20040969.pdf[PERMIT EXPIRES
DATE RECEIVED
21,11
CITY OF EDMONDS
USE PERMIT
ZONE
NUMBER
,7
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
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SUITE/API#,
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OWNER NAMEINAME OF BUSINE S
PLAT NAMEISUBDIVISION NO LOT NO.
LID NO,
LID FEE $
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MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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EXISTING PROPOSED
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undarground
CITY ZIP
TELEPHONE
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REQUIRED DEDICAIION_ FT
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METER SIZE LINE SIZE NO. OF FIXTURES
PRV REQUIRED
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NAME
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ADDkESS
REMARKS
OWNER/CONIRACIOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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CITY ZIP TELEPHONE
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NAME CBL#
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LGINEERING REVIEWED BY
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DATE
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ADDRESS
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"'FIRE REVIEWED BY
DATE
CITY�24� ZIP �T�ELEPHON�E
STATE LICENSE NUMBER
PROPERTY TAX ACCOUNT PARCEL NO.
EXPIRATION DATE I CHECKED BY
NEW
RESIDENTIAL PLUMBING i MECH
ADDITION
COMMERCIAL COMPLIANCE OR
El CHANGE OF USE
REMODEL
MULTIFAMILY SIGN
REPAIR
GRADING
1,
02__�2 CYDS
FENCE
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DEMOLISH
TANK
OTHER
GARAGE
RETAINING WALL
FIRE SPRINKLER
CARPORT
ROCKERY
FIRE ALARM
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(TYPE OF USE, 13USINESS OR ACTIVITY) EXPLAIN:
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NUM13ER
NUMBER OF
CRITICAL j
OF
DWELLING
AREAS
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STORIES
UNITS
NUMBO
TO BE DONE
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1 A4 dy Ire ra_ ^4.'1
HEAT SOURCE GLAZING % LOT SLOPE %
6 ; I U14 LA 1%'N -
PLAN CHECK N VESTED DATE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVEdsWORKT0
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
cc PERMIT APPLICATION: ISO DAYS
W
PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
12 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 INDIREC I Ly
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT 13E
DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0
NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT 111E 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��J�ENSATION INSURANCE AND RCW 1827
SIGNAT �N71NIE_\�OR NT),f DATE SIGNED
1
VARIANCE OR C U
SHORELINE :=o-R-A-D B
INSPECTION
RECI�%O
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LO
BOND
$ POSTED
SEPA REVIEW
COMPLETE EXE
T
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOs7
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EXP
LOT COVERAGE
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (Fr.)
FRON� UR 51DE PEAR
ALLOWED PROPOSED
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REMARKS
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GROUP
SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [] YES LOAD
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE01D
VALUATION
$ ),�o
Description
FEE
Description
FEE
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State Surcharge
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Building Permit
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City Surcharge
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Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
APPLICATION APPROVAL
CALL
This application is riot a permit until signed by the
Building Official or his/her Deputy: and Fees are Paid, and
FOR INSPECTION
receipt is acknowledged in space provided.
or icl �,� I DATE
�i YS3
(425)
EN
771-0220
R F J, F A FD BY DA
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OnIGINAC-FILE YELLOW -i NSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER GOLD -AS E S R
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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1"%PPROVED AS NOTE[)
WBY EINGMEERING
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RECEIVED
JUN 2 2 2004
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Height Calculation Worksheet
Address: Gi
Date: a -
hispector(s): en i + y1z.9
1. Datum Po int:
2. Datum Point Elevation:
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3. Average Grade:
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4. Maximum Elevation Aflowed: 3 16A—.(X�veriago� giade)::� 25`---- 0 7. 0
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5. Reference Point Elevation Shot to House:
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.UR (datum elevation) +.E,)- (grade to transit level line'shot to house)= -?1? 7 .;k-
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6. Measurements from line shot onto house to r6of ridge:
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7. Actual Elevation: 3 g -i, I (reference point elevation) + V1, 7 5 (measurements
from #6)
conclusion:
4611, (actual) is greater less than (allowed); therefore the house is/
is not over the height requWrement per ECDC 16.20.30 requirements
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111 C. -1 S 9 11
CITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS. WA98020 '(425) 771-0220 -FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
March 14, 2005
GARY HAAKENSON
MAYOR
UITY Cd--'hT'u
Jim White "iry
9123 206"' St. SW
Edmonds, WA 98026
Re: Building Permit: 2004-0969
Site Address: 9119 206"' St. S.W.
