20030475.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
C'Art'sha,i .1 3arneo1ArA-
MAILING ADDRESS
10602 2-10-1-A Place— 6K)
CITY ZIP TELEPHONE
,EcIrnot7C1.3 2c)4 - 5q2
NAME
bract Wend-+
ADDRESS
214,2o 2-00+h PkLce-
CITY ZIP TELEPHONE
L�Iitiv-)OocL �1` q2_S-jeq0--,3qo5
C
NAME 7'�i� BL#
L
T�rel A C 11-N11171- CLIV- C)e-A �r LA 5,q I
ADDRESS I
i
IsF52te A -le'. SE
CITY ZIP
TELEPHONE
')nobomish 7823 le
1125 - 3q.3- zb07-
STATE LICENSE NUMBER
EXPIRATION DATE
CHECKED BY
51-C (51 C) Q f�
PROPERTY TAX ACCOUNT PARCEL NO.
oo5 4 L49 - oc,3 - ottj - oo
NEW
RESIDENTIAL
PLUMBING / MECH
ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
MULTIFAMILY_—,
SIGN
'VDING FENCE
REPAIR G
qn CYDS ( x Fr,
DEMOLISH TANK
OTHER
GARAGE RETAINING WALL
CARPORT El ROCKERY
o F:RE SPRINKLER
F RE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAAN:
0 NUMBER NUMBER OF CRITICAL
a
M OF DWELLING AREAVS1
o STORIES 7- UNITS NUM
DESCRIBE WORK TO BE DONE
SOURCE I - GLAZING % - - I LOT SLOPE %
PLAN CHECK NOTL*v)- le—.,, I I I VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
2
:3 DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPUCATION: 1 80 DAYS
ILI PERMI LIMIM 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 C Ty OF
I
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
12. NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
I HEREBY ACKNOWLEDGE T14AT 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 CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S CZENSATION INSURANCE AND RCW 18,27.
SI URKOWNER- GEN�T�) DATE SIGNED
V 3C
29 2_ j
I PERMIT EXPIRES �ZLqLL7-
USE I :,-/
ZONE PERMIT
..- X� NUMBER Akl)g
JOB
ADDRESS jQjjU2- 2qC)+Vj Plctcr— 3u),
SUITE/APT#
E�Arncnds Wzc
PLAT NAME-ISUODIVISION NO,.,
f�' re
LOT NO.
L�D NO.
A.K.
lb
L D FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
7 E S C PZ P., ov ad
Rw P. "
EXISTING - PROPOSED
Street Use Permit Roq'd
Inspection Required
Sidewalk Required 13
REQUIRED DEDICATION- Fr
Underground
wiring required
METER SIZE LINE SIZE NO, OF FIXTURES
PRV REQUIRED
]
YES C3 NO 9 z
REMARKS
z
z
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
t-j -'T 10 0 R a-,
J).* 0 f,
ENGINEERING REVIEWED BY
DATE
FIRE REVIEWED BY DATE
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
REO'D
I
PBOND
OSTED
OYES
GKO
$ ---
SEPA REVIEW
SIGN AREA
HEIGH
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
I
0
7-5'
I ZZ,
:XP
&'
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/RSIDE REAR
17;/", 7
PARKING
LOT AREA
PLANNING REVIEWED BY
1
DATE
REO'D I PROVIDED
%.��
7, 7-
, Olaf
I
/d%
REMARKS
CHECKED BY ITYPE (rVUCTION OCCUPAW
I CIP-l", 7 GROUP&
SPECIAL INSPECTION AREA OCCUPANT
REQUIRED [:] YES 'R" I T-- "T7.1'. LOAD
INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
VALUATION
OF
ISAq
Description
FEE
DescrIption
FEE
Plan Check
'74q
State Surcharge
Building Permit
City Surcharge
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
"DO
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
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 Fees are paid, and
receipt is acknowledged In space provided.
