20020077.pdfDATE RECEIVED
[PERMIT
EXPIRES
CITY OF EDMONDS
US
zo4 NERM T
fi5 6 UMEIER 0(27
CONSTRUCTION PERMIT APPLICATION
SUtTEIA—
ADDRESS —� �/ --
,u
OWNER NAME INAME OF BUSINESS
PLAT NAME'SUBDIVI$ION NO L T 1061/' LFo7o (,U
MAILING ADDRESS
/o LID PEE S
o
PUBLIC RIGHT OF WAY PER OFFICIAL STREET IVAR F111111.11- A., A o
CITY ZIP TELEPHONE 7
EXISTING &()/ PROPOSED —
EQUIRED DEDFCATIFON--7�f—p FT
NAME
ME;j SIZE UNE�IZE NO.OFFIXTURES
4
ADDRESS
REMARK
R
OWNER/GONTRACTOR RESPONSIBLE FOR EROSIONCONTROLI
CITY zip
t"T Z. 7 'X)f 0"A�
ITELEPHON1
NA E
0 4111-)
EH.INEEl. REVIE�JD�GAJ,
�kA
FIRE REVIEWED BY DATE
CITY
0
a:
z
STATE LICENSE NUMBER EXPIRATION DATE
VARIANCE On GO SHORELINE OR ADB4 INSMEC—TION a NO
0
elllotlw "�Pve 0
0 REQ6o 'OSTED
YES
m
PROPERTY TAX ACCOUNT PARCEL NO.
SERA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT Aq ALLOWED, pi D
PaY
EXP I ar::, ,
-4
3:
NEW RESIDENTIAL PLO..'.. I MICH
T , BE �%PTII SET�BACIS 11
AIG`Z[Go' ROSE. R El" . E'. E.4� 1ROP01111 SETBACKS I'll
FRONT 1111, REAR
75
m
c
00
E] ADDITION COMMERCIAL cOMPLIANCEOR
0
:__
el� r
1; 0'
m
CHANGE OF USE
�
80
C3 REMODEL C] APARTMENT 0 SIGN
PA LOTAREA�7 TE/
BEGS RAP`ROVIDED
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A MT
C3 REPAIR CYDS m PENCE X
FTI
REP HA2, No
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M DEMOLISH 0 TANK 0
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GARAGE 11TAININO WALL C]
CARPORT RoG.RY RENEWAL
O'YPE or USE BUsIN -EXPIFAN
CHECXEDBY OCCUPANT
GM
O"n
--T
JTYPEOFcollqi� GROUP
I
NUMBER UM ER OF c AL
OF DWELLING An AS
1
SPECIALEIDNSPECTOR JAREA
m III
11 NUE
o STORIES LIN s MSER��
R 0
EGG N YES
6MAI.IPAIT <j
0 F)
DESCRIBE WORK TO BE DONE
.2
0
BEIVA1111
0 M
c: 0)
PROGRESS INSPECTION$ PER UBC 1081FINAL INSPECTION REO'D 5
m- 0,
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Lin 4CIO4 4 . ... .. .....
or-,kE, mmu
z
1
-q
VALUATION FEE
;9
PLAN CHECK FEE /0
07
z
LOT SLOPE %
BUILDING �26�1-50x, �,
9
PLAN CHECK NO: IVESTED DATE
PLUMBING t�lw 1 4102-
0
m
1.
4W41
1
THIS PERMIT AUTHORIZE$ ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
MECHANICAL
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
x DOMAIN (CURDS. SIDEWALKS, DRIVE MARQUEES, ETC.) WILL REQUIRE
WPEARYSM'ISSION,
SEPARATE
STATE SURCTFARG
BE MIT APPLICATION: HIS DAYS
T PERMIT LIMit I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG,REvlEwFEEs
V, 'APPLICANT. ON BEHALF OFHIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
END INSPECTION FEE
IN INTEREST, AGREES TO NDEMXIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
N ANYAND
E MOND . N. ITSOFFR31ALS. EMPLOYEES. AND AGENTS FROM
A L CLAIMS FOR DAMAGES OF WHATEVER NATURE, AnISING DIRECTLY OR iNOREC FLY
INSPECTION FEE
. ALL NOT E
X FROM THE ISSUANCE OF T141S PERMIT. ISSUANCE OF THIS PER IT SH BE
DEEMEDT FYWAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANC
RECEIPTi (3L
PLAN CHECK DEPOSIT
L
YTHECITY'SABI
NoRLIAFT=W LITY TO ENF08CE ANY ORDINANCE PROVISION
C3
,
TOTAL AMOUNT DUE aa-7 �L
I HEREBY ACKNOWLEDGE THAT: H IF READ THIS APPLICATION. THAT THE INFORMATION
APP ICATION APPROVAL
GIVEN IS CORRECT. AND THAT AM THE OWNER. On THE DULY AUTHORIZED AGENT OF
T E OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL lh,� pp"�I— -� — � '.." -, F..
TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
LAUD
IN VI A CODE OR THE STATE OF WASHINGTON RELATING TO
OL
-1 olll-� .1 D—ly: ."d 5—
FOR INSPECTION
N�
oMOZ
WoRKM $ATION INSURANCE AND RCW 18.27
E;;?�n
F AISSIGNATRaW DATE
AT
SIGNAjThRE,1O'G'1�N1 ORAqENT) GAT. 1IGNID
(425)
Sony
A17ENTION
XT 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-
(DIRGINAL-EFLE ). YELLOW. (NSkECTOR'
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK - OWNER - GOLD - ASSESSOR
5�98
74'�8*
?,0, LESS THAN 30� ",Mo"rH
EAr'JING — -. - - `!�_
ABOVE GRADE 0 EXISTING ROCKERY
E0&jf_ 40,
1-11, LESS -AN NOA V 38"E I
ABOVE EXISTING G
'��,,)P' 4 SIDE SET S' THICK CONCRETE
D IN n DRIVEWAY
L 1, 1 1�
.GARAGEFLOor
FAMILY RE
LE 5A
CIE, N, GR. 0 106,00'
FIRST Ft 11
MOE
R 0 117.54
kor,
&\flN. Or 0 106
za.1 wo.,
100 71)4
F.XIrTING RESIDEN :E :-T
ti
TO BE REMOVED
1, A
3/4. S_F
r
as
0
wv 10, 00 TE WALK
ID�-102—
'DE
<
L VE51�KJPTIQI
LOT SUMMARY W EPV5ND6. ACCORDING TO
LOTS I AND Z BLOCK 9O.CTTY
OLUME 2 OF FLATS. ON
5140HOMISH COL�NTYWA6
/6576f THE FLAT THEREOF, RECORDING IN V
LOT AREA 35 SORT. PAGE 39, RECORDS OF HINGTON.
MflLP=p?E9"NT 2152.66 9aFT.
CANTI "'0 50'F"
EAVES EXCEEDING r6 YONDDIALDING
-7p ST EET SOUT
F=MNTOI)FAVES - 0.00 Wft _h_ R H
TOTAL LOT.009tRAOE 2278.70, SO.Fl.
FERoNfAm OF COVERAGE 34.0,
�.,DUILDING SUMMARY
GRADE FOOT PRINT FOR BUILDING HEIGHT
;LEDOF CONETCZ T
UeOF,e �C
(LOWEST GRAPE - EASING OR FIV15H) r� 2
106.17.,105W.104.75.105.00.10',Z6AVERACE FIRST FLOOR LIVING 1297.91 saln.
STRUCTUME - 129,05 TOP OF ARC44ITECYUFAL MANSARD FIRSrFLOORGARA6E EBS.,4 90 FT.
MAXIMUM ALLOWABLE HEIGHT 26 00.36 111 T
R,�=E
RED Sy C,,,,6,L66F
FIRST FLOOR ENTRY PORCH AND 5TAIR" 5431 SQ.FT.
(PORTION COVERED POPC'i ITOOF 43.22 5QF 0
SECOND FLOW LIVING WS5.05 SOFT.
7mmommumb Imam mamT
PROPOSED RESIDENCE FOR SECOND FLOOR DECK 3.5"2 SOFT.
CHR15 PICKERING (PORTION COVERED by ROOF 264-51 5aF1',) 8VII14 6Q.FT.
TOIALOARArE
N 'G 2611 N.E. 113TH ST. SEATLE INA51-11NOTON 9,5125 TOTAL LIVING AREA 30&220 SQ.Ft
IN TOTAL DECK / PORCH AREA MW SO.FT.
20ro-440-0939 —�iar, (PORTION COVERED 308.03 SO.Ft)
SCALE V l'O
IV
Height Calculation Worksheet
Address:
Date:
Inspector(s): I/vl,)
1. Datum Point: �(wV A—�
2. Datum Point Elevation: on
zi,
0,
j,
i
qN,
3. Average Grade:
,n�
4. Maximum Elevation Allowed: lly,74(average grade) + 25' TCe
M,
0:
5. Reference Point Elevation Shot to House:
L O"s (datum elevation) + I o (grade to transit,level line shot to house)
ni�
to z
6. Measurements from line shot onto house to roof ridge:
C-
z
0,
in M
0
Z,
Total
m
7. Actual Elevation: 1 0 - j (reference point elevation) + (measurements
from #6)
Conclusion:
13C),dS (actual) is greater/ (eigsItEAp (allowed); therefore the house is/
'T--e-r—
is not over the height requi remen p EjDC 1-6.20.30 requirements
LATEMPTUILDINGWISOHeight Calculation Worksheet.doc
FINAL PROJECT APPROVAL FORM
TO:*
DATE: —
MEMO TO: PERMIT COORDINATOIZ, BUILDING DIVISION
FROM: __FM DEPARTMENT DAT
_�ENGINEERING DIVISION DATE *9- �19 3
PLANNING DIVISION DATE—
PROJEC
srrEADDREss 3(A M042L.-
PERMIT ____-----PATE INSPECTED 0 3
—ADB#
DESCRIPTION OF WORK TO BE INSPECTED--E I h) �NL-
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that the. are no objections from the above signed Department to the release of
PEgEORMANCE BQN
__RS and the granting of
%�GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL wrrH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractorby inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
JAN 3 2003
3. PER'W'T COUNT,11i
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date— Sign_
ocaprvi.doc.l:t=V:bldg:for=10101
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall ...........
Pier/Porch ..............
Retaining Wall
io 1 0
Slab Insulation ..........
PLUMBING:
Underground ............
Rough -In ...................
Commercial Final
HEATING:
GasTest ...............
\(Y\S
Gas Piping
Equipment.................
3
&
-Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ..................
IMS,
FIRST FLOOR FRAMING...
INSULATION
Floor Insulation
Wall Insulation ............
Coiling Insulation
rAs
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
SideS ewer cc 1 00 D t0c)
No A-CU4
236 q vi
AM tPaW RCMIPt
0
13 -02
Date
WaterMeftrSize
Amount Wfd_ReWpt#�
DatePUrChUSOd _T
Jw
Amo=tFWd$/ iWelPtf
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In
C
MO
0
—40
0
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ID —1
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0
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