20030137.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMENAME OF BUSINESS
MAILING ADDRESS
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NAME
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NAME
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STATE LICENSE NUMBER
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PROPERTY TAX ACCOUNT PARCEL NO.
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PERMIT EXPIRES
PERMIT
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JOB ',UITE/APT#
ADDRESS
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PLAT NAM E/SUBDIVI SION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
7ESGF Aot)(OW80
RW Permit R qu:rod
Street Use P:rm I Req'd
EXISTING — PROPOSED
Inspection Required E3
Sid awalk Required 13
REQUIRED DEDICATION— FT
Undo 'ground
Wiring required
M7.Fk/�SIZE
—LINE,61ZE
NO. OF FIXTURES
PRV REQUIRED
YESX NO 13 9
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REMARKS z
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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COMMERC
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CYDS
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GARAGE
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CARPORT
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVnY) EXPLAIN:
F,
NUMBER
NUMBER OF
OF
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DWEILLING
UNITS
DESCRIB?WRIi TO
BE DONE
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SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
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PLUMBING / MECH
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REQUIRED SETBACKS (FT)
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PROPOSED SETBACKS (FT)
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NUMBER
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LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
5
VALUATION
Description
FEE
Descfriptlon
FEE
Plan Check
12—
State Surcharge
LOI SLOPE %
Building Permit
City Surcharge
VESTED DATE
Plumbing
7� "—L�
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
a E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE - PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
I ..... IT ILIMIT. 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. Deposit
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 CLAJMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE
Landscapelnsp.
Total Amt. Duo
DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Receipt #
I
Recording Fee
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
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
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Official or his/her Deputy: and Fees are paid, and
— receipt is acknowledged In space provided.
WORKMEN S COMPENSATION INSURANCE AND RCW 18.27.
OFFICIALYAIGN T E DAT
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SIGNATU ER N_
DATE SIGNED
(425)
OF.
771-0220
REL D BY DAIE
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I I IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FIIE YEI I OW
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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234th STREET S.W.
-------------
10' PRIVATE
DRAINAGE ESM'T
] N 89-46"12" W
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EXISTING
HOUSE 15'
ACA
234TH PLACE S.W.
HEIGHT CALCS.
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Ritz QIZ-1
FEB
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SCALE : 1"=20'
LOT COVERAGE
S. F. (
TAX ACCT. PARCEL #:
NEW PLAT(NOT ASSIGNED)
CONSTRUCT 'IJWO�&EFY
AS NOTED
10' UTILITBY ENGINEERING
Ex. FIRE
HYDRANT
BENCHMARK / ft"
PK NAIL = 345.07
9PARKER-KALON SURVEY NAIL
N NORTH SIDE OF MON. CASE)
CITY Cud-""PY
PLOT PLAN
FOR
A = 335.08 LIIV(.#ULIV C-Z)lAlr-Z'> - LL/V 0
B = 343.86
C = 336.46 IN NE1/4. OF SECTION 36,T.27 N.,R.3 E.,W.M.
D = 344.36 CITY OF EDMONDS
AVG. GRADE = 339.94 SNOHOMISH COUNTY, WASHINGTON
ACTUAL HEIGHT= 364.45
MAXIMUM HEIGHT= 364.94 (339.94 + 25')
ALLOWED SHEET 1 OF 3
Height Calculation/Grading Verification Worksheet
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0 Permit #
Address: 9
Date:
A. Datum Point:
B. Datum Point Elevation:
C. AverageGrade:
3. Maximum E6,ationAUowed: � �-J'�(.verage grade,)+ 251=.
4. ReferenPe Point Elevation Shot to HOus
45'01(datum elevation).+ (grade to transit level fine shot to house)
6. Measurements from line shot onto house to.roof ridge:
Total:
7. Actual Elevation-?�'� (reference point elevation) (measurements from
#6)
Conclusion: 304' —(allowed); therefore the house Is/
Ss in
qQj, (20 (actual) Is greater Iiis th 1 5
r
is not over the height requiremen%p�ftr ECDC 16.20.30 requirements
LATE"MUDMMSMight Calculat'OnGmdng Vvr'ficat'on WorImhectdW,-:'
A
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning 9 Building - Engineering
July 18, 2003
Lincoln Estates
Attn: Jeff Dye
1910 120th PI SE
Everett, WA 98208
Building Permit: 2003-0137 & 2003-0156
Site Address: 9817 & 9815 234th PI SW
Expiration Date: 2/26/04 & 3/4/04
Dear Jeff Dye:
GARY HAAKENSON
MAYOR
The purpose of this letter is to inform you that the last remaining inspection on your
project(s) 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.
