20050310.pdfFDATE �RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
-R49vME1NAME OF BUSINESS
MAILING ADDRESS
CITY ZIP TELEPHONE
4 -2 1?69
NAME
ADDRESS
151 4J�010
STt�T
.�LICENSE NI IMBER
TELEPHONE
ZA 4f
1 =4-1.j
EXPIRATION I
_�E; T C �.L 9 6 V_ 6 (
PROPERTY TAXACCOUNT PARCEI,, NO.
J<ONEW
ESIDENTIAL
1:1 ADDITION
-MIXED USE
1:1 REMODEL
MULTIFAMILY
0 REPAIR
11clood CYDS
11 DEMOLISH
TANK
RETAINING WALL
�16GARAGE
CARPORT
ROCKERY
E_bF USE, BUSINESS OR ACTIVITYLF_XPLAIN
7, 9, 6
VARIANCE OR CU SHOREIINEORADB# I INSPEC SEPA
C
BY RE COMPLETED I EXEMPT
I MYES 0 :�<
CAP ZONE SIGN AREA HEIGHT
WAIVER 19 ALLOWED PROPOSED ALLOWED PROPOSED
J, 6 , C4
STUDY 13 1 - I
FPERMIT EXPIRES
PERMIT
NUMBER
JOB
ADDRESS —1
ITE/APT#
4
PLAT NAMEISUBDIVI SION NO.
LOT NO.
LID NO
LID FEE S
PU13LIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCPApproved
RW Perma Requited
EXISTING PROPOSED
Street Use Perniij Requited
inspection Required
le
REQUIRED DEDICATION offo�
FT
Sidnwat� Requited
Underground
required
METER FIZE,
j I
/?I
LINE SIZE
I i I
NO. OF FIXTURES
1
PRV REQUIRED
M
10
YES 13 NOO
REMARKS
OWNER/CONTRACTOR RESPONSIBLE
FOR EROSION CONTROLIDRAINAGE
of/A)J 1061r) � n, 60wilrd n"7111614en-
ENGINEERING REVIEWED BY - PATE
FIRE REVIEWED BY DATE w
0:
LUMBING / MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSEDSEIBACKai,
r REAR
FRONT.�
�LURZD,
I z
COMPLIANCE OR
USE
!3SOA
2s 2
z
CHANGE OF
El
PARKING
REQ'D PROVIDED
LOTAREA
PLANNING REVIEWED BY DATE
SIGN
�2
2.
7
FENCE
( X FT.)
REMARKS
OTHER
FIRE SPRINKLER
FIRE ALARM
TYPE
OCCUPANT
GROUP
V3
w
'3
M
0
NUMBER
OF
STORIES z1_
NUMBER OF
DWELLING
UNITS
SPECIAL INSPECTION
REQUIRED 0 (ES
CONSULTANT _TCACU
OCCUPANT
NT
LOAD,
DESCRIBE WORK TO BE DONE
REMARKS
GEOTECH REPORT
BY:
STRUCTURAL DESIGjk
BY:
5 0-7
ow
VALUATION
$ 70
Description
FEE
Description
Plan Check
State Surcharge
0 C�
,KAT S UR
6_� _T
LOT S
:STED DATE
Building Permit
City Surcharge
PLAN C HECK NO:
Plumbing
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PER . MIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
Grading
0
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Engr. Review
SEPARATE PERMISSION.
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
S 0 R S
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
T Y 0 F
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Y A N D
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
E CT L Y
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
OT B E
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
4AN C E
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
SID N
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
L
A
Recording ee
T ON]
I
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
I TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
THE OWNER. AGREE
OY
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
4
LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
0
IN VIOLATION Of -THE
WORKMEN'S/A?rPR�ATION INSURA �CE AND RCW 18:27.
DATE IGNED
(425)
SIGNATU R AS
771-0220
RE
FEE
Plan Chk. Deposit
Receipt #
Total Amt. Due
--TReceipt #
APPLICATION APPROVAL'
This application is not a permit until signed by the
Building Official or his1hor Deputy: and Fees are paid. and
receipt is acknowledged in space provided
IC S SIGN UREk DATE/
I
I/
L WASEDBY DAT4
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
�L - FILWELLOW - INSPECTL
-OWNER - GOLD - ASSESSOR
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Firstline Construction
944 Maple St.
Edmonds, WA 98020
5- 2-06
.2
Jeannind Graf
Z�
I would like you to consider waiving the renewal fee. The short plat was forged and recorded
let Waiting for PUD
by Snohomish Co. It had to be short plated again. My house is,90% comp e.
to hook-up which should be this coming week so that we can finish plat access and driveways.
Thank you for your consideration. Fil6#.S -2004-134
n'
Sincerely,.
Frank Licata ---- 206-498-5339
Co �-j
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DEVELOPMENT SERVICES CTR
CITY OF EDMONDS
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Height Calculation Worksheet
Address:
Date:
iwector(s): y
1. Datum Point:
z
e7
2. Datum Point Elevation:
.3. Average Grade:
4. Maximum Elevation Allowed: 6veragb giade):+ 25'
A
M 0
5. Reference Point Elevation Shot to House:
0
C
F.
(datum elevati n grade to transit level line shot to house)
M
Mz
z
6. Measurements from line shot onto, house to idof ridge:
F0
M M
0 CD
.0 M
C
M 0
z
z
z
0,
Total
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7. Actual Elevation: k (reference. point elevation) + 0 (measurements
from #Q I Zkz)
conclusion: —j--j 2
\2G-a(- (actual) is greaterxlgl�n (allowed); therefore the house W
is not over the height requirement per ECDC 16.20.30 requirements
-P-PROVAL -FORM
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......... T
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
--7—L
Rough4n ...................
Commercial Final ......
HEATING:
"S
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING...
ms
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
5
SHEETROCK NAILING
SPECIAL INSPECTION ...
MISCELLANEOUS .....
FINAL APPROVAL FOR 01-0
r-d I Oc-
OCCUPANCY ..................
Side Sewer0'
Amout Paid$ Receipt's
WaterMderSize
AU10UdPWd--.--Rece1pt
DMePOKIII&SCd -
The 1hitials mf,,Il*c Miltol
ROW
01,111*y Contract
inspectol. -1-01 the city.
Amount.Pald
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0
4
0
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