20040331.pdfDATE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
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EXPIRATION DATE "COE --BY
SJ,ATE LICENSE NUMBER
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PROPERTY TAX ACCOUNT PARCEL NO.
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NEW
191
RESIDENTIAL
PLUMBING I MECH
ADDITION
1:1
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
1:1
MULTIFAMILY
SIGN
REPAIR
FENCE
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GRADING
CYDS
DEMOLISH
TANK
OTHER
GARAGE
RETAINING WALL
ROCKERY
FIRE SPRINKLER
FIRE ALARM
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W NUMBER NUMBER OF
C' OF DWELLING
STORIES UNITS
DESCRIBE WORK TO BE DONE
HEAT SOURCE
GLAZING %
CRITICAL
AREAS
NUMBER
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LOT SLOPE %
PLAN CHECK NO: VESTED DATE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180DAYS
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PERMIT LIMITI 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
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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4 ALI- CLAIMS FOR DAMAGES OFWHATEVER NATURE, ARISING DIRECTIYOR INDIRECHY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
0 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENI OF ANY CITY ORDINANCE
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9 NOR LIMIT IN ANY WAY THE CITY'S ABILITY 10 ENFORCE ANY ORDINANCE PROVISION
PERMIT EXPIRES
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FSE PERMIT
ZONE NUMBER 71)601
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ADDRESS L-1 ��, suiTE/API
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PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
P'I P C, 6 mo r-�r < LID FEE $
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Rw Permit Required
street U se permit Rari'd
EXISTING Inspection Required
PROPOSED sidewalk Required
Underground
REQUIRED DEDICAIION- FT Wiring required
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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EERING REVIEWED
REVIEWED BY
DATE
DATE
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VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
RE 'D - POSTED
SEPA REVIEW SIGN AREA I OYES NO S HEIGHT
COMPLETE ALLOWED , PROPOSED ALLo
PIOPOSED
EXP
LOT COVERAGE REQUIRED SETBACKS (FTJ PROPOSED SETBACKS (FT.)
ALLOWED, PROPOSED FRONT SIDE REAR FROVT R.�IDE WAR,.
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PARKING LOT AREA P REVIEWE B)t DATE J
REQ'D I PRrl)
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REMARKS
I LICTION CODE OCCUPANT
'HECKED BY TYPE.OF GROUP
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SPECIAL INSPECTIQJ�REA OCCUPANT
LOAD
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REQUI13ED [] YE -2 6-c'-1)
REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQg'D
VALUATION
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Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
I Recording Fee
FEE Description FEE
State Surcharge
City Surcharge_
Base Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUfIIORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASIIINGTON RELATING TOtFOR INSPECTION
WORKMEN'S ATION INSURANCE AND RCW IB.27.
507" -- (425)
SIGNATURE AGENn DATE SIGNED
771-0220
Off 1333
ATTENTION
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
09,103 PRESS HARD -YOU ARE MAKING 4 CO
Plan Chk. Deposit I / '�-
Receipt # zl�
Total Amt. Due
1 Receipt -Zqo "5
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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.
:F4et IGNA A DATE
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ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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RFCFIVED jEGAL DESCRIPTIO
J t lo, RIDGEMONT PARK HOMES
APR 13 2004 TOIL. 13 PAGE 34
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pERMIT cOUNTER
41, - ' 1 AX PARCEL
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SILT FENCE 0554900001000
0 U) I 11� 08 IOT COVERAGE
ROPPSED�� - OT 51ZE: 10,281 SF.
1,611 5F.
cf) ADIDTITION Lu 0 X 15TING HOUSE w/ ROOF:
Lu 04 6. 0 0 ROP05ED HOUSE w/ ROOF: 269 5F.
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Lu (.0 1,940 S.F.
PROP05ED + _,,NEW TOTAL COVERAGE:
PAT10k�_:
5 j= t LL1 18.9%
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0 Lu POLE IMPERVIOUS CALCULATIONS.
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UO) 0 HOUSE (EXISTING): 5F.
