20050860.pdfDATE RECEIVED
CITY OF EDMONDS
'CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF B INV&
ai�K_,T 7 7
W MAILING DDRESS
0 7()
_6 1H
CITY ZIP TELEPHONE
ao(W2"t)� �&)k 2-,5--
NAAfE 'A
U lv)z.
let. 0 he
t: ADDRESS
4tiij u)i
CITY ZIP TELEPHONE Ll J�g_
�ellkn UjN W_ �a 4).<- a "7 7. - P-76-,�7 cj
NAME � !SOL 4 V k llz'g�kxl_ .. tio 16� vvw, BL#
j
elk.
a ADDRESS
CITY TELEPHONE
0 6,0"J,� ql!!� — 7
EXPIRES
PERMIT
PERMIT
NUMBER
(NLX,
cDca-6�—
JOB
ADDRESS 1'7037
SUITE,1APTft
6-Rz tA)
PLAT NAME/SUBDIVISION NO.
I
LOT NO.
LID NO,
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
[3
RW Permit Required
[3
EXISTING PROPOSED
Street Use Pornid Required
Inspoction Required
13
Sidewalk Required
REQUIRED DEDICATION FT
Underground
Wirino required
[3
METER SIZE
LINE SIZE
NO. QF FIXTURE
PRV REQUIRED
TYES13
NOO
z
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
W
z
a
UVA
NEERING REVIEWED BY DATE
r jk
REVIEWED BY DATE f W
iz
STATE LICENSE NUMBER EXPIRATION DATE CHECKF.Q 1314 VARIANCE OR CU SHORELINEORADB# I INSPECTION01 SEPA
1__� REO'D COMPLETED I EXEMPT
SOW-NAV hooG r, Vj \t� 2� 13YES XN Y1.
PROPERTY TAX ACCOUNT PARCEL NO. CA# ZONE SIGN AREA HEIGHT
WAIVER 13" ev ALLOWED I PROPOSED ALLOWED PROPOSED
00 S I :� Mo aiii��Gs STUDY lea �.bii\ 0 Ib. v�
mT�'l
NEW TIAL CKS (FT, PROPO
Er-IRESIDEN PLUMBING MECH LOT COVE I RAPGOE REQUIRED SETBA SED SETBACKS (FT.)
ALLOWED PRO SED FRONT inffSIDE REAR
"04 FRONT SIDE REAR � a
ADDITION COMMERCIAL COMPLIANCE OR 07 Nhs
CHANGE OF USE __!j9 E
.!/4,,, 18"
E] MIXED USE z
PARKING E: PLANNING REVIEWED BY DATE 5
REMODEL MULTIFAMILY SIGN REO'D PROVIDED J,LOTAR IL
_____j 1 07-- 1�7
REPAIR GBADING FENCE
CYDS ( x FT.) REMARKS
_77 OTHER
DEMOLISH E] TANK
kGARAGE RETAINING WALL FIRE SPRINKLER
C
CARPORT ROCKERY FIRE ALARM 7-vD4 — 5 s - %.j
/(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAI
"I', — TYPE dVaUCTION. OCCUPANT
NUMBER Veti. I GROUP P\L
NUMBER OF
DWELLING SPECIAL IXP TION. CONSULTANT PANT
STORIES UNITO FLOOCACDU
OF
REQU YE
DESCRIBE WORK TO BE DONE
REMARKS
z
f=
GEOTECH REPORT
BY:
STRUCURAL q, 1,
BY: IWM�_Wy
VALUATION
W\(XIVA q3
I X I
-r.Anew Description FEE Description F TE'
Plan Check 1-M State Surcharge q 50
TSOURCE LOTSLO9E% VESTED DATE Building Permit City Surcharge
�j
PLAN CHECK NO: Plumbing Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONIMAIN (CURBS, SIDEWALKS, -DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE Grading 21D
SEPARATE PERMISSION. (YYI
I
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) I Engr. Re=
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 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 /I h
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 Landscapeinsp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPUCATION 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.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees 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 C?iii�NSATION INSURANCE AND RCW 18:27.
`�WIIIIALS SIGNATU D E
DATE SIGNED (425)
771JI99 (I
AnENTION EXT. 1333 W14
IT IS UNLAWFUL TO USE OR OCCUPYA BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 If IRC110.
