20040531.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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NUMBER
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NUMBER /67"72
WORK TO
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PERMIT EXPIRLS
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PLAT NAME/SUBDIVISION NO, LOT No'y LID NO
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PUBLIC RIGIIT OF WAY PER OFFICIAL STREET MAP St a I so Por 11 Roq'd
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EXISTING PROPOSED ------- S, a I
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REQUIRED DEDICATION___4�� F1 w,ring,equired
METER SIZE LINE SIZ NO. ) OF FIXTURES TiRV REQUIRED
YES 13 NO 13
REMARKS
OWNERICONTRACIOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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BY
FIRE REVIEWED BY
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DATE
DATE
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INSPECTION BOND
VARIANCE OR CU SHORELINE OR ADBO RE " . POSTED
OYES NO S
SEPA — REVIEW SIGN AREA HEIGHT
COMPLETE EXEM T ALLOWED PROPOSED ALLOWED PROPOSED
PROPOSED SETBACKS (FT.)
LOT COVERAGE REQUIRED SETBACKS (Fr.) FR"T �IJR SII�E REAR 0
ALLOWED PROPOS D FRONT SIDE REAR z
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PARKING LOT ARE pf��ING REVIEW D Y UA IL
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REMARKS er S tix-,
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pIrtarl- to a 'Th �'sle,
CHECKED By TYPE Oli� RUCTION I CO E OCCUP NT
GROU�A
OCCUPANT
SPECIAL INSPECTION AREA LOAD
REQUIRED C] YES
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REMARKS 5
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
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Description
5
`7 Plan Check
AT SOURCE GLAZING % LOT QOPE % Building Permit
VIES ED DA plumbing
PLAN CHECK NO: [ _� ) q V — Mechanical
OTED. THIS PERMIT COVERS WORK TO
THIS PERMIT AUTHORIZES ONLY THE WORK N
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review
'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 Fire Inspection
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp.
DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY I HE CITYS ABILITY 10 ENFORCE ANY ORDINANCE PROVISIO11 Recording Fee
F EE
Description
State ESurcharge
IS
City Su rgE
I L/ City Surcharge
Base Fee
Lit-`
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
GIVEN IS CORRECT; AND TIJAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
AND STATE L.AWS REGULATING CONSTRUG- CALL
I N ' T ' IAT T' I E 'NFORMAT 'ON
AU R ED AGENT 0 F
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Loy ED
To
LY G TITO 'Z C Co _j
THE OWNER. I AGREE TO COMPLY WITH CITY 'S RE U LAT' N ' N S
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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 FOR INSPECTION
T S
WORKMEN'S COMPENSATION INSURANCE AND RCW W. 1 27. Z
DATE S31 F425)
7_7 AGENT) '�PNED
SIGNATU W
771-0220
7 r-YT 1333
FEE
Plan Chk. Deposit If I
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Receipt 9 b
Total Amt. Due
Receipt N
APPLICATION APPROVAL
This application is not a pormil until signed by the
Building flicial or his/her Deputy: and Fees are paid, and
to
'ce P, is acknowledged in space provided
OFFI ALS FATURE DATE
LL /2", 1-1
bAT E
L,�A I D
ATT'EL-NTION ir,za
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
09iO3 PRESS HARD -YOU ARE MAKING 4 COPIES
f . /SPECTO1
OWGINAL-FILE YELLOW IN
PINK OWNER GOLD -ASSESSOR
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SEC 312 TWP 27, RGE 4E
SURVEY NOTES
CP EOUIPMENT AND.PROCEDURE:
AcCURAC'� MEETS WAC 332-1.5u-utlu-
20 05" TOTAL STATION �USED FOR A TRAVERSE.
MONUMENTS 1311OWN�VISITED I
I Imh 2D (L LEGEND: 1'. AR SET WITH A CAP #9567.
a DENOTES A 24" x MON 8
�zr- cb DENOTES A CATCH BASIN,
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PP DENOTES A POWER POLE.
v; DENOTES A BUILDING SETBACK LINE.
