20030866.pdfDATE
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF Sk INES�
3'T'\ k *AIA ro
MAILING ADDRESS -)
-&M L
CITY ZIP Tf:LEPHQNE
aeflit, 11L0tz\-n1-L6rv%
'To, (:u�
ADDRESS
�Oo\ ) A
Y)
I
I PERMIT EXPIRES -LY-11 IV
PERMIT
NUMBE��'
JOB
SUITE/APT#
ADDRE )r�'
ss 20LS twov�
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
/5
ft:
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
I ESCP Approved
RW Per. R.'.".
Street Use Permit Req'd
Inspection Required
EXISTING — PROPOSED
Sidewalk Required
REQUIRED DEDICATION— FT
Underground
,10virmtir ulted
METER SIZE
LINE SIZE
NO. OFF F09URES
RV REOU RED
it
I
YE�Sg N10 z
I
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE X
i ,
ZIP
TELEPHONE
mll-wr
A:z"I �er�ey- 14?
I k V %'. —
lmot-69
NAME
1� \V1
�X
CBLN
W" 171.610
Le )
w
ADDREbs
ENGINEERING REVIEWED
BY ATE
elk tki (01=-:3
10T
FIRE REVIEWED BY
DATE Lu
ZIP TELEPItONE
IZ
%4.1 yj - V A
STATE LICENSE'NUMBER
%x 6 " I # I Vj qjff�
EXPIRATION DATE D
E
)AT'
VARIANCE OR CU SHORELINE OR ADB11 I INSPECTION I BOND
REQjk POSTED
I
13YES No $
SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
IPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
, 0 25, I
I EXP '751
NEW RESIDENTIAL
I UMS MECH
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR
OMPLI
[3 COMPLIANCE OR
.. r,:,q
[3 ADDITION E] COMMERCIAL . ":' i�":
CHANGE OF USE
27
.3 571% 2-53 91 7-5 10 2- 5' 1 'Vi 4
REMODEL MULTIFAMILY SIGN
PARKING LOT AREA PLANNING REVIEWED BY DATE o,
REQ`D PROVIDED 1,
I
2- 3 13,423#1 2��
0 REPAIR
FENCE
RADING X
09*1lf'4:a CYDS Fn
REMARKS
Rev,,cweoi o" — A!L4e�
DEMOLISH
TANK OTHER
a,. &,mit n-
**9TRAGE
RETAININGWALL FIRE SPRINKLER
1>Waj,%j JAI%.13 h*4�< kf5a
ARPORT
ROCKERY
FIRE ALARM
E OF USE BUSINESS On ACTIVITY) EXPLAIN:
CIVCgD BY ONSTRUCTION OCC P
CM GRO P
NUMBERI
OF
NUMBER OF
WELLING
CRITICAL
AREAS
-1
SPECIAL INSPECTION JAREA OCCUPVANT
LOAD
STORIES
UNITS
NU
REQUIRED 0
YES
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPEC111ONS PER UBC 108/FINAL INSPECTION REaD
lAi A If r
"r Ile e';3:L2L-
kA -A t,-A-,r-
Pit: '5�Mj
19
Ln
;15 14"1 1 1 :4
VALUATION V
P" AG
-7y
00,33LI
1:?70/, o�
r� __
Description
FEE
Description
FEE
4
Plan Check
-706
State SurEcharge
rge
a]
46-:p
H[T S RCE
GLAZ G %
%
b
Building Permit
City Surcharge
k5 —
P'ANCHECK NO:
VESTED DATE
Plumbing
'210
L12 (4
Mechanical
THIS PERMIT AUTHORIZES OZY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I: BE DONE ON PRIVATE PROPEMY ONLY. MY CONSTRUCTION ON THE PUBLIC
Grading
CID
2 DOLWN (CURBS. SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
3
SEPAFtATE PERMISSION.
k:
Engr. Review
PERMIT APPLICATION: 100 DAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS 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
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
IALL
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapelnsp.
Total Amt. Due
9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
2i NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Receipt #
Recording Fee
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 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 V'M WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN V14 I OFTH LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
3L L
I JE
WNF
FOR INSPECTION
'receipt 15 acknowledged in space provided.
Co MPEN I
'#'C�j* COMPEN TION INSURANCE AND RCW 18.27.
t% 4. —2 5) (
0 IC SIG I, D�TE
'f.4
IG E JOW 0 AG
DATE SIGNED
771-0220
4414
?��'3:
- DATE
RaEED BY
A*7177E TION
Off 1333
IT IS U LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
-- -- - 4'7/1)17,
A FI L INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YF'1
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER - GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
I/
z
0
'I
0
M
M
ITI
0
M
M
10
2
0 In
n
RIM
0 fj)
0
0 rn
MO
z
z
0
4
0
M
RW
- - - - - - - - - - - - - -
PVC
t
20G.33'
U,
. -C.4z
. A
IE TYP.
