20030152.pdfDATE RECEIVT 0 (,)L3 PERMIT EXPIRES
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
L&4#AME/NAME OF BUSINE68T' I -
�4 I/A cJ f4 W L-1 LL..Ih A r d -t
MAILING ADDAESS
--37-3 Z PE
CITY ZIP TELEPHONE
/I � . — 117 � - I � j . I . I j I
-SLf
NAME .4
I
NAME
CITY
STATE LICENSE NUMBER
5YINEW
0 ADDITION
0 REMODEL
0 REPAIR
0 DEMOLISH
GARAGE
CARPORT
(TYPE OF USE,jG
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ea "- A ix c,�. tv
ItoZIP I TELEPHONE
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ZIP I TELEPHONE
*ION DATE CHECKED BY
..k 1.
PARCEL NO.
RESIDENTIAL
PLUMBING / MECH
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
APARTMENT
C3 SIGN
%—LP\
91,311
GI3AQING
CYDS
o FENCE
( X FT)
0
TANK
C3 OTHER
RETAINING WALL
RENEWAL
13119h,11161111
OP1:7VITY) EXPLAJN:,
NUMBER [.NUMBER OF
OF DWELLING
S RIES /'�'S
TO 6t UNITS
DESCRIBE WORK TO BE DONE
We
PLAN CHECK NO:
AREAS
N 02 AN
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JtA-4c�e
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USE
ZONE
PERMIT
NUMBER ;?a6 -0i
JOB
ITE/APT#
ADDRESS
A ue
PLAT NAME/SUBDIVISION NO.
LOT NO.
L�D NO
Y00%) FiR�r ADM-noo
3
L D FEIE $
PUBLIC RIGHT OF WAY PER OFFICIAL
STREET MAP
TESCP Approved
RW permit Required
Street Use Perm.4 Roq'd
EXISTING P ED
Inspection Required
Sidewalk Required
REQUIRED DEDICATION
FT
Unclararound
Wiring required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRIV
Y. W'QUIRED
Sj NO C3
RFMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
ENGINEERING
I
FIRE REVIEWED BY
DATE
VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND
--------- REO'D POSTED
0 YES I
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
EXP X �3'k5' IX4 .()t
LOT COVERAGE REQUIRED SETBACKS (FT�) PROPOSED SETBACKS (FT.)
ALLOWB PROPOSED FRONT SIDE REAR FRONT, fStPE REAR
Wit
PARKING LOTAREA I P�ANNING REVIEWED BY 6ATE
REO'D I PROVIDED 0.,
GL IA--)+'
CHECKEDBY I TYPE OF CONSTRUCTION COLLE OCCUPAP
7
GROUP
SPECIAL INSPECTOR AREAe7SMOF. OCCUPANT
4 'ES
'E
_7
REQUIRE S V LOAD
IFREMARKS
I
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION
VALUATION FEE
PLAN CHECK FEE 07
LOT SLOPE % BUILDING
DATE PLUMBING
—t— MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
mommmonmo�
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
3 SEPARATE PERMISSION.
t STATE SURCHARGV&,) 15
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE
-APPLICANT. ON BEHALF OF HIS OR HER SPO SE. HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING
2 EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE
04' ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY I
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT 12-7
0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 100' 0)7�90
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* RECEIP —
TOTAL AMOUNT DUE
A-
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 APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC- 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 Foos 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��ATION INSURANCE AND RCW 18.27. NATU DATE
SIGNATuR (OWNER AGE DA\E( (425) 1 9�1
-0220 DATE
771 `�E!_ErSFj BY
EXT 333
AtTENTION 163
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD -ASSESSOR
5/98
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APPROVED AS NOTED CITY Copy
BY ENGINEERING WAXER & sF-WER
cpslo� NSpECMONS REaD
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= I 1�111
RIGHT-OF-WAy CONSTRUCTION PERMIT
AND INSPECTION REQUIRED
LE&END
EXISTIN6 &RADE
PROP05ED GRADE
STRUCTURE FOOTPRINT
SETBACK LINE
1 11 66N-Ac VAI C +2cl-T.T
V!;Ev 'a I IMLLttik +305,0'
ftguc e-1-11.0j%T0 L = 1204.6 / 4 = —501.15-
PAR POLE A ;2Ae--;-: GRADE = 30115'
— -h- — -1 — I.
f 55 , I — I !I
SIDEAALK Lo 11
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;:MPOF=�RY CONSTRUctlok
ENT E REQUIRED
TREMMIN 1: wAo
Cr�"--% AND DRAM(JE
LOT r-.,O\/ERAr-7E
LOT AREA = '7500.0 S.F.
