20030492.pdfM
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME QF BUSINESS
— 15016
ZILING ADDRESS
CITY TELEPHONE
/51
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NAME eg
ADDRES�,,
CITY ZIP TELEP ONE
6'r-A 77Z,15/ y
NAME BIL
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ADDRESS
[PERMITEXPIRES
USE PERMIT
ZONE IQ NUMBER_
JOB
SUITE/APT#
ADDRESS
c5r—
mommshmsommmmun�
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUDLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
AW Permit Required
Street We Permit RWd
EXISTING PROPOSED
Inapection Floquired
r
REQUIRED FT
sidewalk Required
underground
DEDICATION
Wiringrequired
METER SIZE
LINE SIZE
OF FIXTURES
PRV EQUIRED
ENO.
YES W NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
DATE
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93
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FIRE REVIEWED BY
DATE Lu
CITY 7h TELEPHONE'
'STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY
VARIANCE OR CU
SHORELINE OR ADS# I IN PECTION BOND
SREO'D POSTED
-5
13YES' 051 s
'PROPERTY
SEPA REVIEW
SIGN AREA HEIGHT
TAX ACCOUNT PARCEL NO.
COMPLETE EXEMPT
PROPO
ALLOWED PROPOSED ALLOWED SED
1 257 Ls 7-9 ks.
EXP vo,
kG=w
X NEW RESIDENTIAL PLUMBING I MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.) WOPOND SETBACKS W.)
FRONT SIDE REAR FRONT IDE REAR
9
COMPLIANCE OR
ADDITION COMMERCIAL 11 CHANGE OF USE
3,5 34A
Zo'' 2
13 REMODEL [3 MULTIFAMILY 0 SIGN
M D BY e
PARKING fi- LOT AREA PLANNINGREVIEWE
REO'D PROVIDED '0 Y E3
7— 2� .
I
GRADING [3 FENCE X
DS
[3 REPAIR CY FT)
4
REMARKS
&1
DEMOLISH TANK OTHER
5.j
GARAGE RETAINING WALL 0 FIRE SPRINKLER
CARAGM ROCKERY FIRE ALARM
(TYP OF USE. BUSINESS OR ACTWM EXPLA1N:-
CHECKED BY TYPE OF SWION OCCUPANT
I
GROUP t7-.'7,
NUMBER CRITICAL
NUMBER OF
OF DWELLING AREAS
r--d—
SPECIAL INSPECTION JAREA OCCUPANT
LOAD
STORIES UNITS NUMBER
REQUIRED [] YES
§ee-
DESCRIBE WORK TO BE DONE
I
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION HF.Q'D i
4
611V6-6,15
d3
I L4 IL
VALUATION
Q
Description
FEE
Description
FEE
6,e 3kY
Plan Check
State Surcharge
GLAZING O�T %
H L
J'T�E I
.12
Building Perm it'
City Surcharg a
PLAN UHECK NO: VESTED DATE
Plumbing
Q �1 3:
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRWATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
:3 DOMAIN (CURB$, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 160DAYS
PERMIT LIMM I YEAR - PROVIDED WORK 15 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
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
J:13
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTI Y
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape Insp.
Total Amt. Due
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.*
Recording Fee
Receipt
I HEREBY ACKNOWLEDGE THAT I RAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAI
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. NO PERSON WILL BE EMPLOYED
Building Official or histher Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknovAedgad In space Itovidad.1--
WORKMEN'S COMPENSAT1303NRRANCE AND RCW 18.27.
-
SIG E
SIGNATURE (C ER OR DATE SIGNED
IA9
IV-0)
rV1
771 -0220
Zff
ATE
RELEASE BY
ATTENTION
Off 1333
3
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIG14AL - F)E - YEdON - V(SPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINRDMER GOLD - ASSESSOR
4/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
GENERAL NOTES: ENERGY CODE GENERAL NOTES:
1. JALL To K DOW IN ACCORDANCE SDI THE UWQW SURDING CODE. AS ANOIDED 81 wswcTm srATE oem c= mAim NOTES
LOCAL ORIDINANCE.
