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20020250.pdf--Y DATE RECEIVED I PERMIT EXPIRES J CITY OF EDMONDS ZSONE f )�j �--.- PER MT NUMBER CONSTRUCTION PERMIT APPLICATION JOB �,,, ") AODflESS G� stITErAPT# OWNER NAMEMAME OF BUSINESS (( �� PLAT NAME/SUDDIVI1ION NO, LOT NO. LIED N0. MAILING ADDRESS LID FEE $ L e p t Gr ` /Y cT� —L✓ `/ ,1� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP - TEFF bwovea PW Permit P^qukeC airs I Vee Paemit Poy'tl _.............. CITV IP TELEPHONE EXISTING PROPOSED I^epeeuon BenWeatl uneeealx Pea�xatl ❑ Sao' ss ©6. - 9 N I flEOUiRD DE01CAT10N F Witl�, p Issn ❑ NAME METER SIZE I LINE SIZE NO. OF FIXTURES PRV REQUIRED © �n An Y YES ❑ NO ❑ - ADDRESS REMARKS ag 2 OWNERJCONTTLR�ACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITV 21P TELEPHONE 1 - 1 {odmv*�i-orrs va' 5 vt nZ- NAME i1. � /` BNShN flEYIEWED/D TE G ADDRESS FIRE REVIEWED BY DATE CITY 21P TELEPHONE O w � D STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCE OR CU SHORELINE OR ADS N INSflE DION POST D z ....�—'— [3) NO O SERA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NM COMPLETE I EMIT ALn,L'L'OW//�S° PRxLO,,P,O//QQ/YE��D AlLL}}LO�T^W'�ED PROPOSED 00 34 00© 03 t7l t4{ 15' Rl EXP G.�6 ❑ NEW RESIDENTIAL ❑ PLUMBING/MECN LOT COV RAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED ROPOSE6 FRONT SIbE REA FRONT UR SIDE REAR COMPLIANCE OR '�C 17 V °yI,{'J. I I (-�.. 7b1 2 ❑ ADDITION ❑ COMMERCIAL ❑ �'JJI CHANGE OF USE M l= PAfl ING LOT AREA P 0 R EW a DATE ❑ REMODEL ❑ APARTMENT ❑ SIGN REO'D PROVIDED Il m O GRADING y boo a O ❑ REPAIR ❑ CYDS ❑ `ENCE X FT) REMAR y s GoR NE2 LcT, 7 Nil FhK- _ I —] DEMOLISH❑ TANK ❑ OTHER Cam" ITI Z y GARAGE RETAINING WALL I� CARPORT ❑ ROCKERY ❑ RENEWAL A CD Z C (TYPE OF USE, BUSINESS OR CiIVIjY) EXPLAIN: C E� OGpCCuPANT 1\ CHECKED BY TYPE OF CONS�JR/U� r —1 +� r YH cQ TL i�il r 'OC O NUMBER NUMBER OF CRITICAL/A m OF DWELLING AREAS C SPECIAL INSPECTOR AREA OCCUPANT 'STORIES -n -n i O UNITS NUMBER REQUIRED❑ YES LOAD S DESCRIBE WORK TO BE DONE O m Tn REMARKS PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REO'D 9 O (y/ / -� `z�12. c Tmn ma 90 c� r ^z-i rn If3� r✓j, / � VALUATION $ Description FEE Description FEE z —1 zz Plan Check / HEAT SOUNC 6tA21NG % LOT SLOPE % Building VESTED DATE ElumlaiRg PLAN CHECK NO: ) O (TI Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Recording Fee t_ BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THEPUBLIC Grading DOMAIN(CURB$, SIDEWALKS,DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. a h Engr. Review u� PERMIT APPLICATION: /80 DAYS City Surcharge State Surcharge ) PERMIT LIMIT lYEAR- PROVIDED WORK IS STARTED WITHIN i... Engr. inspection SEE BACK OF PINK PERMIT MR MORE INFORMATION Plan Chk Deposit I J, 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Traffic Mitigation IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Receipt # Q Review ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARMIN. DIRECTLY OR INDIRECT - Total Amount Due FROM THE 199UANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE Fire Inspection 9 DEEMED TO MOOIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE p z NOR LIMIT IN ANYWAY