20030020.pdfU
DATE RECEIVED
PERMIT ZZ
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EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE
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CONSTRUCTION PERMIT APPLICATION
JOB
SUITE/APT#
ADDRESS
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OWNER NAMEINAME OF BUSINESS
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PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NOa
LID FEE S
MAILING ADDRESS
4110 1 L
PUBLIC RIGHT (A WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
TESCP Ap oved
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RW ParmlipR quired,
Street Use Permit dj
Inspection Required
CITY ZIP
TELEPHONE
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REQUIRED DEDICATION— Fr N1\
Sidewalk Required
Underground
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Wiring required
NAME 1_�
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METER SIZE LINE SIZE NO IXTURES - PRV REQUIRED
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REMARKS
ADDRESY
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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ENGINEERING REVIEWED BY DATE
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FIRE REVIEWED BY DATE
CITY ZIP
TELEPHONE
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VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
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STATE LICENSE NUMBER EXPIRATION DATE
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(TYPE OF USE, BUSINESS OR ACTIV" EXPLAIN:
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NUMBER
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REQUIREDXYE LOAD
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DESCRIBE WORK TO BE DONE
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE0113
.
SOURCE I . GLAZING % I LOT
NO: o0% I �f AC��-f A I VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CUR13S, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPUCATION: 1180DAYS
PERMIT ILIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
!CEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
TION; AND IN DOING THE W_0A*-AW1,ljORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE VffiO5XPDE_V THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSIPWINSLMANCJ AND RCW 18,27.
SIGNATURE (OWNER OJAGENT) DATE SIGNED
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Description
FEE
Description
FEE
Plan Check
13
State Surcharge
lCity
Building Permit
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Surcharge
Plumbing
Mechanical
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Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
7 OKI[
Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
CALL
FOR INSPECTION
(425)
771-0220
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid. and
receipt is acknowledged In space provided.
OrC,,l A GNA D7E
RELEASED BY
ATTMT/fON I=YT 1 016101
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A/
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
ORIGINALLPICE YELLC&k.INSOECTC
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
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SCALE 1"=20'
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lcl 10- PRIVATE
":7"�BUILDING SANITARY SEWER
SETBACK EASEMENT LOT COVERAGE
334.71 LINE(TYP.) 334.60 S.F. (927.)
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23 oo TRACT D95 LOT AREA
5.59 6,086 S.F.
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TAX ACCT. PARCEL #:
24
45* NEW PLAT(NOT ASSIGNED)
6,086 LOT S.F. —
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0 F.F. = (SEE ARCH.)
cnl I 1 10, LOT SLOPE
I 1 0, UTILITY UNDER 19%
50 COVERED 332.78 EASEMENT
333.43 PORCH 5' SIDEWALK
EASEMENT
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CL- -n CITY COPY
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----- ----- -- --- EX. FIRE
SD C14 529.t HYDRANT
WALK R=25.00' >
L-21.75'
S 89*13 31 E 42.86' b-49*51'26"
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236TH PLACE S.W.
OL BENCHMARK
'F PK — 330.18
IMPERVIOUS SURFACE CALCS. z
PROPOSED BLDG. ROOF 2029 S.F. �z
PROPOSED PATIO: N/A ��-z
PROPOSED DRIVEWAYj 550 S.F. PLOT PLAN W�
PROPOSED DECK: N/A FOR 4t.
HEIGHT CALCS.
A =334.71 LINCOLN ESTAMS LOT 24
B =334.60 1
C =333.43 IN NE1/4 OF SECTION 36,T.27 N.,R.3 E.,W.M.
D = 332.78 CITY OF EDMONDS
AVG. GRADE = 333-88 SNOHOMISH COUNTY, WASHINGTON
ACTUAL HEIGHT= 358,88
MAXIMUM HEIGHT= 358,88 333.88 + 251
ALLOWED SHEET 1 OF 3
TOP OF WALL = 332.88
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Height Calculation Worksheet
Address: YU, 4-f lot �Q
Date:
laspector(s):
1. Datum Point: Mws�t�
2. Datum Point Elevation: `3 30 - (40
3. Average Grade: 7
4. Maximum Elevation Allowed:
4average grade) + 25' Y f5c"�l
5. Reference Point Elevation Shot to House:
'3��39c'(datum elevation) (grade to transit level -fine -shot to house)
6. Measurements from line shot onto house to roof ridge:
G
Total :—a D, I 5r
7. Actual Elevation: (reference point elevation) +OPAr (measurements
from #6) = 75 -7 1
Conclusion:
75 57 (actual) is greater / ie`s�s ��tha '359- 88 , (allowed); therefore the house is/
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Is not over the height requiremen er ECDC 16.20.30 requirements
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44 C. 18913
CITY OF EDMONDS
121 5TH AVENUE NORTH * EDMONDS, WA 98020 , (425) 771-0220 - FAX (425) 771-0221
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
March 20, 2003
Lincoln Estates
1910 120th PI SW
Everett, WA 98208
-0020
Building Permit: 2003
Site Address: 9915 236th PI SW / Lot 24
Expiration Date: 1/9/04
GARY HAAKENSON
MAYOR*
The purpose of this letter is to inform you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your permit file.
The City considers the final inspection to be. one of the most important inspections
conducted on a project. In order to grant final approval the following must be complete:
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
and residence, egress from sleeping rooms, safety glazing, weather-stripping, any
Engineering department requirements etc. Of course not all of these things may
specifically apply to your project but it does give you an idea about the kinds of things
that must be complete as well as some items that do not need to be installed such as:
paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from
the date of issuance. If you will need more time to complete the work, permits can be
renewed prior to expiration for one half fees. If the permit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew the
permit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and call for the required final inspection(s). Note: If more than
one department is required to final your project, this is noted on your Job Card.
