20040811.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
M L
AI ING DRESS
7/
CITY TELEPHONE
NAME
ADDRESS
CITY ZIP TELEPHONE
-:25
34-,;2-: V9
NAME rcBL �#
ADDRESS -'
CITY
?37
TELEPHONE
STATt LICENSE NUMBER EXPIRATION DATE
:�F%CF%By
6 A, Z.W /�iirL
Z/� ;2"-) YO .--3-/
Nib
PROPERTY TAX ACCOUNT PARCEL NO.
e;)O�2
<EW
<ESIDENTIAL
PLUMBING MECH
ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
El REMODEL
MULTIFAMILY
SIGN
REPAIR
GRADING
-11) CYDS
FENCE
( x FT)
DEMOLISH
TANK'
OTHER
GARAGE
RETAINING WALL
FIRE SPRINKLER
FIRE ALARM
CARPORT
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
1 "04
NUM13ER
OF
STORIES 0"
NUMBE
,Y(OF
DWELLING
1 UNITS
CRITICALCONI" I IL-1—
AR
NU
DESCRIBE WORK TO BE DONE
EV'A W P
QF12 RAMEMA'
HE SOURCE GLAZING % LOT SLOPE %
:y;P_r_5- 0
PLAN CHECKjNO: I VESTED DATE
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
PERMIT LIMIT. I 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
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIREc rLy
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 1 HIS PERMIT SHAi I NOT RF
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE
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
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
SIGNAT NEq 0 GENT) DATE SIGNED
PERMIT EXPIRES
USE PERMIT
ZONE NUMBER
JOB SUITE/APT#
ADDRESS
7
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE $
I EscP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
nw Permit Required
street use Permit Rnq'd
EXISTING b PROPOSED
inspection Required
[3
REQUIRED DEDICATION FT
Sidewalk Required
underground
wiring required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YE NO 0
A
uj
REMARKS
z
OWNER/CONTRAcrOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
z
lq7to; In A k N e' 1 /'7 f�_ ,
A _L�rj Iii
uj
,>Otuvx— I -�> 0\j W'-�o
ENGINEERING REVIEWED BY DATE
7 �1_ A n �11�'rrlyn P qh7c;,
FIRE REVIEWED BY DATE III
VARIANCE OR CU SHORELINE OR ADB# INSPECTION PBOND
REQJ) STIED
OYES XNO Is C�
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED S
PRIPO E
EXP
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT)
ALLOWED _ PROPOSED. FROI�T SIDE REAR FRONT UR WE REAR
5 Vc 17 'X& A,5 7 15 0 1. 111 16
1 z
PARKING LOT AREA I PLANNING REVIEWED W DATE D
REO'D I PROVIDED I
a 3 10 0 fZP6b_111 k�-/)_ 7/0 Ll cL
REMARKS
CHECKED BY I: ca�
ITYPE Vj
SPECIAL 10SPECTION AREA
REQUIRED [] YES 1 10
OCCUPANT
GROUP
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/IBC109/IRCID9 FINAL INSPECT10N REO'D
VALUATION
$
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapeinsp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
FEE Description FEE
KZ State Surcharge
city Surcharge
Base Fee
Plan Chk. Deposit 11
Receipt # 2 -7)h
Total Amt. Due
Receipt #
APPLICATION APPROVAL
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.
FFICIALS SIGNAX.bRE . DATE
AT)/rENTION E)ff 1 333(�_L
IT I;56ZWFULT0 USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC109/lBC110/1RC110.
09/03 PRESS HARD -YOU ARE MAKING 4 COPI
ORIGINAL - FILE YELLOW - INtPECTC
PINK - OWNER GOLD - ASSESSOR
z
0
1
0
M
--I -n
0 M
C
M 0
0
-i (-)
0 C:
rn
M Z
JC) -4
C —Z
M
Cl)
0 _n
n
M M
055
0 r-
0 M
C C/)
9 U)
M C-)
Z
X
z
z
0
M
P,, Er,; E I V E D
AU61 1 7 2004
PERMIT COUNTER
...................
