20020098.pdfGAT"'c"Y'S
FPIER
CITY OF EDMONDS
,'BE PERMIT
S NUMBER20C)'2- (:,c,
CONSTRUCTION PERMIT APPLICATION
ADDRESS f �UHEIAIT-
1
644,T14,1W Cl l'--r,
_ 1.5
PLAr NAMEISUBOY 10,
LOT N
LID NO CVWSO
MAILING ADDRESS
)6�1
LID FEE S
9112 EMoge,% wq flms 24(p
PUBLIC EIGHT OF My PER OFFICIAL STREET MAP
—CP ApN.— 0
0
CITY
EXISTMG_@�Ki PROPOSED—
P-1 R 0
F.__
ZIP ITISLEPHONE
4Lg
1002-0 1-711-112:70
HSOUIREDDEDICATION— FT
_kA
NAME
METER SIZE I
LINE S17E
NO .1 FXTUNE�
PRV REQUIRED
Fle5odgq
Y ESX NO 0
9
t ADDRESS
REMARKS
1491'�, �fe /20A �__T
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY ZIP
t>d6vok 9 6o]
NRk+�+ :,�09 41
NAME
KIAT61-113 ou")
ov f1tc, avol
ADORE S
-24?rp
ENGINEER REVIEWS 10 E
NO
-.,.q 19 q- p_DAl,okD.s WO f'448
FIRE REVIEWED By DATE
CITY
IS
ITEHM
1 (920
STATE LICENSE NUMBER
EXPIRATION
VA IANCE OR CU
SHORELINE OR ADEPI
INSPECTION
ILIBOND
CITED
z
6
ES
ijNw cc--k.
�CC`GUN'q RGPI .
SEPA REVIEW
SIGN AREA
'HEIGHT
IT!
PROPERTY TAX NgO.qj
004 (,S-l;,026pDo ��.av&r
COMPLETE I EZT
EXP
D
�7� 1177
ALLOWED , PlOPOS110
2-s 215
:ifl
NEW
RESIDENTIAL
IMECH
BG
LOTCO A E
AL
FlJOL, ED SETBACKS (FT.)
*�VMI
T
PROPOSE 0 SETBACKS (FT3
Ff�T,7Q7
C..PL:A CE R
F.Pos
07
ED SIDf, REAR
AD
2 1 15
90 7 V9,
IWEARI
2t,
m
AUDITION
0 COMMERCIAL
0 CHANGE Or USE
-
REMODEL
Cl APARTMENT
[I SIGN
PA
RE2�
ING
Pno�,
W
ATE
M
0
0
F-1 REPAIR m F NCE
CYD (E_ X FT)
1p4L
M
RE
Fl-AA 4;otv- LJOfT
C3 DEMOLISH [:) TANK
')�-RA.e
Fg/-) m Al-L-
ITZ
j) --I
0 RITAININGWALL
2 RPORT ROCKERY o RENEWAL
g- , ,
r- -4
�;E !;;�mp"ESC/jo�w a
CHECKEDBY TYPE
J�ZRIJ�WOCCURAN`Ei?
r p
'ROU
� 1
ca
'n
NUMBER
NUMBER OF I
CRITICAL
'n
or 1Z
DWELLING
I
A
I ' PECIAL SPECTOR
OCCUPANT
—1
STORIES
UNITS
N R
EOUIRF"
El YES
JAIEA
LOAD
-3
DESCRIBE WORK TO BE DONE
REMARKS
IT! m
PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION REO'D
IS
zi
0 M
c: cn
13dtL.r> Kw 1�2 F -P,
9 co
M 0
f *_v 16�
nT:,=�j ma-- sQvra-
ZArl T�QfX,�:� ll�l sQr-l—
EMLLATIONE
FEE
z
S _10T�r.
QJ,LvZ _7 —
PLAN CHECK FEE
L
HEAT SOL "'
ItILIPE I
BUILDING
Z-0 L4,500
co
z
lg.AlIK
&W, t
L;T E�t
PLAN CHECK NO: Ll ?7 1
_V
VESTED DATE
PLUMBING
0
0
-_
MECHANICAL
IT!