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
Permit Coordinator
Incorporated August 11, 1890
Sister ON - Hekinan. Javan
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
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(L&-WT ENGINEERING DIVISION DATE
KEMSM
PLANNING DIVISION DATE-
nXASESM
PROJECT m6
SITE ADDRES S64j__ W
PERMIT# ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED---tLgAle......�
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
1,,""GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u 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
I .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign,
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch ..... AjVn4
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
W-S
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
m3
03
SHEETROCK NAILING ...
SPECIA� INSPEdTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
D3
OCCUPANCY ..................
Side Siwer P.—
Amout Pidd Receipt
�C�k L f\
Date 1sthed____XrP,*rcs_
Water Meter
s" S -7 '44
Amount Pr_,'J V
,D.-tePum%ased eq -o"O P#'00'0
1,
A=ount Paid 2 2—Recelpt 1.,11 �,7QU
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J;DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
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MAILING ADDRESS
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CITY ZIP TELEPHONE
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Z7
PERMIT EXPIRES
40
I USE PERMIT
ZONE NUMBER
JOB suiTE/APT#
ADDRESS
CY2
ADDRE99 V
C7 /6 1
CITY ZIP TELEPHONE
T;Oar.�� Z4;Z-5- - �9 1-066!�_
NAME I CBL# ^ 'eft A
ADDRESS
1q/0
CITY
ZIP
TELEPHONE
STATE LICENSE NUMBER
EXPIRATION DATE
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NT 0
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L'q-1FIESIDENTIAL 4r PLuMBING / MECH
0 ADDITION
0 COMMERCIAL COMPLIANCE OR
0 CHANGE OF USE
0 REMODEL
0 MULTIFAMILY 0 SIGN
0 REPAIR
ING FENCE
CYDS 0 X FT)
0 DEMOLISH
0 TANK 0 OTHER
IWMGARAGE
PORT
RETAINING WALL 0 F RE SPRINKLER
0 ROCKERY FIRE ALARM
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
'e- ER
2
NUMBER
OF
NUMBER OF
DWELLING
CRITICAL
AREAS
I
STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID No
LID FEE $
PUBLIC RIGHT WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
street use Permit Raq'd
EXISTING - PROPOSED
N1\
Inspection Required
Sidewalk Required 13
Undergrotmd
REQUIRED DEDICATION FT
Wiring required
�ETFR SIZE
LINE SIZE
Ng XTURES
PRV REQUIRED
YE NO 13
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REMARKS
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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10%.4AI <Tli)i PIVMl M41 ��
ENGINEERING REVIEWED BY DATE
WOMEN
FIRE REVIEWftA 1. _A IVIN
DATE W
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__�ARIANCE OKO j#gFfLINfiM# N
BOND
W
10YES%NO
POSTED
1
$
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED I`
ALLOWED PHOPOSEP
,
EXP
LOT COVERAGE
R UIRED SETBACKS (FjjJ
SED SETBACKS (Fr.)
ALLOWED PROPOSED
0
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1 1 1
Of L/R REA
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PARKING I
LOT AREA.
I PLAI`jNING. REVIEWED BY tATE
CHECKED BY OCCUPANT
jTYfXr9fWC'PNSTRUCTION
GROUP
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SPECIAL INSPECTION JARE.6 OCCUPANT
(ES LOAD
REQUIRED'kYES
REMARKS
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PROGRESS INSPECTIONS PER UBC 108/fINAL INSPECTION REQ'D I
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VALUATION
Description
FEE
Description
FEE
Plan Check
0
State Surcharge
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EAT SOURCE GLAZING % LOT Sl 171PF_
Building Permi t A�
170 City Surcharge
2!�
PLAN CHECK NO: 0 'Z J55-1 VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORUES.ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPER[TY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
0
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERmrrAP�LICATION: 180 DAYS
IL PERArr,umm i YEAR - PROVIDEb WORK 15 STARTED WITHIN 180DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
,'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
PlanChk.Deposft 1-3(0
. ...........
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON,., ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Rec pt# 7 O?qo
ALL CLAJMS FOR DAMAGES OF WHATEVER NPTURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. 18SUANCE OF THIS PERMIT SHALL NOT BE
Q
ANY CITY
Landscape Insp.
Total A mt. Due r .'
DEEMED' TO MODIFY. WAIVE. OR REDUCE ANY REQUIREMENT OF ORDINANCE
NOR LIMIT IN ANY WAYLTHE CI1YS ABILITY TO ENFORCE ANY ORDIN NCE PROVISION.'
I ' A
Recording Fee
I Receipt # 0
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
4THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application Is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
UN,*"AND IN DOING THE W0R*4VJQjORIZED THEREBY, NO PERSON WILL BE EMPLOYED
114 Y61ATION OF THE LAO&CODE-1W THE STATE OF WASHINGTON RELATING To
FOR INSPECTION receipt Is acknowledged In space provided.
WOAKMEN'S COMPENSAt
,9111 INStJRANC9 AND RCW 18.27.
SIGNATURE (OWNER OA AGENT)- DATE SIGNED
I t
OFFICIAAG Ajyy DATE
11,425)
771-0220
RELEASED BY DATE
ATWNT"
EXT 1333
V
OCCUPY OR STRUCTURE UNTIL
IT IS UNLAWFOI TO USE OR A BUILDING I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- <'O) OR;GINAL- FILE YELLOW - INSkCTOR
0,1100 P NK - OWNER GOLD -ASSESSOR
cATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
�1"e(ky
04�02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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