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630 MAIN ST.PDF11975 630 MAIN ST BUI LOING SEP 18 1996 STnET USE PEPSET APPLICAMN . STREET FILE WOMMMMOMMOM MI NAbM OF BUSINTS& C, CONTACT FEWN AND PHONE N1 ADDRESS OF PUBLIC USE: C 11 Describe theyublic_place or portion of public space to be utilized: Specify the Vfpe / of use desired - /oc,4TT ��7 CF ZlAwzAfa� Specify the length of time for use: f42Kff&&jd:E NOM, The issuance ofthis permit is undirstood by the applicant to be ofa timporary nature and that no vested right is $ranted INDMNITY: The Ipplican? understandi and by hfvhe,- signature to this application, agrees to hold the City ofEdmonds h4rmlessfrom any Infuries, damages or claim; of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edinondy� or any of Its departments or employeas, including but not limited to the defense or any legal proceedings Including defense costs, court costs, and attorneyfees by reason of8ranling this permit. In addition, the application understands that the Ctlyshall be provided a Certificate ofInsurance to 4ndemnitv and hold harmless the City of Edmondsfrom all claims ondlor property damagY, and naming the City ofEdmonds as an additional Insured CODE A PPIJCA VOY- By signing the application below the applicant warrants thats1he has read or had the opportunlry to read Chapter 18 ofthe Edmonds Community Development Code and Ae understands that all terms of the adopted ordinance are Incorporated herein as ifstifoeth Injull and this application and permits therefore are sub/dct to the terms of that Chapter. STRUSEHOMOMG/2-95 SIGNATURE OF APPROVAL FROM ABLrfTING PROPERTY OWNERS When applicable, If the street use proposal directly impacts any adjacent business or private property -,owner the applicant must obtain written approval from the affected parties. This requirement is evaluated by City Staff after the initial submittal of the application. Signature— Address— Sisnatur Address, Signature— Address Signature. Address, DO NOT WRXM BELOW TEES LINE --FOR CITY USE ONLY Planning Division Review: Public Works Review: Fire Department Review: 2 Approved By Date, Itamn Approved;By Approved By Police Department Review: Approved B� ')- 2c - 71�, -,q - I q -it' Perrit Coordinator Review: Certificate of Insurance Verified V:Z8._-9(o -- c)A::� ��_ Engineering Division Review: Bond Required Amount $ - - - 0 Approved By Dated 9�4 W-fk— Re marks or Comments: PEFIVU # C DATE OF ISSUANCE ? (el 7(07/7— 1 - _: C'V_ Y_ — � F RELEASED BY RECEIPT # -,Pl f� STRUSEHOMOCILG12-95 Rei-VE �SHOUA:V SAAAK lu. ISr- (,A—,St'4RVNC, Z T�Wt' -SIVK + OUA:Zr opw Um�v� T'NEW P - ACM#w VXISrtgco Yt*Kr. WA%4 4. lusnyi- Ggas ZAC IP 0�.� .149 Mir, OVA i A�kn v r k�l a e- 1 ssw w0voor. E.. Alt f f �w- o: 4,61 NORK RiA. ro 7 V4-TEM9?.A"Mf WAW s Olt- CA-. i. e *4:! OLJ ITV 12) PON A GAIM IZ -ro FKin-Y- OWN" Dal; %;07 4 -AA-400 swove. 0/0, Eltap. LINE A4/" fn usr /V_ ttfa" VC10 be "Oso, CITY OF EDMONDS BARBARA FAHEY MAYOR 250 5TH AVENUE NORTH - EDMONDS, WA 98020 * (206) 771-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT <tls t Public Works * Planning * Parks and Recreation Engineering May 20, 1997 ()0 John & Sandra McDonald 8618 185th Pl. SW Edmonds, WA 98026 Re: Street Use Renewal Fee Permit #96-17 As required by City Ordinance #2972, Street Use permit' renewal fees are now collected every three years instead of yearly. The first effective billing date was 1/1/96 however, due to staff shortages, the City was unable to send out this billing for the period 1/96 to 1/99. Please remit