2- LUmM a mm PAmm mom 51. INSLILATIM
UASER, cmmW R-30
SZE CLAW SPEMES GRACE
VAULTED CELINal R-30
s7UOS MM-FIR STUD
MIS MOVE GR.Av_ R-23
SM LIGHT FRAMING taIL-FIR 02 Oft IMETTER
FLOW OM CRAM: R-25
J=T5 a PLANIM
HOL-FIR OR BETTER
718�t4 THICK DOUQ - FIR
1
52. MAINTAIN L&L iv AvwAcE AwvE cam msLLAnm
BEAMS it 57RPIGM DOUG. - FIFt
53. PROVIDE WATER RESWANT I= VSUT L14FFM AT EAVES OVER
POSTS a Thdom DOUG. - FIR J2
GUJq_AMS DOUG. - FIR 24OW
LOOSE FILL INSULATION.
MUD SULS HEM - FIR 03 cm ima
DAITLES TO EXTEND UK C OVER COMPRESSED INSULA7Kh
ALL LUMBER EXPOSED TO WEATHER OR COW FOUNDAIM
NO W I r OYER LOOSE FILL INSULATION
GRACE CEDAR. PAINT ALL CUTS MADE AFTER TREATMENT UTH 2 ERM COATS OF M
54. PROWDE 9 LIL POLVETHELENE VAPOR RAFtw IN CRAVL AND
APPROVED FFIESCINVATIVE,
4 ML POLY FOR VAPOR BARRIER ON WALLS, PROVIDED Of WARM
STRUCTURAL V= PA?W:
QDE
ALL nAm & WALL SHEATHIM PAmas TO BE APA RATED NO APPROVED AND StALL am
THE APA TRADEMARK. OTHER PLYWOOD OR ORIENTED STRAND BOARD WITH APA RATINIC AND
55. ALL Wvz= of RKWO DmacK INCUM40; WOR &
JQDO APPROVAL SULL 13E USED. ALL ADIMMES SHALL CONFORIM WITH APA SPECIFICADONS
WINIM FRAMES. OPENINCS ECTREEN WALSS & FOUNDATICK
AFG-01.
ISETNEEN WALL & ROOF. UTILITY POCTRATIONS, AND ALL.
WALL SHEATHING: 7/15- APA RATED SMEATWING, 32/14, V"WRE I
OrrXRS SHALL K SEALED. CAUUCE0. 13ASKET10% OR
9U9FLO0RfXOERLAYMMT: 23/32! APA RATED STURD-i-FLOOR 2404.
EXTERIOR & C:
WEATHERS17RIPPED TO UNIT MR LEAKAGE
56. RECESSM ucmnNo wslALLED 114 BUILDING ENVELOP& StALL
FXOF *IEAnWM- 7/19- APA RATED %tEATHINO. 32/15 EXPOSURE I
COMPLY IMTH PROVISIMS OF WSEC =4.4
3. wsc. STRUCTURAL sTm- Am Am
57. NEATIms omrs w uNcmanomm SPACES TO K v1suLATEO m
4. COWAM.
R-D UK
mx. 5 SACK. 2000 PSI
DUCTVMK SEAMS M 13E TAPED & SEALED & FASTENED UTH MIN OF
IONFORCM STEW A815 GRADE 40
FASTENERS
FMAR COVER: r At BOTTOM, 1-1/2- At SIDES
5. PLY*ow jamrS AT R" AND EXTERIOR WALL GIAPHRAms smLse PLACED varm som
EDGE$ HALED TO ONE COLOM JOIST, SM. SILL PLATE, TOP PLATE. OR RN JOIST.