0 1 A SJIGN JE DATE
R A ED BY DATE
A17ENTION E)ff 1%333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL :)W-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 YJ
j
A
z
0
A
0
M
M
C
Ma
0
0 C
--I C
X M
M Z
1c) -1
C —z
0
n
M M
0 6)
0 r-
0 M
C (j)
C 1:1)
M 0
Z
7-1
z
—1
x
V)
z
0
i
?5
M
11
Christian and Samantha Agay
10602 240th Place SW, Edmonds, WA 98020
Lot 16, Block 3, H.K Schroeder's Replat of Forest Glenn, According to the
Mat thereof recorded in volume 15 of Mats, pages 25 and 26, In Snohomish County Washington Scale: 1 20'
+97.3 - -------------------------------------------- 97.2'
APPROVED AS NOT EP"
BY ENGINEERING i
ADD GUTTERS/DOWNSPOUTS
AND SPLAgHBLOCKS
Existing Deck 458sq,ft.
Date: +98.V +98.z I
---- ----------------------------------
..........
....................
—Proposed Two -
Story Addition Proposed One-
#t=:;768sq.ft. Story Addition
. ..... 123sq.ft.
Existing
Cement
Slab
478sq.ft.
Existing Residence 1272sq.ft,
...........
.. ............................
-------------- L�d ---------------------
Q' Existing
Porch -+08.3-
Existing
Asphalt 18sq.ft.
Driveway
346sq.ft,
+991.4 80' - +98.5'
OWNERICONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
240th Plaoe SW
------------------------------------------------------------------------
q�m �r r q I -r, ;r
Top of SS Manhole Cover -1P
gDaffurn PT +100 YL'.
Center of RIght-of Way
Impgrvious Surface Calculations
Existing Building Roof Outline: 1447sq.ft. (Const. 1957)
Existing Asphalt Driveway: 346sq.ft. (Const. 1957)
Existing Porch: 18sq.ft. (Const. 1957)
Existing Deck: 458sq.ft. (Const. 1998)
Existing Cement Slab: 478sq.ft. (Const. 2000)
Proposed Addition: 691 sq.ft.
7
HelQht Surface Calculations Lot Coverage: 1779sq.ft. (23%)
A: +98.5' " N c Lot Area: 7600
B: -0.2' Tax Account Parcel #: 005649-003-016-00
C: +98' Lot Slope: 4%
D: +98.3'
ZONE - Ll
Average Grade: +98.25'
Actual: +120.83' SEMACKS: 2�50
Maximum: +123.25' FRONT -7, 5-'
SIDE I I
APPROVED BY PLANNING REAR
OTHER 04-30-03
HEIGHT—
C. C)
CITY OF EDMONDS
121 STH AVENUE NORTH - EDMONDS, WA 98020 * (425) 771-0220 - FAX (425) 771-0221
Website: wwmdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning* Building* Engineering
November 71 2003
Attn: Christian & Samantha Asay
10602 240th PL SW
Edmonds, WA 98020
GARY HAAKENSON
MAYOR
Building Permit: 2003-0475
Site Address: 10602 240th PL SW
Expiration Date: 7/2/04
Dear Christian & Samantha Asay:
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, sa&-ty glazing, weather-stripping, any
Engineering department requirements etc. Of course not all of these things may
hi g
specifically apply to your project but it does give you an idea about the kinds of t n s
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 piior 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.
Sincerely,
Permit Coordinator
incorporated August 11, 1890
Sister City - Hekinan, Japan
Z
0
M
CD
M
C
M
80,
C
M Z
0 _n
M M
8
0 Fn
C 0)
rb co):
M 0.
Z
Z
M
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
?LZASE SIGN
::I kl?" W --ENGINEERING DIVISION DATE
\,�Z SIGN
PLANNING DIVISION DATE
"XASE SIGN
PROJECT
SITE ADDRESS SVV
pERvgr# e2wh�406 ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED AJ,4, .
A field inspection was conducted to determine final compliance with approved plans. Final 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
u 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 Si
ocaprvl.doc.l:temp:bldg:fomisIO/OI
z
0
A
0
T
=i =6
M
a
0
0
C
MM
MZ
CAI
0 -n
n
M M
0
0
0 M
C Cn
C Cn
Q 0
Z
X
z
0)
z
0
M
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
7V
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
V11.3
Rough -In ...................
Commercial Final ......