renewal fees in the amount of $25.00 to the City of Edmonds, c/o Building Division, Permit Specialist, 250 5th Avenue North, Edmonds, Washington 98020 within 15 days date of this letter. If this permit is no longer applicable i.e., you no longer utilize that portion of the City rigbt-of-way granted under the street use permit; please notify the Building Division in writing so that we may cancel the permit. As permit holder it is your responsibility to inspect the permitted use for safety hazards on a yearly basis. As a reminder your Certificate of Insurance will expire on 3/l/98. Please continue to send us updated renewal certificates. If you have any questions please feel free to call me at 771-0220. Thank you, Vivienne Myers Permit Specialist * Incorporated August 11, 1890 * Aktpr (75tior, IntarnnfinnnI — Holeinnn .1nn=n ACO&D CERTIFICATE OF LIABILITY INSURANCE DATE T01124/2007 I PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McDONALD McGARRY INSURANCE BROKERS 630 MAIN STREET ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE EDMONDS WA 98020-3056 INSURED MCDONALD MCGARRY INSURANCE BROKERS 630 M�Ik_ST INSURER A: AMERICAN ECONOMY INSURANCE COMPANY INSURER B: INSURER C: INSURER D: EDMONDS WA 98020-3056 INSURER E: f't-% A I CO A THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR A TYPE OF INSURANCE GENERAL LIABILITY MERCIAL GENERAL LIABILITY C70MCLAIMS MADE FRIOCCUR POLICY NUMBER 02-BO-469009-4 POLICY EFFECTIVE DATE(MM/DDfYY) 03/01/2007 POLICY EXPIRATION DATE (MM/DDIYY) 03/01/2008 LIMITS EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any on fire) $ 1,000,000 I—ED EXP (Any one pem-L'on) s 10,000 PERSONAL & ADV INJURY $ 1,000,000 -GENERAL AGGREGATE $ 2,000,000 GE EGATE LIMIT APPLIES PER: PRoi E-1 POLICY 7 JEC LOC PRODUCTS - COMPIOP AGG s 1,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ — — BODILY INJURY (Peraccident) — PROPERTYDAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHERTHAN _EAACC AUTO ONLY: AGG s s EXCESS LIABILITY OCCUR F1 CLAIMS MADE DEDUCTIBLE 'RETENTION S WORKERS COMPENSATIO"ND EMPLOYERS* LIABILITY AGGREGATE $ TATU� OT H - I 1WRYS LIMITS ER $ E.L. EACH ACCIDENT $ -E.L. DISEASE - EA EMPLOYEE s E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONSrVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE CERTIFICATE HOLDER NAMED BELOW IS ADDED AS AN ADDITIONAL INSURED AS RESPECTS STREET USE PERMIT NO. 96-17. r9ZOTICIPATC UAI r.00 I I ____ CITY OF EDMONDS BUILDING DIVISION 250 STH AVE N EDMONDS ACORD 25-S (7/97) INS025S (991opi Lc I I _r�- — LAFMLCLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR RFPRFSFNTATIVPQ AUTHORIZED REPRESENTATIVE WA 98020- ELECTRONIC LASER FORMS, INC. - (800)327-0545 I �/_ /Al A, e ACORD CORPORATION 1988 ; . Page, 1 of.2 July 22, 2004 Ms. Ann Bullis City of Edmonds 1215 1h Ave N Edmonds, WA 98020 Re: 630 Main St Building Permit Dear Ms. Bullis: mcDon . g1d p,,,, cGarr 630 Main Street Edmonds, washington 9so20 Flb� (�" We are filing a permit application for approval for two projects at our office. One is an interior remodel, basically moving a bathroom, and the other is to replace an existing deck with a new and larger one. It is my understanding that you interpret the requirements for ADA compliance. There are two issues which our plan raises that I am asking you to consider. For the interior bathroom move, we �xe being asked to replace an existing exterior 32" door with a 36" door. The interior remodel does not in anyway involve new, or a change to exiting, access to the office. In 1996, we purchased