20050287.pdfPERMIT EXPIRES
DCOKAIT
CITY OF EDMONDS
NUMBER 00 7
CONSTRUCTION PERMIT APPLICATION
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ADDRESS SL,EI,4 I,—
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OWNER NAMEINAME OF BUSINESS
PLAT NAME/SUBDIVISION NO.
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LID FEE S
MAILING ADDRESS
770— I P I S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
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EXISTING PROPOSED
RW Permit Required
Strew Use Permit Required
Inspection Required
Sidewalk Required
CITY ZIP
07,
T ELEPHONE
Ll -i
vilidts
ICATION
REQUIRED DED FT
Underground
Wiring required
NAME
METER SIZE
LINE SIZ E _rV70
FIXTURES
PRV REQUIRED
YES [3 NO13
ADDRESS
REMARKS
OWNER=NTRACTOR RESPONS113LE FOR EROSION CONTROLIDRAINAGE
I I I - L fl INJ 1 11 1 -4 AAJUUIU=
NAME CBLF"
& 01 W' -"r 160�L 10
�Tok Pi Tr I S 10 a 11 ENGINEERINd REVIEWED BY DATE
ADDRESS
f AV FIRE REVIEWED BY DATE
CITY ZIP TELEPHONE
'5 1 10 (r) - 3 2-61
STATE LICENSE NUMBER
EXPIRATION DATE
CHECKED BY
VARIANCE OR CU
SHORELINE OR ADS#
INSPECTION
REq�D
SEPA
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PROPERTY TTAAXACCO NTPARCELNO.
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ALLOWED PROPOSED
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ALLOWED PROPOSE D
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STUDY 13
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NEW
RESIDENTIAL
PLUMBING MECH
LOT COVERAGE
REQUIRED SETBACKS (FT.),
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT
SIDE REAR
FRONT
URSIDE REAR
ADDITION
COMMERCIAL
COMPLIANCE OR
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SIGN
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REQ' D PR9VIDED
LOTAREA
LANNING REVIEWED BY
DATE
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REPAIR
GRADING-
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El
FENCE
( x FT.)
REMARKS
OTHER
DEMOLISH TANK
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY E] FIREALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
TYPE
NUMBER NUMBER OF V 9_�
OF DWELLING SPECIAL INSPECTION
STORIES UNITS REQUIRED 13 YES
DESCRIBE WORK TO BE DONE
r2v)1-i2_e,4 �-. 4_--ye ]REMARKS
CONSULTANT
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GEOTECH REPORT
BY:
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STRUCTUIAL D IGN
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Description
NEW &-YV jV/AZUV Cc 1�e
a jt�F< 66--7>
Plan Check
HEAT RCE LOT SIL P
63 X'? I '��j
VESTED DATE
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Building Permit
0-6,
PLAN CHECK NO:
Plumbing
Mechanical
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK To
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
Engr. Review
W
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
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r
1 2
91
30
OAPPLICANT, 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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION,6rTHP LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'SP�,FtP_**rl`bN INSURA W'18:27,
CALL
FOR INSPECTION
(425)
771-0220
LE:
SIGNA�T�UNE OR
E SIGNED
DAT,
-74::"
FEE
M
OCCUPANT
GROUP R3
OCCUPANT
LOAD
Description
State Surchar ge
City Surcharge
Base Fee
FEE
Plan Chk. Deposit - I
Receipt #
Total Amt. Due 7/7, 51!
11 Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid. and
receipt is acknowledged in space provided.
IG
:FFIC LS0 S( NATURE DATE
ta SEbFBY DWE
ATTENTION 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. UBC109 / IBC110 I IRC110.
