20041021.pdfDATE RECEIVED/ -
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
EE'N�ME/NAME nBUSINESS
MAILING I
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CITY
ADDRESS
TY ZIP I TELEPHONE
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STAU LICENSE NUM13ER E)
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PROPERTY TAX. ACCOUNT PARCEL NO,
C)"
NEW RESIDENTIAL
ADDITION COMMERCIAL
REMODEL 0 MULTIFAMILY
GRYING
REPAIR 14 CYDS
- le
DEMOLISH TANK
GARAGE E] RETAINING WALL
CARPORT ROCKERY
'K 10 �',
0
TELEPHONE
ZIP TELEPHONE
0 1 L^
CBL 0
E OF USE, BUSWX_S OR AqTIVIj`Y) EXPLAIN:,
NUMBER NUM BER OF
OF DWELLING
STORIES UNITS
DESCRIBE WORK TO BE DONE
- I I -1k I �
ANION DAT7
0, _ 0
PLUMBING if MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FEIl
FT)
x
F� OTHER
FIRE SPRINKLER
FIRE ALARM
CRITICAL
AREAS
NUMBER
(3 ('11 .--
lc),_�.
PERMIT EXPIRES
USF PERMIT 4"
ZONE E�-,�el
NUMB�
JOB SUITE/APT#
ADDRESS
AT NAMEISUBDIVLSION 10 LOT NO, LID NO,
LID FEE S
TESCP Approved
PUBLIC RIO1 OF WAY" OFFICIAL STREET MAP Rw Permit Requited
Street Use pantie Hott'd
Inspection j1p,tietod
EXISTING PROPOSED Sidewalk Recleved
1__� Undergrotind
REQUIRED DEDICATION� FT Winng required
METER SLZE LINE SIZE NO. OF FIXTURES PAV REQUIRED
0
YES�q NO 0
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
i ( i
7' EW j By
REIN'EEiTIN� EVI DATE
FIRE REVIEWED BY DATE
VARIANCE OR CU
OR ADB#
INSPECTION
I
BOND
POSTED
RECID
'SHORELINEE
0
0 Q
YES 0
S
SEPA REVIEW
MPT
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
LLOW
HEIGHT
ALLOWED PROPOSED
EXP
LOT COVERAGI;,��jki�
REQUIRED SETBACKS
(FT)
PROPOSED SETBACKS (FT-1
SEA
ALLOWED PROPOSED
FRONT SIDE
REAR
FRONT LJR SIDE
PARKING
LOT ARE
LANNING REVIEWED BY DATE
REO'D
I PROVIDIED
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REMARKS-
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[REMARKS Y � - I I - i I I I a
PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINALINSPECTION RAW'D Z3
r) I n 7 0,�, -1i
A /
VALUATION
$ Ln
Description
FEE
Plan Check
Building Permit_
Plumbing
Mechanical
Description
State Surcharge
City Surcharge
Base Fee
� I --Ij —,% I �
I M - c�l -
es It
PLAN CHECK NO:
!.OT SLOPE %
THIS PERMIT AUTHORIZES ONLY THE WORK NcIrED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
E
C PERMIT APPLICATION: 180 DAYS
U
L PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
V
FEE
Fire Review
PlanChk.Deposit W;�,;�56>
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
--7
J
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt
r ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING PIREC I IN OR INDIRECTLY
It
r ANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SH ALL NOT BE
FROM THE ISSU
Landscapelnsp.
Total Amt. D Lie
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
R I
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE P OVIS ON.
Receipt N ej
x:j
Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This applicatiun is not a permit until signed by the
Fees
THE OWNER. I AGREE
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
RELATING TO
FOR INSPECTION
Building Olficial or his/her Deputy: and are paid, and
receipt is acknowledged in space provided.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON
WORKMEN'S CO)"ATION INSURANCE AND RCW 18.27.
FIC LS SIGNA�IRE DATE
(425)
f
SIGJ4ATURE WNE R,AGENT)
D E SIGNED
L
771-02 20
E)ff 1333
72)
'ED BY PATE
14clzzll��1,0.1
AT=CK1T1r1
ITIS UNLAWFULTO USE OR OC6UPYA BUILDING OR STRUCTURE UNTILAFINAL z -1/
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- ORIGINAL - FILE YELLOW - INSPECTOR
PANCY HAS BEEN GRANTED. UBC109/IBC110/lRC110. PINK - OWNER GOLD - ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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Height Calculation Worksheet
Address:
Date: t ks -t 3-
fiispector(s):--�L'�,
1. Datum Point:
2. Datum Point Elevation: CYS
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3. Average Grade: 0-7
adr C'>
0
.4. Maximum Elevation Allowed: IC�4-u '7(aver�i& grade)
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5. Reference Point Elevation Shot to House:
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19'S (datum elevation) + (grade to transit level line *shot to house) =wr) 0
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6. Measurements from line shot onto house to roof ridge:
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7. Actual Ele ation: point elevation) + 13,30 -(measure*ments
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from 00 C)
Conclusion:
04o (actual) is greater less than 2] �Rallowed); therefore the house b/
is not over the height requirement per ECDC 16.20.30 requirements
ALL EXPOSED SURFACES TO
BE COVERED VVITWIN 0 nAVO
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flGHTLINE jlj 62004
0 SDR 35 N PERM/ Co TER
SCH 40 SCALE 1"=20'
OWNER/CONTRACTORNI 12
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E
MKING PROPERTIES, INC. f--F3'j0, �IANCOH W
1 0,
P.O. BOX 1034 0. 10' 20' 40
LYNNWOOD, WASHINGTON 98046
^TER SEWER
PHONE 425-670-2711
INSPECl*"-"l\JS REQ'D. PLOT PLAN
"1220 EXT. 132-6
BENCH MARK CALI. 42Fj-771-'. FOR
THE PROJECT BENCH MARK IS THE CONCRETE
-ME
MONUMENT IN CASE LOCATED AT 1 LOT 25; VIKING HEIGH
CENTERLINE OF 238TH STREET S.W. Al -
APPROXIMATELY THE MIDPOINT OF THE IN SE1/4, SECTION 31, T.27N., R.4E., W.M.