this property and converted it to commercial use. At that time, we met all of the 4 ADA stipulations, one of which was to build a handicapped ramp to the exterior 32" door. In the eight years we have been in this office, we have only had one person in a wheelchair come in, and he was able to make it through the 32" door. Because of the multiple additions to this home over its 100+ years, and the rather peculiar height of the door, that door has to be replaced with a custom door. The estimate for the door and its installation is close to $ 1,000. Will you allow us to retain the current door? 2. The second item is again a handicapped access issue, this time to the rear deck. The plans give you a basic understanding of the situation. Please allow me to elaborate. There is approximately a 42" height difference between the deck, which is being built on grade, and the existing handicapped ramp from which the stair to the deck will come. The purpose of the deck is two fold. First, we want to make the back yard more pleasant and secondly we want to do it in a fashion that doesn't require weekly maintenance, like a lawn would. In addition, the stairs that provide access to the rear yard are beginning to decay, so for safety purposes they need to be replaced. (425) 774-3200 www.mcdonafdmcgarry.com (800) 466-4700 Fax (425) 774-3222 In speaking to the counter staff, we have been told that according to a strict interpretation of the ADA codes, we would have to provide new handicapped access to the deck. In order to do so, we would have to remove an existing laurel, cherry, lilac and other smaller plants. The ramp could run parallel to Durbin Dr. and would basically cover the entire existing garden area. There is however barrier free access to the rear yard. This would involve leaving the office across the ramp and heading down the sidewalk to the alley, and then along the alley for about 20' (the length of the garage) and then across the parking area, (the width of the garage) to the deck. I support the intent of the ADA, but in this case, the construction of the ramp would not be in anyone's best interest. First of all, it would require the removal of existing mature landscaping. Second, it would eliminate all privacy for the back yard. The yard runs parallel to the library parking lot. Third, the cost of the ramp is estimated at about $2,500, this is almost 60% of the entire deck project. And finally, the ramp would be of little benefit. I cannot perceive of case in which a wheel chair bound person needing access to that deck. If the situation did arise, the existing access is available and if needed, one of the other employees could provide assistance. . As you can imagine, we are novices at the permitting process. Our goal is to fully comply with all of the applicable building codes. But I believe that the ADA does give some latitude for interpretation and appropriateness of the prescribed remedy. So you can get a fuller understating of the project, I've enclosed a CD with several photos. I hope that these will help you to see the existing plantings and backyard. Furthermore, I would welcome the opportunity to discuss this with you in person, or take you for a "tour", don't worry this lot is small and it won't take long! Ms. Bullis, thank you for your time. I look forward to hearing your decision. Sincerely, McDONALD McGARRY ZJ A. cDonald I f ail�M : ii,(o�hn(-a)i-ncdonal.dnicgarry.coi-n JAM/hs 17 Y-4-rt-L- -C- r6- 2S ---4 vi W ejo ST, 4 10 P LAo-e I 0i C) 4 'SA fjz�-- C -Oq�- (0oct (:>Oo�6 Zone Come r Y Flap, IV JUL 2 3 Setbacks Required Actual Front PERA41T Cot,�, Sides 0 Rear QW6 Copy Other Height /V/X- ROV D BY PLANNING papp. ki L m 17 N 0 (�-30 W *jA-) ST, Dfutc- 0 2. 