20050116.pdfI
DATE REC
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
N
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ON
NAME
STR
INAm E C
MAILING ADDRESS
0—
CITY ZIP TELEPHONE
J., -)/,-I -W /7
NAME
ADDRESS
PERMIT EXPIRES
USE PERMIT
ZONE NUMBER,_
JOB SUITEIAPT#
ADDRESS '7 724Z",,q,11"
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE S
TESCP Approved 0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Roquired
Stfool Use Permit Roq'd
inspection Required C3
EXISTING PROPOSED Sidewalk Required E3
REQUIRED DEDICATION --�Fl` underground
Winnitrequired C3
METER SIZE LINE SIZE ED. OF FIXTURES PRV REQUIRED
YES E3 NO 13
W
z
REMARKS z
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
J Ir"I A r
CITY ZIP ITELEPHONE r
CBL 0
GINEERING REVIEWED BY DATE
NAME
ADDRESS r
0
FIRE REVIEWED BY DATE W
ITY �lp TELEPHO14E
0
_WSPECTION BOND
7-11
—4 VARIANCE OR CU SHORELINE OR ADB#T
STVE LICENSE NUMBER IfXPIRATION DATE CH CKED By REO'�04 POSTED
I I __ -1 OYES ols
SEPA REVIEW SIGN AREA HEIGHT
CKZ
-A COUNT PARCEL NO.' COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED I PROPOSED
It PROPJ�ffY TAX AC
0 1
EXP x _�I_ I LA
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
NEW RESIDENTIAL PLUMBING MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR REAR,
4 1 Z
-7
COMPLIANCE OR C�
DITION E] COMMERCIAL 13 CHANGE OF USE 2-S' 25' 73
PARKINI�
LOT AREA I PLANNING REVIEWED BY bATE
13
1:1
1:1
REMODEL
REPAIR
DEMOLISH
AARAG�.�
C10"PORT
El MULTIFAMILY Lj SIGN
L ----------------------- i FENCE
Nj 2�M CYDS 13 X
4-V.
OTHER
TANK 1:1
RETAINING WALL FIRE SPRINKLER
ROCKERY 13 FIRE ALARM
FT)
REO'D
9
I FIR VIDED
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a 161 'Ne
4
REMARKS
(TYPE
OF USE, BUSINESS^ ACTIVITY) EXPLAIN:
CHECKED BY
TYPE OF COqN �UCTION
ICODE.
L_5
OCCUPANT
GROUP
NUMBER
OF
STORIES
N
—UMBER bl�
DWELLING
UNITS
CRITICAL61(/
AREAS
N U M B E R e,76MT
51
SPECIAL INSPECTION
REQUIRED rj ...
AREA
I rj6
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1081113C109,11FIC109 FINAL INSPECTION REO'D Ej
1 0
4 /7 —,r Y.- ,7 � , � /), , . � j . 0
0
VALUATION
$
Description
FEE
Description
FEE
Plan Check
State Surcharge
7
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
City Surcharge
PLAN CHEC VESTED DATE
Plumbing
Base Fee
M,
-_
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
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
Lu
CL
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit, ;&.el
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
'E ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
4
X FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapelnsp.
Total Amt. Due
9
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE C17YS 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, 08 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
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
FOR INSPECTION
Building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
WORKMEN'S COMPENSATION_INSQRANCE AND FICW 18.27.
Fl LS SIGNATU E DATE
'ATURE IOWNER )R AGE !1.1 UA It olu"Qu
(425)
0
771-0220
/DATE
TAM BY
EXT 1333
JM, I /4,
IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILA FINAL 4Z�l �
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- ORIGINAL -FILE YELLOW'
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK -OWNER GOLD-j
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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Site Plan
0 Suit 8 - 16521 Highway 99 Lynnwood, WA 98037-3161 PIPase Check After Doing Site Plan: LJ Septic and driinfiold 1_1 Lot S0, Ilia" Noith Allow ill Citt'le
iTown & Country Everett: (425) 258-4171 Puyallup: (253) 840-9552 roperty dimensions ewer lines Ll Elevalior) of property
r FRAME BUILDINGS AdminIqlrative Headquarters: (425) 743-1555
FAX: (425) 742-4378 Toll Free: 1.800-824-9552 Existing buildings %sefticks of proposed & existing buildings 1-1 1710(fit's of water
Contractor's LIC. #: TOWNCPF099LT lo Proposed building P�Uain road with name Ll Floorpinn
['1 Easements P1 Access to propo-,ed btflldinq [I Slopes A Contours (51ncremen1r)
Quality: Our Future Depends On It." o'
eo
Job Name 10) S 3ilo Addi
(g27-0 (7,V <?_ Legal Descr7ip7ion:_._____ . .....
Tax Account#:
7'
q#
71L
IWAX ..........
5
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APPROV' AS NOTED
BY ENGINEERING
Date:_ 2—
FC-7
ALL EXPOSED SURFACES TO.
L iAINA _iF,
BE COVERED WITHIN 2 DAYS C
qj;a
CVTV 07.,;
Zone COrnerw�-1`1'19—
Actual
SetbackkSs BecWLrcd
Front
P, E I VrE D
Sides
Rear OEC - 7 2004
Other
-LLL PERMIT COUNTER
E
Do NOT SIGN INCOMPLETE SITE PLANI ing, orientation of the building to the North, and verifies that all While - Customer Copy White - Office Copy Yellow. - Accounting
Customer has verified and approved the location of the build
utilities are shown on this drawing in the correct location. LEAD It .34 08/03
MER SIGNATURE P1995 Petmn-Bilt Indtighles Fn
CUSTO
Height Calculation Worksheet
Address: -7
Date: i-L - 2.A <
Inspector(s): M'. k2,
1. Datum Point: 0, et I-S 4- ej e C I' Ili-
0 Li es
2. Datum Point Elevation:
Z:
3. Averdge Grade:
0
M:
.4. Maximum Elevation Allowed: (averia giade)
ge
71 -
FO
5. Reference Point Elevation Shot to House:
OM
C
M
0'
0 C
(datum elevation) + I. I I (grade to transit level fine'shot to house) 7
--4 X
I"
X .
M
Mz
6. Measurements from line shot onto house to roof ridge:'
�cz
>
F- -4
0 -n,
-n 31
M M,
0 M:
C cl)
MO
Z
_4
z
Total: 9.
z
0
M
n men
.7. Actual Elevation: :2 .'7 q (reference point elevatio� + 9, 12,S' (meastire ts
fro #6) 6141
In
conclusion:
, _oq (actual) is girea ter 4;)%an 15, S (allowed); therefore the house b/
is not over the height req6irement per ECDC 16.20-30 requirements
I