20050421A.pdfDATE REC
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILINGADDRESS
NAME
CITY
I
TAXACCOUNT
NEW
ADDITION
El REMODEL
REPAIR
DEMOLISH
ZIP TELEPHONE
tz_ I A I C/
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Aqqviltws. Inc,
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ITELEPHONE
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P E R M I T E X P I R E S
PERMIT
NUMBER
JOB SUITE PT#
ADDRESY��s or (�,7
FLAT NAMEISUBDiVISION NO.
LOT NO.
I
LID NO,
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Peml Required
EXISTING PROPOSED
Sueet Use Pe"it Required
Inspection Required
SiduAilk Required
REQUIRED DEDICATION FT
underground
Witing required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YESM N013
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
j,_j,5U-zjj a,fp .1;7A. 12jaU 11-2
_4Z \/ 1LU S *V
ENGINEERING REVIEWED BY
FIRE REVIEWED BY
Nu_�( I
.5 DATE
7 dt 5-
,2
DATE UJI
ZIP TELEPHONE z
LL.
VA RIANCE OR CU
SHORELINE OR ADB# 1
i
INSPECTION
REO'D
SEPA
COMPLETED EXE MPT
EXPIRATION DATE
CHECKED BY
MYES
I
CA#
WAIVER 13
STUDY 13
ZONE
6-1L
SIGN AREA
ALLOWED PROPOSED
I I
HEIGHT
ALLOWED ROPOSED
/I
1ARCEL NO.
RESIDENTIAL
COMMERCIAL
MIXED USE
MULTIFAMILY
CYDS
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
x FT.)
LOT COVERAGE
ALLOWED PROPOSED
I 1 40)
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
/0
PROPOSED SETBACKS (FT.)
FRONT URSIDE REAR
Aba 6-0
PARKING
REQ'D ROVIDED
f.- 1. -r
I
LOT AREA I
I W du
PLANNING REVIEWED BY DATE
REMARKS
E
OTHER
OWC
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Arl I 64L=4 HAA�2E
61A tA APLA-
RETAINING WALL
ARAGE FIRE SPRINKLER
AIRPORT ROCKERY FIREALARM
65 if 17H
(TYPE OF USE. Bust CTIVITY) EXPLAIN
TYPE OFCONSTRUCTION
k f3
CODE
n,5
tr%
OCCUPANT
GROUP R3
I
NUMBER
OF
NUMBEROF
DWELLING
SPECIAL INSPECTION
.
CONSULTANT
OCCUPANT
STORIES
UNITS
REQUIRE
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
GEOTECH REPORT
BY:
STRU]=f
BY:
sq�j 40 O's 1- Parenf.S
VALUATION
$
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Description
FEE
Description
FEE
Plan Check
/14/6
State Surcharge
HEAT SOURCE
(0'a
LOTSLOPE%
VESTED DATE
Building Permit
ri
City Surcharge
S
PLAN CHECK NO.
Plumbing
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTEd THIS PERMIT COVERS WORK TO
Grading
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
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
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. Deposit
W
_j 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 #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Qj DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
L
I
Recording Fee
ecordin' F
-.
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER; OR THE DULY AUTHORIZED AGENT OF
This application is not a parryid until signed by the
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
CALL
Building Official or hisihor Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
0 1 S receipt is acknoMedged in space provided
FOR INSPECTION -
WORKMEN'S=NSATION INSURANCE AND RCW 18:27.
OFF[ LS SIGNAT E DIATE
SIGNATUI (OWNE ORAGENT): DATE SIGNED
(4251
6
771-0220
IRE S -D BY, ON
ATtENTION
EXT. 1333
a
USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
. . . . . .
IT IS UNLAWFULTO
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL - FILE YELLOW- INSPtCTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 / IRC110.
PINK -OWNER GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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LEGAL DESCRIP'llUIN:
13E
M5A ALIESWIlEA
BLOCK 000 D 04 TH TN TR
U U SC) TR TH N 00,4 20E
21lx4" OR EQUAL POST a BURY BOTTOM OF FABRIC ALG W LN DSD TR 454 IIFT TO FW COR OF NI(9435 FT
USE STAPLES OR WIRE RINGS So TR TH N 8,B,45 25 E ALG F LN OF N 16435 FT FD TR
FILTER FABRIC: ON MATERIAL IN 8" x 12" TRENCH 222fo(b FT TOT P5 TH CON
2 "x2" 14 GA. WIREE, FABRIC PROJECT DATA:.