0 0 TREET F11 E BY PLANNING R-OT (14AJ ?/10/0 ly 1pt�l N�C— r, Zone c Cornery Fla&Z� Sgthacks Reguired Actual Front 0 -- Sides 0— Rear 0 Other - rA- -77 Height AfT4 I #4 kj�c��Ivj�t) JUL 2 3 VO4 PERUIr COIJ Page I of 2 Snohomish0allne Govornment Information & ServWos County4* Washington Structure Information Close Window General Description Parcel Number 00434209700900 (R01) Structure Class Dwelling Structure Type 1 Story w/Basement MCDONALD MCGARRY INSURANCE Year Built 1901 Exterior Features Foundation Conc or CB Exterior Siding -Lap ROOF Type: Gable Pitch Medium Cover Composition Interior Features Bedrooms 2 Full or 3/4 Baths 0 1/2 Baths 1 Heat Forced Hot Air Floor Area Floor I Base SF 942 Finished SF 942 Floor B Base SF 888 Finished SF 0 Garage(s) & Carport(s) Detached Garage SF 323 Other Features http://web5.co.snohomish.wa.uslpropsyslasr-tr-propinqlPropinfoO5-StructData.asp?parcel... 6/30/2004 Page 2 of 2 Close Window http://web5.co.snohomish.wa.uslpropsyslasr-tr-propinqlPropinfoO5-StructData.asp?parcel... 6/30/2004 .06/12/1995 17.:06 2067712125 EVENTFULLY YOURS PAGE 02 a go. L911 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 histher 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 pre=t 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 "mit it to the City. The City will review the checklist, maim a precursory site visit, and maim a determination of the minquent steps necessary to complete a development pmnit application. With a signed copy of this form, the !&�cznt should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other pertimimt Infornmflon (e.g. site plan, topogmphy xnap, etc.) or studies In conjunction with this Checklist to assist staff in completing their preliminary amnsovent of the site. I have completed the attached Critical Area Checklist and aftest that the answers provided are factual, to the best of my knowledge (fill out ft appropriate column below). Owner / Applicant: Name .(030 M I-AJ 3'�- Stred Add 2:52 -n (/Wd 5!VA'Ate' ZIP Phone ZL sipaturc -V Date Appftat Representative: SA,I�L A Sbid Addnm L city, swe, ZIP Phone S40 Date 06/12/1995 -.17: 22 2067712125 EVENTFULLY YOURS CA FILE NO. C(5 -11 (e Critical Areas, Checklist PAGE 0 1 Site Information (soils/topography/hydrokgyfvegd�afion) 1, Site AddresslLocstio.. (050 MA10 St. CMW)Ads 2. Property Tax Account Number: .- —'O'T'Lo"(0 q 100 1000 (a 3. Approximatc Site Size (acres or square feet): 4. Is Ws site currently develoW. —Zyes; no. If yes; how is site developed? S. Describe th6 general site topography. Check all thd apply. Flat: less than 5-het elevation chafe Over entire Site. Rolling: slopes on site generally Ito dm 13% (a vertical rise of 10-feeE over a horizontal dIsta= of 66-fed). Hilly: ilopea present an site of awe than IS% wd less than 30% ( a vertical rise of 10-fect over a horizontal disunce of 33 to 66-fect). Steep: grades of gresta than 30% PMM an site (a vertical rise of 10-feet over a horizontal disbme of less d= 33AW). Other (please describe): 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site. contains amu of seasonal 6tsMing water: AT). Approx. Depth: What senon(s) of the yeat! S. Site Is In the inoodway floodplain of a water counc. 