PROPERTY. CITY OF EDMONDS
ELEVATION : 200.00 SNOHOMISH COUNTY, WASHINGTON
DATUM ASSUMED
Lovell—Sauerland & Associates, Inc.
'V3 NOTED Engineers/Surveyor3/Planners/Development CoasultamLs
BY i-*.,,',!GiNEE:-�RIjN3 e-m4: infoOlmengineering.com - web: Isaengineering.com
19400 33rd Avenue T.. Suite 2DO Lynnwood. TA 9W36 - (425)775-1691 - (425)672-7998 fia
elw_ DRAWN a== I DAU F.B. S= -F NO.
Date: � - �/ I JTT JTT 3.6.03 1 l.- 20 7656-0-04
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237.04-804bfOURT W.
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AN 89'21'37" W
115.50, X,
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SINGLE FAMILY
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RESIDENCE 0
23711 80th COURT W.
A
6'.10', PCIE #9-
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1-11-1 e, WE.SOCIA)TES 4962746
DAILY FIELD REPORT
WMM
Jot) !11�6— jokl
LAU & ASSOCIA'FFN INC', 4AO85 J. Liu 8
Earli �Ciiccc PEWS-- rl'e n ite ate — L) ay 0 &Olt
3-30P 4 18t 005
19213 Keniake Plac,-' '413- T 1-(ITr 0 Ito ea nai
Kenniot"', Washir. toil 98028 3.55P partly.�,Io�!d
—0 n--E;1—te -F,
t4 icle rs 1 2.5
JQ0 I-9cation C I to R.
M16c, Wxx - 238th Street SW. Ednionds Vikinf
. ___ .1
IL ots 25 Sunrise Ridge. Re—c—Five—d Llricheclt'.A By
I erai onractorSupertnte(oent
rl do—ntFactor Ted Coleman
Vilkina F'r Received
— MLL212� Earthworlt Nntractor 'Supt.
E'W-'woix contractor
(1,aiUl) E�xcavaLina
a J,
/\t ti-ip request by Ted Coleman with Vikll)g PrOPeltieS, I come on site to verify the flociting bearing soil..; for the
he footing trenches on t1rese lots ',lave all been
holLiSt"S to be built oil the subject lots. At thr:-, time of my site visit t I
in tile
out down to tile fo )g level No gi-ound'yVater seepage or stan&ng water is obSerVed WAn lis over the
loi,s. Some loose oisturbed soils have f3fler into the footing trenches, and in places a thin I a-yer of so
bnttorn of the footing tienches is disturbed by tile ScraPifjg of tile 1)ackhoe bucket, especialti the southern half of
)-ot 26.
The footing trPoches we cut deven aboul 2 feet be!ow existing grade into brown to light -brown strLICI'Ll-'al fill 0! "iltY
fine sand with a trac-e of gravel. A steel T-bar manually pL;shed into the footirg bearing soils can penettrate no n1ore
than 4 to 5 inches.into the Undisturbp.d footing beal*ir.g soils, indica0ig the soils are mealum-dense to dense.
'I IIG Ic.ose thin layer of soils disturbed by back.hoe bucket should be compacted to a non -yielding state with
Vbr-atciry Mecilanical Compactor If the abov'�- recommendatio-Is are followeCl, I' is 111Y 013i-nion that tile. footing
apacity of at leasi 3.000 p3f. 101,
bz�arillq soils will be able to render an allowable bearing c. 0
TM CclemanMkinq PropL .5
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FINAI 'ROJECT Al, F 0 M
APPROV
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTNENT DATE--,
yNQINEERING DIVISION DATE
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PLANNING DIVISION DATE, 0
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PROJECT� =n-
SITE ADDRESS— MrIl- v_v___ __ I
�b di_�:����#________PATE.INSPECTED 5 /d
PERMrr #
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:
GRANT FINAL PROJECT APPROVAL
CRANT PROJECT APPROVAL WrrH C0NDrrJONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
1. -
FAMED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
ocaprvl.doc.l:temp:bldg:fomislo/oI
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation .......... (5X
PLUMBING:
7—
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
-05
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING ... VA�
INSULATION ................... �AS
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
Sbde Sewer 10
Arnout Pat"
Amount
,F11c initials MT arc Miltoll D.,,te
coritract
T110,11PSO11, a ten'llorary
ills,)ector for the C!tY*
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