20020668.pdfDATE RECEIVED
M-MMMMMF
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
ZIP TELEPHONE
2.0 S C— ,�'t -JJ� 2 (:��
ITE111HONE -75s, y
2`2 21 c;> (, - - 726
PERMIT EXPIRES I
USE
ZONE PERMIT &V
UM.ER
JOB
SULTEIAPT#
ADDRESS
PLAT NAMEISUBDIVISION NO.
LOT 110,
LID 110
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
IS
EX STING — PROPOSED —
r.pales -lull-
s, C3
REQUIRED DEDICATION— FT
'mV as". Cl
METER SIZE
LINE SIZE
N 1111111
Pill FTE111111
I
UP
I
is
1;�4 No 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROURRAINAGE
11,�rt,17/rAlc QF=V r-) -.(T) f=ronn IlQ
_Ft,T&L C.?JC--fr SGaVICV5
ENGINEERING REVIEWED By DATE
ADDRESS
CP-92- ftmet-AS WA-Y -* 1�0
�L - a I (-&=-
I 11 2U2 ,
CITY ZIP
tft K0 I s. 9,?W_0
TELEPHONE
47-5--
FIRE REVIEWED By
1
bATE
STATE LICENSE NUMBE EXPIRATION DATE
-ro�TAL. csox-4 r-A 2m41
C B
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
REGO
13YES o
BOND
STIED
po"'
s
PROPERTY TAX ACCOUNIl PARCEL NO.
_2
7 c�;,_3- 6 00/ z 0 0
SEPA REVIEW
COMPLETE EXEMPT
III" AREA
PROPO
ALLOWED SED
HEIGHT
ALLOWED P11I Ell,
1
EX P ,
0
Z.3
rl NEW
ARE.I.-HiR ALL
'$ PL ... IN. I NIEGN
LOT covPERAGE.F.
REaujRTEo sE-,r5ACKS (I
I PROPOSED SETBACKS PT)
AC
COMAS IAL
COMPLIANCE 08
CHANGE OF USE
ALLOWED P.
351, 27%
FRO a, E BEAR
125 5.
ROW Lin I
3. JIDE BEAR
/--g .
1,5 5
OADDILRON
REMODEL
MULTIFAMILY
SIGN
PARKI I LOT
REaD PROVIDED
AREA
PLANIING REVIEWED try DATE
2 I 2_
7,91
— - -2
711SI -
REPAIR NCE
CYGE IS
X_F,
REM__5
DEMOLISH TANK OTHER
—
GARAGE RETAININGWALL FIRE SPRINKLER
CARPORT ROCKEAY FIRE ALARM
0
ITYPE OF USIEJUSINESS OR ACTIVITY) EXPLAIN:
DWELL NG
UNITS
WORK TO BE DONE
CHECKED BY ITYPE
'91PE IALINSPECTiON
REQUIRED n YES
GROUP 91'
OCCUPANT.,,
LOAD
F-Ir 1 11`217-1 111 r
Uu
6�K -
flBuilding
VALUATION , U�Woa -
go 1L&Mxq_
s 2, (0, fl I
Description FEE Description
-
FEE
Plan Check
Iq I&
State Surcharge
4,4-e
LMEI
Pr.it
City StUrch.rg.
00
ED DATE
Plumbing
Mechanical
I.I. Pa..- A-1.1011ZIES r1LY TH. WORK NOTED. THIS ISIOUT COVERS WORK TO
HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
Grading
DOMAIN tCURBS, SIDEWALKS, DITIVEWAYS, MARQUESS, ETC.) WILL REQUIRE
zi
t: SEPARATE PERMISSION.
Engr. Review
RE MITAPP.C.I.N: ..I
PERMIT LIMIT I YEAR - PROVI ED WORK IS STARTED WITHIN '00 DAYS
Engr. Inspection
SEE BACK OF PIN"Efil FOR MORE INFORMATION
-
.
' APPLICA . ON BEHALF OF HIS OR 1111 SPOUSE. Here. AIIIGIIS All' SUCcmba
Fire Review
Plan Chk. Deposit
71_7
IN IWERE ST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIAILI. EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALLCL'MMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY On iNERECTLY
FROM THE ISSUANCE OF THIS PERMU. ISSUANCE OF THIS PERMIT SHALL NOT BE
D EMED TO MODIH. WAIVE OR REDU E ANY nEOUIREMENT OF ANY C ORDINANCE
Landscapeinsp.
