20040053.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
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CITY ZIP TELEPHONE
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NAME
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CITY ZIP TELEPHONE
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ADDRESS
CITY ZIP TELEPHONE
STATE LICENSE NUMBER I&XPIRATION DATE z
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PROPERTY TAX ACCOUNT PARCEL NO.
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❑ NEW RESIDENTIAL ❑ PLUMBING I MECH
ADDITION ❑ COMMERCIAL ❑ COMPLIANCE OR
CHANGE OF USE
❑ REMODEL ❑ MULTIFAMILY ❑ SIGN
FENCE
❑ REPAIR ❑ GRADINGCYDS ❑ ( X FT)
❑ DEMOLISH ❑ TANK ❑ OTHER
❑ GARAGE RETAINING CARPORT ❑ ROCKERY WALL ❑ FIRE ALARM FIRE SPRINKLER
(TYPE OF USE, BUSIN5Z%OR ACTIVITY) EXPLAIN:
"wo NUMBER NUMBER OF
OF L DWELLING
p STORIES UNITS
DESCRIBE WORK TO BE DONE
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HEAT SOURCE GLAZING %
PLAN CHECK NO:
7�3
CRITICAL
AREAS
LOT SLOPE %
VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. 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 PERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: 1 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 AGENI'S FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 1HIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANYWAY 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 COMPENSATION INSURANCE AND RCW 18.27.
SIGN'TURE (OWNEQ OR GE (DATE SIGNED
PERMIT EXPIRES
USE PERMIT
ZONE , NUMBER
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JOB _
ADDRESS
PLAT NAME/SUBDIVISION NO. I LOT NO,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING PROPOSED
REQUIRED DEDICATION FT
METER SIZE ( LINE SIZE NO. OF FIXTURES
SUITE/APT#
"I NIi,
LID FEE $
TESCP Approved ❑
RW Permit Required ❑
Street Use Permit Roq'd ❑
Inspection Required ❑
Sidowalk Required ❑
Underground
Wiring required ❑
PRV REQUIRED
YES ❑ NO ❑
REMARKS
OWNER/CONTRACTOR RESPONSIBLE. FOR EROSION CONTROL/DRAINAGE
ENGINEERING REVIEWED BY
FIRE REVIEWED BY
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DATE
DATE
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VARIANCE OR CU SHORELINE OR ADBI INSPECTION BOND
RE Q POSTED
❑YES NO is
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED gOPOSEDt
EXP >e 2C, r !ESP
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT I
ALLOWED PROPOSED FRONT SIDE REAR r FRONT L/RSIDEr A
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PARKING LOT AREA PLANNING REVIEWED BY DATE 3
REO'D I PROVIDED r f 1 _L�r /'�/'Z3/6 a
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CHECKED BY TYPE OF C NSTRUCTION DD ut uurHn
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SPECIAL INSPECTION AREA OCCUPANT
REQUIRED ❑ YES J LOAD
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D o
VALUATION
$
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscape Insp.
Recording Fee
CALL
FOR INSPECTION
(425)
771 m0220
A17ENTI01 EX 133
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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 CC
FEE I Description I FEE
State Surcharge J
- ~ City Surcharge
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Plan Chk. Deposit all
Receipt #
Total Amt. Due
Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fens are paid, and
receipt is acknowledged in space provided.
FFICI /SIGrN4r( E DATE
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ELE"170 BY /1 QATE i
ORIGINAL - FILE YELLOW " INSPECTC
PINK - OWNER GOLD -ASSESSOR
S GREEN ACCOUNTING
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NOTE;
Height Calcs are V
For verification of hgt, messed up ZONE
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see Planning limit compliance SETBASETBACKS,~,.
eet in street file
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Northwest ms
P.O. 0ox 1:i3"1332 _'
Kent, Washington 9110:15
Go" a. odes
Qyac) cva�.5, 1k7
Nquyen Residence
16340 75-th Pt, W,
Edmonds, Wa, 98026
Scale 1"=20'
SIDE I'
REAR ' '
OTHER DAN
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8' I 24' I 24' I. 59,.
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F CEEIVED
DEC - 9 2003
PE
RMIT COUNTER
Lot Area$ 21,730 Sql •Ptl
Lot Coverage, 2,439 Sql Ft, C11%
Lot Slopel 87.
Tax Parcel # 5131-060-010-00-02
RECEIVED
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COASTFL— 4 MICROFILM
S TRUCTURAL
ENGINEERING, INC.
PO BOX 5629 EVERETT, WA 982W5629 PHONE: (425) 347-8998 FAX: (425) 347-8966 EMAILQWCSE.NET
Date: September 3, 2003
To Northwest Sunrooms
PO Box 1332 {{
Kent, WA 98035 ' z
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Attn: Gary Davis n
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Subject: Nguyen Sunroom
16340 75" PL W.
Edmonds, WA 98026
cm
Dear Mr. Davis: m 0
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At your request WCSE has reviewed the referenced project to determine the implications of adding an approximate
8'x12' sunroom on the upper deck of the existing residence. It is our understanding the residence is located within m
the Meadowdale landslide complex, and as such the native soils are prone to movement. Based on the as -built A -z-i
foundation plan located in the City Edmonds Building Department, and a letter of pile placement verification by c z
Cascade Geotechnical, there are fifty-six (56) 1 &inch diameter auger cast piles supporting the existing residence
and existing decks. The geotechnical report by Cascade Geotechnical dated January 8, 1990 Job No. 896=32G gives N
an allowable bearing load of twenty (20) tons, and a lateral load of five (5) tons per pile. Within the footprint of the
proposed sunroom there are six (6) auger cast piles shown on the foundation plan that would aid in the support of the mn
new sunroom. Based on the allowable loads of the piles and the relative minimal weight of the proposed sunroom, it =
is our opinion the existing foundation is adequate to support the additional loads imposed on the foundations from the m rn_
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sunroom. Cn
If you have any questions, or if we may be of further service, please give us a call. C CDCD
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Thank you,
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Travis McCandless, P.E. z
Engineer —�
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EXPIRES 4 / 13 / 2005
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS
FOUNDATION:
Footing
Wall
Pier/Porch
Retaining Wall .........::
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Slab Insulation .......... " O
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PLUMBING: n
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Underground
Rough -In fD 2
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Commercial Final C m ,
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HEATING: n
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Gas Test .................... m
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Gas Piping C Z
Equipment r =
Commercial Final .......
S: EXTERIOR SHEATHING
NAILING 2
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FRAMING
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FIRST FLOOR FRAMING...
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INSULATION m n
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Floor Insulation .........
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Wall Insulation
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Ceiling Insulation ....... Z
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SHEETROCK NAILING ... _
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SPECIAL INSPECTION ... Z
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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