20050468.pdfDATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
USE
ZONE
PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
SUITE/APT#
OWNER NAME/NAME OF BUSINESS
(14,rol In kei viJ e, I
PLAT NAME/SUBDIVISION No.
LOT NO
LID NO.
MAILING ADDRESS
LID FEE S
3:
0
PUBLIC RIGHT OF WAY PER OFFICIAL STREEr MAP
TESCP APP( d 53
RW Permit Required
SiloolUsePermilRatid
CITY ZIP TELEPHONE
r4A1y`40"1A!�- IVA ffd7_(,7 /j2_5--6q0-,a9t5f?
I
EXISTING PROPOSED
REQUIRED DEDICATION FT
inspection Required
Sidewalk Required
Underground
Wiring required E3
NA
METER SIZE LINE SIZE
XTURES PRV REQUIRED
13 z
YES 13. NO cc
�)L-z Ace.a -�— -1 ____ - uj
ADDRESS REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
-73 7 z
111V6 pe) ul
CITY ZIP TELEPHONE 1t\JsL-1EcTi(iyys !
IL 3 1 4 6 72-- ( :) ) 11
J rl�
NAME I�ML# G003�3-703 16 � D d2 ao��l I-) i /Lit re P! V( Cq I f
L) ENGINEERING REVIEWED BY DATE
ADDRESS T .531wo
0 M �tm n e (x�v _S
o�te, FIRE REVIEWED BY DATE uj
CITY Z14 TELEPHONE
0
fi, � VV VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND
STATE LKNSE NUMBER EXPIR�ATION DATE FCKED BY RECLD * 0 $ POSTED
31.>%5/2,00( e, L 10YES
000 L Ac,
I SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED I PROPOSED
oo67cZ(,:Po(:)00 11q00 EXP ez
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.)
1:1 NEW RESIDENTIAL Zi(PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SI E REAR 43
COMPLIANCE OR
[3 ADDITION COMMERCIAL CHANGE OF USE 1/0 aG -7. W-7 -
PARKING LOT AREA PLANNING REVIEWED BY DAfE
REMODEL MULTIFAMILY SIGN REQ'D VPROVIDED
GRADING FENCE pog ��a
REPAIR 4 �i () CYDS I X Fri KS
DEMOLISH 1:1 TANK Ei OTHER 0
KbARAGE RETAINING WALL FIRE SPRINKLER
CARPORT E] ROCKERY El FIRE ALARM
(TYPE OF USE. BUSIN SS OR A,CTIVrrMf) PXPLAIN:
CHECKED By TYPEV gSTRUCTION ICODE OCCUPAN1!3>�
GROUP
NUMBER _NUIXEIER OF CRITICAL
M OF DWELLING AREAS SPECIAL INSPECTION JAREA OCCUPANT
to STORIES UNITS NUMBER 05- 0,5; REQUIREDE: e Tim AD
IYES r
DESCRIBE WORK TO BE DONE
Fi,6111^110 REMARKS z
PROGRESS INSPEC71ONS PER UBC 108 / IBC109 IRCI 09 FINAL INSPECTION REO'D 9
4r,> ly j -7— 5
0 bnNallf) Batt,Mhaif
pre, y--�,c IAVC0.,e, I pE_j4_ .:3q:670
v-1 %'A rJ
A VALUATION
pTre_"�f r/cwtz Atbltj 0-9 ;116 $ 6
-3 07 to ip Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE GLAZI G % LOT SLOPE % Building Permit ?d57V City Surcharge
F A
PLAN CHIEC"10- VESTED DATE Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY TH'E WORK NOTED. THIS PERMIT COVERS WORK TO
/ 2z Mechanical
It BE DONE ON PRIVATE PROPEM-Y ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
M
W PERMIT APPILICATION: 180 DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
:E 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
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee Receipt #
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 WPPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC- 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 Foos 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 CO r
,MPENSATION INSURANCE AND RCW 18.27. 1AMIA
F LS SIGNA RE ATE
S71 IAT;UR Z,NtqlOP/AGEN1`) DATE qIGNED (425)
771-0220 REIj&ZD BY rjATE
ATTENfION EXr 1333
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCU- 0 GIN)L - FII:;` - YELL INSPECT&
K OWNER It
FANCY HAS BEEN GRANTED. UBC1 09 / IBC1 10 / IRC1 10. (QL -ASSESSOR
09/03
PRESS HARD -YOU ARE MAKING 4 COP E.5
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ARAGE
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mi.56 ST ASPHALT .1-1-
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DdSnNG GARAGE (1959) 736.66 4.7
95§) 413.03 ST QeAAD
E)QSTM DRIVEWAY I - 272.7'S.F
EMSTING, CONd. WALKS 0959)
N-GSHED (2002) 135.19 S.F
Hans and Carolyn Landel E)dS'n . — —?
6�8.36 Date:
p OSEDADDITION
19510 81 ST P1 W 3M.99
PhbPOSED tbVERED PORCH 321.73
dmonds, WA 98020 PROPOSED UNCOVERED PORCH
PROPOSED FINAL ROOF AREA 2VA-48
p
arcel # 00572600001900 TOTAL IMPERVIOUS AREA 007.1�!S,F
rC:frale i,,omer Flag*
LOTAREA 10755.112 S-F FIRE HYDRA
3W622 ST
bOVER96 AREA
Setbacks gaLred Actual
Lq!_qOVER.AGE 1065
Plan 106.89
106�ff CALCULATIONS Front
Site
14 S 1064
A - 106.51
Sides I
NORTH �C 4 IOW-7* Le 4
Ij�- � Rear
GUTTERS/ DOWNSPOUTS 10fr-1 1/4' Other
AVERAQE GRAD
T i25- 1() 114'4
TO CONNECT TO EX.1ST- SYST-. ALLOWED 133%11W OR;!
7%, VED BY PLANNING
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