3/4" WASHED ROCK % ZONIw_l
NEWLYGRADED OR CONSTRUCTION R-3
DISTURBED 51TE NEW IMPERVIOUS SURFACE:
FLOW
LOT AS SHOWN 24,W26P.
EXISTING 50+10P 543 SF.
EXISTING HOUSE 1,100 S.F. EXISTING
BURY BOTTOM OF FABRIC RED PORCH $3251.
MATERIAL IN 8"4" TRENCH EXISTING SOVIVEEI WAY 3OC35 Sp. SII()p
TOTAL EXISTING IMPERVIOUS SURFACE 5,510 SP. o (E) PHONE 26'4"X264"
SILTATION C NTR -ATAIL EXEMPT PER DAVID GEBERT, P.E., CITY OF EDMOND o (E) PP
E DETAI 5 ENGINEE4
NOT TO SCALE NEW DRIVEWAY- GRA55 CRETE 1,595 SP.
NEW ADDITION-
INIPERVIOUS SURFACE 1,635 S.F.
NEW LOT COVERAGE CALC:
251R
41 3�30 = 12-30% COVERAGE
24,W2 S.F.
HEIGHT LIMIT:
EL.'513 pel(AkAT, CALf_
EL. 91 r)
EL. SI.0
-25R EL.SI-3
311.1=
EL. 543 AVERAGEGRADE
4--b" L + A. = EL. 11133 MAX. BUILDING HEIGHT
L INSTALLATION: THE AFEA OF THE ENTRANCE SHALL BE PROJECT TEAM:
CLEARED OF ALL YMETATION, ROOM AND OTHER
ARCRITECT
OWEcTICNABLE MATERIAL. THE GRAVEL SHALL BE PLACED
To THE SPECIFIED DIMENSIONS. ANY DRAINAGE FACILITIES i JAMES THOMAS, ARCHITECT
REGUIRED BECAUSE OF WASHWs SHOULD BE CONSTRUCTED
ARCHITECTURAL DESIGN ASSOCIATES EXISTING DRIVEWAY
TO T14E SPECIFICATION$ IN T14E PLAK IF UAW RACKS ARE
%IOUI-D BE INOITALLED TO THE MAAFACTURERS 2221 EVERETT AVENUE v201
USED THEY
SPECIFICATIONS. EVERETT, WASHIN65ITON 98201
(425) 25S-0brol
2. AGGREGATE, 4- To 6- CRUSHED 13ALLAST ROCK
3. ENTRANCE DIMENSIONS, T14E AGGf;EGATE LATER MST STRUCTUFAL ENGINEER
BE AT LEAST 6 INC14ES THICK IT MST EXTEND.TWE FULL CHRIS COVINGTON
WIDTH OF THE VE141CULAR WiRESS AND EGRESS AFMA T14E STRUCTURAL DESIGN ASSOCIATES
LENGTH OF THE DaRACE I-IUST BE AT LEAST 50 FEET LONG. _j
4. W,45141,& IF CONDITI" ON THE 51TE ARE SUCH T14AT NORTH STAR BUILDING
MOST OF T14E MUD 15 NOT REMOVED FROM *VEWICLE TIRES BY 2210 HEWITT AVEME, SUITE #401
CONtACT WIT14 THE GRAVEL, T14EN T145 TIFES MST BE WASHED EVERETT, WA. W201
BDVRE VEHICLES EWER A PUBLIC ROAD. U4514 WATER (425) 339-02W
m MST BE CARRIED AWAY FROM THE ENTRANCE TO A SETTLING CUT /'FILL CALC.:
AREA To REMOVE SEDIMENT. A WAS14 RACK MAY ALSO BE
USED TO MAKE WAS14M CORVIENIENT AND EITECTIVE.
