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20050535 (2).pdfDATE RECEIVED PERMIT EXPIRES CITY OF EDMONDS NUMBIER L 0&3.5' CONSTRUCTION PERMIT APPLICATION JOB r SUITE/APT# OWNER NAM OF BUSINESS v �� S V '�_\ �'IJ\ (\<, t^ l . PLAT NAMErSUBDIVIS10N NO 40"'W LNO. MAILING ADDRESS LID FEE S W Z 7 � PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pe Approved ❑ O ' `� �x! /�' ..� 4 . RW Permit Required ❑ Street Use Permit Required ❑ CITY ZIP TELEPHONE EXISTING ____ PROPOSED _ Inspection Required ❑ 1f. ) Siddwaik Required - ❑ �` r Vis' ' ' 2 j ��?�. 7... t( Under round ❑ �` /\/� (`SQL if �' ' ! REQUIRED DEDICATION __ FT Wrtin ye required ❑ NAME ► l METER SIZE LINE SIZE 70. OF FIXTURES PRV REQUIRED YES i3 NO ❑ ADDRESS REMARKS w _ , OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE z ttfi/e�.. /� W CITY ZIPTELEPHONE L�� Y CS • `r C6 Ni o NAME CBL#Ar At �` _ Mir rsu� St I r `,1�r��i Y� 1 1 S • �4°(• rdJ.L G NEERING REVIEWED BY DATE C ADDRESS " (�'« ' �3c : fill FIRE REVIEWED BY DATE W Z CITY ZIP TELEPHONE X STATE LICENSE NUMBER EXPIRATION DATE KE VARIANCE OR CU SHORELINE OR ADB# INSPECTION SEPA 1 ( Ami; n REQ'D COMPLETED EXEMPT 5 100 14c� .Z. 06160 67 (n L 3 ��~J �1 0 YES 0 NO x PROPER TAX ACCOUNT PARCEL NO. CANAr ZONE SIGN AREA HEIGHT 0 i WAIV ALLOWED PROPOSED ALLOWED PROPOSED Lu .�/,t{/ ,� 5s c/ � $ e �� t f 1 Vv STUDY 0 1`--1 ' y f 1 IY I NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) P OS SACK (FST.)/ r' ALLOWED PROPOSED .�QT f2EfifS' F T 192, R COMMERCIAL COMPLIANCE OR sy, 5 /• 07/ 410 7. 51 K � �� [�� �� 1 Oki 5 ej,Lj• ❑ ADDITION ❑ CHANGE OF USE J J z ❑ MIXED USE PARKING LOT AREA PLANNING REVIEWED BY DATE g ❑ REMODEL ❑ MULTIFAMILY ❑ SIGN REQ'DPROVIDED GRAQJ[1G FENCE itylA31 ❑ REPAIR ® •% S l) CYDS ❑ ( X FT.) REMARKS / ❑ DEMOLISH ❑ TANK 13OTHER ARAGE RETAINING WALL FIRE SPRINKLER z CARPORT ❑ ROCKERY ❑ FIRE ALARM O P: TYPE SE, BUSINESS OR AC'rIVITY) EXPLAIN: r TYPE VKTRUCTION GROUpANT 3 LU NUMBER NUMBER OF OF DWELLING SPECIAL INSPECTION CONSULTANT OCCUPANT o STORIES L, UNITS LOAD DESCRIBE WORK TO BE DONE REQUIRED 0 YES REMARKS r, z 0 GEOTECH REPORT m y��/ G BY: LC.C�D STRUCfWWr E G r O _ BY: Cs 711 rcr r)-1-Nt f��ooFLyit VALUATION Ow Description FEE Description FEE . Plan Check Stale Surcharge , 50 HEAT SOURCE LOT SLQPE% VESTED DATE L' Building Permit City Surcharge PLAN CHECK NO: Plumbing Base Feeco THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical fBE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC Gradin g 7 DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. s Engr. Review