The URL can be used to link to this page

23125 HIGHWAY 99.PDFiiiiiiiiiiiiii 14051 23125 HWY 99 for The City of Edmonds SEDE SEWER PERMIT IT No . ....................... .................... OUTSIDE JK INSIDE 0 REPAIRS 0 EASEMEN �2 z OWNER .......................... ...... ............................................... .......... . ... ..... / CONTRACTOR ..... ....................................... . . ........................................................... PERMIT N STREET HOUSE.No . ..................................................... 1??� .... .............. Y.q ................................... AVENUE LOT No . ...... . . .................................................................. BLOCK No. .................................. S' NAME ADD ...... A14)"(1 �� ... / .... /'/ - -;U J L� / /i 41 ........ ........... ......... ...... ........................................................ J7 it -It, 41/11r;e)l A P Ph 0 V E D r --- 9 l9aft Date Approved: BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, ...................................................... SEWER WORK ORDER ISSUED ..... .......................................... DATE/....-.,. ............... ..... BY../ ...... w .......... . ............. . . .. . .................. i 1 8 9 0 . 199 - CITY OF EDMONDS LAURA M. HALL 250 -,5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 . FAX (206) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Public Works * Planning @ Parks and Recreation Engineering F 40� January 24, 1994 Archie Butler P.O. Box 55178 Seattle, WA 98155 RE: Code Enforcement File # ZE-93-61 23125 Highway 99 Dear Mr. Butler: This letter is to inform you that your application was approved by the Architectural Design Board for a garage located at 23125 Highway 99. The appeal period for the approval of this project will end January 31, 1994. After that date you must submit plans for Building Permit to continue correction of the code violation as stated in my letter to you dated November 5, 1993. By 5:00 p.m. February 18, 1994 you must submit a complete application for Building Permit. Failure to take such action by the aforementioned date shall initiate the first stage of the civil penalties ordinance (ECDC 20. 110). Please also submit a complete site plan of the subject property, noting all of the current uses of the buildings. You may wish to consult with the Building Department as to the requirements for submitting a permit application. Should you have any questions, please contact me at 771-0220. Thank you for your cooperation in resolving this matter. Sincerely, I" Ann Bullis - Code Enforcement I cc: Jeannine Graf, Acting Building Official ZE-93-61 Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan The City of Edmonds APPLICATION for SIDE SEWER PERMIT OUTSIDE jk INSIDE 0 REPAIRS 0 CARD No . ..... ........ ...... EASEMENT No . ............................................ , -I.. 'e -'V .,^ r"-, I /. ( f; - /I - .-- --- OWNER ............... ........... ........................ ...................................... CONTRACTOR .......... A6 6 ...... ............ 4: �/ . ........ ............................... PERMIT NR'. STREET HOUSE No . ............ q..'e ............. �.q ................................... AVENUE LOT No . ........ 0 ....... .................................................... ....... .. . BLOCK No. A . ... ...... ............ - 'e 1 6 A,3 S7 NAME ADD ...... Al"Y / ... / Qj ..... ........... ......... ...... ........................... ................... ........ 37 Date BACKFILL WORK ORDER ISSUED .................... .................. SEWER WORK ORDER ISSUED ....................................... ... cj LjAfif 13 0 41 1 4-/ se- 1 61 - 1-7 ei Approved: DEPOSIT, $ ...................................................... DATE .......... APPROVED 8 19 1963 BY.... 4 ........................................................................... PARKING CALCULATIONS - ARCHIE BUTLER PROPERTY CITY OF EDMONDS, WASHINGTON MAY 12, 1987 BLDG. A 1500 S.F. @ 200 S.F. PER STALL 7.5 Stalls 240 S.F. @ 400 S.F.' PER STALL (qffice) .6 Stalls 400 S.F. @ 1000 S.F.' PER STALL (Storage) .4 Stalls Total Bldg. Segment "A" 8.5 Stalls BLDG. B 1434 S.F. Weodworking 2.0 Stalls 4 Employees @ I Stall per 2 Employees BLDG. C 1500 S.F. @ 200 S.F. PER STALL 7.5 Stalls (Auto Repair) BLDG. D 1635 S.F. @ 200 S.F. PER STALL 8.5 Stalls (Auto Upholstery) 120 S.F. @ 400 S.F. PER STALL .3 Stalls 'otal Bldg. Segment "D" 8.8 Stalls COMBINED TOTAL SITE BLDG. SEGMENTS A+B+C+D 26.8 Stalls Prepared by: James R. Irwin & Associates, P.'