20050462.pdfDATE RECEIVED <_71
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
W MAILING ADDRESS
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CITY ZIP TELEPHONE
NAME
I
ZIP
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NAME
EXPIRES
PERMIT
PERMIT
NUMBER
-7
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JOB SUITE/APT#
ADDRESjr.'�",'—
I.-
577
—
PLAT NAMEISUBDIVISION NO.
NO
LID NO
117
71
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
rFS_C_P Approved
RW Permit Required
EXISTING _—.1-'PROPOSED
Street Use Permit Roqwied
inspection Required
Sidowalk Requvea
REQUIRED DEDICATION
FT
Underground
METER SIZE
LINE SIZE
NO, OF FIXTURES
PRV REQUIRED
YES13 NOE3
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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LEPHONE IQ
A61 N Q
CBL#
ENGINEERING REVIEWED BY
CITY ZIP I TELEPHONE
V9 ":::;� lq&7;�9 1 4XII, 17 1 -
STATE LICENSE NUMBER
OU
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PROPERTY TAX ACCOJJNT PARCEL NO.
N9NEW
RESIDENTIAL
E] ADDITION
COMMERCIAL
MIXED USE
REMODEL
MULTIFAMILY
REPAIR
G DIN CYDS
1009
DEMOLISH
TANK
GARAGE
RETAINING WALL
CARPORT
E]
ROCKERY
PE OF USE, BUSINESS OR ACTIViTY)4XPLAIN
NUMBER
OF
STORIES
DESCRIBE WORK TO BE DONE
0
KPLUMBING I MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( X FT.)
OTHER
FIRE SPRINKLER
FIRE ALARM
FIRE REVIEWED BY
DATE
i I zw "T-
DATE W
0:
rL
VARIANCE OR CU
SHORELINEORADB#
INSPECTION
SEPA
REQ'D
I I
COMPLETED
EXEMPT
13YES 3"NO
I VI-01
CA# Oo 4. 1
ZONE
SIGN AREA
HEIGHT
WAIVER 0'
ALLOWED I PROPOSED
1
ALLOWED PROPOSED
STUDY 13
0
2S. ,
7157,
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT
SIDE REAR
FRONT
URSIDE REAR
0
34.-7P7,
2 5-
7.q 150
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PARK!R10GV
LOT AREA
PLANNING REVIEWED BY
DATE
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REQ'D F IDED
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REMARKS
TYPE OF gONSTRUCTION CODE OCCUPANT
NUMBER OF IL 1:�j GROUP
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D%A SPECIAL INSPECTION CONSULTANT OCCUPANT
UNI, REQUIRED LOAD
REMARKS
I %fr�_y GEOTECH REPORT
BY:
STRUCTUYWD -SIG
B
VALUATION
$
Description FEE
Plan Check A A
LOT,5pCPE% VESTED DATE
II/A Building Permit
PLAN CHF-CK NO:
lumb ng .1
Mechanical 101)
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 Grading
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
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection
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 Landscapelnsp.
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fed
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- CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
PIFIT SA�I�M RANCE AND RCW 18:27.
I s DATE SIGID (425)
An 771-0220
ATTENTIOW,� EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UN'rIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 If IBC110 I IRC110.
Description I FEE
State Surcharge
City Surcharge
Base Fee (Z)
1�
Plan Chk. Deposit
Receipt #
Total Amt. Due
I_Receipt #
PLICATION 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
10/04 PRESS HARD - YOU ARE MAKING 4 COPIES
jo BY MTJ
ORIGINAL - FILE YELLOW - INSP15CTOR
PINK - OWNER GOLD - ASSESSOR
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t E iR C I T T ]IR R E S P 0 N S 1 1 Ep E R
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C.E
INSPECTIONS REQ'D.
ELECTRICAL
Foorm aw 146 D r= u
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Et
12W 1300'
r. �01!fet FOO71W.