PLYWOOD JOINTS SML ALSO BE PLACED OVER ME COM" ROOONG NOW *IEN VEN11LA11ON & AIR QUALITY
ELOCKING IS SPECFIED
6. OEM I So. BATH & I Al Y FANS TO GE A MIK OF 50 CFM. KITCHM
FLOOR (U*j L!M/30 rr FANS TO eE A MIN. OF 100 CFIL
ftOF cum ALL SOW FUEL BURNING APPLIANCES SHALL, BE PROVIDED
DECK so
Iwo no to" VITH TMTnTnw am at METAL 000ms AND AN OUTSIDE
FART ZONE 3 SOURCE OF COMIMUSTIM AIR DOMMY CONNECTED TO THE
SOL eEAMC PRESSURE 2000 UftS/SQ FT FOE COX
7. INMENSIMS TO FACE Cr FRAMV*c Uf� NOTED 82. %HOUE HOUSE FAN TO 13E DESIGNATED & WTH A TWO AND
8. WALL smcADwc To LAP ram jorsis a cwjcR srms & To sE mALEo YATH 60 AT 60 O.C. TO BE 150 CFM
AT PANEL rNm a ir ac. AT INTERMEDIATE suppoRis. PRovoE STRUCTURAL Tie AccROSS
RIM jDan A INCTUMN FLOORS
9. M%Lr SOLID WARM & STEEL STRAPS At ENOS OF ALL MAMS MVIDE SOW BLOCKING
OVER ALL KAMS & ISCAF00 WALLSDOUSLE JOkSTS AT DOS OF CANTLENERS
I TRUSSES
A- SIML HAW MANUFACTIAIRM STAMP
13. 9MI HE INSTALLED h GRACED PER MMUFACTUREn SPEDFICATI06
Q WLL NOT BE FIELD ALwtED YATmour PFow ejLwc vcPARTucmrs ApmovAL w rric
DVGR42MKG CALCLA.ATCHS
D. SHALL HAVE r PC OCTAIIJI & DRAWINGS CM SITE FCR FRAMING INSI)ECTIMS
E INTERIOR NOm-SEARNO WALLS TO ME CONNECTED TO TRUMES FO& YERAL SUPPORT NTH
SWz-W SM OR OTC CUPS Oil EOUAL 00 NOT gild MVIOR MAIL = DIRECTLY TO
NON-eEAMO WALLS j.'a d? e
11. ALL FRAMING & EmSEGOM mApow&IM To BE SanON UNLESS NOT* INSTAL"TION TO
PER M~AcTuRER`S MIRUCTICN3. EMSEDIDED HARDWARE TO BE PRIOR TO 7ON E wmcmwmmmmw� Ld
FOUNQATION INSPECTION. LLJ
12. ALL HEADERS TO BE 4xIO MEM NOTED SErBACM.--- Of
13. DUCT ALL VENT FAN% DRYER. AND RANGE HM TO OUTSIDE
14. ALL DOW MM & MAM 91 H"ARDOUS LOCATIONS M 8C WA SAFM CLAW FRONT���
15. wAi" TO BE PER u.0-r- TABLE XI-4-0
SIDE
16. NOT USED Ld
17. Fvm3LOCK AL vCm PER u.B.C. =TION 2516 RUR :)
18. A. ALL FIREPLACES TO BE PROVOED VATH AN APPROVED RIC DAMPER AM 6 SO IN OF
CCWMTM AM DUCtED TO INSIDE FRONT OF FIREM WITH GAMPER 0
EL FACTORY BUILT ZERO CLEARWICE FCVLACES TO MAR THE STAMP OF AN APPROVED OTHE& <
TCSTM LAaAJFtATM'f A.V TOsc wsTAIM Put mx#xAcTuFEres msn=nmm mvm
KiGH_cDmSuSftj mCARTH a UwQM I" OEM TO FRAMING. PROIAX 51Ir TIPE X GM
TO uNDERSOC OF ROOF SHEATHING INSIDE CHASE HEIM,
19. FURIPLAM & WATER HEATER:
A. INSTALL PER W.LC. & UALC.
S. WATER HEATER PER WA -SO
C, WHEH LOCATED m CARAGE. ALL PLOM MOOM & SWITCHES TO 9C MIN. Ir ADM FLO0 PL
0. DUCTM POETRATIRr HCUSE/GARACE WALL TO BE 25 GALV. STEEL AWWRIVIVEDBY IANN
20. Am & SHOVER STALL-t
A. FFdBL= ISETIAIN STUDS
B. LIMIT SHOVER FLOW TO 3 aPJL
C. WALLS TO BE WATERPROOF TO MIX 706 ASCM GRAIN INLET
0 CLPM ENCLOSURE DOORS & PA)M3 To ee LAsEum CATEGORY 1. AND DOM TO SIONG
ALL GLAZING ##CUX*4 VONDOn 111THIN 70* ADM DRA21 INLET TO BE SAFETY MASS.
