20030780.pdf4
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OVJINER NAMEtNAME OF BUSINESS
ptq o 4Aa� o t MW N � L-1 66 FT7
MAILING ADDRESS
1 *-7,10-5- -fA-Le0'r IeO
CITY ZIP I TELEPHONE
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NAME
ADDRESS
CITY ZIP TELEPHONE
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ICBL#
NAME
CC ADDRESS
CITY ZIP TELEPHONE
F_
7
STATE LICENSE NUMBER EXPIRATION DATE
RM
PROPERTY TAX ACCOUNT PARCEL NO.
OYS — (9
RESIDENTIAL LUMBINGIMECH
0 NEW XPL
COMPLIANCE OR
COMMERCIAL
ADDITION 11 CHANGE OF USE
REMODEL 0 MULTIFAMILY 0 SIGN
_j 0 FENCE
X
0 REPAIR 0 ZM CYDS
[3 OTHER
0 DEMOLISH 13 TANK
0 GARAGE -1 RETAJNINGWALL FIRE SPRINKLER
CARPORT 0 ROCKERY 13 FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVIM EXPLAIN:
� ' / 0 4 o.-i- F;,q. --- / .,a
71 - M / L-)( A55
NUMBER NUMBER OF CRITICAL
DWELLING AREAS (ILA,_WVA
OF I,- I I j
STORIER UNITS NUMBER
DESCRIBE WORK TO BE DONE
USE
ZONE
JOB
ADDRESS
ju I
t
LOT SLOPE %
URGE 7—r- GLAZING %
I'll
0 VESTED DATE
PLAN CHECK NO:
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIOU ON THE PUBLIC
a DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
3 SEPARATE PERMISSION.
PERMIT APPLICATION: ISODAYS
06 PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICAK ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFY; DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, 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 AW 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'S COMPENSATIO NkURANCE AND RCW 18.27.
SIGNATUR (OWNER OR GENT) DATE NED
/ 7' 'g .3-0-3
/ ORA
PERMITEXPIRES L
PERMIT
NUMBER444,1 —49
PLAT NAME/SUBDIVISION NO.
LID NO.
LID FEE $
TESCP APP(Ov6d
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
RW Permit 1`16qul(Od
street Use peffnit Req'd
inspecuon Required
EXISTING — PROPOSED
Sidewalk Required
FT
UW"i'd*n'gGr'o'qulf0d
REQUIRED DEDICATION At<
METER SIZE NO. XTURES
PRV REQUIRE '
YESE3 NO
REMARKS
FOR EROSION CONTROWDRAINAGE
OWNERICONTRACTOR RESPONSIBLE
IC 0
Ir'\—A�ir'loLl
FIRE REVIEWED BY
DATE
_F_ BOND
VARIANCE OR CU SHORELINE OR ADB# INSPECTION I
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ALLOWED PROPOSED
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REQUIRED SETBACKS (FT)
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A LLOWED PROPOSED
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CHECKED BY
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REQ YES
REMARKS
VALUATION
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Description
EPlan Check
n P rmit
Building Pe 4it
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire inspection
rLandscapelnsp.
s I
Recording Fee
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OCCUPA T
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PER UBC 108/FINAL INSPECTION REG'D
FEE
Description
FEE
FEE
GO) _'
( ';]Tt.
state Surcharge
, . nrg
city surcha a
e
CALL
R INSPECTION
1425)
'k-WA.
771-0220
0
PlanChk.Deposft
Receipt #
Total Amt. Due
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A I I " ,
_1 Receipt # —9
APPUCATION APPROVAL if
This application is not a permit until signed by the
Building otticial or his/her Deputy: and Fees are paid, and
receipt is acknoydedgod In space - provided.
ATTENTION R STRUCTURE UNTIL txl�
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 0
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
BY DAtt 4
ORIGINAL - FILE YELLOW. INSP(CTOR
PINK - OWNER GOLD - ASSESSOR
GREEN - ACCOUNTING
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ADD GUTTERS/DOWNSPOUTS APPROVED BY PLANNING
AND SRASHBLOCKS
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DAMAGE
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or ;16z asks contained In Chapter 20.21 of
I have read the requiN*nts for
the Edwo iy Dftdiinvint,c�,& and undentand that an Accemory
side Commusil
Dwelling Unit, Includialt-4 i"d.ldt;bes, Wprobibited until after an Acceuory
IDweHing Unit permit has 64SA�prbv*6y the City of Edmonds.
-as Acew
Boryli�dllsg Unit permit is subject to
g" understand tbat appro*M Rt
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compilance with identified crltiy� to Publk" and neither this statement
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RECEIVED
FEB 0 9 2004
OTTU WOLMAU ft AcOuvolm I I-
Matedals Testing DEVELQPMEUT SEHMIQL
Gootechnical Enginadng, Con$tMcdon InspecUon &
SPECTION REPORT
CONSTRUCTION IN
FEB
'j
";:
...b.A ftftA lmfl� Aavy4ltfthm nrtwmft of Otto Rounau & AuoclaW, Im. RopMdUWW Of this MOM
Elevation Allowed:['34-6r (average 25'
3. Maximum. grade)+
4. Reference Point Elevation Shot to House:
'FI t"'-
06, 6S
(datum elevat ion) + (grade to transit level line shot to house,
6. Measurements from line shot onto house to roof ridge:
Lo
Total: rW
7. Actual Elevation: (d-63 (reference point elevation) +a�61746(measurements from
#6)
Conclusion:
I 4S (actual) is greater 6ess� (allowed); therefore the house is/
is not over the height requireff DC 16.20.30 requirements
ication Worksheet.doc
LATEMBUILDINGWISOHeight CalculationGrading Verif
X,
4�? C. I SC)"
