20041026.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PROPERTY T X A C T PARCEL N7
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RESIDENTIAL IVPPLUMBING / MECH
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ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
REMODEL MULTIFAMILY SIGN
REPAIR GRADING FEW
CYDS X k-:) Fr)
DEMOLISH TANK OTHER
YGARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
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PE OF USE, BUSINESS ORA9 IVITY) EXPI AIN-
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UNITS NUMBE FC)3 J,."
DESCRIBE WORK TO 13E DONE
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PLAN CHECK NO,
VF?TED ATE/
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.
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PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
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IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHAi L NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CI1YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
I HEREBY ACKNOWLEDGE THAT I 14AVE 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,�ENSATION INSURANCE AND RCW 18.27.
SIGNATURI�(O�WN OR AGEN9'
DATE SIGNED
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I PERMIT EXPIRES
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PERMIT
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LID FEE $
PUBLIC FIZZ _70F WAY)PER OFFICIAL STREET MAP
I Lz,Gr Approved
RW Permit Required
Street use Permit Hoq'd
EXISTING
PROPOSED
Inspection Required
Sidewalk Required
REQUIRED DEDICATION FT
underground
Wiring required
METER SIZE
LINE SIZE
NO) 01: PIXTURES
PRV R9QUIRED
NO 13
REMARZ
OWNER/CONTRACTOn RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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WN&WHINIV�1
' :NGINEERING REVIEWtb BY
FIRE REVIEWED BY
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VARIANCE OR CU
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INSPECTION
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SEPA REVIEW
SIGN AREA
HEIEHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
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LOT COVERAGE'�
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT)
FALLOWED PROP6SffD
FRONT SIDE REAR
FRONT UR SIDE REAR
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1,411� 1-14A, 10 1 cA - S3
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PARKING
LOT AREA
PLANNING REVIEWED BY DATE
REO'D PROVIDED
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REMARKS
BY ITYPE OF
SPECIAL
OCCUR
GROUP
LOAD
1EMARKS a
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)ROGRESS INSPECTIONS PERUBC 108/IBC109/IRC109 FINAL INSPECTION REQ'D
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2:7.59
VALUATION
$ J./i IQ �1 /j / —
on
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
ATTENTION E)ff 1333
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE ANDAPPROVALOR A CERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110.
FEE
Description
FEE
State Surcharge
City Surcharge
Base Fee
Plan Chk. Deposit ;�_3 3x
Receipt # ;7LI q
Total Amt. Due el'21
Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Olficial or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
0 71 1 LS SIGN URE DATE
0, 111 t ) / j jz�&/ ,
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
BY 'DATE
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ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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Height Calculation Worksheet
Address: CA
Date:
Inspector(s):
1. Datum Point: CA U
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2. Datum Point Elevation:
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3. Average Grade: 01
-53)
.4. Maximum (av
Elevation Allowed: I erage gi-ade):4�K"-- 3:
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5. Reference Point Elevation Shot to House: 0
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(datum elevation) (grade to transit level line'shot to house) X M
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6. Measurements from line shot onto house to roof ridge: C
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Total
7. Actual Elevation: (reference point elevation) +( "7, (measdr ements
from #6)
Conclusion: -S(3) (allowed); therefore the house is/
2,41 (actual) is greater/ ilg�js �&,�n' -)d
is not over the height requirement per ECDC 16.20.30 requirements
OWN ER/CONTRACTOP&JS RESK I B LE_ %"%
FOR EROSION 00N TROL AND DAMAGE. COI Cl
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ALL EXPOSED SURFACES TO
BE COVERED WITHIN 2 DAYS 0;'
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CIO 610 23701 aOth COU T W.1 xI 10
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tAMILY RESIDENCIt
DENCE
-4, 36 2�703 80th COORT
Ithl COURT W.c"!'
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6 ACCEvl�*AbLE 'iiGHTLINEN 6
MAJIERIAL
SDR 35 E : 1"=20' cc
OWNER/CONTRACTtN 40
VIKING PROPERTIES, IN(N 12 6
Ol 0' 40"!
P.O. BOX 1034 10, 20'
LYNNWOOD. WASH INGTOV ;,Aol��IICOR
'WA ER 8 SEWER
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PHONE : 425-670-2711 INSPECTIONS REQ'D. PLOT PLAN
E-XT, 1326
CALL 425 FOR
BENCH MARK C/ r tl V
THE PROJECT BENCH MARK IS THE CONCRETE
MONUMENT IN CASE LOCATED AT THE LOT 20, VIKING HEIGHTSD`ov6s-scra.