NET CUT USING EXCAVATED MATERIAL
5. MAINTENANCE- THE ENTRANCE SHALL BE MAINTAINED IN A CUT: . . . I -_ 7,
CZ*DiTION WHIC14 WILL PREVENT TRACKW3 OR FLOW OF MUD 6 FOR GARAGE AND YARD FILL "'v
NEW DRIVEWAY 0 cu. YD5
ONTO PUBLIC PJ0475-CF-WAY. T1418 MAY REQUIRE PERIODIC NET CUT w Cu. YDS
-INC STCINE, AS CONDITIONS DEMAND, GARAGE SLA5 53 Cu. YOS
TOP PRESSING UT14 2 A IF FOUN-DATION EXCAVATION EXEMPT:
AND REPAIR AND/OR CLEAN OUT ANY STRUCTURES USM TO
CRAWL SPACE (go cu. YD5 NET CUT 68 CU. YD
TRAP SEPMW. ALL MATERIALS SPILLED ONTO ROADWAY
0 cu. YD6 - — — — — — ---
OP. INTO STORM DRAINS IlUST BE REMOVED IMMEDIATELY. (CUT FOR FOOTINGS)
(�>�TEMEP. GRAVELCONSTRUMON ENTRANCE CUT 203 CU. YD5 Top OF EL (E)
NOIM*�C!!E IF REQU'D. FtLL: Iw. _4
a 'HNG DRIVEWAY
GARAGE UNDERSLA5 44 CU. YD5.
FILL AT 51DE YARD 41 CU. YDS
FILL AT REAR YAf;V 20 CU..YDS NEGAV DR NVA
100.1 C TE
FILL 105 cu. YDS 5.221
N102010411
SHEETINDEX:
/.,`.REFERE CE
T.O. WATER METER
An im
SP-I SITE.PLAN DATUM 100,0
SP-2 DRAINAGE PLAN NEI
A-1 ELEVATIONS EA
A-2 ELEVATIONS EXISTINGL� 12"
A-3 MAIN FLOOR PLAN FIRE HYDRANT PE
A-4 UPPER FLOOR PLAN 5T
A-5 FOUNDATION w/ MAIN FLOOR FRAMING PLAN 12nd E 5T 134
A-61 UPPER FLOOR FRAMING PLAN
A-1 ROOF FRAMING PLAN
5-1 STRUCTURAL NOTES, AND DETAILS
EASEMENT WILL BE 30'UJEST 7sil
CF EAST PROPERTY LINE. V, 21
MD Io'WIDE PIPE WILL
RJN a 35' WEST. THE WEST 10,
IVOF THE EAST 40'PLUS
THE WEST 50' Or THE EAST
00' OF THE NORTH 10'
'Y ADDRESS ___�111.0371 "NL'_05L55 zow Corne'r g—
w Artual
'0
I-TCEL NUMBER: Front __-5 - 1, W: .43:
B410 /0
ESCRIPTION: Sides 2 6'
000 0 04 TH TN TR ROU
TW N 00#48 20E
Ll
UIE Wo Other
54 111Fnr T70 FLU COR OF N16435 FT
,45 25 E ALG F LN OF N lro4'45 FT FD TR 48-4 26,42"
=13 T14 CON
ME" 13- r
DATA: n
4.
R-3 A
JERVIOUS SURFACE:
24,W26F. DX LOCATION
543 S.F. OF LC JEST FOOTING
E 1,100 Sp. EXISTING SILT FENCE--�, EL. 8� 5
ERED F�� 832 SF.
WAY 305!i S.F. SlIOP _eO z
1) el. ;b.e
IMFER%vlOUS, SURFACE 5,510 SF.
DAVID GEBERT, F.E., CITY OF EDMONDS EW31NEEI o(E) PHONE 2(o'-&"x20'-&"
GRASS CRETE 1,5s Sp.
[ON-
TOOTINGi
S SURFACE 1,635 S.F.. EXISTING COVERED PORCII'l
COVERAGE CALC:
30% COVERAGE
[[NUT:
W b� 0
S57 EXISTING RESIDENCE
FLR. EL. 135.5
d)y- 4,b all
i 94 REA OF
EL S43 AVERAGEGRADE DISTURBANCE
EXISTING COVERED PORCH
L. 11133 MAX. WILDIWj HEIGHT EXSTNG
TEAM: ARBOR
T
to "Im,
ARC141TECT opw ExIOT111102 C1131
DESIGN ASSOCIATES 00 Exis'r]ING DRIVEWAY Cie -
VENUE 0201 (E) F
AT (MI ON
Met SA
I INGTON W201 EL. %.8 —EXIST CATC44 "N
TOP OF Rm %14
963
L ENGINEER �; , , : - '
;P:-= TO BE RE�OCAT_=rl
ON D ' - INV. sib
--OND-, .11
E51GN ASSOCIATES A54N NE wo
ILDING 0c
UE, SUITE 0401
a201
IATEIRIAL g�,
NET CUT USING EXCAVATED I pok ek.
