20050948.pdfI
RECEIVED
PIRES
DATE
PERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION JOB TE
ADDRESS
OWNER NAME/NAME OF BUSINESS 7067
64,W. kel-I tiJ r2, PLAT NAMEISUBDIVISION NO. LOT NO LID NO�
MAILINGADDRESS
ui J LID FEE $
1,36 7-4- J PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApproved
0 RW Pernid Required
CITY ZIP ELEPHONE EXISTING PROPOSED street use Permit Requited E3
LT inspection Required
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�JJAOD &
PLA1
PUB
151�)111 L 0 /1,;1t; 2 Side�alk Required ly
a underground C3
4 -3 2— REQUIRED DEDICATION FT Wiritio mquirod 13
NAME METER SIZE LINE SIZE NO.( FIXTURES PRV REQUIRED
U 0 VYES13 NO E3 z
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ADDRESS ul
REMARKS W
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WNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z
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CITY ZIP ITELEPHONE 1 T3 W klklo 1AW11VICA1 IIAI 1 4;;'�
NAMt CBL#
CC-4-1�4C:,ft 9,F1t,1oP06-1A1(-- f - lk& 0�) L
04W EW&NEERING REVIEWED BY DATE
ADDRESS T M �mqeLt OE-
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FIRE REVIEWED BY DATE uj
CITY ZIP TELEPHONE cc
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STATE LICENSE NUMBER EXPIRATION DATE C4qiy VARIANCE OR CU SHORELINE OR ADBI INSPECTIO SEPA
E JD REQ'D COMPLE
E3YES A NO�
CA ZONE SIGN AREA HEIGHT
PROPERTYT U T PARCEL NO. w IVI
WAIVER ALLOWED I PROPOSED ALLOWED PROPOSED
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L/U Z2 /00/M STUDY 13 0
NEW RESIDENTIAL UMBING / MECH LOT CO= D S E T R&*'T ) PROPOSED SETBACKS (FT.)
ALLOWED SED FR8N+_ -5f9E--jtL&Ajt- FR8N:F 61R 610c Q=AD
COMMERCIAL >rpL W1W a
ADDITION 1:1 COMPLIANCE OR 135 0/0, J"Vei S/ 0 a.z iii-i / E
MIXED USE CHANGE OF USE 21+211 C> I -
REMODEL PARKING LOTAREA PLANNING REVIEWED 13Y 15ATE
MULTIFAMILY 13 SIGN REQ'D I PROVIDED IL
REPAIR FENCE I-
CYOS 13 X FT) REMARKS
DEMOLISH TANK Oyff Fi;aw 1-7
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY E] FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
!�T09A6---�-EF � M 7- Tv/3
TYPE OF C�,EIITRUCTION
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.
NUMBER
OF
STORIES
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NUMBER OF
DWELLING
UNITS ...'< . I I
%
SPECIAL INSPECTION
REQUIRED ES
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DESCRIBE WORK TO BE DONE tTI"'_A lb-!>)
(Iol,,IS 7-i.?Ll ( -rl o /q (5-Rr—or' y1j:510 �
REMARKS
hbT -FRil EW6-1_050 140F/j- 4— 647-104,L)"l-
GEOTECH REPORT
BY:
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ST�UCT'ffvjll_� P,
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VALUATION
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Description
Plan Check
HEAT SOURCE
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LOTSLOPE%
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VESTED DATE
Building Permit
PLAN CHECK NO .
Plumbing
Mechanical
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
SEPARATE PERMISSION.
Grading
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.06.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
*APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSORS
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
=4Recording
Fire Review
Fire Inspection
Landscapelnsp.
Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CONSULTANT
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUL ING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL
IN VIOLATION OF THE LABOR'�CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENS� NCE AND RCW 18:27.
SP F VT E RW� (425)
DATqSIGNED
771-0220
P
OCCUPANT
GROUP f-�
_7 CUPANT
_OLOCAD
FEE
Description
-71
State Surcharge
City Surcharge
Base Fee
-73-
FEE
Plan Chk. Deposit ("r'-f"I U1
Receipt #
Total Amt. Due
Receipt # I)c
APPLICATION AP DROWIL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided
EIC[Al SIGNATURt) DATE i
ATTENTION EXT. 1333 �v�
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 I IRC110.
10/04 PRESS HARD - YOU ARE MAKING 4 COPIES
BY DAtj
ORI LOW
P�GAL -FILE - Y - INSPECI-C
IN - OWNER -�Gil_D - ASSESSOR
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AN10 0
LOTSQUAREFOOTAGE
0.31 Acre or
.12,448.8 SF
LOT COVERAGE
Existin g Coverage
House, deck, and concrete building pad 2444 SF or 19.6%
Note: new Accessory Structure is to be constructed on existing concrete building pad of
240 SF. No new lot coverage.
'IMPE RVIOUS SURFACE
Existing
Conc Slab 420 SF constructed pre-1977
House, Deck 2236 constructed 2004
Drive*& Walk 495 cons tructed 2004
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Total Existing 3151 SF
New 73 SF
Total 3224 SF
co X
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No new building pad. New impervious s urface is from new eave overhangs
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CODE NOTES
C.
2003 International Building Code
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Design Loads
Roof Live Load 25 PSF Snow
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SDC=D, Ss Fa7-10
Seismic =1.55, R=6
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Wind 85 MPH, Exp. B
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HEIGHT CALCULATIONS
a.= 102.19
MM.
b 102.27
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or
c 101.36
C ca
d I Q 1.94
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Average grade = 10 1.94
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Actual = 116.60
Maximum 116.94
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LOTSLOPE
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Maximum 13%
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DEC 14 2005
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CITY OF 'EDMONDS
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