20030224.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
S--iC'
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MAILING ADDRESS
Rso � .2-1 0� S
CITY ZIP TELEPHONE
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NAME
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PQITY ZIP TELEPHONE
NAME ICBL#
ADDRESS
TELEPHONE
STATE LICENSE NUMBER
HOPERTY TAX ACCOUNT PARC
.fl. NO.
S-ifY 000 013 00 00
NEW
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
G
ZW— CYDS
DEMOLISH
TANK
GARAGE
RETAININGWALL
V_XCARPORT
ROCKERY
(TYPE OF USE, OPP
EBB C@fCT.`VffY)
EXPLAIN:
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NUMBER
NUUBER OF
OF
DWELLING
STORIES
UNITS
DESCRIBE WORK TO BE DONE
1-7
PERMIT EXPIRESILk
USE PERMI
ZONE IT
NUMBERa)b9j_
IDS -v
ADDRESS ci� L
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
_7
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
Suset Use Permit Req'd
EXISTING — PROPOSED
inspection Required
Sidewatic Required
REQUIRED DEDICATION FT
Underground
Wiringr6quired
METER SIZE
LIN!.!f+NO.
OF FIXTURES
PRV REQUIRED
YESD NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
19e44:,Mak)4 RM'n - 0 tEosiotJ
(A)VAiHMN
EISERING REVIEWED BY D TE
- C2 (L661ci- z10 103
FIRE REVIEWED BY D%TE '
CHECKED BY VARIANCE OR CU
SEPA REVIEW
COMPLETE . EXEMPT
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
X FT)
o OTHER
FIRE SPRINKLER
FIRE ALARM
CRITICAL
AREAS 'Z 4/
NUMBER
HEAT SOURCE GLAZING % LOT SLOPE %
PLAN CHECK NO: VESTED DATE
oq te
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.
PERMITAPPLICATION: ISODAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT� ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN 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 MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS 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 VIOLATION OF THE LABOR S9DE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN-S.CAWPBVSATIONJKSUI]ANCE AND RCW 18.27.
0 7RA E DATE FUGNEP
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SHORELINE ORAD1111
INSPECTION
BOND
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POSTED
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$
SIGN AREA
HEIGHT
A POSED
ALLOWED PROPOSED
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REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
D
FRONT SIDE REAR
FRONJ IJR SIL RV,
LOT AREA PI_jNhKG RNEWE0 13Y DA
CHECKED BY JTYPMRUCTION CPVE-L OCCUPANT
GR
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SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [] YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-0
a I , � - . I P0
s ;fia�rr
Description FEE Description FEE
Plan Check i I — State Surcharge
Building Permit City Surcharge
Plumbing
Mechanical
Grading
Engr. Review SO
Engr. Inspection Zw —
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
APPLICATION APPROVAL
CALL
FOR INSPECTION
This application Is not a permit until signed by the
Building Officiall or hIsther Deputy: and Fees are paid, and
receipt Is acknowledged In space provided.
0 1 'JSIGN DAIE
�14
1425
771-021!20
MIl-
REL E Y if DAT
EXT 1333
I r-\;:?-,
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL1- 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
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IMPERVIOUS SURFACES CALCS
'Existing Building Pad
12.58 S+Ft. - 'onst. 1957
Esisting Addition
663 Sq.Ft. Const 2000
Existing Patio
INZ Sq.FL Const 2000
ExisfiRli GaraSt
2NI Sq.F1. Const. 1957
E%isting Drhcway
846 Sq.Ft. Const. 1"7
EzbtbiX Porch
36 S+Ft. Canal. 1957
Ezisting Walk
64 Sq.Ft. Canal. 1957
Provemcd Gorm
270 -�Qxt-
TOTAL
3,A" Sq. Ft.
LOT AREA (85 X 125) 10,625 S+Fl.
LOT AREA (.'OVERAGE
= 33.87%
HEIGHT CALC.
A 103.0'
B 108.5'
C 103.01
D= 102.6' TO CONNECT TO EXIST. S1
412.0'
AVERAGE GRADE = 103.0'
(4120 + 4 = 108-0
ACTUAL BUILDING HF4GHT = 117.5'
MAXIMUM ALLOWED 11�11GHT =128.0-
1
LOT COVERAGE (BUILDINGS) 2ji07 Sq.Ft. (23.59%)
LOT AREA M X 125) - 10,62A Sq.Ft.
TAX ACCOUNT PARCEL #
5954000013 00 00 OWERICOM"Tca 11 "Er,
I ;ROSM WfMOL AND
SURFACES TO
WITHIN 2 DAYS
RIG" -OF -WAY CONSTRUCTION PI
AND IN SPECTION REQUIRED
TEMpoRARY CONsTRUCTION
ENTRANCE REQUIRED
t
CURRENT ON -SITE DRAINAGh SYEAPPROVED AS NOTED
ONSITE EXISTING DRY WELL ENGINEERING
- 6 (Log
--Dato.-- :91 It fo
SDR 36
SCH 40
N-12
F810 HWOR existing fence
Existing
9 M 0 P -!,; �
2000
PATIO
prof
2000
AD "ON
663 lt 270
stilt
C= 0 zZletinj ftisting D
PORCHO
10-0014CRETE WAI
36 sq.ft. ir inam. Height
Existing F2'-tlftg
ROCKERY DRIVEWAY
30" nmu. Height I
v- 85.w
0'
Fire Hydrant
DATUM PT +100.0'
-1?i
Base of Fire Hydrant
APPROVED BY PLANN41TN
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216TH ST.
