20020365.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
—11— OF BUSINESS
zip 1111 PHONE
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PERMIT EXPIRES 21
us PERMIT
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NUMBER
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ADDRESS
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PL LOT NO. LID NO.
LID FEE $
A,—.
PUBLIC RIGHT WAY PER OFFICZ STREET MAP 75C.P.: R.",
s�'- U P.- II�-
EXISTING 56 PROPOSED
REQUIRED DEDiCATION.X-"1,— FT
METER SIZE / LINE SIZE NO. OF FIXT�AES �R EOUIRED
NO 13 A
Y'S�
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTRO:.:.�.:INA..
- I ZIP
7 "Ji(� 1-44
IT LEPHONE
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ENGINEERING REVIEWEDMATE
ADDRESS
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CITY ZIP
TELEPHONE
FIRE REVIEWED BY DAA
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EXPIRA71ON OAT A
INSPECTION BOND
BY VARIANCE 01 CU SHORELINE 01 AGBI P
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— — OYES NO I
SEPA REVIEW SIGN AREA EIGHT
PROPERTY TAX ACCOUNT PARCEL NO,
COMPLETE I= ALLOWED PROP ALLOWED PROPOSED
jU7�13
XNEW PAESIDENTIAL
P LINKING I MECH
LOT COVERAGE REQUIRED SMACKS (Fr,) PROPOSED SETBACKS (FT.1
ALLO SIDE AFAR FRONT DE BEAR
"7P
COMPLIANCE OR
�9� -
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ADDITION
[] COMMERCIAL
CHANGE OF USE
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REMODEL APARTMENT
SIGN
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PA In G LOT ARE I BE I ED ATE
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07-D 1-0-v'D D 15/00 2-
14RE.AA
REPAIR CYDS
0 FENCE
X
FIT �7
( _
0 DEMOLISH 0 TANK
OTHER
OE7.,
CASL-
0 ROOKERY
0 'GARAGE o RETAINING WALL RENEWAL
9 OF UARET BUSINESS OR Aor� A�SX'PLAI�,
CHECKEDBY
C:?� GO
'IF
NUMBER RITICALA
NUMBER
CNU4BE;0I()
ITYPEOFqTOCTION I
1�j I GROG
OF DWELL AREAS If t
UNITS'NG
STORIES li�],
30CUPAW
7-LOAD
DESCRIBE WORK TO BE DONE
Description
FEE_
Description
FEE
Plan Check
Building
Plumbing
THUIPERUNTAUTH.FlIZE...-TH. ....0TE..THISPE..nC0VEASWOJTKTO
Mechanical
Recording Fee
BE DONE ON PRIVATE PROPERTY ONLY. A14Y CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CUASS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
City Surcharge
SEPARATEPERMISSION. Engr. Review
PE MITAPPLICATION: ISODAYS
PERMIT UMMI YEAn-PROVID D WORK IS STARTED WITHIN ISODAYS
SEE BACK OF PINK PE MIT FOR HOSE INFORMATION
Engr. Inspection
State Surcharge
Plan Chl Deposit
'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
Receipt #
2 EDMON-1-a"'HaTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Review
Total Amount Due
&30A
FROM THE ISSUANCE 01 TH A PERMIl. ISSUANCE OF THIS PERMIT SHALL NOT HE
2 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Fire Inspection
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
.1
1 Landscapeinsp.1
I Receipt #
I HEREBY ACKNOWLED E THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR TH DULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMP WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
Thl� ppik.l.i, 1-- p.-ft -fil �I ... dbyM.
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
.I f..9 OHIO.[., !,Wh�l D.P.Y: -d F .. ... p.d,.nd
'Ipll� nkn-I..g.d In.p.. p-ld.d
WORKMENS COMPENS��INSORANCE AND BCW 18,27.
�ALS SIGNATURE
SIGNATURE tOWNEAqA 2i--�
(425)
, - -) I J-I//)
611IM41
I
0 � �1-4i-" � � vl�
771-0220
'T Ifon . /
'A "
ASErY� DATEI T-
ATTENTION IJ
EXT 1333
'- ' '/ ; ,
)f 46 // 4A
IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
/L �'
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ECI 0
ORIGINAL , F�l YELLOW - INSPI fl�
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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PINK GOLD - ASSESSOR
10101
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234th STREET S.W.
N
w
W
- - - - - - - - - - - - - - - - - - - - - - S
10' PRIVATE SCALE : 1*=20'
N 89*46'12 W LOT DRAINAGE
40.59' EASEMENT
LOT COVERAGE
- --------- --- --
OR
LOT AREA
BUILDING 5,690 S.F.
C
.329.41 SETBACK 334.52
Lu LINE(TYP.) —
0
/' --- — -- — I TAX ACCT. PARCEL hp
7E-B NEW PLAT(NOT ASSIGNED)
LOT SLOPE
0%
5
11 2± 5
V --L1 ANNING
5,690 LOT S.F.
F.F. (SEE ARCH.)
m
335.55 P, E7,C rE I V E: D
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330.54 20' 4,
L)EVELC)pf,iF-,NT Sr-j� F� GTR
CONC ";F ED.-Y.,
cl, DRIVE
100'*
01
BENCHM RK % 41.81,
CATCH 8
I.E. 325-1(1
SIN
.11, *Z,-,
W) EX. SIDEWALK
— ... � 1—
--
T---T-
234TH PLACE
S.W.