CUTWARD
21. STAIRS RAILINGS
A. FlRESIDOL- BETWEEN STMGERS AT TOP & SOTM & ALONG RUN SETIIIEEN y C07g)V
a- uwjaLE sPAcC Low sTxRs i mR caL 5/r ryK Y, VATH FRAMNO AT NOT LVIRE THM cl
lee O.C.
C. MAL RX W: M&L RUIN 2. MAY NOT VARY BY MOM THAN 3/8'
0. Mo. HEADROOM ASOW STAIR: Ir-gr ABOVE M094G
C PROvXX MMORAL 1-1/2- TO 2- DIAMCIER ROLMID 34! TO 3r AWK NOSING WIN DOS
RETURNED TO WALL CA Wta POST
F. MIN WIDTH OF WIDIN4 STAIR AT NARROWEST PONT S*
C. mANDRALS & QUAICIORA" TO TATHSTAND MORIZONTAL FORM AT TOP OF 20 U1113". AM TO RECEIVED
HAW MAX MTN OF r SEMEN 09=TERS OR R"
2Z scnmTs at HEATED acya-,ee TO:
A. CONFOW TO PERFMIANCE VLQUVM"TS CF W_%LC. JUN 2 0 2003
0. BOTM LAYER CF CASS TO WE MIN. 713r LAMINATED SAM Q.AS3
c- cm mmr TO we. PERMIT COUNTER
u'
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2
is
PROPERTY INFORMATION
ONNERS 809 & JULIE LEDFORD
1041 SPRAGUE STREET
EDMONDS, WA 98020
425.778.3617
PARCEL NUMBER: OOQ4204302600
LEGAL DESCRIPTION: CITY OF EDMONDS BLOCK
043 D-00 - LOT 26 LESS E 5 FT & ALL
LOT 27 & E 15 FT OF LOT 28 PLUS
ADJ S 1/2 VAC ALLEY ORD 516
LOT COVERAGE CALCULATIONS
ZONING : RS-6
LOT SIZE/AREA 8225 SO FT
NEW LOT COVERAGE: INCLUDES IST FLOOR FOOTPRINT,
COVERED DECKS & GARAGE :
(2235 SO FT+ 630 SO FT) 2865 SO Fr - 34.89
HEIGHT CALCULATIONS
HOUSE -
A 100'-10"
8 100'-1"
C 102'-1"
0 100'-3*
AVERAGE GRADE = 100'-10"
ACTUAL 125'
MAXIMUM 125'-100
DATUM POINT +100'
MP OF WORM SENN ORATE
100 $-low
A = 10 r--_,
IMPERVIOUS SURFACEE 9c..,SQ FOOTAGE
PROPOSED
LOWER SO FT :
1815
SO FT
PROPOSED
UPPER SO FT :
1440
SO
FT
PROPOSED NEW COMBINED SO FT
3255 SO FT
PROPOSED
ATTACHED GARAGE:
420
SO
FT
PROPOSED
LOWER COVERED DECKING
630
SO
FT
PROPOSED
UPPER DECKING
120
SO
FT
TOTAL NEW DECKING
735
SO
FT
PROPOSED BUILDING ROOF OUTLINE 3135 SO FT
PROPOSED GRAM! DRIVEWAY: 705 SO FT
3840 TOTAL IMPERIOUS
ENERGY CALCULATIONS
GAS FORCED AR HEAT
TOTAL HOUSE SO FT : 3255 SO FT
TOTAL GLAZING SO FT 416 SO FT
TOTAL DOOR GLAZING SO FT 86 SO FT
GLAZING PERCENTAGE 15 X
PERSCRIPTIVE PATH # 11
CONTACT INFORMATION
DESIGNER: MARCI BRYANT ENGINEER: MIKE MITCHELL
BRYANT & COMPANY MITCHELL ENGINEERING
P.D. BOX 99042 7821 168th AVE NE
SEATTLE, WA 98199 REDMOND. WA 98052
206.954.0712 425.747.1500
PROPERrY UNC 1009_0
- - - - - - - - --
5' SIDEYARD SETISACK
u
ffs
A 1
LK TO
94 W V
13
ADORESS. 1041
WRAME SIM,
(3
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-J EDMONM WA
Co"
b
PROPOSED
RESIDENCE I
C3
Isis 2m". nAm
b
mr
sairr. ftrw)
9xicam cavomm ot*m
13
FATC6 - 6W 90 rr
r- - -
sa AVERA($E GRADE
OF BUILDING
0
57-
L:1
i PAD=100 0-10 w
