20040172.pdfDATE 13ECEIVED [PERMIT EXPIRES
USE
ZON PERMIT
CITY OF EDMONDS E NUMBER )17
JOB SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS In � ?
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
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CITY
NAME
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ADDRESS
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STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY
i-Dry1c, A C.,;..)6 CP (0 F-3131 V2__3b_)51 QP4_1
PROPERTY TAX ACCOUNT PARCEL NO
NEW
RESIDENTIAL
11
ADDITION
E] COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING
P CYDS
DEMOLISH
TANK
GARAGE
E]
RETAINING WALL
CARPORT
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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tu NUMBER NUMBER OF
DWELLING
0 UNITS
DESCRIBE WORK TO BE DONE 45; ll-po - y,
+? (--% V! tk
PLAN CHECK NO:
Uk
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
E:]FENCE
( X Fr,
OTHER
FIRE SPRINKLER
FIRE ALARM
CRITICAL V
AREAS
NUMBER
12)_ 01`1(
LOT 5k-9PE %
72 At-)
VESTED DATE
11.2i
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
S EPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
IL PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
M IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
CC
< ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECrLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 1HIS PERMIT SHALL NOT BE
_j DEEMED TO MODIFN� WAIVE OR REDUCE ANY REOUIREMENI OF ANY CITY ORDINANCE
2 NOR LIMIT IN ANY WAY THE CITYS ABIL11Y 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 AGEN1 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 1827.
S113 RE ( WNER OR4ENT) DATE SIGNED
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PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved
RW Permit Required
street Usir Permit H0q'd
EXISTING PROPOSED Inspection Required
Sidewalk Required 131-
Underground
REQUIRED DEDICATION FT Wiring required X
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
IV& � YE NO
It I I -_ Z6 I Sex
RE KAR�S
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
[)I, ,O� I . e, � �— ,, , ., - r. , — — . 1. 1-
0
i )NGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE
VARIANCE OR CU SHORELINE OR ADBI I INSPECTION I BOND
REO'D POSTED
11YES IRNO IS
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED
EXP I ->�� :1?. C; 9,5
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT REAR FRONT L/R SIDE REAR
7. (..'-7,
PARKING LOT AREA PLA14NING REVIEWED BY bATE
REQ'D I PRO I )ED
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jiO4L46 "11 7/c
REMARKS
CHECKED BY I TYPE OF 0 CTION
_9?tjSjRU CQDE OCCUPANTR,3
<,4A,f 7->H2— I Cj —1 GROUP
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9PECIAL INSPECTION JARE�l IIIA@Q
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REQUIRED [3 YES Liz
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REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D F3
VALUATION I U11 Lill
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DescriDtion FEE
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
C, "I K
��S;D
CALL
FOR INSPECTION
(425)
771-0220
Description
State Surcharge
City Surcharge
FEE
Plan Chk. Deposit I.1,4,Z,13
Receipt #
Total Amt. Due
Receipt #
APPLIEA'TION APPROVAL
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 Sl NATURE DATE
P.40 ` _21- *h .
V1, )
-3
RELEA4 BY/ DATE t
A17ENTION EXT 13
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 ICOES
7�
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
GREEN - ACCOUNTING
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FROM : Zavair-s DesignS FAX NO.—' 2063622992
ZAVALES DESIGN ASSOCIATF-8
P.O. BOX SS612
ZD SHORELINE, WA 98156
206-362-2992
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Rpr. 2v ?JJIN k3'3.e.Lrl'l r-r
LOT COVERAGE
I
L-v I jnrNr.� a C.-"W.w w- F -
HOUSE & DECKS= 2D24 S.F.
COVERAGE:
2024/12448.8- 16.3%
IMPERVIOUS
SURFACES_
HOUSE & EAVES= 2236 S.F.
DfUVEWAY & WALKS= 495 S.F
TOTAL= 2731 S.F.
LEGAL DESCRIPTION
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TRACT 4, BLOCK I
SEE ATTACHMENT
TOM -CAT CO.NSTR-
iml DAYTON PL N.