101" . PRESS HARD - YOU ARE MAKING 4 COPIES
ko- 1�\ 9L4
11GINAL - FIL_ - ELLOW - INSPECTOR
- GOLD - ASSESSOR
PINK -OWN V
I
z
0
A
0
M
M
C
M
0
10
0 C:
M
M Z
rL) —4
_z
0)
0
M M
0
0
0 M
C (j)
9 Cn
M 0
Z
X
z
W
z
0
q
?5
M
-Q� Tlemporary Benchmark HR. HEIGHT CALCS ",�PPAGiVLD Ac NOTED
SCALE 1 30' SET PK AWL IN ASPH REQ.
ELEV.100.00 (ASSUMED) FOR IN TI A=11Qla BY ENGINEI.RING
�e C--1 —12-1
8;"06,00",r
I ate.
2J7. I V AVG. GRADE-.LQ&,-35D __2
10367 +25.0'
20' Z a MAXIMUM-UL31--35, ACTUAL-131.58
gnt
t I/
�; - . � ; VOLE M-R
1-9 �Li 0 ".
ERO,�ijbj-ji (*-,�.: �1,K)L, AND DIRAINAU
1 141,
2
.. . . . . .. . . .
GARAGe
F.
858 IS. F
I .- -/ x I - C) r 0 %.-1 0 r I 1�-
r a CI�LQ
o Lp -4E>
4'x4' LOT COVERAGE: —1,561 S.F. (21%)
9p
ILL IE-XXPO ED
L;
jt� povE. K, Ivy-HIN 2 LOT AREA: 16,589 S.F.
C.O.
ILI
1� LOT SLOPE:
Mp TIE-RiAr
0R 1,1�5 VAR14NCE
clo. I GRM7FD HOUSE INCL. OVERDIG 3,538 S. F.
PER
SHORT Delta-90,00,00,
N- R-20,00 3538 S. F. x 4. 1'= 8,314
F:, ; -1 . PLA L-31.42 RESUB
HAW. 8,314 C.F.127
AND AID Ar)DRES-,3 SIG�jl REOUIRM SEP 2 _9 2005
BUILDING DEPARTMENT
0
GRADING CALCS7T F EDMONDS
26'
12,847 S.F (NE7) 00,00, FFL 109.0
S.F.- (GROSS W0900,
EASEMENT C.O. AVERAGE GRADE 108. J
7 C.O. LOWEST FOOTING 106.01
110 15-�77L. FASEMENT AVERAGE CUT 2.35
�--40
4
C) 7
0 0 VIA
cn PLOT PLAN
g
(:,L -D '?C)RCqG!5 SOUNDVIEW, HOMEBUILDERS
)\)
op v-
T v
CIT!
BUILDING
FIELD REPORT OCT 7
Associated Earth sciences, Inc. Field Report# page of
Date Project Name Project Number
5nm�',i W) Oomf S
Location weather
911 Fifth Avenue, Suite 100 Kirkland, Washington 98033
jto� Av�e LJ
425-827-7701 - FAX 425-827-5424 Bldg, Permit Number
Municipality
TO: 5alwa"i LW Ut, �Ac_ , Engineer/Architect
Ot 0 60" —Ae— (x q e. Client/Owner
Ea M-cvidw 11 General Contractor/Superintendent
z
0
ATTN: Opzu� Aka alli
R-0 A
0.
Earthwork Contractor/Superintendent
M
AS REQUESTED BY:
THE FOLLOWING WAS NOTED:
r,.,..eA IDA C-4 1- 0 4 Aw—
M
C 0
M
-11k 64vr"-� CCVN
0
-40
0
A41JL
MM
o AMR,
1\
M Z
itiL F Cf A 0,ADk. -Fcro+'0 iA L-Je4 S ex 2kUft
r- -4
x
04' -N-e- *'Lw—
0 -n
o r -5 11 aJ 6<ai QtA
-n
a Li JL, si If (4�� ��W)
M M
CD
CAW W a.- --"V�p 0 1 �'
0
0 M
'tt� 90*t 1 gAiam� S44A LtJ,',UJ IV/t6r-1 S ';'P
C ca
r, ca
M 0
112f
L-4 U-� 0
4-0 Z
Z r
i5c;k% av e— 4, r A, c UA%J L Aj
X
f
0A
z
CLUda -54)r- 4t,=
-4
X
40
0A
z
0
FIELD COMPACTION EQ1IPMENT UTILIZED:
M
AREAS OF ADDITIONAL CONCERN:
NO WHER -AJ �C
D: YYES F E?N��A P(eALeJ'
ADDITIONAL TESTS REQUIRE
Oil, d-F (5',�MA4S FIELD REP: 10,A
COPIES TO:
DATE MAILED: *PROJECT MGR: Al
*Field Report subject to review by AESI Project Manager
FIELD. REPORT
o'
Associated Earth Sciences, Inc. Field Report# 2— Page of
Date Project Name Project Number
Number
1. .
