20050212.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
TV N�R NAME/NAME OF BUSINESS
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TELEPHONE
NAME
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CITY ZIP
Buaia'L Lr"602i
ITELEPHONE
I 426-?b6�3'TOE
NAME
CB�V
OULLIKKIW M M 10C- 012L
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CITY TELEPHONE
U)moliii,%5 qZUD 1+25 1 IV
STATE LICENSE NUMBER EXPIRATIONDATE 7C7K�DB
ZU,LE JIMT oil
PROPERTY TAX ACCOPNT PARCEL NO. ,
NEW
RESIDENTIAL
PLUMBING / MECH
ADDITION
COMMERCIAL
COMPLIANCE OR
OF USE
MIXED USE
CHANGE
REMODEL
MULTIFAMILY
SIGN
REPAIR
2&8 CYDS
Ei
FENCE
( X FT.)
DEMOLISH
TANK
r7
OTHER
GARAGE
RETAINING WALL
o
FIRE SPRINKLER
CARPORT
ROCKERY
FIRE ALARM
PE OF USE, BUSINESS OR ACTIVITY) EXPLAIN
PERMIT EXPIRES
PERMIT 7
NUMBER
JOB SUITE/APTH
ADDRESS
'7-
CA4 5 4
PLAT NAME/SUBDIVISION NO
LOT NO.
LID NO
I I
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCPApproved
RW Permit Required
[3
C3
EXISTING PROPOSED
Street Use Peraid Requited
Inspirclion Required
0
13
Sidewalk Requited
13
REQUIRED DEDICATION
FT
Underground
a= required
E3
MELTER,$IZE
LINE SIZE
0. OF FIXTURES
PRV REQUIRED
-;�_f
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YES [3 NO13
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE
FOR EROSION CONTROUDRAINAGE
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30
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NEERINd 1EVIEWE 11 DIE
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REVIEWED BY DATE
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
SEPA
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REQ*D
YES 13NO
COMPLETE�
IQ— - .
EXEMPT
CA#
ZONE
SIGN AR A
HE IGHT
WAIVE
ALLOWED PROPOSED
:4—
ALLOWED PROPOSED
STU [3
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
0 a
FROJ'T SIDE REAR
FRONT LdRSIDE -
14 f
PARKING
LOTARE;
PLANNING REVIEWED BY DATE
REQ'D
_42-
PROVIDED
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t� u FAL H I L_\1 VLcD
TYPED F [0�7, TRUC
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS
SPECIAL IN)PeETIOI
RE( YES
DESCRIBE WORK TO BE DONE
REMARKS
GEOTECH REPORT
BY: 14
STRUCTURAL DESIGI
BY:
VALUATION
$ Awi':i-
7 11
if
Description
Plan Check
AT SOURCE
Aji:-,
LOTSLOPE%
VESTED DATE
Building Permit
PLAN CHECK NO:
Plumbing
Mechanical
7HIS 7PERMIT AUTHORIZES ONLY THE WORK NOT6D. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
D6NMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
*APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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 SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION..
Fire Review
Fire Inspection
Landscapelnsp.
. 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 AGENT OF
CONSULTANT
I
C-
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRU CALL
o "
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
B
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
SIGr; TAORjiGE%T).) DATE SIGNED (425)
771-0220
ATT ION EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 i IRC110.
OCCUPANT
GROUP
OCCUPANT
LOAD
2-7
FEE
Description
FEE
LW
State Surcharge
City Surcharge
J/001
Base Fee
swlw�
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt #
APPLICATION AP
This application is not a permit until signed by the
Building official or his/hor Deputy: and Fees are paid, and
receipt is acknowledged in space provided
CIP LS SIG""ATURE DATE
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
ORIGINAL - FILE - YELLOW - INSPECTOR
PINK -OWNER - GOLD - ASSESSOR
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Date:
LAE— SCHEMATIC
PROP. LINE I . I
p ,��NTING ARO LOCATION OF
1111 N =:=I ;R ��;; IN- %.. "I E ER,
A
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LINES AND THEIR
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429.5
428. �Ml
429.0 EACH RESIDENTIAL
2." UNIT. REFER TO
Fl
Il NS REQ.'D THE UTI LITY
NIT
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L5
TYPE c PLAN TY ilEVERSE PLAN
SHEET A 1.2 AND
21 Oth 21 Oth ST.1 7523
RTT. SW 7533 SW CIVIL DRAWINGS
ENTRY FLOOR ELEV: 432.00 CON6.-' ENTR"
ELEV: 433.00 .. '. '. 'm . .
LAB E�EV: GARA(
AND INSTALLATION
LOWESTAE,� �YA LE 4 1.6 :. . ... . - .. 1)1'.1 . l..