., Architect 2507 N.W. 202nd ST. Seattle, Washington Telephone: 206-546-6750 CITY OF EDMONDS use PERMIT ZONE NUMBER 9 6C06 I CONSTRUCTION PERMIT APPLICATION Q. ,SUg APT ADDRESS Z3/25 H Will, 93 OWNER NAME NAME OF BUSINESS , 5;r& ye V1,l fiU7'0 54FRV16-G-'1 RIC& LEGAL DESCRIPTION CHECK] SUBDIVISION N? LID NO 0 MAILING ADDRESS HWY Cy 9 PUBLIC RIGHT OF WAY PER OFFICIAL STAEET MAP E:ISTING REQUIRED DEDICATION P OPOSE TESCP Approved 0 RW Perml Required 0 street use Permit Reeld 0 trulpectionlAquacid 0 Sidewalk Required 0 CITY &DIMA195 760 2J, LEPHONE NUMBER I-'? NAME METER SIZE SIZE NO, OF FIXTURES PRV REQUIRED U X YES 0 NO 13 ADDRESS ARKS lu z CITY ONE NUMBER NAME 06illi ADORE S PISO'box 5Z617 0 _8 ENGINEERING MEMO DATED REVIEWED BY 2 Z CITY ZIP TELEPHONE NUMBER 6.6 7176,88315 q4 FIRE MEMO DATED REVIEWEDBY u 8 STATE LICENSE NUMBER EXPIRATION DATE 6057RR-Y111 0077CM SIGN AREA ALLOWED PROPOSED $EPA REVIEW rMPLETE JEXEIAP ADS NO y'&J44 SHORELINE Legal Description of Property - include all easements VARIANCE OR CU N By SETBACKS -FEET V HE Y FLOT COVERAGE FRONT SIDE REAR 1171 Property Tax Acc Parcel Nocunt 5 7 -cc." - ( p / ( / - /,7 REMARKS UNEW 1:1 RESIDENTIAL PLUMBING ElADDITION [9 COMMERCIAL MECHANICAL' REMODEL APT. BLDG. SIGN CHECKED BY TYPE 0 0 CODE ?p,74 i±' GCC T �e GRADING FENCE REPAIR cyos. I X ____n WOODSTOVE Sw POOL 0 DEMOLISH INSERT HOJIM GARAGE RETAINING WALLJ TUMPA CARPORT ROCKERY RENEWAL 8 EC P QUIAL INSPECTOR JAREA RE RED 13 YES I OCCUPANT LOAD EMARKS 0 0 Go (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: A L) TO K16-10004 I)e NUMBER NUMBEF CRITICAL 11F OF DWELLING AREAS STORIES UNITS INUMaER PROGRESS INSPECTIONS PER LISC 305 z /-P, r, C /C /� Z-47 7217- L,5�7e3 0 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED I IV5727e- 1- 5IN614E I-Ae-67-ALD ex7Rt)5A91v f*941nc- - IN-r6:11JOf VALUATION FEE FEE 1LL01n)Noi 1014JWe_ A&F3Y 54 PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING PLUMBING Plan Check No. M= ...... This Permit covers work to be done on private property ONLY. GRADIN01FILL Any construction on the public domain (curbs, sidewplks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant. on behalf of his or her spouse, heirs, assigns and ENO. INSPECTION FEE successor$ in interest, agrees to Indemnify. defend and hold x harmless the City of Edmonds, Washington, Its officials, employees, and agents from any and all claims for damages of PLAN CHECK DEPOSIT 09 r 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." TOTAL AMOUNT DUE I hereby acknowledge that I have read this appilcation; that the Information given Is correct; and that I am the owner, or thp duly ATTENTION APPLICATION APPROVAL .... 0"me"'o a Lhd u' Or'Ze a authorized a gent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriz. AUTHORIZES This application is not a permit until ad thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her a I Cod of the State of Washington relating to Workmen's Compensa. WORK NOTED Deputy; and fees are paid, and receipt is a tion'insurance and RCW 18.27. INSPECTION acknowledged in space provided. 51 TURE IOWNER OR AVENTI DA SIGNED DEPARTMENT I CITY OF OFFICI 5 0 TE .9 EDMONDS IAWEiSMY CALL FOIR V ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL - File YELLOW - ImSpeClor 771-0220 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC CHAPTER 3. PINK - Ov.�e, GOLD - Assessor 1 890 . 199- CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works * Planning o Parks and Recreation * Engineering October 11, 1993 Archie Butler 23125 Highway 99 Edmonds, WA 98026 RE: Case # ZE-93-61 Dear Mr. Butler: LAURA M. HALL MAYOR Isr/k.er. P14 At! I am writing to inform you that a site inspection was made at your property located at 23125 Highway 99. This inspection revealed a violation of the Edmonds Community Development Code (ECDC), Section 20.10.010 and the Uniform Building Code, Section 301 (a) specifically,. the construction of a garage without obtaining Architecture Design Board approval and a building permit. I The Planning Division is quite concerned with the correction of this matter and understands that you may not have been aware of this ordinance. Therefore, you must submit your application for Architecture Design Board review by November 10, 1993. Failure to apply for review by the aforementioned date shall require this office to take the necessary legal action to obtain compliance, including fines of $100.00 per day until compliance is obtained. Your cooperation and prompt attention to this matter is greatly appreciated. If you have any questions, please contact me a 771-0220. Sincerely, Ann Bullis Code Enforcement Technician cc:,, File ZE-93-61 e*-1B"Livijh,-'i;;n0 Dept. 0 Incbrporated August 11, 1890 * Sister Cities International — Hekinan, Japan I CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202 COMMUNITY SERVICES: Public Works o Planning * Parks and Recreation o Engineering 8 90 - 19 9 April 17, 1991 Archie Butler The Butler Did It P. 0. Box 55178 Seattle, WA 98155 Re: Construction of 5' concrete sidewalk and paving repair at 23125 D Highway 99 Dear Archie, LARRY S. NAUGHTEN MAYOR -71 "1 `446* PETER E. HAHN DIRECTOR On April 11, 1991, 1 conducted an engineering final inspection