20041044.pdfDATE F��ECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OW )Etr�/NAME OF rkINESS
I - <._.
1 01, ��
MAILING ADORES S��
C) IuV
ZIP ITELEPHONE
W
I- A
_7
ZIP T�LPPHONE
-N-7c I 4.)<.
USE
ZONE
JOB
ADDRESS
ION
PERMIT EXPIRES
PERMIT
NUMBER,__.V
k I LOT NO
-1
LID NO
x I �'_ I ') X1 I tj r-1 It i I LID FEE S
fL5GP Approvnd
PUBLIC RIGHT�Ali WAY PFfll OFFICIAL STREET MAP RW Por"Ilt ROQ11110d
street Usti Permit Roni'd
inspection Requirod
EXISTING PRO��D� Smewalk Hequired
Underground
REQUIRE[) DEDICA FT Witingroquired
METER SIZE LINE SIZE NO. XTURES P�VPEQUIRED
--A it I I 1 19 NO 0
R EMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONIROL/DRAINAGE
Nr . - _ 'I CBL 4
NGINEERING REVIE\7�� By DATE
ADDRESS
DATE
FIRE REVIEWED BY
CITY
LLI v) h i m
ZIP
� X)
TELEPHONE
LA� -670
LICENSE NUMBER
I EXPIRA I TION DATZE
CHE E
TE
PROPERTY TAX ACCOUNT PARCEL NO.
_00 7 V
to,-/6)
NEW
RESIDENTIAL
PLUMBING / MECH
ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
MULTIFAMILY
SIGN
REPAIR
G G
CYDS x (4:7 FT)
DEMOLISH
TANK
OTHER
F�
GARAGE
CARPORT
RETAINING WALL
ROCKERY
FIRE SPRINKLER
11 FIRE ALARM
PE OF USE. BUSINESS�QPc-,ACTIVITY) EXPLAIN:
w NUMBER NUMBER OF
aOF DWELLING
M
0 STORIES UNITS
DESCRIBE WORK TO BE DONE
_y
d
c4o-� I - c
-6
GLAZING %
---I. I
NO: r\" . -V
CRITICAL
AREAS
NUMBERO,
qq—
fN� ;_k -
� .— k'_ n
00
ILOT SLOPE %
VARIANCE OR CU
ADI3#
INSPECTION
'D,
BOND
POSTED
RE
YSHORELINEOR
tDI 03 —
Y E S No
S
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROP08ED
EXP->�
,
LOT COVERAGE,�!*d'
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR
46e;?�5
2-0, to, w1k
a-01 tqbool NIA'.
PARKING
LOT A
RE�IfWED BY DAT
REO'D PROVIDED
MING
I
7 -7.
RGMABXS
CHECKED UY
TYPE OlFhrf',�NRUCTION
KODE I
OCCUPANT
-�Z
I GROUP
SPECIAL IN�4CTK)
C UPANT
REQUIREIZ q��"C�
fil;oetkghilelloc
LOAD
PROGRESS INSPEC11ONS PERJJBC 108/ IBC1D9/IRC109 FINAL
r-
VALUATION
Description
FEE
Description
Plan Check
-
1
State Surcharge
Building Permit
Z/ 0
City Surcharge
Plumbing
Base Fee
Mechanical
/
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading flh�
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180DAYS
IL PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
UJI
z
z
a
z
W
Uj
cc
rL
0
R E O'D
FEE
*APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS rtiE ory OF
2 EDMONDS. WASHINGTON. IIS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt N 2-411-71
x ALL CLAIMS FOR DAMAGES OF WHAI EVER NATURE, ARISING DIRECTI-YOR INDIRECHY
It
x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF I HIS PERMIT SHAI I NOI 13E
a DEEMED TO MODIFN� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
0 NOR I-Imir IN ANY WAY THE CITY'S AIIIHIY 10 ENFORCE ANY ORDINANCE PROVISION - . &—&
x Receipt #
Recording Fee
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 AGENI OF APPLICATION APPROVAI
THE OWNER� I AGR�E TO COMPLY WITH CITY AND SIATE LAWS REGULATING CONSTRUC. CALL I hisapplication is not a pennit until signed by Ihe
TION AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL. BE EMPLOYED BmIding 01116,1100110101' DOPLIty. and Fees are paid, and
IN Vj6L_ATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt i!. acknovOodged in space providw�,
WORKMEN'S COMPENSATION INSURANCE AND nCW 18 2 1 7 IC�14 � SIGN I I UIIF� DAIF
OAT SIGNED
SIGNATURE (OWNER OR AGENT) (425)
771-022U R 17A.
