20030133.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER.NAMFJNAME OF BUSINESS - . j-07 1 -
ADDRESS
ZIP
ZIP I TELEPHONE
JPERMIT
EXPIRES 4
USE PERMIT
ZONE 12;5 /1
/,q,
NUMBER4,4�5
- C'�/90
JOB
SUITE/APT#
ADDRESS ()Z �Aj
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.—
3-7
e
LID FEE S
PUBLIC RIGHT OF W Y PER OFFICIAL, STREET MAP
TESCP Approved
RW Permit ReWited
:AN
Street Use Permit Rsq'd
EXISTING rhuru=_ fNC0!!7-&
Inspectio Roqu red
Side*alk"R'squired AJD
REQUIRED DEDICATION— FT
Undergrowd
Ired
METER SIZE
LINE SIZE
NO. OF FIX!TUSRES]
PRV'REQUIRED
I
YES 13 NO'k LC
REMARKS
z
z
OWNE CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
&jn&_r aurrnts 4 cowmars
-vo " ��noq
lk<lb
/21L,9:��I"
(TOLOSID�) IN) _Q4Pn'1aS_
NAME
BL#
ENGINEERING REVIEWED BY DATE
ADDRESS
dh!�l
—1
ssss��J:
FIRE REVIEWED BY IIA11-
U'!
CITY
ZIP- TELEPHONE
a
VARII NCE OR CU SHORELINE OR ADB# INSPECTION BOND
esse
STATE LICENSE NUMBER
EXPIRATION
DATE CHECKED BY
REO'D POSTED
I 113YES 1$
__
113NO
SEPA REVIEW SIGN AREA HEIGHT
PROPEW TAX ACQUINIT
PARCEL NO.
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED, PROPOSED
1 0 z 5
,
I
W"
EXP
NEW
RESIDENTIAL
PLUMBING if MECH
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR
2
ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
3091 Ito,, 7-5 10 Z 5 170 17*%4 -58
2
REMODEL
MULTIFAMILY
SIGN
PARKING LOT AREAJ PLANNING REVIEWED BY DATE
RE11 PROVIDED
CL
L7
7- 7 'Ffl
I
REPAIR
G
m CYDS
FENCE
( X FT)
REMARKS
0 DEMOLISH
TANK
OTHER
GARAGE
RETAINING WALL
o FIRE SPRINKLER
CARPORT
ROCKERY
FIRE ALARM
UWE OF USE, BUSINES ACTIVIIM EXPLAIN:
CHECKED BY MO OCCU
4&Z ?�zz
I I j 11 ,
GRO
J=UCTION
NUMBER
OF
NUMBEEA OF
DWELLING
CRITICAL
C I
tTICP
AREAS
SPECIAL INSPECTION JAREA 01 0CCUPANf
STORIES
UNITS
UMB
NUMBEla ;aWfl
LOA
REQUIRED [3YES 3 -7 D
1" 0 S
DESC BE DONE
A-,,
A
19—A
-A e /-I—
REMARKS
PROGRESS INSPECTIONS PER UBC 1108MINAL INSPECTION REQ-0
44aly;-I)
VALUATnION
Wake
Am=ccl 23:7
=rn-
sk,
1,5-r rn imp,
firi
�. !JfD �j ag=
Description
FEE
Description
FEE
ryj
= :3 -7 le:) �.;q=
Plan Check
.'jZJ4
( zd::$f —
7 1
State Surcharge
fjHEAT SOURCE
%
LOT SLOPE %
Building Permit
'7
City Surcharge
PLAN CHECK!LIO:
VESTED DATE Plumbing
a
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WfORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
3
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
L PERMIT LIUM I YEAR - PROVIDED WORK 18 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
PlanChk.Deposh
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 #
0— A
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
ISSUANCE OF THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE OF THIS PERMIT.