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BEDONEONPRIVATEP OPERTY ONLY, ANY CONSTRUCTION ON THE PU LIC
W
DOMAIN (CURBS, SIDEWALKS, DRIVE AYS, MARQUEES. ETC.1 WILL REQUIRE
GRADING11ILL
SEPARATE PERMISSION.
PERMIT AIPLICAFICN: ISDDAYS
PERMIT LIMIT, I YEAR, PROVIDED WORK IS STARTED WITHIN 180 DAYS
END REVIEW FEES
SEE SACK OF PINK PERMIT FOR MORE INI....10.
C
*A PLECANTONSEHAL OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
ENO INSPECTION FES
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AN. HOLD HARMLESS THE CITY OF
LANDSCAPING
2 EDMONDS, WA HINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FRO. ANY AND
ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIREC—OR INDIRECTLY
INSPECTION IEE
FRO. THE ISSUANCE OF THIS PEHNIIT� ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
IN CEWT J$�
i
1
DEEMED TO MODIFY, WAIVE OR REDUCE ANY A OURREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
-
TOTALAMOUNtOUE
IN CE r_�_j
RE jq06-
t HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION, THAT THE IN' .. ATI.N
APPLICATION
APPROVAL
GIVEN IS CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
T SOWNER, I AGREE TO COMPLY wi rH CITY AND STATE LAWS REGULATING CONSTRUC
Th,S IPPI110— 11 - I 001mll FIN 119P.Pl by tl.
CALL
TION. AND IN DO NO THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
B I dPg OffiF.1 0, D_`Y: a'd F'os pi'd.
FOR INSPECTION
WORKMEN*S COMPENSAT9"'URANCE AND RCW 18.27,
(425)
Ifilt
1/-
BEGNAT AS I Im
DATE SIGNED
VR
1/h 1 4
_z
1 771-0220 'RELEA9077 DATE
ATTEIlffION
EXT 333
LAW IUSE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE YELI-OW INSACTO4
I'
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK OWNER -,G6LO -ASSESSOR
12/10/2001 11:03 4254542810 THE WALEY ALLIANCE PAGE 05
AVERAC45 GRAM CAI-C;
LOT AREAt 812- 60-FT, 45,5 x 4M - 4SS'
2290 84.FT- W-
LOT C:OVERAGr MAX. IBL.0,3 HEInHT ALLOWED:
TAx *(PLAT), 0046'3302600200 458 40
12.00' M� 00�
CONTACT OLYMPI VIEW
WATER/SEWER RIOT r ........... . ....... �pjwll ---------------- --------
...................
Z
0.
-----------
ACCEPTABLE TIGH INE
MATFRIAL I
SDR 35 1
S I I ,
N�H 4 0
2
m
ma
F810 HANCOR
0
0
c
I
32
m m
CA
0
DRIVE
1,00,
M m
0 Fa
0
0 Fn
-------
C CA
jO'El 4W
K ct)
M C>
z
FOR
q pRIVATE ROAD
z
N Co �tbDL
40.00 DATLIM f-T, EL, 490,9
z
cowc- MON- r-Afto
0
m
Lor_ATED ON 242NO
T
CUT DIRT OtI SIT
(RMISTRIISUTE
nr,5 or- T14E SM, NOR DOES IT
MFS NO Rr=f-PONeISILITY AS TO PHYSICAL ARACTERIS! rCEPTANCE
MR Usrz OF LOT Arr-NOWLEDGES
5UPPOEP By OTHFR
4a DATA
vF-ftlPlY ACrUPAry OF ENGINM" NAME
INC.
