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20030698.pdfA DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS .1) af - C.,e u L , Fin stt MAILING ADDRESS I -7 OIL& W o? CITY ZIP TELEPHONE F':-' d rya qKoa6 �JAS-67j� -&2 NAME bk, RDRESS VC) I a ?)19 1 CITY ZIP ELEPHONE �=_�V_0_4 c(laaa i NAME CBL N QZ2" 141 CITY ZIP TELEPHONE U I STATE LICENSE NUMBER EXPIRAT ION DATE CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. 00!!�l I I - - M 10 NEW P(JESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR _\CyDS 2!�D& 0 DEMOLISH TANK 0 GARAGE RETAINING WALL CARPORT ROCKERY _ (TYPE OF USE, BUSINESS OR ACTIVTM EXP N� V—Irzlv�.&M te%mms NUMBER OF NUMBER OF DWELLING STORIES UNITS DEACRIDE WORK TO BE DONE i PLUMBING / MECH COMPLIANCE OR CHANGE OF USE SIGN n FENCE X. FT) OTHER FIRE SPRINKLER FIREALARM PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ADDRESS '7vrL PLI"t2 SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP ApProv0d RW Paml, Raqullod Sir.., Us. Porml, RKd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT UndsiVround Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YEX NO 13 - REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE I— ('A&All ENGINEERING REVIEWED BY DIE sk , f2 M FIRE REVIEWED BY DATE us cc rL VARIANCE OR CU SHORELINE OR ADBO INSPECTION BOND REO'D I POSTED I [3YEs Ciro s SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I V__ 0 r , , 2-5 14 '_1 EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR .�i� 7.S7 15 14-7 2117, '7 PARKING LI IT AREA PLANNING REVIEWED BY DATE PRO 'n REO'D I Z.IED 2— 9 7X I _h44:5o� I r-N CHECKEDBY I TYPE OF CONSTRUCTION CODE OCCUPANI K=1 / I � GROUP I " a V'—/V CRITICAL ".- 11111—i I AREAS 7ft SPECIAL INSPECTION JAR�G2q OCCUPANT NUMBER REQUIRED [] YES LOAD REMARKS 2 PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D 9 I iR r $ kk) Description FEE Description FEE Plan Check State Surcharge a HEAT SOURCE GLAZING % LOT SLOPE % Ga,p, Building Permit city surcharge PLAN CHECK NO: VESTED DATE — Plumbing (�t 103 Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review I PFRMITAPPLICATION: ISO DAYS 06 PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 13 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit, IN INTEREST. AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF 9 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due a DEEMED TO MODIFX 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 # 1 &.1W 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 CONSTFILIC- u" CALL This applicafian Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED 'ON* Al IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO IN Vic L Building Official or his/her Deputy: and Foes are paid. and FOR INSPECTION receipt Is acknowledged in space provided. ORKM INSURANCE AND RCW 18.27. W WORKMEN� OFFICIALS SIGNATURE DATE ____�MTION SI URE NER AGE DATE SIGNED TI �Ikw (425) %77) T 1-7 - 771 ;��6 REL BY DkTE ATTENTfi* M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL /Ado" . -- 0-0-15-70 - A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR GINAL - FILE - YELLZ - KP; rTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P= - OWNER - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 11 HEIGHT CALCS JIMPERVIOUS SURFACE CALCS PROPOSED ADDITION FOP. -r-r 1014, A = +77 B= +99.5 C = +99.25 D = +99 AVG GRADE = 99.1 PROP. HEIGHT 113 MAX. ALLOWED 124.1 EXIST'G DRIVEWAY 474 S.F. EXIST'G PATIO 120 S.F. PROPOSED ADDITION 896 S.F. Lead bescriotion: DARCEY FOSTER 20621 78TH PL W EDMONDS WA 98026 REFERE CE ELEV. 26' EXIST'& 21.5- TOP OF CS = 100' 11, Pc 11, X; I J" X"t4,� Jackson Park BLK 000 D-00 LOT 1 Tax Parcel I.D. No. 00 48 11 000 001 Lot Area 8742 S.F. Lot Coverage Existing 1469 