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20030433.pdfU DATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS MAILING ADDRESS 'rtq�v xo4 CITY ZIP NAME ADDRESS '�=l — CITY ZIP I, '4� -) '- , NAME - e f 2C -:4 �_7 Z-0 � L__4 ADDRESS CITY qu Fbm'C"?yP_j"' 4 STATE LICENSE NUMBE AP ;k. , F -IW4 C' PROPERTY TAX ACCOUNT PARCEL NO. 0, T TELEPHONE //�� '% - 71-:2- �7 14li-7 w TELEPHONE CBL N I IV v--- 1 TELEPHONE 112's- "?V � EXPIRATION DATE ,eFf9CIj 1-1961 Q " :55 --z - ____ NEW RESIDENTIAL PLUMBING / MECH ADDITION El COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE REMODEL A_ MULTIFAMILY SIGN REPAIR R CYDS o FENCE X FT) I DEMOLISH TANK 7RETAININ WWA OTHER GARAGE o L FIRE SPRINKLER 1:3 CARPORT ROCKERY FIRE ALARM 9YPE OF USE, BUSINESS OFVACjjV"§YPKh A NUMBER 44NUMBER OF OF 107 DWELLING STORIES NITS DESCRIBE WORK TO BE DONE WA-1161" 11720�411111 mejwml HEAT SOURCE PLAN CHECK I 1PERMITEXPIRES '11 11— USE -_�_PERMIT ZONE I) NUMBER JOB SUITE/APT# SS ADDRE k1l & � � Z1. , J Jr7, 4 PLAT NAM E/SU BDIVI SION NO. LOT NO. LID NO. LID FEE S TESCF Approved PUBLIC RIGHT dF WAY PER OFFICIAL STREET MAP RW Permit Requited Street Use Pomil Req'd EXISTING — PROPOSED Inspection Required 13 Sidewalk Required 17,A ykUnderground REQUIRED DEDICATION— FT Wiring required METER SIZE LINE SIZE _[ NO. OF FIXTURES PRV REQUIRED I I to YESx No C3 REMARKS $WNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE =_NGINEE WldREVIEWEDBY DATE FIRE REVIEWED BY DATE VARIANCE OR C U SHORELINE OR ADEIN INSPECTION BOND -ol-4 IM JEJ#�REO'D YES [3N0 POSTED $ SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED ROPOSED P301 DIV>- I , 0 30 EXP to/al LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT QRSIDE REAR its z PARKING LOT AREA PLANNING REVIEWED BY DATE REO'D PROVIDED 1 1 !Ii,& I A ) U" � _-e' 111317-aa REMARKS 4 ,%Cc- Aj w. A i Te . tv I ff() CHECKED BY ITYPE CRITICAL -or�— " - AREAS SPECIAL INSPECTION 11AREA :3 1 1_7c NUMBERtj )I REQUIRED [] YES REMARKS PROGRESS INSPECTIONS PER UBC % LOT SLOPE % VESTED DATE VALUATION $ 1%110 Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection GROUP OCCUR LOAD INSPECTION REQ'D FEE Description 17 State Surcharge I Ll City Surcharge FEE Fire Review Plan Chk. Deposit L-1 Fire Inspection Receipt # Landscapelnsp. Total Amt. Due f 9 LIP Recording Fee Receipt # APPLICATION APPROVAL This application Is not a permit until signed by the CALL Building diticial or his/tier Deputy: and Foos are paid, and FOR INSPECTION receipt is acknowledged in spacepr+ldod. OF 11 IGNAT DAU4 (425) If \,2, Y 771-0220 PRE L V "Y DATE A17ENTION WIL 1 -11 (1 r �ff 11103 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 'A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER - GOLD -ASSESSOR f. 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING THIS PERMIT AUTHORIZES ONLY THE WORIZ 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 OAPPLICANT, 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 on INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE 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 BOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S SATION INSURANCE AND RCW 18.27. SIGN� (OWN OR A�GENT) DATE SIGNED V - o N t z 0 1 0 M -n 0 M C M 0 0 10 0 C: -1 C X M M Z z 0 -n n M M 0 5) 0 r- 0 M 0) CO) M 0 Z r- .4T X z __4 X Vi z 0 M I U Height Calculation Worksheet Address: Date: Inspector(s): 1. Datum Point: Yv-) 2. Datum Point Elevation: 4 o 3. Average Grade: .4. Maximum Elevation Allowed:`�i(b. eragOgiade)--4�-*'--=--44b-?S S. Reference Point Elevation Shot to House: AL-o7-�n(datum elevation) +"S- '2 (grade to transit level Une'shot to house) =44 6. Measurements from line shot onto house to r6of ridge: 01 I Total 7. Actual Elevation: (reference point elevation) +3 113 (measurements from #6) c9nclusion: ZTX (actual) Is gireate rfe-sis')han �=O -7S (allowed); therefore the house IV Is not over the height requirem'eff-per ECDC 16.20.30 requirements 0 Height Calculation Worksheet Address: LJ Date: 00 InVector(s): yv-n� Ao 1. Datum Point: 2. Datum Point Elevation: O's, 01 3. AverageCkade: `7 .4.. Maximum Elevation Allowed: Z(averagb &ade)'4�W— 5 Off C M S. Reference Point Elevation Shot to House: -4 00. (datum elevatio n (grade to transit level line shot to house) M M 6. Measurements fi-om line shot onto