20020652.pdf'DATE RECEIVED
[PERMITEXPIRES
CITY OF EDMONDS
USE ERMIT
SEE P A0
ION e3
NUMBER
CONSTRUCTION PERMIT APPLICATIqON
JOB SUITE/APT#
OWNER NAMEMAME
I
ADDRESS E� W�
OF BUSINESS
PLAT NAME NO.
LOT NO,
L�D NO.
MAIL— ADDRESS
JSUBDIVISII
L D FEE $
PUBLIC RIG14T OF WAY PER OFFICIAL
STREET MAP
71—Ty
R,V\IjAa,� _,dTELEP"ONE
-
'Iss-7 -Y63,1-(�
E ISTING_ PROPOSE.—
-REQUIRED DEDICATION— FF
u. P. A.
..= I" , El
—
.,00
.�\s V
MIT11 SIZE I
LIKE SIZE
I No, 01
1 RED
VV SOLD
YE i N 0
B
REMARKS f
OWNERMONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
71—Ty
TELEIIIONI�
�;too 07WIVIX
G :5
MJ
NAME 7 q
-SU e I,-,-
SLV
ENGINEERING REVIEWED BY DATE
1
1111E11
PI(3, SOW.?
f7
__j
CITY
l6o 1�,v �k?)s
TEIEP.V
FIRE REVIEWED BY DATE
STATE LICENSE �JMBE��L7
E;7 A DITE�=
tV&Kj I C
VARIAN F U
ON CU
C -OR C7
IHORELINIOIAD81
a
[,�51
BOND.
IS P OS TE
z
PROPERTY TAX ACCO FARCE 5NI
PA REV
SERA REVIEW
Be
C ETE E.
E PT
SIGN AREA
AL SED ALLOWED,
H �JGHT
PROPOSED
K
UE
,
E"'NEW
BESIDE IAL
F.I.E111
IINGIMECH
.T COVERAGE
LOT COVERAGE
AL D
L
AL WID PROPOSED
W PRLIP�
0
REOUIRED SETBACKS (FT) PROPOSED
FRONT Side REAe FRONT
SETBACKS tFT)
REAR
ADDITION
0
C MMERCIAL
OMPUA
C NCEOR
C HANCE OF USE
X,
-35 , ;?-�,
to" 10, /0" 5 7'
IJR�OE
1
-7'�
"tell W
3:
IS m
REMODEL
El UTIFAMILY
E3 MULTI
13 Sill N
PARKING I LOTARFA
Rfq0 I PROVIDED 1
'Qo
IPLANNINGREVIEv- By
-0 a
M a
0
_+YDE
112-
0
8 (=
FENCE
0 REPAIR FT)
x
ARKS
ARKS
-4 m
0 DEM LISH 0 TANK o OTHER
I
I A t�ps C+ -efld
M
ITZ
-S-f' _,_101, p
K.HE
GARAGE ETAININGWALL F ESPAINKLER
)kARPORT 13 RROCK&AY Fin
RE ALARM
"E OF USE� WRY) EXPLAIN:
2
k, k(j
COAS4,,�T\,t,w, %,, Ile- -V
CHECKEDBY JTYPEOFCO�WN
OCCUPANT
.... P
NUMBER "' OF
Numi
CRITkA
0 _111
0
0
OF � ING
DWELL
_G1E.1 '2- 1
8 UNIT
AREAS
NUMBER
PECIA LEI�JSPECTION
Irr - OC.-P HT
&3�3
A
RECUR 1-1 YES
1AREA
�,
mltiII 11
Wo
i!
DESCRIBE WORK TO BE DONE
I I
I
ITT M
REMARKS
PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION REO'D
0
0
5
0
TR
C: En
m V)
In 0
Z
1_42
V LUAT'ON
VALUATION
�n
Description
Be "pt
FEE
-T7uz,-r--
Description
FEE
>
z
Plan Check
Plan h-hk
State Surcharge
L//
'Wtik
_a4p_%
Lilding P.I
."din. P.,_,t
City Surcharge
0)
PLAN CHECK N007
VESTED DATE
I
Flu. 'Ing
z
0
I
Mechanical
0
m
THIS PERMIT AUTHOSIMS ONLY THEWORK NOTED, THIS
PERMIT COVERS WORK TO
a
BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC
DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS USES, ETC.) WILL REQUIRE
Grad ing
a
SERA SBIONi
Review
PERMIT APPLICATION: 100 DAYS
PERMIT um I YEAR - PROVID 0 WORK IS SIARTE. WITHIN ISODAYS
Engr. Inspection
SEEBACKGFPINKPE IIMIT FOR MORE INFORMATION
'APPLICANT ON BEHALF OF 111101 HER SPOUIE. HERB. A.BI... AND SU.CFS...
