20050101.pdfDATE RECEIVED
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[PERMIT EXPIRES
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CITY OF EDMONDS
NUMBER 0 / C)
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS
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NAME/NAME.OF BUSINESS
OWNER
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PLAT NAMEISUBDIVISION NO
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MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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RW Permit Rocuired
CITY ZIP TELEPHCNE
EXISTING PROPOSED 1-4f )4 �0 i,
street use Pe"'I Requited E3
inspection Required 0
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REQUIRED DEDICATION FT
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Underground C3
Wiring roqui(ed
NAME
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METER SIZE LINE SIZE NO 0 XTURES PRV REQUIRED
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PROPERTY TAX ACCOUNT
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LOT COVERAGE
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REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
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PROPOSED
FRONT
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ADDITION
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PLANNING REVIEWED BY DATE
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REPAIR /ln!k GRADING CYOS 1:1 ( x FT.)
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REMARKS
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DEMOLISH TANK
GARAGE RETAINING WALL FIRE SPRINKLER
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Pi,.CARPORT ROCKERY FIREALARM
(rYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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TYPE OF TION
OCCUPANT
GROUP
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NUMBER NUMBER OF
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SPECIAL INSP ON
ONSULTANT OCCUPANT
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REMARKS
GEOTECH REPORT
BY:
STRUCTURAL DESIGN
BY:
VALUATION
Descriptio n
FEE. Description FEE
Plan. Check
State Surcharge
HEAT SOURCE LOTSLOPE% VESTED DATE
C
Building Permit
City Surcharge
PLAN CHECK NO:
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 PUBIC
MARQUEES, ETC.) WILL REQUIRE
Grading
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS,
2
SEPARATE PERMISSION.
Engr. Review
1%
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PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT, ON BEHALF OF HIS OR HE R SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due 2-
NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt #
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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
Deputy: Fees
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or hisihor and are paid, and
IN VIOLATION OUHE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledged in space provided
WORKMEN'S 5?*Plfk�ATION INSURANCE AND RCW 18:27.
-0 lict SIGNATUIP ATE/
SIGNATURE WN DATE SIGNEJ
(425)
771-0220
REL?t�ED BY DAP
&ZEN N
EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL jFiLE -)YELLOW -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC1110.
PINK - O�V,�W- GOLD - ASSESSOR
10104
PRESS HARD - YOU ARE MAKING 4
COPIES
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N OTE:
SILT FENCE TO FOLLOW DISTURBED AREA (DOWNHILL, SIDE 000> NOTE:
OF DISTURBANCE) AND, BETWEEN DIST AND ANY WATER > WATER METER IS
EROSION/SOIL CONTROL MEASURES TO BE FUNCTIONAL @ EASEMENT ALONG
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AND MAINTAINED THROUGHOUT CONST AS REQUIRED.
-0 234TH STREET SW
MAINTAIN POSITIVE DRAINAGE AWAY FROM STRUCTURE(S)., 71
(MAY -NOT BE SHOWN ON FLAT LOTS)
M0>0K W WATER LINE
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PROPERTY LINE rn
vv I U) 00 M SD6 �" ROOF DRAIN
& Sr- 41
WATL M Ln TIGH INE
LOT CORNERS INSPeCTIONS REQ'D MATERIAL
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771-02V E-�T. II IN
42V LOT 1 SDR 35
SILT FENCING 20) 00
SCH 40
GRAVEL ENTRANCE
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/EXIT PAD 7.50 N8 z
PERMANENT, SEEDING
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(ALL DISTURBED AREAS >
SOIL SALVAGE C
AND UTILIZATION M0
CD
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(COVER W/IN 24 HRS) > LOT SIZE 0 3:
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8,864 SQ. FT. 50
g, XM M 7,197 SQ a C:) 0
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FT NET Ln jo
HEIGHT CALCULA�TIONS:O. 0. M :,j it It �71 .. \ ----- 1 . .