house to roof ridge:' z S,9 0 0 -n� 'n M. K MMI rn M oi Z. 0.. Total: 01 M 7. Actual Elevation:� (reference point elevation) + measurements from #6) Conclusion: 4&�') (actual) Is greater 4VSe (allowed); therefore the house b/ is'not over the height requirement per ECDC 16.20.30 requirements RECORD OF INSPECTIONS INSPECTOR DATE APPROVED -9- SETBACKS ..... ...... FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground . ............. JAAF J6 'g. Lalr Rough -In ................... Commercial Final ...... HEATING: GasTest .................... Gas Piping ................. Equipment ................. Commercial Final. ....... EXTERIOR SHEATHING NAILING .......................... I I'DD FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... 4 Floor Insulation ......... Wall Insulation ...... Ceiling Insulation . ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANE6&� ! .......... FINAL APPROVAL FOR ms OCCUPANCY .................. I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS X, MAILING ADDRESS T CITY ZIP TELEPHONE NAME ADDRESS �-7 N Z'1_ PERMIT EXPIRES G1 fit u L USE PERMIT ZONE k 12111 '1) NUMBER JOB SUITE/APT# ADDRES, 11 S� - Ag -/ -;i, -_.' - PLAT NAME/SUBUIVf ION NO. LOT NO. LID NO. r LID FEE S PU13LIC RIGHT dF WAY PER OFFICIAL STREET MAP TESCP Approved RW Porenst Required 4. 1 11 : I I Street Use Permit Roq'd EXISTING - PROPOSED inspection Required J3 Sidewalk Required 13 REQUIRED DEDICATION- FT Underground �-M� Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YE�# NO 13 REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE a z T 41re.;- I EPHONE.. 4 NAME CBL 0 e,4 FVED'BY DATE ADDRESS 1.2 A-) 2 J' 2, �qv t., I-R FIREAEVIEWED BY DATE Lu cc CITY ZIP TELEPHONE 1 rL o2,61 1,12,s- ff� 71-21' 0111111110 F-4 em s - VARIANCE ORtU SHORELINE OR ADB11 INSPECTION BOND "REQ'D POSTED -7 ffY-E S 13NO $ STATE LICENSE NUMB!!�. EXPIRATION DATE fay -ol- 4 z) -7 5- 2 2,,'c 3 SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. �OMPLETE EXEMPT ALLOWED , PROPOSED ALLOWED , PROPOSED 3C) 3 0 0 LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT) RESID�W"' ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR TNE`w lma�f�_ W6MBING/MECH COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE 43-7 PARKING LOT AREA PLANNING REVIEWED BY DATE CL I NNINC REMODEL MULTIFAMILY SIGN REO'D I PROVIDED FENCE �.6 4 REPAIR DSS ( — X FT) REMARKS I Tr y % 0 9THER JA/ I DEMOLISH TANK 0 (1 L GARA E RETAININ FIRE SPRINKLER 13 Y 13 FIRE ALARM CARPORT ROCKE (TYPE OF UBE, BUSINESS 0 A V CHECKED BY T,YPE OF CO LICTION 1�.00CUPANT ......... 1�� GROUP I- V NUM13ER NUMBER OF CRITICAL OF DWELLING�_' AREAS ECI'AL INSPECTION JAREA OCCUPA14T -Ts (:?r=—r- UNITS UBE Al, LOAD STORIES NU E UIRED YES, DESCRIBE WORK TO BE DONE REMARKS 2 PROGRESS INSPECTIONS PER UBC 1 08/171NAL INSPECTION REQ'D 19 VIJ- iAl U " vlAk �. I A I -a cL VALUATIO o mc� do' 10 1-� ji; kF 51 Description FEE Description FEE lic Plan Check -1 State Surcharge I L-11*1 u 13LA I L_ 0 tj 61 Ll HEAT SOURCE GLAZING % LOT SLOPE % Building Permi City Surcharge PLAN CHECK Nt)L g-( I VESTED DATE Plumbing THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical I i 0� BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE too SEPARATE PERMISSION. Engr. Review �11 PERMITAPPLICATIO'k,')IM'DAYS, L PERMIT ILIMIT: 1 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 - M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTI.YOR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENr OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- x - Recording Fee Receipt # 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 application is not a �ornnit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foes are paid, and IN VIOLATION LA OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in spacopr(frided. WORKMEN's, SATION INSURANCE AND RCW 18.27. OFFIC S"iIGNA dk/ DqE t "I - Ile SIGNATUR ��(OWN OR AGENT) DATE SIGNED (425) V, 11 j 77.1-0220 RELEASHD Y DATE ATTENTION %)CT.1333 4- IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL t? '.-,/ A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YE'LLOW-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 A z 0 1 0 M -n OM C MO 0 -40 0 C Ig X M M Z IC) --I C _z --I 3: V5 0 -n n � � ic M ITI a V; 0 r. 0 M C (j) 9 1:1) M 0 Z 7-1 z —4 X 55 z 0 M