20050578.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
MAILING ADDRESS
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CITY ZIP ELEPHONE
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NAME
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ADDRESS
CITY ZI P TELEPHONE
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NAME U.N� I 7BL#
PERMIT EXPIRES
PERMIT
NUMBER
JOB
SUITEIAPT#
ADDRESS
PLAT NAMEISUBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHI OF WAY PER OFFICIAL STREET MAP
TESCPAPProved 13
RW Permit Required 13
EXISTING
Street Use Permit Requited E3
Inbpeclion Requited
_4___PROPOSED
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Siduwalk Required 0
undettitound E3
REQUIRED DEDICATION FT
Wairin required El
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LINE SIZE
NO, OF FI
'REQUIRED
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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ENGINEERING REVIEWED BY DATE
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FIRE REVIEWED BY DATE Uj
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STATE LICENSE NUMBER I EXPIRATION DATE CHECKED BY VARIA14CE OR CU SHORELINEORADBH I INSPECTION SEPA
REGko COMPLETED I *XT
13YES
CA# ZONE SIGN AREA HEIGHf'
PROPERTY TAX ACCOUNT PARCEL NO. WAIVER ALLOWED PROPOSED ALLOWED, , PROPOS 0
cw� 0 ob STUDY 13 1 8 1 ir:xs ;;? it I
E] NEW RESIDENTIAL PLUMBING I MECH LOT COVERAGE REQUIRED SET13ACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
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COMMERCIAL COMPLIANCE OR z
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ADDITION CHANGE OF USE al 1 z
El MIXED USE PARKING LOTAREA PLANNING REVIEWED BY ATE 4 :5
REMODEL MULTIFAMILY SIGN R�Q'D PROVIDED
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GRAn1Nr FEN
REPAIR CYDS ( X FT.) REMARKS
DEMOLISH TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE, BUSINEAOR ACTIVITY) EX AIN:
<t; TYPE OF 50�5CTION roQg OCCUPAN
pri GROUP
NUMBER NUMBER OF
OF DWELLING SPECIAL INSPECTION CONSULTANT OCCUPANT
LOAD
STORIES UNITS REQUIRED 13 YES
DESCRIBE WORK TO BE DONE
REMARKS
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VALUATION
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-ruff, Description FEE Description FEE
Plan Check State Surcharge
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HEAT SOURCE LOTSLOPE% VESTED DATE
Building Permit City Surcharge
PLAN CHECK NO: Plumbing Base Fee
r)!5, iraL40— Mec . hanical bo
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 19.00,0135(A)(511
PERMIT LIMIT: SEE ECDC 119.00.005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION 00
'APPLIC . ANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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 01
NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt # 7) Q
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 pormit until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. I CALL Building official or his/her Deputy: and Fees are paid, and
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED receipt is acknowledged in space provided.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. IAIS SIG TURE DATI
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Sl ATURE NE OR AGENT)i DATE SIGNED (425)
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� J V) 771-0220 , .4 t % DATe
ATTENtION EXT 1 .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 f IRC110.
10104 PRESS HARD - YOU ARE MAKING 4 COPIE
NAL - FIkE - VELLOW - INSPECTC
K - OWNOR -)GOLD - ASSESSOR
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EL. 102.0'
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Setbacks Required Actual
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INSPECTICIINS REQ'D. Sides (0
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Rear
%"ED AREA INDICATES MAVATION
AREA.
x 25'=F- 54.0 CY, Of Other
Height
1501-01
51TE NOTES;
1. ALL EXCAVATION STOCK PILES TO BE
COVERED HTHIN 24 HOURS
lol- 6'-B* 4'-b* 0-3' jo-. �-'D" -L. 101.0'
.6. EL. 101.0' 2. NEVi,ADDITION TO C4+#,ErT TO EXISTIN&
UTIL TIES, AND STORM DRAIN LINES z
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3. RE-6RADE BACK TO THE OR16INAL CONTOURS
AFTER CONSTRUCTION 15 COMPLETE
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24' OVERHA I 1 1 4. ALL EXCAVATION SURPLUS TO BE HAME12 OFF TO
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I AN APPROVED LANDFILL SITE.
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LOT SLOPE: BASICALLY FLAT
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AND SEDIMENT CONTROL MEASURES PER ECDC 1830 AS C
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HEIGHT CALC5.
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+403.3474 4100,53'
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AVE. GRADE 4100.53'
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V400D PORCH ACTUAL BLDG� HT. 4124166' 0 -n
MAXIMUM 5LQG. HT. 4100.53'4 25' +125.83' -n
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STRUCTURE (EXISTING) 18(33 5F, 1
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STRUCTURE (NEW 365 5F.
I A GUTT�RS/DOWNSPOUTS
TOTAL LOT COVERAGE = 2261 5F.
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ERCENTAGE
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BY I--- N31N E E R I N G
'SOIL OR DEBRIS To B
TRACKED TO THE 5
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ELEVATION DATUM POINT NA5
TAKEN FROM CITY BENCH MARK
IN CENTER OF INTER5ECTION OF A55URE
EL, 100.00
216TH. 5T.15Vi I 15DTH. AVE. N.
OUNER(5 CONTACT
RESUPTE
E)OU 4 Aicii Zhang- Nel5on ff Miller, E)e5igner
l(o300 Mill Greek 51vd. #121
P L A N
2151110th. Ave. W.
ALE 11-10,
JUN 29 20
Edmond5, WA 9802(o Mil I Greek, WA 95012
(425) 118-21392 (425) 143-3313
BUILDING DEPAR E 10 20 40
MO S
CI*Ty OF ED DS
1S RESPONSIBLE
FCF1 ERDE"ON-".�;1- DAMAGE
gil 2/05
REED. & ASSOCIATES, PS
Civil & Structural Engineering
6311- 212th St. SW, Edmonds, WA 98026
Office.(425) 778-2793 Fax (425) 7�5-2073
9/12/05
Doug Nelson
R ECE VVED
2511 88" Ave
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'Edmonds, WA 98026
SEP 2 0 2005
Re: R&A Job#05-271
PERMIT COUNTER.
Nelson Residence.
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Joist Verification
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To Whom It May Concern:
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2x8 HF#2 @ 12" o.c. joists may be
used in. the first floor Dining Room in place of 2x1 0 HF#2 @
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16" o.c,
--I"
C
Should there be any questions or comments please con tact our office.
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Sincerely,
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Andrew Gahan, El
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05-271 (arrig) Letter 050912
DATE \\A
CERT. NO.
PROJECT
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Height Calculation Work heet
Date 01S.
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Pen -nit N -78
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Address �)Iei
Inspector M%
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Average Grade o,33
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Max Height (25'+Ave.)
Actual Height (A+B+C) �L :19 7
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1/temp/building/fonns/height worksheet
FINAL PROJECT XPPROVAL FORM