BUILDIN& AREA = 225q.25 S.F.
COV'D ENTR`T' AREA = 61.00 S.F.
DECKS A5\/. 5'AREA = 305-50 5 . F.
PROP05ED LOT COVERAGE = 2623.15 5.F
2625:75/1500 = 54.115% < 55%
01.15'+ 25.00'= 326.15'= MAX. HEI&HT
LOY�ER FLOOR 2cf-7.25"
MAIN FLOOR 30-7.50,
RID&E 326.10'
BELOYq ALLOYqABLE HT. .05,
IMFERVIOUS AREA
LOT AREA
-1500 S.F.
ROOF AREA
27745.F.
PATIO AREA
155 S.F.
DRIVE/AALK
55-7 5.F.
TOTAL
5-76cl S.F. (50%)
LOT SLOFE
HI ELEV. 506.5
LO ELEV. 2q4.2
DIFFIFERENCE = 12.5'
DIST. = 135.5'
12.5/155.5 = 5.5% AV(5. SLOPE
SITE Al�)I'--)RESS
1054 5TH AVESOUTH
EDMONDS, 114A
ONNER
IVAN LINHARDT
5-134 NE 155TH ST
SEATTLE, VqA c[5155
206-364-3434
RECEIVED
JAN - 6 200.3
PERMIT COUNTEP
LE&AL 1:;)E5r-.,RlFTlON:
51TE BENCHMARK (BM) - NORTHEAST CORNER OF SOUTH H LF OF L T 3, BLOCK 3,'-(05TS FIRST
SCALE: 1 20.01 CONCRETE ON INATER METER BOX, +/- CL 51TE ON ADDITION TO THE CITY OF EDMONDS, ACCORDING
EAST PARCEL LINE. ELEV = 506-20 TO THE FLAT THEREOF, RECORDED IN VOLUME b
OF FLATS, PA6E 6, RECORDS OF 5NOHOMISH
Annimmim r5w ni .4mimaill COUNTY, k4ASHIN6TON.
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WY CLERK
C" OF EDMONDS
121 STH AVENUE NO.
EDMONDS, WA 98020
a1c.11
CONFORMED copy
200306260935 1 pG
06-26-2003 02:19pm $19.00
SNOHOMISH COUNTY, WASHINGTON
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: 40.5 Z C!L:-f /.Jr-z
Edmonds, Washing -ton
Legal Description: 6cf _7�e 7 V —
r
4,e,7
Assessor's Parcel Number:
1 have read the requirements for accessory dwelling units conta ed In Chapter 20-21 of
the Edmonds Community Development Code and understand that an Accessory
Dwelling UnI4 Including a second kitchen, Is prohibited until after an Accessory
Dwelling Unit permit hits been approved by the City of Edmonds.
I also understand that approval of an Accessory Dwelling Unit permit is subject to
compliance with Identifled criterls4 topublic comment, and neither this statement nor
the Issuance of a building permit shall act to limit the discretion of the City In the review.
of any application for an Accessory O;velling Unit permit.
Property Owner Signature: x V// : LI, a
Date: -69
.STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know'or have satisfactory evidence that
signed this -instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
rylo-? P_s'W!P#qls must be smudged. Dated:
X ON I Signature of
(P
.4 11 Notary Public: Z,
4 o OTAq
tA
Pusuc Residing at:
My Appointment
QL
Expires:
THIS DOCUMENT MUST BE RECOR))ED WITH THE SNOHOMISH COUNTY AUDITOR.
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Be Datum Point Elevation@
C. Average Grade: so
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s
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LATI EUPBURDINGIMSOHeight CalcoulationGrading Venification Worksheet.doc
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FINAL PROJECT APPROVAL F
To.
DATE:
MMO TO: PMM COORDINATOR, BURDING DIVISION
RTMENT DATE-------�
FROM: _yMDEPA
—ENGINEIMINODIVISION
"AMR=,-
PLANNINGDIVISIONDATE,
PR0Ji'-1hkU)r
SITE ADDRESS
ADB# DATRINSPECIED 14 t
# 151,
DESCRIPTION OF WORK TO BE INSPECTED
plans.. 111nal app
al compliance with.approved roval
to determine flu
kfield inippetion was conducted
'��that, there we no objections from the above signed Department to the release of:.
