20030138.pdfDATE RECEIVE11
0a) "9 PERMIT EXPIRES
us PERMIT
CITY OF EDMONDS zov� N U M B E 22,14A -1. - 4L2'F
JOB
CONSTRUCTION PERMIT APPLICATION
ADDRESS DAE/AF7#
OWNER NAMEINAME OF BOSINESS
e'— r PLAT NAMEISUBDIVISION NO. LOT NO. LID NO.
MAILING DRESS LID FEE S
TESCP Approved
C91 rl" lot, _gf, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit RoquIred
% Sir at Use Peffnit RKI
CITY ZIP TELEPHONE EXISTING PROPOSED &, — I= Required
I Fr Sidmalk Required :k
REQUIRED DEDICATION underground
'�-_rjw /4 9 Wiring required
NAME METER SIZE INE SIZE NO. OF FIXTURES PRV REQUIRED
4 �
YE NO [3 z
(OV V*f)
f REMARKS
0—DRESS z
z
U OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
___rPHONE -fl6ag4 e
CITY ZIP
aU dF GWj01)4&0Pf -LaNsci)
NAME CB6L/
(:g)6W (T)F A
4r
; a
(_0 6:74, ENGINEERING REVIEWED BY DATE
ADDRESS
FIRE REVIEWED BY
CITY
ZIP TELEPHONE F6
U
VARIANCE OR CU HORELINE OR ADB# INSPECTION BOND
STATE LICENSE NUMBER X IRATION DATE CHECKED REqD, POSTED
113YES jgkO 1$
21, 1 ho SEPA REVIEW SIGN AREA HEIGHT2,jo, I
PR COMPLETE , EXEMP ALLOWED PROPOSED ALLOWED PROPOSED
za
.=Cq IT Lo Y) 10 EXP
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
EW RESIDENTIAL NrPLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSDE REAR
11ZI
XN COMPIL ANCE OR
ADDITION COMMERCIAL AOFUSE Az
CHANGE 99;1'r Z-JQ Z6—
PARKING LOT AREA PLANNING REVIEWED DATE
REMODEL MULTIFAMILY SIGN 142� I PROVIDED
GRADING FENCE
REPAIR CYDS 0
2.W X
P 12-b av 2-1 Ap.
OTHER
DEMOLISH 11 TANK
GARAGE -1 RETAINING WALL F RE SPRINKLER
CARPORT 0 ROCKERY FIRE ALARM
(ME OF USE. BUSINESS OR AUIV" EXPLAIN:
/, , CHECKED BY TYPE 0,FVRUCTION ICODE OCCUPANT
<:;,Ft? 'i GROUPjn
NUMBER NUMBtR OF CRITICAL !1-7
DWELLING SPECIALINSP CTION JA Z. � CUPANT
OF UNITS AREAS _I -7172� 0LoCAD
STORIES NUMB REQUIRE R YES
DESCRIBE WORK TO BE DONE
S
cz- Ay r-r�
PROGRESS INSPECTIONS PER UBCA08/fIl INSPECTION REQ'D
q) t /,/I a- rD We-, L, 1 2-
LkzMA
/ r'6 4f VALUATION
W, - FZ'17�
DescrIpUon FEE Descrihon FEE
Plan Check State Surcharge
— I TT
GLAZ LOT 8 Building Per it City Surcharge
. 1
PLAN CHECK NO: 0,;? VESTED DATE Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical 7
1: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
23 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIR Grading
SEPARATE PERMISSION.
t:
Engr. Review
PERMIT APPLICATION: 180 DAYS
rUMM I YEAR - PROVIDED WORK IS STAR I ED 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 CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
91 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee =Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRE"* AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CFTY 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 specs provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27.
:D :Ue
OFF!1COIALATUaR, _' )I DATE
1A 0% 0116
SIGNATURE (OWNE AG DATE SIGNE9
Z�2 771-0220 RE ED BY DATE
ATTI31'frO'No"', off 1333 Z97'i;/ -1
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 4kh�
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW - INSPEcT-014—
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
k
�19
FE
JUL
=i:%
zi �
am
a
MID
0
C.)