00
io
OA -o �3 q 2. %0%.0 cz
04\
SIG
SXA. ;,P
A"
1A,
N
6 (Z)?'
too .0 C3
Tim -�7 71c,
0
< I
M
Owner: Greg Hale Const. I
7. 05 71s'PL. W.
G 'N Y. > Address: 166,
Lynriwood Wa. 98037
0
/%? -,f ,
!�--Z'64TLAf-,tt- mo.QQ 0::5� '%-t.Fl Ph. (206) 650-0699
Q. N
Site Addre �s�
WL ��M-SQ- Plot Plan
233xx'*'94"PL.W.
5T P� CD C, Scale 1"= 20 Feet
0V Edmonds Wa. 98020
Tax Parcel: 005905-000-002-00
OC
CD
V) Lot Covera2e
..Hei0t Caics. Impervious Surface Calcs Lot Area = 10,540 sf.
.-.A" 1'03.75�" House — 1750 sE House 1,750 sf
B= 105.50
CD Walks= 90 sf.
n Coverage
C= 104.90 Patio= 240 st
1750/10540= 16.61%
D= 104.75
Driveway= 870 sf.
AV-'�'Gtade='l 04.72
Lot e
stop, — 10%
Actual= 129.62 Total= 2,950 sf.
CITY COry
K'6-.U' =- 0,04.1Z
0 Q--r 1i
0
11/0 -t- I OAA. 00
WATER
*11'
I'ABLE TIGHTL%. Jvk INSPECTIONS REQ'D.
ALL, 425-771-OP-20 EXT. 1326
1`1 T R 'A G MATERIAL ��3 q
DR 35 00
a .0 Cz
SCH 40
ALLI OSED SURFACES TO N - 12
BE V ED WITHIN 2 DAY 10 HANCOR A FOOTIN DRAINS NO� - %0 0C
TO 0 TIED INTO 0
S1 71� DETEI ION. SYSTEM
cps
40.
NTACT OLYMPIC VIEW
rd r
Fawre
WATMSEWER DISTRICT
6Q) for- :SVAA� 1069erTow
WA
A4 -f
APM I(DVED AS NO -FED
F r
.14 ENGiNEERING
L e,
Date:
Owner: Greg Hale Const.".
Address: 16605 7 1 st PL. W.
51
RIGHT-OF-WAY XNSTRUCTION PERMIT Lynnwood Wa. 98037
t)�Tqt-\z.
C] AND INSPECTION REQUIRED Ph. (206) 650-0699-
\44,mZL \"�Wrs-Q-
CXNIS oo Gradine Plan
Site A ess
I ir Scale 1"= 20 Feet ess
233*W9)"4h!P::t-�W?-
00 Edmonds Wa. 98020
MAXIMUM DRIVE
Tax Parcel: 005905-000-002-00
ALLOWED 14%
CITY Crlv%
"Jry
Existing Original Grade: SEP
Impervious Surface Calcs Lot Covera re P�
g
'Proposed Finished Grade: House = 1750sf. Lot Area
S k �zr T U-1,1 c e Wallis= 90 SE House = 1,750 sf R
Patio= 240 sf. Coverage - PERMIT COUNTER
Grading Calcs Driveway= 870 sf. 1750/10540'=,..1-6,61 %
Cut = 210 Cu. Yards OP Total= 2,950 sfi Lot Slope= 10%.
Fill= 50 Cu. Yards V411Ckz k ov- 2-
_'. m
* MATER
INSPECTIONS REQ'D.
io
-771-0220 EXT. 1326
CALL 425
J�O%N�t\ sf�c)%3'"
CONTACT OLYMPIC VIEW 19
WATER/SEWER DISTRICT
JIB
A P.. E%C E I V E D
AUG 1 7 2001f
PERMIT COUlffF.J.-i
APPROVED AS NOTED
uOr
BY E14GINEERI
to
V4.3, cj Iliq 12M 4
Date:..—
M!
