20030531.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OVkNER NAME/NAME OF BUSINESS
J)AiekFa
MAILING ADDRESS
-7& -3 / 2 41
CITY ZIP TELEPHONE
NAME
ADDRESS
CITY ZIP ITELEPHONE
NAME CBL
ADDRESS
CITY ZIP I TELEPHONE
STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY
PROPERTY TAX ACCQUNT
00 44
PARUI, -) () q / /
nly
11 (1) 0�14
ZINEW
RESIDENTIAL
El PLUMBING / MECH
1 ADDITION
3
COMMERCIAL
COMPLIANCE OR
0 CHANGE OF USE
REMODEL
MULTIFAMILY
[:] SIGN
REPAIR
CYDS
El FENCE x FT)
DEMOLISH
1:1 TANK
0 HER
'Syot"
4R�R
GARAGE
RETAINING WALL
13
FIRE SPRINKLER
CARPORT
ROCKERY
FIRE ALARM
(rYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
-1 9 1 ff�l —If-
15
NUMBER
OF
STORIES
NUM ER OF
B
DWELLING
UNITS
CR, AIL
k"9467.6
DESCRIBE WORK TO BE DONE
Muc new erjr- //, ")(1-4 '
HEAT SOURCE GLAZING % LOT SLOP E %
PLAN CHECK NO: -5-4 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 (CURRS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPUCATION: 180DAYS
PERMIT LIMM 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 CITTS 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 VIOLATIO&CIf THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'=SATION INSURANCE AND RCW 18.27.
QfM4ATURA(bWNER10M'9MNTI /--: - Z7 I DATE SIG -WED
XPERMIT EXPIRES
USE Q_ PERMIT
ZONE
NUMBER
JOB SUITE/APT#
ADDRESS
---"7 / v2L 0
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE $
7ESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
RW ParMit Requ :trod
street Use Pornn Roq'd
EXISTING PROPOSED
inspection Required 13
S idowalk Required Cl
REQUIRED DEDICATION- FT
Unde(growd
Wiring required 13
MET
LINE SIZE__j___;0.
OF FIXTURES
PRV REQUIRED
YES 0 NO 13
UA
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REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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ENGINEERING REVIEWED BY
FIRE REVIEWED BY DATE W
VARIANCE OR CLI
SHORELINE OR ADEIII
INSPECTION
I BOND
REO'Q _
I
I POSTED
13YES P!kl$
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALL0,W.EDPROPOSED
ALLOWED P
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,
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I
EXP
LOT COVERAGE
REQUIRED SET13ACKS (FT.)
PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED
FRONT SIDE REAR,4.
FRONT/ L/R SIDE REAR C5
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re
PARKING
REO'D I PROVIDED
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LOT AREA j
PLANNING REVIEWED BY DATE
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CHECKED BY ITYPE OF C9014STRUICTION CODE OCCUPAN
V�A 1 q7- GROUP ag�j
SPECIAL INSPECTION JAREA,�W 4>k OCCUPANT
REQUIRED LOAD
REMARKS
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PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REG-0 I �
VALUATION
$ 6r,,�:a I
Description
FEE
Description
FEE
Plan Check
State S urcharge
Building Permit
197d
City Surcharge
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
1001
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapelnsp.
Total Amt. Due
I
Recording Fee
Receipt #
CALL
FOR INSPECTION
(425)
771-01220
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.
OFFICIALS SIGNATURE DATE
77
41- DATE
ATTENTION Off 13333 ' / /'r/ 0 3
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L40RIGINAL -FILE -'YELLOW ASPECTOR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
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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SITE PLAN FOR
PROPERTY LOCATED AT
7631242ND STREET SW
DARRELL SCHLAEGEL OWNER
206-963-1226
PROPERTY LINE
SCALE: I" = 20/
--
------- -- - ---------- -------------------------------------------
V,10. C
EXISTING
DRIVEWAY
kl� 21'0*
26' 4*
EXISTING
1
I
1105 SF
EAVE
OVERHAN
PROPOSED
11
GARAGE ;r
454 SF
-------
-1
Zo 384 SF
24' 00
143
;�
EXISTING :
AWNING
- EXISTING
�� RESIDENCE
......
-0 - - - - - - - - a-
4051 *Locr
EAVE
OVERHANG
I
394 SF
7 780 SF
04
a,
an
EXISTING
S 11 X E W ANIL K
rn
ZD
AND PATIO
72 SIF
24' 39
49' 04
L— —
— — — — — — — —
— — — —
I 0
EAVE
OVERHANG Y
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
LOT
AREA: HEIGHT CALCS: IMPERVIOUS SURFACE CALCS:
9320
SF A = +1.751 EXISTING RESIDENCE ROOF OUTLINE: 920 SF (PRIOR TO 1977)
LOT
B = +2.00' EXISTING GARAGE ROOF OUTLINE: 550 SF (PRIOR TO 1977)
COVERAGE:
C = +2.00' EXISTING PATIO AWNING ROOF: 394 SF (AFTER 1977)
2100
SF (23%) D = +1.751 EXISTING SIDEWALK AND PATIO: 72 SF (AFTER 1977)
EXISTING DRIVEWAY: 1105 SF (AFTER 19T7)
AVERAGE GRADE = 1.88'
PROPOSED SHED ROOF OUTLINE:§Zg.,V
ACTUAL HEIGHT 10.88' Ic
MAXIMUM HEIGHT 16.88'
ADD GUTTERS/DOWNSPOUTS
AND SPLASHBLOCKS
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DAMAGE
APPROVED AS NOTED
BY INEE
fpjNG
Date:
STREET FILE
<- 77
RECEIVED
J U N 2 0 2003
PERMIT COUNTER
FINAL PROJECT A�PRQVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLUSESIGN
If' /I - ENGINEERING DIVISION DATE
PLIMSE SIGN
PLANNING DIVISION DATE
PLIMSE SIGN
PROJECT
SITE ADDRESS— Nov
PERMIT #2_WJ —Q!!573 _ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED (fP11' agg
A field inspection was conducted to -determine compliance with -approved pla Final appioval
denotes that there are no objections from the above signed Department to the. release of
PERFORMANCE BONDS and the granting of:
oe
-GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fbmis:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSP R DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
z!
