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20040641.pdfI DATE RECEIVED USE CITY OF EDMONDS ZONE CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS _ r " `i r -- t¢u MAILING ADDRESS o�t� `��'•� 1 L(. CITY l ZIP ITELEPHONE JV�J 1� l� �� C• n~� L �r ii 5 Ciu NAME G n F, v_ w f- ADDRESS _ C.. Q `� .1 CI'i .. ZIP MTELEPHONEC) NAME CBLa C J2 ADDRESS CITY STATE IICENSE NUMBER SI l�rcC��i31.; �C PROPERTY TAX ACCOUNT PARCEL NO, TELEPHONE EXPIFIATION DATE I CI4EdkEO BY ® NEW RESIDENTIAL ❑ ADDITION ❑ COMMERCIAL ❑ REMODEL ❑ MULTIFAMILY ❑ REPAIR GRADING CYDS ❑ DEMOLISH ❑ TANK j� GARAGE RETAINING WALL 2 CARPORT ❑ ROCKERY O (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: 451111c GNUMBER NUMBER OF OF �/ DWELLING OSTORIES UNITS DESCRIBE WORK TO BE DONE PLUMBING / MECH COMPLIANCE OR ❑ CHANGE OF USE ❑ SIGN ❑FENCE ( X FT) ❑ OTHER ❑FIRE SPRINKLER FIRE ALARM CRITICAL 1„ AREAS NUMBER PERMIT EXPIRES PERMIT �) n/ / �t NUMBER r`C�/'�'/> 110- 11" D AD ' ADDRESS , g� ' � PLAT NAME/SUBDIVISION NO. LOT N0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED REQUIRED DEDICATION FT METER SIZE LINE SIZE NO. OF FIX' .17,1Adl I 1 ,/ I 1e SUITE/APT # r 1 C.__Om ."> f' LID NO. LID FEE $ I ESCP Approved RW Pormit Required Scoot Use Permit Roq'd Inspection Required Sidewalk Required Underground Wrong required IES PRV REQUIRED YESA NO ❑ REMARKS OWNER/CONTRACLOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE n DATE FIRE REVIEWED BY w cc VARIANCE OR CU SHORELINE OR ADD# INSPECTION BOND REO'D POSTED —1 OYES NO S SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXE PT ALLOWED PROPOSED ALLOWED PROPOSED �] � ] EXP r_1 � w5 rJ�0 01 LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONTS LR SIDE. REAR It z PARKING L ` LOT AREA P NING REVIEWED BY DDATEJ� ga R I ,ODPRpyIDED '/'%�llIO Y REMARKS CHECKED BY ITYPE OF CONSTRUCTION I CODE I OCCUPANT SPECIAL INSPECTION AREA OCCUPANT REQUIRED ❑YES't��. ��,�� LOAD REMARKS O PROGRESS INSPECTIONS PER UBC 108/17INAL INSPECTION REO'D o m VALUATION I WIN $L/-771 J'161 Description FEE Description FEE Plan Check / 7S State Surcharge r� Building Permit City Surcharge, Plumbing N Base Fee s• Mechanical Grading D Engr. Review III: �- Engr. Inspection Fire Review Plan Chk. Deposit % 706 Fire Inspection Receipt N " Landscape Insp. Total Amt. Due J Recording Fee Receipt k , APPLICATION APPROVAL CALL This application is not a permit until signed by the Building 011icial or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt is acknowledged in space provided. OFFICI LWIGN riURE DATE 771 0220 / 4 r/ RELEASFiD BY / I v DAXE ATTENTIO J r EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UDC SECTION 109 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES HEAT SOURCE GI ZING % I LOT SLOPE % � �o PLAN CHECK NO: I VESTEL7 DATEt THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE tJ SEPARATE PERMISSION. w PERMIT APPLICATION: 160 DAYS PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION wa •APPLICANI, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS J IN INTEREST AGREES TO INDEMNIFY. OFFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND a ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE J DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE O NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.• s I LLEREDY 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 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 IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATIO INSURANCE AND RCW 111.27. NA \IEk(O_�\NE�13?OR A M) DATE SIGNED; ORIGINAL - FILE YELLOW - INJPEcT& PINK - OWNER GOLD - ASSESSOR d Z 0 0 m i FYI 41COPY 84 -- - —-------------- 86- ZAVALES DESIGN ASSOCIATE N �DA P.O. BOX 55512 ` SHORELINE, WA 98155 206-362-2992 E'ER o S/ _ ,� /3, �4 ;p„ 48 moo„ 6-k6`r� „ ��) . to. w a cnq 3\ \ v 6\ w m.� vO N 0 a: "'babbe Il vab"O mm fabbba 100om o� 9 6 'gNG - ! m 196.0 / Fck � l Is, NFL ,� �\' ! m m .s vIRA- v qa / ,�� o` SLOT COVERAGE,c cn z1. �, LOT AREA= 14911 S.F. I m o rebabb 'o�� ? HOUSE & DECKS= 2185 S.F. -i _ p .b5IDE 9c COV RAGE: in !8 ;;' �` �� r 2185SZ14911= 14.6% --� o o m to : bR lbF ,q � %��^ , a :• IMPERVIOUS SURFACES label Z aw PLAN 276715 HOUSE & EAVES= 2411 S.F. CD A : DRIVEWAY & WALKS= 751 S.F. o i�; SITE PLAN TOTAL= 3162 S.F. 0 `. `o,, . SCALE 1 "=20'-0" . m LEGAL DESCRIPTI STORM _ RIM=100' LOT 27 HEIGHT CALCS. SEE ATTACHMENT A=95.3 B=94.7' SILVER CITY rn< C=98.5' CONSTR. INC. �; ►� '� D=97.9' ran CP AVE. GR.: 386.4 /4=96.6' PO BOX 1417 a3 m Z: MAX. HT.: 96.6'+25'=121.6' MUKILTEO, WA 98275 P, G o ACTUAL HT.: 121.6' (206) 501-5490 P m 21 `1 i 122.02' N 86- - -� :� Q 4-7 . CIS' � � No S LAB c co qO--- — — — _RECEIVED `\ q2----------------- _ APR 2 3� 004 P.ER COUNTER \ so , � o„ \ \ \\ `\ z �6 „ m 3, 3 � 9 -8 �JQ s 6i/� rn pzi (,)d>cZ �.3 \ �_ 9 (n s / O -n , I ' Is — — pC Ds !� 9 mm r IIIII, z cn cl) 1461 IIII,011 Is, m p SIDE 9 -N1 "� i Di - ,.: '• AP t' WED AS NUTED /oo BY ENGINEERIN . --n z v '� ? PLAN 2767.b ��� cn z d SITE PLAN©�� �°`� C��� o SCALE 1 11 1.0" m TEMI�URARy 0,oNSTRUcp :! _. ENTRANCE REQUIRE I Z� �p 5�-- Y �L�-� CIT�� C.O� S�•i�J; �'2�11�.� �`�.��11SAC,L— -�, ��IJc-R-- y , 84 -- — . co Lu tools G V 86- c��.,�« qo--------___ -------�`_ WATER &SEWER \ �\ —INSPECTIONS REUP. �\ —CALL 425,,771-022Q EXT. 1326 \� z 0 all loll g I \ \ \ \ \ m \ \ m o �` . it po\ \ -I 00 '1O :s �6\ 6 ` /pk/�, 1 To(:) Crib\�` _ c DEC' _\ \ m '� •s. /c ca .__.... _ m z D \ A Z r D VL 117 \�Tcjjq 11o' toll Iurir, ori m _ Wmbm EASeM'Etos • Da 0 m 1 � � 1�Y C?-(5S N�16►k}Sd t~l u c4•r to / A -- � G 1L n pRoP 7' m 0 a� 4 / : LOT COVERAGE LOT AREA= 14911 S.F. `.: , KS= 185 S.F. � ,v HOUSE &DEC 2 Gobi : D COVERAGEZ 90 �.\ .. in /o ^�� 21855/14911= 14.6% "psi O ''�d \� \ • - IMPERVIOUS SURFACES ! z \\ '0.• ` 0.1 `.� HOUSE &EAVES= 2411 S.F. o : 0 DRIVEWAY & WALKS= 751 S.F. m : I SITE PLAN TOTAL= 3162,SI_F:;2/r.., A5 IdU'CEG SCALE 1"=20'-0" I;Y ENICINEERINQ I � �' 7 I•1IGHT-Or -VdAY CCi:S•i�RLJC"i iOi' MI �loll It U� Date:. —..., . AND INSPECTION REQU ► {�`�-== " 1 I3 STORM 7J U`'' ;.�i✓CE�TAB I i�i TUNE I RIM=100' FOOTING DRAINS NOT MATERIAL T� ZE t INTO SDR 35 r LZIi> ETENTION SYSTEM SCH 40 N " 12 RECEIVED Rlet o„cir"y JUL 13 2004 I I BUILDING DEPApTMENf I CITY OF EDmONDS s, Uf/TL/vn i i f Lq I L` 1 /O'or EAOe ENT i 10� j f ` i �' -••'� SAVE �9L AER �� TREES I VERT/C4L CURVE FDR to --• ., . ' `� STORM g�WEJ�' ti1AX/N LsNGTy P/PE YD' MAXM 1 15 mlof 0,4 28., 27 'J - EAf Eil/ENT ' . i N09T A P. t_ �19. 