20040533.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
ER NAME/NAME OF BUS] SS
�."x
' X v6j/.F
MAILINIS ADDRESS
15-7-3
CITY
NAME
S. -5 11v elz 1-:1-;e 0 i�
ZIP I TELEPHONE
171- r i��JL2 0 L I ( 3 �10 ).�J` ;7 - 0-7 YO
ADDRESS
CITY ZIP TELEPHONE ('2L e))
0
51vo // e /",7 /S 4 r;� ,
I // 1, j , " r*7 , , .41 0 4r-.� 1 C BL
ADDRESS
CITY
LICeNSE NUMBER
ZIP ....ITEI.EPHONE
I— ")� I- —
PROPERTY TAX ACCOUNT PARCEL NO.
205-7
6700 60
NEW
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
CYDS
;4;��
DEMOLISH
TANK
GARAGE
CARPORT
RETAINING WALL
ROCKERY
(TYPE OF USE, BUS T
,!N,ESS OR AC IVITY) EXPLAIN:
Yj NUMBER NUIVItSt" ur
0 F DWELLING
0 STORIES C;� UNITS
DESCRIBE WORK TO BE DONE
? /Z11)
co
BEAT SOU�CE GLAZING %
E/ee. M, e- I -- // ��
� 6� of -71
CHECKED BY
11
PLUMBING / MECH
11
COMPLIANCE OR
OF
CHANGE USE
11
SIGN
1:1
FENCE
FTJ
( X
0
OTHER
FIRE SPRINKLER
1 1
FIRE ALARM
PERMIT EXPIRES
mmvww�
USE PERMIT
ZONE
B�oz_ .5,
NUMB SUITE/ PT#
JOB
ADDRESS
PLAT NAME/SUBDIVISION NO. LOT NO
LID NO-
LID FEE I
I--
------
rtjSCP App(oved
C3
El
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
RW FG(Mil Ro'qmu:�ORII' 'd
us" I" q
(3,
street
inspectiOn R,quirod
EXISTING PROPOSED
Sidewalk Req,11od
REQUIRE[) DEDICATION FI
Unjetground
... rad
METER SIZE NO. OF FIXTURES
PRV REQUIRED
Q "I
LY
z
E NO
S13
R
ul
z
REMARKS
RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
3
z
OWNEWCONTRACTOR
uj
A I A I Ar�T �il v �>—L
REVIEWED BY -7
- I V I
�;,, f\ t A A— � i �
FIRE REVIEWED BY DATE W
VARIANCE OR CU
SEPA REVIEW
COMPLETE , EXE PT
EXP K
LOT COVERAGE
ALLOWED PROPOSED
3 0
q 5 '1/c 5
PARKING
REMARKS
CHECKED BY [TYPE
SHORELINE OR ADB# I INS�,ECTION UJUND
P POST,
REC�D �o POSTED
E ES
]YES NO s
IT
A HEIGHT
SIGN AREA
ALLO)VED / PROPPSED
ALLOWED PROPOSED
REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.)
REAI�
LD'-� I �� 0
FRONT SIDE REAR FRC�NT VR SIDI� z
to' 15, 16' 1 0 E
z
LOT AREA PaNING Ra;7y DATE
CRITICAI�� ;121 1
AREAS SPECIAL INSPECTION JAREA
NUMBER REQUIRED [] YES
LOT SLOPE %
PLAN CHECK NO: VE TED TTE
Itc '21 t
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
W
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
(n
III IN INTERESI. AGREES 10 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
-1
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECHY ORINDIREC'ILY
4
x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
a DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIRFMENI OF ANY CITY ORDINANCE
-i
a NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
CKNOW
GIVEN B IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
1ION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
kINVIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
COMP
WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27.
R
S SIGNATUR I NT) ED
I S,
GNATU R �i DATE SIG
6
CTION CQDE OCCUPANT
GROUP
4occuPANT
LOAD
a
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D 5
AL
VALUATION
$ ax'6
Description
Plan Check
Building Permit_
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelns
Recording Fee
FEE Description
State Surcharge
City Surcharge
Base Fee
71)
CALL
FOR INSPECTION
(425)
771-0220
FEE
9
Plan Chk. Deposit Ll.
Receipt #
Total Amt. Due
Receipt #
APPLICATION APPROVAI
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.
At WS;l AT E DATE
S
Er
-IS
'A IF By DATE
C:A 1 1%3%3,3
ATTE14TION RUCTURE UNTIL
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR ST
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09,03 PRESS HARD -YOU ARE MAKING 4 COPIES
ORIGINAL - FILE YELLOW.. INSPJ�CTC
PINK - OWNER GOLD . ASSESSOR
z
0
i
0
M
:; =n-
U5 j
M
0 M
C
M
0
--1 (-)
0 C:
--I K
M M
M Z
—z
3:
W
o -n
n 7d
--I >
r 9
M ITI
0 5)
0 r-
0 M
C W
?I Cn
M 0
Z
7-1
z
z
0
A
0
M
SEC 31 TWP 27, RGE 4E
T
c
SURVEY NOTES ------
2 01,1 11
":N'
L
-1-7
1.2 �bi 151
UIR;
FY�T"YLJ�L kN PR ed U-1,je ReC.0,dx-9
-Ot 2 of Sho,t pIcit reCO .1
to 2u 0!)" IOTAL. STAIII,)t4 LISED I -OR 4 TPIV)Ef�� N u mb ')00' n
ACCLIRAC( fAFF:S WAC. 332-1.51-Cn!l o! Lot 16.
er � -06075001, bc;'q
I R 5 A C R F. TRACTS. accorc:,lq I
MONUNIENIS SHOWN VISIIED �-,\K-L IA c A - E.:
I re reof
:rI VO[Umf�
,C)
,)IOt Lcordoa
L L-N ;1-nge 21, ;11 Snohom;�,h County, v f.
m
under Auditor's anc
20 (L
I Inch tj. ', XII'FPr tt,C SOLArt 30 feet deeced to 0)z� C;tY Of
A 2e" RON �IAR SUI '411114 A CAP #9567,
IZ
Edmonds r-;ie No. 1 773 8 SIT
PATCH H AS; N.
C:j DIENOTFS A 1824789.
BENCHMARK
I Dp DC,.NQTt7!j A Fl,)WER POLF. --t; 0 n s 0!, t S
Sub;ec! to easements, restri and cove v
record.
41- IBM: TOP EXST TO DENOTf'S A FJUILU�NG SLTBACK ON,
SSMH COVER
ELEV-372.6B
10 0 -T E-
KS jvkbrA P11- AL
:t,- Jae GAI. PRO PA Vir 7-AN VICINITY
f 00 2312
'L 51�
--SD UNDER CONSTRUCTION 76th Ave
(SP 2003-37 PERMIT) �Q I EDMONDS, WA 98026
VLI
1 7- jI�, 0 P-WZ,,,
W 303.26
- - --- a.60 +
C%j T- `3 D 11 00
ce) 7— 11 Ll.,
73 26 le- I C 1 1 7 , till,
E lgd-1
ri-f 5 : 61�0� Pkiv A C V U-CE
- - — �J. Ll - - -- - -- -
R-S& PATIO-
LLJ 0 . .
- 1 11 24 Id p. i�f; CC 7 45
01
U-1 1 ARFA�5,H61±SQJ�- 1;61 !0 10 aiNl I
10 1 1 375.5PROPOSED &75.5
151 0.
A Z�l
Cf) DUPLEX
FF-376.0
ail
0i 4.2
all GARAGE FF-37 0
Cz C--.7 LOT 1
0 LOT 2
0 -0
LOT 3 CD
k i =r
C.. -yl 37 - 5.5 r-
I ec I-110 -.�'--l'ROOF > -0
LU 0 t-� 4'SD St ;R -.
I IN 1-1- 3742 TM T ST
LU U-) 02.0y, Ml .1 1 "0. T)pt I '. 0
I -SSS rn SSMH COVE
0- C%j - f.74 Qb I ELEV-372.68
U) W/ �CO- 'K 3 S� 5 A 11 "i., IV
L 0 2.OY, MIN.
FS z - ZEA- WM IN
I I - ;� - -IS' F; 86.00 -
5,00, ESM'T,
7 1.00
=,7.
73.28
T Cp
T �F
CO
16
I�w
.2+00'
3430
44-00 S 89'40'29" W 7-
- - - - - - - - 577
----- -- ....... .. :7:7:7 232nd.ST-S-W-
7- 71
-A ---- —
1.0� Silih r-�
----- --- - -
"-r,�ETV D
Fp,
/-SEWER IMPROV MENrS �---ROADWAY IMPROVEMENTS
:Li UNDER CONSducTION UNDER CONSTRUCTION APPROVED AS NOTED JUN 2 1 2004
(SP 2003-37 PERMII) (SP 2003-37 PERMM V IENGINEER t
CDCaRAIT �t*Nluj-r
kauujv _R
SPECIAL NQjMS- PAYNE DUPLEX LOT 2
TAX PARCEL NUMBER: LOT COVERAGE: . ......
RIFY DEPTH D, I; R�Al% PAY%E
PROPOSED IMPERVIOUS: 3,092 sq It J. EXISTING UTILITY DATA OBTAINED FROM MULTIPLE SOURCES. VE 11 -
00576700001604 AND LOCATION OF ALL EXISTING UTIUTIES IN POTENTIAL CONFLICT WITH -------
'�CA,t 1-�-Q I -, V, N. �� K
PROPOSED CONSTRUCTION. CONTACT ENGINEER IF ANY CONFLICT IS
317 5' 3s7c, IDENTIFIED PRIOR To ANY WORK.
0- 3'7 &;11-*wb
C:-3 7y, 2, DRAINAGE. ROADWAY. & UTILITY IMPROVEMENTS CURRENTLY UNDER SITE PL�IIkN Qy
CONSTRUCTION UNDER THE PAYNE SHORT PLAT
LOT AREA PERMIT (SP No: S-03-37). ----------- . .....
1�-A% �A','4�
5.839 sq It T251 1573 S '-l%ER I Of 1
371-55- p D UA 98252 260
I I 1-'l
0.0 lylA,,�,.qi95 0 V E-1 B"
&1,wl �O
Height Calculation Worksheet
Address:
Date:
Inspector(s): FTS
1. Datum Point:
2. Datum Point Elevation: '3 —7 -,P
3. Average Grade: 7? -7 5
4.. Maximum Elevation Allowed: 17L- `�(averiag& giade)`4�V`-- S7
5. Reference Point Elevation Shot to House:
37d.';�datuxn elevation) +U,31-�, (grade to transit level line *shot to house)
6. Measurements from line shot onto house to roof ridge:'
91
'07
I
Total:
3? n) + 01.s.ba(measureme . n
7. Actual Elevation: 61 bg(reference point elevatio ts
from #6) U07 �Le
Conclusion:
(allowed); therefore the house is/
(actual) is grim ter (Tes—sI 4'n A4
is not over the height requiremenI -per ECDC 16.20.30 requirements
z
0
i
0
M
GARY HAAKENSON
4,
CITY OF EDMONDS MAYOR
12 1 5TH AVENUE NORTH EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221
Website: www.dedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building - Engineering
May 19, 2005
Ryan Payne
0
1573 S. Silver Fir Dr.
Carnano Island, WA 98282
0
M.
Re: Building Perril it: 2004-0533
Site Address: 7609 232"" St SW
M
C
M
Expiration Date: 07/07/05
0'
0
Dear Mr. Payne,
The purpose of this letter is to infoirn you that tile last remaining inspection on Your
M Z
project is a final inspection(s). The final inspe ction(s) determines that there are no
outstanding life -safety issues and approval allo ws tile City to close your permit file.
(n
0 -n
-n
The City considers the final inspection to be one of the most important inspections
conducted on a project. In order to grant final approval tile following must be complete:
M M
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
0 U5
0 r-
and residence, egress from sleeping rooms, safety glazingy, wcather-stripping, any
0 M
C CD
Engineering department requirements etc. Of course not all of these things may
9 ch
M 0,
specifically apply to your project but it does give You ail idea about the kinds of things
Z
that must be complete as well as sonle items that do not need to be installed such, as:
paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from
X
the date of issuance. if you will need more time to complete the work permits can be
>
renewed prior to expiration for one half fees. Irthe permit expires without a final
-till fees are required in order to renew the
approval granted by the Building Inspector, f
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
0
I - ob Card.
one department is required to final your.project, this is noted o 1 youl
0
M
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
JoAnne Zulauf
Permit Spccialist
LVI'emp\DST'swaster Let1ers\SRwaani1_trSFR
Incorporated August 11, 1890
Sister CitV - Hekinan, Japan
0'-
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
z
1573 Silver Fir Dr. 0
Camano, Island, WA 98292 -4
.0
M
Subject: Wet Set Vertical Concrete Reinforcing Bars
To whom this may concern:
M
C:
At the request of Ryan Payne, this office reviewed the subject project for wet set vertical M 0
0
--10
0
reinforcing straight bars. C:
M
ncrete, are acceptable providing M Z-
Vertical reinforcing bars, wet set into the freshly poured co
the wall height does not exceed 2-feet in height. C=
> Z
ions concerning this letter. Cn
Please contact this office if you have any quest
0 -n
V:e tr�l you
M M
C
G. 0
0
of VVAS.,,� 0 0 M
Chris Covin to P. E. C Cn
C Cn
Q 0
z
'----34383
10,
IVAI,
>
z
3:
IR
Cn
z
0
0
M
REcEivE:D
JUL 16 2004
DEVELOPMENT SERVICES CTR.
C47Y Of EDMONDS
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PUASE SIGN
-ENGINEERING DIVISION DATE_4��� 0
PLANNING DIVISION DATE M
PLEASESIGN Zi 9
PROJECT
M
M 0
0
SITEADDRESS 7(!�PQ9
0
PERMIT # ADB# DATE INSPECTED X M
M z
JO
DESCRIPTION OF WORK TO BE INSPECTED da-f,21ek- >
3:
A field inspection was conducted to determine compliance with -approved plans. Final approval 0)
o -n
denotes that there are no objections from the above signed Department to the release of n
PERFORMANCE BONDS and the granting of:
M M
0 _Cn
of-
0 M
C CD
i�____GRANT FINAL PROJECT APPROVAL 9 C/)
M 0
Z
M
>
z
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
1-1 Copy of CONDITIONS given to owner/contractor by inspector
55
z
0
0
M
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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:fon-ns:ocapn,1 3/25/04
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERM71 nDA� O�ILDfNG DIVISION
FROM: FIRE DEPARTMENT DATE
I'LEASE We
0 —ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT
SITE ADDRESS- -760 2- 3 *z,
PERMIT# 04 -053-3 ADB# DATE INSPECTED—S-6-T(a�—
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance Nvith-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
GR�,,NT PROJECT APPROVAL WITH CONDITIONS NOTED
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
3.
RE-INSP ECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:ten1p:b1dg:forms:ocaj)r%,1 3/25/04
z
0
i
0
m
-A -n
0 m
C:
m 0
0
--40
0
M
M Z
cl)
o -n
n X
>
m M
0 —Cn
0 r-
0 m
C Cn
r. U)
M
Z
m
z
--I
X
U)
z
0
m
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION: vy-)
Footing......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
U44 Rough -In ...................
Commercial Final ......
HEATING,
Gas Test ....................
_ZA _A�5_
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING .......................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
t Z7
MISCELLANEOUS ..........
FINAL APPROVAL FOR
fvA T
L
OCCUPANCY ..................
-7 (-1, —
SideSewer . .......
-ILI
Arnout Fay.14
D a L, m h s,., c d.
V 0!53!)
1- 4
AmountP_,_1 A- L
Date PL, rclz 'rile initials NIT are Milton
1��Ow Thompson, I temporary contract
inspector for tile City.
z
9
0
M
—1 -n
M
0
__10
0
M
171 z
C
3:
o -n
n
M M
0
0 M
C (n
9 Cn
M 0
Z
X
>
z
Cl)
z
0
I
0
M