DRAI
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STUB
EFI-05443N CONTROL CATCH I!". �.\ i
COWECT TO
FEISICE ?TYrICAL) ROOF ORAI 4
APPROVU) AS NOTED
BY E- N G I;N4 1EE ER N (G
PONT A FZWER
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w Tvf4TLINE OW AREA.., 14& CUBIC yARDs cur
PhOOF DRAIN 290
I AREA -2 25 CUBIC YARDS FILL
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cl) X
M
c
m
80
MAIN FLOOR ELEVATS
MAXII'l." ROGE ELE Tk - 2'71t�'_
ACTUAL RIDGE ELEVA a�- 213-%
MAY 2 5 2005 X M
ITIZ
FxI5TW. REWIEW-E
F_ To 57 Fuar )IN
5C *E�D I G DEPARTMENT
STU! 232 OF EDMONDS
>
MAT STORM
SYSTEM LOCATED W
IN ROAD R*"r RIGN'r-oF WAY M"I'STRUCTION PERMit
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OF WAY n
ANP INSPECTION REQUIREP
MINT C
24"'
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VED 2'y PLANNINc,
m m
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a cn
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ROOF DRAN 6%10 W4 rT
f PT
&"5-25w-FI '7 2S'O"E
5"
Eb
ROOF DRAIN
CONNECTION! S '0 1
EROSION C04TROL z
m=(r""CAL) Height Calcu�:Iafion
POINT - A 24150'
POINT - F3 2413.151
Plan PO:NT - C 24S.15' z
PONT - D 241.501
SCALE. 1" 20-0'
TOTAL SS4501
SS4-50'S'B3-00" DIVIDED BY 4 248fo3'MAXIUMUM AVERAGE GRADE m
248fo3' + 25'-0" = 213.63' MAXIMUM ALLOUJA5LE HEIGHT
2133435 ' ACTUAL RIDGE ELEVATION
Le al Descriptioi - Z-11r.
9 NOTE,
LOT 1. DEVELOPER SURVEYED ACTUAL POINTS 5/16/05 FOR HEIGHT.
CjTy OF EDMONDS, s"o"OnSW C4%KTY, W44%41W.TCH
Lot Coverage
LOT AREA 8g)00 SWA#W FEET
Cov�RA�E 2114 ACUAFIE FEET
LOT COYERA--E A5 A rEPIC&4TA6V 0- LOT AREA 2_5'
-;Rr=SUB Front
7151
Sides
MAY 1.7 2005
Rear lb' 7
CITVXL C-40PY BUILDING DEPARTMENT Other
CITY OF EDMO14DS 2,ci Z_ g,
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WA
ATER
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Height Calculation Worksheet
Address: C353 0 PaA �U
Date: -7
hispector(s):
1. Datum Point:
2. Datum Point Elevation:
z
3. Average Grad e:
.4. Maximum Elevation Allowed: Lverage. giade) A- 25'**—-3 co
cr)
5. Reference Point Elevation Shot to House:
C M
M
V7(datum elevation) + (grade to transit level line'shot to house)
6,
C
Mz
6. Measurements from line shot onto house to roof ridge:
rn
10
1.45
V)
0 -n
`7 S
m m
-0
0.
C
mo�
Z
>
Z
Totill
Z''
.0
7. Actual Elevati on.) (reference point elevation) + ,512 (measurements
0
M
froin #6)
Conclusion:
(actual) is g�,eater ess 3j63 (allowed); therefore the house W
ien �pr E" irements
is not over the height requiremen p r ECDC 16.20.30 requ
FROM: FIRE DEPARTM[ENT DATE
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE'
FLMMSM
JL //0 C(
PROJECT
SITE ADDRESS Z C) S 7--
-:�700 -S —Z946 2-
PERMIT # ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
Afield inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are: no objections from the above signed Department to the release of
PERFORMANCE BONDS and the giranting of:
GRANT FINAL PROJECT APPROVAL
GRANTPROJECT APPROVAL WrM CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/cont.ractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECTAFFROVAL
Date Si
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
footi ng .......................
4YN �t
Wall ......
Pier/Porch .................
Retaining Wall ...........
Slab Insulation# ..........
PLUMBING:
Underground .............
Rough -In ..... ............ yr v A
Commercial Final ......
HEATING:
Gas Test ..................
Gas Piping ..................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ............ .............
FRAMING .......................... vy)
36
FIRST FLOOR FRAMING....
J INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation ........
SHEETROCK NAILING
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
0
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p
DaftPardiawd
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Tile Initials MT are Milton ROW#..
ejllporarY Contract
0111pson, a t
Th AMountPald$
inspector for the CitY-
Datebsued
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