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20030204.pdfDATE RECEIVE CITY OF EDMONDS CONSTRU�TION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS CITY ZIP - ITELEPHONE Eyer� W�' NAME Q ADDRESS C2 CITY ZIP ITELEPHONE NAME . . - ICBL# [PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS 2L<_�o PLAT NAME/SUB_ IS -ION NO. LOT NO. LID NO. LID FEE $ PU13LIC RIGHT 16F WAY PER OFFICIAL STREET MAP TESCP A�P(Gvfld AW permit Required EXISTING ____1 Street Use Permit Req'd Inspection Requ ed PROPOSED sidewalk Required C3 REQUIRED DEOTCATION- FT Un:Mfground fine required METER,Z�! LINE SIZE NO. 01' Ic-11TURES PRV REQUIRED YESX, NO REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE REQ'D* (_DTI�IW14 ADDRESS Lcz W, au ±� PL ZIP TELEPHONE 'F11ex,,W-i6`V4 2�a 1�2� STATE LICENSE NUMBER )N DATE Vii/nc/ =, PROPERTY TAX ACCOUNT PARCEL RESIDENTIAL PLUMBING / MECH 1 ADDITION :1 COMMERCIAL COMPLIANCE OR ri CHANGE OF USE E] REMODEL MULTIFAMILY El SIGN G [3 FENCE REPAIR I= CYDS X_FT) DEMOLISH o 0 -rvq- =T 1:1 OTHER GARAGE E:i RETAINING WALL F RE SPRINKLER 1:1 CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVTM NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS NUMBE5911-.�2q*2- DESCRIBE WORK TO BE DONE t/9 EAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: VESTED DATE ul-,"" -_ C-1)171 1 — 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 SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS N INTEREST, AGREES TO INDEMNIFY� DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND 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 MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION., 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 THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLAT!ON OF THE LABqR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN S COMPENSq0a4N9SfIANCE AND RCW 18.27. SIGNAT"�� DATE SIGNED ATTFATf0N,o0` IT IS'UbICAWFUi: TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L_ I L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLM-INZWtUIUH CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING OP� (r,.S lEd r4anjs)�t) Lel�eg_ (6V W C, D) g)vjt,�� FoeMs (0 �eAl) 11% <TI FI 0 ENGINEERING REVIEWED BY DATE -7 FIRE REVIEWED BY DATE Ic M VARIANCE OR CU SHORELINE OR ADIII INSPECTION RECa, I 51BONDQ. g5ja 13YES _RkO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE Ej�� ALLOWED PROPOSED ALLOWED PROPOSED EXP LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT QRSIDE REAR (3 .3A Is 5 20 212,4' PARKING LOT AREA PLANNING REVIEWED BY DATE .3 EL REQ'D I PROVIDED 2, REMARKS CHECKED BY ITYPE Q_FCOISTFIUCTION OCCUPANT -12::-N I GROUP SPECIAL INSfiECTION JAREA &IV. OCCUPANT REQUIRED MES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D VALUATION $ "ZI -7 LL Description FEE Description FEE Plan Check N S tate Surcharge Building Permit City Surcharge Plumbing �zq Mechanical ly-1 fu Grading 0/1.- :1 ta Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit ��f Fire Inspection Receipt # Landscapelnsp. Total Amt. Due 07 Z ZvS6 5C Recording Fee Receipt # APPLICATION APPITOWAL CALL This application is not a permit until signed by the Building Official or his/her Depuly: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space prolided. fel�l_ INA I T iq ATE (425) 112 ",1!;1 771-0220 EXT 1333 RELEASEDeY I DAT )aj I,/ k z 0 1 0 M --I -n M C M 0 -40 0 C: M M Z o -n n M M a 0 0 M C Cj) 90) M 0 Z ;13 z --I X (0) z 0 q 0 M I 10' PRIVATE L14 .D. L4 Ln SANITARY SEWER Ln EASEMENT- I I EXISTING COT