20050077.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
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MAILING ADDRESS
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CIT'T ZIP TELEPHONE
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ADDRESS
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NAME
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PERMIT EXPIRES
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LOT NO.
LID NO.
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCPApproved
RW Permit Required
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EXISTING
PROPOSED
Street Use Perniol Required
Inspection Required
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Sidewalk Required
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REQUIRED DEDICATION
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ME�IER SIZE
LINE SIZE
NO. OF FIXTURES
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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PROPERTY TAX ACCOUNT PARCEL NO.
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REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
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ALLOWED PROPOSED
FRONT SIDE REAR
FRONT. URSIDE REAR
ADDITION
COMMERCIAL
COMPLIANCE OR
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MIXED USE
CHANGE OF USE
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'DATE
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SIGN
PARKING
REQ'D PROVIDED
LOT AREA
PLANNING REVIEWED BY
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CYDS
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REMARKS
[3 DrMOLISH TANK
OTHER
GARAGE RETAINING WALL
FIRE SPRINKLER
CARPORT ROCK ERY
FIREALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
TYPE OF Cr�;UCTION
C,001i;
OCCUPANT
GROUP
NUMBER
NUMBER OF
OF
DWELLING
SPECIAL INSPECTION
CONSULTANT
OCCUPANT
LOAD
STORIES
UNITS
REQUIRED 13YES
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DESCRIBE WORK TO BE DONE
REMARKS 0
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Aj 42 Q I(: C1 %A + r- I A. e:) n 4�0 Y' GEOTECH REPORT
BY:
STRUCTU DESIGN
BY: 34 - 7 11
VALUATION
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Pescription FEE Descrip.tion FEE
Plan Check -e5 -r) q State Surcharge
HEAT SOURCE LOT �kOPE %16 VESTED DATE
Building Permit City Surcharge
c7z;_1_5 11'0
PLAN CHECK NO: Plumbing '2 1. Base Fee
4_4j? 0)
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
B I E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
x PERMIT APPLICATION: SEE ECDC 19,00.005(A)(5)
CL PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
in S Fire Review Plan Chk. Deposit
in *APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR
ui IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt #
0: z"'7 6 �2
4 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF T141S PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
0 E Landscapelnsp. Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC
x 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee Receipt # /�Wcff
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 This application is not a parrilit until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL Building official or his/her Deputy: and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION Ot,,kFHE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided
WORKMEN'S C CW 18-27.
/90PEN�ATION INSURANCE AND R F LS SIGN RE DATE
E( NER GENT): (4
SIGNATU!R DATE SIGNED [25)
13 ID 771-022�— E'A 'E D-"B' OATE
ATTENTION EXT. 1333
Ilk IL � L-I-)
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 1 4 il! - 'k
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- OR1GI L -FILE Y/LLOW .(NSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 / IRC110. -OWNER GOLD - ASSESSOR
110104 PRESS HARD - YOU ARE MAKING 4 COPIES
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NOTE:
-TO FOLLOW DISTURBED AREA- (DOWNHILL SIPE NOTE:
SILT FENCE
OF DISTURBANCE) AND BETWEEN DIST AND AOY,WATLR WATER METER IS. 0 000>
@ EASEMENT ALONG > <
EROSION/SOIL CONTROL MEASURES TO BE FUNCTIONAL rn E!
AND MAINTAINED THROUGHOUT CONST AS REQUIRED. 234TH STREET SW L4
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MAINTAIN POSITIVE DRAINAGE AWAY FROM STRUCTURE(S).
(MAY NOT BE SHOWN ON FLAT LOTS) I.N ATE F1 & rl c > 7-1
W WATER L SPECTIONS ZI) op), Oo >6 m
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PERMANENT SEEDING
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SOIL SALVAGE 9
AND UTILIZATION s6LL EX OSE; SURFACES TO
(COVER W/I N 24 FIRS) RED1 wITHIN 2 DAYS* 4 "1
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LOT SIZE
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HEIGHT 4,TION
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MANHOLE COVER 466.fM
25 qtv" M
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A 466.1' M L
B 464.7' rri
C 464.0' B.S.B.L.'.