BSBL
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ITURE EASEMENT
N.W. CORNER OF TYP NE ' "
1 LOT 2 592-262 TFUTURE DETENTION
7YP
I REC. #9305260729
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OVERHANG
CB, TYPE I-
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IE-371.64(S)
IE=371.45(E)
GoSss 02.OX MIN.-
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LEGAL DE5CRIPTION
Lot 2 of Short plot recorded under Recording
Number 9305260729 and corrected under
93OB020904, being a portion of Lot 16. SKELTON'S
LAKE McALEER 5 ACRE TRACTS, according to the pla
thereof recorded in Volume 6 of plats, Page 21, in
Snohomish County ' Washiington;
EXCEPT the South 30 feet deeded to the City of
Edmonds under Auditol's File No. 1773187 and
1824789.
Subject to easements. restrictions and covenants of
,.�nrrl —
N.E. CORNER OF
LOT 2 S92-262
REC. #9305260729
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R/11 - a� SPECIAL NOTES:
ZONE I 1.;, 1. tkt(� I.. IFAUSTIN UTILITY DATA OBTAINED FROM MULTIPLE SOURCES. VERIFY DEPTH
I _LOT COVERAGE AND LOCATION Or ALL CASTING UTILITIES IN POTENTIAL CONFLICT VATH
PARCELAgM—NOBACKS: PROPOSED IMPERVIOUS: 2,533 Sq It 1; PROPOSED CONSTRUCTION. CONTACT ENGINEER IF ANY CONFUCT IS
005767000011504 T / ..... . - IDENTIFIED PRIOR TO ANY VMK.
FRON 2. OFUTURE* INDICATES PROPOSED woRK To BE COMPLETED UNDER THE
PAYNE SHORT PLAT PERMIT (SP NO: S-03-37). PAYNE SHORT PLAT
SIDE; DOCUMENTS CURRENTLY (5/15/04) UNDER REVIEW AT THE CITY OF
LOT AREA EDMONDS.
REA� --------- jj 1"e�viree,—ri
17,3al sq It ;7'-o�-0 7 J,\4 ;I I BSb�z CORRESPOND VATH FUTURE LOT LINES AND EASEMENTS.
OTHER
WiPlr-M I
VICINITYM"
23128 76th Ave W
EDMONDS, WA 98026
RECEIVED
MAY 1 8 2004
PERMIT COUNTER
80 V.100
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lcn�. i
Exist�ng tack/lead
on tract line
j,05 South of
,Foncrete monument
in casing.
PA*NE DUPLEX
IDES: RYAN PAYNE
DATE: 5/18/04
SCALE: 1"-20' JOWN: JK
siTE PLAN
RYAN PAYNE
1573 S SILVER FIR DR 1 1 of 1
CAMANO ISLAND. WA 98282 PHONE: 360-387-0740 1
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
I IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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Structural Design Associates
North Star Building
2210 Hewitt Ave, Suite 401
Everett, WA 98201
425- 339-0293
(Fax) 425-252-0916
July 14, 2004
Ryan Payne
1573 Silver Fir Dr. Z
Camano Island, WA 98292
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Subject: Wet Set Vertical Concrete Reinforcing Bars
To whom this may concern:
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At the request of Ryan Payne, this office reviewed the subject project for wet set vertical C
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reinforcing straight bars. --10
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acceptable providing
rcing bars, wet set into the freshly poured concrete, are X M
Vertical reinfo M z
the wall height does not exceed 2-feet in height.