77
Fri—
M7
0
z
'249' 48
KkFF
10, 0
��i .19 0
F
—Wood F e�n c
9
H �ed g �e.t �yp 9
9
S 89022'53" E 9
3 TYPE 1—L Found Rebar &
DP = 205.0 Cap, LS 179 9
STREE
:(N)=l 99.85 Ti f 0 h
A*IU%- 'BY PLANNIPOC.';
-3
Allyn and Carolyn Billings
-.OTION
SS.-
LOTCOVEPA CALC.
LOT AREA= 13,423. 1".5QO
BUILDING 5Q. FT INCLUDING HOU5E9 GARAGEs FRONT
PORCH— 339745- 5Q. ff.
3397.5 /13423.1 25.3%
TOTAL IMPERVIOU5 CALC.
BUILDING 5TRUCTURE A5 NOTED ABOVF=3397.5 5Q. f
DRIVEWAY AREA=2154 5Q. fT.
TOTAL IMPERVIOU5 AREA=5551-5 5Q. f=T.
10
MAX. HEIGHT CALC. PARCEL 11311
A-203.0
B=205.0'
C=209.25'
D 205.25..
AVG.
=525 .5 4=20G.35
MAX. HEIGHT=20G.351 251-231,,35'
ACTUAL RIDGE 231.25'
TOP PLATE @ 225.33
MAIN FLOOR @ 2 1 G.33
M 0% 1 1 L A 9-% r- I &-w. A—%. a-& a A*--. a
Height Calculation/Grading Verification Worksheet
Address: (-9 NIJJ d o0
Permit 4 cog Wa
Date: -3
A.. Datum Point:
B. Datum Point Elevation:
a DIO / -1
C. Average Grade: , 3 6
0 C�'
.3. Maximum Elevation Allowed: a 4��-verage grade) + 25'
.4. Reference Point Elevation Shot to House:
oZOI, 6 (datum elevation) + 1 -63 (grade to transit level line shot to house)
6. Measurements from line shot onto house to roof ridge:
0
71D
Total: 1,C)
a,ion "qmeasurements from
reference point elevation) +
7. Actual Elev t'
# _23� 4
6) = 69-
Conclusion:
n
3 (actual) is greater I ess t iin (allowed); therefore the house is/
E
is not over the height requiremeVpDerl CDC 16.20.30 requirements
LATEWBUILDINGNIMHeight CalculationGrading Verification Workshect.doc
A
a
10
rol-
1J) C. 189 %3
CITY OF EDMONDS
1215TH AVENUE NORTH* EDMONDS, WA98020 & (426) 771-M *FAX (425) 771-Ml
Website: www.d.edmondsma.Us
DEVLLOPMENT SERVICES DEPARTMENT
Planning e Building * Engineering
March 24, 2004
Jim and Wendy Shapiro
18607 Olympic View Dr.
Edmonds, WA 98020
Re: Building Permit: 2003-0866
Site Address: 20223 gVd Ave. W.
Expiration Date: November 7,2004
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 riO
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 inspections
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
renewed prior to expiration for one half fees. If the *permit expires without a final
e required in order to renew the
approval granted by -the Building Inspector, full fees ar
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 d=
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.
Sincerely,
ta JA'
nny Readwin
ey Readwin
Permit Coordinator
L\Ternp\DST,S\master Lcttm\SRwaamLtrSFR
Incorporated August 11, 1890
Sister City - Hekinan, Japan
A,
0
FINAL PROJECT -APPROVAL
TO:
pmtmr cooRDiNATOR, BuIEDING DIvIsION
..FROM: DIPMrf?idM DA14E .....................
z
0
0
m
=i --a
m
0
80
MM
M�
10
Z
0 -n
n
m M
a
0
o
C co)
M Cl)
M 0
Z
X
z
z
9
0
m
miNspEcTED oursTANDING IssuEs GPU�W F24AL PROn= APPROVAL
tool.