of the - above subject and found the work to be in accordance with City standards.. - If you have any questions, please call me. Sincerely, ADDISON L. CHRISMAN IV Engineering Inspector ALC/sdt c: Sharon Nolan, Permit Coordinator BUTLER/TXTST530 0 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan 4;-1CfA OF EDMONDS Permit No.q. 1-07 COMMUNITY SERVI CES DEPARTMENT S_ 11 RIOHT-4-WAY CONSTRUCTiON PERMIT Issue Date, >4 Z 0 U 04 0 W4 A. 0 Owner: - A, 1� JT L� B. 9 Contractor: (c K04 -h-� 6 1 -,7(— Name Name Mailing Address ing Addresp, F f) A.... u Ai I c', 1, A i A , 9 tO 2-o t�AfAjliifl Oil UiA' City State Zi Cit� . State Zip StateLicense Number ofte Number % ) , \,"Telepff C. * Address or Vicinity of Construction: Type of Work to be Done: D. 0 Work in Connection With: 0 Sub or Plat 11 Single Family 'EfCi ojects X Commercial 0 Multifamily 0 Utili Z'4� E. 9 Pavement Cut:' El Y AN F. 0 Size of Cut: X APPLICANT TO READ AND SIGN INDEMNITY:* Applicant understands- and by his signature to this application, agrees to,hold 'the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may be made against the City of Edmonds, or any of its departme ts or employees, including or not limited to the defense of any legal proceedings including defense costs, court _LZ a�tofney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKNrANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION,AND, ACCEPTANCE OF THE WORK. Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be processed for issuance to the applicant. • A .24 hour notice is required. for inspection; Please call Engineering: 771-3202 • Work is.to be inspected during progress and at.completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance* with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; NO EXCEPTIONS. I understand the above and that this permit must be available -at the job site for inspection purposes at all times. Signature: (a.<, Date: L3 Owner or Contractor This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning. Work , APPROVED . BY: AL& Time Authorized: Void after -30 -days. Special Conditions: RELEASED BY: -&-y - Date S'- I b I I PERMIT FEiP-30eo Restoration Fee: Receipt No.: Fund I I I Fee: Street Cut Dimensions: INSPECTED BY Date '6-26 A NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE ing. uiv. marm mg FIELD INSPECTION NOTES (Fund I I I - Route copy to Street De t.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 0 the cost of installation is $25-30 plus replacement and maintenance. He also said the speed limit in the City is 25 mph unless otherwise posted and the oli f th City Is to limit the number of signs used throughout the City. Mr., Ad:ms C i eere is no question that it will be more convenient for people to use the interiMA0. it 80th and 196th once the light is installed. Discussion concerning the use of W4.0 lines on the street produced the idea that the line might be removed after the 1 rAP),- is installed and traffic is reduced. COUNCILMEMBER OSTROM MOVED, SECONDED BY COUNCILMEMBER HALL, TO LEAVE THE STOP SIGNS AT DELLWOOD DRIVE AND 78TH AVENUE WEST. MOTION CARRIED. HEARING ON APPEAL OF HEARING EXAMINER DECISION REGARDING A VARIANCE TO STREET LANDSCAPING REQUIREMENT AT 23125 HIGHWAY 99 (V-19-83/BUTLER) Planning Director Mary Lou Block said the appellant is seeking to modify the Hearing Examiner's decision regarding his variance request in which he requested a reduction in the amount of landscaping required to be located in the street setback for his business at the above address. Ms. Block reviewed the Hearing Examiners Report. His recommendation was for approval of the variance. subject to the following conditions: 1. There shall be 11' feet of landscaping and a 5' concrete sidewalk located between existing curb and the pump islands. 2. The Applicant shall submit the landscape plan for review and approval by the . City of Edmonds Architectural Design Board. Ms. Block described the variance request and showed the dimensions involved on an overhead projection. She said the applicant received a variance from the Hearing Examiner and is requesting an additional variance. Archie Butler, 23125 Highway 99, said it would be unfair and would cut down on business if he were not allowed to use both sides of the gasoline pumps. He said the gasoline pumps are used to attract people to the upholstery business. He .also plans to add a detail shop behind the main building and will need more parking space. He has place.d a bond for construction of the sidewalk. He stated no other businesses north or south.of him have a sidewalk. He would like to have the side - Walk, but less landscaping, to allow him to use both sides of the pumps. It is his contention that the beautification program is to beautify but not to harm local businesses. He has just recently purchased the property and feels that loss of use of the pumps will lower its