S.F. (16.8%) Lot Coverage Propose8 2189 S.F. (25%) Lot Slope < 2% C-4 00 I,%% UTILITY +10 P(XE APPROVED BY Pl-Aoww�b m —" -t 7,5'1 41� LOT LINE STAKES MUST PLAG" 71 z 0 m =i 9i OM c Ma 0 -40 oc --I C X M M Z jo cl) 0 -n n M m 0 0 0 M C (j) c ch M 0 Z z co) z 0 m 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvi.doc.l:tcnip:bldg:fomosIO/OI m i - Q7 DATE RECEIVED off 7 S,) 01 [PERMIT EXPIRES CITY OF EDMONDS USE PERMIT ZONE 47 NUMBER CONSTRUCTION P , k13MITAPPLICATION JOB SUITE/APTO ADDRESS ZOWO 7 1�Tt OMER NAMEfNAME OF BUSINESS j )n r c -�e ,o L in e PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS L I LID FEE S TESCP APP"IM PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP W Permit its"kad :ZT Treet We Permh Req'd C17Y ZIP TELEPHONE EXISTING - PROPOSED Ifigipecilkin ftq*od SW&*-s* R&W"d edrnood- 99poij Ljglg� (o:Z j� unmwww REQUIRED DEDICATION_ FT Wiftl; raquited 13 NAME ME TER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 7C Q n5 0 -510 YE NO 13 x VDRESS REMARKS 0, OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE . co CITY ZIP ITELEPHONE 00 . AI& b . rzwy-e_-�k 2(?a0f0:2A h"m it-Vin; OA I RjAV&jj NAME CBLN ENGINEERING REVIEWED BY DATE )rD&S8 41t Y11- &a _A FIRE REVIEWED BY DATE Lu CITY ZIP TELEPHONE rL VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND STATE LICENSE'NUMISM EXPIRATION DATE CHECKED BY REO'D POSTED 10YES EWO SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWWAD' PROPOSED 0 0 EXP %.-� 1 0 2,2�5 1 )4' , NEW ESIDENTIAL 1:1 PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FE); ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR R AMMON COMPLIANCE OR [3 COMMERCIAL 0 CHANGE OF USE 2,7. Ff, 29) 7.5 7s J5 142., PARKING AREA PLANNING REVIEWED BY DATE REMODEL [3 muLnFAmiLy [3 SIGN 'LOT REOD PROVIDED I [3 REPAIR FENCE 11 jo Z=-%CYDS X F7) REMARKS Loor [j DEMOLISH 077ER 13 TANK 11 b GARAGE o RETAININGWALL 0 FIRE SPRINKLER FIRE ALARM CARPORT ROCKERY PYPE OF USE. BUSINESS OR ACTIVrM EXPL)UN: CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPA GROUP NUMBER OF NUMBER OF CRITICAL DWELLING AREAS [NUMBER SPECIAL INSPECTION JAREA_ OCCUPANT LOAD STO JES UNITS o REQUIRED [3 YES DE F BEANE REMARKS PROGRESS INSPECTIONS PER USC I 08/FINAL INSPECTION REITO Wal'l nne-4 A r f o a Ak VALUA1jON $ "CA Description FEE Description FEE _q. -so. Plan Check State Surcharge H T SOURCE GLAZING* LOT SLOPE % 9 Building Permit City Surcharge /5 � PLAN CHECK N VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORMES ONLY THF WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERAUTAPPILICAilOW ISO DAYS IUMM PROVIDED WORK IS STARTED W1THIN 180 DAYS PERMIT I YEAR - Engir. Inspection 11101 SEE RACK OF PINK PERMq. FOR MORE INFORMATION x /j '78= . &I ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND S&CESORS FIr6 "law Plan Chk.,Deposh ;APPLICANT. N INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY bF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENtS FROM ANY AND Fire Inspectibn Receipt # ALL CLAIMS FOR DAMAGES QF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt III I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DUIY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a pennit until isigned by the 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 FOR INSPECTION Building Offlclal or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. W� RKMENqf00ftNATI0N INSURANCE AND RCW 10.27. OFFICIALS SIGNATURE DATE UII=CER it AGEP DATE SIGNED 1A %1V25) M ;2 .3 771;�Z61 DWE -ATTENT" EXT 1333 RELE BY A 4 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL �6v& A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- NI ORIGINAL -FILE YE11011, CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 9 0 M C M M 8