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
1IGINAL -qlLf YELLOW -INSPECTOR
PINK - OWWER GOLD - ASSESSOR
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LEGAL DE5MPTION
5EAVIEW MANOR m
BLOCK I G. LOT G
A55e55OR5 PARCEL, # 2404 1'230
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5COPE OF WORK
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54NGU! FAMILY RE5101!NCE 5HALL. RZOLVE
GOO 5Q. PORCH ADDITION.
co \CO 72 50. Fr. DECK ADDITION,
NEW RM ENTRY AND ENTRY c
FROM GARAZZ INTO HOU5f. >
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GARAGE:3 CUBIC YAR05
REAR ENTRYt I CUBIC YARD5
0 LOT COVIRAGE M
LOT AM; 10.000 W. rT. W
Lar COVERASe AUDWED., 0
-3,500 50. FT. 0
10,000 x.35 m
ROOF AREA. 2 . 2&:) 5a. Fr. EYJSTING c (j)
+ 14G50. ADVMON=2.42G5Q.Fr- c CA
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(B) DRIVEWAY AREA: 55050. FT. 0
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DECK ARM- 110 50. 150TING
Mot4 - 180 50. Fr.
__.s + 70 50. Fr. ADD
'AIR5: 40 50. Fr.
pROF05ED CONCMM 51
?LJ TOTALIMPI!RVIOUS Laf C0VERAr-X- 3.19G 50. r
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LO WILDING A?XA 3:
cm 0
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OR ADDITION @ U"M M.00R: GO 5Q; FT. z
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LOWER FLOOR ARM- 1.410 50. Fr
GARAGE AREA= 490 50, Fr.
DATUMPOINT9 -+100 TOTAL HEATED FLOOR AREA- 2,910 50. Fr.
Top OF QATEP, covr:p, TOTAL BUILDING AM= 3.4 00 50. FT. m
GRAVEL 5HOULDLIP, WILONG HZIGHT CALCULATION5
ING HEIGHT AT NIAIN RJDGr: 2 I-G'
BUILD
FF11%JVED AS NOTED
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BUIL. 114G hEIGHT AT ADDITION RIDGE: 19
BY ENGINEERING _TZR'
5FOT ELEVATION5 AT BUILDING PERIMM
dUMABIDOWNSPOUTS 'cf) (A): + I CC
(5): +Ica
to TO EMT. Sm. +96 f
(D): + I Oa
Date: AVERAGE GRADE: +9!Y
187th PLACE 5OU-1 11 Vrc5T
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OF R�O.W, FNTD POADWAY
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OR ERWONA.',CN. 'L AND DAMAGE
201-011
K A
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GRANT FINAL PROJECT APPROVAL —
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-NTTROJECT APPROVAL
GRA WITH CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING, ISSUES .
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0 Co0y of CORRECTION NOTICE given to owher/contractor by inpecto.r ,
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL,
Date Signature .
l:tcmp:bldg:fornis:ocapr-vl 3/25/04
I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
waf
-21
SETBACKS ..................... .
FOUNDATION:
Footing ......................
Wall ..........................
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Pier/Porch .................
Re taining Wall ...........
0
M
Slab Insulation ..........
7, :n
PLUMBING:
Underground ........ 0 ITI
C
M
0
Rough -In ...................
0
C
al Final ......
Commerci
3: M
HEATING: M Z
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GasTest ....................
IV\ T_ 2.4 — 05 X
Gas Piping ................. CA
0 -n
Equipment ................. _n
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Commercial Final .......
t�t M M
0
EXTERIOR SHEATHING 0
NAILING .......................... V 0
M
C:
FRAMING ........................
A M
z 0
FIRST FLOOR FRAMING ...
L4 s 10 ;U
INSULATION .......... ........
Floor Insulation ......... >
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Wall Insulation ...........
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vc�, �0_k
Ceiling Insulation ........ CD
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0
SHEETROCK NAILING ...
0
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SPECIAL INSPECTION Ifni
MISCELLANEOUS ..........
FINAL APPROVAL FOR lie
OCCUPANCY ..................
10
D5, P160,
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f fal
A)e,. 0(cm
Milton
The initials NIT are ary contract
a te,,,,,p,r
Thomf
-tor for tile City-
insper