\0 0% IDRML�
YD5 FOR GARAGE AND YARD FILL 0%
NET CUT W cu. YDS .0 10
.YDS�
------ -NEW CONSTRUCTION
U. YDS IF FOUNDATION EXCAVATIONN EXEMPT -9!3 $14ALL NOT INTESSEAR
NET CUT 69 CU. YD .4c w/ NEW 10' DRAINAGE
-------------- --
�U YDS 10-0 EASEt'IENT 0 t
IT
YDS TOP OP FAI EL �25- OF NEW 12" PVC SOLID
W. 5 Upr -mm PIPE PER CITY OF
INIEWAY - - - - - - - - - - - - - - - - - - - EDMONDS STA?CAF;VS
4 CU. YDS. --9`XI PH—INC. DR
41 CU, Y05 ---------- NEW DR WA___ 5%
20 cu. YDS Y
100.1
5 22' GRASS C TE
105 cu, YD9
RI-201
.,-5cJ5 -NEW Ca 2
,,%REFERENCE USE El2laM z P
T.O. WATER METER
CITY 81110.
DATUM 1000 - - - - - - -- - - - - - -- - - - - - - - A_L EXCAVATED OR TOP OF mm WIS
-NEW STOW DRAIN i0o DISTURBED MATERIAL INV. W
EASEMENT 0 t OF To BE STOCKPILED 4
EXISI 12" PVC SOLID PIPE CDVERFD w/ V15MEEN
FIRE YDRANT PER CITY OF EDMONDS UT14IN 24 14RB OF PLACEMENT]
OR FRAMIWj STANDARDS
PLAN 12nd E ST Iff 4_.7_9F2_7 '_59 �NN7_
PLAN
NOTE$:
DETAILS ALL DOWN5FOUTS SHALL
EASEMENT WILL BE 30'UEST TEWINATE TO APPROVED
OF EAST PROPERTY LINE SITE PLAN SPLAS14 BLOCKS OR APPROVED 24143
V 20'-0" DRAINAGE FACILITY
AND 10'WIDE PIPE WILL
RUN a 35' WE5T. THE WEST
IO'CF THE EAST 40' PLUS W, v 0, NEW CONSTRUCTION SHALL COMECT
TO EXISTING SEWER 4 WATER MAIN SP-1
THE WEST 50' OF THE EAST
50' OF THE NORTH 10'
RESUB
c MAY� 16 2005
CITY
BUILDING DEPARTMENT
57/25) CITY OF EDM, ONDS
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61TY CLERK 200506201025 1 PG
OF EDMONDS .2005 04:33pm $19-00
06-20
WASHINGTON
121'STH AVENUE NO. SNOHOMISH COUNTY
EPMONDS. WA 9802.0
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STATEMENT ON ACCESSORY DWELLING UNITS
0
Property Addr��sf 12,2 1, -- -75 A/P L)
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-'Edmonds, Washington
7
Legal Dedrr.p(1pd*-. 0/7ri A,14- />q/� o4 -t-:m
Cn :X
(%.tuh- SIA) 1) r n '�T� --rt2 -r �4 M /7/1:;v
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)�i K w Lk, !0� Ila F A)
Sb nV, E�-�2 36 F b
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Assessor's Parcel Nutiib )Q,9n IS9 0
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I have read the requfriemiients for. , acciessory.,dwelling units contained in Chapter 20.21 of
10
the Edmonds Commuilty-D'iyelopriens-Coap and understand that an Accessory
-�oqd
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Dwelling Unit; Including -a �i - �Jtdieq -1�* prohibited until after an Accessory
Dwelling Unit permit has ieejm--ip0ioved'b*'y the City of Edmonds.
O.M
I also understand that approVal of an Access90 D�elling Unit permit Is subject to
n
compliance with Identifled crli�rla, to publiti commeot, and neither this statement nor
the issuance of a building permit shall to 11MIt tbe.':discretion of the City, In the review
ad
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of any application for an Accessory..Wvelling'Unii permit
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Property Owner Signature:
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C Coy
Date:
9 Co.
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STATE OF WASHINGTON) ............
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COUNTY OF SNOHOMISH)
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I certify that I know or have satisfactory evidence that
r lrllr�,
signed this instrument and acknowledge it to be his/he volurtiary.act for the uses and
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purposes mentioned in this instrument.
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Notarg.'&po must be smudged. Dated:
01
rn
Signature of V.
ic
d' Notary Publ It 10",
0. aw
�0/ L& Resi
X My Appointment
Expires:
4,FOu r
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDIT -OR.