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cn DRIVEWAY ' /PATIO 4 DECK& 905 5F.
uj (EXIST)
�T 3: C) TOTAL IMPERVIOUS: 2,51 (o S.F.
uj 0 WATER (EXIST) 25.1%
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m = 0 METER HOUSE (PROP05ED TOTAL): 1 1,940 5F.
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EX15TING HOUSE fu DRIVY-WAY/PATIO 4 DECKS:
u� I � ;.m (PROP05ED TOTAL) 1,133 5F.
C.9 8 FLAT LOT -GRADE 18'
BELOW SLAB TOTAL IMPERVIOUS: 3,013 6F.
EXISTING IDLER EXISTING (PROPOSED TOTAL) 29.9%
DECK
R.O.W.
NOTE: Q4Tjq *00 HEIGHT CALCULATIONS:
DOWNSPOUTS TO
5PLA5HE3l_OCK5 (E) DRIVEWAY PROP05ED ADDITION 15 BELOW
EX15TING RIDGE -
15 555L N 10 52' 40,-V4 FLAT LOT -GRADE 18' BELOW SLAB
5.0' 11 .
Sbqo 25' 12"N 11b.42' GENERAL CONTRACTOR
ONNERICONTRA(.-- i Oh I' b HESPONSIBLE FOR
I T1 7 f, -9 V.
&ITE
SCALE -. I' = 20'-0' 0 ;iPMOVIE-00AS NOTEL) 40
BY ENGINEERING
Date:
Roger Marshall
Roger Marshall
24220 1015t Ave. West
24220 101st Ave.
West
Edmonds, Washington 138020
Edmonds, Washington 96020
(206) 542-869(b
(206) 542-8696
CONTACT
ESTATE HOMES DESIGN, INC.
Joe Molina
16300 Mill Greek Blvd. STE. 0121
Mill Creek, Washington 138012
(425) 143-3313
CITY OF EDMONDS
1215TH AVENUE NORTH, EDMONDS, WA98020 - (425) 771-0220 -FAX (425) 771-0221
Website: wwwb.edmondsmams
DEVELOPMENT SERVICES DEPARTMENT
17 C. 1 sc)" Planning - Building * Engineering
GARY HAAKENSON
I MAYOR
September 30, 2004
Roger and Dolores Marshall
24220 101s'Ave W.
Edn-ionds, WA 98020
-mit: 2004-0331
Re: Building Pei
S ite Address: 24220 10 1 Ave W.
Expiration Date: May 5, 2005
-n u
The purpose of this letter is to inform you that the last rei aining inspection on yo r
project is a Final inspection(s). The final inspection(s) determines that there are no
-init file.
outstanding life -safety issues and approval allows tile City to close your pet
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 glazins.,,, weather-stripping, any
Engineering departmerit requirements etc. Of course not all of these things may
specifically apply to your project but it does give You an idea abot. t tile ki ds of things
that must be con-iplete 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 tile work, perillits can be
renewed pi.ioi- 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
pertnit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and call for tile required final inspection(s). Notc: If more than
one department is required to final your project, this is noted oil your Job Card.
Please feel free to contact me at 425-771-0220 if You have any questions.
Sincerely,
91ny Rcadwi�n
Permit Coordinator
JVrel iil)\I)Sl*'s\M as ter Letters\SRwaaniI.trSFR
Incorporated August 11, 1890
Sistpr Citv - Hp.kinan, Janan
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE lrl,, 126 h(011'
la PIxASEr1GN
PLANNING DIVISION DATE
PLrASrSIGN
PROJECT AJA R S: /I Iq 0
SITE ADDRESS ZY 2- 0 40/ Ayr- 1A(
PERMIT# QZ-3-1 _ADB# DATEfNSPECTED 1010.5
DESCRIPTION OF WORK TO BE INSPECTED
-approved plans. Final approval
A field inspection was conducted to determine compliance with
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
El Copy of CONDITIONS given to owner/contractor by inspector
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:ternp:b1dg:fornis:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................... c)
FOUNDATION:
3 - 1� o.%
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
A
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR 6
Cz OCCUPANCY ..................
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