20040111.pdfDATE RECE E
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PERMIT EXPIRES
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JOB
ADDRESS
SUITE/APT#
AME/SUBDWISION NO.
0,C)
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
Street Use Permit Roq'd
EXISTING - PROPOSED
inspection Required
REQUIRED DEDICATION FT
Sidewalk Required
Underground
Wiring
required
METER SIZE
LINE SIZE
NO. OF
PAV PEOUIRED
IA "
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, (YURES
I YESV NO 13
REMARks
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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NAME
-tNGINEERING REVIEWED BY
ADnSS
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aL IFIRE REVIEWED BY
CITY t ZIP qj TEREPHONE
STATE LICENSE NUMBER
TAX ACQOUNT PARCEL NO.
EXPIRATION DATE
NEW
RESIDENTIAL
r__j
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING
a �� CYDS
DEMOLISH
TANK
?4qVAARAGE
RETAINING WALL
L-ult,
CARPORT
ROCKERY
(TYPE OF USE. BUSINEA ql�, ACTIVITY) EXPLAIN
W
w NUMBER NUMBER OF
13 OF DWELLING
0 STORIES
f S UNITS
DESCRIBE WORK TO BE DONE
e 17
4,3 4.
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( X FT)
OTHER
FIRE SPRINKLER
FIRE ALARM
CRITICAL
AREAS
NUMBER.
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VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
REqDe POSTED
DYES ANO 1$
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
EXP....,. i��] I 2�jl- 3 /
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FF.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR
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IfARKING LOT AREA I PLANNING REVIEWED BY 'DATE 5
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REQ'D I PROVIDED
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OCCUPAT :5
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SPECIAL INSPECTION
REQUIREDE] YES
JAREA
OCCUPANT
LOAD
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REMARKS
PROGRESS INSPECTIONS PER UEIC 108/FINAL INSPECTION REQ'D
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VALUATION
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Description
Plan Check
HEAT SOUBCE
LAZING %
LOT SLOPE w
Building Permit
PLAN CHECK NO: n-a,_
VESTED DATE
Plumbing
Mechanical
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.
Grading
Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
�5
'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 AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIF'� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABIL11Y TO ENFORCE ANY ORDINANCE PROVISION."
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCATION; 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 TIIEREBN� NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING T
WORKMEN'S CO��NSATION INSURANCE AND RCW 18 27.
CALL
FOR INSPECTIO
(425)--
SI�G�NATUNER AGEU3�
V/
DATE SIGN D
-1 7
FEE
Description
FEE
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State Surcharge
City Surcharge
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Plan Clik. Deposit
Receipt #
Total Amt. Due
Receipt #
APPLICATION APPR VAL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged In space provided.
OFFICIALS SIGNATURE . DATE,
771-022
E)Cr 1
1
I
LE AS
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING
OR STRUCTURE N 6__
A FINAL INSPECTION
CATE OF OCCUPANCY
HAS BEEN MADE AND APPROVAL
HAS BEEN GRANTED. UBC
OR A CERTIFI-
SECTION 109
04/02
PRESS
HARD -YOU ARE
MAKING 5 COPIES
(q- 1 11"
ORIGINAL -FILE YEI I OW IN PF_ OR
PINK - OWNER GOLD - ASSESSOR &
GREEN - ACCOUNTING
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171
SCALE I" = 20'
IMPERVIOUS SURFACE CALCS
PROPOSED BUILDING ROOF OUTLINE.' 1,930 S.F
PROPOSED PATIO: 12 S.F.
PROPOSED GARAGE (INCLUDED IN ROOF OUTLINE)
PROPOSED DRIVEWAY: 754 S.F.
PROPOSED PORCH: 172 S. F.
7.5'
HEIGHT CALCS
A= 121.7'
B= 122.8'
C= 123.9
D= 122.8
AVG. GRADE= 122.8'
+25.0'
MAXIMUA4=147-8'
LOT COVERAGE: 2,868 S.F. (30%)
LOT AREA: 9309 S.F.
LOT SLOPE: 4%
TAX ACCOUNT PARCEL
27041900209900
rlo
to
J'x4'
CONC. PATD\ N89*28'50"W
12 S. F. 83.11'
122.8
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122.8
.-CONC. DRKIY.
'55Q S. F.
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1204 S.F. ADDITIONAL
ASPHALT
EX. HSE
121.7' 1
PROPOSED RESIDENCE
122--W4 S.F. (1ST FLOOR)
1, 1 �f-S.fq (2ND FLOOR)
PROPOSED DECK
172 S. F.
PROPOSED
GARAGE
506 S.F.
123.9
APPROVED BY PLANN'
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ACCESS &11 UTIL. ESM
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DATUM PT
TOP SS MANHOLE COVER
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PLOT PLAN
RON MANDEL
PEWiff C;()ljl,4'T'ER, o LOT 1, EDMONDS SHORT PLAT AUDITOR'S FILE NO. 200306275002
SNOHOMISH COUNTY, WASHINGTON.
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SCALE 1" = 20' 3x4'
CONC. PAD N89*28'50"W
APPROVED AS NOTED 12 S. F. 83.11'
BY ENGINEERING
121. 122.8
-�7,j 12 1.
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GRADING CA7LC7S77�] PROPOSED RESIDENCE
FFL 122.8 122 - _FF= 122.8
AVERAGE GRADE 122.8 7
LOWEST FOOTING 119, CRAWL SPXCE
AVERAGE CUT 3 - - - -LOWEST- 763TING PROPOSED
ELEV= 119. 8 GARAGE
Z5, 506 S.F.