Pier/Porch .................
Retaining Wall ........... 0
ITI
Siab Insulation ..........
PLUMBING:
ca
IT11
Underground ............. C
M
Rough -In ................... —40
0 0
Commercial Final ......
1711
ITI
HEATING: 10
z
Gas Test ....................
Gas Piping .................
O"n
Equipment .................
Commercial. Final ....... M M
ca
EXTERIOR SHEATHING 0
0 Fn
NAILING ...........................
42
FRAMING ........................ ITI
0
FIRST FLOOR FRAMING ...
X
INSULATION ...................
Floor Insulation ......... z
Wall Insulation ...........
Ceiling Insulation .......
z
SHEETROCK NAILING ...
0
SPECIAL INSPECTION ... ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
V
Z&3
The initials RSR are Rick S.
Roberts, a temporary contract
inspector for the City.
4
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
O%kNER NAMEINAME OF BUSINESS
hA2tk66( -
MAILING ADDRESS
_7&
CITY ZIP TELEPHONE
a 6 410 A1413
NAME
ADDRESS
CITY ZIP
NAME 11 —IR TA RM V, rj W U'"" ICBL #
ADDRESS
CITY ZIP I TELEPHONE
STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY
PROPERTY TAXXCCqNT
F7RC Nn-
no 00 o (:?
,RT'NEW
2rRESIDENTIAL
PLUMBING/MECH
1:1 ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
1:1 REMODEL
MULTIFAMILY
SIGN
1:1 REPAIR
G CYDS
FENCE X FT)
0 DEMOLISH
[3 TANK
iR
gwro
IGARAGE
3 CARPORT
RETAINING WALL
13 AOCKERY
0 F RE SPRINKLER
FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
<—r-,-) C�, ,)
�,_ a- <,_*)9-"-v //\ —
<--
IER OF CRITICAL
LLING AREAS
NUMBER
WORK TO BE DONE
5 77t(f'T101V OF �(,.2
PTA-7 BAck-
HEAT SOURCE I GLAZING % LOT SLOPE %
PLAN CHECK NO: 03_22i� VESTED DATE
THIS PfAMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
tit DON19 ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOiWN'JCURBS; SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPUCATION: ISO DAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
[PERMIT EXPIRES
USE PERMIT
ZONE
NUMBER
JOB SUITE/APT#
ADDRESS
PLAT NAME/SLIBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TIESCIR Ap, d
RW Permit RZuirod
EXISTING PROPOSED
Streol Use Permit RWd
Inspection Required 13
Sidewalk Requited 13
REQUIRED DEDICATION- FT
Undorground
Wiring required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
13
YES13 NO 13
3
j
REMARKS
z
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
ENGINEERING REVIEWED BY __7/ 1 D�TE
�s L-MWIL te) 3
FIRE REVIEWED BY DATE ul
cc
rL
VARIANCE OR CU
SHORELINE OR ADBM
INSPECTION
BOND
I
REI]k
POSTED
I
OYES
---
$
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE , EXEMPT
ALLOWED PROPOSED
ALLOWE
P I PROPOSED
1 11
EXP
LOT COVERAGE
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REARptli�
FRONT/ URSJDE REAR
?�_C;1190
Is
6 76,
PARKING
REQD I PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE /
/14 3
5 —f"7r a e e & S7.(; dlj�
(0 00 CP
CHECKED BY
ITYPE 01: C014STRUCTION
vr—,v
IV
OCCUPANT
GROUP 22-7
r) -20
SPECIAL INSPECTION
I
AREA14
OCCUPANT
LOAD
REQUIRED
[I YES
V)k
REMARKS
PROGRESS INSPECTIONS PER UBC 1108/11FINAL INSPECTION REG-D
VALUATION
$ ql��) I
I
Description
FEE
-
Description
FEE
Plan Check
State Surcharge
jq
Building Permit
City Surcharge
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
0 0
'APPLICAK ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGR ' TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
r
EDMONDS, WASHIN ON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR OJTAGES OF WHATEVER NATURE, ARISING DIRECTLY OR 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 Landscapelnsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
x Recording Fee Receipt #
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 APPLIC ION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC* This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED AL Building Official or his/her Deputy: and Foos are paid, and
IN VIOLATIO F HE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FO SPE TION receipt Is acknowledged In space provided,
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77 DATE
771-0220
ATTENTION Off 1333 �J/
7' )
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL �, f
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI _1 CRIGINAL -FILE YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBG SECTION 109 13 PINK.oWNEn IPOLD-AS1ESSOR
GREEN - ACCOUNTING
04/02 PRESS HARD -YOU E. AKI IES 6/q
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