20030272.pdfC1 I DATE R'j1VF oj
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
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ADDRESS
ZIP ITELEPHONE
CITY ZIP ITELEPHONE
NAME ICBL#
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CITY ZIP I TELEPHONE
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STATE LICEF4SE NUMBER EXPIRATION DATE
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PROPERTY TAX ACCOUNT PARCEL NO.
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%2--rESIDENTIAL
N?IKLU MBING / MECH
EADDITION
3
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
El REMODEL
MULTIFAMILY
SIGN
REPAIR
GBADING FENCE x FT)
CYDS
DEMOLISH
0 TANK
OTHER
V-1,1dARAGE
WJ CARPO
RETAINING WALL
0 ROCKERY
FIRE SPRINKLER
FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVMa EXPLAIN:
5—;- izfk
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES UNITS NUMBER(
DESCRIBE WORK TO BE DONE
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C�As -�;'& 1--e4
PLAN CHECK NO: f 6100 VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: ISODAYS
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
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 VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN!S COMPENSATI�N ltt&kkQANCE AND RCW 18.27.
SIGUAfU_j&_4VdVER OF/AGENT) DATE SIGPED 1
PERMIT EXPIRES VIL-2
USE PERMIT
ZONE
NUMBER
JOB SUITE/APT#
ADDRESSQ�30q
PL
PLAT NAME/SUBDIVISIN,;A)
I LOT NO.
L�D NO.
L D FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
I ESCF APP(OV90
RW Pormil Roqu rod
1.
Street Use Poffn:t Roq'd
EXISTING — PROPOSED
Inspection Required 13
Sidewfilk Required E3
REQUIRED DEDICATION— FT
Underground
Widng required E3
METER SIZE
LI�E��
NO. 07JURE
PRV REQUIRED
YESX NO C3 z
REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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IING REVIEWED BY DATE
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FIRE REVIEWED BY DATE
VARIANCE OR CU
SHORELINE OR AD1111
INSPECTION
BOND
REQD
OSTED
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$
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
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LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED
FRONT
FRONT L/RPIDE REAR
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CHECKEDBY I TYPE OF �QQNVRUCTION OCCUPA
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SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED Do YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
Description FEE Desdiption FEE
Plan Check
State Surcharge
Building Permit
(,o
LIZI-(06
City Surcharge
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
C1 q
Fire Inspection
Receipt #
Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
CALL
FOR INSPECTION
(425)
771-0220
EXT 1333
APPLICATION APPROVAL
This application is not a permit until signed by the
Building official or his/her Deputy: and Foo5 are paid, and
receipt is acknowledged In spn�ldccl,
!"P�CIAAJT
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REL
- 6 Y _// I PATE
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 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
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BENCHMARK
NAIL = 331.
(PARKER-KALON SURVEY N I
ON NORTH SIDE OF MON. CASE)
APPROVED AS NOTED
BY ENGINEERING
-------- =__jh:-3� �03
N
R=25.00'
EX FIRE
H�bRANT L=l 5.07' 236TH PLACE S.W.
R=4 0# A--34*31'43"
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& 2 5'14"
N 89*13'31" W
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SCALE : 10-20'
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LOT COVERAGE
1756 S.F. 33.6 X)
10' UTILITY 3 .
EASEMENT
LOT AREA
19 18 5.229 S.F.
20 oi
:t Go 5,229 LOT S.F. co
0 r- 0 TAX ACCT. PARCEL&
ol F.F. = 334.15 V) NEW PLAT(NOT ASSIGNED)
cn
M DRIVEWAY SLOPE BUILDING LOT SLOPE
10' O.V.W.D. SETBACK
SAN. SEWER OWED %
EASEMENT- 33W.v 33W.-Sir LINE(TYP'.) UNDER 5X
1 13'i
c APPROVED BY PLANNI G
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89
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19 1 o' PRIVATE
ANITARY SEWER
RIGHT-OF-WXY r T%CT REFM E S T A T E S SEASEMENT
M M G E
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PLOT PLAN
FOR
HEIGHT CALCS. LINCOLN ESTA TES LOT 19
A = 334.12 -SECTION 369T.7-/ N,,R.3 E.9W.M.
B m 334.59 IN NE1 /4 OF
C m 334.87 CITY OF EDMONDS
D m 334.33
AVG. GRADE - 334.48 SNOHOMISH COUNTY, WASHINGTON
ACTUAL HEIGHT= 359.48
MAXIMUM HEIGHT- 359.48 334.48 + 25' SHEET 1 OF 3
ALLOWED
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1. Datum Point:
Z'
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2. Datum Point Elevation:
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3. Average Grade: 35)4 +Oc3
74 2n-
1 P"',
51 I
Maximum Elevation Allo wed: (average &ade)+ 25
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5. Reference Point Elevation Shot to House:
3 3( (datum elevati + .4
9n) rade to transit level fine shot to house)
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6. Measurements from line shot onto house to roof ridge:
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Total
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7. Actual Elevation--3-37,,Ao (reference point elevation) 4 k -S9 (measurements
from #6)
Conclusion:
(actual) is greateKCle�ss �tn5,5'� 0 (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
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44C. 18c),-)
CITY OF EDMONDS
121 5TH AVENUE NORTH * EDMONDS, WA 98020 - (425) 771-0220 * FAX (425) 771-0221
Website: wwci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building e Engineering
July 29, 2003
Lincoln Estates
Attn: Jeff Dye
1910 120th PI SW
Everett, WA 98208
Building Permit: 2003-0272
Site Address: 9809 236th PI SW
Expiration Date: 4/15/04
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 425-771-0220 if you have any questions.