LL
HEATING:
GasTest ....................
Gas Piping .................
Equipment.................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
e.
0 wA
E �
DATE RECEIVED
PERMITEXPIRES
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
A
MAILING ADDRESS
0
CITY ZIP TELEPHONE
9Fjo 2- o
2 n b
NAME
ADDRESS
m2o 2.00+h Place, 3'�d
CITY ZIP TELEPHONE
000C( L12 5- (.0q0_ 3qo5
NAME Fini5l) Line- CBL#
71(n f) k C i k IC�C C_at-f)fln� I LA 1 15
ADDRESS I
j
. i5g2L, 6s4-�N A*_. SE:
CITY ZIP
TELEPHONE
3no�)Omish
`425
- 343 - 2 S07-
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
T: I KI 15LC 6 10
PROPERTY TAX ACCOUNT PARCEL NO.
0o54I-19-w)5-oI(f--00
NEW RESIDENTIAL PLUMBING / MECH
ADDITION COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
E] REMODEL 13 MULTIFAMILY
SIGN
0 REPAIR GF)ADING
A 50 CYDS
FENCE X FT)
(
DEMOLISH TANK
OTHER
oGARAGE RETAINING WALL
CARPORT ROCKERY
F RES RINKLER
FIRE ALPARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
�es*tden+ial (.�� W_
NUMBER
NUMBER OF
CRITICAL ti!�A
OF 2.
qWELLING
AREAVq,�5_1
STORIES
UNITS
.DESCRIBE WORK TO BE DONE
USE PERMIT
ZONE
NUMBER
JOB
SUITE/APT#
ADDRESS
PLAT NAME/SUBDIVISlq
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Port Required
Street U.0 Pennh Req'd
EXISTING - PROPOSED
Inspection Required C3
Sidewalk Required E3
REQUIRED DEDICATION- FT
Underground
Wiring required
MFrER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES13 NO z
REMARKS
z
z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE 0
. I __ 15
1),D000,;a n _e
ENGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE ul
cc
I a:
VARIANCE OR CU
SHORELINEORADB#
INSPECTION
BOND
REO'D
I
POSTED
I
'
13YES GXO
$
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
,
,
EXP
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/RSIDE REAR
7
>5
z_is 7. S- ) S-
c-& '3/1 z
I
PARKING
LOT AREA
PLANNING REVIEWED BY DATE
REO'D I PROVIDED
1
CL
7
7
,
REMARKS Aft� M n
CHECKED BY I TYPE r OCCUPAOT,
/VUCTION COCIP GROUPr
],--17 :� .
SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED C] YE! LOAD
REMARKS
PRODRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REQU
VALUATION
s '2�?
Description
FEE
Description
FEE
Plan Check
State Surcharge
City Surcharge
HEAT SOURCE GLAZING % LOT SLOPE%
E: le-C br- q 576
BuildingPermit
PLAN CHECK 'VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
:1 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMITAPPLICATION: ISO DAYS
Grading
Engr. Review
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
'APPLICANT; ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
5 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Plan Chk.
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape Insp.
Total Amt. Due
TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
ADEEMED
0 NOR LIMIT IN ANY WAY, THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
I
Recording Fee
Receipt III
1� LW 711
F
1 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 permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. Not PIERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt is acknowledged In space provided.
WORKMEN'S COM�ENSATION INSURANCE AND RCW 18.27.
PFF19f, , SIG E DATE
NATUR L(OWNER R,AGENT)
DATE SIGNED
IAO
'J 3
771-0220
ZRE'LiASED
BY DATE
ATTENTION
EXT 1333
Z_
IT IS UNLAWFUL TO 6`96'07&Y A UILDING OR STRUCTURE UNTIL
f
A FINAL.,INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INShCTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
C�/02 GREE!' ACCOUNTING
PRESS HARD ARE MAKING 5 COPIES
-YOU
k
z
0
A
0
M
--i n
3:
M
C
rn
0
0
0 C
.-I K
X M
M Z
z
0)
0 -n
n
--I
3:
M M
0
0
0 M
C V)
C V)
M 0
Z
X
z
z
0
q
0
M