--A -(0 1 . >
MANHOLE COVER = 4 0 A M
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A = 463.8 Vh .10 --1
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B = 463 ' 6 _0 .0 2698, > z
C = 462.9
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D = .463.8 11 >cn z
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TOTAL 1854.1 /4 = AVERAGE rr, 0 --n
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AVERAGE/BASE ELEVATION 463.5'
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491.5: : r ILI z U1 -4
+ HEIGHT ALLOWED (25') CL C"L M
ACTUAL BUILDING HEIGHT 487.7 M
> 20-99"
FINISH FLOOR HEIGHT 464.66 0 11 Ip 0
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MAX GRADE 0 BUILDING 463.5' 11 1*
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LOWEST FO 461.5'-,-' M 1 11 (_n rn
OTING LEVEL MLn it 11 C 0)
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LOT COVERAGE: 0
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1934 SQ FT (26.8%) rn
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LOT AREA: 0 . :=I I Il __4 9 '1 , pni con _pt
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7197 SQ FT M II
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LOT SLOPE: >3% > c: 4*
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DRIVEWAY SLOPE: >1%, M
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CUT AND FILL: >150 CU YDS 20 - M
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Zone Comer lag_ M IQ: 0
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cks Required ctual _LM.B.L. cn M
Setba A
PS 9
Front
t N87*51'30 E
rle
80-06' rl'�
Sides b //
Rear
Other ILOT .3�
Height
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PLOT PLAN FOR LOTA�2BOVED AS NOTED
82XX 234TH ST SW BY ENGINLEE-flNG IMPERVIOUS SURFACE CALCULATIONS
PROPOSED BUILDING PAD:. 1934 SQ, FT 26.8%
PROPOSED PATib/WALKWAYS: 260 SQ FT 3.6%
MALINA SHORT PL
PROPOSED DRIVEWAY: 640 SQ FT 8.9%
FOR LQH INC. Date: TOTAL IMPERVIOUS -AREA: 2834 SQ FT 39.3%
LOT TAX ID TOTAL LO , T SQ FOOTAGE: 7197 SQ FT
JOB # DLP008
..............
..........
GARY HAAKENSON
OF EDMONDS
CITY MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221
Website: www.ci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building - Engineering
'C.
March 11, 2005
landsverk Quality Homes
19511 .94"' PI W
Edmonds, WA 98020
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Re: Address Correction
S hort Plat. Vs: 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 th fol I wing:
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From To
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234" St S
8203 -234" St SW 8208 W
8205 - 234"' St SW 8210 - 234"' St SW
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8207 - 234t" St SW 8216 - 234"' St SW
8201 - 234"' St SW 8206 - 234"' St SW
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8209-234"' St SW 234" St SW
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8211 -- 234"' St SW 8212 - 234"' St SW
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I will inform'.all City Divisions including Fire, Police, U* tility Billing, Public Works
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and Building. It is your responsibi.lity 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,
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Theresa Umbau*gh
Development Services
Cc: Fire Department
Police Department
Utility Billing
Public Works
Building Official/Street File
Snohomish County Assessor
Address:Files
Incorpprated August 11, 1890
Sister City - Hekinan, Japan
Height Calculation Worksheet
Address:
1. Datum Point
2. Datum Point Elevatio n:
3. Average Grade:
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(a &.giade):+2
.4. Maximum Elevation Allowed: LLLt vera q I
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5. Reference Point Elevation Shot to House:
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(datum elevati On) + L igi!r (grade to transit level line shot to fiouse)
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6. Measurements from line shot onto house to roof ridge:
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7. Actual Elevation: UL (reference point elevation) +Z, ik 7 (measuretuents
from #6)
Conclusion:
(actual) is greater Aii�kh an 419 L�s (allowed); therefore the house b/
is not over the height requirement per 9CDC 16.20-30 requirements
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE.
PLEASE SIGN
DIVISION: DATE 0/61
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—ENGINEERING
PLEASE SIGN
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PLANNING DIVISION DATE
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PLEASE SIGN
PROJECT —
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SITE ADDRESS
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MO.
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PERmiT#2 ADB# DATE INSPECTED. Z2&L
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DESCRIPTION OF WORK TO BE INSPECTED t' '4�1 /J-
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A field inspection was conducted. to determine compliance with -approved plans. Final appioval
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signed D partment to the release of
denotes that there. are no objections from the above e
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PERFORMANCE BONDS and the granting of
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GRANT FINALTROJE CT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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.0 Copy of CONDITIONS given to owner/contractor by inspector,
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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FI Copy of CORRECTION. NOTICE given to owner/contra ctor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL.PROJECT APPROVAL
Date Signature
1:temp:b1dg:fbnus:ocaprv1 3/25/04