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PERMIT EXPIRES
CITY OF EDMONDS
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ERMIT
NUMBER ZLZ)Z- � t
CONSTRUCTION PERMIT APPLICATION
JOB
ADDflE53
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SUITE/APT#
OWNS NAIAE/NAME OF BUSINESS'
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PLAT NAME/SUBDIVISION NO.
LOT NO.
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MAILING ADDRESS
LID FEE $
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PUBLIC RIGHT OF WAY PER OFFICIAL
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EXISTING PROPOSED.mepncuon
REQUIRED DEDICATION
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Sidewalk Requlrea
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NAME.
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METER SIZE LINE SIZE
NO. OF FIXTURES
PRV SQUIRED
YES ND O
ADDRESS ^�
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REMARKS
OWNER/CONTRACTOR RESSP-ONSIBLE FOR EROSION CONTROUDRAINAGE
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ADDRESS - •fFIRE
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REVIEWED BYOA21P
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ARIANCE OR CU
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INSPECTI
BOND❑YESO
LICENSE NUMBER EXPIRATION DATE
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CH
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BE
NO
POSTED
PROPERTY TAX ACCOUNT PARCEL NO. /
SEPA REVIEW
PLETE EXEMPT
SIGN A EA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
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EXP I x
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❑ NEW RESIDENTIAL rF��/ PLUMBING! MECI{
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LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
FRONT IBIDAI REAP
PROPOSED SETBACKS (FL)
FRONT Ufl S E REAR
,
1 1
ADDITION ❑ COMMERCIAL ❑ CHANGE
GOO "�O
10`_ IV L'I �THI
2 I 2
3
REMODEL APARTMENT
❑
5
PARKING
ftEQD PROVIDED
L07 AREA
P NING REVIEWED 9Y' DATF,
❑ SIGN
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❑ REPAIR G ('� CYDS ❑ 1ENCE X F)
REM ARK9.y _ (`S. UC.
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❑ DEMOLISH ❑ TANK ❑ OTHER
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GARAGE RETAINING WALL
❑ RENEWAL
ARPORT OCKERY
(TYPE OF USE, BUSINESS OR ACTNITY) P
CHECKED BY
TYPE �$Tf�UCTION
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OCCUPANT /�J
GROUP lfT
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NUMBER
OF
NUMBER OF
DWELLING f
CRITICAL
AREAS //''II '-
SPECIAL INSPECTOR
AREA
OCCUPANT
STORIE
UNITS
NUMBS �(f
REQUIRED ❑ YEB-jCr(�...�
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LOAD t�
DESCRIBE WORK TO BE DONE
REMARKS
_
PHOGNESS INSPECTIONS PER UBC T09/FINAL INSPECTION REO'D
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Plan Check
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Building11=TuY
PLAN CHECK NO: ce�/ _ 4'/,% VESTED DATE
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Plumbing
_
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
3 BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
Recording Fee
DOMAIN _UR---SIDEWALKS,DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATEPERMISSION.
Engr. Review
City Surcharge
PERMIT APPLICATION: IN DAYS
PERMIT LIMmt YEAR•PROVIDED WORK IS STARTED WITHIN ISDOAYS
Engr. inspection
`r Slate Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
a� 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
j
A� IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Receipt #
<
$ EDMON M WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
'tl'} ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
THE OF THIS PERMIT.
Fire Review
FROM ISSUANCE ISSUANCE OF THIS PERMIT SHALL NOT BE
j DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire inspection
Total Amount DUG
z NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.•
•,
Landscape insp.
Receipt #
ACKNOWDGE THAT I HAVE RAD THIS APLICATION; THAT THE INORMAON
APPLICATION APPROVAL
GIVENES COR ECT AND THAT 1 AM THEEOWNER. ORRTHE DULY UTHOR 2 DFAGENTTIOF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This applicallen to nolapanantenfilsignedby the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE "BOB CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Eali eng Ogclel or blsflan OOP dy: and Fees are paid, and
—aptIs acknowiadged inspsca provided.