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Please contact this office if you have any questions concerning this letter. E:
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RECE:1VE:r
JUL 16 2004
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
Height Calculation Worksheet
Address: Ce t -1
Date:
Inspector(s): ALi
1. Datum Point:
2. Datum Point Elevation:
3. AverageGrade: !-7 S
-30
(aver;a& giade)'+"Z,�r`-
.4. Maximum Elevation Aflowed:��-"'
5. Reference Point Elevation Shot to House:
(datum elevation) + (p .3� (grade to transit level lineshot to house)
6. Measurements from line shot onto house to roof ridge:
TLIL/
Total: oo��
7. Actual Elevation: 370'; 45(�, (reference point elevation) + Y (measurements
from#6)=
Conclusion:
<4-02. -i-7 - (actual) is greater / less than405; (allowed); therefore the house is/
is not over the height requirement per ECDC 16.20.30 requirements
—.M
IP C. 1 B9,3
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 ' FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
May 19, 2005
Ryan Payne
1573 S. Silver Fir Dr.
Carriano Island, WA 98282
Re: Building Permit: 2004-053t
Site Address: 7611 232"" St SW
Expiration Date: 07/07/05
Dear Mr. Payne,
The purpose of this letter is to inform You that the last remaining inspection oil your
project is a final.inspection(s). The final inspection(s) determines that there are no
Outstanding lirc-safety issues and approval allows the City to close your permit file.
Tile City considers the final inspection to be one of tile most important inspections
conducted oil a project. In order to grant final approval tile following, Must be complete:
sinoke detectors, house numbers, guardrails, handrails, self -close doors between garage
and residence, egress frorn sleeping roorns, 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 tile kinds of things
that must be complete as well as some items that do not need to be installed Such as:
paint, catpet, moldings, wallpaper, etc. Please be advised pennits expire one year froril
the date of issuance. IryOu will need more time to complete the work, permits can be
renewed prior to expiration for one half fees. If the permit expires without a final .
approval granted by the Building Inspector, rull fees are required in order to renew tile
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 oil your Job Card.
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
JoAnne ZLIlatif
Permit Specialist
LV1'em1)\DS'r's\K4 aster Le1ters\SRwaarn1-1rSFR
Incorporated August 11, 1890
Sister Citv - Hekinan. Jaoan
MEMO TO:
FROM:
FINAL PROJECTAPPROVAL FORM
TO:
DATE:
,NG DIVISION
FIRE DEPARTMENT DATE
p C p 11,Tf- TX1TQTnNT nATP
CINUILN
PLEASE SIGN
LANNING DIVISION DATE
PLEASE SIGN
PROJECT P421_�_,
SITE ADDRESS- 76(t Z5
PERMIT It C),&- or3l ADB# DATE INSPECTED
DESCREPTION OF WORK TO BE INSPECTED LtpC, 7--+-'Y—
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 tile release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
T PROJECT APPROVAL WITH CONDITIONS NOTED
Copy of CONDITIONS gi\,cn to owner/contractor by inspector
I -7;q-t 5- Tv /0�'� '� 6/tc`c
FAILED FINAL INSPECTION - OUTSTANDING. ISSUES
0 Copy of CORRECTION NOTICE aiven to owner/coiltractor by inpector
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Datc Signature
1:te111p:b1dg:fonns:oca1)r\,1 3/25/04
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FINAL PROJECT -APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASESIGN
-ENGINEERING DIVISION DATE 511
PCEASE 91GN
PLANNING DIVISION DATE
PWASESIGN
PROJECT gyae
SITE ADDRESS_'�76// Z
PERMIT # ADB# DATEINSPECTED
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
El 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:temp:b1dg:fonns:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
w IS _7 — I
SETBACKS .....................
FOUNDATION:
Footing...................... ----------
Wall....... ..................
Pier/Porch ................. ---------
Retaining Wall ...........
Slab Insulation .......... ------------ —
ib- PLUMBING:
1::0 Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
04;_�
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING........................
FIRST FLOOR FRAMING... -------
INSULATION ................... i
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANP!6
SideSewer#_
me initials NIT arelMilton
Thompson,a temporary contract
inspector for the City.
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