L
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANICTEY PROVISION. -
Recording Fee
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVE IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTFIUC'
CALL
Tbis applistabn Is at, permit unfillig,ed by re
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Bull also Official of his/her Repay: and Fees are paid, and
FOR INSPECTION ... lilt 11 ael"I'ladard 1, sp ... p,,,Id,d.
WORKMENS COMPENSATION INSURANCE AND ROW 18 27.
I —7DAtE SIGNED
O(AAGEW
0 F] , ALS SIGNATURE
E
�10W
(425)
1 tA IMIA
1
"54`�"y ILL
11 IV, El.
771-0220
I
E A
DATE'
ATTENTION
Off 1333
7
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
kJ ORK31NAIFILE YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN - ACCOUNTING
z
0
a M
M 13
0
80
R1 in
z
to --i
C
C:
4 oB
0 -n
IT
_q
x
rn rh
co
z 0
;u
-4
z
z
2 1
0
in
ONNERICONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
LaIr CoV02AC-C
kwse (3-19
brtk-zej&y I-&
�Y"'; t
11� I I ,6.�
Wo i
---------- I
-r.v.� ut
c,,eA - e>
Al
koo�61'-
mm.
Sf
J------ --------
----------
F'— ' P-5
G ZONF
RSDOWNSPOUTS SETr �C
TO CONN T TO EXIST, SYST.
REAP.
OTHER
— — — — — — — — — —
TE HEIGHT
IY CONSTRUCTION APPROVED BY PLANNING
'A
'P 'q
NCE REQUIRED
ACCEPTABLE TIGHTI41INE
AP13�6VEYA"OTC7
BY ENGINEERING MATERIAL
236th ST SW SDR 35
SCH 40
N-12
Date: F810 HANCOR
-,SITE PLAN
d(ALDING, ()F.il�
z
0 m
C
m
0
0
�
M z
2- t!
z
o'n
A
o Fn
c
m
07
z
w
z
m
-K
0—
HEIGHT CALCULATIONS*
A-99
C - so,&
M OL
D-w
AVERAGE GRADE 3925/4 98.1'
001
ct
A
ELEVATION AT RIDGE - I W + 141V 114.7&
-114 '98-1- '18-9
PROPOSED BUILDING HEIGHT -76
M
MAXIMUM BUILDING HEIGHT ALLOWED 98.1- + W 123-V
c
o
0,
0
M,
am,
M o'
FINAL PROJECT APPROVAL -FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE —
I). ERING DIVISION DATE..!d��l (0a
PLANNING DIVISION DATE—
PROJECZ— TAIE
SITE ADDRESS. q13 01 U%,#. 10.
PERMrr#_Aoo - C>L�9 ADB#
INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED -fjhAL,
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,
PER_FORMANCE BOND andthegrandngof:
--L�GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WrM CONDITIONS NOTED
c3 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date— Sign_
ocaprvi.doc.l:temp:bldg:fomisIO/OI
z
9
0
C: M
M 0
0
80
C
M
M Z
0-4
CD
o -n
n
-4
M M
0
0
0 M
Q 0
Z
7-1
z
--I
z
M
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ....................
FOUNDATION:
yvi S
Footing .....................
wait ..........................
z
Pier/Porch .................
0
-4
Retaining Wall
Slab Insulation
PLUMBING:
M
Underground
Rough -In ..............
0,
Commercial Final
HEATING:
Gas Test ....................
C4?
z
Gas Piping
V)
Equipment . ..........
Commercial Final
x C
M ITI
EXTERIOR SHEATHING
NAILING ..........................
�44-o�
0 r-
0 rn
C 0)
FRAMING & ......... ..
90)
Q 0
........................
FIRST FLOOR FRAMING
OZ
qv-\s
63
INSULATION ................
...
Floor Insulation
z
Wall Insulation ...........
Ceiling Insulation
z
SHEETROCK NAILING
0
SPECIAL INSPECTION
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............
tow Oaf/