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.*
El
Recording Fee
Receipt#
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPIUCATION
-
APPROVA
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 13E EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Official or his/her Deputy; and Foes are paid. and
receipt Is acknowledged In space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
1 NA k DATE
�IGNATUR R A N
D
IA05)
%-UK-
yfyj/�
�OWNE
771-0220
/ L'
'R
-
SED qY� DATE
ATTF,.W,ION
M 11,333
IT IS UALAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
FLA
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW INSxCTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
4
z
0
M
In
C
M
0
40
0 a
M
ITI
0 _n
M ITI
Fn
M 0
z
CO)
z
0
4
0
M
524
IMPERVIOU5 SURFAGE GALGULATION:
L=q4.84'
R=30830'
EXISTIN67 BUILDIW25, DECKS, DRIVEY4AY AND
DLT=Il 31 2q
KALKKAYSs 361150. FT.
NEN AREAs 644
TOTAL IMPERVIOU5t 4315
LOT AREAa 1515150. FT.
% IMPERVIOUS SURFACE = 4315A5151 21%
LOT AREA 15,15150. FT.
NOT INCLUDIW7 TRACT A
BUILDINO HEIC
-7HT GALGULATION:
FROM PERMIT ORMINGS FOR ORIC71NAL HOUSE,
REFERENCE = SEPER LID a Iq6TH STREET = 100.0'
SHADED AREA 15 PROP05ED
AVERAGE GRAD5 104
ADDITION AT FIRST FLOI IP
MAX, ALLOKAIILE HT, 25'
MAX. RIDGE ELEVATIONi 12q'
HIGHEST POINT OF NEK ADDITION 15 1.03'BELON
EX15TIW7
nF:eje
RIDGE OF EXISTI% HOUSEt
I& = 121.2-
exiso"v- Z"T' I-Vw
EXGAVATION 4 6RADIN6:
CRAIALSPACE I FOOTIW7 EXCAVATION 4 ALL
OTHER LOT GRADIW-7 YiILL BE LESS THAN 50 6016'.
YARDS
APPROVED BY PLANNINU
L>
<
0 ui
CC
u-
4�1
0
H&TH 5TREET 5N RECEIVED
---------------------------
LEGAL DESCRIPTIONt
SECTION 14 TOINNWIP 21 RAN&E 04 GUARTER NH - LOT 2 JAN 10 2003
CITY OF EDM SP 5-2000-131 REC UND AFN
200104235002 BEII`6 A PTN 6OVT LOT I NN 1/4 NV41/4
PERMIT COUNTER
ACCOUNT NO.: 2104lqOO213500 0 5 10 15 20
NICK 4 JILIE STACK RESIDENCE 14
OCIO2 - IqbTH STREET 5H, EDMONDS I/b/03 TC114 CITY COPV
.1.4 C. 1891,
GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 STH AVENUE NORTH * EDMONDS, WA 98020 9 (425) 771-= FAX (425) 771-0221
Website: wwadedmonds-wa.us
DEVELOPMENT SERVICES DEPARTMENT
Planning 9 Building o Engineering
May 6, 2003
Attn: Nick& Julie Stack
8902 196th St SW
Edmonds, WA 98026
Building Permit: 2003-0133
Site Address: 8902 196th St SW
Expiration Date: 2/25/04
Dear Nick & Julie Stack:
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 pen -nit 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,
P it Coordinator
Incorporated August 11, 1890
Sister Citv - Hekinan. Javan
PA
f
M
M.
(A
F7
M
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: JERE DEPARTMENT DATE
z
9
0
m
m
c
rn
0
80
c
X M
M z
co
0 -n
mm
a
0
0 M
c CA
3: cn
M 0
Z r,
rn'J"
z
ca
z
0
m
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
maprvi.doc.I:Wmp:bldg:formsIO/OI
I
. M
. 1 11
RECEIVED
PERMITEXPIRES
QITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAM"AME OF BUTESS,
S
ZIP
TELEPHONE
USE PERMIT
ZONE
NUMBER60,1 -
_00 SUITE/APT#
ADDRESS ()Z
PLAT NAME/SUBD IVISION NO.
IOT;!��
LID NO,
13-7
LID FEE $
PUBLIC RIGHT OF W Y PER OFFICIALSTREET MAP
TESCP App"mod
RW Parm.06qulfed
EXISTING., PA POSED -
S d
'P!ty�d It R-q
REQUIRED DEDICATION— FT
Undwground
Wifing required 13
METER SIZE
LINE SIZE
I NO. OF FIXTURES
PRV REQUIRED
YEsI3
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
aum&-T A(JTTC-:1zS 4 xWA)V0'fT1 -ro (41 SPt2q___
4iG- W0-fttV0h&VW0'
NAME
St. 11
ri
1.j JjOAI,,`�V.
ENGINEERING REVIEWED BY DATE
�ADDRESS
—A
al
ZIAI"
7 e4 55A.
FIRE REVIEWED BY
r DATE
.7
C ITY
ZIP TELEPHONE
M
STATE LICENSE NUMBER
EXPIRATION DATE CHECKED BY
VARIANCE OR CU
SHORELINE OR ADEIN INSPECTION BOND
REO'D POSTED
113YEs 1$
1
"00-0 -0010 -
Wo
SEPA REVIEW
SIGN AREA HEIGHT
PROVEJ TA LINT PARCEL NO.
COMP ALLOWED PROPOSED ALLOWE PROPOSED
LETE EXEMPT
qXC
0
ZSD 0
, 7.5
I
EXP
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
NEW RESIDENTI - AL PLUMBING/MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR
ADDITION
0 COMMERCIAL
COMPLIANCE OR
13
1"
45 1 0_' Z. i7.7S,
7/ oss
W VS4
CHANGE OF USE
.1 '411
MULTIFAMILY
SIGN
PARKING
REOD PROVIDED
LOT AREkj PLANNING REVIEWED BY DATE
'.W
7. 3
I
)';j757 7-lAyl 0-1
REPAIR
CYD S
FENCE X
FT)
REMARKS
6EMOUSH
TANK
o OTHER
-:11
Iff-M
I ul-- &;
]&GARAGE
RETAININGWALL
E
[:] F R SPRINKLER
VV
N 4
FVR E
CARPORT
ROCKERY
FIRE ALARM
(TYPE OF USE. BUSINE"R
ACTIVITY]l EXPLAIN:
CHECKED BY
JW A.� OCC
J=UCTION
,
pi j G PRO
NU MBER
OF
NUMBER'OF
WE
D LLING
cRrriCAL V
AREAS
SPECIAL INSPECTION
OCC
AR;EA;,,,g OCCUPUANY
LOAD
STORIES
UNITS
NUMBE
REQUIRED [] YES
DESCRIBE WORK TO BE DONE
a2l i
REMARKS
AQ:=
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD
L=-A v,,,—
I jr
a L; I V It I A VVY &,,n
ICA A
4114,0fA
a 11 y y
VALUATION
f
6840de Ai7mr-7sx!
27
_3:7 =rn—
i kr r=Lj=e__
&-mn�nntj_
z. sag=
ppscriptlon
FEE -Das c6tion FEE
A FM I'%
Plan Check
State Surcharge
EAT SOURCE
LOT SLOPE %
BuildlngP�Ernit
City Surcharge
L5
PLAN CHECK
VESTED DATE
Plum0ng
A!!-�-A _.'
7Dfj
-
Mechanical
THIS PEF Inn-111 'SONLN'THE RK NOTED. THIS PERMIT COVERS WORK TO
k:
2
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
3.
T W1 n
DOMAIN (CURBS.. SIDEWALKS, DRIV M-AYS. MARQUEES, E C.) ILL EQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT Appucmop� - lea DAYS
PERMIT UMM I YEAR - PROVIDED WORK 18 STARTED WITHIN 160 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE, HEI RS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
;APPLICANT.
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS l"ROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS 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
NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
Recording Fee
Receipt # C
I HERESY 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
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; A140 IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLfrION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELA TING TO
FOR INSPECT ON
receipt to acknowledged in space provided.
WORKM US COMPENSATION INSURANCE AND RCW 18.27.
Cl (GN DATE
IGNATLfR OWNE R A
OWNE I
DAT ED
(425)
�Fl`
=R
V7b
wZYF
A - %
771-0220
DATE
ION
Off 1333
7R
IT IS LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CE I-
ORIGINAL -FILE YEIIC/Mf-'N-qP(ECTO'
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
110MI
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
04102 PRESS HARD -YOU ARE MAK G 5 COPIES
z
0
0
m
0 C=
m
z
0 In
.M
m m
0
a Fn
C9 . .
M 0
z
f
X
z
0
4
0
m