value. In response to a question from Councilmember Dwyer, Mr. Butler said he had received no benefit from the Hearing Examiner. Council President Jaech commented that the benefit received was a reduction in the landscaping Code requirement from 15' feet to 11', which allowed use of one side of the pumps rather than having to take them out completely. Mr. Butler said that it is not only the monetary consideration, but the space is needed on both sides of the pump island to access the working areas of the building. He said because they had done a short -subdivision when he purchased the property, he was now being made to comply with the code when no other businesses near him are having to do so. Ms. Block said the short -subdivision was the occasion for imposing the code. Since there was no one else wishing to speak, the hearing was -closed. Council President Jaech noted in checking gas stations within the City limits, almost all have over 20' feet between the pump islands and the roadway. The majority of these stations were not on an arterial such as Mr. Butler is. In response, Mr. Butler asked if there were not some type of grandfather clause to protect existing structures such as his. Councilmember Kasper asked if Mr. Butler had approached the City prior to purchasing the property. Mr. Butler said he had purchased it as a service station, for which it had been used for the last 30 years. Ms. Block responded to a question from Councilmember Hall, that sidewalks are being imposed as property develops. Property to the south has a sidewalk that greatly enhances the area and provides a safe walking area for pedestrians. She said that is what the City is trying to do all along there. She commented that the decision by EDMONDS CITY COUNCIL MINUTES Page 7 - March 20, 1984 theHearing Examiner provided landscaping and allows the pumps to be used from one side. In response to a question from Councilmember Dwyer, she said there is 8' in .the right-of-way to the curb line; then there is 10' to the pump island. A 9'-wide car parked 2 feet from the pump island would be into the right-of-way by I foot, 7 feet from the highway and 2 feet from the sidewalk. She added that City regulations supercede any State regulations. In response to a question from the Council, Mr. Eames said the applicant had asked for approval of a particular subdivision. At that time, the Code requires that the property be consistent with the Zoning. He is asking for a variance, which is a special exception that, if it is granted, must meet specific criteria set out in state law. Essentially, the purpose of the variance is to recognize that uniform application of a,particular law to everyone may deprive a particular person in a particular circumstance of rights to property development that others would have. In terms of granting a special exception, the City may not attach timing conditions. It is required that only the minimum amount of variance required be granted to give the property owner the same rights to use of property as another would have. The special criteria are listed by the Hearing Examiner in his report. Discussion followed concerning whether the landscaping requirement would be for beautification or safety. The staff was requested to provide information whether allowing tars on both sides of the pump island would pose a safety hazard. Ms. Block commented that safety was not the issue for the variance, it was from a landscaping requirement. COUNCIL PRESIDENT JAECH MOVED, SECONDED BY COUNCILMEMBER HALL, THAT THIS ITEM BE CONTINUED TO THE APRIL 3 AGENDA. MOTION CARRIED. FURTHER DISCUSSION REGARDING VISITOR INFORMATION CENTER Mayor Naughten introduced Susan Moore, Chairman of the, Task Force for the County -wide visitor information center, a function of the Tourism Committee of the South Snoho- mish Chamber of Commerce. Ms. Moore reported that a site had been selected at 164th St. S. W. and.17th W. She said -the County Prosecutor'.s Office had redrafted the interlocal. agreement. Councilmember Dwyer stated he had read through the new agree- ment and the language which had been questioned by the Council at their last meeting had been eliminated. Ms. Moore explained that the percentages were determined by a volunteer for the task force and were'an attempt to determine financial responsi- bility equitably for all of the cities and the county. As an aside, she noted that most of the population and hotel rooms are located in unincorporated areas so the County will be responsible for a large portion of the budget. Mayor Naughten commented that the City has protection since the agreement will require yearly pproval. He said the $1600 investment by Edmonds should result in an economic sset. Ms. Moore reiterated that the interlocal agreement needs to be signed. Many legal matters are being handled by the Task Force; however, the Task Force wishes to get an