20040375.pdfN
DATE RECEIVED
PERMIT EXPIRES
:S
USE Ps IT
/ z PERM -Z 7-
CITY OF EDMONDS ZONE NUMBER
JOB SUITEIAPToV
-CONSTRUCTION PERMIT APPLICATION ADDRESS
OWNER NAME/NAME OF BUSINESS
CA1(� 2, o rz,�-v U 6)�je, PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
C1 MAILING ADDRESS LID FEE $
uj
z TESCP Approved E3
lit
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP FIW Pormit Required C3
0 1 Street Use Permit Roq*(l 13
CITY ZIP TELEPHONE EXISTING PROPOSED inspection Required ;13:�-
1 REQUIRED DEDICATION F Sidirwalk Required 13
Ilrb T Underground
I'liv, N-f wiring friquirad
M11 13
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES NO z
z
Lit
ADDRESS REMARKS z
OWNER/CONTRACIOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 5
z
Avr, - .-I i q 4V 6AAED I &A PERM 16V S
CITY ZIP TELEPHONE
NAME CBL#
5M/ -0 E14GINEERING REVIEWED BY DATE
CC ADDRESS C
0
FIRE REVIEWED BY DATE LU
CITY ZIP TELEPHONE 5
0 U.
I VARIANCE OR CU SHORELINE OR ADS#_ INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY ------ REO'D - POSTED
I OYES KNO 11
SEPA REVIEW SIGN AREA HEIGHT
PRO TX -AX CVK7� AARCEL No. COMPLETE E E ALLOWED PROPOSED ALLOWED , PROIIIE�_
.) "/ z EXP -7
w
n, z -D (a I/)
El NEW EVRESIDENTIAL PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE REAR FROV LJR.SIDE VEAR f/ C3
COMPLIANCE OR 0 z
[2/`ADDITION COMMERCIAL 3svo W+ 5d, Iq
E] El CHANGE OF USE z
PARKING LOT AREA P NING REVIE; Y DATE
El/REMODEL 1:1 MULTIFAMILY M SIGN RMID I OVOED If
REPAIR GR� n FENCE T�k por-17— 13,�Sql 1 �A)
Dg�) CYDS X FT) REMARKS
OTHER
DEMOLISH TANK 13
GARAGE RETAINING WALL FIRE SPRINKLER
z CARPORT ROCKERY FIRE ALARM
�z (TYPE OF USE, BUSINES CTIVI E PLAIN:
rL 11� I CHECKED BY ITYPE �jqppSTRUCTION CODE OCCUPANT
CC P.41 e 1A GROUP
in OF CRITICALa IV 9
11.1 NUMBER -6. N6MBER
0 DWELLING AREAS SPECIAL INSPECTION JAI
rn f- := 370 OCCUPANT
UNITS REQUIRED [] LOAD
YES
DES( DONE
REMARKS
z
PROGRESS INSPECTIONS PER UBC 1108/F1411ANSPECTION REQ'D
,t'�DLNI-rk 61%-J-5 �je-w A_Tj 0 __-,:
hi;�Jvr - d�a. M
V viff
VALUATION
-3 7, S'J')
Description FEE Description FEE
0 —
*9,2TrP&L;;S rje,14 Plan Check 1-4 t,�, I, State Surcharge 44.
HIAT $OURCE L GI h7l�!p % LOYLOPE % z-_u ---) .,-\ I
4,�
tlo( Building Permit City Surcharge
PLAf4 CHE K NO: VESTED DATE Plumbing C
01— // ( 0 Mechanical Base Fee
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 Grading
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: ISO DAYS
CL PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review Plan Chk. Deposit
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Lu IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt #
CC
ALI. CLAIMS FOR DAMAGES OF WliArFVER NATURE, ARISING DIRECTLY OR INDIRECITY
FROM THE ISSUANCE OF I HIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapelnsp. Total Amt. Due Ll L- I
..e
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE tT
_j
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
xi Recording Fee Receipt # L
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTLIORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL I his application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTIIORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSAI ION INSURANCE AND RCW 18.27.
OFFICI
7/ __�,),R A GE7N , 4AIIIGINA5�URE ATE.
SIgATUjIqOVVj#e'ER DATE SINEI
/0 "V
TE
Cl
R
(425)
(-V
"EAS BY TE
771-0220
ATTENTION EXT 1333
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 - 11 SPEC
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR
09,,03 PRESS HARD -YOU ARE MAKING 4 COPIES
V
z
0
1
0
M
4 -n
0 M
C
M 0
0
10
0 C
--I g
:C M
M Z
_z
X
Q)
q -n
nx
>
M M
0
0
0 M
C C/)
9 Cn
M 0
Z r-
z
-1
X
0)
z
0
i
0
M
OXERIVIE
il V-7"
S-0.1 48'-2" lZ-10'�,18',9"
z
N
C
[7
cli
0
15.
L
MR�ER
T"
* L f
1
L0
Lo
",
1
[E;JSoTlS�RES-VKE
L I
0 rn
Cf.)