D 465.2'
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87' 3'08' W (S 87*56'21
TOTAL 1860 /4 = AVERAGE 80-11' p pYj C�w ),"kS NOTED z
5.0' --;IE R I N G .0
AVERAGE/BASE ELEVATION 465.0' 25 BY CNGI�FE -4
+ HEIGHT ALLOWED (25') 490.0' 005767-000-0 CHIP 0
489.87'
ACTUAL BUILDING HEIGHT LUTHERAN CHUR m
FINISH FLOOR HEIGHT 466.1' Zone_V�� 7r Corne-i,_ l7jag__!!�_
MAX GRADE @ BUILDING 464.9'
LOWEST FOOTING LEVEL 462.9' Sc�,,tb"acks lZeciuircd A-c—tu'll
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LOT COVERAGE: Fi
1646 SQ FT (22%), sides
LOT AREA:
7711 SQ FT Kear
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LOT SLOPE: >8% Other
IS lrSF36Nf81BLE FOP
DRIVIEWAY SLOPE: >1% Heip-lit
CUT AND FILL: >150 CU YDS
E,90Sl0fq'C'l';'_,,'fl'T,9GL AND DRAINAGF
PLOT PLAN FOR LOT*3 IMPERVIOUS SURFACE CALCULATIONS
SW 1833 SQ FT 25.4%
82XX 234TH ST
PROPOSED BUILDING PAD:
GARRET SHORT PLAT_'!�� Ys"L. PROPOSED PATIO/WALKWAYS: 245. SQ FT 3.4%
PROPOSED DRIVEWAY: 942 SQ FT 13.1%
FOR LQH INC.
Ito TOTAL IMPERVIOUS AREA, 3020 SQ FT 41.9%
TOTAL LOT SQ FOOTAGE: 7203 SQ FT
LOT TAX ID JOB # DLLP00_8_1
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COVER 4"
GARY HAAKENSON
CITY. OF EDMONDS
i-E&I MAYOR
121 5TH AVENUE NORTH * EDMONDS, WA 98020 -. (425) 771-0220 FAX (425) 771-0221
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building Engineering
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March 11 2005
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Landsverk Quality Homes
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19511 94"' PI W
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Fdmonds, WA 98020,
Re: Address Correction
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...Short Plat #'s: S-04-0064 and S-04-0063.
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Dear,Mr. Landsverk:
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This letter is to inform you of an address correction.� Please change the following:
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From ..To
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th St SW
.8203 - 234"' St SW 8208-234
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8205 234"' St SW 8210 - 234"' St SW
8207 - 234"' St SW 8216 - 234"' St SW
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8201 -234 h St SW 8206 - 234"' St SW
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8209 - 234"' St SW �8214 - 234t" St SW
or
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8211 - 234"' St SW 8212 -'234" St,SW
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.1 will inform all City Divisions including Fire, Police, Utility Billing, Public Works
and Building. It is your responsibility to inform the Post Office and all other
interested parties of this correction. We apologize for the inconvenience this may
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cause you and greatly appreciate your cooperation.
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Sincerely
M.-
Theresa.Umbaugh
Development Services
Cc: Fire Department
Police Department
Utility Billing
Public Works
Building Official/Street'File
SnPhoniish County Assessor
Address Files
Incorporated August. 11, 1890.
Sister City Hekinan, Japan
Height Calculation Worksheet
Address: IU, S
Date:
lnspector(s): m L j� -7k, e,
1. Datum Point
2. Datum Point Elevation:
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3. Average Grade:
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A. Maximum Elevation Allowed: _qL-,G:_(�veragib grade): 25" LAS6
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5. Reference Point Elevation Shot to House:
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a) _6 2- (grade to transit level tine shot to house)
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6- Measurements from line shot onto house to k6of ridge:'
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Total 6 07 5
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7. Actual Elevation: &S, (reference point elevation) (measurements,-,
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from #6) Sci .11 �y
Conclusion:
-t5 (actuaQisgreater/4&thau�(C?QO (allowed); therefore the house k/
is not over the height requirement per.ECDC 16.20.30 requiren eats
FINAL PROJECT APPROVAL FORM