Loading...
20020276.pdfDATE RECEIVED II REVIEWED/DATE PERMIT EXPIRES CITY OF EDMON®S sE uPERMIT ZDNE �,) � NUMBER (0 - C2�G CONSTRUCTION PERMIT APPLICATION 'AOS A (� SUITE/APT# ADDRESS b s P // 1 '� OWNEfl NAMEMAMAE OF BUSINESS _- ^�T/ 7 lA t=i lh.J � Cd)2, ¢ J UU "a e- �.� PIAT NNAAME/SUBDIVISII-Oj�N�LNO. LOT Nq0. LIO N0. MAILING ADDRESS 2eL (a-E;Ir 1 LID FEE S STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP �EScv Mgavan PW Permit RegWreE CITY ZIP TELEPHONE EXISTING sues we Fume Raga PROPOSED X-0 Peq�hea p 1�V, �`( C". Ltnsi'I✓ ♦l L,A\n /i_'TG. 7d !! 1QZ:a 1 tD '"("i�_.J TTMETER flEOUiRED DEDICATION Er uneep quvea D r1AM0 �,.✓/� i�l rL_, � SIZE LINE SIZE NO. OF FIXTURES PPV REQUIRED SEPA REVIEW COMPLETE EXEMPT REMARKSOWNERICONTRACTOR ce RESPONSIBLE FFOR EROSION CONTROUDRAINAGE ZIP TELEPHONE I1JPi';�1of�K 2�-ci'D �L!J �KQSIGh� tG) l=1AlAL- NAMES ENGINEERING REVIEWED/DATE ADDRESS .V/ t ' lliaz p�h .- v"L-- CITY ZIP TELEPHONE FIRE REVIEWED BY DATE STx woad 292 '970&&3 yy Iw ADDITION l" ❑ COMMERCIAL STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCE OR CU SHORELINE OR ADB# �...----• INSPECTION REO'D BOND POSTEC l '� aA4 APARTMENT ❑ ❑ SIGN FENCE AYES ANO LOT AREA r PROPERTY TAX ACCOUNT PARCEL NO. SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOW D PROPOSED HEIGHT ALLOWED PpOPOSEO A7'. EE01([)Y'A ' LOAD -</y i PER UBC 1081FINAL INSPECTION REO'D Lu afac an- Ivalo iE Descriptlon FEE 21 q v. Recording Fee W 00-4ctc000c000 oo(Dt EXP I NLI\ I Tr --'l 4-2--- 25 ❑ OTHER Now ❑NEW RESIDENTIAL ❑ PLUMBING/MECH LOT COVERAGE ALLO�W.E{D• REGUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) yy Iw ADDITION l" ❑ COMMERCIAL COMPLIANCE OR ❑ CHANGE OF USE p POSED 3ry FRONT SIDE REAR v%�L (�L nr1 c.- 2Z FRONT U SIDE REAR 1 40 I 1 4SI CHECKED BY TYP ❑ REMODEL APARTMENT ❑ ❑ SIGN FENCE PARI INC PEO'D PROVIDED Iii_-_1,,yAL.vli LOT AREA r P NG R(E�V(/1EW/E/rrlr' Y DATE ii „// �//// /1 %/ ✓ v'/J- � G.- A7'. EE01([)Y'A ' LOAD -</y i PER UBC 1081FINAL INSPECTION REO'D Lu afac an- Ivalo iE Descriptlon FEE 21 q v. Recording Fee REPAIR 1:1 ❑ CYDS ❑ ( X _ FT) REMARKS Description ❑ DEMOLISH ❑ TANK ❑ OTHER Plan Chk Deposit Plan Check z ❑GARAGERETAINING WALL CARPORT [3ROCKERY ❑ RENEWAL pl` 11 p�Tl So.D (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: IVITY) Plumbing C{Ji O/)� ' i� S Q LE—r L_� S %3 Ij /yam CHECKED BY TYP Gratlin g UM EA PERMIT APPLICATION: I.DAYS Engr. Review OFMBER DWELLINGF O STORIES UNITS AREACAL !/(�!�%�� NUMEI� L/ - SPECIAL INSPECTO'. REQUIRED ❑ YES DESCRIBE WORK TO BE DONE Traffic Mitigation IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 9 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire RSVIeW REMARKS Fire Inspection WAIVE ANY REQUIREMENT OF ANY CITY ORDINANCE z NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION' PROGRESS INS'. Landscape lIT P. '.. 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION; THAT THE INFORMATION '.. GIVEN IS CORRECT; AND THAT 1 AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF 1kUC?