10
A
5�7r,� 4 wj t-Ae�-u g -?Z�g A
Location Weather
e
911 Fifth Avenue, Suite 100 Kirkland, Washington 98033 110 341 Li S-(A^Att
425-827-7701 - FAX 425-827-5424 Municipality Bldg. Perrrfil Number
TO: 5atAAC1q Lu.). L"i WJA % Engineer/Architect
Client/Owner
General Contractor/Superintendent
ATTN: Cie A A-6
Earthwork Cant dent
AS REQUESTED BY:
M
THE FOLLOWING WAS NOTED:
--I
OM
C
C-'1J
04- OLi r-
M 0
0
0 0
6&q I N kJ
&i U2,1 SO,
M z
5-1
C
>Z
4?,'L
S V�L(r�kv
L-'A -LAP
o-n
-n
L 0 13 1, AIA�
3:
M M
I:fA -(A
0 Cl)
0.
0
4u S ir 5--"4eJ
M
W
M 0)
A LS
44u, -qm^cUA�� ar
MO.
Z
4r� 4, 4�� -�O-/ Aq
X
C41A CA4 ULAA-(CAA*%-' t4
3:
.>
z
3:
CO)
z
0
FIELD COMPACTION EQUIPMENT UTILIZED:
M
AREAS OF ADDITIONAL CONCERN:
ADDITIONAL TESTS REQUIRE D: YES WHERE?
TO: (4 0 FIELD REP:
COPIES
10 *PROJECT MGR:
DATE MAILED:
.*Field Report sub ject to review by AESI Project Manager
Mt
I
10
Permit Fees Collected at Permit Issuance C z
# of Inspections: X $50.00 $ M
0 -n.
Yes n
Receipt #: Receipt Copy Attached:, 0
Only required if refund is due
M M
0
0 M
C C/)
Total Inspections Performed 9 Cn
MO
Z
# of Inspections: $50.00 $ M
C90
Inspection Fees TO BE PAID
Contact notified of fees due:. ;Yby phone correction notice given
DatePaid:
Rece!ipt#:
CollectedBy:
E] Engineering Notified of Payment Received
W
�`REFUND Due:
Reconciled By-c-AN r"'mm, VV jA Date
Original to:. Permit File Copy to: F� Engineering Admin (refunds only)
Revised 3606
z
0
m
-n
U)
0 M
0
0
0
M
M Z
0 -n
-n;u
>
m M
0
0
0 M
C Cf)
m 0
Z r- p
A m
>
r
z
--I
r
z
0
I
if
A
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall..........................
Pier/Porch ................. .
z
RetainingWall
Slab Insulation ..........
0.
R!
PLUMBING:
Underground .............
3:
rn
Rough -In
C
MO*
.... ...............
0
Commercial Final ......
0
C
HEATING:
3: M
M Z
Gas Test ....................
'Gas
C z
Piping .................
CA
Equipment .................
0 -n
Commercial Final .......
x
ITIM,
EXTERIOR. SHEATHING
U15
NAILING..........................
FRAMING ........................
.19-
Td1,44>0,A)-> 7-V --,v
0
W
FIRST FLOOR FRAMING...
171 0
Z r,
INSULATION ....................
;0
Nf
Floor Insulation .........
Li Wi �j
z
Wall Insulation ...........
Ceiling insulation
\hv (
.......
z
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
IT!
MISCELLANEOUS ..........
FINAL APPROVAL FOR
t,6
OCCUPANCY ..................
20
e,�6 X0 40