X PERMIT APPLICATION; SEE ECDC 19.00.005(A)(5) IL PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engf. Inspection 'APPLICANT, ON BFire Review Plan Chk. Deposit OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS p IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLO HARMLESS THE CITY OF M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # Z (, a ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Q DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due. = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # 1 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 permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC• CALL Building Official or his/her Doputya and Fees are paid, and 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 receipt is acknowledged in space provided. WORKMEN' CO TION INSURANCE AND RCW 18:27. ftBBf 'URE DATE SIGNAT (OWNER O AGi DATE SIGNED (425) .1 �/ 100' O 771w0220 DATE ATTENTIONEXT. 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTk IGINAL • IL YELLOW -INSPECTOR FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109 I IBC110 I IRC110, PINK • O R •GOLD -ASSESSOR 10/04 PRESS HARD = YOU ARE MAKING 4 COPT —1d Z 0 M cM my �0 0C mz �z. r_ —1 O mn M M ON r Q0 I Zr D Cn 0 0 M ....,.,O + N �� fit i-I•�. °'•� 3,Y Ct��;����l,i ;�li�l, l;.t+l,7 I �6�"t s" Filter Fence N 89023' 1" W 10.15' 10.00' 100.84' 1 b- POINT A. 1 pONT-�3. 395.4 h;, 4 4E �TIIGH _ • n \ 7 • -Lilt-I 11J LJ 1'J LJLI.L .�... u...0 {.[�1 6, p S aCH 40 • j,,APPR04'IMATE EARTHWO K N- woo 12 ;.v 250 CUBICI YARDS CUT F81© HANC .H 0 250 CUBICq YARDS FILL .00' • o =� _i • Concrete Driveway 1 Ro©fc• Entrance ;l y � $ W N Q 'l Catch Basin ® "' ' - to a C I 44 Entry o e, w req 25.53" C00 LO overed ° 14.00' Porch 13.00' $ 9.00' f .y LLJ > 25.61 PROPOSEDcD I� 00 I RESIDENCE o � \ I ;I 9.00 115 z •l ;, MAIN FLOOR ELEV=395.15 Qa.10 W I I 1,5 w MAX. ALLOWED ROOF 419 65 • Q Q N I ;i g ACTUAL ROOF ELEV= 419.5 LOU W I i °° .16.00' rPorch 11.60'0l in :I .y,$w m-- 18.00-- • � I\ ; POINT D ROINT C o Z m ' I �� 396:0 �N . � �— 393.8 r n= . I \ tot seNice v, spa\ �^ o Val 1pp ,� z I „ oi`1 .00 PSS e � eC d o cv . i Q 2 aog ac 151371 S.F.° , J;P, �C; o I ;Nitb i2 o, a� z I \ : 54.15'�co 9 o 4' n ,i ljT Driveway Slope 2% Lot Slope Actual Height 2% 419.35' Max. HeiRht 419.65' Finished Floor . 