CITY OF EDMONDS
121 STH AVENUE NORTH* EDMONDS, WA98020 e (425) 771-(YM *FAX (425) 771-mi
Website: wwdedmondsmaxs
DEVELOPMENT SERVICES DEPARTMENT
Planning e Building *Engineering
February 18, 2004
Ann Hargis & Denny Liggitt
17905 Talbot Rd.
Edmonds, WA 98026
Re: Building Permit: 2003-0790
Site Address: 17905 Talbot Rd
Expiration Date: October 9,,2004
GARY HAAKENSON
MAYOR
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 hWections
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, safety glazing, weather-stripping, any
Engineering department requirements etc. Of course not all of these things may
specifically apply to your project but it does give you an idea about the kinds of things
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
renewedptior to expiration for one half fees. If the permit expires without a final -
approval granted by the Building hWector, 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.
9 S* erely,
Re in
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rrnit Co inator
L\TvW\DST's\Masta Leftn\SRwaamLtrSFR
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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FINAL PROJECT APPkOVAL FORM
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DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OKNAMEfNAME OF BUSINESS
tj � n
4kiPM' 1._�
MAILING ADDRESS
I -lq 0.5- -fjkL b07- IeO
CITY ZIP TELEPHONE
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NAME
ADDRESS
CITY ZIP ELEPHONE
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NAME CBL#
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ADDRESS
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CITY zip TELEPHONE
— EXPIRATION DATE I 'PNFMVTK5)
STATE LICENSE NUMBER
PROPERTY TAX :AGCUUNT FARUEL NU
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[3 NEW
RESIDENTIAL -
K
PLUMBING / MECH
0�
(&ADDITION
[3 COMMERCIAL
COMPLIANCE OR
1:1 CHANGE OF USE
REMODEL
1:1 MULTIFAMILY]
[3 SIGN
REPAIR
ZGblNb -2
11 CYOS
[1 FENCE X
FT)
DEMOLISH
TANK
OTHER
GARAGE
^A00ACIrr
RETAINING WALL
ROCKERY
[3 FIRE SPRINKLER
FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NIL
NUMBER IMBER OF CRITICAL
OF DWELLING AREAS
STORIES -UNITS NUMBER
DESCRIBE WORK TO BE DONE
A
I f-'AI" &7 "
I PLAN CHECK NO:
L/ %_� , L I
THIS PERMIT AUTHoRtM6 ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLZ ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURaS, SIMWALKS, DRIVIEWA19. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMI'll'APPILICATION: 150DAYS
PERMIT umir 1 YEAR -PROVIDED WORK 16 STARTED WITHIN 1180DAYS
SEE BACK OF PINK PERMIT FOR MORE RIFORMATION
-APPLICAN7; ON BEHPJ_F OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCFAORS
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 MATURE, 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 CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
I HEREfff 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 CRY 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$ COMPENSATIOJYWRANCE AND RCW 18.27.
FPERMITEXPIRES
6815 PERMIT
ZON NUMBER
JOB SuITE/APT#
ADDRESS LD
12"'IC5 ae'.
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE $
TFSC? Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
Street Use ParMft ReqV
EXISTING — PROPOSED inspection Required
Sidewalk Required 4
UnderWourtd
REQUIRED DEDICATION mill!!f� FT WWg required
METER SIZE LINE SIZE NO. XTURES PRV REQUIRED
I Z; YES [3 NO x z
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE A
A. -I — �' . I — _- 1,-% a . 1.- 1. 1 f a /r\-t54- Ii, A I
FIRE REVIEWED BY
DATE tul I .
cc
VARIANCE OR CU
SHORELINE OR ADB# 1,311INSPECTION
REQD
BOND
POSTED
-
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWE ROPOSED
LOT COVERAGE
REQUIRED SETBACKS (FT.)
REAR
PROPOSED 'SETBACKS (FT)
FRONT LIR SIDE REAR
ALLOWED , PROPOSED
FRONT SIDE
I
:�5" 10
-ell 00'�
X' L�
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PARKING
REQ`D I PROVIDED
-1) 117 - 1
LOTAREA
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Pb�VNING REVIEWED BY DATE * I
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i" APPP,0 V" il-_wrZ 4Af A e C �F
I- IiV6- 6W A/ 1-7-. 1 Ppt 1 ?A4 An' -
CHECKED BY ITYPE OF
;;L.,n SPECIAL INSPEGMON IAREA
REQUIRED
REMARKS
PROGRESS INSPECTIONS PER UBC I
ATTFmnom
Oytry !�t(&Vt7 S
% .,LOT SLOPE %
IVESTED DATE
OR !�E
'4 :N�Tn)
DATE SIGNED
OCCUPAW
GROUP
OCCUPANT
LOAD
:C7 :ON:R :Ea ID
. .
MAL INSPECTION RE
VA—LUATION
$
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Description
FEE
Description
FEE
Plan Check
10 i4Z.:
State Surcharge
city.surcharge
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
<
Fire Review
plan Chk. Deposit
Fire Inspection
Receipt #
Landscapelnsp.
Total Amt. Due
Pee
Recording Fee
Receipt #
APPLICATION APPROVAL
CALL
This application Is not a permit until signed by the
Building OrMciall or his/her Deputy: and Fees are paid, and
FOR INSPECTION
receipt Is acknowledged in space provided.
1 OFFJC GVN7. PATE
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142
1,125)
771-0220
RE/L BED BY I DATE
EXT 1333
0;0.1, IKIAIn
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OP OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
I m
:J4VJ"4ff4E6& Z _ff 10 ��� I
ORIGINAL -FILE YELLOWT;ZCTOR
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
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