20050797.pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAVE/NAME OF 13USINESS
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MAILINGADDRESS
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CITY
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NAME
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ZIP TELEPHONE
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[PERMIT
EXPIRES
PERMIT
NUMBER
JOB
ADDRESS
SUITEIAP WN
Ave
PLAT NAME/SUBDIVISIO14 NO.
LOT NO
I
LID NO
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
T ESCP Approved E
RW Permit Required
EXISTING PROPOSED
Street Ligo Permit Required
inspection Required E
Sidilwalk Required
REQUIRED DEDICATION FT
Undet9round
Winno ti,oui(ed
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 13 NO13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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GINEERING REVIEWED BY DATE
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STATE LVE SE NUMBER EX I PIRATION DATE CHECKED BY VARIANCE OR CU SHORELINE ORADBII INSPECTION SEPA
REQlD COMPLETED EXEMPT
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CA# ZONE SIGN AREA HEIGHT
j PROPERT)WAX ACCOUNT PARCEL 0.
WAIVER ALLOWED PROPOSED ALLOWED PROPOSED
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_jI 70 (0010 1— STUDY 13 1
LOT COVERAGE REQ SETBACKS (FT.) PROPOSED SETBACKS (FT.)
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El -NEW 9 RESIDENTIAL 1:1 PLUMBING I MECH ALLOWED ED F9N 311DE REAR FRONT LJR REAR
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ADD 0 COMMERCIAL C MPLIANCE OR V73- It 78
ITION 1:1 MIXED USE CHANGE OF USE X0 ��,
PARKING LOTAREA PLXNNING REVIEWED BY DATE
REMODEL MULTIFAMILY SIGN REDID PROVIDED 10, --_-AnA 7/74
E] FENCE 2 2,� , Jac.
REPAIR �jYDS ( — X — FT.) I —
OTHE
DEMOLISH TANK
GARAGE RETAINING WALL FIRE SPRINKLER
z 1:1 CARPORT D-ROCKERY FIREALARM
(TYPE OF USE, BUSINESS OR ARVITY) EXPWN:
TYPE OF C TRUCTION OCCUPANT
GROUP
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w NUMBER NUMBER OF
0 OF DWELLING 1315PEVION CONSULTANT OCCUPANT
to --2- UNITS I LOAD
0 STORIES REQUII EE eES
—DESCRIBE WORK TO BE DONE
REMARKS
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GEOTECH REPORT
BY:
12,�P STRUCTU
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t�:>�< 0j=—_j= VALUATION
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Description FEE Description FEE
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"IIf V It -C (n o_c Plan Check llr� 0 L, State Surcharge Ll 50
HEAT SOURCE LOT SLOFT;�� VESTED DATE Building Permit City Surcharge j
PLAN CHECK NO: Plumbing Base Fee ULI/
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC Grading
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
th SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
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 #
0: NDIRECTLY
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR I
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. [Due
RDINANCE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY 0
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
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Recording Fee Receipt #
I HERE13Y 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 [he
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL Building Official or his/her Deputy: and Foes 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
WORKMP09:11�NSATION INSURANCE AND RCW 18:27. OFFICIALS SIGNAT RE D[TE
AGENT): DATE SIGNED (425)
SIGNATURE WNER 0 cli
Lo -cQ X -S 771-0220 R EDBY
ATTENTION EXT. 1333 "?
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- RI AL - FILE . kDLW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 if IRC110. P1 -OWNER GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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PROJECT DATA
Et. 99'0 PL 70.0' *EL 100.0
SITE ADDRESS:
98TH AVE W
EDMONDS, WA 980/0-0
one E Corner Fla
OWNER:
etbacks 1�e d Actual
LUCILLE ROCHESTER
-muire
FR
21725 98TH. AVE W
d*,
es r 12
S1 es 6
EDMONDS, WA 98020
425-672-9167
Rear
SCOPE OF WORK'.
co
P! 00
Other -4(' -V y 6';;� �-L4
Acid new.clormer. to existing 2nd
Ln
Heii -7 Ln
floor bedroom. Construct a new.
deck from proposed bedroom.
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0
LOT COVERAGE:
00
-41
LOT AREA - 10,393 SF
0
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HOUSE MAIN FLOOR 1798 SF.
S NOTED
EXISTING DECK S
r
CURRENT COVERAGE 2224 SF 10303 21.39%
PROPOSED DECK 173 SF
001
RING
ENGIN 'I-R
06
TOTAL VERAGE 2397 SF
I
" 0 M
M 0
CURRENT COVERAGE 2397 SF 10393 SF 23.1%
1 1
6 8,
Da�e�: 7
1 —W
8'— E
0
0
C
LESS THAN 35% THEREFORE 0. K.
M
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AREA CALCULATIONs
C 2
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EXISTING IST FLOOR HEATED: .1,4.68 S F
EXISTING STRUCTURE
2025'SF
-4
ca
EXISTING 2ND FLOOR HEATED: 227 SF
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TOTAL EXISTING HEATED: 1,695. SF
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-n
'2ND FLOOR: DORMER ADDITION HEATED: 73 SF
PROPOSED DORMER
1
7r 9
Im
TOTAL PROPOSED LIVING AREA,HEATED: 1,768 SF
0
GARAGE UNHEATED .330 SF
0
TOTAL HOUSE AREA 2098 SF
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--PROPOSED
CD
RS-8
Ln
DECK
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TAX ASSESSORS NUMBER:
t
.5597 0020 06UU 7'— 7 3/4"—,
13'-3"
49 - 1 1T4
LEGAL DESCRIIIPTION:
[aj 2, Block 6 of Robert E. Thoirnas Addition
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-TBACK
EXISTING
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"—ROCKERY
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148.47' X 70' = 10,393 SF
10
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PITZ
VARIANCE
C14
EXISTING
IMPERVIOUS SURFACE:
V--
2003— 48
DRIVE
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Existing Impervious Surface 24.7%
I I
TE. E�7�
PL 70.0' EL 100.0
.0
1,
2152 SF (existih' ro of) + 416 SF (driveway) +
9
SIDff
ASSUMED DATUM
0
173 SF � (proposed deck) =2741 SF
CK
M
2741 SF 10363 SF 26.44%
PER
VARIANCE
HEIGIff CALCULATIONS. APPROVED 0; Y PLANNING
V-2003-48
A 100. 5
B 100.'5
CL 98TH AVENUE WEST
C 100-
C's - — - — - — - — - — - —
D 100
SITE PLAN NORTHe
AVG GRAD E 100.25 RECE IV E L.-
SCALE: 1"=20'—O"
ACTUAL 109.92
MAXIMUM 125.2.5
JUN 2 1207,
PERMIT COUNTE!
CITY C
FINAL PROJECT APPROVAL, FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
'FROM -FIRE DE13ARTMENT DATE
PLEASE SIG14
ENGINEERING DIVISION DATE
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PLEASgSIGN
PLANNING DIVISION DATE
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PLEASESIGN.
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2-12 X5
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ITEADDREss �36
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:,PERMIT #,Z005 79 7' ADB# DATE INSPECTED qZ
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16ES'CRIPTION OF WORK TO BE INSPECTED fl._14 r
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wrleld inspection �was conducted to -determine compliance -*Yith-- approved plans. Final �apprqval
o -n
objections from the. f
enot6s��Ahat 4here are no, above signed Department to 'the release, o.
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PERFORMANCE BONDS and the.granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED -
El Copy of.. CONDITIONS, given tobwner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
El, Copy of COIME CTION NOTICE given to, ow'ner/contractof by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature,
Hemp: b1dg:forms:ocaprv1 3/25/04