner/contractorby inspector
2.
3.
RE-INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date— Sigri—
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FINAL PROJECT APPROVAL E0—RM
TO*
DATE:
MEMOTO: PERMIT COORDINATOR. BUILDING DIVISION
FROM: DEPARTMENT DATE—
. . . . .. . . ... . . .. . . .. . . .. . . . . ENGINEERING DIVISION DATE- 3 kov-3
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PERMIT #4&:�6��ADB# ____---PATF INSPECTEJ)—"�
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DESCRIPTION OF WORK TO BE INSPECTED�.--15eL
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A field inspection was conducted to determine final compliance with approved Plans- Final. 8100-val,
2;
0
denotes that there are. no objections from the above signed Department to the release of
o -n
PCE BONDS and the granting of
pERFORMAN
GRANT FINAL PROJECT APPROVAL
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GRAM PROJECT APPROVAL wrm CONDM� ONS NOTED
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a Copy of CONDMONS given to owner/contractor by inspector
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FALLM FINAL INSPECTION - OUTSTANDING ISSUES
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a Copy of CORRECTION NOTICE given to owner/contmetor by inspector
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RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Datc,_ Sign—
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
3 0
SETBACKS .....................
FOUNDATION:
MS
Footing ......................
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Wall ..........................
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Pler/Porch .................
Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
Underground ............. M 0
Rough -in ...................
y1rNS 0
Commercial Final
IT1
HEATING: , �j r �
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Gas Test .................... —4
Gas Piping ................. _[t,
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Equipment .................
3:
Commercial Final IT!
EXTERIOR SHEATHING 0
NAILING .......................... �d . L 0 rn
Cc 'COO
ITIO
FRAMING ........................ T'__ Z r-
FIRST FLOOR FRAMING Ins
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
In
SPECIAL INSPECTION
03
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
C,
Amout P..,!n
Date
Amount
_IePu,
ArnennIPnL! $