ATTENTION EXT 1333
IT IS UNLAWFULTO USE OR OCCUPYA BUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCLI-
PANCY HAS BEEN GRANTED. UBCI09/IBClI0/IRCII0
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
0 BY
FA
/z,
ORIGINAL FILE YELLOW INSPECTC
PINK - O%',NEn GOLD - ASSESSOIJ
P.;
V
rj
z
0
1
0
M
--i -n
M
M
0
4 (-)
0 C
M
M Z
o -n
n ;u
>
MM
10
0
0 M
C: cl)
90
M
Z
X
z
z
0
M
0
Ptffr SEVIAigN-F PVA10 OAJ TffU LOT, VISSrIZ /U0-r.---7Z)6-06AlST"6T-e0 LtArg,�- PW
:h COURT W.
D
6, x 10, p-DT #1 - q-�T r�,-m
ALL EXPOSED SURFACES TO/
:4
rn / : - - 1 -000-7
89-21'37" W '5 CD MAOCE.
BE COVERED WITVIIN 2b N I
p
W -M.50- 4 'p. Ic)
C
50.
19
SSE#3 T! N
o- �q
OR IS F -%O� SIB
OWNER/CONTPACT k&j.
0 26
FOR EROSION CONTAOL AND D PAE E <
NGLE FAMILY mc, 0
FAMILY kp
RESIDENCE
0
)ENCE 0 z
% - s-�- -C' "
23713 80th COURT W.'— 0
COURT W.
L
0"- 0
LED EfK0-§I -.5
MAINTAIN PLAT INSTAL D 0
ro A 0
.50
.............. .......
CA -75)
f4 Hl
................ 3-33' '>O M
00 m
TRA(� 0
--1 0
C8 0 C:
W -132.57' -4 K
:E M
M Z
r
C
>
SD
Cl)
q -n
-n
-7
OZ 6-"-
Cl 6
d- 917, 75- C�&
A C 0 E I:) f A I'A'. E 'll H N E co ilit vko
D- -z�
SDR 35 SCALE : 1"=20' '�884117-
OWN ER/CON TRACTOR SC�i 40 F�
\AKING PROPERTIES, INC. N 12' W E
P.O. BOX 1034 F810 HANCOR 01 10, 20' 40'
LYNNWOOD, WASHINGTON 98046
PHONE : 425-670-2711 %VATER & SEWER PLOT PLAN
INSPECTi"'JS REQ'D.
BENCH MARK CALL 425-77i-112?o EX7.1326 FOR
THE PROJECT BENCH MARK IS THE CONCRETE LOT 26., VIKING HEIGHTS
MONUMENT IN CASE LOCATED AT THE
CENTERLINE OF 238TH STREET S.W. AT
APPROXIMATELY THE MIDPOINT OF THE IN SE1/4, SECTION 31, T.27N., R.4E., W.M.
PROPERTY. CITY OF EDMONDS
ELEVA11ON : 200.00 SNOHOMISH COUNTY, WASHINGTON
DATUM : ASSUMED
K)TED',
DY K�11,11--ERING
Date:
IN
Lovell— Sauerland & Associates, Inc.
Engineexs/Surveyors/Plaimers/Development ConsWtants
m e-mal LWo@lsaea&eering.com - web: Isaengineering.com
19400 33rd Avenue T., Suite BDO Lynnwood. WA 9M - (425)775-1591 - (425)6n-7998 fax
DRAWN UTZ F.B. -0-04
JTT 1 0177 T 3.6.03 1
x �ft
m M
0
0
0 M
C CD
9 Cn
M 0
Z
;U
z
En
z
0
i
0
m
Height Calculation Worksheet
Address: 3-713 s
Date:
Inspector(s):
1. Datum Point:
2, Datum Point Elevation:
z
3. Average Grade:
0
M
.4.. Maximum Elevation Allowed: I'��4-f��ver�agibgiade):'+*'�e"-- -,3`04,4—
M
C
5. Reference Point Elevation Shot to House:
M 0
0
(�O,,;7 (datum elevation) (grade to transit level line shot to house) 0
M
M z
6. Measurements from line shot onto house to t6of ridge:
C z
<44
W
0 -n
M M
0 V5
0 M
C CO
K W
M 0
Z
X
z
W
Total:
z
M
7. Actual Elevation: & (reference point elevation") + (measurements
from #6) 4U.
Conclusion:
eater --!"a
":*(3 (actual) is girl I "si AnAN 14-6 (allowed); therefore the house LV
' s�
'�4per
ECDC 16.20.30 requirements
over th. eight requiremen Der I
is not eh*
P. 0 1
CWLY FIELD REPORT
00 toki Rep.
L U & A S',-3 0 C I A'VES, I N C. 4AO85 J. Liu i of I
L.�j
n � it's Date
Mon.
