20050290 (2).pdfDATE RECEIVED f�
PERMIT EXPIRES
USE
CITY OF EDMONDS ZONE rC 1? 11
NUMBIER
CONSTRUCTION PERMIT APPLICATION JOB�} SUITE/APT#
ADDRESS �C. �
OWNER NAME/N,AME OF BUSINESS
potj T X13 I�� PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
M MAILING ADDRESS LID FEE S
Z J 1 M�1� IPIAN AvE - PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PeTIESCP Approved Q
O ' � RW Permit Required []
Street Use Puend Roq'd Q
CITYZIP TELEPHONE EXISTING •PROPOSED Inspection Required Q
50TH
1 1 1 ��� I^ Sidewalk Requlrud Q
a rI Sp Z I Cj j( ((JJ REQUIRED DEDICATION �� FT Underground
eng required Q
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
G ANS W 1 LLQ A(zC H -t TSL IS 3 9 Ff r( YES ❑ NO
E ADDRESS REMARKS Z
G` /A�, 1 /{� { c _ OWNER CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ` " ( 9
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CITY QIP T LEPHO E SAJI
sEA`I'jL` e i g loco W84 8355
MENEM On /4
NAME CBL#
NGINEERING REVIEWED BY DATE
¢O ADDRESS r
2 I 14 WA LN 0T AVS S b,1
FIRE REVIEWED BY DATE UI
CITY ZIPTELEPHO E Sw
STATE LICENSE NUMBER EXPIR TION DATE CH BY VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
J nREO'D POSTED
10YES IBIZOS
SERA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWEDPROPOSED
2�-o313ao3o58v� EXP ✓ N� 7s l9
NEW RESIDENTIALPLUMBING/MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
IvALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
O ❑ ❑ COMPLIANCE OR 359, 1 . '1- Z 5 /G ZS S�f 1 /11 Z ZG Z
ADDITION COMMERCIAL =
CHANGE OF USE
PARKING LOT AREA PLANNING REVIEWED BY DATE g
❑ REMODEL ❑ MULTIFAMILY ❑ SIGN RE� PROVIDED
GRADING D a
FENCE 0 '
❑ REPAIR - CYDS ❑ ( X �_ Fn REMARKS
❑ DEMOLISH ❑ TANK OTHER
GARAGERETAINING WALL FIRE SPRINKLER
= ARPORT ❑ ROCKERY ❑ FIRE ALARM
1 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
V SI 1J�tfrw�A SLY thU`� t CHECKED BY TYPE OF COfI TRUCTION CODE GROUP
OCCUNT
cNUMBER NUMBER OF CRITICAL ,V/
OF DWELLING I AREAS L SPECIAL INSP TION AREA OCCUPANT
O STORIES UNITS NUMBER REQUIRED LOAD
� YES
DESCRIBE WORK TO BE DONEINN
REMARKS
PROGRESS INSPECTIONS PER UBC JOB/ IBC109/ IRC109 FINAL INSPECTION RE0'D
MAI /i
�7 VALUATION
Description LFEE Description FEE
Plan Check L�. ^ State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
L►ptS fv?40EfW-A► R ? Building Permit City Surcharge
PLAN CHECK NO: _ VESTED DATE
Plumbing 7 01
Base Fee l'
L�io Mechanical7' . r
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC g
1/0
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Gradin
SEPARATE PERMISSION,
Engr. Review
w PERMIT APPLICATION: 180 DAYS
a PERMIT LIMIT. 1 YEAR • PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr, Inspection Z /
SEE BACK OF PINK PERMIT FOR MORE INFORMATION r
IA 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
9 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Q 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
S DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due
L_
= NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee !Receipt r9
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 APPLICATION APPROVAL
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 Building Official or his/her Deputy: and Foes are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSA7 NCE AND RCW 18.27,
o I AL SIGNATUR D TE
SIGNATURE (OWNER 0GENT) DATE SIGNED (425) . •--
L
2 ' 771-0220 RE ED BY T
ATTENTIO EXT 1333 �; t? l Z
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL i
INSPECTION HAS BEEN MADE AND APPROVAL ORACERTIFICATE OFOCCU- t
ORIGINAL - FIL ELLOW - INSPECTOR
PANCY HAS BEEN GRANTED, UBC109 / IBC110 / IRC110. PINK -OWNER. GOLD -ASSESSOR
09/09 PRESS HARD =YOU ARE MAKING 4 COPIES
INSPECT(
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CONCETE RETAINING WALL REFLECTING POOL CONCRETE
CONCRETE STEPS _s_88 4839"E 196. 8 — WOOD DECK WALL
_ — I — —T
_ _ �� _ _ — — _—� % — — —��/ 16'-0"
/ // 2 �4:/:. $4
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BY Ef� Gi'`�,EE�RIN/ '' NEW IMPERVIOUS SURFACES SITE PLAT r CoNt, �,�(qU6�
ROOF OUTLINE: 3022 SQ. FT.11
d� 3�ai!4�
`d Q 0 _.__ 10 20 40' PROPS WNE
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" " ' '�� ASPHALT DRIVEWAY: 1443 SQ. FT.
