20020111.pdfPERMIT EXPIRES
CITY OF EDMONDS
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PERMIT
IN BER
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CONSTRUCTION PERMIT APPLICATION
SUITEIAPT#
ADDRESS /a
pZ 10
11 N[IINANEINAME or BUSINESS
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PLAT NAMEISUBDIVISION NO.
LOT
LID Nl-
LOIS
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14.411
;UBLIO FIGIII OF WAY PER OFFICIALSTREET
MAP
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01Y zip
_�TEIIIHONE
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2
EXISTING — PROPOSED—
'El'IREDOEDICATI ON -�—' IT
No, OF FIXTURES
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METER SIZE
LINE SIZE
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YES I.
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REMARKS
OWNERiCONTRACTOA RESPONSIBLE
'OR EROSION CONTROUDRAINAGE
ADDRESS f-7-77jLl
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-1-i- I t`02�-
DATE
T�/`Oz,prz-
IT1111HONE
VARIANCE OR CU
SHORELINE OR ACS�
—
INSPE
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(:] YES
STATE LICENSE NUMBER EXPIRATION
37
1z5ijff:rc-761<-1 IL
PA REVIEW
COMPLETE EX
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
PROPERT TAX ACCOUNT PARCEL NO.
/70qo -t�70 - 00 9-- M
EXP I
I
25' 2-�;'
,
NEW X RESIDENTIAL 14 PLUMBING t MECH
LOT COVER GE
ALLOWED PROPOSED
REQUIRED SETBACKS 1".)
FRONT SIDE REAR
PROPOSED SETBACKS
FRONT UPSIDE RE'AFT)
C] ADDITION r-1 COMMERCIAL C MPLIANCE 08
CHANGE OF USE
1�5-9 2417.1
2 51 7.5 15'
0 '7� 15 (g2-
DATE
C] REMODEL F1 APARTMENT SIGN
REC
0 REPAIR G4AD^ING1 FENCE
2m YDS X FT)
REMAHK5
DEMOLISH 0 TANK C] OTHER
GARAGE I.IMNING WALL RENEWAL
CARPORT
(TYPE OF USE. BLJSINES)��CTIVIT%PLM
CHIC11DRY
ILE ION
C C PAN�?
lilt-4g ypylf
ITYIEOF.CONJSf
JQ
'n G Aoou�
NUMBER
OF
NUMBER 0" 1 ITCAL
DWELLIN AREA S
JREC
SP
SPE
'ANT
STORIES
UNITS NUMBER
PROGRESS INSPECTIONS PER UBC 10S/FINAL INSPECTION REOT
0
2,7a P-Lem
VAL ATION
I I:
PLAN CTKK 8
?URCE 1��GLAZIN. I
7
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jVES111OAT1
KAN CHECK NO:,,a
"WMI",
—
P(CURBS.
Mrl.!I�INICAI
THIS PERMIT AUTHORIZEI5 ONLY THE W RKN.1EG. TIHISPERNIT.OVEFISWORKT.
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
0 E
DOMAIN SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL RE UP
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. AS - PROVIDED K S STARTED WITHIN 18. DAYS
I YE Won t
r,, W, I I,
SEE SACK OF PINK PERMIT FDA MORE INFORMATION
A ;APPLICANT ON BEHALF OF Hi On HER SPOUSE, ASSIGNIANDI.ClEET)RI
TO INDEMNIFY, DEFEND AND HOLD HARMt ESS THE '" Y 0'
N INTEREST. AGREES
2 EDMONDS , WASHINGTON, ITS OFFICIALS, E PLOYEES, AND AGENTS 'RON' ANY ANN
LANDS
LL LAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR 11
A C Vi 4 CILY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PEPMIf SHALL .10' E�1.
0 DEEMEETO MODIFY. WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANC
I,, —;H,- I,,
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
IHEREBY ACKNOWLEDGE THAT I HAVE READ HIS APPLICATION THAT THE INFORMATION
ICATION APPROVAL
GIVEN Is CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTRORIZFO AGENT 0'
OWNS t A R X WITH CITY AND STATE LAWS REGULATING CONS rN,.,C
CALL
"TLI -I ". "'I L� '11-1�1 1'tl�l 1" 1"11
,A!P
THE .
T : AND IN 0 HORIZED THEREBY, NO PERSON WIL BE EMPLOYFO
ION ING
. ..... . . ..... .... I
I N VIOLATIO LA E OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION ... . ..... ....
KME 0 N ATI I CHANCE AND HOW 18,21
Won Co S I
11U�NAWHI "Alt
A
(425)
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g=O
771-0220
WTTENtION
EXT 333
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.
CATE OF OCCUPANCY HAS BEEN GRANTED. LEG SECTION 109
FAX
PINK OWNER-- GOLD ASSESSOR
,98
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Contact: Ron TrIckett
ARSHALL 20611 Bothell-Evrt. Hwy.
-E
HamEs Buth' 336
ell, WA 99012
Building the Quality Dream Phone: (206) 940-3154 OW
License: MARSEDUG76RI
P(XMNO DRAINS NOT 4
fO BE TIED INTO
MMM SYSTEM
LU
---10' UTILITY
EASEMENT
0 ER & SEWER
CT W�
WA�TTE' 8 15' DEEP PERM NENT CLEAR
INSPECTIONS REQ)'D.