0 C:
�z
m m
0 F;
0 -n
n
m rn
a
0
0 Fn
CM
z
rA
z
9
0
m
— — —
—
— —
— — — — — — — — — — — — — — —
CUT ROCKERY BUILT
BUILT
,,,EXISTING
DURING PLAT CONSTRUCTION
C ON
so
N 00*32'57- W-65.02'
x
B Ul. CG
.1, L
SETBACK
U LINE(TYP
c
Ll-
z
F
co
0
0
LIJ
A
I
L— — — —
0
B
w
co
0-
339.58/
w
cn
Z
15
Lull
(.5
z
o
5,248 LOT S.F.
i�rl
'7
00
00
F.F. 333.17
r
(m
00
uj
00
CL
zc
z
Z
Z
5
L
5'
:3
_ 334.08 333.51
U.1
o
CONC. DRIVE
04
w
z -(A
SCALE 1"=20'
LOT COVERAGE
S. F. (7
,C %)
.LOT AREA
5,248 S.F.
TAX ACCT. PARCEL #:
NEW PLAT(NOT ASSIGNED)
- - - - - - - - - - - - - - - r - - - - - - - - - - - - - - - - - - - - - - - — - -
10' UTILITY 'i ivy'zi
EASEMENT clq N 0'46'29" E
m 60.00'
EX. SIDEWALK
AS NOTED
ss -------
CD
a ---- I --- --- - I �-. X T � � I i 1 4 : - -, . : � I i ! - - - 11 .
HYD
Z�
C3
99TH PLACE W. BENCHMARK
P F
K NAIL 331.54'IF
(PARKER-KALON SURVEY
NAIL ON NORTH SIDE
OF MON. CASE)
19
PLOT PLAN
FOR
HEIGHT CALCS.
A = 340.78 LINCOLN ESTA7ES- - LOT 15
B = 339.58
C = 334.08 1 N 4 OF SECTION 36,T.27 N.,R.3 E.,W.M.
D = 333.51 CITY OF EDMONDS
AVG.GRADE = 336.98
Ar'n [Al 'Ar-7 no SNOHOMISH COUNTY, WASHINGTON
= I
MAXIMUM HEIGHT = 361.98 (336.98 +25')
I ALLOWED
SHEET 1 OF 3
Height Calculation Worksheet
Address: C�
Date: I
hWector(s):
1. DatumPoint:
2. Datum Point Elevation:
3. AverageGrade:
.4, Maximum Elevation Allowed: (averAgb grade) 25'."-
5. Reference Point Elevation Shot to House:
fIr
'�d
atum elevation) + -:10 (grade to transit level Kne'shot to house)
6. Measurements from line shot onto house to roof ridge:
tL
Total:
7. Actual Elevation.'-5 Ao-� 1 �-3g (measurements
(reference point elevation) +
from #6) = 3 S9
Conclusion: 0
*YS9,490% (actual) Is greater 'g`s�th3'IA#c7V (allowed); therefore the house Isl
Af� --
Is not over the height requireme-otV61ECDC 16.20.30 requirements
-*`4 C. 1 -a 9 11
CITY OF EDMONDS
121 STH AVENUE NORTH 9 EDMONDS, WA 9M - (425) 771-02M - FAX (425) 771-Ml
Website: wwd.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning * Building o Engineering
May 6, 2003
Lincoln Estates
Attn: Jeff Dye
1910 120th PL SW
Everett, WA 98208
Building Permit: 2003-0138
Site Address: 23511 99th PL W
Expiration Date: 2/26/04
Dear Jeff Dye:
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 b . e 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 pennit 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 City - Hekinan, Japan
A_l
it
fk t
_4
to
ri
ca I:
Ry,
MEMO TO:
FINAL PROJECT APPROVAL FORM
PERWT COORDINATOR, BURDING DIVISION
TO:
DATE:
z
9
0
m
=i =n-
am
c
ma
0
80
c
--i M
MM
m
Z
cl)
o -n
n
M M
0
0
0 M
C 0
c cn
M 0
Z
z
z
0
m
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sip,
ocaprvi.doc.l:wmp:bldg:formslO/01
m
-'t JDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
I OWNER NAMEINAME OF 13USINESS
MAILING ADDRESS
/91().
