20030452A (2).pdfI
DATE
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OV MERNAIMEINAME OF BUSINESS
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MAILI G ADDRESS
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CITY ZIP TELEPHONE
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NAME
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ADDRESS
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CITY ZIP TELEPHONE
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ADDRESS
CITY ZIP I TELEPHONE
PERMITEXPIRES
[PER
PERMIT
NUMBERO
JOB 90/6- SUITE/APT#
ADDRESS I c-/ -S [- �i ej
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
40,0111iiivl
2—
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TIESCP Approved
RW Permit Required
EXISTING _1-zf::�:_PROPOSED 1___�
Street Use Permit ReqI
Inspection Required
Sidewalk IT
REQUIRED DEDICATION- Fr
Required
Underground
Wiringrequired 13
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
I
I
YES13 NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY
4-00
NEW
RESIDENTIAL
PLUMBING / MECH
ADDITION
COMMERCIAL
COMPLIANCE OR
13 CHANGE OF USE
REMODEL
MULTIFAMILY
SIGN
REPAIR
GRADING CYDS
F NCE
( E X — FT)
DEMOLISH
TANK
E] OTHER
oGARAGE
RETAINING WALL
FIRE SPRINKLER
CARPORT
ROOKERY
FIRE ALARM
WME OF USE. BUSINESS OR ACT&Q3nX%XBhMN:
NUMBER NUMBER OF
OF DWELUNG
STORIES UNITS
DESCRIBE WORK TO BE DONE
b--droarn o t,
HEAT SOURCE GLAZING % LOT SLOPE %
PLAN CHECK NO: VESTED DATE
*63-1693
THIS PERMIT AUTHOR12ES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 70
BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: ISO DAYS
PERMIT UMM I YFAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICAK 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 CII ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
I HERE13Y 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 O�� LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEWSJ�eMPENPATION INSURANCE AND RCW 10.27.
MTURE r OWNEV91R AGE DATE SIGNED
,4V� 141-2,2- _ 0 Y
-_NGINEERING REVIEWED BY DATE
A f ro M We LL,
FIRE REVIEWED BY DATE Lu
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VARIANCE OR CU
SHOAELINEORADB#
INSPECTION
BOND
REO'D
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POSTED
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13YEs )�[No
$
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWEY PROPOSED
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EXP
LOT COVERAGE
REQUIRED SETBACKS WE)
PROPOSED SETBACKS (FT)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SI E REAR
2
%
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PARKING
LOT AREAJ
PLANNING REVIEWED BY f)ATE--'
REO'D I PROVIDED /
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CHECKED BY TYPE OF.CONSTRUPTION CPR)5--7 OCCUPANT
V—W 7 GROUP j
SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [] -7AQiI LOAD
YES 7--f—T 1
REMARKS 2
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D
$ P �-_ 4 _L
,_�)(o 476
Description
FEE
Description
FEE
Plan Check
�/ /I;?— I
State Surcharge
141
11�*
Building Permit
/-).07
7-00-
City Surcharge
1,�
Plumbing
Mechanical
Grading
Engr. Review
Engr. lnspecflon
Fire Review
PlanChk.Deposft
Fire Inspection
Receipt #
zleew
Landscapelnsp.
Total Amt. Due
Recording Fee
=Recelpt'
#
CALL
FOR INSPECTION
(425)
%
771-0220
APPLICATION APPROVAL
This application Is not a permit until signed by the
Building Official or his/her Deputy: and as are paid, and
receipt Is acknowledo di rovided.
OFFICIALS SIGNATURE
A
Y DATE
AWENTION Off 1333
.
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 - INSPECTA
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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APPROVED BY PLANNING
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LU 103.00, 100.001
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GUTTIFFIL'. 17'"INSPOUTS
5 IN
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103001 I 5_ 00 SF
02.A5 5-6.00 S.F.
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EXISTING 102.00'
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pr3 RC14
102.00'
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M!
EX15TING RE51DENCE
1256.00 S.F.
6015 21qth St. 5W A5PHALTI,
CIONC.
'[DRIVEWA)
EXISTIN'a SAN EWEF 1.25 Edmonds, WA 101.45-\
TO BE REMOV
77� Ll 100.001
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101.001
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EXISTING DOM
WATER
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99.00, Fir- I v-
DATUM 100.00' SEWER
INSPECTIO NS AEJaD.
A' h 0 Eff. 1326
t '20 CALL 425471 -022
RJR" PTrrt[*
PROJECT DATA LOT COVERAGE
IV
ONNER RE51DENCE 1256.00 S.F.
PALE E 1'HOMP50N GARAGE 576.00 S.F.
0
Ali:
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&015 219T'H 5T'5W COVERED PORCH 2".67 5. F.
EPMOND5, WA 9&02ro,
M
ADDITION 7135.625 S.F.
LEGAL DESCRIPTION
MUNGER5 ADD 13LK 000 D-00 - LOI'2 TOTAL 2554.2%
NE Quarter 5cction,30 Town5hip27P\angc 04 E LOT AREA 10,000
PERCENT COVERAGE 25.154
PARCEL NO.
00527700000200 IMPERVIOUS AREA
TOTAL FROM ABOVE 2BB4.2% S. F.
HEIGHT CALCS A5PHALTIC DRIVE 1773.00 S.F.
A - 101.25' AVERAGE GRADE 101.781 TOTAL IMPERIOUS AREA 4658.00 5. F.
-kb-VAL� POto 1APIEfums = 9clo ip
5 = 101.45' ACTUAL MAX ROOF HEIGHT 115.25'
APPROVED AS NOTED
C - 102.45' MAXIMUM ROOF HEIGHT ALLOWED 126.00' BY ENGINEERING
D = 102.001
Datz.:
De5ign * Gon5truction Management
F.F.Brown 6108 176th St. SW L nnwood, WA q6037
-Inc. 18,9 10
CITY OF EDMONDS
121 STH AVENUE NORTH -EDMONDS. WA98020 - (425) 771-OM *FAX (425)771-Ml
Websfte: WWW.d.edM0ndSW8-US
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building 9 Engineering
February 9, 2004
Dale Thompson
8015 219'h St. SW
Edmonds, WA 98026
Re: Building Permit: 2003-0452
Site Address: 8015 219th St. S.W.
Expiration Date: June 21) 2004
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
renewed prior 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 inspecti.on(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.
Sincerely,
t Coordinator
L\TeW\1)ST's\Master Lettm\SRwumL1rSFR
Incorporated August 11, 1890
Sister Citv - Hekinan. Javan
FINAL PROJECT APPROVAL FORM
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I RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date si
ocaprvl.doc.l:temp:bldg:formsIO/OI
Roberts, a temporary contract
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inspector for the City.