EX. FIRE
- — - — - — - — - — - — -
— - — ----
HYDRANT
IMPERVIOUS SURFACE CALCS.
PLOT PLAN -
PROPOSED BLDG Kuu� Iq
PROPOSED PA-n46: N�/A
FOR
PROPOSED DRIVf SF
A 0 Ell
PROPOSED DEC OTED LINCOLN
L
ESWES
LOT 5
EN EERINQ
HEIGHT CALCS.
IN NE1/4 OF SECTION 36,T.27
N.,R.3 E.,W.M.
A 329.4
.5+1 t CITY OF EDMONDS
a;
:5 .
C 330 'tIat .
D 335.55 - SNOHOMISH
COUNTY, WASHINGTON
AVG. GRADE = 332.51
ACTUAL 360.71
MAXIMUM 360.71 (25' + 3.20' PER VARIANCE)
SHEET 1 OF 3
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234th STdI EET S.W.
N
EX'.' 8"WATER
CONTRACT OLYMPIC V W E
- - - - WATEFIJ IGT - - - - - - - - - - - - - -
,—CONNECT HOUSE ROOF S
AND FOOTING DRAINS To FOOTING D%8AL
EX. 6"PVC STUB. Tn o 607"=20'
E !ED INTO
as TION SYSTEM
------------------
BUILDING
SETBACK
LAJ 6.".P ACCEPTA13LE TIGHTLINE
o 'VC 0 LINE(TYP.)
< 11 MIN. SDR 3s MATERIAL
(L SCH 40
Of CONNECT TO N-12
EX. 6"SS STUB F810 HANCOR
(V DEEP) 5
0) 5,690 LOT S.F..
F.F. = (SEE ARCH.)
l"WATER SERIACE FROM
EX. WATER METER
R r::.CEIVED
APR 16 2002
EX, 1" WATER
METER DEVELOPMENT SI'FNICES CTR,
- - — - - - - - - - - - - - - - - - - - - - CITY OF FG410ND�
EX. SIDEWALKL= Lj=
234TH PLACE S. W.
----------
EX. 8"WATER
DRAINAGE & UTILITY PLAN
FOR
LINCOLN ESTA7ES - LOT 5
APPROVED AS ZT7E174 OF SECTION 36,T.27 N.,R.3 E.,W.M.
BY ENGINEERING CITY OF EDMONDS
__L��cl ( .13
SNOHOMISH COUNTY, WASHINGTON
Date: !�'
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234th ST�EET S.W.
N
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— — — — — — — CM&RESMONOLE FOR - — — — — —
EROSION C%ROL AND DRAINAGE S
SCALE : 1"=20'
U, DING
RARY CONSTRUCTION
SETBACK I ENTRANCE REQUIRED
LLJ LINE(TYP.)
0
CL SILT
FENCE
.3: AS REO'D
5
0) 5,690 LOT S.F. CONSTRUCT 3' HIGH (MAX.) ROCKERY
F.F. (SEE ARCH.)
(ROCKERY LOCATION MAY VARY
NOT% OR BE ELIMINATED BASED ON
SET NISHED GRADE AROUND FIN. FLOOR SET BY ARCHITECT
BLDG, 0 14" MIN. BELOW AND/OR AS REQ'D TO COORDINATE
FINISHED FLOOR ELEVATION WITH GRADING ON ADJACENT LOTS)
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cy C- C E J'V E
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APR 16 2002
',MVIC CTf,
EX. SIDEWALK T— CITv OF
234TH PLACE S.W.
APPROXIMATE EARTHWORK QUANTMES
EXCAVATION: 120�: CUBIC YARDS GRADING AND T.E.S.C. PLAN
FILL 20* CUBIC YARDS FOR
APPROVED AS NOTED LINCOLN ESTATES - LOT 5
13Y ENGINEERING -INT-N-Ef�4 OF SECTION 36,T.27 N.,R.3 E.,W.M.
-k-6Ll--8eK-r CITY OF EDMONDS
Date:—JE SNOHOMISH COUNTY, WASHINGTON
SHEET 3 OF 3
K
T.H." "11, U
TO:
DATE:
MEMO TO: PERM[IT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
naua-ENGINEERING DIVISION DATE_ /e3 Lc z
_YLANNING DIVISION DATE
PROJECT__!,,�b( 0 A
SITEADDRESS
PERM[rF# q h6q-!ffV$�_ADB#_____DATE INSPECTED. K)
DESCRIPTION OF WORK TO BE INSPECTED
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
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
m Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION -OUTSTANDING ISSUES
Copy of CORRECTION NOTICE given to owner/contractor by inspector
I
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORJ OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ....................
S; - CZ
FOUNDATION:
Footing ....................
Wall ..........
Pier/Porch .................
Retaining Wall
Slab Insulation
PLUMBING:
Underground .. ...........
I—OZ
Rough -in ................
Commercial Final
HEATING:
Gas Test
Gas Piping ................
Equipment ...........
Commercial Final
TERIOR SHEATHING
FRAMING ........................
MS
FIRST FL60R FRAMING...
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Coiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............
SideSewerill—
Amont PWd $ — ReCelpt It—
Dateftsued —Expires
WaterMe.t^.rS;*="______
Amount POW — riccclflt 0—
DatePurchased
,,o%v a
Amount P-.Id $24neceipt
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