interlocal board seated to assume that responsibility. COUNCILMEMBER KASPER MOVED, SECONDED BY COUNCILMEMBER WILSON, THAT THE INTERLOCAL AGREEMENT BE ADOPTED AS PRESENTED. MOTION CARRIED. AUTHORIZATION TO PURCHASE TWO REPLACEMENT VEHICLES [Item (G) on Consent Agenda] Councilmember Kasper questioned whether the vehicles would be purchased or leased and what kind of vehicle would the City get? Acting Public Works Supervisor Bobby Mills replied they would be leased and the type is not known since they will take the best vehicle for the money. COUNCILMEMBER KASPER MOVED, SECONDED BY COUNCILMEMBER HALL, TO APPROVE -ITEM (G). MOTION CARRIED. AUTHORIZATION TO PURCHASE TWO REPLACEMENT VEHICLES AND ONE ADDITIONAL VEHICLE FROM THE STATE CONTRACT [Item (H) on the Consent Agenda] Councilmember Kasper asked for clarification of this item also. Mr. Mills said this would be a purchase on the State Contract and the vehicle would be a Chevrolet. COUNCILMEMBER KASPER MOVED, SECONDED BY COUNCILMEMBER.HALL, THAT ITEM (H) BE ACCEPTED. There was discussion as to the color of the vehicles. COUNCILMEMBER KASPER ADDED THE PROVISION THAT THE COLOR OF THE VEHICLES BE EDMONDS BLUE IF POSSI- BLE. MOTION CARRIED. EDMONDS CITY COUNCIL MINUTES is Page 8 - March 20, 1984 Side Setwer Drawing The City of Edmonds EASEMENT NO - ------------------- ---------- - ------------ P�,EW CONSTRUCTION REPAIRS F-1 LID NO - ------------------ ASMT. NO - ------------------ OWNER-- ------------------------------------- -------------------------------- CONTRACTOR ----------------------------------------- — -------- ............................... PERMIT NO . ................. 0 on \Q --9-9.- LEGAL DESCRIPTION: LOT NO . ........ ---------------------- BLOCK NO . ............. ...................... JOB ADDRESS -------------- t4tGi4 --- 0 0 PWW-0001-1 1/75 (REV.1 1/78) NAMEOF ADDITION ---------------- --------------------------------------------------------------------- --------------------------- '-6 E W F- R TE457LD ON RIOM 90L.LAr4D EvFmErr AKAu 9 ocn -Se3 —14.dc co Approved: DATE ............................................ By A .. .......... ------ ------------ 0 0 Critical Areas Checklist Site Information ProjectName: —&Heg- 6)d6 Permit.Number: Site Location: Z,31 2-5- Hwy Property Tax Account Number. �2 76 2-006 Approximate Site Size (acres or square feet): Have you filled out a Critical Areas Checklist for a project on this site before? Y7 0 - General Site Conditions 1. Has the site been cleared or logged? VA e c, Date of most recent action: J Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 3. Describe the general site topography. Check all that apply., —Flat: less than 5 feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10 fea over a horizontal distance of 66 feet.) Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10 feet of horizontal distance.) —Steep: grades of greater than 30% present on site. Comments Hydrology/Vegetation 4. Site contains areas of year-round standing water. 5. 0 WJ Site contains areas of seasonal standing water Y\- 0 Approx. Depth: V\k4 Site is in the floodway Y'\-� floodplain 1.8 6 of a water course. Site contains a cree� or an area where water flows across the grounds surface? are year-round? Y� I (k Flows are seasonal? 8. Site is primarily: forested ;meadow shrubs _;mixed 9. Obvious wetland is present on site: 10. Wetland inventory or map indicates wetland present on site: 7 -is not required. .. ........ 'WAIVER."Ceitical areas study Determination Number.- Reviewer Plann Date Rey M27/92 690.199- City of Edmonds Critical Areas Checklist The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are or may be present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant� or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review - the checklist, make a precursory site visit� and make a determination of the subsequent steps necessary to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: "qrr hie- BlAY-Ify- J Name Title C:� 3 / 0 s // U-) Street Address EdwofidS -, IAJA q90 20 City, State, ZIP Phone Signature Date Applicant Representative: Nwne Ties idyw� Title 1933 / �;6 �� S7L W - SYe 20�Z Street Address Edwodl-5, a/,+ 7-7V-,,�EcU City, State, ZIP Phone r-,kAAA —6/— � �2— Signature Date CITY OF EDMONDS USE ZONE PERMIT r771 III - NUMBER 9.40 -147 CONSTRUCTION PERMIT APPLICATION SUITE -APT ADDRESS 2,3125 IVWY A60 AS OWNER NAME NAME OF BUSINESS A Nc yl-�% C LEGAL DESCRIPTION CHT7510N NO LID NO MAILING ADDRESS -- Z / k) _ 3: J� 0 P 1) S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. :XISTING - REOUIRED DEDICATIO14 - ROPOSED TESCP Approved 0 RW Permit Required 0 Street U.. Permit Req'd 0 Inspection Required D Side,valk Required 13 ---T-TELEPHONE CITY Lie N MBER u -7 -7 5 u NAME METER SIZE LINE SIZE NO, OF FI.TUR1j-r -PRV REOUMED YES 13 NO 0 L) ADDRESS REMARKS Z L) M< CITY ZIP NUMBER Z ITELEPHONE NAME A li�- C.