9- Site contains apAk or an swes whete water Rom Senn& the groumis surface? Flows are year - Mac /1 - - Flows aro tmonal? - (What time of you? 10. Site is primarily: forested meadow shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site. RV011"" APPLICATION for The City of Edmonds SME SEWER PERMIT NEW CONSTRUCTION [] REPAIRS E] EASEMENT No . .......................................... 102-04200 OWNER ..... Gu.ts.chmi-ot,-..Ev.ere.t-t ................................................ —... CONTRACTOR .................................................................................................. PERMIT No . ........... .......... ADDRESS -6.30 ... 14a.i.n --- St . .............................................. 1P ...... I ...... — LEGAL DESCRIPTION: LOT No . .................................... ......... BLOCK No . ............................................ NAME OF ADDITION .............. Dye Tested On Sewer July, 1972 Approved: DATE................................................ By ...................................................................... CITY OF EDMONDS 4W PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY CONSTRUCTION PERMIT A. eAddress or vicinity of Construction f> Ivi 0.� Owner:", Name P, 0 - Mailing Address VA� q city, State, Zip Code V V-W J AN 5 1904- Dir. ot Public WOrks Permit No. Issue Date J Aw" 9 Permit Issued To: 9 Type of Work to be Done: Work in Connectio 0 Sub or Plat El Comml. / Ind. Pavement Cut: 5 / V z-:- VJ A I-K Single Family Condo. El No 0U_,.,/"JC- Ale" i�k :2 0 17 Stat License NumbFp I L, � I 77 e5 Z 1�; � I - �,__ �" I _4 - < City, State, Zip Code Telephone Number U NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE. B. APPLICANT TO READ AND SIGN go INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless C) tw from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal 04 proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. �2� 0 U Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year W CQ following the final inspection and acceptance of the restoration by the Engineering Division. 0 Z 0 U Contractor: Name 1-7005-6 o' 00X 1;0_ e-,j Mai li ng,,A�dcl resl er, C� f r�) -_7 Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street . to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension 220. I understand that this permit musebe available at t�"'ejob site for inspection purposes at all times. Date Signature Owner or Agent THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK -/70C. Issued BY: ( Time Authorized: Vold after 00 —days Special Conditions: Ammendments: Permit Fee: ;�� /JCuu, Security Deposit: Receipt No.: Fund I I I Fee: Street Cut Dimensions X * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 Ena. Div. December 1978 4 USE m N MiT, ON" CMY-v� 26NE:.: J�5900NDS "'!" NUMBER UICTION-PERM CPNSTR IT-APPLICATI, 9wNEF1,NAME /NAME bF BUSINESS ADORE SS.'' SUITE/APT 4 'DESCRIPTION D I �.& pm� ()�JP�Ln. -f : ., ir M ARR, I EGAL, C CK SUBDIVISION NO; LID NO, uj MAILING- ADDRESS z 0 F.IUBLIC,RIGHT OF,.WAY . 06'OFFid�AL.S�REET'MAp:. TESC - P Approved CITY ZI ER.. 't Rw eurnit Re quired 0 EXISTING REOUIRED DEDICATION treet Use PerTi! Req'd 0, Ini� Entmoma, P, 7 74 I.TELEPHONE NUMB `98NO. o NAME B�ti6n Required 0 woewalk Required 0 ',V MgEp NO OF FIXTURES.].... PRY,�REOUIRED 1� NIA ESIZE ADDREss LU YFs,0 NO 0 REMAHKZS'. z cr CITY `ZIP TELEPHONE Nt ER w �Iv 0 NAME 6 'M 1 1. VA j DEA ADDRESS. M . . . . . 'EN ED �Gi RI2VFwEDBY­.. P. �zj E NUMBER 6 T: TELEPHON [RE MEMO DATE z LL 0'., REVIEWED,BY 0 _qb 017� -.1 ��s w I STATE,LfCENSE NUMBER Cr ti'DATE.' .