WORKMEN'S ENSATION INSURANCE AND RCW 1e.27.
OFF IALS,SIGNATURE
DATE
61GN q WNER q GCE/t"/�///zy, DATE SIGNED
(425)
/�-
771-0220
RELEASED BY
DATE
ATTENTION
EXT 1333
L
L
5 l' ')
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-
ORIGINAL-Fn • YELLOW •
INS EcT R
CATE OF OCCUPANCY HAS BEEN GRANTED. LED SECTION 109
FAX
PINK OW P GOLD •ASSESSOR
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SETBACKS:;
FRONT"'!�p��---®•—
" IMPERVIOUS SURFACE AREAS
E%]STING BUILDING PAD PRE '77
2.184
EXISTING GARAGE PAD PRE '77
'02
436
4
REF1' •"�L9��j
EXISTING DECK PRE
PAVING 6 ROOFED WALKWAYS
490
PRE 1.502
-lr ��
^ („�
EXISTING
" EXISTING DRIVEWAY PRE 77
1.112
OTHER
•„�''�
PROPOSED BLOC ADDITION
F��y11
692 T'L' IEIG (} IT
06`3j./
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PROPOSED GARAGE ADDITION
236-LY+LOu.4� 1t.
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PROPOSED DRIVEWAY ADDITION
EXISTING TOTAL ROOF AREA
60
3454
y� DTOR ISRESPONSI k7f.�•
�s�./X�O� ��El�/l�Q��L�•Q�V
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" - PROPOSED TOTAL ROOF AREA
4100
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INCREASE IN ROOF AREA
646
I
- HE i BHT CALLS DATUM; 100.00 FT,-
33 -31i2'
5'-2'
A•94.5 FT
FT
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5'•0'
34'.1'
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6 . 90.09
C 95.04 FT
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" O • 103.34 FT
AVERAGE GRACE 97.94 FT�5i0
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ACTUAL ROOF HOT 11634 IT
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MAX ROT ALLOW • 122.94 Ft
•95
4'
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BUILDING ADDRESS
8426 OLYMPIC VIEW OR
EDMONDS. WA 98026
AREA OF
AOCITIW
+.
/
.. I TAX PARCEL NUMBER
TAX PARCEL NO: 4346-000-001-0509
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222 9F
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LEGAL DESCRIPTION
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PORTION OF TRACT 1. EDMONDS SEA VIEW TRACTS.
f ACCORDING TO THE PLAT THEREOF RECORDED IN
I
'% •/
EXISTING
_
rc,
10,
is
VOLUME 3 OF PLATS, ON PAGE 76. RECOROS
SNOHOMISH COUNTY. WASHINGTON.
OF
(� I
RESIDENCE
I
4®_ `74�i19
TEMf'ORAR10lSUCTIONPm
ENTRANCE REQUIRED r !
5-G• 3.-' APPROVED A NOTED !
I BY ENGIN IN
" ADD GUTTER$tDOWNSPOUTS / Z i 1
AND SRASHB=S — — — Date.-
SITE PLAN
»» FT
9FT :Pl'Nt VED LY PANNING
GUTiERSIDOWN ODES------
C O C H R A N "MOM'G'W EXIST. SYST.
8426 OLYMPIC VIEW OR
EDMONDS, WA 9BO25
MAR - 8 2002
r►6 RUILDING DEP1`
ZONE.t
SETBACKS:—
RO
FRONT
NAPERYIOUB SURFACE AREAS
S•DI'-�
EXISTING BUILDING PAD PRE'77 2J04
EXSTNG GARAGE PAD PRE 77 436
'62
�%� 9
REAR
EXISTING DECK PRE 490
PAVING8 ROOFED PRE '77 IS0Z
OTHER
EEXISTING XISTING PRE 7WALKWAYS
11�I
N.
PROPOSED SLOG ADDITION 592 HEIGHT - N29iyg�
PROPOSED GARAGE ADDITION 23fia i� -Q
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PROPOSED DRIVEWAY ADDITION 6
EXISTING TORAREA54
✓DP OMERI
y�
G•3OR�[ISRESPo.S1
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4
PROPOROOF 100
SEOTOTAL
EEMW
r"ROW
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INCREASE IN ROOF AREA 546
Nt3'00'??,,,N -.^"•�
f
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NEIGHT CALCS DATUM;10960FT
T•9'
77 /
li
5'- ' 34'-'
33'•3 I/2- 5'-2'
8 • 90.89 FT
96 .04 FT
0 . 103.34 FT
AVERAGE GRADE • 97A4 FT
RODE MGT • 115,34 FT 1°'•'I
.
ACTUAL
MAX HOT ALLOW • 122.94 FT
•95 4'
ItT�1_
3.34•41
i
_�_M
_..—�•__
_
BUILDING ADDRESS
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0426 OLYMPID VIEW OR
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AREA OF
ADOITlG4
y $
Y
EOMONOS. WA 9B026
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222 SF
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TAX PARCEL NUMBER 'La
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TAX PARCEL N0: 4346.080.001•8609 -�
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LEGAL DESCRIPTION
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________________
PORTION OF TRACT 1. EDMONDS SEA VIEW TRACTS,
hCCOR0ING TO THE PLAT THEREOF RECORDED IN
EXISTING
"nwi4,rz
i+n
VOL UME 3 OF PLATS. ON PAGE 76. RECORpS OF
SNOHOMISH COUNTY, WASHINGTON.
I
IlUfLi
/�%%////��//////////
RESIDENCE
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TEMPORAR`r Cr�ASAUCTION ! u --�.
ENTRANCE REQUIRED �i i
5'-0' 34'-1' S'- / - 3'•0' I
i APPROVED *NOTED
BY ENGIN ADD GUTTER/DOWNSPOUTS/
AND SRASHBtOCKS— — —Dais- i
SITE PLAN Q
APPROVED BY PLANNING
GUTTERsoOVV40M-------
COCHRAN jWWMPlF0 EXIST. SYST.
6426 OLYHPIC VIEW OR
EDMONDS. WA 98025 ' E y Na4 4 { k MAR - 8 2002
,
BUILDING DEPT
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m
cm
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION ,
FROM: FIRE DEPARTMENT DATE —
�G�
'�M(tlVYVVQ �� ENGINEERING DIVISION DATE ? d _
PLANNING DIVISION DATE (
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PROJECT
SITE ADDRESS �`I�iUt �V 1J
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# �&�,tADB# DATE INSPECTED �i 63
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PERMIT
DESCRIPTION OF' WORK TO BE INSPECTED_K(/Ull / '-
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A field inspection was conducted to determine i-mal compliancc with approved plans. Final approvafl
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denotesthat there are. no objections from the above signed Departmentr to the release of
PERFORMANCE BONDS and the granting of :
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED -I
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0 Copy of CONDTfIONS given to owner/00ntract0r by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
m
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date sign
ocWvl.dw.l:tmM-.bldg:forms10J01
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RECORD OF INSPECTIONS
F
INSPECTOR DATE APPROVED
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SETBACKS
FOUNDATION:
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Footing
... - Wall ...:.
Pier/Porch ........
Wall
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Retaining
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Slab Insulation .........
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PLUMBING:
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! HEATING:
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INSULATION ..................
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Floor insulation
Wall Insulation c.i.:.1...
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Ceiling Insulation..........
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SHEETROCK NAILING
Lam✓—
p
SPECIAL INSPECTION,—
17
MISCELLANEOUS .........."
FINAL APPROVAL FOR
OCCUPANCY
SideSewer
AmoutPuid 11MIp0 a
Date bsued
WaterMeterSize
Amount Paid ReCeipf#� tug¢-c2 rw�
matePurcLased
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• Amount Paid $ Receipt #