99 T NOR ill (a'DEEP 5' DEEF 7 %QPJ k 5C?EE OWNER ADDRESS STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET CALC BY: vJ PHONE: DATE: *****DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE DETENTION PIPE LENGTH LIw-Ki^" Lim K(TYPICAL) FINISHED MINIMUM E TIGHTLI CEATU"RCL ONC BOX� R OF •5X TO 1% SLOPE O O-'W ET to OUTLET CONTROL MIN. UPPER CATCH BASIN ORIFICE CONTROL CATCH BASIN SYSTEM CROSS SECTION 2'X2'X6' DEEP, 44' SPALLS OR EQUAL ,.. - FROM CONTROL. CD 2% 27 3' DEEP, 3/4' CRUSHED ROCK XISTING GRADE FROM CONTROL OUTLET WASHED ROCK OUTFLOV TRENCH, MIN 10' LONG• LS' PERF PIPE TO BE LEVEL r--� PERRFF PIPE�y{W/ ENED CAPS PRIORHTO PLACEMENT OF WASHED DRAIN ROCK NPRAP OUTLET RUNOFF SPREADER • TRENCH FOOTING DRAINS SHALL NOT -BE CONNECTED 70 DETENTION SYSTEM NOTES: ivision 71-=O for a ti htline and detention system inspection 11 1. Call Engineering D (7 ) g before backfilling and for final inspections. APPROVED BY 2, Responsibility for operation and maintenance of drainage systems on private property is the I I� responsibility of the property owner. Material accumulated in the -storage pipe must be flushed out and removed from the catch basins to allow proper operation. The outlet control orifice DATE must he kent enen at all times. z O m CM m0 �O Oc 2 M mZ Q � nz r —I Cn O mT wn m rrn ON nm c to 9Cn 7r X 2 D z 2 N z O -i m 1 4 Height Calculation Worksheet Address: to Date: i l� Inspector(s): Uv. 1. Datum Point: 2. Datum Point Elevation:Us 3. Average Grade: Ql . �, o 010101 4. Maximum Elevation Allowed. (average grade) + 25'' to m too �� 5. Reference Point Elevation Shot to House: U -1 vm IW (datum elevation) +S 19 •S(o (grade to transit level line to house) d W: a-4 m o o0 c 6. Measurements from line shot onto house to rciof ridge:' - m m' nz �_ W 081 m o� O Foss Cn CD zn rost Total Cn z 0 7. Actual Elevation: l �' (reference point elevation) + �'o. (measurements ` s from #= tr�i-S `� n m Conclusion: ,S9 (actual) is greater esI s ftn l a ( Pb 6 (allowed); therefore the house is/ is not over the height requiremen ACDC 16.20.30 requirements FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE ►LEASE SIGN r t a/Ic t,J ` ENGINEERING DIVISION DATE G � z PLEASE SIGN 0 V � PLANNING DMSION DATE rn i /IyASE SIGN PROJECT I �c tr' �` �i ��' 1�1 a 7�(/-T j - �� SITE ADDRESS PERMIT #ADB# DATE INSPECTED ��—//9/�5 DESCRIPTION OF WORK TO BE INSPECTED, S t- r2 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 *************************************************************************************** GRANT PROJECT APPROVAL WITH CONDITIONS NOTED a Copy of CONDITIONS given to owner/contractor by inspector 1. FAILED FINAL INSPECTION - OUTSTANDING ISSUES a Copy of CORRECTION NOTICE given to owner/contractor by inspector 1. 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign ocaprvl. doc.1:temp:bldg: forms 10/01 IINNSPECTOR DATE APPROVED SETBACKS FOUNDATION: Or Footing Wall "�+-•'... i -{; Pier/Porch Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. 1 Rough -In Commercial Final ...... HEATING: Gas Test Gas Piping ................... (O" ��-� Equipment ................. Commercial Final ....... EXTERIOR SHEATHING C �, .. l J, i t NAILING IM M _ - o� FRAMING ........................ //1 ) _...__.._._. _...� ..__ ....__._. FIRST FLOOR FRAMING...,_ INSULATION / Floor Insulation ......... / ? Z ! I ^ AT I! s Wall Insulation ........... _OQr r ej - of Ceiling Insulation ....... / r /_/y SHEETROCK NAILING SPECIAL INSPECTION Sh MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY All rnic initials MT arc Milton Thompson, a temporary contract inspector for the city. Side Sewer P. ,949 e Amout Paid $ Mee' t t, -- � � Date Issued `-� ' •Tires WaterMeterSize_ Amount Paid Date Purchased-r%y ROW #���� Amount Paid $ 2 Rcccipt �E • 1 I