Since ely,
Permit Coordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: _FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATEA q1( J_r?
nZMSIGN . I
—PLANNING DIVISION DATE'
PROJECT Qk,�W t:k�S
SITE ADDRESS
PERMIT # AQJ 3 _ADB# DATE INSPECTED q
DESCRIPTION OF WORK TO BE INSPECTED
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
PERFORIVL4NCE 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
I .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
I .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
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SETBACKS .....................
............
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FOUNDATION:
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Footing ......................
d4-63
wall ..........................
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Pier/Porch .................
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Retaining Wall ...........
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Stab Insulation ..........
PLUMBING:
Underground .............
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Rough -In ...................
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Commercial Final ......
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HEEMING:
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GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING........................
FIRST FLOOR FRAMING...
I SULATION ...................
N
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
03
OCCUPANCY ..................
Lo. F,.,DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
MAILING ADDRESS
0
CITY ZIP
TELEPHONE
NAME
—ADDRESS
CITY ZIP
TTELEPHONE
NAME
CBLN
ADDRESS
0
CITY ZIP
TELEPHONE
STATE LICENSE NUMBER EXPIRATION BATE
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PERMIT
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ADDRESS
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PLAT NAMEISUBDIVISION NO. LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
IFIESCP Appwoved
RW Permit Required
Sires, Us. Perm" Roq' d
EXISTING - PROPOSED
Inspection Required 13
Sidewalk Required 13
REQUIRED DEDICATION- FT
UndorWound
Wiring required D
METER SIZE
NO. OF FIXTURES
PRV REQUIRED
YE NO
SA
REMARKS
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OWNEFIXONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
:t&opmow, 17w 1) Al u&rloij (9)11(34-Tumc�_
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ENGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE
cc
VARIANCE 08 CO' SHORELINE OR ADBI INSPECTION BOND
ED BY REQ'D POSTED
[3YES OfIff $
I -I t-1-- I I SLaz U SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE , EXEMPI ALLOWED PROPOSED ALLOWED I PROPOSED
,�71 /9,4�7 EXP 7_5 24-5.
NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE - REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
COMPLIANCE OR 15.7
0 ADDITION 1:1 COMMERCIAL CHANGE OF USE 365% 337, Zo, IS- IZO ':;"
PARKING LOT AREA PLANNING REVIEWED BY DATE
REMODEL 13 MULTIFAMIL� SIGN REQ'D I PROVIDED 5-
FENCE 2— .3 Afto
REPAIR CYDS 0 x —FT) REMARKS
0 OTHER
DEMOLISH TANK
K'GARAGE RETAINING WALL F RE SPRINKLER
CARPORT ROCKERY 1:1 FIRE ALARM
I[TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE PE 107RUCTION OCCUPANT
ME &; > F - 29� __ICqE -7 GROUP K3
NUME19:R NUMBER OF CRITICAL JARUA OCCUPANT
OF DWELLING 2-7AREA SPECIAL INSPECTIOR LOAD
ST2§M UM S fo
UNITS N BER REQUIRED YES
DESCRIWWWTO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION IRE-0-0, 9
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kr I-Axxt, 66k015—:- 62 345.1e- VALUATION
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Description FEE Descr PtIon FEE
Plan Check L `6 State SL rcharge
City Surcharge
HPT S2URCE GLAZING % LOI SLOPE % Building Permit
)4 YIA % T-ED 00
F-T-tv _3 0/0
PLAN CHM: VESTED DATE Plumbing
La ��" I Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTEIk'THIS PERMIT COVERS WORK TO
h BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTr.UCTION ON THE PUBLIC
3 TC.) WILL REQUIRE Grading
DOMAIN (CURSS, SIDEWALKS, DRIVEWAYS, MARQUEES, E
SEPARATE PERMISSION.
Engr. Review
PERMIT APPILICATION: 180 DAYS 50
PERMIT ILIMM I YEAR - PROVIDED WORK 15 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. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Firp Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY ....
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT BE Landscapeinsp. Total Amt. Due C
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
%oFt LIMIT IN ANY WAY THE C1
7,S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. Recording Fee Receipt iff
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION VAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPRO
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFICIAt'
,�PIGNAVJT.E 9AT
SIGNATUR711 DATE SIGNED 1 (425) //j57103
j 01
V2 A -I 1�2 Z_ 771-0220 RELE
ASED BY
ATTW Off 1333 t lk�l A)
IT ISIJNLAWFUL TO USE OR OCCUPY A BUILDINGOR STRUCTURE UNTIL /AA
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YE PF411R
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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