MAX HE1GIj4T=l25'-lo
WW CARM9
4w = ry
0 a OP D=10 !-3
2-1 11, -Ir 51 921= x
PROPERTY LINE
- - -- - - - - - - -
lor-4
SITE PLAN
�SCALE: 1 20 7_021 F
0 5 10 20
DRAWING INDEX
C-1: COVER SHEET/SITE
C-2:
DRAINAGE & GRADING PLAN
A-5:
NEW UPPER FLOOR FRAMING
A-1:
NEW MAIN PLAN/WINDOW & DOOR SCHEDULE
A-6:
NEW ROOF FRAMING
A-2.
NEW UPPER PLAN/VANDOW & DOOR SCHEDULE
A-7:
BUILDING CROSS SECTIONS
A-3:
NEW FOUNDATION PLAN
A-8;
BUILDING CROSS SECTIONS
A-4-
NEW LOWER FLOOR FRAMING PLAN
A-9:
BUILDING CROSS SECTIONS
A-10:
SECTIONS
& DETAILS
A-11:
SECTIONS
& DETAILS
A-12.
SECTIONS
& DETAILS
A-13-
EXTERIOR
ELEVATIONS
A-14:
EXTERIOR
ELEVATIONS
10
-6 0
BRYANT
COMPANY
V. MARCI BRYAMT
1017 WEST
MCKERSON #11
P.O. BOX
99042
SEATTLE, WA
98199
208.954.07L2
E-MAIL:
vm&rctbry&nt*xnmn.ccm
LEDFORD
RESIDENCE
NEW
RESIDENCE
1041 SPRAGUE ST
EDMONDS. WA
98020
DRAWN CHECKED
BY: BY-
VMB
JOB NO: 0211
DRAWN: 1/25/03
REVISED: 0/20/03
COVER
SHEET
11
Height Calculation/Grading Verification Worksheet
Address: C4 S:Er AL4 Permit kur__�_V? -
Date:
A. Datum Point:
B. Datum Point Elevation: UZ-)
C. Average Grade: L:),Zl
3. Maximum Ele0ation Allowed: [.6j, 1013L(average gradq) + 25
4.. Reference Point Elevation Shot to House:
`4v �O (datum elevati on '47(erade to transit level line shot to hous6)
L
6. Measurements from line shot onto house to.roof ridge:
0
Total C� - 0
7. Actual Elevation:LgL-1_7(reference point elevation) A�.*ONme+asarementsftom
Conclusion:
12S,31 -(actual) 14greater/leiis tfign 0'3 (allowed); therefore the house W
is not over the height requiremehlrefECDC 16.20.30 requirements
LATEb9%WWJNGWMXVkI9W CakuIati0DGVIWiD9 Verification WorkshwtAx
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FINAL PROJECT APPROVAL FORM
TO:
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DATE:
PERWr COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE
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RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
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The initials RSR are Rick S.
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inspector for the City.
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DATE RECEIVED
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44
PERMIT
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CITY OF EDPONDS
USE PERMIT
ZONE 1
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NUMBER /,,,
CONSTRUCTION PERMIT -APPLICATION
JOB
ADDRESS
4,
SUITEJAPT#
5 r
OWNER !A�EINAME 9F BUSINESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
_-
LID NO.