-�'dqnotes
IQMS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WrrH COMMONS NOTED
Copy of COMMONS given to owner/contnictor by inspector
FAKED FINAL INSPEC17ION - OUTSTANDING ISSUES
MON NOTICE given to owner/contmctor by inspector
Copy of CORRE
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Si
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CITYbF EDMONDS ZONE PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION JOB ITE/APT#
ADDRESS
2Vb15+WME1NAME OF BUSINESOT—
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f4),j- L"A r PLAT NAME/SUBDIVISION NO. LOT NO. L�D N
MAILING ADDRESS FiR/51 ADDIT-1401 -3 L D FEO'E $
TESCP Approved 0
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0 -37-3,Y P& /f PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP d
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Street Use Per= Req'd
TELEPHONE EXISTING — PROPOSED inspecoon A44UIred
Sidewalk Required C3_
REQUIRED DEDICATION FT Undamro nd
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I Widrio required
NAME METER SIZE LINE SIZE NO. OF FIXTURES-F P RED
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Are- 4 ec,4 s /i ItJ 314 EPS'WOUN'o E3
ADDRESS REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR'EROSION CONTROUDRAINAGE
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ZIP, TELEPHONE JER05101j
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NAME
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ENGINEERING REVIEWED/DATE
ADDRESS
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STATE LICENSE NUMBER EXPIRATION DATE DBY VARIANCE OR Cu SHORELINE OR ADBN INSPECTION M
POS
REQ'D POSTED
4.6 E3 YES WO
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PROPEffrY TAX Co NT PARCEL No. SEPA REVIEW AREA HEIGHT
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COMPLETE EXEMPT ALLOWEL PROPOSED ALLOWED PROPOSED
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LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) m
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OWE PROPOSED FRONT SIDE REAR FRONT URY'rE REAR.
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C] ADDITION 0 COMMERCIAL COMPLIANCE OR C
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CHANGE OF USE 144' 5,sl ,L4
PARKING LOT AREA P
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0 SIGN D I PROVIDED 15ATE
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0 REPAIR NG CYDS �11
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0 DEMOLISH OTHER
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GARAGE
1:ARPORT 0 'R, ETAINING WALL
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(TYPE OF USE SINESS,011, C EXP7LAN!:
:JIVITY)
CHECKED B OF CONSTRUCTION CO11E CUPA
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'NPMBER n I—NUMBEROF CRITICAL+�� 0
OF J DWELLING AREAS SPECIAL INSPECTOR JAREA NT
STORIES WUNITS NUMBEFC A&;I-JV OCCUPA 0
REQUIRED YES f LOAD
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DESCRIBE WORK TO BE DONE C
REMARKS
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PROGRESS INSPECTIONS PER UBC 108/1�NAL INSPECTION REO'D 0
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FEE
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PLAN CHECK FEE -7
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e LOT SLOPE % o-
-A--"-A I 1 1") 0 BUILDING IT!
PLAN CHECK NO: VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE GRADING/FILL
SEPARATE PERMISSION.
STATE SURCHARG
PERMIT APPUCATION: 180 DAYS 4a
IL PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES
S, ENG.
'APPLICANT, ON.SEHALFOFHIS,0RHER,SPOdSE, HEIRSWSIONSANUSUCCESOR INSPECTION FEE
IN INTEREST, AGREES To INDEMNIFY. DEFEND AND HOLD HARMLESS-TAE CITY OF-
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AN LANDSCAPING
D! INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUAN�R'OF THIS PERMIT.-,- ISSUANCE OF THIS PERMIT SHALL NOT BE RECEIPT
DEEMED TO MODIFYi WAIVE OR REDUCE.ANY REQUIREMENTOFANY CITY ORDINANCE PLAN CHECK DEPOSIT
NOR LIMIT IN ANYWAY TH8`CITY'S A131LI TO ENFORCE ANY ORDINANCE PROVISION."
21 - - 7
TOTAL AMOUNT 06E RECEIPTAJ:51/7,�
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 APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Wnot a pa�mit until signed by the
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE FMPLOYED CALL Building Official or his/her Depuly:.and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECT16N receipt Is acknowledged in space provided.
WORKM"59M�fION INSURANCE AND RCW 18.27.
0111 NATU DATE
SIGN DIffN
771-9220
(OWNER AGEU 25)
I
REL S BY D E
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ATTE14TION Z-xe .1 W911 IIIDING OR STRUCTURE UNTIL E=,�333 0j
I T I S U N LAW F U L 1 6-6614 gRo �\oD
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 ORIGINAL - FILE - YELLOW - INSPECTO
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - -ASSESSOR RV
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