20030598.pdfa
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
qOINESS
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CITY
STATE LICENSE NUMBER
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ZIP I TELEPHONE
NO.
NEW
RESIDENTIAL
[3 ADDITION
COMMERCIAL
0 REMODEL
MULTIFAMILY
REPAIR
JM CYDS
DEMOLISH
TANK
GARAGE
RETAJNING WALL
CARPORT
ROCKERY
A
(TYPE OF USE. BUSINESS OR =
NUMBER
NUMBER OF
OF
WELLING
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UNITS
DESCRIBE WORK TO BE DONE
FPERMIT EXPIRES
USE PERMIT
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ADDRESS
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SUITE/APT#
PLAT NAMEISUBDIVISION NO.
LO
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
AW Permit Requited
street use Parrnt Req'd
EXISTING - PROPOSED
Inspection Required
Sidewalk Requited
REQUIRED DEDICATION FT
Undaritround
Widnit required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PAV REQUIRED C3
15 f "?
YE NO 13 Le
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REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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FIRE REVIEWED BY DATE W
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INSPECTION
BOND
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DATE
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CHECKED BY
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BEIRA REVIEW
SIGN AREA
HEIGHT
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ALLOWED PROPOSED
ALLOWED PROPOSED
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EXP
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LOT COVERAGE
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tFr)REMARKS
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS (Fr.)
PLUMBINGIMECH
ALLOI
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/RSIDE REAR
0
COMPLIANCE OR
3 9%
-516 33' 2
CHANGE OF USE
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REVIEWED BY DATE IL
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PLAN CHECK NO: to I I VESTED DATE
THIS PERMIT AUTHORGMS ONLY THE WORK NCITED. 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 PERUISSION.
PERMIT APPLICATION: 100DAYS
PERMIT UMrP 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 INDEMNIF% 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 CITY'S 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 OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'Si0r,&OPUSATION INSURANCE AND RCW 18,27.
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CHECKEDBY ITYPEOFP.0
.!;VN OCCUPANTI;�;ll
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SPECIAL INSPECTION JARE OCCUPANT
REQUIRED [] YES 1.4/p ?_ - - LOAD
REMARKS 014 W 61C
PROGRESS INSPECT11117110 U ECTION REG'D I
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VALUATION
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Description
FEE Dazerlptlen FEE
Plan Chock
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State Surcharge
_71
Building Permit
City Surcharge
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
PlanChk.Deposh
Fire Inspection
Receipt #
---------
Landsca peinsp.
Total Amt. Due
-
Recording Fee
_.j_
Receipt #
APPLICATION APPROVAL
CALL
This applicallon Is not a permit until signed by the
Building Official or hlsft( Deputy: and Fees are paid, and
FOR INSPECTION
receipt Is acknitorledged in space provided.
OFFICIALS §IGNATURE DATE
(425)
—06L
771-0220
E D OF DATE
EXT 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL q- I (z
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW - ASPEC�TOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD.ASSESSOR e.d
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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Impervious Surface�Calcs
Existing building to remain:
1,053.00 sf
Existing driveway area:
308.00 sf
Proposed Addition:
1,562.00 sf
Proposed Deck:
192.00 sf
Total area of existing + proposed additions: 3,115.00 sf
Lot Coverage:
3,115.00 sf (34.32%)
Lot Area:
9,075.00 sf
Tax Identification Number
00434207501400
Lot Slope:
3.63%
Height Calculation:
A = +106.51 Average Grade = 103.25' APPROVED BY PLMNING
B = +102.01 Actual = +122.75'
C = +102.6 Maximum = 128.25! 711.1,3
D = +102.01
+107.V 82.W Usting P
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Setback
...........................
B +1020
7 — — — — — — — — — — —
E�istlng
Tow
Roof
(Proposed)
Exisfting
V1 56,0
C +102.k___
— — — 4 D +1
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JUN 13 2o03
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Datum Point +100.0'
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Site Plan
Scale: 1" = 20' - 0"
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