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20040933.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS LAW ME t,)i GC a*-,4L Iv% Al2-a kf-� F--U 1-::� MAILING ADDRESS CITY ZIP TELEPHONE f�'�fDHTDC_>Iwtk- 2,D1 NAME KWIW ADDRESS W 55TLAI—.5 A'VV'VE�, f__3 44� 17 q A CITY 101 ADDRESS CITY ZIP STATE LICENSE NUMBER TELEPHONE 'wv- -4-00f - jCBL 0 TELEPHONE CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. oo'-71' 19 9 0 1 uoo 0 0 ca 0 A4 NEW X RESIDENTIAL 1:1 PLUMBING / MECH ADDITION r-1 COMMERCIAL 13 COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY 171 SIGN REPAIR GRADING CYOS 1:1 FENCE X F9 DEMOLISH TANK OTHER GARAGE r.APPr)PT FIETAININGWALL Pnr.KF:PY FIRE SPRINKLER FIRE ALARM MPE OF USE. BUSINESS OR ACTIVITYI_EX"14: 1 NUMBER NUMBER OF CRITICAL OF -2'� 1 DWELLING AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE IlL � A! I HEAT SOURCE GLAZING % LOT SLOPE % 4:fjo A- I PLAN CHECK NO: 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 :3 SEPARATE PERMISSION. cc W PERMIT APPLICATION: 180 DAYS 91, 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 q IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECILY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION ' J, 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 LABgR.PODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSi!��RANCE AND RCW 18.27. SIGNA UR ;,(OWNER6 ZAG E DATE SIGNED PERMIT EXPIRES U/ 1 P ERMIT 71 ?) NUMBER JOB ADDRESS qz"-J1 PLAT NAME/SUBDIVISION NO. LOT NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED — REQUIRED DEDICATION. FT METER SIZE I LINE SIZE SUITE/APT# LID NO. LID FEE $ TESCP Approved RW Permit Required Street Use Permit Roq'd Inspection Required Sidewalk Required Underground Winng required ES PRV REQUIRED YES 0 NO 0 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE VARIANCE OR �U rORELINE OR ADBI I INSPECTION BOND REO'D POSTED OYES ONO IS SEPA REVIEW COMPLETE , EXEMPT EXP LOT COVERAGE ALLOWED PROPOSED PARKING REO'D I PROVIDED REMARKS SIGN AREA HEIGHT ALLOWED . PROPOSED I ALLOWED , PROPOSED REQUIRED SETBACKS (FF.) PROPOSED SETBACKS (FT) FRONT SIDE REAR FRONT LIR SIDE REAR LOT AREA I PLANNING REVIEWED BY CHECKEDBY I TYPE OF CONSTRUCTION CODE SPECIAL INSPECTION JAREA REQUIRED [] YE DAT'E GROUP I OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108 1 IBC109/ IRC109 FINAL INSPECTION REO'D VALUATION $ i I � Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee FEE Description FEE 71- 1� State Surcharge Ll &�50 Z'-4f City Surcharge Base Fee CALL FOR INSPECTION (425) 771-0220 cc W z z G z W W Plan Chk. Deposit Z-11 r — Receipt # Total Amt. Due Receipt # APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/tier Deputy: and Fees are paid, and receipt is acknowledged in space provided. �FICLALS SIGNATORE DATE � ATTENTION t:)k I I 13ja ITIS UNLAWFULTO USECROCCUPYABUILDING OR STRUCTURE UNTILAFINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ACERTIFICATE OF OCCU- PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES 71%, /1 C3 z 2 z 5 IL IL, illt ) RIGINIL-FILf YELLOW-INSPECTC PINKIOWNVI GOLD -ASSESSOR V1 z 0 4 0 M --i -n M C M 0 C-) 0 C: M M Z 0 --1 C o -n MM 0 0 0 M C Cn 9 Cl) M C) Z z Cl) z 0 i 0 M LAWRENCE AND MARGARET FUELL 924 MOUNTAIN LANE EDMONDS, WA 98020 'PARCEL #00548900000604 TruePAvsjc IMPERVIOUS SURFACE CALCS (SOLID SURFACES) MOUNTAIN LANE EXISTING BUILDING ROOF OUTLINE: 1899 S.F. EXISTING COVERED PORCH: 219 S.F. C.L. EXISTING DRIVEWAY: 3198 S.F. P L 9.3.2 4' EXISTING PATIO: 516 S.F. . -1 PROPOSED ADDITION: 0 S.F. PROPOSED GARAGE: 0 S.F. PROPOSED DECK: 0 S.F. .3 7Y2" 10 HEIGHT CALCS 2 0 A + CD B -t- Pat(. C D AVE GRADE: SA 1 +541 ACTUAL: -7 -MAXIMUM: LOT COVERAGE: 11% EXISTING1 RESIDENCE LOT AREA: 13,939 S.F. LOT SLOPE: (D I Ln 0 Ln ni- EXIST. CONC. RIVE D I Lo ClT%',`.00PY EXISJI. U) GAR�GE R C ocT 2004 27 - 41 A-56 PERM17 COUNTER + D r _ul__.0TPLAN NORTH z 9 0 m CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 1 (425) 771-0220 - FAX (425) 771-0221 Website: www.d.edmondsma.us DEVELOPMENT SERVICES DEPARTMENT B911 Planning * Building * Engineer "y January 25, 2005 GARY HAAKENSON MAYOR Attn: Lawrence and Margaret Fuell 924 Mountian Lane Edmonds, WA 98020 'Building Permit: 2004-0933 Site Address: 924 Mountain Lane Expiration Date: 11/4/05 Dear Lawrence and Margaret Fuell: The purpose of this letter is to inforni you that the last remaining inspection oil your project is a final inspection(s). The final inspection(s) deterrnines that there are no outstanding life -safety issues and approval allows the City to close your pen -nit file. 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: smoke detectors, house numbers, guardrails, handrails, self -close doors between garage and residence, egress from sleeping rooms, 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 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 permits expire one year from the date of issuance. if you will need more time to complete the work, pernlits can be renewed prior 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 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 on your Job Card. Please feel free to contact me at 425-771-0220 if you have any questions. Sincerely, 10W 1014 Permit Coordinator incorporated August 11, 1890 Sister City - Hekinan, Japan RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final ...... HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING ... INSULATION ................... Floor Insulation ......... os Wall Insulation ........... Ceiling Insulation ....... gs SHEETROCK NAILING ... -fY)7 SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. I IV The Initials MT are Milton Thompson, a temporary Contract inspector for the City. z 0 1 0 171 --i -n M C: M 0 0 CZ --I K M M ITI Z JD --I C= —Z 0 -n n M ITI 0 0 0 M C CD 9 Cn M 0 Z z :C Cn z 0 A 0 171