THE CIY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Landscape Insp. Receipt # APPLICATION APPROVAL HEREBY KNOWLE GE THAT I HAVE RRECTO ; AND THAT I AM THE WAPPLICATION;D THIS UTINFORMATIONT THE NER, OR THEDU Y AHOR ZED GIVEN IS COh AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application lent, penull until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION euliding 011 lei or luelher Deputy: and Foos atn p.nL and A recolptlsecknowlodgedi-eu trumided. WOAKMqj'SCPKENSATiON INSURANCE AND RCW 18.27. 111 O CIAtS ^uiGNATUR DATE SIGNATU OWNEAGEuri DATE SIGNED y( ry) i e 0220 y ^ 1 } ITT N ION EXXT 1333 R SED BY DATE ITT UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 7?1'O2Z1 t A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER • GOLD -ASSESSOR 10/01 ..o.. 2r s• .....1�0,D•-- o A = 94.6 �By E ING B =103.6 ` r' } ' C =100.7 B +103. ' — ---- D = 94.6 pate: 4 Avg. Grade 98.4' Actual 113.2 29 s" ae a• Maximum =123.4 'sting Residence ZONE it 1510 sf. New arage SETBACKS:} a i Addition 331 sf. ' FRONT_ ' __ ► .6 D + 6 e REAR i< OTHER Gott iz i a% _ A + HEIGHT N AP V B P ING Davis Residefice TO CONNECT TO EXIST. SYST. • Downspout Location garage ,Addition Olympic Yigw,Drive as Existing impervious pre 1977 18907 Olympic View Drive i ® New impervious Edmonds, WA Site Plan ADD OUfTERSIDOWNSPOIiIS Exisiting Guiding pad 1,510sf SCALE: 1"=20`0• AND SPLASHBLOCKS Existing Driveway 3,026 sf Page I New Garage 331 sf Driveway to be removed 165 sf Lot Area 11,050 RECEIVED �� FE3 2 2 �� 2 ° € �E`. Lot Coverage 1,841sf (17%) I DEVELOPMENT SERVICES CTR. CITY OF EDMONDS FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE iUtt Q1tiYii�1� ENGINEERING DMSION DATE i ° 1 U-3 PLANNING DIVISION DATE naeemw t. PROTECT ��,�'i S SITE ADDRESS /}� PERMIT # 4Sy ADB# DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTED_�C�JL1 1 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: _GRANT FINAL PROJECT APPROVAL ae*++++er**a+s*+++***+**+**++++s+**+m*m**++**+**s**+**++*++st+*++++s*a**ws++m+s*+rm++m* GRANT PROTECT APPROVAL WITH CONDITIONS NOTED o Copy of CONDITIONS given to owner/contractor by inspector L FAILED FINAL INSPECTION - OUTSTANDING ISSUES o Copy of CORRECTION NOTICE given to owner/contractor by inspector i. 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign ocaprvl.doc.l:temp:bldg:foms l0/01 0 a rn UJ = cm M a0 OC -49 mz cZ O -n n mm o � r M 0 z+ m DA 2 z i z 0 4 0 m RECORD OF INSPECTIONS " INSPECTOR DATE APPROVED �. SETBACKS ........: .. - - FOUNDATION: - Footing C ,w •� Wall .......................... Pier/Porch ................. .. ` Retaining Wall ........... Slab Insulation .......... _ PLUMBING: - " Underground ......... " Rough -in .......... ' Commercial Final ... "- HEATING: Gas Test ... Gas Piping ........... . Equipment _ Commercial Final ....... ' EXTERIOR SHEATHING r NAILING ............................ :..FRAMING ........................ _ FIRST FLOOR FRAMING... INSULATION ........... .. Floor Insulation ........... Wall insulation-........`... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... - MISCELLANEOUS .......... FINAL APPROVAL FOR �C J 4 -t o-I;3 OCCUPANCY ..................