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20030122.pdfDATE RECEIVED '2-12— -z- [7PERMITEXPIRES CITY OF EDMONDS USE PERMIT 111E NUMBER '003 CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT# ADDRESS q9114 OWNER NAMEINAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT N 11-100, UD NO. MAILING ADDRESS 1 49 L LID FEE S /0 ac f-13 PUBLIC RIGHT OF V9 PER OFFICIAL STREET MAP TESCP Appiraved RW Permit Required EXISTING — PROPOSED Sir at Use Permit Roq'd lne�ctkrn Required Sidewalk Required CITY ZIP TELEPHONE guerel-k WA tWOW, REQUIRED DEDICATION— FT underground Wiring required NAII? METER SIZE LINE SIZE NO. OFfIXTURES P iEQUIRED T YE NO C3 z SW ADDRESSC/ z REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE -I;d??Z e- bCj0t="1 [�Sygn(30-s Mw (Dek-1610t,) (D T164TUAT-- CITY ZIP — TELEPHONE Driyw q8 NAME CBL# hie-k 6 co?o ENGINEERING REVIEWED BY' DAT ADDRESS / qz&.--f., �& A ALI- FIRE FIFIEWED BY DATE W Ix 00 � - 1*-� -L r- � CITY ZIP TELEPHONE &L &/--! � � VARIANCE OR CU SHORELINE OR ADBI I INSPECTION REQ'gr BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE CHACKED B�y 6ha-fr,4xz ag?k"7 OYES/ANO S SEPA REVIEW COMPLETE PT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED It PROPERTY TAX ACCOUNT PARCEL NO. 10 ,-5 S , ao ;, �EXP - �VEW RESIDENTIAL PLUMBING / MECH LOT COV�RAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr) FRONT SIDE REAR PROPOSED SETBACKS (It) FRONT URSIDE REAR COMPLIANCE OR ADDITION COMMERCIAL ffzo -BZ, n 15 I no .5- T. I U� CHANGE OF USE PARKING R PRQV!Q LOT AREAgP� NING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN :a 1A ::�40 GBADING � FENCE REPAIR CYDS X FT) FT) C4 REMA DEMOLISH TANK E:] OTHER GARAGE RETAINING WALL FIRE SPRINKLER LER CARPORT ROCKERY F RE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY OF QQN$TRUCTION OCCUPANT ITYPE GROUP NUMBER I UM N BER OF CRITICAL SPECIAL INS :CTION JAREA OCCUPAN OF 21 T DWELLING I AREAS I Ul NUMBER6�- REQUIREDJ YES JZ&5� j_ LOAD —STORIES _ DESCRIBE WORK TO BE DONE REMARKS 93 PROGRESS INSPECTIONS PEg UBC I 08/FINAL INSPECTION REO'D 2; 9 2, (-7 Vf I A) -�51 A" I I I L—AI— VALUATION 017-5-r— (.'A)-. V) IMI Description FEE Description FEE Plan Check State Surcharge L HEAT SOURCE _GLAZING% LOT SLOPE % Building Permit 1 (0 84 City Surcharge :2 PIJAN CHECK NO- VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO h BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading :1 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review 11xj PERMITAPPILICATION: 180DAYS IL PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Depo ift IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 1-1 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt N J- I ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee I Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFOk.VATION APPLICATION APPROVAL 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- CALL This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space piovided. WORKMEN!S COMPENSAT9 ,01IT94ANCE AND RCW 18.27. (425) —'L'7. 