CITY
ZIP
ADDRESS
CITY
ZIP
CITY
STATE LICENSE NUMBER
, S E_
TELEPHONE
48t
ZIP I TELEPHONE
XNiw-,'
lh?�RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
0 MULTIFAMILY
14EPAIR
G12RADING
CDING
)C)
0 PEMOLISH
0 TANK
GARAGE
WARPORT
RETAININGWALL
ROCKERY
(TYPE':'OF USE. BUSINNS
OR ASQVITY) EXPLAIN:
NUMBER
OF
STORIES
NUMBI!R OF
DWELLING
UNITS
DESCRI& WORK TO BE DONE
N
XPLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
0 SIGN
FF EE N C EE x FT,)
R
Fli
FIRE ALARM
CRITICAL
AREAS
NUMBER
PERMIT EXPIRES
S PERMIT
ZO
U NUMBE2:��
JOB s /APT
ADDRESS
PLAT NAME/SUBDIVISION NO. LOT LID NO,
LID FEE $
1 Escp Apporoved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
,_ 0 Street Use Permit ReqM
EXISTING PROPOSED Inspection Required
Sidevralk Required
Underwound
REQUIRED DEDICATIOH FT Witing required
METER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED
Y NO 13
ov wts n
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
_')T4W
RF:A'r.) :_-T)MaciorJ a , MWEI
FWA
ENGINEERING REVIEWED BY
J-3) - 6,-4-
FIRE REVIEWED BY
VARIANCE OR CU
SHORELINE ORADBAi
INSPECTION
I BOND
REqD
POSTED
E3YES
1$
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE E;XEM'�
ALLOWED PR0ff
ED
U C
ALLOWED PR POS D
I
EXP I
.
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/R EAR
15
z
I DATE 1
PARKING
L'ar AMP
9 Y
R9E'D I PROVIDED
_EVIEWED
CHECKED BY ITYPE Of-fUlikTRUCTION CODE
!I
SPECIAL INSPr;MON 7 72—
REQUIRED YES
REMARKS
PROGRESS INSPECTIONS PER UBCJOB/FIN
LUATION
mesas — Via
-7t
- 'ej OC 1--f&no
/ —10.5
OCCUPANT
GROUP
OCCUPANT
LOAD
INSPECTION REO'D
FEE
Plan C eck
I Ll
_f__r
State Surcharge
OURCE LOTtSCOIE %
Building Permit I -4-q
City Surcharge
PLAN CHEqK NO: VESTED DATE
Plumbing
THI W* WORK NOTED. T� MITCOVERSWORKTO
SPERM11TA '6R=SONLWTHFV
W,
Mechanical
t: BE DONE ON 9RrjATE PROPEM'ONLX ANY CON"R ONONTHEP)JB1JC
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Grading
SEPARATE PERMISSION.
Engr. Review
PERMIT APPUCATION: 1130 DAYS
pEnUrr UMM I YEAR - PROVIDED WORK IS STAFTFED WffHIN 180 BAYS
Engr. Inspecti
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
ONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
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
Landscapelnsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREETO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit Until signed by the
Building OtkW or his/her Deputy: and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
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.
ICIA ATU DATE
01`3j�5V
SIGNATURE (OWNE AD DAT�g 7SI_GN/E
(4200)
C>,,
_"&
771-0220
RE MSED B DATE
BED By
ATTEWHbNo'
EXT 1333
A., A At
�/4
IT IS UNLAWFUL TO USE OR OCCUPY A BPILDING OR STRUCTURE UNTIL
, " ' I e
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ej
ORIGINAL - FILE YELLOW - INSPEcT6R
'
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
N
z
M
C
M
0 C
3:
M
10
0 -n
M M
5)
Fn
C
TO
X
z
0
d
0
M