26 3�301" 4/1 W2005
T-(wel T,Me IMQ OR ito ealne,
9213 Kf n klk`� PI8CC -4 L' 155P
Kenmore, Wa.111 ir.g toil 9802S e irle r5 Of% de ib 'rlafg
ion.
SVV Ednionds Vikinq PLqp±L.�tiQS
238th StleC' By
!�unrise Ridq
I C),Jq racic)r superiVenient keccKtd Unc,1116
ots 25 i-ir � Il I z
�3 C —to'
Te d Coleman R e o e i v G d z I —C'. V4 -C M . .... . 0
Entractor SuPt. -1
contractor
M
rify the footing bearing for the
I come on site to Ve
j\t top reque5t by Ted Coleman with Viking Properties
it. visit tile footiq trenches on these 1,)Is 'nave all bee
jf. of my s
hoUSj. ,Ct 1,,)ts. At the time tile Wbiel;t
S to t)e built oil the sub
and'Ing water is Observed w tl'lirl
t down to tile foot!"19 level No gioundwater seepage or st
(%Xr'@V;3teG OU C
soils have faller, into the footing trenChES, and in places a thin i3yer of Solis over the a M
ose oisturbed of tile 1)ackhoe buc�'(, M 0
joi.s. Some lo espeClelly the soLithern half of 0
0
jyittorn of tlie footing tienches is disturbed by tile SCrBPi(1g C
i-ot 26. ?.
M
o brown to light-browr. StrUCIU-'al fill of c,"tV M Z
t (Jown abou' 2 feet be!ow existing g,,a(le int
Tile footing trenches are CU footirg bearing soils can periptrate no wor
finf-, s3-nd with a traoia of gravel. A steel T-bar manually pl�shed into thO z
wei:llum-dense to denSE.
indiSlUlrbad footing bearing soils, indical;'19 the soils are F
Ilian 4 to 5 inch.es into the L
n1pacled to a non-y,eld-ing state with 0 -n
-n
disturbed by bacOoe bucket si�,ould be Go
I-IIG IC.0se thin layer of soils I
tjo�-,s are followec', I' is II)y opinion that tt)e. footing
nenda
"e,,lallical cornpactor If the it.'-nve- reco'llf M
V.i-.Wr@to.'y ML east 1000 Psf- M M
i to render an alioAable bearing CapacitY of At I
bLlar 111) Solis will be able 0
0
0
M
C Cl)
K C1)
1A U S'. M 0
Z
M
3:
>
z
C1)
z
0
71171 1
M
16 105;
------- TO
on Nct,,..
5 2) aa-
Ted CclemanVikinq Propeilir 4)
FINAL 'ROJECT APPRQVA_11r� FOPM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: MAU SM FIRE DEPARTUMNT DATE_________�
r, ENGINEERING DIVISION DATE 10file)
z
0
PLANNING DIVISION DATE—__�
nEAM SM M
PROJECT
M
SITE ADDRESS M 0
--10
ADB#----------PATE.INSPECTED—).��Z-�74 �"_ 0
0 Cz
PERNM #_ K
M
ORK TO- BE INSPECTED M Z
DESCRIPTION OFN 0 --1
C
ne nnal compliance with.approved plans. Final approval >
A field inspection was conducted to determi 3:
denotes that there are no objections from the above signed Department to the release of (0
0 -n
CE BONDS and the granting of: n;u
PERFO
RMAN >
a: 9
M M
0 U5
AL PROJECT APPROVAL 0
/,\,/GRANT FIN 0 'M
C (n
K Cn
M 0
Z r-
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED a:
C3 Copy of CONDITIONS given to owner/contractor by inspector >
z
M
Cn
z
0
FAILED FINAL INSPECTION OUTSTANDING ISSUES 0
U Copy of CORRECTION NOTICE given to owner/contractor by inspector. M
2.
3.
RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date Si
ocaprvl.doc.l:te.MP:bldg:fonnsIO/OI
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
6,r,_
SETBACKS .....................
FOUNDATION:
Footing ......................
0
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
0 5.
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
MIS
GasPiping .......... I .......
Equipment ...............
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING........................
)8c S
FIRST FLOOR FRAMING...
INSULATION ...................
MIS
Floor Insulation .........
Wall Insulation ...........
Ceiling In sulation .......
SHEETROCK NAILING ...
—_ MS
SPECIAL INSPECTION ...
C4 c".
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
Y,
A r n o va , � ),. f
IV
410 d f, lei
z m o u n t �ln
z - YV4�
I'lie Initials MTarc WWI'
Thompson, ,, temporary contract
ilispector rol* the City,
z
0
1
0
M
--i -n
0 M
C
M
0
0
M
M z
r') --I
C
0)
0 _T1
3:9
M M
0 53
0 r-
0 M
ct)
(n
M 0
Z
z
--I
3:
0)
z
0
M