Expiration Date: t1/23/05
Dear Mr. White,
The purpose of this letter is to inforrn you that the last remaining inspection oil your
project is a final inspection(s). The final inspection(s) deterrilines that there are no
outstanding life -safety issues and approval allows the City to close your permit 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 the following must be complete:
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
and residence, egress from sleeping rooms, safety glazing, weatilcr-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 or 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 from
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. If thepennit expires withOLit a final
approval granted by the Building Inspector, full fees are required in order to renew the
perillit. 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 [hall
one department is required to final your project, this is noted on your Job Card.
Please feel free to contact rile at 425-771-0220 if you have any questions.
Sincerely,
JoAnne ZuIaLlf
Permit Specialist
1.vI'e111p\1)S'1"sVv1as1er Lctters\SR%%,aamI_trSIR
Incorporated August 11, 1890
Sister Citv - Hekinan. Jar)an
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STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
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C.&W BY: /0-1
(I- SNf 41'2- f 7 V 95-
ADDRESS PHONE
bATE..
*****DESIGNDA.TA*****.
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
DETENTION PIPE LENGTH SOCKING LID
ATYPICAL)
FINISHED
�3 1 , MINIMWUM
T Tjen� M��CATIWWVC6 Or
IGHTL CONC BOX OR RIM
.3X TO IX SLOPE
I L T
T
F OUTLET CONTROL
MIN.
UPPER CATCH BASIN ORIFICE
CONTROL CATCH BASIN
It �, ILE
SYSTEM CROSS SECTION
RE.CEIVED
2'XZ'X6'.DCEP, 4-6' SPALLS OR EOUAL JUN 2 2 2004
FROM CONTR13L CS 21 VX 3' DEEP, 3/4' CRUSHED ROCK ISTING GRADE PERMIT COUNTER
;TLET�ASHCD 7R=
=rRM CONTROL M1
-65TFLOW TR 11Njr Uka
Tn P
L5. PERF PIPE a B LEWL
P KRF PIK V/ END CAPS
T' L T"
PRUPTOMPLAAMCM19 VASHE"DIZIN R=
NPRAP OUFZJF
RUNOFF SPREADER. TRENCH
FOOTING DRHNS $HALL NOT -BE CONNECTED TO DETENTION SYSTEM
NOTW:
1. Call Engineering Division (771-MO) for a tightline and detention system �spection.
befbre backfiffing and for final inspections. PPROVM BY
2. Responsibility fbr operation and maintenance of drainage systems on private property is the
ibility of the property owner. Material accumulated in the -storage, pipe must be Rushed
responsi
out and removed from the catch basins to allow proper operatiom 7be outlet control orifice
must be kept open at all times. CZ 11 1 4-___1
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Table I — Detention Pipe Sizes
Impermeable Required Pipe Diameter
a a a
Area Sq. Ft Vol Cu Ft is, is 24. 30
25M
am
40
T,50)
28
35
16
20
10
13
3000
3500
75
87
60
70
42
-49
24
-28
15 Required pipe
-.18 length In feet
4000
100
so
66
32
21
4500
112
90
63
36
23
5000
125
100
70
40
25
Note: Allowable Pipe Materials:
Reinforced
Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N — 12 ADS (Not permitted on roads)
Table 2 — Outlet Orifice Sizes
Impermeable
Area Sq. Ft
Outlet Orifice Diameter (inches)
2000.