ROCK�RY BUILT DURING PLAT CONSTRUCTION s a N 89*46'12" V� EXIS71NG CUT ROCKER4 F7 BUILDING 76.16" BUILT DURING LOT 11 CONSTRUCTION-� 1 1-11 IS SETBACK LINE(TYP.) N ccoi 1 -,n \x\ F ...L 341.39 C-4 U) T- 0 A CA 353'�130/ r- L4 Ln EXISTING CA HOUSE \ 10 CONSTRUCT CUT ROCKER+ 5 J-1 (3- MAX. HG-lP',) 11 9.641 6,932 1 OT S.F., 1 010' 141DRIVEWAX 94.67 1 11 - 1:� OWED 140/6 1 352.70 341.39 TRACT 9-91rd D, 10' UTILITY - EASEMENT CONC. DRIVE e5 x 2-4) C*4 b - -------------- oo�X. FIRE -7- H YDRANT m/ 31.17' �4Oy _, . _g] —1 W S 89*1,3'31" E to 235TH'k,PLACE S.W. HEIGHT CALCS. A = 341.39 B = 353.30 C = 341.39 D = 352.70 BENCHMARK PK = 332.59W rple nm m (zintr kinm tV 0,+,r N E S SCALE 1"=20' V 1 0 UK .Z-S,5e R- LOT COVERAGE S.F.. (2q.,7 %) LOT AREA 6,932 S.F. TAX ACCT. PARCEL #: NEW PLAT(NOT ASSIGNED) LOT SLOPE UNDER ls�; -11- -- --� L F4_1f?fflUVEQ5)-- M'NOT �'ALOT 13 ACCESS C-:) By—EtM"AG EASEMENT Q cr CL CL �r CITY COPY or-C—Arl";" I rL/AN fT=1&;i1 .7 FOR KAI") LINCOLN ESTMES - LOT 12 IN NE1/4 OF SECTION 36,T.27 N.,R.3 E.AM. CITY OF EDMONDS qKIr)W0kA1qW rOHKITY WA0ZW1K1r.T0NJ A%1r rPAn;r = 347 19 1 ACTUAL HEIGHT= 370.00 MAXIMUM HEIGHT= 372.19 (347.19 + 25') ALLOWED SHEET 1 OF 3 z 0 m c m o 0 c m m 0-111 Im m c co)� 0, Z! Z' IT! a Inc. so\3 U CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 1 (425) 771-0220 - FAX (425) 771-0221 Website: wwadedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering June 3, 2003 Lincoln Estates Attn: Jeff Dye 1910 120th PL SE Everett, WA 98208 Building Permit: 2003-0204 Site Address: 9813 235th PL SW Expiration Date: 3/14/04 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 be advised permits expire one year from the date of issuance. If you will need more time to complete the work, permits can be renewedprior 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 425-771-6220 if you have any questions. Incorporated August 11, 1890 Sister Citu - Hpkinan. Janan FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE- -71 ENGINEERING DIVISION DAT'E. PLANNING DIVISION DATE----,:.... PROJECT—L—A&—&—j v4t�-1 SITEADDRESS PERMIT __ADB#________PATE INSPECTED — DESCRIPTION OF WORK TO BE INSPECTED, Fjilaj A field Inspection was conducted to determine final compliance with approved plans. Final aporoval, denotes that there are no objettions from the above signed Department to the release of PERFORNIANC&BOINDS and the granting of: GRANT FINAL PROJECT APPROVAL GRAM PROJECT APPROVAL WrfH CONDITIONS NOTED a 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 imspector I . 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date S* ocaprvl.doc.I:WW:bldg:formslO/01 z 0 4 0 !71 am C mo 0 80 C 3: M M z 10 -1 C 0 -n n -i mc mm 0 V; 0 r- 0 M a M 0 Z X -i 3: z z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: F,�MA Footing ...................... .......... b" 10(w , Wall ................. Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... 427 PLUMBING: Underground .............. Rough -In ................... Commercial Final ...... HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... MIS gs - -C) ? FRAMING........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 77A Oq M z 9 DATE CITY OF EDMONDS CONSTRU�TION PERMIT APPLICATION OWNER NAMEINAME OF BUSINES; . �,Ilncclly !��4-,jr MAILING ADDRESS I C, I o I ;k f 4:6 I ZIP ITELEPHONE WA. 1?uog it42,5- NAME Q, A� ef'. ADDRESS CITY NAME mc*,o ADDRESS Iqu 0 FAx,,-k-4fA STATE LICENSE NUMBER ZIP ITELEPHONE CBL N x!