FIN. SLAB
HOUSE INCL. OVERDIG 2,332 S.F. PROPOSED DECK EL= 121.8
2,332 S. F. x 3.0'= 172 SX. 123.9
rolo
6,996 C.F.127 D
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122.8
411
WATER & SEWER
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INSPECTIONS REQ'D. of of -Co DRwy,
1, 50 S. F.
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LOT COVERft&-44;gtW2§WW3&Wj ku
LOT AREA: 9309 S.F. 4
1204 S.F. ADDITIONAL
ASPHALT
LOT SLOPE: 4Y.
EX. HS
-TAX ACCOUNT PARCEL
2704AlC?O OqGHTLINE 'i,
MATERIAL ell
FOOTINO E RAINS NOT
SDR 35
TO tE I IED INTO 'o
SCH 40 DETENTI SYSTEM
N - 12
F810 HANCOR
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ACCESS &,I UTIL. ESM'T Ij
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4?1 -DING PLAN
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FEB
PERMIT COUNTER RON MANDEL
tl 10 1 k. LOT 1, EDMONDS SHORT PLAT AUDITOR'S FILE NO. 200306275002
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STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNER CALC BY:
ADDPMS A LE PHONE:
DATE: 12-11-5-10
*****DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
DOTENTION PIPE LENGTH LOCKING LID
XTYPIM)
FNSHED GP� I
_LL MINIHM
I *AT&L%W0C6 Or
TIGHTL E46m,
.5X TO 1% SLOPE CONC BOX OR RISER
TLET CMTF40L
T
$iINLI
Lj
UPPER CATCH BASIN .0RIFICE
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
2*XR'X6*.DEEP, 4-6' SPALLS OR EGUAL
FR13M CDNTR13L CD 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK ISTING GRADE
I I J _1 ---- Trjr_P__
rROM CONTROL FAJTLET 61 '1 '"'W" 1
OUTFIPI T11T MIN I(r L&a
PER IPE TO LEvrL
PERF PIPE W/ END CAP$
"R L
PR50'A"TOMPLAC&LiNg VASHED"IMIN ROCK
amup ounur
RUNOFF SPREADER. TRENCH
FOOTING DRMNS SHALL NOT -BE CONNECTED 710 MENTION SYS7EM
NOTES:
1. Call Engineering Division (771-MO) for a tightline and detention system inspectioa A?o'yl n
beffire backfilling and for final inspections. APPROVED BY
2, Responsibility for operation and mamtenance of dminage system on private property is the
ibility of the property owner. Material accumulated in the -storage pipe must be flushed
responsi
out and removed from the catch basins to allow proper operation. The outlet control orifice DATE
must be kent omn at all times.
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Table 1 — Detention Pipe Sizes
Impermeable
Required
Pipe Diameter
Area Sq. Ft
Vol Cu Ft
8
15, 183 24.
/
30;
2000
50
40 28 16
10
2500
62
50 35 20
13
3000
75
60 42 24
15 Required pipe
3500
87
70 -49 --28
length In feet
4000
100
80 56 32
4500
112
90 63 36
5000
125
100 70 40
24
Note: Allowable Pipe Materials:
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N — 12 ADS (Not permitted on roads)
II Table 2 — Outlet Orifice Sizes I
Impermeable
Area Sq. Ft
U . "$sf"
Outlet Orifice Diameter (Inches)
5/8
5/8
# 3
7/8
8
7/8
Table 3 — Rectangular Catch Basin Requirements
Detention
Max. size Catch Basin
pip . e diameter
knockout Type
< 186
T el C
18, to 24,
CB 16
24" to 360
36! a I
360 to 42'
42N Type 11, as n
*Source: Assoc. Sand & Gravel Co. Standards
5
Revised 3/16/95
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GARY HAAKENSON
T'r \1 n 1: T: T-) M (-) N n q MAYOR
%_1
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 * FAX (425) 771-0221
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
I ; * M.;Irjin 9 Pnrfineerina
C.
Junell,2004
Attn: Ron Mandel
20029 88th Ave W
Edmonds, WA 98026
Building Permit: 2004-0111
Site Address: 20029 88th Ave W
Expiration Date: 2/9/05
Dear Ron Mandel:
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 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
renewedprior to expiration for one half fees. If the permit expires without a final
approval granted by the Building Inspector, 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.
Sincerely,
T.
Permit Coor i ato
0 Incorporated August 11, 1890
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Height Calculation Worksheet
Address: LJ
Date:
Inspector(s): vl/--).
1. Datum Point:
2. Datum Point Elevation:
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3. Avenige Grade:
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.4.. Maximum Elevation Allowed: I D4 - erAg6giade)".25"
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5. Reference Point Elevation Shot to House:
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.6. Measurements from line shot onto house to roof xidge:'
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Total:
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7. Actual Elevation.4 (reference point elevation) + (measurements
from #6) 1-7:6 2
Conclusion:
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(actual) is great "essth 1"17 U',-' (allowed); therefore the house is/
is not over the height requir:men�per IECDC 16.20.30 requirements
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
'PLEASE SIGN
�NGINE-ERING DIVISION DATE 10
z/
PLANNING DIVISION DATE
PLWESIGN
PROJECT
SITE ADDRESS (0 41? A V6
PERMIT #A)�_�ADB# DATE INSPECTED lalZ,5
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DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tenip:b1dg:f6rms:ocaprv1 3/25/04
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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 ................. s
Equipment.................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING ........................ P?
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ... 01!1a 7
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
SiclesewerV_ qaLle�,
Aniout re'd,
Dateh-Su"
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