..... ......
NoEXCISE TAX
REcIL)IRED
ITY CLERK
Cry OF EDMONDS
S
M AVENUE NO. BOB CountY T[03sulel
ED QNDS. WA 98020 BOB DANII_Nl
.. ...........
k"I
Refiftn
200506201026 2 PGS
City Clerk,.
City of EdInallih 06-20-2005 04:33pm $20.00
SNOHOMISH
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121 - 5th Xv *'*N. COUNTY. WASHINGTON
Edmonds, WA.99020.0. .�o
uTiLITY EASEMENT 0 0
M
ss�. 1736 734,Av'e' W
Property Addre
-n
Assessor's Property'robt Parcel Nb.:..--005!3j004l3904
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C�
IN CONSIDERk I V6efitsio accrue to the grantors herein, the undersigned, Edwin and.lane M 0
Orner husband and wife)' hT5to�gr�jritg'tq t1w. CITY OF EDMONDSp a Municipal Corporation, a permanent 0
casement for the installation, operatkon, andn'iainibliaticc of a storm sewer system over, across, through, and 0.
0
below the following described likopeirty;"6XilTe-furlher right to remove trees, bushes, undergrowth and other C
obstructions interfering with the locAtion,,ponikoctidn, and, maintenance of said storm sewer system together
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with the right of access to the casetfient �t �riy turne,for tbi6stafed purpose M
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The casement hereby granicriViociaKid& C6bNTY OF SNOHOMISH, STATE or,
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WASHINGTON, and is more particulattylacs6beded follows >
The North 10 feet of the East 90 feet, cxcept.tho'cast 40 feet algrik wit4 die West 10 feet of the East 40 feet of the
following described property 0 -n,
-n
0
-ADOWDALr -04 - Tit PTN TR 139 DAF 66,%isw6it !D!rR.*I*l I N 00-48 261: ALG W LN SOTR 454 1117 T
BEACI I BLK 000 D -1 Sl),-fit 22-,-'66FT-ro TPn Tit CONTN89-45 25r ALOS LN
SW COR OFN 164 35rr SO I it I I I N89-45 25L ALOS LN Or' N 164.3ii
OF N 104 35FT SD TR 177 41 Fr To INT A LN DRWN PLW �k LY 27.617T WLY OF E-IIN SD TR I'll Sol -27 591: ALG SO I'LL LN
M M
"T TO
137 96FT TO TNT N MGN 173RD ST SW TH N8900� 20W 10 &F-I AWN;6 N m qN'TH SO 1020 451: ALG W MON 72 NO PL W 5 22F
INTN LN S 329FT S D TRTi I N87052 04W ALG N LN S 329FT'S D TR 166 05 [-.PTI I N02005 55F 134 31 FT TO TPII, row TH P-17114 TR
t 130 DAF Bro sw COR SD TR 139, T1 I N A LG W LN SO TO 320-4FT. TI 1 360 25FT to TPB, WI I PT r-ST BYSURV or, 0
'611 S -IiL-r w LN.�p Tit roit 10 OOFT, 111 W N87 22 35 W 0 M
irrwnt 139 IN MAR 1959 BY MLI NICYRING FOR EARL MORRISJR.' C
1129FT.TilNi,L:rwLNSDTRIOOO�-rTIIES87-22'.15CI121)i-rTolTiI
co
This casement replaces the utility easement as recorded underAudit r.'§ file inimber 9003220224 Q 0
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THE CITY agrees to restore to substantially the origuidl-oondi't'id'n' such jr�p!ovcments as are disturbed
during the construction, maintenance, and repair of said utility or utthtw�, provl*dkd the grantors, their heirs, or
assigns shall not construct any permanent structure over, upon, or with�n tlui pcnuhnc�t casement
>
DATED THIS DAY OF 0-5 z
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0
STATE OF WASHINGTON)
)ss 0
COUNTY OF SNOHOMISH) M
On this day personally appeared before me to me Oownl;g be. (he. individual
described in and who executed the within and foregoing instrument and acknowledged tbit
the ame as h&r free and voluntary act and &Fd,"tor th6'u-ses-and
signed s
purposes therein mentioned
THIS 67" DAi OF
ALSEAL
-A I 'I'M A q
!NCE
N.