;E SLAB ELEV: 424.15 GARAGE S 423.15 . .:.. FOR LOCATIONS
;T FOONG ELEV: 422.651 5 LOWE
WilNE ul*::,..*... INFO ON ALL
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SCH 40 REFER TO CIVIL
N-12 DRAWINGS FOR.
a, PSI 0 HAN OR
428.3 428.7 430.1
L 428 3 LOCATION & I N FO
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UNIT
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UNIT #1 752:
ENTF
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TYPE CIREVERSE PLAN TYPE c
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Site!....:Tlan
Cascade CottaLues Lot # 2
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CITY C
L LOCATION OF ENTRY LINE OF FLO6 R AT
DOOR. WILL `4ARY AT MAIN LEVEL 31
E H UNIT TYPE -11 15'
Ar
LINE OF BUILDING
I FOOTPRINT AT GRADE
EXISTING GRADE
0 SOUTHEAST coRNER
EXISTING GRADE
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9
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al C 0 ELEVATION OF
mAX, ELEVATION AT C
ERPGE r PRopoSED, 3,
-- -4 Er
OTAL OF RIDGE HEIGHT (AVERAUL L
T AV RIDGE HEIGHT
@ EACH GRADE
GRADE GRAD
EXIST. GRADE ELEVATIONS E PLUS 30'-0
LOT RNER OF BLDG. RECTANGLE Ms (TOTAL DIVIDED
CO ELEVATIC
By 4-)
(NORTHWEST NORTHEAST, _7 455. 1
--- 459.0
JTHEAST. SOUTHWEST) 429.0
sok 456.16
7.9 + 29.0 46o'A
430.45 456.41
430-0 + 429. 17
29,0 + 429.9 461.72
431.72
5 + ------- 456.66
ui
431.4 + 431. .9
1726 460.9
+ 430.7 + 433,1 + 431.9 430-9. 456.66
3 431.2 3 + 431.2 1723.6 458.6 C� 15
431.2 + 430.5 ++ 430 428.6 456,41
.4 17 14.4
P
428.3. + 428.2 459-02
+ 428.8 + 429.02 456.15 6RU
429J 16.1
5 458.2
6 428.7 + 428.6 + '429.0 + 429.8 '1712.7 428.2 457.6 455.91
428-4 + 428.3 + 427.1 + 428.2 4 -
427.6 5491
7 427.3 + 427.2 1710. 1 5 457.55 455.16
8 421B-2 +. 427.8 . + 426.8 + 427.2 .1710.2 427,55 458.22 Lot
428.22 455.41
9 .427.8 + 42 1712,9 458.72
427.7
io 4 B.2 + 428.5 + 42B.5 + 1,71 11 428.72 455.66
B.2 + 429.0 458.B2
go + 42
42B 82 455.66
428.7 + 42 428.3 1715.3 459.07
5.8 + 429.5 + 4,28.7 + 429.07 455.41
12 4 1716.3
2B.9 + 430.1 4MO5
-3 + 430-05 455,16 THIS Sa
13 429.0 + 428 .0 '1720-2 459-92 PERMIT REV. I LINE
43 .6 + 43 TO SHOW PROPERTY ING
430.6 + 429-0 + 1719.7 429.92 456.90 454.91 D15MCE FROM BUILD
IONs HAVE NOT 8
14 429.5 + 429.1 426.90 DiMENS
9 + 430-2 1707.6 DRAVANG CL)'Rfyy
15 4313.
24.5 + 425.5 Lot
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UNIT 12
UNIT 13
AS-BLOLY ROOr PEAK AS-BvLT 00or PE" AS-BULT P00r PEAK SCALE III =20'
ELEVATION w435&S EIEVAT04 v455aj ELEVATION =4�4 To AS.DUL? Roof PEAK
ELEvarYON w45493
!IIAX�� lRoo.1 Wyo 4151, ioK ld" A 1( -1 45
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miqx v L900, q!r ELEVATION "454,43 ELrVATKW w434.82 al
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sent By: Blueprint Management inc.; 425 776 1519; May-17-05 2:26PM; Page 2/2.
DAILY PIELD REPORT.
jao Nu. Held Rep. page eport No.
1 of 1
N C.. 14AO42 J. Liu
LIU &ASSOC li'"'ES t
les Tirtle n Ite ate Day of Wee
j-jj.ijjccrjn;. �.jiginecrin� (icolkl*- & Vanh S.'cicmc 0>
17
Trave ima (Hr ime Ott Site weather
19213 Kenlake Place NF 1.25
Washington 98028
Kenmore. vehi e rs. on Re Cnarq d, Visitors
Plione: (425) 48 rax- 25) 486-22746
3-9134 (4-
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roject
12 Street SW & 76th Ave 5W, Lynnwood 113 ueprint Manageme it
2
Cascade Cottages 5-00-7 lReceived Unchecxeo By
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Foundation Contractor SuPt.
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DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
E) Continued
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FINAL PROJECTAPPROVAL FORM
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MEMO TO: PER.Mrr COMDINATOR,�BU*11DING DIVfSION
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FINAi, PROJECT APPROVAL FoRM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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PLEASE SIGN
ENGINEERING DIVISION DATE
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3.
RE -INSPECTED OUTSTANDING ISSUES GRANT. FINAL PROJECT APPROVAL
Date Signature
I:temp:bldg: forms: ocaprvl 3/25/04
RECORD OF INSPECTIONS
INSPECTOR.
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
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Slab Insula tion . ..........
PLUMBING:
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NAILING ..........................
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INSULATION ...................
Floor Insulation
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Ceiling Insulation .......
SHEETROCK NAILING ...
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FINAL APPROVAL FOR
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Dote Pumhased
The Initials NIT are Miltoil
Thoiiipson, a temi)O111l'y contract ROW#
111spector fol- tile City. Amount Paid $ R=1ptfi_
Date Issued xvires