I
"ftATE
ft
CITY OF EDMONDS
CONSTRUCTION PERMiT APPLICATION
OWNER NAMEINAME OF B CINES�
3 *A4
MAILING ADDRESS
zip LEPHQNE
NVor, ()ko
Orr, t
E ADDRESS
�lp LEPH E
Tf I
CA -1 ^A
ADDRE&S
ISO—) amm�Lvl yj' or,
QUY ZIP
STATE LICENSE NUMBER El
0
PROPERTY TAX ACCO PARCEL N
obson oblao
to= NEW RESIDENTIAL
ADDITION COMMERCIAL
REMODEL MU I.TIFAMILY
FIERAIR CYDS
DEMOLISH 0 TANK
NfZfrAGE
AR o RETAININGWALL
ARPORT ROCKERY
USI\ESS Or EXPLAIN:
.IrAE USEC QV
M1 I ,
;1I\ IV NIN. sk
NUMBEF1 NUMBER OF
OF T DWELLING
STORIES UNITS
DESCRIBE WORK TO BE DONE
V
e2 00'elm
m
HPAT SOURCE ALAZIN
PLANCHECKNO: ._h2
CBL N
[PERM11T EXPIRES
USE Z" PERMIT
ZONE NUMBEk—_��j
JOB SUITE/APT#
ADDRESS jo) S �'p bVt. W%
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
/3
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW P*mdt Required
Street Use Permit Rsq'd
InspecUon Required
EXISTING — PROPOSED
Sidewalk Required
REQUIRED DEDICATION— FT
Underomw
wiring required
METER SIZE
LINE SIZE
NO. OE Fl URES
PRV REQUIRED
3/All
E NO z
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
Weyt, (W r4&VtG-0
ENGINEERING REVIEWED BY ATE
FIRE REVIEWED BY DATE
W
0
Ir
11 1 1.
ON'D'
E
AT'
I ION DATE
q1D
VARIANCE OR CU
I
SHORELINE OR ADBO I INSPECTION I BOND
REO'D POSTED
13YES IKO S
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
PROPOSE
ALLOWED D
EXP ,
,
UMBING MECH
UMS
rl COMPLIANCE OR
r.: , �,;,:
U CHANGE OF USE
LOT COVERAGE
ALLOWED PROPOSED
ft
354% Z5 3
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
- 5 10 .2,7
PROPOSED SETBAC S (FT)
REA
FRONT R
LIR SIDE f
77 .'0/14
SIGN
o FENCE
( X FT)
0 OTHER
PARKING I LOT AREA PLANNING REVIEWED BY DATE
REQ`D I PROVIDED
2— 3 113,1423,1 11 1�031
REMARKS
Ree�gWAA a& OA9 -&4n;* — 1W Ij
FIRE SPRINKLER
FIRE ALARM
Dw ejj,v.4 Lho%,)j
fw
40foy-029 -
CUCKED BY JTYPEOF VONSTRUCTION Gm UUU I ) I I
/. 'm GRO
pp� ThV my[
CRITICAL
AREAS SPECIAL INSPECTION JAREA OCCUPANf f
N REQUIRED [3YES LOAD
F,M REMARKS
V', AV*. PROGRESS INSPECTIONS -PER UBC 1081FINAL INSPECTION REaD
VESTED DATE
21 amwmm�
THIS PERMIT AUTHORIZIES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBILIC
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPUCATION: 180 DAYS
PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPUCANT. 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 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 HERESY A WILED 'E THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
C AN D T
I E To C
R
BY 7
GIVEN Is C RRE" AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNE I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
YN
T ON.
ION; AN E WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
I Via 1 '0 L RELATING TO
IN VIO I 'OF TH LABOR CODE OF THE STATE OF WASHINGTON
.t
W NStCOMPEN N INSURANCE AND RCW 18.27.
10 E 0 A
VALUATION
sq&3,33LI
Vj tw
Description
FEE
Description
FEE
Plan Check
0 'State
Surcharge
Building Permit
City Surcharge
Plumbing
Mechanical
I D
Grading
Engr. Review
1*2 e2
Lj
Engr. Inspection
Fire Review
Plan.Chk. Deposit
Fire Inspection
Receipt #
Landsc, ape Insp.
Total'Amt. Duo
Record ing Fee
Receipt #
CALL
FOR INSPECTION
1A
k6*25)
771-0220
EXT 13133
APPLICATION APPROVAL
This application Is not a permit until signed by the
Building otticiai or hioar Deputy: and Fees are paid, and
!ecelpt Is acknowledged In space Provided.
offic, SIG k j D�AT E
:=I I � � -1-6 /T 3--
A
REItfiSED BY DATE
I e W,&4 A 1111 hn
IT IS UAL4FUL 1-0 USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FIf4AL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW- IdSPECTOR\
CATE OF (XCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR
04/02 GREEN - ACCOUNTING
PRESS HARD -YOU ARE MAKING 5 COPIES
z
9
0
M
--I -n
55 �
M
M
0
80
ITI
M z
o -n
,n
3�
M M
0
Fn
M 0,
z
(40
z
9
0
M