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Proposed Addition for:
Scott & Sheryl Ramm
RECESYMPLAN
SCALE 1- 20'- V 9508 216th SW., Edmonds, WA 98020
FEB 0 33 2003
lullry
PERMIT COUNTER
FINAL PROJECT AP FORM
TO:
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DATE RECEIVRD
PERMIT EXPIRE s-, A
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USE PERMIT
ZONE
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CITY OF EDMONDS
NUMBERZUI�7_
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS 01r, 0%
OWNER NAME/NAME OF BUSINESS
Sc a -1�, Pon-Ne.L.,
PLAT NAME/SUBDMSION NO.
LOT NO.
LID NO.
LID FEE $
MAILING ADDRESS
qs0q 21p, S-r 5PL/ i
I
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP App"wed
AW PenrJt Required
Use Parmh Asqd
EXISTING — PROPOSED
Streel I'd
InspecWn Required
Sidewalk RaWired
CITY ZIP
&"VASS Wil
41zf_W91_111r_7
REQUIRED DEDICATION FT
13
NAME _,jELEPHONE
METER SIZE
LIN
NO. OF FIXTURE
PRV REQUIRED
LOT i2esf),, 6rif-a-42.
YES 13 NO 13
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ADDRESS
216 67"Ai w
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DPAINAGE
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TELEPHONE
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NAME
E��ERING REVIEWED BY
0 TE
ADDRESS
- C21 L&QC�f
ZI 11103
FIRE REVIEWED BY
13ATE
Lu
CITY NE
................ .
YL
VARIANCE OR CU SHORELINE OR ADS#
INSPECTION
BOND
STATE LICENSE NUMBER EXPIRATION D=KED
BY
REQ`D
113YEs 1$
POSTED as
0
I
SEPA REVIEW SIGN AREA
HEIGHT
..^nn0Cn
PROPERTY TAX ACCOUNT PARC 0
OOC). _§L
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0130000,
COMPL E
, EXEMPT
ALLOWED
PROP05hu
RLL�
EXP
NEW
ftA
RESIDENTIAL
PLUMBING / MECH
LOT COVERAGE
ALLOW2 PROPO
bp
REQUIRED SETBACKS (FT.)
FRONJ SIDE REAR
PROPOSED BETBACKS,(Fr.)
U SI E L
FRONI REAR
1,
1
ADDITION
COMMERCIAL
COMPLIANCE OR
ri CHANGE OF USE
Q51 A
I
1:3 REMODEL
0 MULTIFAMILY
SIGN
P KING LOT ARE� PLANMF4(3 RnEWED BY DA
0
I
0.
I�FOVIDED I
01 (D;)
_�M
REPAIR 11 CYOS
Ei FENCE
x FT)
'5
REMARKS
DEMOLISH 13 TkNK
OTHER
0
in 8
GARAGE 0 RETAINING WALL
FIRE SPRINKLER
ALARM
1 4
I
'0 ROCKERY
CARP FIT
FIRE
!,
(TYPE OF'USE. Bf+ESs qR ACTIVITY) EXPLAIN:
CHECKED BY
M=WURUCTION
Ri-
OCCUPANT
I r1c.11
e
01)
ITYPE
��W
GROUP
— -
,
NUMBER'
OF
NUMBER OF
DWELLING'
CRITICAL
AREAS 20 oul - c/ 6.
SPECIAL INSPECTION JAREA
OCCUPANT
�
S RIES
UNITS
NUMBE
REQUIRED [3 YES
LOAD
DESCRIBE WORK TO Q9 DONE
REMARKS
PROGRESS INSPECTIONS'PER UBC 108/FINAL INSPECTION REaD
ear oorl' 6eAooe A
vn--
s
Description
FEE
Description
FEE
Plan Check
State Surcharge
H GLAZING % LOT SLOPE %
EAT SOURCE
Building Permit
city Surcharge
VESTED DATE �Plumblng
PLAN CHECK NO: 0q t., k, .� .(
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
I- BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
2
3 DOLMN (CURDS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
t: SEPARATE PERMISSION.
� I —
Engr. Review
2
5 PERMIT APPLICATION: 10liDAYS
CL. PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
ZIL)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE, HEIRS, 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 FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt N
-
S'
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapainsp.
1. ADu.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY8 ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee
I
I HEFIE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORFIECr. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNEfl. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application Is not a permit until signed by the
TION; AND pi DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR C OF WASHINGTON RELATING TO
JLDE OF THE STATE
Building
FOR INSPECTION
Official or his/her Deputy: and Fees are paid, and
receipt Is acknowledged In space provided.
WORKMIEWP
.pe"aATION)MBU22CE AND RCW 18.27.
0
'A-05)
C A DffE
SIGNA75�WNO OR E DATEZ;N7
MSIGN5
771-0220 R - EL
By DXTE
,-Wff-ENTION
M 1333
[.,,-7 1
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINALI-FILE YELLOW. INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES