20040681.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
L /V
CITY
r,qlaolwl
NAME
ADDRESS
M
0
cc lod
CITY
M,/ /_ C
NAME
cr ADDRESS
-Z/,z q 17'
19
tfl CITY
ZIP TELEPHONE
76() z_!5-- -77 t - 6
WrL_.
ZIP TELEPHONE
-7 A
CEIL 4
ZIP TELEPHONE
STATE LICENSE NUMBER EAT-11IM11
A4 Z_ 4 Q 2 P-L lohv")II 1V
PROPERTY TAX ACCOUNT PARCEL NO.
00 Z-7-0
V
Zq � 0 -2
ia
NEW
121
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GR D CYDS
DEMOLISH
TANK
GARAGE
RETAININGWALL
CARPORT
ROCKERY
(TYPE OF USE, BUSINE�AOR ACTIVITY) EXPLAIN
1�
1-1 b
KED BY
10 PLUMBING / MECH
COMPLIANCE OR
13 CHANGE OF USE
1:1 SIGN
FENCE
( x Fn
OTHER
FIRE SPRINKLER
FIRE ALARM
PERMIT EXPIRES
USE PERMIT
ZONE
NUMBER
JOB SUITE/APT#
ADDRESS
PLAT NAME/SUBDIVISION NO. I LOT NO. LID NO
I
LID FEE $
TESGP Appfm d
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP H%q P'rnlit Roquired
st"Ot 1,150 parin't 1100
1,,paction nequirod
EXISTING PROPOSED S,dj)walk Requa0d
REQL1iRFD DEDICATION F1 undwground
METER SIZE LINE SIZE fNO:.OF FI:XTUjRES `n�
1 13
a _L!�
REMARKS
OWNER/CONTRACIOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
NG REVIEWED BY
FIRE REVIEWED BY
DATE
< 611 -_:�
DATE
ul
z
z
11i
Lu
8:
IZ
VARIANCE OR CU
SHORELINE OR ADB#
INSI�ECTION
REO kD
I
I OYES NO
BOND
POSTED
S
SEPA REVIEW
COMPLETE EXEN4PT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
I x
X5
EXP
---
LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.)
ALLOWED �IT LJR SIDE EAR
FRqNT,. SIDE BEAR FRO
PROPOSED
"k -15,7 6'1 _�5 7( 0k5
z
z
PARKING
LOT AREA NNING REVIEYVED BY DATE
P
—1
PROVIDED
REQ'D . TDj
3
T: am q
!K95
REMARKS
GROUP
CcI I / I ZZ-I& 11 1 (V I "_01 jin .171611
'LOU NUM13EFI NUMBER OF TICAL I =�� U ANT" - -
AS SPECIALINSPECTI N AREA OCC
a OF DWELLING , 11 =LOAD
M URFA REQUIRED '10
0 STORIES 21 UNITS YES 5,5_V5__ *V11U."10
DESCRIBE WORK TO BE DONE (5
REMARKS z
INSPECTIONS PER UBC 108/171NAL INSPECTION REQ'D 5
PROGRESS
e'Aj.17
AV-4CIV AIM C t2N VA d
(N4,yo g� Ara
z VALUATION
7
_LL12 62._T�V,-_
If
t T- Description FEE DescriptioUnFEE
rg 647/
Plan Check State Surcharge
HEAT SOURCE GLAZING % OT SL PE %
1 uj� Ll III I Building Permit City Surcharge
22 VESTED DATE Plumbing Base Fee
PLAN CHECK NO -
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT (�/OVERS WORK TO
t 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: 180DAYS
9L PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN I BO DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit I
in
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
-1 Receipt N
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
1 NOT BE
MI FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHAI Landscape Insp. Total Amt. Due
C3 DEEMED TO MODIFV� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CM ORDINANCE
-1
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee Receipt III
I HEREBY ACKNOWLEDGE THAT I HAVE READ TWS APPLICATION. THAT THE INFORMATION APPZICATION APPROVAL V_
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Olficial or his/her Deputy: and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATIO THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
N 0
S OF Cl URF DATE
WORKMEN'S CC;iPENSAT12=RANCE AND RCW 18�27. 't IGN
B)s
SIGNATURE NT) DATE SIG _D (425)
771-0220 EASE BY AT
AfTENTION 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 - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
09jO3 PRESS HARD -YOU ARE MAKING 4 COPI S
CHECKED BY
CTION
W
z
0
i
0
M
-1 M
o M
C:
M 0
0
-40
0 C:
__49
af rn
M z
g:) -4
C _z
M
CD
0
n
>
M M
0
0
M
(n
Cn
M 0
z
z
W
z
0
A
0
M
ff,
OWNER 108-
OLSEN & SCRIBNER
8715 MAPLEWOOD LANE
EDMONDS, WA 98026
PHONE: 425-776-6530"
SITE ADDRESS
,Vr
19905 88TH AVENUE WE 106'
EDMONDS, WA 98026
LEGAL DESCRIPTION
THE SO jTH 251a28'OF THE NORTH �97.04' OF —THE
EAST 95'OF THE WEST 125- OF THE W 1;14 OF THE NE
1140FTHENW114OFSECTIONig. WNSHIP27
NORTH. RANGE 4 :AST, W-M IN SNqHOMISH COUNTY
E
WASHINGTON. LYR�G NOR T4RLY FTHECOUNTY
ROAD;�'—
LOT SIZE
18,628 SO. FT.
Ul� G FOOTPRINT
T 2IN_
99S
2 FT.
PERCENTAGE OF COVERAGE —
13.9% 104'
IMPE14VIOIJS'SURFACE CALCL LATIONS
NEW BUILDING & 2987 SO. F�-
NEW WALKS AND DRIVES 1375
TOTAL �EW —IMPERVIOUS ARE 1 01: 4362 So. FT�
c/)
U-
0
c W
W
z
0 >
00
00
CL
co
cc
ss
CL
Datum point
Top of sewer
@100.0'
zt
3no Cori er$) Flu 98,
Actual
f I
Sides L -7 'P'� 51" L-to ;,R-109
Rear - -7 T
Other
VV14k)C 0�
Height
13
0 a
SCALE: 1" = 20.00'
'112' 114' 116'
118,
PL 95.00''
_7j' B.S.B.L. CD I t5.9
D
12.3'
Finished Mai
18"TYPICAL,/ floor level = 117.9' 1 1 11
CANTILEVItRED
ROOF OVERHANG SIDENCE I
PROPOSED R
FiREPLACft
COVERED
PORCH
STEPS
\1
CONCR&E
1,
WALK
f PATI? A4b
STEPS T ?
GARAGE
GRADE I
UNDER
Finished garage
floor level 108'
112.2'
C
2
/7 KERY;
I PROPOSED 04
I CONCRETE
I DRIVEWAY
(jjI
t-I
C,e) T-5' ROCKERY
02'M, AS SITE DICTA
T—
(ni
CL
0.
041
H
[P an
CITY COPL-vL
0060�'--
c�,OV, E C E I V E D
c'; g �
J IJ L 2 9 2004
-IEIGHT CALCULATIONS --� — — I
DATUM FIT. @ SEWER M.M. IN FLJ-.t� PEWIT
COUNTER
DATUM SET�AT 100.00
A= 1123
B=109.2'
C= 112.2'
D=1 15.9'
AVERAGE HT = 112.4'
ACTUAL HEIGHT = 135.5'
MAX. ALLOWABLE HEIGHT 137.4'
—777777777�—
REVISED 7/27/04
z
0
i
0
M
2'XrX6',ZEEP, 4-6- SPALLS OR EOUAL
,ON CONTROL C1 2'X 21 3' DEEP, 3/4' CRUSHED ROCK
FROM CONTROL
I
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
ovaim - 01 C.AWBY:T2/)]
W6. P4 5V-- 414,4��
DATE:
*****DESIGNDA,TA*****.
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFIC.E
4-36-2- 0— -70
000 E�
I DOTEINTION PIPE LENGTH LOCKING LID
XTYPICAL)
MINIMUM
TI *ATUNRL%WA% W
.5X TO IX SLOPE cue lax OR RISER
OUTLET CONTROL
HIM.
UPPER CATCH BASIN
CONTROL CATCH BASIN
SIPSTEM CROSS SECTION
xx
TING GRADE
91
11
_"��_E 'UTFLPIV TREIT IMZ Ula
P r Pr
1.5' ER . TO
ERr PIPE W ENID CAPS
C T 7PRUHTMANNEd WWWWMIN RM
Ourrzr
RUNOFF SPREADER. TRENCH
FOOTING DRMNS $HALL NOT -BE CONNECTED TO DETENTION S]WEff
___J.
N077?S.- U
1. Call Engineering Division (771-=O) for a tightline, and detention system inspection'
befbre backfilling and fbr final inspections. APPROVM BY
2. Responsibility for operation and maintenance of drainage systems on private property is dw
ibility of the property owner. Material accumulated ja the -storage pipe must be flushed
zesponsi
out and removed from the catch basins to allow proper operation. ne outlet control orifice DATE
z
0
i
0
M
M
C
M 0
0
-40
0
X M
M z
C _Z
CD
0 _T1
n
M M
0
0
0 M
C:: Cn
9 ch
M 0
Z
X
z
cn
z
0
i
0
M
1. Datum Point:
2. Datum Point Elevation:
. 3 Average Grade:
z
4.. Maximum Elevation Allowed: (average giade)4 2 5
0
M
5. Reference Point Elevation Shot to House:
CI)
M�
C
MO
0.6.tp (datum elevation) + (grade to transit level line shot to house)
0:
C
6. Measurements from line shot onto house to k6of ridge:
M
M z
z
Cj)
-n
M
M
CO
0 M
C CA
M 0,
Z
z
Total jq
z
7. Actual Elevation: I o 1 9 7-,� (reference poin t elevation) + 7, i4 (measurements
0
from #6) 1 9-�;, L:S
M
Conclusion:
f.3 5, 1 le, (actual) is greater less than (allowea); therefore the house is/
is not over the height requ'iremen per ECDC 16.20.30 requirements
E''
GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS WA 98020 - (425) 771-0220 FAX (425) 771-0221
Websile: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
loc. sq�3 Planning Building Engineering
June 16, 2004
Z.
0
Bob Olsen
0
8715 Maplewood Lane M
Edmonds, WA 98026
FAX: 425-771-8401 (Tom Leren)
Ui --u
M
RE: Vesting current plan review #04-206 under the current building codes C
M
0
__10
0 C
Dear Bob Olsen:
M
M z
We are writing to remind you of the City adoption of the International Building Codes effective
C
on July 1, 2004. > z
C4
With the code change -over fast approaching full permit and plan check fees are required before
0
July 1, 2004 to vest your application under current codes. The amount to vest your application is _n
$2,008.00. M M
Cn,
If the noted fees in the amount listed above are not received BEFORE July 1, 2004 your plans 0 r,
0 M
must be returned to you and any fees paid to date must be forfeited. C Cn
Q 0
Z
If you have any questions please don't hesitate to contact the permit coordinator assigned to your
project at 425-771-0220.
Sincerely; z
X
c4q:�
z
0
0
Permit Coordinator M
2,10
/40
C
Incorporated August 11, 1890
Sister City - Hekinan, Japan
FINAL PROJECr r APPROVAL FORM
211t -"14
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
'NT DATE
FROM: FIRE- DEPARTME
4 ENGINEERING DIVISION DATE—/&/Z
-G6VS,: SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROYECT
SITE ADDRESS A
PERMIT fl,&AQ-4— &&&I ADBA DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED Ct��11111'
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:
)4. GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL wrFH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FNILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owncr/contractor by inpector
I .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANTHNAL PROJECT APPROVAL
bate SignatUre
I:teiiip:bl(lg:forilis:oc;il)i-vI 3/25104
z
0
M
-i -n
0 M
c
M 0
0
C-)
0 c:
--I K
3: M
M Z
0-1
c:
cl)
0 -n
n ;U
--j >
3: K
M M
0
0
0 M
C U)
?. cn
Q
Z
z
U)
z
0
A
0
M
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SE TBACKS .....................
FOUNDATION:
Footing ...................... . cj4'
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test .................... L
Gas Piping ................. vK - O's
Equipment.................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation ....... (1k tk r
SHEETROCK NAILING ... In
SPECIAL INSPECTION ...
-7 -
MISCELLANEOUS ..........
FINAL APPROVAL FOR z
OCCUPANCY ..................
SideSewer#.
Amout Paid $ Receipt #,
Dafthsueff rc I
vres,
WaterMeterSize- —2a
Amount PaIdZi6:f."Receipt
DatePurchased
The illiti,11S kjj,,II.0 M,Itoll
R0W#_ 1-1101111)so", zi 101111301'ary C01,11*,jet
Amount Paid $ Receipt V inspectol. fol. thc city.
Date Issued—,6_1 k—r-nn-Area- 105,
z
0
A
0
M
--I -n
M
C
IT! 0
0
0
0 C
M
M Z
C
0 -n
n
MM
.a
0
0 M
C Cn
9 cn
M 0
Z
z
--I
x
Cn
z
0
i
a
M