CSS ii inc e 1, y,
Permit Coordinat
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FINAL PROJECT APPROVAL FORM
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TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE
K.ZMSM
Z)z - G( Lp)�E� ENGINEERING DIVISION DATE_a��S Ifl
PLANNING DIVISION DATE'
PROJEC 73
SITEADDRESS
PERMIT # 1,0 02.,— ADB# DATE INSPECTED__� 0-3
DESCRIPTION OF WORK TO BE INSPECTED 'Fk*V_0,1
A fleld inspection was conducted to determine final compliance with approved plans. FYmal approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
�-�'GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
c3 Copy of CONDITIONS given to owner/contractor by inspector
1 .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
I .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
ocaprvl.,doc.l:tenip:bldg:fonnsIO/OI
SEP 2
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................... 1 —0
FOUNDATION:
Footing
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
GasTest ....................
Gas Piping .................
Equipment.................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING ...
SPECTION ...
SPECIAL IN
MISCELLANEOUS ..........
FINAL APPROVAL FOR vv�
OCCUPANCY ..................
27,
DATE RE I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
1,`,w,,�l fidsr_'�4 Ae 3
MAILING ADDRESS
ZIP ITELEPHONE
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e4 it v
ADDRESS
CITY ZIP TELEPHONE
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NAME CBLN
M I
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PERMIT
EXPIRES
USE PERMIT V,
ZONE 02 7_7
';)VD
NUMBER
JOB
ADDRESS,yo q
SUITEIAPT#
PLAT NAME/SUBDIVISII�M
I 1_01
NO.
LID NO.
4,�W
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
7ESCP Appcov
R Permit R 'red
w eqV
EXISTING — PROPOSED—
Street Use Permit Req'd
Inspection Required [3
Side.alk Required CI
REQUIRED DEDICATION— FT
Underground
Wiring required 13
M EETER SIZE
LINE SIZE
NO.
07,TURE S
P V !EQUIRED 93
1
YESPW � NO 13 2;
-5
REMARKS
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OWMERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
W"_(B600W, MIA0
MW n� 61�6 Ora
-5)1 -F, lia tL-
'ETMINEERING REVIEWED BY
DATE
Lf,
FIRE REVIEWED BY
DATE
M
XITY
ZIP
TELEPHONE
VARIANCE OR CU
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SHORELINE OR ADB,1 I
—
INSPECTION
REQD
OYES_JBN'Q]$
,
BOND
I POSTED
STATE LICENSE NUMBER
AzAcdc
A1W -3k-?
EXPIRATION DATE
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C "ECKED
SEPA REVIEW
COMPLETE , EXEMPT
EXP
SIGN AREA
ALLOWED PROPOSED
HEIGHT.
ALLOWED PROPOSED
PROPERTY TAX ACCOUNT PARCEL NO.
4 9 _(Q210-5
j!!Z-NEW
ADDITI ON
'_!!&?-RiSIDENTIAL'
El COMMERCIAL
UMBING MECH
COMPUANCE OR
CHANGE OF USE
LOT COVERAGE
ALLOWED PROPOSED
,REQUIRED SETBACKS (Fr.)
'*VkONT SI R ,
'q R�"
jv y 6
PROPOSED SETBACKS (Fr.)
FRONT LJR FIDE REAR
1 41�
PARKING
REOD PROVIDED
LOT AREA PLANNING REVIEWED BY I DATE
REMODEL
REPAIR
1:1 DEMOLISH
ARAGE
)rCARPORT
t
MULTIFAMILY SIGN
CYDS FENCE X FT)
x ( — —
ID TMK OTHER
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Rli FIRE SPRINKLER
.jTNING WALL
R ERY FIRE ALARM
R 'As
!�, Inack- o�n vvec,+siMe, is
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(TYPE OF USE. BUSINESS OR ACITIVIM EXPL)UN:
HECKED BY
ITYPE !FXTRUCT ION
OCCUPA
GROUP
NUMBER
OF
NUMBER OF
DWELLING
U14ITS
CRITICAL
AREAS
NUMBE00
SPECIAL INSPECTION
REQUIRED
KYES
AREA
OCCUPANT
LOAD F
—STORIES.....
DESCRIBE WORK TO BE bOAt
IREMARKS' Li
IRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REG' c
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VALUATION
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64
s 16, 66
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[De
Descriptjdn 1�
FEE
Des
FEE
B9 t -C
Plan Check
'PM
&
State Surcharge
A-P HEAT SOURCE
C)AS
GtAZING %
— rl�F�4
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Building Permit
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City Surcharge
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PLAN CHECK NO:
Q.2 f b
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TED DATE
Plumbing
�&A%4
Mechanical
N N
-
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
A.'
It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC
Grading
a DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
r:5
U
PERMIT APPUCATION: 180DAYS
ell
/
PERMIT ILIMM 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
Z
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
tc1l'a
ALL CLAJMS 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
Landscapelnsp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
7
Recording Fee
Receipt #
C,,-
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 applicat. )n is not a permit until signed by the
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
Building Official or his/her Deputy: and Fees are paid, and
receipt Is acknowledged In space pjCvldod.,
WORKMEN'S COMPENSATION INSUPANCE AND RCW 18.27.
(425)
OFFI�CIA IGN hE
1
DAILSIGNED
BIG ER O�AGENT),.,'
7
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�1/1-1
771-0220
REL I PATE
1�11
EXT 1333
2
/57(
IT IS UNLAWFUL TO USE G
III -DING OR STRUCTURE UNTIL
- :�2
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
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
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