20020356.pdf'4t DATE RECEIVED
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PERMIT PIRES
USE PERMIT
CITY OF EDMONDS ZONE NUMBER 'p
CONSTRUCTION PERMIT APPUCATION JOB c�_ SUITEIAPT#
105
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MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP R7;.1Z=.
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REQUIRED DEDICATION— F7 WIU-
NAME
METER SIZE NO� OF FIXTURES PAV REQUIRED
M R S E LINE SIZE
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ADDRESS
105-
REMARKS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
.W.E.""T"'FIA"T". RsS'.NRIEH
ZIP
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NAME 13
E GINEFRING REVIEWED/ LATE
END FSFUNG
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STATE ficlaSE NUMBER EXPIRATION
OYES NO
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REVIEW SIGN AREA HEIGHT
4 AICCOINTPIMIEL
SERA
COMPLETE ALLOWED PROPOSED ALLOWED PROPOSED
15
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EXP
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LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.)
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NEW RESIDENTIAL CH
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ALLOWED PROPOSED FRONT SIDE
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COMMERCIAL HANDS OF USE
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DESCRIBE WORK TO BE DONE
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Description FEE Descriptl FEE
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Plan Check
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CHEM._
Plumbing
ITI
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK .01EIL THIS PERMIT -OVER- WORK TO
t: 11 DONE I" PRI PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading Recording Fee
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUE "'LETC.) WILL REQUIRE
SEPARATE PERMISSION�
Engr. Review City Surcharge
PERMITAPPLI.- -: ISODAYS
PERMIT LIMM. I YEAR -PROVIDED WORK IS STARTED WITHIN ISODAYS
Engr. inspection StakeSurcharge
SEE BACK OF PINK PERMBT FOR MORE INFORMATION
LICANT. ON BEHAL OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESOUS
FTO
Traffic Mitigation PlanChkDeposit
IN INTEREST, AGREES INDEMNIFN; DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS* EMPLOYEES, AND AGENTS FROM ANY IND
Fire R.vi-w Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER, NATURE, ARISING D RECTLY OR INDIRECTLY
SSUAN E OF THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE OF THIS PERMrr. C
Fire inspection Total Amount Due 7,k776P
DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION
LandscapemsP. Receipt #
INEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS GO RECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
I CITY AND STATE LAWS REGULATING CON STRUC.
TIVppIK.I1It ""',111byll,
THE OWNER. 'AG" I TO COMPLY WITH
TKIN; AND 1. DING E WORK AUTHORIZED THEREBY NO PERSON WILL BE EMP LOYED
THLASOR CODE OF THE STATE OF WA
IN VIOLATION OF THE SHINGTON RELATING TO
CALL .P." -d
Ie.. In
FOR INSPECTION
WORKMENS Sq&PENS7OZSURANCE AND RCW 18.27.
DATE
DATE SIGNED
(425)
5�2 2-
411211
771-0220 ATE
ATTENTION ,-/ t
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW IN6ECTdA
A FINAL
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
FAX PINK, OWNER GOLD -ASSESSOR
10/01
FINAL PROJECT APPROVAL FORM
TO
DATE:
MEMO TO: PERM COORDINATOR, BUILDING DIVISION
FROM: ME DEPARTWNT DATE —
ENGINEERING DIVISION DATEA /a 3
PLANNING DIVISION DATE ---:—
PROJECT
SITE I ADDRESS� Iftye
PERMIT # ObZ—d 351e —.ADB#_-----DATB INSPECTED4//ol/;,3
DESCRIPTION OF WORK TO BE INSP
A fleld Inspection was conducted to determine fmal 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
'GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of COMMONS given to owner/contmtor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contmctor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ sign—
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1054 Ave S. Edmonds, WA
Bedroom / Bathroom Addition 118 SF
Energy Analysis
Per City of Edmonds Permit administrator, please consider the following alternative
this
iR;
design to what Edmonds has adopted as code due to the small nature of addition:
Glazing U factor .4
Ceiling R-38
'Z"
Ceiling Cathedral R30
Wall R21
m
Floor R 10 S.O.G
4 %
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gd�IPROJIECT DATA:
77-7
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1 1 1
ADDRESS OF PROPERTY:
1054 i1th AVENJE SOUTW
>w
0 EDMMS, WA W020
EXIiSTINCz: IF-
'33 4'
A)m 114' 103,
(A)m
uj z
IFFROJECT MEWCOIS9ACT:
TWLKI,*� ORIIS eF V�! EXIST PAC)
�Jt45
I=_ A4, GWE 2108b,
151-00. HEIGHTz 12S'
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e) ERIC MM -1054 Sth AVE. S.
nl--
EXIST.
NE CSFAb E R! EXISTING CHAIN
�>TAL 43 �tAX, ALLOW. 15LOG. HEIGHT= 1335'
43,Sf q
IUJ FENCE X
m
00 LOT COVERAGE:
tS)* LOTAREA-166448f
5 �EQ 0.
tu
W- TOTAL COVERED AREA-2SIO SP
KRCENTAGE
CK I
T I
RHANG,
OVERHANG,
ICAL
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LOT SLM:
TAX ACCQIMT PARCEL NO:
1
roIS4 001005 0006
XIST, WOOD
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FLOT PLAN
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DRAWING LEGEND
EXIST.
GREEN-
4061
M �EW ADDITION
EXS - L
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9
PROPOSED FROP06EC
CLOSED 1ADDITION
"j
lzz� M NEW DECK To
REPLACE EXIST.
REI' WfLL
TAININ
ilia
NEW COVER OVER.
EXIST� C C. WALK
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OSED
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AVE. SOUTH
F�RCJ*05 DECK TO
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CL
g EDMONDS, WA, 98020
REfol- EXISTA0451'
&AIN LINK
REGISTMI):�
6 WqOP FENCE F.
CHITECT
EXIST. r- ONC.
EXIST. WATER
METER 4 SERVICE
PAD
�WTE OF wm"w"'
NORTH
DATUM POINT:
4100' TOP Or 0
CIONC. IIAD
COVER SHEET CO
PLOT PLAN &
15' MANHOLE 4
r-OvER --,,
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FIR 5TIREE CENTERLINE
PROJECT INFO.
OF STREET
LA_ 1 SHEET NUMBER
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