- p, ADDRESS 0 Cj . -)-, -L S 0,�,j -- ; ENGINEERING MEMO DATED REVIEWED BY CITY ZIP Z TELEPHONE N �YMEER FIRE MEMO DATED REVIEWEb.Y STA I N U EXPIRATION DATE /* t 00"tr4o" SIGN AREA SEPA REVIEW NO. ALLOWED I PROPOSED COMP LETE JE ?5ADS - /70 - 7 SHORELINE# Legal DesCAption of Property - include all easements EXP V ANCE OR CU ARI P N REVIEW BY D party Pro G -7-06) Tax Ac ount SETBACKS - FEET HEIGHT FRO I ell S I D E REARe) LOT COVERAdE Z Z AEMAR KS Parcel No. NEW RESIDER IAL PLUMBING EDOITI MECHANICAL l A ON E3 COMMERCIAL ElREMODEL APT.BLOG. SIGN GRADING NCE REPAIR .,.S. FE x CHECKED BY TYPE OF CONSTRUCTI N �Z� DE OCCUPA T GROUA W "POOSTOVE im POOL SER El sw DEMOI��[] HOT TUBtSPA AR 0 RETAINING WALL/ [D,?RPAZE FIT ROCKERY RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: -)-4 ',�- 1p,� (. (= ;iliI, INSPECTO SPECIAL R REOUIRED E3 AREA 066 OCCUPANT LOAD MARKS PROGRESS INSPECTIONS PER USC 305 Z NUMBER OF NUM.LFIR OF D .L No U C CRITI AL AREAS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED c7-t- Ii-� E- N 1,� JT F'OL S4� VALUATION FEE PLAN CHECK FEE BUILDING 7904- HEAT SOURCE: ,,"i () NJ I.�:- o GLAZING PLUMBING Plan Check No. MECHANICAL GRADINGIFILL This Permit covers workto be done on private property ONLY. Any construction on the public domain (curLs, sidewolks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE ENO. INSPECTION FEE --- 17 "Applicant. on behalf of his or her spouse. heirs, assigns and o successors in interest. agrees to indemnity. 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 PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance provision." 1:11 TOTAL AMOUNT DUE 1 hereby acknowledge that I have read this application; that the information given Is correct; and that I am the owner, or the duly ATTENTION APPLICA N APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until .late laws regulating Construction; and in doing the work authoriz- ALIT HORIZE S a ' re sl� ae' W' ed no person will be employed in violation of the Labor ONLY THE signed by- the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid. and receipt is tion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. Lthereby, SIGNATURE iOWNER OR AULN" DEPARTMENT WONATURE I /DATE CITY OF EDMONDS 4ELE T1 CALL FOR .ATTENTION INSPECTION IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNIII. A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 71-0220 ORIGINAL - File YELLOW - Inspector 7 Flf!�!FICATE OF OCCUPANCY HAS BEEN GRANTED. USC 01", r,0[ r) - ASSeSSor & 9 0 - 1 9 c� — City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT. Permit Number: & Issue Date:. 110k NMI A. Address or Vicinity of Construction: 11#111R�� B. Type of Work (be specific)WnSt PE IP Main in Hwy. 99 f rom 4901 S,.to 540' S of c/1 230 St. SW Per Attached Drawing #920-756 (2) C. Contractor: —Wash. Nat'l. Gas Co. Contact: Frank Swan MailingAddress: 815 Mercer St. Seattle, Wn Phone: 224-2278 State License #: D. Building Permit # (if applicable): E. El Commercial El Subdivision F1 Multi-FamijX_4A=4jag.Je Family (2,44 Liability Insurance: _ Bond: $ Side Sewer Permit # (if applicable): 11fifity (PUD, GTE, WNG, CABLE, WATER) City Project U Other 6'4)� INSPECTOR: 41 4ffj F. Pavement or Concrek—�- UYes E]No (3)G. Size of Cut: , 2' x 'y APPLICANT TO READ AND -SIGN INDEMNITY. Applicant understands and by his signature to this application, agrees to hold AeCity ofEbnonds harmlessftom injuries, damages, or claims of any )Und or description whatsoever, foreseen or unforeen, that may be made against the Chy o�Edmonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings , including defense costs, and attorney fees by reasonopf"nd 71 is permtQ.-Z THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP A AD MA TERIALS FOR AjPERIOD OF ONE YEAR FOLLO VNG THE FINAL INSPEC77ON AND ACCEPTANCE OF THE WORK ES77MATED RESTORA 77ON FEES WILL BE HELD UN77L, THE FINAL STREET P,*kHI1Nt00fiPPETED BY C17Y FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Departme Work is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. 771-0220 Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of t' or NO EXCEPTIONS. I 1hely, �ipg day; I have read the above statements and understand_L1xpermit requi . rements and the pink copy of the permit will be available on site at all timesfor inspection purposes5��. Signature: Date: July 10, 1992 (Contractor or Agent) .,COMMENTS:. RECEIPT 4 .......... . .. ...... . ..... ..... ...... ................. NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCT Engrg. Div. 1991 I " FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 I'm CITY OF EDMONDS COUSTRUCTION PERMIT APPLICATION OWNERINAME /NAME OF EWSINESS I I - , I MAI MOMIM 111711023ft-lim TEI�EPHONE NUMBER 5% — ILI US, ZONEr PERMIT NUMBER JOB ADDRESS 061 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING —REQUIRED DEDICATION PROPOSED METER SIZE I LINE SIZE r NO _0F FIXTUF