THIE WIEFALEY N,CE PS' 11-1401
mom W.E.. 20714 STREW WILL (12W.4rl CONTRACTOR SCALE
07
C H I T E C T 8 L4 UATOAN r-O
DEC 112001
PERMIT COUNTER
Height Calculatibn Worksheet
Address:
Date:
hispector(s):
I Daturn Point: �A-
I
N
2. Datum Point Elevation:
01
0'
3. AverageGrade:
4. Maximum Elevation Allowed: LS& (average grade) 25'
0 m
5. Reference Point Elevation Shot to House: .
PIC,
C
4SlAdatum elevation) (grade to transit.level line shot to house)
Of
h
ta,
6. Measurements ftom line shot onto house to roofridge:
K W
0
Total: t
M
7. Actual Elevation, (reference point elevation) ALLYi-easurements
from#6)=
Conclusion:
(actual) is greater /, CeLs tkA (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
LATEMPWILDINGWISC\Height Calculation Workshect.doc
LOT AREA! 8280 SQ.FT, AVERAGE GRADE CALC:
458 x 414 - 458'
LOT COVERAGEt 2250 5Q�FT, (21.M.)
MAX. IBLDG HEIGHT ALLOWED!
TAX * (PLAT)t 004&33O2roOO20& - 458 � 25 = 4$3'
J
12.00' EL. �5.'
r------------------------------------- ----- .....
1.4�
--------
----------
MIN---------------
FL. 4k
31.v
b
MAIN� 14W So.FT.
UPPER, Wl SQ,rT.
GARAGE, IE�. sQ.FT.
j
17
32
. .........
DRIVE
05
110 5Q
'I,
2l.r*
----------- ....... . L 4�1
WD Y L INN G
CL PRIVATE ROAD
---- -------
--------
EL. 45W :Fo'Oo
DATUM FT. EL. 450,13
0 CONC. MON. CASED
"'v
LOCATED ON 242ND
THIS OFFICE ASSUMES No RESPONSISILITY AS To P14YSICAL CHARACTERISTICS OF THE SOIL, NOR DOES IT
VERIFY ACCURACY OF ENGINEERING DATA SUPPLIED BY OTHERS. USE OF PLOT ACKNOWLEDGES ACCEPTANCE
E HEALEY ALLIANCE 1`05, INC '
N.F_ 20TH 6TREET - BELLEVUE, WA, WOOl � (425) 4E4'3OS&
DATE
11-14-01
NAME
PLAW
5150
!js
LOT-
41
CONTRAC
NATHAN CONSTRUCTION
7ALE
1"-20'-0"
z
9
0
ru
M
c
M
0.
0 C
m
m
10
c—
o"n
n
mm
0
o In
c (a
M 0
;u
z
z
m
FINAL PROJECT APPROVAL FORM
-7
TO:
DATE
MEMO TO: P OORDINATOR, BUILDING DIVISION
FROM: ____---jIRE DEPARTMENT DATE
-2z,7
_ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
PROJECT.
SITE ADDRESS- 061U 1411-la ��k SAI
PERMIT# ADB#-----------PATE INSPECTED���.
DESCRIPTION OF WORK TO BE INSPECTED--Ef:f--
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
PERFORMANCE BONDS and the granting of:
V' GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign_
oczprvi.doc.l:tenip:bldg:fonnsIO/OI
z
9
0
--q 95
C M
M 0
0
80
C
M
rn Z
0 -1
Z
Cn
0 -n
n
M M
0
0
0 M
C: CO)
9 Cn
rn o
Z
z
Cn
z
0
4
0
M
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall..........................
Pier/Porch ...........
Retaining Wall ...........
Slab Insulation ..........
0
PLUMBING:
45i
FZ -4
Underground .............
in
M
C
R..,h.11l
-2
M
-40
Commercial Final
OC
HEATING:
W)s
L-, 2
M
M
10
Gas Test
Gas Piping .................
Equipment .................
Co
Commercial Final
EXTERIOR SHEATHING
4-
NAILING ................
05
FRAMING ......................
C w
A 0
FIRST FLOOR FRAMING
INSULATION ................... MS
Floor Insulation
>
Wall Insulation ...........
z
3:
Ceiling Insulation
C0
SHEETROCK NAILING
z
SPECIAL INSPECTION
m
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
SideSewcrifR
AmOut Paid $ . Receipt
DA1eI[ssued--------XXPh'eS ------
row #
Paid $—�ReceiPto—