LID FEE $
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TE Scip App"IVV
RW peffM Req
EXISTING PROPOSED
Stratit Use Permit 'd
la* poellon Required
sidewalk Required
CITY ZIP ITELEPHONE
J25, i7f,,'_.`�d
REQUIRED DEDIC ATION edff:� FT
underground
WLing required
NAME
METER SIZE
LINE SIZE
I NO. OF FIXTURES
PR;(EQUIRED
YE NO E3
s z
I
ADDRES!�,
Ox
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION,CONTROL/DRAINAGE
f�ffiU N �
Z-�ilmtTUN:F,
CITY
ELEP HONE
NAME
TCj VFJ
C OL # / et,
i
EVIEWED BY
DATE
ADDRESS 1'�
N
A&U-)ZE0 29ki kzj�o �'
7 1
FIRE REVIEWED BY
DATE
g!
,--
CITY ZIP
TELEPHONE
rL
'STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY
P ROPERTY TAX ACCOUNT PARCEL NO.
NEW RESIDENTIAL
PLUMBING./ MECH
j 7'
COMPLIANCE OR'
ADDITION COMMERCIAL CHANGE OF USE
REMODEL 0 MULTIFAMILY 0 Slav
GRADIN ) I FEACE
[j REPAIR C.YDS �/-11 X FT)
[3DEMOLISH TANK [3 OTHEI�
GARAGE RETAINING WALL FIRE SPRINKLER
CAR%W ROCKERY FIREALARM
(TYP OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER NUMBER OF CRITICAL W
OF DWELLING AREAS
S.; UNITS NUMBER
STORI'E
DESCRIBE WORkIddE DONE
I_ ME MALIN% LU I _iL V6
-rLAN CHECK NO: — VES�913 13ATE
(D3
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PER4rr COVERS WORK 70
BE DOME ON PRIVATE PROPERTY ONLY- ANY CONSTRUCTION ON THE PUBLJC
DOMAIN (CURB$, SIDEWALKS. DIRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
"PARATEPERMISSIGNI.
PERMIT APPUCATIONI:' 1180DAYS
PERMIT UM,'R I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
BEE BACK OF PINK PERMIT FOR MORE INFORMATION
VARIANCE OR Cu
SHORELINE OR ADB#
INSPECTION
BOND
REO'D
113YEs
POST * ED
EN-0
SEPA REVIEW
SIGN'AREA
ALLOWC6.
PRO ED
COMPLETE EXEMPT
ALLOWED PROPOSED
, 0
EXP
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPnkD
ALLOWED PROPOSED
FRONT SIDE REAR_
FRONT JJRSIDE REAR
L 15
zo
'PARKING
LO� �TEA
PLANNING REVIEWED,BY
E
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RECVD I PROVIDED
7— 2�
Otis-
I
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CHECKED BY TYPE 9�, ON
S E $ L 'WON AREA
I� n YES
R 2-
REMARKS
PROGRESS INSPECTIONS PER UBC 101
I-) A ^
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engir. Review f
Engr. Inspection
OCCUPANT
GROUP
0 0
CCUPANT
L L,
OAD
INSPECTION REaD
AA - _; � /i
FEE Description
State Surcharge
City Surcharge
t. kOIRS. ASSIGNS AJ40 -SUCCESORS - Fl-e FlWeW Plan qlh�. Deposit
;APPLICAW, OA BEHALF OF *his bR-,i4EI�SPOUS
N INTEREST, AGREES TO INDEMNIFX DEFEW AND, HOLD HARMLOS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS. EiAPLOYEES. AND AGENf6 FROM ANY AND Fire Inspection Receipt # e� 1
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIREC11Y OR INDIRECTLY
FROM THE ISSUANCE OF THI&PERmrr. ISSUA14CE OF THIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Lq&
NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee A Receipt # 10,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECr AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE M COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL TWs application Is not a permit until sidned by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLjOYED Building OMcW or his/hor Deputy: and roes are paid, and
IN VIOLATION OF 7HE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space I#ovIded.
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