NO. TESCP Approved 0 RW Permit Required 0 Street Use Permit Req'd 0 Inspection Required 11 Sidewalk Required 13 Cr W PRV REQUIRED YES 0 NO C1 a: I W Z .11 ADDRESS '0' 92-- 2- VA OR C 'ENGINEERING MEMO DATED REVIEWED BY CITY ZIP a TELEPHONE. NUMBER. - -"? Lf.,:, 77 1 _3 �FiRE MEN40 DATED REVIEWED BY a EXPIRATION 0 ATE (�EF L tj LQj 6 . I SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPLETE EX/ ADB NO. Legal Description of Property - include all easements I EXP I ORELINE N / Va VARIANCE OR CU 106-917mw By Uj j ..ParcelNo. SETBACKS FEET FRONT SIDE REAR HEIGHT LOT CEVERAGE Z Z Z Property Tax Account 5767-ooD-(0141-IJ REMARKS NEW RESIDENTIAL PLUMBING ElADDITION COMMERCIAL MECHANICAL Z 2 Uj 01OF M 0 REMODEL APT. BLDG. GRADING CYDS. ,REPAIR WOODSTOVE EM , D 'OLISH INSERT GARAGE RETAINING WALL/ .0c F-1 ROCKERY SIGN FENCE L_ x _FT) SWIM POOL HOT TUB/SPA El RENEWAL 'CHECKED BY TYPE OF CONSTRUCTI ON 7V CODE SPECIAL INSPECTOR REQUIRED 0-YES AREA% 2 M60 OCCUPANT LOAD 'REMARKS PROGRESS INSPECTIONS PER UBC 305 Z (TYPE OF USE, BUSINIE�p OR ACTIVITY) EXPLAIN: A b -rn R rz PA A NUMBER NUMBER OF DWELLING STORIES UNITS Aj //f CRITICAL AREAS NUMBER 1A M to -1 DESCF11]JE WORK TO BE DONE (ATTACH PLOIT PLAN) I INAL INSPECI F FINAL INSPECTION REQUIRED iv, VALUATION FEE PLAN CH7ECK FE 7 E 07 -4 < BUILDING a. &51� HEAT SO FIC .4%fCr Wit 7 e GLAZING /4/. PLUMBING Plan Check No. 94, -C�liz- MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. 'STATE SURCHARGE Permit Application: 180 Days I Permit Limit: I Year - Provided Work Is Started Within lio Dayk STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE successors in lnterest� A`g�ees to ipder.nnify,( defend and hold harmless the City 61 Edmonds, Washington, its officials, ,z employees, and agents from any and all ciaj�n�-'for damages of cr whatever nature, arising directly or indirectly from the issuance of this pe mit. Issuance of this permit �shall not be deemed to PLAN CHECK DEPOSIT *,O� modify, waive or reduce any requirement of any city ordinance limit in the City's nor any way ability to enforce any ordinance TOTAL AMOUNT DUE :�s provision." I , I hereby acknowledge that I have read this application; that the M information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT .1 . state laws regulating c6fttfuctlon; and In doing the work authoriz- AUTHORIZES This application is not a permit until ed/fF)lreby, nc;_person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her qbdfi of the State of Was hi gton relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is 4 Insurance and R I do CW 27. I�SPECTION' acknowledged in space provided. Y'll 1-1 NT DATE MINE DEPARTMENT CITY OF TURE Z 7- 25 U EDMONDS AT7ENTIO CALL FOR DATE —0p,^ 3 tj UNLAWFI��'k TO USE OR OCCUPY A BUILDING OR STRUCTURE INSPECTION f - UNflL A FINALi INSPECTION HAS BEEN MADE AND APPROVAL OR 771m0220 ORIGINAL — File YELLOW — Inspector A CERTfFICATE OF OCCUPANCY HAS . BEEN GRANTED. UBC :3. 0 . APTER i9w PINK — Owner GOLD — Assessor DATE RECEIV7. 1,,, IU PERMIT EXPIRES F CITY 7F EDMONDS USE PERMIT ZONE C, N U M B E R CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS �) ) 2 () t�,A/ q,q OWNER NAMEINAME OF BUSINESS / q 0 M _1?5, Q' &// C,4) PLAT NAME/SUBDIVI SION NO. LOT NO. I LID NO. LID FEE $ LW U z �: MAILING ADDRESS z / PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appnwed 0 0 EXISTING PROPOSED RW Permit Required 0 Street Use Permit Req'd 0 Inspection Required 0 CITY Zip TELEPHONE ;0& REQUIRED DEDICATION FT Sidewalk Required Underground Wiring required 0 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 NO 0 0 .1 ADDRESS REMARKS LU z z 0 OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 0 M z W CITY ZIP TELEPHONE NAME T cg V I ce, 1,0C, ENGINEERING ...... REVIEWED/DATE ADDRESS 0 F(E RXt�" DAT E (91 W LL z 0 CITY ZIP TELEPHONE �YIA� 2_o�, 74, e)NO STATE LICENSE NUMBER EXPIRATION DATE IA.NCE OR CP SHORELINE OR ADB# INSPECTION t /�orn 0 L REO'D [-)YES (-]NO IPBOND. OSTED SEPA REVIEW COMPLETE EXEMPT SIGN AREA A 'LLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. W -7-000-olL4- 1,-�01 I I EXP W-NE W RESIDENTIAL PLUMBING( -ME �< LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) 1__� FRONT URSIDE REAR 0 ADDITION OMMERCIAL o COMPLIANCE OR 1 /196 CHANGE OF USE z PARKING REO'D PROVIDED ILOT AREAJPLANNING REVIEWED BY DATE 0 REMODEL C] APARTMENT 0 SIGN 5 REPAIR GRADING [:] FENCE X CYDS FT) REMARKS DEMOLISH E] TANK o OTHER z 0 GARAGE ROETAINING WALL 'RENEWAL CARPORT R CKERY 0 P IL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: Pp9t CHECKEDBY C N FE q 1,'70 lxfptl!