20040057.pdfI
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DATE RECEIVED
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CITY OF EDMONDS Z
CONSTRUCTION PERMIT APPLICATION i
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OWNER NAME/NAMe-9FB0ffftM
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STATE LICENSE NUMBER EXPIRATION DATE
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CHECKE BY
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PROPERTY TAX ACCOUNT PARCEL.NO.
40 0"840
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NEW RESIDENTIAL 20�FLUMBING / MECH
Dq ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
REMODEL MULTIFAMILY SIGN
REPAIR G DING FENCE
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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.
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PERMIT APPLICATION: 180 DAYS
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PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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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 PERM11 SHALL NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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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
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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
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SIGNATLIRE (9WhqF1-6fl AGfVT)
DATE SIGNED
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DDRESS
PLAT NAME/SUBDIVISION NO.
PERMIT EXPIRES
PERMIT
NUMBER 7
1 SUITE/APT#
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I LOT NO,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— Fr
METER SIZE I LINE SIZE I NO. OF FIX
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LID NO.
LID FEE $
TESCP Approved
RW Permit Required
E3
Street Use Permit Heq'd
[3
InspecliGn Required
13
Sidewalk Required
13
Underground
Wiring required
E3
PRV REQUIRED
YES C3 NO 10'
1EMARKS
DWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
:NGINEERING REVIEWED BY DATE
=IRE REVIEWED BY DATE
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PROPOSED SETBACKS (FT.)
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SPECIAL INSF`E!711( EA OCCUPANT
REQUIRED [:] YES '4el- LOAD
1EMARKS
3ROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
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VALUATION
$ 1-7 A z)
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
FEE I Description I FEE
'27 State Surcharge
City Surcharge
Plan Chk. Deposit z
Receipt #
Total Amt. Due
Receipt 0
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/tier Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
;FICIAP$,$IGNAT
AF DATE
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A17ENTION EXT 1333 L
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 1�j
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
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ORIGINAL - FILE - YELLOW INSPECTO
PINK - OWNER - GOLD - SSESSOR
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OWNER/ PROJECT ADDRESS:
SCOPROF PROJECT: NEW 450 SQ. FT. UPPER STORY ADDITION.
GRADING: NONE
NO MAIN FLOOR ADDITIONAL SPACE.
EMOKEROCK
1531 16M PLACE NORTH
RE ROOF ENTIRE RESIDENCE.
CONTACT DURING PERMIT PHASE:
EDMONDS 98026 1� - 12-1
ZONE: RS-12
KRISTIN HANSON
HANSON DESIGN
425- 776-2798 home
652 ALDERSTREET
206 — 794 — 2920 cell
LOT SIZE: 751 x 1901 = 14,250 SQ. Yr.
EDMONDS 98020
TAX No: 132703 4 0840 002
LOT COVERAGE:
VaSTING HOUSE,GARAGE, DECK: 2492 SQ-'FT. 17.4%
425 774-7129 425 771-3152 FAX
hansondesignAbotmaii.com
NO CHANGE.
LEGAL: NE CORNER OF SW/4 OF SE "A THEN 89 47 OOW
595.58 THEN S 38 34 00 W 66.71 TO TPB THEN
IMPERVIOUS: PRE-1970 HOUSE (BUILT 1951) 1,974. SQ Fr
S38 34 00 W 751 THEN 5102 OOE 189.361 TO
GARAGE 664.5
CENTERLINE OF 2ND STREET THEN 38 34 00 E 751
THEN N 5102 OOW 189361 TO TPB. I
POST 1957 DECK 705.
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RECEIVED
DEC 0 12003
PERMIT COUNTER
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SETBACKS:
FRONT-26"
SIDE
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OTHER
HEIGHT —25'
.SITE PLAN 1,Y) = 20') 0'"
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APPROVED BY PLAN G
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Height Calculation/Grading Verification Worksheet
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Address: Permit#: U'13
Date:
A. Datum Point: (V�
B. Datum Point Elevation:
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average cyrade) 25'
3. Maximum Elevation Allowed:
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4. Reference Point Elevation Shot to House: 0
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6. Measurements from line shot onto house to roof ridoe:
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Total
7. Actual Elevation: I 6S o (reference point elevation) + 4easurements from
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Conclusion:
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is not over the height requirement per ECDC 16.20.30 requirements
LATEMMUILDINGWISMeight CaICUlationGrading Verification Workshect.doc
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment.................
Commerrinl Final .......
EXTPERIOR A'THING
NAILING..........................
FRAMING ........................
FIRST FLOOR FRAM�I�G...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ... pd
SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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