E FOR SIG DISTANCE.
XV
Ln C) - - - - - - - - - - - - - - -
LU �2.
0 Ar
LOT 8
4 �tP
8,585 S.F. RECEIVED
JAN 1 1 2002
4
Jr BUILDING DEPT.
T, Lot Plan 2418.3
N61-51,19"w 4.,
p, —5od,0431' PROV
it �PFROW-b Y EN61NEEMWT CALCS. Grade
iz Point Existing .5..Inal
14 .e.,_jZX4
A
345.07 344.20
Date: 342,60 343.60
Lot Area:
34436 344.10
Building Area, Impervious Surface D 346,60 345.4o
age. Dale. 417roposed)
Lot Covej 0 Avg.Grade 344.41 344.33
At slope: Bldg. Pad 1330 Act. 814 Ht. from fin. grd. 2175 N/A
Garage 641
Driveway 866 Allow. Bldg. Ht, N/A 25.00
SiteAddress. Cov, Porch 80 Addft, Adj. above Avg. 1.00 N/A
Max. Ht. 369.16 369.33
Legal: L, 9 OLII#Ifb:c Vrrlt) Conc, Polio 140
--1 Proposed Allowed
S:F Gar. Stoop 0
C
Tax/Parcel N.- Occfr)4'�J- ooi5- oo A-00 opy Sidewalk 54 Fir. Thk. & 6" grd. dr. 1.29
Zoning: Proposed Fin, Fir. Elov. 346.70
Total 3111
Contact: Ron Trickett
20611-E Bothell-Evrt. Hwy. Vi
ARSHALL
PMB 336
Bothell, WA 98012
M
HoMES
Phone: (206) 940-3154
Building the Quality Dream License: MARSUR1076RI
40
N
10' UTILITY
to 14
14- AN EASEMENT
'M N
iT u 15' DEEP PER/MNENT CLEAR
V,
V V,
DRI
NE FOR SIG DISTANCE,
1), 4A ',3�,s
ILI, 'I,
Q ,i�Al,
4�.�iro 0
0
y
EMpOMRY CONSTRUC110N
8,585 IT.
ENTRANcE REQUIRED
P am'\t,
V
RECEIVED
JAN 1 1 2002
RISREspoNSIBL
T, ERIC RACTOI
W R ER�610N CONTROL AND DAMAGEUILDING DEPT.
104.31
PLA i\1
Grading Catc.
LotArea: 945Z."�
Descrip. Area Depth' CutC.Y. FRICY.
BuildingArea: 20,'5.(
Bldg. Pad Excavation 2088 2 155
Lot Coverage: Q
Lot Slope- Garage Pad Excay. 836 1�6 46
�-N INEERING 'Y
Fdn. Perimeter Backfill 880 2 65
Garage Backfill 641 1.23 29
Site Address: JaLO-4-:-faLL-P-L—W. Lot Fill & Grading 6029 0.25 56
-�[q rz- Driveway Fill 0
Legal:��R OLhylf�rc &rw
Datez Interior Fdn. Fill 1330 0.5 — 25
(j— Totals 175
Tax/parcel #: 0010 4� 11 C, ;17 �P Y 01
zoning: _R
Height Calculation Worksheet
Address: b6, �Q LPI L"i
Date:
Inspector(s):
1. Datum Point: yy\wy� �Nov& 0-00�y-
2. Datum Point Elevation: 34� 9 k
z
0
Jai
3. Averaize Grade: 3414-33
4. Maximum Elevation Allowed: 9 44 'average grade)+ 25'= 7109
5. Reference Point Elevation Shot to House:
M5
m
T4 (datum elevation) + 'z,.)'b (grade to transit.level line shotto house)
0
6. Measurements from line shot onto house to roofridge
C9
0 -n
m
0
MO
Total
z
0
7. Actual Elevation: (reference noint elevation) + (measurements
M
from #6) C �,
Conclusion:
(actual) is greater I(fej�lhan AA. S3 (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
LATFWBUILDINGWISOHeight Calculation Worksheet.doc
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: F DEPARTMENT DATE —
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE—
PROJECT_—MAf-4&(( An!=�
SITE ADDREs 611k L
PERMIT# 400a-01(t ADB#- —DATEINSPECT
DESCRIPTION OF WORK TO BE INSPECTED--ELj��..�.
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
T FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WrIH CONDITIONS NOTED
a 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
2.
3.
RE-INSpEcTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign,
ocaprvl.doc.l:temp:bldg:formsIO/OI
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .............
FOUNDATION:
Footing ......................
wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground ............
17
V)s
_62
Rough -In ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping ...............
Equipment
Commercial Final
EXTERIOR SHEATHING
VY�
NAILING ..................
FRAMING ...........
FRAMING
6
FIRST FLOOR
INSULATION ..........
Floor Insulation Q�'
14�
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
Lo
OCCUPANCY ...............
SideSewer
A.Out Wd $ Q4L5�_ Recelpt #_L124916-6
Date Ll;suc**--J6��""P.:rCSLO�o'�'tw'74
WaterMetersi=L40��
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