Fire Review
Plan Chk. Daposh
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, AIIII GTON, ITS OFIFICIIII. EMPLOYEES. AND ADEN- -0 ANY AND
ALL CLAIMS
Fire Inspecti IT
Receipt #
PC DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FRO14 THE I SUANCE OF THIS PERMIT. ISSUANCE OF THI ERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUIREMENTSOP
F CITY C
ORDINAN F
Landscapelnsp,
6'. �otal
Amt, Due
NOR LIMIT IN ANY WAY THE CITY$ ASI LRY TO ENFORCE ANY ORDMINANCE PROVISION.-
Recording Fee I
Receipt
12/
I HEREBY ACKNOWLE BE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNIER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION
APF
T I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATIN IN -
HE OWNE - G Co STRUC
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERS014 WILL BE EMPLOYED
IN VIOLATION OF
CALL
T1 sPpIjIn
�,R on"
00d KId
THE LABOR CODE OF THE STATE OF WASHINGION RELATING TO
WORKME��S,�4"ATjq)I.W&JkANCE AND RCW 18.27.
FOR INSPECTION
SIGN I-DATESONLI)
(425)
OF IGIIATURIF DATE
—0;�Wp"_
;FTENTION
771-0220
Off 1333
HE BED BY ATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
L e'
�IN
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
OR GINAL - Fit P YF1 O� Spec R
FINK -OWNER
GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
Height Calculation/Grading Verification Worksheet
Address: t8tc-7 Permit#: G)4n�-e)(Osz
Date:
A. Datum Point: CA8
B. Datum Point Elevation:
C. Average Grade:
'3. Maximum Elevation Allowed: 17C)'O (average grade) + 25'
4. Reference Point Elevation Shot to House:
Z�j.10)qdatum elevation)+ 9,,)'0 (grade to transit level line shot to house)
6. Measurements from line shot onto house to roofridge:
Total
7. Actual El t* (reference point elevation) +;13-3 (measurements from
#6)=
Conclusiop:
-J94,4 (actual) is greater/j� (alloNved); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
L:\TEMP\BUILDING\NflSC\Height CalculationGrading VerificationWorksheet.doc
0
LOT 2. SP
OF ED MOND%
airy
SNOHOMISH CO, WA -
CITY COPY
JUL C, 2002
D [V Et r&lll. L 11 i llllf�'-'.Vl GES CIA.
C':T'� C& t D1,10ND' —
OWNER/C"ACTOA IS REMSIBLE FOR
EROS19N C0qRQA1*-§RAINAGE . -
C-T 9917
k
kv
41
cotwBur
I fl-
?i
i 4A
3 110 -SQ Y"r. lm'plwNr—o"
O�00
APPROVED TED
ALL EXPOsED SURFAcEs To
BE COVERED WITHIN 2 DAyS BY ENGI RI
Date:
CITY COPY
ciry oF Enmowg)%
SNOHOMISH co,
ACCEPTABLE TIGHTLINE
MATERIAL
SIDR 35
SCH 40
F810 HANCOR A0
TRACT 9??
li3O
6
wim-liAmImACT ISREMSIBLEFOR
OSION CONIROL AND DRAINAGE
5
vl'ou
syeo a/
FOOTING DRAIN- NICIT
To BE TIED I�i �O
DETENTION SYSTEM
N
lb
BY ENGINEERING
WATER & SEWER
INSPECTIONS REaD t) L B E?-T-
CALL 425-771-o220 EXT, 1326
Data:— 912.-71oz-
4 k
A ROVED AS NOTED V
-FINAL PROJECT AP F
TO-_
DATE,_
ivMM0 TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: .. FIRE DEPARTMENT DATE—
ERING DIVISION DATE
7-
PLANNING DIVISION DATE----�--
PRO T
SrMADDRESS- Ink
# IZIW -&L0�Z,—ADB#__-------PATE INSPECTED
PERMT
SPECTED
DESCRIPTION OF WORK TO BE IN
determine final compliance with approved plans. Final approval
A field inspection was conducted to
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
GRAM PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Datc_ Sign—
ocaprvl.doc.l:temp.bldg:formsIO101
z
C M
MO
-40
0 0
M
M
a
0 -n
,n
M M
0
0
C
9 ca
M 0
z
z
-4
z
0
M
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .................
FOUNDATION:
Footing ......................
Wall ..........................
z
Pier/Porch .................
.0
Retaining Wall ..........
0
Stab Insulation
PLUMBING:
Underground M
MID
Rough -in
0
Commercial Final C
HEATING:
C
Gas Test ...............
Gas Piping ............
0 -n
Equipment ................. n
—4
Commercial Final
ITI ITI
EXTERIOR SHEATHING a
0
NAILING ..................
6 Fn
C 0)
FRAMING ................ K 04
M 0
Z r_
1Qi4z422= >
FIRST FLOOR FRAMING. q
INSU LATION ...................
Floor Insulation
z
Wall Insulation ...........
Ceiling Insulation Cl)
z
a 0
SHEETROCK NAILING
ITI
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
r