20040239.pdfDATE RECEIVED [PE:R:M�11T EXPIRES
10
USE PERMIT
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CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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MAILING ADDRESS
CITY ZIP
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NAME
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ADDRESS
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NAME
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ADDRESS
CITY ZIP
STATE LICENSE NUMBER
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TELEPHONE
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TELEPHONE
EXPIRATION DATE
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NEW
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
Gj I IjG CYDS
DEMOLISH
TANK
GARAGE
RETAINING WALL
CARPORT
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER
OF
NUMBER OF
DWELLING
STORIES
UNITS
DESCRIBE WORK TO BE DONE
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By
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JOB 17 -7 SUIT APIR
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PLAT NAME/SUBDIVISION No LOT NO.; TLID NO
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LID FEE $
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VALUATION
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Plan Check
SOURCE I GLAZING %
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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.
PERMIT APPLICATION: 180 DAYS
Uj
IL PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
in OAPPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
U)
�j IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL. NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CI1Y 0 DINANCE
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY 10 ENFORCE ANY ORDINANCE PROVISION.-
x
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 COWENSATION INSUF)ANCE AND RCW 18 27.
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
*� G E ?N/i" DATE SIGNED
SIGNAT V-" I
E
Description
FEE
!FE
State Surcharge
City Surcharge
2
Base Fee
Plan Chk. Deposit I / I C
Receipt #
Total Amt. Due
Receipt #
A 0
APPLICATION A VAL
I his application is not a permit until signed by the
Building Official or hisilier Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
�HCIALYS NATURE DATE
P -"' _46
F A 15 1 J) DATE
OTEN'TION t:A 1 1
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR
I,,
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER GOLD - ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
CALL
FOR INSPECTION
(425)
771-0220
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S.E. 114, N.E. 114, SEC. 19, TWP. 27 N., RGE. 4 E., W.M.
rGrNQ.
+ Dmr"G UONUUENT
. SET REBAR & CAP L.S. 130442
FGAL DESCRIPTION
THE LAST 112 FEET Of THE WEST 262 FEET Or THE SOUTH 150
FEET OF THE NORTH 459 FEET Or THE SOUTHEAST OLINITTER OF
THE NORTHEAST QUARTER OF SECTION 19, TOWNSHIP 27 NORTH.
RANGE 4 EAST. W.M.
TOGETHER WITH All EASDOENT FOR WATER PIPE LINE OVER THE
SOUTH 3 FEET OF THE NORIM 354 FEET Or MC CAST 110 FEET
OF THE WEST 150 FEET OF THE SOUTHEAST OLIARTER Or THE
NORDWAST OUARTER OF SECTION 19. TOWNSIOP 27 NORTH. RANGE
4 EAST, W.M.
SITUATE IN FINE COUNTY or SNOHOMISH. STATE Of WASHINGTON.
JRR ENCINEERIIIG. INC.
181509 76TH AVENUE W.. STE. B. LTNN*OOO, WA
911037-4149 V
PH (425) 597-5108. TAX (425) 697-45M
SMI'M 5-15X
BMHLSA= LOCAL AREAS TO 25X
A 95
0: 1011.1 lc�-
C- 106 LOT AFTA'
D- 96.8 5014 Sf
LOT COVERAGE
AVE. GRADE - 101.48
WAX. HEIGHT: i2fi 48 UKU SF (23Z)
ACTUAL HT. 124'.53
GRADING OUAHtM
Prop. Bldg. Pad - 1623 CUT - H55 CY
Prop. Ccoc. Porch - 90 FILL - 31 CY Q
Pr.p. P�t - 971
Total hnp�. - 2684 Sr
BASIS Or 61111IJKLA-D&WIll;
ASSLWED
DAVID G. WEST III ASSOC.
18608 117TH AVE. SE.
SNOHOMISH. WA 98295
ROUND TO RECTANGULAR OR
REDUCER COUPLER TO CONNECT
TO DOWNSPOUTS.