� JTYP�� 4077- OCCUPANT L L B-&- L) GROUP WW NUMBER OF NWUMBEIR OFii D ELL NG CRITICAL AREAS IT_ SPECIAL INSPECTOR AREA OCCUPANT 0 STORIES UNITS NUMBER REQUIRED 0 YES I LOAD DESCRIBE WORK TO BE DONE -/A! 57714,�_. V/)- e-oyx/'k, // � — . REMARKS PROG RESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D z 9 5 A4_ -Sme4i�,r,, a 4C VALUATION FEE PLAN CHECK FEE HEATSOURCE GLAZING % LOT SLOPE % 0 1 BUILDING P4AN CHECK NO: VESTED DATE PLUMBING MECHANICAL 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 GRADING/FILL SEPARATE PERMISSION. STATE SURCHARGE W PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE uj IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF .j 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, -AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY I _j FROM THE ISSUANCE OF THIS PERMIT. ISSUANdE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE RECEIPT —1 -1 ULJ PLAN CHECK DEPOSIT P-0-4- 0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- RECE17T,�, -7 .z. - TOTAL AMOUNT DUE .0c) I 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 — . APPLIbATION APPROVAL — THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed' by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED 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. W61f, KMEN'S COMPENSATION INSURANCE AND RCW 18.27. I I �SIGI�ATURE (OWNERJR DATE SIGNED OF IALS SIGNAT D A_U (425) `J� 771-0220 Rlft_Ej,�ED BY DATE AfTE Pd 10 N.1 TO OCCUPY EXT/333 :41 IT IS UNLAWFUL USE OR A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL - FILE YELLOW - INSPECTOR FAX PINK - OWNER GOLD ASSESSOR 5/98 - t'DATE RECEIVED EXPIRES PERMIT USE PERMIT ZONE CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB i SUITE ADDRESSI=� *q, t.A . V! ',A'.iE NAME OF BUSINESS PLAT NAMEISUBDIVISION NO OT NO. L D NO. F L�D FEE $ ADDRESS e, I Irl �h-k.- �` ) flt PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESC P Approved 0 RW Permit Required 0 EXISTING — PROPOSED Street Use Permit Roq'd 0 inspection Required 0 Sidewalk Required 0 CITY ZIP TELEPHONE REQUIRED DEDICATION— FT Underground wiring required 0 METER SIZE LINE SIZE NO. OF FIXTURES REQUIRED NAM E YEPROV NO 0 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z z z u :: ADDRESS c _'. j Lu r CITY zip LEPHONE YME ENGINEERING PIEVIEWED/DATE ADDRESS LN FIR�,REYI�W�D BY DATE , z r LU U. CITY 7 TE. �EPII )PNE VARIANCE OPI�dt.l SHORELINE OR ADB# INSPECTION REO'D BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY 0 YES 0 NO SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPEF�TXJAX ACCOUNT PARCEL NO. U I I I -if EXP RESIDENTIAL MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) FRONT L/R SIDE REAR NEW PLUMBING ALLOWED PROPOSED FRONT SIDE REAR I COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE I z z PARKING LOT AREA A. N�ING f.;Ey.i�WED B�;` DATE f _j REMODEL APARTMENT SIGN REO'D PROVIDED ],PL . Q. FENCE 2: REMARKS C] GRADING REPAIR CYDS ( X FT) OTHER DEMOLISH TANK t - 6 . ..... if Z o GARAGE Cj ROETAIN G WALL RENEWAL CARPORT R CKE��_ 0 p (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 0. , ''I j CHECKED BY TYPE OF CONSTRUCTION OCCUPA�T U GROUP,, Lu NUMBER a 1, OF NUMBER OF DWELLING I CRITICAL AREAS SPECIAL INSPECTOR JAREA OCCUPANT' 0 STORIES UNITS REQUIRED [] YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D z 8 t rr j VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZI 1. NG% LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 116 t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC . . i :r 1 ., !, jaR I DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE cc PERMIT APPLICATION: 180 DAYS LU PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION �kii,,;igPECTION FEE "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE cc ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY 4 RECEIPT PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE x FROM THE ISSUANCE OF THIS PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 1 1:;, I If I 0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION." RECEIr(4,,,, TOTAL AMOUNT DUE �� I 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 THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED 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 COMPENSATION INSURANCE AND RCW 18.27. OFF!Q1,SL$, SIGYJURE D�TE SIGNATURE (OWNER OW,�&ENTj'_`� DATE SIGNED (425) yli� 771-0220 ELEASED BY DATE ,q ATTENTION EXT 333 IT IS UNLAWFUL T6USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL r 771-0221 A FINAL INSPECT ION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD -ASSESSOR NOTES: z5o ry inn J,/9", sw. FIF-Lo LOC-&.TE' At-L UrILITIFES� 4e� 14CLJV;-wS E50F=,C>9--� t>j&6%i-&c2 t:7F-TER�--r W.&P-tft-� Wlrze S. t!, !!!� 4-r-Ar> - -3, Vj=q,-T-tCt�..L__ c-t-ry U-nL-ITIM'S. a,. -4�1- S'rT?-r-e-T- "ev 14 t-IZ55 7(o 1 4'- -3 C, -7 5 C) 70 80 Z S.1>17-41 7o E -.1 UUAN 1, BILL OF MATERIAL "C--= 31-Z�77-4 P1-A*T f co f,1 A 1' AM. --A: TAX COPP Ma C'. SD2-11 PE I P MAIN EKT. INV'A A I n E V 1 S 10- NS so, ww;y 99 1:2:, Zo - 7, -\ !�RAWIHG ri to L�Y LANO e,,(rKF-Z -4 CTT CD 51 TE I LAN 6CAL�-: I"- -30'-o" -A *-P tlAM-P- e?ft� P 1! f 4 C- m X ol w 70 - al IT *A � 94e, A CO 4 pd4 L T6' �AH F'F-o v 7) 10! xe MIN