DON & BARB BERGER
�� 23813 MERIDIAN AVE S
CONCRETE DRIVEWAY: 1726 SQ. FT. NORTH
CONCERETE TERRACE, PATIO, STEPS, AND PAVERS: 810 SQ. FT. BOTHELL, WA sao21
WOOD DECK: 96 SQ, FT. LOT COVERAGE 5232 SQ, FT. PROPERTY ADDRESS
Rt_E TI��tT1.I�1� GRAVEL: 1037 SQ. FT. LOT AREA: 15779 SQ. FT. 693 MELODY
WA 98020
AricEF�I A LOT COVERAGE: 33 /o PARCEL NUMBER
MATERLgL TOTAL: 8134 SQ, FT.
SDR 3i"i 27031300305800
LOT SLOPE: 5%
SCH 40 APPROVED BY PLANNING
N . 12 EXISTING IMPERVIOUS SURFACE: MARCH 17, 2006
F�1p HANCOR EXISTING ASPHALT DRIVE: 960 SQ. FT. ,.
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CABLE STUB SEWER STUB EXISTING WIRE FENCE ,hI f iUi ::f FSS NOTED
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EWE ANHOL� -- WATER STUB PROPERTY LINE
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S880 4339 "E 196.18 PROPOSED GARDEN WALL, T.O. W 39'-6"
I 2 2j4 2'6 �$ 0 0 2
/ 2d — — ,c CD�LCBETE STEPS _ - — — — +33 $4
I'� RbOF SLOPE - I 2 -0 l
, SE •EBAC LINE l / . l I 1
97-6
30' 0" / 0,-0" done / PLS 2 / Corner Flag / I I I I I 1 O
ACCE S&
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UTIL TY/ DATU RE(�111C�d Act �; U / RESIDENCF� PROPO�ED I 1 Co
EASE rFNT I +18 -Front •...�.'�'.�?.�WL �l9 pL� GARAGE 1
i l a /�L a; p� 1476 SQ. FTI 589 5'Q.FTo I 1 6'-0"
M I / • MAP @Sid �i / ZG �' (MAIN FLOOR) / I 1 1
Q i / i p-! 1438 SQ. Fl� I W 11
/� I C0VEIR Other (BASEMENT) Uft a 11
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EXISTING WIRE FENCE N33� 4339"W 193.30'
' ���� PROPOSED ROCKERY
STORM SEWER MANHOLE CITY
ELEV. 20.28' (DATUM POINT) SITE E PL1�ilV
HEIGHT CALCULATIONS:
IMPERVIOUS SURFACE CALCULATIONS: A=+27' 1" = 20' - 0"
PROPOSED ROOF OUTLINE:, 3022 SQ. FT.' B=+33' �1_V
PROPOSED DRIVEWAY: 2090 SQ. FT. C=+34' PROPERTyowNER
NORTH DON & BARB BERGER
PROPOSED UNCOVERED TERRACE AND STEPS: D=+28'23813 MERIDIAN AVE S
120 SQ. FT. -[OML. (nnP�2��= EXISTING GRADE BOTHELL, WA 98021
5 AVE GRADE: 30'-6" - _ _ i CONTOURS PROPERTYADDRESS
LOT COVERAGE: 5 SQ: FT. _.r," ACTUAL: 49'-6" .693 MELODY .ANE
LOT AREA: 15779 SQ. FT. " ' PROPOSED MODIFIED FAR � LDNUMBBERozo
MAXIMUM: 55 -6
LOT COVERAGE: 33°4 I AS�6 Vit. t J
���oV�� �N���a GRADE CONTOURS 27031300305800
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LOT SLOPE: 5%
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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L� ^ rte✓
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SETBACKS ..................... �-•---
FOUNDATION:
Footing in \ s move tCq _ rJ
Wall —�
Pier/Porch ................ p
Retaining Wall ........... , n
1
Slab Insulation 1> �� a s m
PLUMBING: N —�
r"
�Q Qm
2
Underground ..... .. . �S � C4 Jett. 60104111YV\
wee, 0
Rough -In ' O n
C
i Commercial Final
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HEATING: Q
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p._
Gas Test ................:. Srote
Gas Piping
-a 0
Equipment ........
Commercial Final .:....: M I I
C' C
EXTERIOR SHEATHING`v \S J!� n r
NAILING ....................... C
1 - FRAMING ..... jS 3 a m n
G Crete
71
�S FIRST FLOOR FRAMING...
1 \' - X
INSULATION ...:.............. \� `
Floor Insulation
Wall InsulationMoment
Ceiling Insulation ....... ZO
SHEETROCK NAILING ...
SPECIAL INSPECTION ... m
MISCELLANEOUS ..........
p' F � 0
r FINAL APPROVAL FOR r
OCCUPANCY SMS S--`11---c��
Side Sewer # -100 ; t
041A 4T3-
AmoutPald$ NOON ,�Reocipt#
Date Issued r,.xplires pp��'� -__.. • I
It WBterMeterSize ��/ 4 t1 �,�;-;� 'c✓
_ U r
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Amount Paid ReCel t # , iaZ, La���
�`;
�-<
Date Purchated .
I:OW # Gtr y
�S3 The Initials MT are Milton
Amount Paid �___Recxipt ��..�, •
I / Thompson, a temporary contract
mu -6
Date10. l,. (loos ..:zLoLluxPirm inspector for the City.
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