(7
c
STANDARD DRAINAGEDETENTION SYSTEM
WORKSHEET
OWNER
CALC BY:
ADDIRZSS 0
PHONE:
e Z:
*****DESIGN DATA*****
IMPERVIOUS AREA
PIPE DIA
PIPE LG
ORIFIC.E
2-
* I DeTENTION PIPE LENGTH
rtmsHED GR�� I rx. MINIHM 11
TIGHT+ Or
C
.5% TO IX SLOPE LOW DOX OR RISER
TO OUTLET.
OUTLET CONTROL
UPPER CATCH BASIN pRirICE
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
2'XL>'X6'.DEEP, 4-6' SPALLS 13R EQUAL
FROM CONTROL CB eX 2'X 3' DEEP, 3/4' CRUSHED ROCK ISTING GRADE
rRIN CONTROL OUTLET '117 — —I a
__"�o FLOW TRCH% KN Iw L&a
!CURT r PC TO LEVEL
L5' P
PCRF PIPC V/ END CAPS
I p ROM
RJNC M�HAL
H PLkCf1HEVW
R DR
JUMP OUT1xr
RUNOFF SPREADER -TRENCH
.POOT NG DR"
NS SH
ALL NOTJ�E CONNECTED To DETENT101V S=M'L
NOTM:
system inspec
1. Call Engineering Division (771-0220) for a tightline and detention tion
before backMfing and for final inspections-
2, Responsibility for operation and mainteaance of drainage system on PrivRft ProPerty is 'he
responsibility of the property owner. Material amumulated in the -storage pipe, must be flushed
APPROVED BY
Al ,
/110 I-ZO04
" A
z
9
0
M
--i -n
M
c
M 0
0
-10
0 c
X M
M z
c z
0 -n
N
MM
0
0
0 M
C (n I
Kw
M 0
Z
X
z
3:
z
0
0
M
Table 1 - Detention Pipe Sizes
Impermeable
Required
Area Sq. Ft.
Vol Cu Ft
2000
50
2500
62
3000
75
39-00
87
4000
100
4500
112
5000
125
Note: Allowable Pipe Materials:
Impermeable
Area Sq. Ft
Pipe Diameter
15* 180 24N. 30"
40 28 16
10
50 35 20
13
60 42 24
15 Required pipe
70 -49
18 -length in feet
80 56 32
21
90 63 36
23
100 70 40
25
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N - 12 ADS (Not permitted on roads)
Table 2 - outlet orifice Sizes
outlet Orifice Diameter (inches
5/8
5/8
3/4
3/4
7/8
4500 1/0
5000 7/8
Table 3 - Rectangular Catch Basin Requirements
Detention
Max. size
Catch Basin
pipe diameter
—knockout
Type
< 180
20'
Type 1, C1B 15
180 to 24"
26'
Type IL, CB 16
2411 to 36"
36'
Type 11, CB 19 19 (48' Basin)
36" to 42w
42"
Type 11, CB 19 19 (541 Basin)
*Source: Assoc.
Sand & Gravel Co. Standards
5
3M
Z
0
M
--I -n
0)
0 M
C
M 0
0
0
0 C
M
M Z
_Z
W
0 _n
n
x
M M
0 5)
0 r-
�om
C W
M 0
Z
X
Z
CO
Z
0
0
M
-.M
Height Calculation Worksheet
Address: 31
Date:
Inspector(s): TvI,
1.
Datum Point: W VN
Z�
2.
Datum Point Elevation:
0
7 Z
M
3.
Average Cirade:
4.
Maximum Elevation Allowed: 1347 Z- (a veragii. giade)4 25
M
C
MO
0
5.
Reference Point Elevation Shot to House:
0
(datum elevation) + (grade to transit level line shot to house) 09 0�,
M
M z
6.