5/8
2500
.5/8
.3000
3/4
3500
3/4
4000
7/8
4500
7/8
5=
7/8
Table 3 — Rectangular Catch Basin Requirements
Detention
Max. size
Catch Basin
pipe diameter
knockout'
Type
�.MTej, CB 15
5�
1 Sm to 244
260
Type I C�l 6
24N to 36,
368
Type 11, CB 19 19 (480 Basin)
360 to 42'
426
Type 11, CB 19 19 (540 Basin)
*Source: Assoc. Sand & Gravel Co. Standards
5
Revised 3/16/95
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200501311,509 1 PG
01-31-2005 04:50pm $19-00
SNOHOMISH COUNTY. WASHINGTON
Return Address:
City Clerk
City of Edmonds
121 - 5th Ave. N.
Edmonds, WA 98020
UTILITY EASEMENT
RECEIVED
I APR 0 5 2005
EDMONDS CITY CLERK
N 0 EX(, E TAX
13 E Cj� iRED
om a 12005
BOB DNNTINI, S[1606sh county Tfeasufel
By ----
Property Address: 9119 206" St SW
Assessor's Property Tax Parcel No.: 00635200000300
IN CONSIDERATION of benefits to accrue to the grantors herein, the undersigned, James White
hereby grants to the CITY OF EDMONDS, a Municipal Corporation, a permanent easement for the installation,
operation, and maintenance of a _ sanitgU sewer and storm seweLgyg2M_ over, across, through, and below
the following described property, and the further right to remove trees, bushes, undergrowth and other obstructions
interfering with the location, construcfion, and maintenance of said sanitary sewer and storm sewer system,
together with the right of access to the easement at any time for the.stated purpose.
The easement hereby granted is located 'in the COUNTY OF SNOHOMISH, STATE OF
WASBOINGTON, and is more particularly described as follows:
The East 16 feet plus the North 20 feet of.the East 55 feet of the fbllo�vffig described property:
Lot 3 of Novleens Park Addition; as recorded under Auditor's file number 2290180, Situate in the County of
Snohomish, State of Washington.
This easement amends the utility easement as recorded -under the above stated Auditor's file number.
THE CITY agrees to restore to subs'tantially the original condition such improvements as are disturbed
during the construction, maintenance, and repair of said utility or utilities, provided the grantors, their heirs, or
assigns shall not construct any permanent structure over, upon, or within the permanent easement.
" 1"d
DATED THIS 2,J DAY OF De. c ewt be V\
STATE OF WASHINGTON)
)ss
COUNTY OF SNOHOMIISH)
. Kilo(_
On this day personally appeared before me )"6S W�ITC—to melmovaito be the individual
described in and who executed the within and foregoing instrument and acknowledged that ff C-7
— signed the same as free and voluntary act and deed, for the uses and
purposes therein mentioned.
HAND AND OFFICIA�-ISEAL Tqlj "�)LpDAY
tARY PUBLIC i'n and for the
t
co t te of WasIdnaton, residing at
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ILFAIr SION
�ENGINEERING DIVISION DATE-
'N
PLANNING DIVISION DATE
PLEASC SIGN
PROJECT t-* i -1-E
'�O� 911-9- 206
SITE ADDRESS -
PERMIT #24a4jj:_��.ADB# DATE INSPECTED 7 ---- -- Z�
1� f
DESCRIPTION OF WORK TO BE INSPECTED &Iei r-.,&.LLtn a
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:
4)e -GRANT FINAL PROJECT, APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
El 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
1.
2.
3.
RE -INSPECTED OUTSTANDING ISS . UES - GRANT FINAL PROJECT APPROVAL
Date Signature
Nemp: bldg: forms: ocapry 13/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................... N
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
A
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
I-) o "5
SHEETROCK NAILING
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR f T
OCCUPANCY ..................
Ls i e. s r
COP
SO/
Date �;;rpnlrcs
2OP6 V10 water Meter Sin
Amount P=`0
D.-tePurd-A
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The Initials MT are Milton I
-y contract
Thompson, a temporal
7-
inspector for the City.
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