�At "Th �s LG -ti nJ[-s S1tJL-;,LSc CALL A7'. EE01([)Y'A ' LOAD -</y i PER UBC 1081FINAL INSPECTION REO'D Lu afac an- Ivalo iE Descriptlon FEE 21 q v. Recording Fee VALUATION $ City Surcharge Description StateSurcharge 21-6-e Plan Chk Deposit Plan Check HEAT SOURCE GLAZING % LOT SLOPE % N Building pl` 11 p�Tl So.D PLAN CHECK NSI; VESTED DATE Plumbing C{Ji O/)� ' i� THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanics! t BE DONE ON PRIVATEPROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Gratlin g DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MAROUEES,ETC.t WILL REQUIRE SEPARATE PERMISSION. 'a PERMIT APPLICATION: I.DAYS Engr. Review . PERMIT UMMI YEAR- PROVIDED WORK IS STARTED WITHIN too DAYS En inspection SEE BACK OF PINK PERMIT POR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS Traffic Mitigation IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 9 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire RSVIeW '1ST ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 90 DEEMED TO MODIFY, OR REDUCE Fire Inspection WAIVE ANY REQUIREMENT OF ANY CITY ORDINANCE z NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION' Landscape lIT P. '.. 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION; THAT THE INFORMATION '.. GIVEN IS CORRECT; AND THAT 1 AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF '.. THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTAUC- CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOUTIO THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTR WORKME CO PENSATION INS= NCE AND RCW 18.27. OR (OWNE OR AGE GATE IGNED (425) 3 a• 0 771-0220 ENTION EXT 1333 IT UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-®221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 10101 A7'. EE01([)Y'A ' LOAD -</y i PER UBC 1081FINAL INSPECTION REO'D Lu afac an- Ivalo iE Descriptlon FEE 21 q v. Recording Fee City Surcharge 115— `-State StateSurcharge 21-6-e Plan Chk Deposit Receipt # Total Amount Due Receipt # APPLICATION APPRO AL TMs applcstlon Is not a permit unili signed 6y Na ding Official or Maine, Deppty: and Fees aro palU, an. rocolpt is Ick-aledooU in apace providee. LS SIGNATURE n - DATE IS NAL FILE YELLOW - INSPECT PINK - OWNERGOLD-ASSESSOR O 1 n m —I -n cm M Q 8n O C mm p —I r= IT 171 ITT ON r C ca Z r z Z I S rn z O 1 n m t 96' _._. +101 +10 10' UTILITY EASEMENT LUT SIZE 12000 SO FT ' " 1MPER�4V$ �C mFp�Cfi CALCS ExtST &) 11wF wma.,L °ZSa2 �ZCtST' 3�'4'-' i."' Poo = 336 $IF O(E� 4 Pic A _ +- 102, Pp pdtip E \Np .� E,@iGlt,E 1 ' TC C_+ 47.5" 10 4Lg 97.5 z s - D-+ 9%.S =t n " AVE GRADEr 8 [ — ACTUALS MAxtMOM` t2s. a BED BED +k 25 I2 2 s'' rtAic XSTG GARAGE RIDGE +112 p cu i c C, LOTcovERAGE: sss sa FT BED 1428 SF XST LIv o c " SQ.FC. 2,'S(o t9.GG "7:> +102: 1 +98.5 D LOT AREA: l2+00o SQJT. 72'-6' 0 D Z ADD OUTTE"'/P0 SPO S # Tax.Accouot Parcel tl: AND SP �GCKS 0 • a O 'fl - cc.