20050884.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILINGADDRESS
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PLAT NAMEISU BDIVI SION NO.
LOT NO
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LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP ApprovLd
RVv Permit Recuittid
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Street Use Permit Required
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EXISTING
PROPOSED
inspection Required
13
Sidm�alk Required
0
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REQUIRED DEDICATION FT
Underground
Wairm required
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METER SIZE
LINE SIZE NO, OF FIXTURES PRV REQUIRED
YES [3 NO CI
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REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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NUMBEI!,� EXPIRATION DATE
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DEMOLISH TANK OTHER
GARAGE RETAINING WALL Ei FIRE SPRINKLER
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CARPORT ROCKERY FIRE
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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TYPE RUCTION
OCCUPANT
GROUP
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NUMBER
NUMBER OF
SPECIAL INSPECTION
CONSULTANT
OCCUPANT
LOAD
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DESCRIBE WORK TO BE DONE
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GEOTECH REPORT
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Description
FEE
Description
FEE
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Plan Check
State Surcharge
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HEAT SOURCE
LOTSLOPE%
VESTED DATE
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Building Pe rmit
City Surcharge
PLAN CHECK NO: OS -3?6
Plumbing
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Grading
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
Engr. I I nspection
W
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PERMIT LIMIT., SEE ECDC 19.00.005(A)(6)
SEE BACK OF PI NK PERMIT FOR MORE INFORMATION
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
Lu IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
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x ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
4
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
0 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
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0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt # 1,27'�
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 Deputy: and Fees are paid, and
AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
TION;
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPE�SATION INSURANCE AND RCW 18:27. c Ls, SIGNAT E DATF�
DATE SIGNED 25)
�SIGN �W�NE (OR AG!7): (4
771-022 D I I:.
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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- 41NAL -FILE YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1*09 / IBC110 if IRC110. INK -OWNER GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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EXISTINGDLDC-. 1.850"?& - . I -1�1 'Setbacks Re�Luired Actual
EXISTING DEM 414 6q ft
rRCrOSEDADOI1iON Sal so ft
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TOTAL AREA OF PROPOSED RESIDENCE: 3.225oqft
LOTAREA, 10.974 1 ft 6th AVENUE 50. 5LUL Rdm&-�-
ALLOWASILELOTCOVERAGE 35%(3840.9sitt)
TOTAL PROPOSED CCr VERASEi 294% (oPlAvc�-0thef W
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IMPERVIOUS AREA CALCULATIONS
EXISTING 5TItUCTURE ROOF AREA: 1.0500ift
EAVEOVEKHANG EXISTING DECK AREA: 414oqft
EXISTING DRIVEWAY AREA
775oqft
le EXiSTINGSIDEWALKAKEA. 120oqtt
5 BENI TOTAL EXISTING ivrERVIOUS AREA. 3.160 oq It
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124,go FV-OFOSED ADDITION ROOF AREA: 1.060 60
N QV'4(b'1 5V TOTAL PROPOSED IMPEVVICLIS AREA 4.220sift
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OW N E R C 0 IN T Pi A KSPONSIBLE 170P. OTICE REQ.
SPECTION
GENEPAL INFORMATION
anRECEIVED rkma SITE ADDRESS. 603 6th AVENUE SOUTH
EDMONDS, WASHINGTON 96020
20'-011 LE6A'.DESCFJrTG!J. WESTIK5 PARK ADDITION TO EDMONDS. LOT I I
AUG 2005 EXCErT THE EAST 120 FEET AS MEASURED ALONG
RESU084" THE SOUTH LINE OF SAID TRACT I I AND EXCEPT
THE SOUTH 80 FEET THEVEOF
SEP 2 0 .2005
TAX PARCEL NO. 00610000001102
LBY PLANNING
PARTMENT wmh -f PROPERTY OWNER DEREK JANPIE AND KACIE SARGENT
BUILDING DE1 rmn -Tx ly
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CITY OF EDMONDS rN 803 r2th AVENUE SOUTH
EDMONDS,WASH INGTON98020
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LOT ZONING P.5-6000
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