Measurements from line shot onto house to roof ridge:
C
> z
o -n
MM
0 Cn
0
0 M
C 0)
CO)
1'7 0
M
Total :_am�
7. Actual Elevation: (reference point elevation) +d6,92--(meastirements
from #6)
conclusion:
ess th -7 Z (allowed); therefore the house i.
(actual) is greater/(Ls th4n
is not over the height requirement per ECDC 16-20-30 requirements
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 * FAX (425) 771-0221
Websile: wwwxi.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
GARY HAAKENSON
MAYOR
It? C. 1 SC)" Planning - Building - "y "uEm "u
January 3, 2005
Greg Hale Construction, Inc.
Attn: Greg Hale
16605 71st P1 W
Lynnwood, WA 98037
BuildingPermit: 2004-0811
Site Address: 23317 94th PI W
Expiration Date: 9/30/05
Dear Greg Hale:
The purpose of this letter is to inforin you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your perillit file.
The City considers the final inspection to be one of the inost 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 glazing, weather-stripping, any
I Engineering department requirements etc. Of course not all ofthese things may
specifically apply to your project but it does give you an idea about the kinds of things
that must be complete as well as some items that do not need to be installed such as:
.paint, carpet, moldings, wallpaper, etc. Please be advised pen -nits expire one year fro"'
the date of issuance. if you will need more time to complete the work, permits can be
renewedprior to expiration for one half fees. If the pen -nit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew the
pern-iit. 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 on your Job Card.
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
A
Pernii oordinat r
Incorporated August 11, 1890
Sister City - Hekinan, Japan
z
0
M
--i -n
C M
rn 0
0
__40
0 C
M
M z
JO
C
o -n
M M
0
0 M
C C0
9 Cl)
M 0
Z r—
z
z
0
i
0
M
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
QPLLASE SM
n.d1L2W--- ENGINEERING DIVISION DATE_WL� 6-
PLANNING DIVISION DATE
PROJECT r�2_4
SITE ADDRESS /-LL
PERMIT #,:�� �—��ADB# 'DATEINSPECTED
f
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final 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:
2� GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
o Copy of CONDITIONS given to owner/contractor by inspector
I .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
ocaprv1.doc.1:temp:b1dg:fornis 10/0 1
z
0
Zi =-n
0 M
C
M 0
0
0
0 C:
M
MZ
0 -1
C —Z
o -n
n x
>
M M
0
0
M
Q C-)
Z r-
M
X
z
z
0
A
0
M
( 09froods
ity foe Im icy
111,1111 0 1,10
Certftia
DEPARTMENT OF BUILDINGS
PER INTERNATIONAL RESIDENTIAL CODE SECTION R1 10
AT: 2331794 th Place West
occupancy established by this certificate:— R3
Building Permit #: 2004-08j 1
Dwelling Units: 1
No. Stories: 2 Basement: N/A Type of Construction: VB
Owner of building: Greg Hale ConstrO!"� C.
The Single Family Residence at 23317 94" PI W has,,bean. inspdcted�.and,-'approved complying with the requirements of the
2003 edition of the International Residential Code as adopted by thb,;CIty1'f6r the group and division of occupancy and the use for which
9
the proposed occupancy is classified.
Issued this 20th day of April -- 1 2005 . —.
Chief Building Official
By
Any change of occupancy or use requires a building permit andTnew Certificate of Occupancy issued by the City of Edmonds Building Official.
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBA CKS .....................
FOUNDATION:
>
Footing......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
vv\ S
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
.—Oct
FRAMING........................
7
Z Z, 8 6
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
LA— sf�-05,
SHEETROCK NAILING ...
L
SPECIAL INSPECTION ...
ta
MISCELLANEOUS ..........
FINAL APPROVAL FOR MT
OCCUPANCY ..................
The initials MT are Milton
Thompson, a temporary contract
inspector for the City.
4w
z
0
A
0
M
Co
0 M
C
M 0
0
0
0 C
M
M z
ID --I
Cn
o -n
M ITI
0
0
0 M
Cn
Cn
M 0
Z
z
--I
Cn
z
0
M