SHOREUNE, WA98133
(206)730-1096
PLAN 2851
SITE PLAN
SCALE 1 "=20'-O"
HEIGH I L;ALL;,).
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12CIO9.00
5w101-00
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Ar,-rUAL 127-5b
loo R C:EIVED
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vv\u vv"-w�k'- FEB - 2 2004
PERMIT COUNTER
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RECEIVED
ZAVALES DESIGN ASSOCIATES FEB 12 20M
ZDAP.O. BOX 55512
SHORELINE, WA 98155 PENT COUNTER
206-362-2992
N 88019'30" W 76.60' ALL EXPOSED SURFACES TO APPRO q�IINOTED
IN 2 DAYS BY ENGINEERING
Date:
LOT COVERAGE
ACCEPTABLE TIGHTLINE SIDE NT5 LOT AREA= 12448.8 S.F.
MATERIAL vt.%fM 1 11 10f*40.USE & DECKS= 2024 S.F.
SDR 35. epl LA COVERAGE:
SCH 40
L"'k 2024/12448,8= 16.3%
iANC
IMPERVIOUS
co &I vr&H SL 11 2;.co
CNI
0)
N
cf� Ito@ -0, HOUSE & EAVES= 2236 S.F.
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JE DRIVEWAY & WALKS= 495 S.F
w TOTAL= 2731 S.F.
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16361 DAYTON PL. N.
3 4
o PORELINE, WA98133
06) 730-1096
La nP LAN 2851
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SITE PLAN
SCALE V=20'4-
MAXI jo N 88019'30" W 76,73' wm loliaLl, PdP.Ri&f -OUT19'r
ALLO ve PAW$ ING DRAINS NOT ft4> f5p- e_m srgp-
0 / -To I I t
w k BE TIED INTO
e- A to, 5 t 5T. SA D ENTION SYSTEM
IV — _ 1, -- CONTRACT OLYMPIC VIEW
WATER/SEWER DISTRICT
FFRE Aiv,.'D AID ADDRESS SIGN REQUIRED 207-03
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DeTENTION PIPE LENGTH LOCKM LID
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'INISHED
MINIMUM- -rop
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ENRO40
9-7. ig'2- M E ATUNR I%
TIGHTLI Ic
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----TO OUTLET
OUTLET CONTROL
FOOTING DRAINS NOT
TO 13E TIED INTO
DETENTION SYSTEM MINI
UPPER CATCH BASIN ,ORIFICE
cz? 4-12 r -�r
ACCEPTABLE TIGHTLINE CONTROL CATCH BASIN
MATERIAL
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SCH 40
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Sysr.IpEm CiAl-Toss SECTION
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APPROVED AS Numb
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BY ENGINEERING
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2"X6".DEEP, 4-6' SPALLS OR EOUAL Date: -.Z
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LINE OF
ZAVALES DESIGN ASSOCIATES RE:ce:jvj� 0
LDAP;O. BOX 56512
. SHORELINE, WA 98155 2 2004
C
p COUNTEll
206-362-2992
N\)
APPRO S NOTED
BY ENGINEERING
Date: (3,�t
LOT COVERAGE
NTS
-
LOT AREA= 12448'.87 S.F.
HOUSE & DECKS= 2024 S.F.
COVERAGE:
fb24/12448.8= 16.3%
IMPERVIOUS
SURFACES
—
HOUSE & EAVES= 2236 S.F.
'DRIVEWAY & WALKS= 495 S.F
TOTAL= 2731 S.F.
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LEGALDESCRIPTiON
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TRACT 4, BLOCK 1
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SEE ATTACHMENT
TO-M-CAT CONSTR.
18361 DAYTON PL. N.
SHORELINE, WA98133
\0 121
(206) 730-1096
PLAN 2851
-A
PLAN
"All
-SITE
SCALE T'=20'-O"
HEIGHT CALCS.