CENTERLINE OF 238TH STREET S.W. AT
APPROXIMATELY THE MIDPOINT OF THE IN SEl/4, SECTION 31, T.27N., R.4E., W.M.
PROPERTY. CITY OF EDMONDS
ELEVATION : 200.00 SNOHOMISH COUNTY, WASHINGTON
DATUM : ASSUMED
Dato:
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Lovell— Sauerland & Associates, Inc.
En&eers/Surveyors/Pl&uners/Development CousulLants
e-mal info@L-Aen&"ring.com - web: Wen&eering-com
IRM 33rd Aymue W.. SWLe 2oo - Ly-wood. TA 9WW - (425)775-1591 - (425)M-7998 fax
DUTN CHECUD UTI S= I W NO*
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L.1U k� A'=;SOCIATES 4862746 P. 0 1
DAILY FIE�D REPORT
.100 NO. Fie d KeP 2�-
ES, INC. 4AO86 J. Liu cl 7
LIU & ASSOCIAT
Cgoicchnical Unginwin, GC0109� & Dill, Scicrc-
2.35A 4/1312005 Inul
19213 Kentake Plice NF. Tfavel Time (Hrs) i Time-Zlif Sitf- WeO'Mer
Kciunore, WaShinvton 9801-8 1 3-05P St-nn I P dL
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e � 6�'Ulii 10 Ge Visitors
Phone: (425) 483-9134 Fax: (423) -'66-12746 leii-vele H-S 0-i SiT 1.5
lic-t Locatit)
L.0t.-, 20 thrCiLig� 24 - Sl,inriseffgae 80xx - 238th St-06t SW, Edn--.oi-,ds Vkiog Prr
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-&,ived Uiichev�ed i3y
Gianeral F�e
General U0111rOctor
Vkiijg Ted Coleman
E��tvworl( Gor,5ctot Earthwork Cortradof Supt.
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C,@jun Exravating
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At tl-ia request by Ted Coleman with ViKil)g Properties, I cotr.e on site to verify the footing beadng soi r he
all bcon
hIOUsei to be built on tile subiect lots. At the time of my site visit the focting trenches on these lots have
excavated out down to tne footing ISvel. No qrour-dwater seepage oi* standing water is ot,,served withiri the
lots. Some loose disturbed soils have fallen into the footing trenches, and ir) Places a thin layer of soils over the
boucirg of the footing trencFes is disturcied 'by the scraping of the backhoe buc-Ket.
The footing trenches are cut down about 2 feet below existirig grade into brown to light -brown structural fill of silty
fine solid vitth a trace of gravel. A steel T-bar i-rianually push6d into the footing b2aring soils can penetrate no more
tnan 4 to 5 inches into the undisturbed footing beaHng soils, indicating une soils are mediU111--dense to dense.
I inform Bob, the foreman with Viking Properties, that the �oose th!r, layer of sr,:Iis disturbed by beckhoe ou cket
should be compacted to a non -yielding state with a vibralory niechanical CorrpaCtOr If the above recorimlenoations
i I -ir -ender an allowaNe bearing C.--2paoity cfat
are followed, it is nly opinion that tile ooting bea, ng sn:ls will. be able to
least 3,000 Psf
RECEIVEL)
APR 2 1 2005
DEVELOPMENT SERVICES CTR.
I CITY OF EDMONDS
1) Ted ColemantV,king Properties
3) 4)
14Y(310!�
Untli-iLY'l
on Noy.1
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XINAI -IROXECT APPROVAL FOPM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTNIENT DATE—___�
"Auzom
_ENGINEERING DIVISION DATE—L'?IZZ�60
PLANNING DIVISION DATE_________�
PROJECT
SITE ADDRESS
PERMIT B#____DATE.INSPECTED
DESCRIPTION OF.WORKTGBE 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:
X GRANT FINAL PROJECT APPROVAL
GRANT pRojEcT APPROVAL wrrH CONDITIONS NOTED
C] Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inspector.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date
ocaprvi.doc.l:temp:bldg:formsIO/oI
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
6 g,
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground.............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
_C�
C�,
r Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
C)
FRAMING ........................
FIRST FLOOR FRAMING ...
V�^
49 L-1
INSULATION ...................
Floor insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
ScideSewerl'
Amout Paid',
Datebsucd.:�
Water Metc-.
Amount
Date Purcla
-file illitials N4T are WWII
"Iry colltr"Ict Amount Paid
T110,11psolil a 11-1111101
for tile City.
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