0 Icl IGNA OAT I� SIGNATURE (OWNER GE DATE SIGNED 2- 771-0220 DATE ATTfk~ 000"�— Off 1333 Iff IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE 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 r V, - z 9 0 ITI -1 -n M C M 0 80 C M ITI z IC) --I C - z o -n n I x M M 0 C-A 0 r, 0 ITI C ITI 0 Z IOU z --i x 55 z 9 0 ITI Ll BENCHMARK 3K = 345.0' 234TH PLACE S.W. 10, UTIuTy EASEMENT so 10' PRIVATE SANITARY SEWER EASEMENT--i ------------------- CONC. DRIVE ---------- 406) EX. FIRE HYDRANT Qr -1 F -11 Qj 14� 60.01 89*46'1 E 4357.01 B 15' copy N W *" S SCALE : 1"=20' 151' -4 ;-l' I z LOT COVERAGE S. F. 8 11 .3 %) (A IMUM CIRPAWAY SWPEl III LOT AREA &E6WE�Sffp1kRCH.) ILI a 5.401 S.F. 345.00 355.80 TAX ACCT. PARCEL #: NEW PLAT(NOT ASSIGNED) it kl-/, LOT SLOPE UNDER Tg%- \�'�BUILDING 'u-) SETBACK LINE(TYP.) c N 8946'12* W A EXISTING rpHOVED AS NOTED ROCKER� BY ENGINEERING PERMIT C 12 Date: 0-? C0 IMPERVIOUS SURFACE CALCS. PROPOSED BLDG. ROOF HEIGHT CALCS. A = 345.18 B = 357.01 C = 345.00 D = 355.80 ss TEMPORARY CONSTRUCTION S.F. RTRANFtAWUlRED Ll,qo 0 T FOR LINCOLN ESTA 7ES - LOT 8 IN NE1/4 OF SECTION 36,T.27 N.jR.3 E.tW.W-. CITY OF EDMONDS CkInLJnkAI(ZW rnHKITY W A q W I KI r-% Tn KI AVG GRADE = 350 75 1 ACTUAL HEIGHT= 371.00 MAXIMUM HEIGHT= 375.75 (350.75 + 25') ALLOWED SHEET 1 OF 3 A K' 1% 0, Height Calculation Worksheet Address. Date: 0.- Inspector(s): 1. Datum Point: N),-)n 2. Datum Point Elevation: 3: C)" 3. AverageGrade: .4. Maximum Elevation Allowed:3:50 ?s (average giade)+ 25"'--75 5. Reference Point Elevation Shot to House: 7 (datum elevatio, 1 +'�4 (grade to transit level line shot to house) n) M M r Z, 6. Measurements from line shot onto house to roof ridge: COG Fn Total: 4� M 7. Actual Elevation: (reference point elevation) + (measurements from #Q Conclusion: (actual) Is greater /less-th-a's T-I's 7 5(allowed); therefore the house is/ is not over the height requiremen per MD-C16.20.30 requirements FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUIF-DING DIVISION FROM: FIRE DEPARTMENT DATE nzmzsm ENGINEERING DIVISION DATE PLANNING DIVISION DATE- PROJEC SITE ADDRESS ,A00:1 - 0 19 9- ADB# DATE 114SPEC -4�01 013 PERNTr # DESCRIPTION OF WORK TO BE INS A field Inspection was conducted to determine flnal compliance with approved plansi Final approval denotes that there are no objections from the above signed Department to the release of pEgF_0gMANCE, BONDS and the granting of 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 c, Copy of CORRECTION NOTICE given to owner/contractor by inspector I . 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:temp:bldg:foffnsIO/OI z 9 0 rp :;:R M rn 0 0 0 0 C R -1 C A M Z K) -4 C 3: Ca 0 _n n M M 0 60 0 r- 0 M (D Cn M 0 Z z -4 3: ca z 0 i 0 M 1 -0 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... 03 .1 S, Me VOM ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final ...... HEATING: Gas,Test .................... Gas Piping ................. Equipment ................. Commercial Final ....... EXTERIOR'SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Cell I ng'I nsulation ........ SHEETROCK NAILING SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR -07 OCCUPANCY .................. r DATE RECEIVED PERMIT EXPIRES USE PERMIT 'X0 0) CITY OF EDMONDS ZONE NUMBER JOB SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADD1E1Sq2 ,4 3 _ OWNER NAMEINAME OF BUSINES �A - fs: PLAT NAME/SUBDIVISION NO. LOT NO. LID No. MAILING ADDRESS LID FEE $ TESCP Approved PUBLIC RIGHT OF L STREET MAP RW Permit Raqu:,rod Street Use Pe 0 q /0 010 'F rm Roq'd CITY ZIP TELEPHONE EXISTING — PROPOSED inspection Roqulrod Sidewalk Requ red REQUIRED DEDICATION— FT underQround Q>1 wiring required NAM CITY I (,I- AT ZIP TELEPHONE 1 41;�01 — NAME INA c4c o Cbft)s I ADDRESS CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE Nhe4r-ou 2Q?k7 "�910'q PROPERTY TAX ACCOUNT PARCEL NO. 110-NEW 11VT C;e RESIDENTIAL 0 ADDITION COMMERCIAL E] REMODEL MULTIFAMILY REPAIR x G Dll�_, CYDS DEMOLISH [:] TANK GARAGE o RETAININGWALL CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITYI EXPLAIN: 5)�_I? — NUMBER NUMBER OF OF 2- DWELLING 1 STORIES UNITS DESCRIBE WORK TO BE DONE /7 - I- -.: - - - I METER SIZE I SIZE I NO OF EIXTURES I PRV REQUIRE NO 13 z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROODRAINAGE i)T—blr% I (nMA,'1AAI nP7 _nLIAT11 JAI CBI_ # 'I 57� 4A 1) AIJ ENGINEERING REVIEWED BY , I A9 C4. fou FIRE REVIEWED BY BY VARIANCE OR CU SEPA REVIEW COMPLETE I q/EP EXP LOT COVERA&E 0 PLUMBING / M5CH ALLOWED PROPOS COMPLIANCE OR ri CHANGE OF USE PARKING SIGN I Rt� I PROVWD FENCE ( — X—FT) REMA OTHER JEE CRITICAL AREAS SPECIAL NUMBER 01=111110 REMARKS PROGRESS INSPECTIONS 0 A/, DATE r I Ii,,u) SHORELINE OR ADBNJINSPECTION BOND R POSTED 1$ 113YESEOVO -_ 7 SIGN AREA HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED ao REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) FRONT., SIDE REAR FROK LIR Sl,. REAR OT AREA. I PLA]UNING Fi'gV[FWED BY DATt- BY ITYPE Lu cc M Cli N OCCUPANT GROUP, OCCUPANT LOAD UBC 108/FINAL INSPECTION REG'D -A,A— — ;;7— — 1 =M VALUATION '1� - sl�m L -..,/ L6 �4y Description FEE Description FEE A efy f% V- State Surcharge Plan Check VU HEAT SOURCE GLAZING % LOT SLOPE % Building Permit --Ko 84 City Surcharge ou PLAN CHECK VESTED DATE Plumbing 700 Mechanical THIS PERMIT AIJ114�ORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO h BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading,� DOMAIN (CUR13S, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 71, �7 0 SEPARATE PERMISSION. Engr. Review 15 PERMIT APPLICATION: 180DAYS 0 PERMIT LIMIT I YEAR - PROVIDED WORK IS STAKED WITHIN 180 DAYS Engr. Inspection ,SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Fir I e Review Plan Chk. Dep4h IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS� THE' CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLWMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF: ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee Receipt # I HERE13Y ACKNOWLEDGE ;7T I HAVE READ THIS APPLICATION; THAT THE INFORMATION AP PUCATION APPROYA. L 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- This ai)plicaflon is not a permit until sigp6d 6y the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Ufficial or his/her Deputy: and Foes are paid, and IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in spaq plovided. WORKMEN!S COMPENSATI,90011�ANCE AND RCw 18.27. OFHcI IGNA I TDATt 0 SIGNATURE (OWNER GENTI DATE SIGNED 1425) �2,- 2., 771-0220 IRELE DATE Off I ATT11416W USE 0- MY A NG OR STRUCTURE UNTIL 333 IT IS UNLAWFUL TO<�R%QgU illl A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR *m.,CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 4/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING M MOSLEM z 0 M M C M 0 0 0 C M M Z 10-4 C 0 M M 0 0 0 M C cl) K 0) M 0 Z z —4 3: 0) z 0 0 M