STATE OF WASHINGTON
NOTARY PUBLIC in and for the
COMMISSION EXPIRES
APRIL9,2OD7 State of Washmption, residing at
a
FFI
NS
S I
C
ICT
froill cclistruction .0les as a result of
elwlll�k
Construction activity are exempt froill the floise linlil'z (it' Eff, Chilliter
7—
WS JIM
r-p 7�1 5,10 only LlLffill�' 111C 110111'S 011 7:00am to 6:00pill 111) \\CCK(N. -
l():00am and 6:0011111 t;11 SWUR10%'S. CXClUdil1j.' SLIMIO\�s :111d FC(10111 PERMI
Holidays. At all othel' lillIcs the 11oise originalip, ' , from construtnion
sites/activities must conlvl�, will, the floke li'llits o""'ll"le" "les'; EXPIR
a vanalice has been grafitcd purstiatil it, ITC5.30.120.
Issul
THIS CARD MUST BE POSTED ON SITE AND AVAILABLE TO THE INSPECTOR
Owner: L
-7 -7
SiteAddress:
Project:
Setbac ks for Zone
Front Rear:
Side: V
Height:
v" i #
Inspections
Approve
_-Date
Notes
#1 ENGINEERING
MOBILIZATION AND EROSION CONTROL INSTALLATION MUSTBE APPROVED PRIORTO CONIMENCENIENTOF ADDrriONAL WORK,
(425) 771-0220 x1326
Mobilization / Erosion Control
Tightline
Detention
Forms (sidewalk, driveway)
Water Service
5 -- - - - - - - - - - - - - - - - -
0K. -TV
-
A
Permit # 100A Side Sewer
I
Permit # Rig t-o -Way
(s/w. c/g, pavin")
#2 SITE/DEMOLITION
Pre -Demolition
Asbesto,� PSCAA �rrnit
Sewer Cap
Cleaned Site/Final
- - - - - - - - - - - - - - - - - -
- - - - -- -
#3 FOUNDATION
Setbacks
Footinp
,,s
Foundation Wall
-Piers
Retaininp, Wall
Slab Insulation
(00 V T- -
"*Yn ';:'M_
1(p —4
#4 PLUMBING
Permit
Ground Work
Rough Ill
Grease Fixture
35 ---------------
#5 PUBLIC WORKS
(425) 771-0235
Cross Connectinn C111trol
Trash Enclosure
#6 MECH/HVAC
Permit # 111CUd
Gas Test/Pipe
Equipment
- - - - - - - - -- - - - - - -
- -- - - - -
#7 FRAMING
Exterior Sheathing
Shear Nailing
First Floor Framing
Framinp-
Heiaht Check
-- - - - - - - - - -
(7 Q
7
U-
t^
M. �'
I I — I
#8 INSULATE CAULK
Wall
Floor
Ceilinp-
yv� I
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(425) 771-0215
Hydrant
Fire Protection System
Extinguishers
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FINAL PROJECT APPROVAL %HK—)1�
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Sewer Division
Witter Division
Planning
Fire
FINAL OCCUPANCY APPROVAL
)BUILDING INSPECTOR I ��A
THIS BUILDING OR ANY PORTION THEREOF I NOT TO BE OCCUPIED PER UBC 109, UNTIL ALL
APPLICABLE QIW DEPARTMENTS HAVE GR NTED A FINAL APPROVAL
Call (425) 771-0220 x1333 for BUILDING INSPECTIONS
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ENGINEERING SFR INSPECTIONS & FEES
ADDITIONAL INSPECTIONS $50
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-TYPE OF
NUMBER OF FEE
TOTAL PAID INSPECTION DATE
INSPECTION DATE AMOUNT
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INSPECTION&
(PAID F
(NOT PAID EOR) DUE
Erosion Control
X $50
$
$
x $50
$
$
..........
Detemk
X $50
$
$
.................
Spreader Trench
......................
X $50
$
$
Infiltration
......................
x $50
$
$
Side Sewer
X $50
$
$
.....................
Water Service Line
X $50
$
$
.....................
Driveway form
X $50
$
$
.....................
Curb/gutter form
X $50
$
$
.....................
Sidewalk form
x $50
$
$
.....................
Paving
X $50
=
$
$
. .....................
Right -of -Way
X $50
=
$
$
.....................
Traffic Control
X $50
=
$
$
.....................
Final Engineering
X $50
=
$
$
.....................
Other: .
X $50
=
$
$
.
......................
T TAIL PAID
$2a 001
TOTAL DUE
PRIORTO-FINAL $
ENGINEERING INSPECTION LINE 425-771-0220, EXT 1326