OF "WIMLAM A)BOA'DDRESS SIGN REQUIRED b
A=10550
�25(oth 5T. SA. 13=101..Oo -.0-.405.00
C 7RAVE=102 6+25=121.56
FlllG'),T--0'7-7..'AY CONS)"00TV1 FElrVPN\/E- .5
1" 0 ACTUAL 12-1-56
AN) 1'.11IFE1710,4 RIQ'-Il �4AX. 12715C?
100
gov
VATUM r7& 207-03
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UPPER CATCH BASIN GRIFICE
CONTROL CATCH BASIN
P
SYSTEM CROSS SECTION
2'X2'X6' DEEP, 4-6- SPALLS OR EOUAL
FROM CONTR13L CB 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK kl�" XISTING GRADE
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
cc:,0<1--xv--t-�OhJ CALC ]BY:
OW10R
PHONE: Z 04:' ZZ5- 1 5 5 Q
ADDPX,SS
�e. DATE:
*****DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFIC.E
26 70. 0 4Z
DLTENTIODNI PIPE �LENGTH LOCKING LID
m STY ICAL)
MITNIMUM
r
MINIMUM
FINISHED G
MiATuRR"ROffop or
TIGHTLI COW BOX OR RISER
7 To r
SLOPE
I n rNITLrT
.ET CONTROL
RF-CEIVED
NOV 2? 12003
0EVELOPMENT SERVICES CTR,
CITY OF EDNIONDS
; I --kLz;;;y i,
FROM CONTROL OUTLET WASHED RO&
OUTFLOW TRENW MIN 10' LdNG.
PERF PIPE TO LEVEL
PERF PIPE W/ END CAPS
IR NCH SHALL BE LINEF WITH I RAF
PRIOR TO PLACEMEN 11 WASHE14D DRAIN ROCK
RIPRAP OUTLET
RUNOFF SPREADER. TRENCH
FOOTING DRMNS SMLL NOT BE CONNECTED 70 DETENTION SYSTEM
NOTES:
1. call Engineering Division (771-0220) for a tightline and detention system inspection
before backfilling and for final inspections.
2, Responsibility for operation and maintenance of drainage systems on private . property is the
responsibility of the property owner. Material accumulated in the.storage, pipe must be flushed
out and removed from the catch basins to allow proper operation. The outlet control Orifice
must be kept open at all times. A
APPROVED BY
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Height Calculation Worksheet
Address:
Date: 4. -,i�> o-�-
hispector(s):
1. Datum Point: mc
2. Datum Point Elevation:
3. Average Grade: 4 14S L9 —
.4. Maximum Elevation Allowed:
(averagdgiade)' '25"-
5. Reference Point Elevation Shot to House:
joi.q., (datum elevation)+' (grade to transit level lineshotto house)
6. Measurements from line shot onto house to roof ridge:
U�7
—7,
Total : D 3 - S (6
7. Actual Elevation: S'(reference point elevation, LE-S (measurements
from#6)=
Conclusion:
(actual) is greater /(�es�s7t'�n (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE -
PLEASE SIGN
��NGINEERING DIVISION DAT
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT 5=-,
SITE ADDRESS9602 Z-31 L.Aw /J.
PERMIT _7Z ADB#_____________PATE INSPECTED �Z�
DESCRIPTION OF WORK TO BE INSPECTED 6-10L
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORNL4NCE RONDS and the granting of:
A GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
o Copy of CONDITIONS given to owner/contractor by inspector
1
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
ocaprvl.doc.l:temp:bldg:forrnsIO/OI
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................... 7s
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
M
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping ................. 5, YY7 -0 4�
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................ /4
C'40&e- 196vo FIRST FLOOR FRAMING ... qW,
INSULATION ...................
4-0v
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
SideSeNver#-
Aviout Pdd T."eccipt
D Issue
ate ircs_____.—
Water Meter&'5jz,2%
AMOUntWa Receipt
DateftrChnSed
ir.ONV 0
Arnount Paid Receipt
D ^4 Ires
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