�� -3 ZIP ELEPHONE 'PrIT qO;- 1/91 EXPIRATION DATE I 14[PRO _fE�TY TAX ACCOUNTIPARCEL No. PERMIT EXPIRES PERMIT IS USE ZONE FV43 NUMBER JOB SUITE/APT# ADDRESS 9 �81-3 en . PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT & WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required EXISTING PROPOSED Street Use Permit Roq'd Inspection Required REQUIRED DEDTCATION_ FT Sidewalk Required Underground Wiring required METER -SIZE LINE SIZE T I 1� NO PRV REQUIRED 13 /,—'JRES YESA NO REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE REQV-OCEP,020d G)TIW140t, ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE ;�,NEW RESIDENTIAL PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN FENCE REPAIR CYDS FT) DEMOLISH T. OTHER GARAGE RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIV" -!5 M CRITICAL NUMBER 'ABER OF NUUNITS OF D W ELLING I AREAS I 2TORIES NUMBER15b DESCRIBE WORK TO BE DONE WA W wive 'affil Mr Itf_ r—LACMZ_-�- -5F-- 2,�n r/ FTZta - � f.--:3 57i6 -3� — T SOURCE GLAZING % LOT SLOPE % ke PLAN CHECK NO: VESTED RATE :� - 0�lfl I THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC DOMAIN (CUREIS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMITAPPUCATION: 180DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION z z Lu 11 Ic VARIANCE OR CU SHORELINE OR ADBI INSPECTION BOND RER2_. I X10SX60— ------- [3YES.)2RQ $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEM ALLOWED PROPOSED ALLOWED PROPOSED .4 L .. 1 2 9� EXP 1?1_5 :gt . LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PRO OSED FRONT SIDE REAR FRONT LiR9DE REAR 15-7P .0 -_-&*--40*2-0 / Is PARKING LOT AREA LANNING REVIEWED BY DATE CL REQ'D I PROVIDED I REMARKS CHECKED BY ITYPE lz;v� QE_COIJSTRUCTION C?0jn I " I- OCCUPANT GRO SPECIAL INSPI�CTION REQUIRED L AYES JAREA _IV V&Ks OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-D VALUATION $ zj�oq,50 a. )A \A F------' Description FEE Description FEE Plan Check 1q,52, State Surcharge 4'�u Building Permit Ilia City Surcharge 5(x) Plumbing �z LI Mechanical Grading Engr. Review Engr. Inspection A N D S UC C E S OR S 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review PlanChk.Deposft L E S S T H E C I TY 0 F IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF S 0 M A N Y A N D EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # Y 0 R R E C TL Y TL IND' ALL CLAIMS FOR DAMAGES OF WHATEVER- NATURE, ARISING DIRECTLY OR INDIRECTLY AZ 1 1 L 0 A A L N T BE T SH FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Y C ITY ORDINANCE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due 4AN PROVISION. CE 01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' x - Recording Fee Receipt # r THE INFORMATION I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL HORIZED AGENT OF GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF LATING CONSTRUC_ THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a permit until signed by the WILL 13E EMPLOYED TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLAT!ON OF THE LABQja_CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Olticial or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space proyided. WORKMEN S COMPENS90k4N9bfANCE AND RCW 16.27. 1A OFFICIAL& T SIGNATURE NER NED DATE SIGNED 1,25) 771-0220 RELEA_ DAT12 AITIMUNVEFU!K _3 EXT 1333 LSE OR OCCUPY A BUILblk OR STRUCTURE u T A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTiFl- 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 t z 9 0 ITI M M 0 -40 0 C: -4 K 3: M M z 10-1 0-11 11 M M 0-0) 0 r- 0 M cf) V) M 0 Z X z -4 X CD z 0 1 0 M