395.15' Bottom of Footing 392.20' Lot Area 15,310 sq. ft Lot coverage 3,455 sq.ft. COD .y LLJ > 25.61 PROPOSEDcD I� 00 I RESIDENCE o � \ I ;I 9.00 115 z •l ;, MAIN FLOOR ELEV=395.15 Qa.10 W I I 1,5 w MAX. ALLOWED ROOF 419 65 • Q Q N I ;i g ACTUAL ROOF ELEV= 419.5 LOU W I i °° .16.00' rPorch 11.60'0l in :I .y,$w m-- 18.00-- • � I\ ; POINT D ROINT C o Z m ' I �� 396:0 �N . � �— 393.8 r n= . I \ tot seNice v, spa\ �^ o Val 1pp ,� z I „ oi`1 .00 PSS e � eC d o cv . i Q 2 aog ac 151371 S.F.° , J;P, �C; o I ;Nitb i2 o, a� z I \ : 54.15'�co 9 o 4' n ,i ljT Driveway Slope 2% Lot Slope Actual Height 2% 419.35' Max. HeiRht 419.65' Finished Floor . 395.15' Bottom of Footing 392.20' Lot Area 15,310 sq. ft Lot coverage 3,455 sq.ft. SUI'ffF,�ACES TO •O0 A:5 ��2;a\ VE,� 0 WITHIN 2 DAYS NATEI�l \ 15' UTILITY EASEMENT '� • ' LOA i .'! i'" \ FOR LOTS. 1, 2 AND 3 1016.5' _ Ll !`,%.EE:i �iNG N 205th PLACE S.%s 1a : N Ir / N 89'25'19" W JAW ;Z ASD ADDRBS SIGtj 19EQUIFIED / W E SUVW&/ Datum = C.BLO. \ `VS = 395.29 HE'S HT CALCULATION JUN 20 2005_ 0 SCALE 1 "=20' POINT 395.4 8UILDINQ DEPARND(\ POINT = 393.4 CITY OF EDMONDs POINT . C = 393.8 0' 5' 10' 20' 30#..".t40 POINT D = 396.0 1578.6 + 4 = 394.65 AVERAGE Site Plan FOR T• T�p� SVEN HELLEREN CONST., INC. IN NW1 /4, SW1 /4 SEC. 19, T.27N., R.4E., W.M. CITY OF EDMONDS SNOHOMISH COUNTY, WASHINGTON Lovell—Sauerland & Associates, Inc. Engineere/Surveyors/Planners/Development Consultants LER - infoolu a .com • web: n .com e md1. et�in er(ttg ea[i eerini 19400 93rd Avenue W., Sults 200 Lynnwood, NA 98098 • (426)776-1691 (426)872-79D8 fax DUS Cly DAR LD. 91111 I11i N0, JTT JTT 5-11=05 - 1"=20' 4620-0-04 1 _� mm 2 � ..^-e 0.� :Ll! Y. X,:n:.P.Aa•: .�'.A.i-":.m..a'.- 00 r mZ p � CDZ Cn i r -1 _� mm Inspection Fees TO BE PAID. $ 5 (� ° `= z Contact notified of fees ❑ by phone ❑ correction notice given v� z 0 I Date Paid: Receipt #: $ Cd Collected By: n _ m ,f:'A'vVLG:IIII•l; .u'A,:N.J;4r!}; CO ..^-e 0.� :Ll! Y. X,:n:.P.Aa•: .�'.A.i-":.m..a'.- 00 r n C W 9 Cn i Z r Inspection Fees TO BE PAID. $ 5 (� ° `= z Contact notified of fees ❑ by phone ❑ correction notice given v� z 0 I Date Paid: Receipt #: $ Cd Collected By: n _ m ,f:'A'vVLG:IIII•l; .u'A,:N.J;4r!}; NY.w�:K.G: r,.ST.:Y A:.V.Yi.vl:•. ..�-... ..^-e 0.� :Ll! Y. X,:n:.P.Aa•: .�'.A.i-":.m..a'.- a>ssX;:O .. <f :: w,;6..c IT'.:Y,'1:.a�:4 ifilS 2C:4•L..J;.K,.n::3:T. 3!:.Y'l•� r REFUND Due: $ r . �0.N:J'SRA'HA A. l4.& Aa.%Y: .F!N: `.'! A R.'X.:+ ;V.J /).Tf:p..✓A .. • ::��;A:OIS Ji.V.i^.1;?`X/SOw:..../.4 S::LY4/K N.: Gr.t 1.. ..0 Y:�:'L�m4'./. fC:P'n'♦ Y�.•�'u�!': a..R u,Js,... J"Si iL?� Reconciled L' Date 3 Ila �1 Originallo: ❑ Permit File Copy to: ❑ Engineering Admin (refunds only) Revised 3/2/06 Z 0 m -n C/) C/)� om 0 -m+ 0 0C: M Z p DZ 2 0 mm O� nr CC U mn Z►� r i D ! Z I � 2 U Z O n i m