}g4,m00000gemat CU $ -ny mm LOT SLOPE: S OWNER/CONTRACTOR IS RESPONSIBLE FOR o h ALL EXPOSED S FACES TO EROSI%I^IA'TROL AND DRAINAGE m BE COVERED WI IN 2 D YS z v + s D TUM +100 C.V" .. ¢ � -i _Z. PUGET WAY :0 Lor Sty y• %z �o 11ffor z 60Vh(tAGie 23Go 7F oQ 1q.66� — -- m SPLASH BLOCKS @.SW & SW CORNERS OF NEW ADDITION rwy�n AREA OF DISTURBANCE —)c—% SILT FENCETEMPO STOCKPILE OF pN EXCAVATED MATL- COVERED WITHIN 24RS- USED AS �/ C BACKFILL (Li55 TAI,ri io(^f) ` REQUIRED TEEApOFiA�Y J ENT�`NCE LAURELHURST PARK F:Ec,--1'" ED PTN NW QTR SEC 24 TWP 27 N RGE 3E �{ vv 1 ��T,• hi`,:2 2 `;;7 W,M, CITY OF EDMONDS W �� :. BUILDING DEPT SNNOHOMISH CTY, WA � " 10' UTILITY EASEMENT LOT SIZE 12000 SO FT +. IMPERVIOUS SURFACE E F1Sr D(UJL../ty loco YrRol " PRoPoS�D AO®ICloh�`�1�8c v gEIGHT CALCs —28,97,5 A-+ 102 B-+ toZ f O 10 -6" m D-+ q$.S - +102 AVE GRADE i m ACTUAL- tl'L.00 MAMMUM- t'L9•. u BED BED �X © m WL 9.5 12- XSTG RIDGE +112 o rrn Zs' t itrF GARAGE cv ` O LOT COVERAGE: Sam 7.16b 595 SO FT 1428 SF XSTG BED LIV � m m +102: c z LOT +96,5 +: AREA: 12A.0 SQ.FT. 72'-6'—p o: -inn O11� -n e' TaxAecouat P:ml #: O �rnm C0.4�(oQ�00000q COta , - SOT S38PE: ' ?? ADD GUTTERSIDOWNSPOUTS O� A Ed" Y NNi G AND SPLASHBLOCKS o 3� APPROVED q $ z AS NOTED �' ➢ TUM + .5 +100 cola B 7C Z PUGET�8 , z 6/r�Pl./i,✓ Lvi" st"�. 12�a �F � o t-IT-d5-cNVUC.%- W%C, 5(f oR. 1`I." % m I - FRONT 25law S'OE Ipt LAURELHURST PARK PTN NW QTR SEC 24 REAR rpt ���''? ' 2 1 " OTHER W,X CITY OF EDMONDS HEIGHT' BUILDING DEPT. LOT 9, " 0 SNOHOMISH CTY, WA FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE P18A989ON ENGINEERING DIVISION DATE 2721 0 3 PLANNING DIVISION DATE PROJECT SITE ADDRESS PERMIT #�l1/1t,'O2� CP ADB# DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTED A field inspection was conducted to determine final compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the release of PERFORMANCE BONDS and the granting of GRANT FINAL PROJECT APPROVAL *�>ka*���t�*�r�*�mre*�***+x�ro�ara*a*r*a�rx*w��***m��*>k��**n*�a*��x�***o*�*+xr+ra►�****�*�r*:► . GRANT PROJECT APPROVAL WITH CONDITIONS NOTED o Copy of CONDITIONS given to owner/contractor by inspector 1 FAILED FINAL INSPECTION - OUTSTANDING ISSUES o Copy of CORRECTION NOTICE Riven to owner/contractor by inspector L 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign ocaprvl.doc.l:tempibldg:fonns 10/01 I z 0 n m cm M0 mon oC: M Z �1 z r —I N O- m mm oFn r 9co 1 D S Z i inn z 0 0 M RECORD OF INSPECTIONS r. " INSPECTOR DATE APPROVED " i= t " •S "G� .. ' , SETBACKS " FOUNDATION: r`\ ".... ! Footing .....................: �... _ Wall ..... ........:_ O Pier/Porch ................. n " m .. Retaining Wall ..........: qyiS ' Slab Insulation _ Om. " f PLUMBING: } D Underground .......... .{ O O". " Rough -In ................ Commercial Final. m HEATING:. GasTest .................... 13: Gas Piping I. 'R I , Equipment ........... m m ' .. Commercial Final ....... Q N " 0 Fn EXTERIOR SHEATHING .,n 4C+ 1 J �.-�ry.-G�.. 9 ca ' NAILING ... ........... 1V• ^ `) L. `- D c '' MZ � FRAMING ...,,:..: ... U -I 1, D� " ! - FIRST FLOOR FRAMING... — �O-+1Z. z. .: INSULATION ........... .S Floor Insulation .......:. S W Wall Insulation ..:...,.... " O Ceiling Insulation ....... - SHEETROCK NAILING m . SPECIAL INSPECTION ... I` MISCELLANEOUS .......... - " ! FINAL APPROVAL FOR .00CUPANCY .................. i I ` l