0 u L
c:a
0 c
Lu
u
cu
m
I")
LLJ
U)
m Z
2CC3 &OD— CO—ED DECK
z
AN3
FRO%7 ENT—E RENCYAT ?4,,
>
co
Apt'
WED BY PLANNING
rl-
co
-n
0
-n
n
m M
_:�L, WA7,1_�'CTCI
co
ADD G
AND
Ts,
TTERS/DOWNSPOU
SPLASHEILOCKS
0-
0 r
c m
CD
OrCS rL 1001V
RECEIVE[)
c/)
M 0
99-AVENORTH CENTER
OF RIGHT WAY
z
-OF -
MAY - 7 2004
97'-011
1 CC 20--0"
c
PERMIT
COUNTER
>
z
PROPERTY ADDRESS PARCEL NUMBER - 00548900000602 PROJECT INFORMATION
I
AND OWNER: SUB DISTRICT: RS-*12
z
GLEIM, SHAUN & CAROL
0
810 9TH N
EDMONDS, WA 98020
PARCEL LEGAL DESCRIPTION:
BUILDING HEIGHT CALCULATIONS
m
PUGET SOUND MCHY DEPOT 5 AC TRIS BLK 000 D-02
A=EL. lll'-9"
N97FT S 165FT OF W 252FT LT 6 LESS BEG SW
COR SO TR TH E ALG S LN SD TR 19FT TH NLY TAP
B=EL. 114'-8"
u"'ITY
y
ON N LN SO TR 11FT E OF NW COR SID TR TH W 11FT
C = EL. 113'- 0"
D=EL. 107'-10"
TH S TO POB
PROPOSED NEW ADDITIONS
AVG. GRADE' 447". 3" /4= Ili'-10"
APP A-ED AS NOTED
0.1
+ 25'-
B! ENG INEERING
PROPOSED NEW DECKIPORCH
MAXIMUM 136'- 10"
EXISTING 1994 ADDITION
ACTUAL 122'-
alsNsg-u�
WALL TO BE REMOVED
Date.
EXISTING FENCE
IMPERVIOUS SURFACE CALCULATIONS
EXISTING ROCKERY
SEWER LINE
EXIST. BLDG. ROOF OUTLINE: 1:244 SF..
Iq 41 .0 712,U) P WbA (IV S
WATER LINE
EXIST. COVERED PORCH: 108 SF.
EXIST. DRIVEWAY: 2162 SID.
159-01(clo; rmw_
LOT COVERAGE LOT SLOPE
EXISTING DECK: 511 SID.
2594.50SO.FT. 11% 9%
PROPOSED ADDITION: 431 SID.
PROPOSED DECK: 219 SID.
LOT AREA DRIVEWAY SLOPE
PROPOSED COVERED PORCH: 218SF,
22899 SO.FT 10%
W ..
GARY HAAKENSON
ITY OF''EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221
Website: mvwxi.edmondsma,us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
C.
December 13, 2004
Attn: Shaun and Carol Gicim
z
810 9th Ave N 0
Edmonds, WA 98020
Building Pen -nit: 2004-0375
Site Address: 810 9th Ave N
Expiration Date: 5/19/05
M
0
Dear Shaun and Carol Gleini: 0
0
M
The purpose of this letter is to inform you that the last remaining inspection oil your M z
project is a final inspection(s). The final inspection(s) deterrilines that there are no JO -4
C z
outstanding life -safety issues and approval allows the City to close your permit file. >
C()
The City considers the final inspectiori to be one of the most important inspections 0 -n
-n
conducted oil a project. In order to grant final approval the following must be complete:
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage M M
and residence, egress fi-orn sleeping roorns, safety glazing, weather-stripping, ally
0
Engineering department requirements etc. Of course not all of these things may 0 M
C Cn
specifically apply to your project but it does give You all idea about the kinds of things
K CD
that must be complete as well as some items that do not need to be installed such as: M 0
Z
paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from
the date of issuance. If you will need more tirne to complete tile work, permits can be X
renewed prior to expiration for one lial f fees. Iftheperrnit expires withouta filial
approval granted by the Building Inspector, full fees are required in order to renew tile
pen -nit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and call for the required filial inspection(s). Note: If more than CD
z
one department is required to final your project, this is noted oil your Job Card. 0
0
Please feel free to contact me at 425-771-0220 if you have any questions. M
Sincerely,
-------------
Penilit Coordinator
Incorporated August 11, 1890
Sister Citv - Hekinan. JaDan
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
MXAM &GN
NGESMERING DIVISION DATE-
z
ESIGN Or
0
PLANNING DIVISION DATE
M
nxASF SIGN
PROJECT
M
M0
SITE ADDRESS
0
C)
0
PERMIT 7 -5- ADB# DATE INSPECTED 6
M
M Z
DESCRIPTION OF WORK TO BE INSPECTED
C 2
A field inspection was conducted to determine final compliance with approved plans. Final approval
Cn
_n
denotes t hat there are no objections from the above signed Department to the release of
0
nt
PERFORMANCE B NDS and the granting of
>
M M
0 V5
0 r-
GRANT FINAL PROJECT APPROVAL
0 M
C cf)
9 Cn
M 0
Z
X
PROJECT APPROVAL WITH CONDITIONS NOTED
z
GRANT
o Copy of CONDITIONS given to owner/contractor by inspector
z
0
FAILED FINAL INSPECTION - OUTSTANDING 18SUES
0
M
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
ocaprv1.doc.1:temp:b1dg:fbnns 10/0 1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
04
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
(44-
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
fv)
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
:Wf'r
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
ZOO ort375 /,00,
Thc initials M'I'are Milton
Thompson, a telliporary contract
I1Sj)CCtOI, For the City.
z
0
4
0
M
—i -n
M
C
M
0
C)
0 C::
M
M z
o -n
n
M M
0
0
0 M
C cl)
9 Cl)
M 0
Z
>
z
0)
z
0
0
M