nNISHED GRADE
4* ADS RISER LENG1"
AS REOUIRED
4* ADS 10 4'
,U G
ADAPTER NG
COUP
4' PVC WYE��,,)
4' PVC
I SSMH
RIM= 108.90
I.E.=100.00 (ASSUMED)
30' X 20' JOINT ACCESS
EASEMENT I
N F
0= 1 08,90
1* E*=1 00*00 (ASS
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RIM EL 94.5 6%. 1 jQ 5-
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=9 B= 08.1
qOLl` SICTFExf, S 8W07'24* E GARAGE
PEX MI. ELI 33.7' 0qQ C) , EL,7108 3:
1.5'xl.5' BY 10' Z 4. 1 1 1 — 1�1
I �1 . 12n� 2
RUNOFF SPREADER
SCALE: 1 20'
TRENCH ��r, . N I
�t I - DAYLIGHT CRAWL
or SPACE
cl� BASEMENT
2 in 0 EL.=99.74
NJIN 7
b < V1 1 8,014 S. . U)
148 In III I i j
ZT,
D 'PROVED BY PLANNING
m 4
9 .4 ---- C 1 6
S 89-07-24'
112.001- CO NECT
TO CB
CB, TYPE IL
RIM.'EL 96.0
PRIVATE RbAD
FOUNDATION CB
sy Wt"Fr_s =B
RIM=82.30
I.E.=79.50
4' _P�F. PVC PIPE WITH MIN. 4"
DEPTH 1 1/2- WASHED ROCK ABOVE
AND BELOW. WRAP W/ FILTER FABRIC.
UNDISTURBED EARTH
DOWNSPOUT COLLECTOR—D-EILL
NOI TO SCALE
R CgIvED JRR ENGINEERING, INC.
AR 2 3 200
ARMIT COUNTER
F&MAN
LWIMS
1*
F. HYD - 143' W. & 52' S
OF S.W. COR. SITE
0 BOTTOM OF BSMT. FTG. EL.=98.24
BUILDING PERMIT SITE PLAN
5eft&--j 29, F.Ms -- Gf.— S6 LA "�q
e&1Tf 9L.Ar-4
TAX ACCOUNT,
!T M.
EIL 0 P R I OWNER: MT. SHADOW CONSTRUCTION. INC.
SITE PLAN P.O. BOX 6145
EDMONDS, WA 98026
(425) 745-4823
ENGINEER: JRR Engineering, Inc.
18609 76th Ave. W. Ste. 8, Lynnwood, WA 98037
(425) 697-5108, FAX 697-4506
Lj
4
E. 1/4 COR._//
SEC. 19
03-58C
AXNT "a--
03-58
I
C-1
OF
I
m''.,
PHONE NO. 4254979744 Mar. 15 2004 07:12PM P1
RECEIVED
MAP, 17 2004
§21L -MG-FILZ PERMIT COUNTER
SL 0
Tax account a 1. 36" qs1-1b,db_,o1v.
J94701V I 09:Z o0o 6 2. �38" gsl-lb,d eiv.
sel/4, hel/4, 19-27-4
3. lb=light brown. db=dazk biown.
olv=olive
Type 4 soils, sandy loam,
917'I'my (COPY
NA % sloee
NA Tmcm
NA
NA
Not for septic
ELEVATION LM
1.) Building stub -out
2.) Septic Tank Cutlet inVert-
3.) PLWV Taf* PLAV Plck-w
4.) Transoart lirve highr-st elevatiOn.
5.) Lateral elevation% (sw,4 filtep or wund)
6.) Lateral wieVations (pressure d1stribution orainfield)
&1 02 #3 04 25 46 V . #8
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PHONE NO. : 4254879744
PRELIMINARY
S.E. 114, N.E. 1/4� SEC.
FROM
Mar. 15 2004 07:20PM P1
DRAINAGE PLAN
19, TWP. 27 N., RGE. 4 E., W.M.
MH
RIM= 108.90
I3F5'=10/.'W0 (ASSUMED)
L
30' X 20' JOINT ACCESS
EASFMFNT
F7 c
1 ?2.00 S. W.
�J-
YISTIfl
)G H u
70.42
YARD DI
OETEWM P&E
GRAPHIC SCALF
'0� YARD
CONMOL W*ACT.— 1 2 R A 40 0 vo 40
A 8,014 sq.ft.
LEVEL SWrADER
IN FEET
40 ft.
PAY
C13
oc" t
RIM d "I E. 114 COR
f SE'r- 7 9
F. HYD - 143' W. & 52' S.
OF S.W. COH. SHE
LEGEND:
+ EXISTING MONUMENT
9 SET REBAR & CAP L.S. #,30442
BASIS OF BEARING:
ASSUU170
OWNERIAPPMCANT.
GRE,SORY & KYIZ C;)LLlt;
TEXTUAL DATA.
FXISTINC ZONING, HS-8
PROPOSED ZONING.' HS-8
CROS13 SUBPAISION AREA: 0.39 ACRES (17,137 5.17.)
PROPOSED GRADINr, I.FSS THAN WO C-y
LEGAL DESCRIPTION:
THE EAST 112 FEET OF THE %VEST 262 FEET OF THE SOUTH lb3
-W �' , 'T QUARTER OF
()y A.Y&, FFFT OF THE NORTH 459 rECT OF T14E SOUTHEAS
OoARTFP OF SECTION 19, TOWN�;l 27 NORTH,
THE NOPIHEASI L
HANC;E 4 EAST, W. M.
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