20050933.pdfFDATE �RECEIVED
CITY OF EDMONDS
CONST RUCTION PERMIT APPLICATION
OWNE R NAME/NAME OF BUSINESS
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ADDRESS, 41, SUITEIAPT#
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PLAT NAME/SU BDIVI SION NO. LOT NO. LID NO
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
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EXISTING PROPOSED
RW POPTA Required
Street Lse Pennit Required
0
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Inspection Required
Sidewalk Roquitect
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REQUIRED DEDICATION FT
undergiound
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METER SIZE LINE SIZE j:7NO. �� FIXTURES
Wifina 10011od
PRV REQUIRED
13
YES13 NO[3
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REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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NAM
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STATE LICENSE NUM13ER EXPIRATION DATE CHECKED 13Y VARIANCE OR CU SHORELINE OR ADB,1 INSPECTION SEPA
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< PROPERTY TAX ACCOUNT PARCEL NO. 7 CA# ZONE.
SIGN AREA HEIGHT
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NEW RESIDENTIAL LOT COVERAGE S
0 PLUMBING / MECH YeEQUIRED SETBACKS (FT.) OPOSED SETBACKS (FT.)
54 ALLOWED PROPOSED T
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MIXED USE CHANGE OF USE spi4e. _�Z-
1:1 REMODEL LED MULTIFAMILY El SIGN PARKING I LOTAREA PLANNING REVIEWED 13Y DATE
I REQ'D PROVIDED
REPAIR FENCE 1- 1 2, -,� � oil 1'30/bg-
9 CY , DS E3 X � FT.) REMAVS
DEMOLISH TANK
OTHER ft intth-ior Df
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[:] RETAINING WALL FIRE SPRINKLER 4 15 1.
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_]p� GARAGE
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAII
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TYPE OF 2ETIO�
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(4 �_ GOCCUPANT
Lu NUMBER ROUP
NUMBER OF
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0 STORIES SPECIAL INSPECTION CONSULT
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-1 OF AALN UNITS 13YES OCCUPANT
DESCRIBE WORK TO 13E DONIE REQUIRED LOAD
REMARKS
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GEOTECH REPORT :4
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VALUATION
54 $
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vie'? Description FEE Description FEE
Plan Check State Surcharge
LOTsL
2-q!z STED DATE
C2 Building Permit. citY Surcharge
PLAN HECK NO:
6)5— Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical ibo
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION. C�
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PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) E�
PERMIT LIMIT. SEE ECDC 19-00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection
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
EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection q015
< ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY Receipt #
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 0
XO NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION., 9 ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION Recording Fe . e I Receipt # I I
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. This application is not a permit until signed by the
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 COMPEI�)ATION INSURANCE AND RCW 18:27.
S I :GN 2AT WOWN R AGEN7y."""""""""" DATE SIGNED (425) FF I LS SIGNATUJ� D4TE
14, d ol A 0.
X� 1 6 7�jl 771-0220 REIMSED By A
AfTATION 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-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110.. \j 0 IGINAL -FILE YE OW -INS 'CTO
INK -OWNER LID -ASS SOR
10104 PRESS HARD YOU ARE MAKING 4 COPIES
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HEIGHT CALCS L
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D= 109.00 MATERIAL z
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Avg. Grade 111.25 --4
Actual 136.10 C. Lc)CKI f,4 13CH 40 0
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maximum 136.25 /—A A-4 P H-CCt�. CC V E- k .
F810 HANCOR
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LOT COVERAGE ca
�INSPECTIONS REQN)
Lot Am 993 1. Sq. Ft. M
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1,ot Slope = Less Y. \,uvale&T
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GRADING CALCS
CUT = 206 Yards AUG 23 200VC
230 Yards
FILL = ot X
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Total Cut/Fill 436 Yards CITY OFE)'cPARTMF-MI A 1'�
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Patio = 240 IV M 0
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Drive/ concrete 1100 \1
Asphalt Drive 0 %9
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Setbacks f,—e1qired Actual M
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OWNER:
Greg Hale Const Inc.
16605 7 1 " Pl. W. Gut
Lynnwood WA. 9803
7 PPROVED^BY PLANNING
Ph: (206) 650-0646,vt
Z-VICA dtCy-- 6vielli Joe ->-4-1-;1
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SITE ADD SS Scale: I Inch =,20 Feet
23911 76th Ave. West LOT 3
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Edmonds Wa. 98020 A ADDRESS S1%] R-COU1.9E!) Oww\j
Tax Parcel : 00488800600500
SHORT PLAT: S-2003-53
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Height Calculation Worksheet
Date
Pen -nit Number
Address 7z—/ S-2
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Elevation of transit above Datu I;L
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Daturn E�Ievation (A) 100,60
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FINAL U'ROJECT APPROVAL FORM
To.
DATF'
MEMOTO:. PERMITCOOR11 )INATOR, BUFLDING DIVISION
-R01 1. FIRE DEPAIZTMENT DAI"E'
ENGINEERING, DIV IS IONDATE
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PLANNING DIVISION DATE
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PLEAM:i1riN
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PERMIT/1' ��,06_5-0932 DATE INSPECTED
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A field inspe.c(ion was conducted to determine compliance with approved plans. Final approval
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deliotes. that there a.re no objections from the above signed Departmcut to the release of
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PERIF01101ANCE 13ONDS and the granting of:
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GRANT FINAL.- PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0. Copy or COND111ONS givell to owner/contractoi- b�*inspcctor
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FALLED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy oFC0R.REC'l7t0N N0'ljCE given to ow'ner/contractorby inpecto.r%
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oi rrs.-rANDING ISSUP,'S - GRANTFINAL PRO.IECT.APPROVAL