-VAR- EST— I� VA '.'ADBO' tSHORELINSJI� FIANCE OR CLI Legal Description of Property incl ude�a)l easemep SEPAREVIEW SIGN AREA z COMPLETEJ'-,� EX�j *ALLOWED F HEIGHT Oj- oT i o EMPT IROPOSED' ALLOWED PROPOSED: EXP� u) LOT�c ERAGE, '.,REG us IUIRED SETBACKS (FT.) �PROPQSED SETBACKS (FT.): ALLOWED, -PROPOSED�' FRONT; SIDE'.-R R EA FRONT UR SIDE. RIEAR' 7 Lu -Z M Property z TaxAccount LOT -AREA-- - -f ;r 434- Parcel No. FIEMARJS�. r] NEW RESIDENf[AL*,-,. PILUMBINGFM ECW1 �.EIADDITIO'N COMPLIANCE OR; %COMMERCIAL :.CHANGE,OF USE-,!,'. APT:- BLDG.­.:­ EJREMODEL ::T LCJ -SIGN v ECKED BY, TYPE OF CO GRAIj1Nd' -�'4 .-[].FENCE,.-:_. NS.TRUCTION CODE: OCCUPANT REPAIR 41 0; 1. � :: .17 .0. CYC x ..0 1 —FT), GROUO, WOODSTOVE DEMOLISH, INSERT SPECIAL:INSPECTOR �AREA OCCUPANT 'S &A HOOT TLIBor. AEQUIRED. 'LOAD O'YES �GARAGE`. RETAIk1NG.WALIJ'-_,_,,.,.: E , ­` I- � ;_ jL��J_CARPORT R K RY, REI AL REMARKS 0 (TYPE or. USE.- BUSINESS OR ACTIVITY) EXPLAIN-,�. - PROGRESS INSPECTIONS?9�,.�Vqo 108 to� %Ar n 7 bi ui NqM6ER NUMBER-00 CRITICAL.' �&WELLI�G-_:., AREAS ii CV . f S 7 7 w -STORIE NUMBER 0 DESCRIBE WORK10 BE DONE (ATTACH PLOT P -�N) a Zk�>T T. OOEC .110, N'REOUIR AU AlCoAJ ED: 1> VALUATION' skpgo" 6 "A D15 91 - ­% . LAN C ECK FEE dua �714 (rot BUILDING -HEAT SOURCE:. !GLAZING 4LUMBiNG�, NO3r: zPlary Check No. MECHANICAL 4—­ jhi�sferrnit.,covers work to be donion-prlvate,p�opb t "GRADINPIFI . LIL Any�6onstrucfldn dHveways,. requirw separa er' si'n ATESURCHARGE :P61m It Application:180I)i1i 9" ORM DRAINAGE FEE .,Perm.1t:Llmlt: I Year - ProvidedWork Is Start6d.Wlthij,.149 Day; "Ap plicant� on behalf of - his,& her spbu E G; INSPEC . TION sel.heirs,,as§Igns.and. I'M u) successors in. interest,- agrees, to indemnify; defend -and. hold.. on;: Its'�*officialsi:, MT.' harm less the City. of' tdirribeidsi -washihgt' 2 :ernpioyeesi and ag6rit& fr6rnany andill claims for darnages of:,; whale - vernaturd,arising�-directl tam th Jssuance:.� y�or. Indirec * tly f be� 6V this -�Oermit' shall'sinoU be deemed to� of.this perrnit� Issualn PLAN CHECK.DEP.OSIT I modjfy,,waiVe-_oT redUce any' require'meht� of any.�clt�� ordinance,, 0- X 'rior.,Iimit. in any wij.the,Clty.�s.-abillty. tp_�enf6rcejanyf-ordinance TOTAL AMOUNT, DUE p5q ,:I '_,-I hbreby, acknowledge thati,haVe read.thl§ appl Ication that the information n d.1 h at'. V am t h e, 6 w n 6 r,'or A ho d u I ATTENTION! _APPLICATION� APPROVAL, given 4& correct, _:aU1ih06ied::agent, of the�- owner.� [egree to'cohriply 'with, city and,.'. . T HIS .PERMIT egulating constructibri; and imdoing,the:woek But �-.state laws r This�-a �perinit until, , 1--lo, � � .- I ­ I . . hoili AUTHORIZES� . pplicatibn� 1t, not, a,. e -In-violation.of tfie, ONLY THE signed by the Building ed:thereby; no p loyed Labor:: Official -or his/her p C70dii of the State of Washington relating to Workme WORK NOTED: n's,dort- p pensa Deput d A d' y:,and.fdes are,pai an receipt is nsu tion"I , rance aria RCW 18;27.- acknowloged'�in�s66�6,Drovidi�d: INSPECTIOW.. :�Sl . G . NAT URE,sq..WNEW,OR� AGENT)' DATE SIGNE :btP4RTMtf4t' OF ICIAL-P. SIGN CITY OF'— RE DATE.. 4. r EDMONDS' Loll ATE, 'CALI r D N' L,FdR ENT INSPECTIM I� is UNLAWFUL TO USE OR OCCUPY Ai BUILDING'OR'STRUCTURE a UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR . ORIGINAL Fit YELLOW Inspe6lor .A'CERTIFICATE OF OCCUPANCY HAS BEEN GRANtED.*U8C-,j7'1 0220 SECTION 109 1, eo� PINK Owner GOLD Aissesior: CITY�OF EDMONDS CONSTRUCTION PERMIT APPLICATION I rMnWNFnRWAiME:NAME.OF BjJSINESS 71 STATE LICENSE NUMBER A yL_ N 4 40t TELEPHONE NUMBER )/,U 1-1-10-A 1—i I EX ION DATE *H 'A 1�'l �j 11ftk__ Include all easementi &,�% I USE PERMIT '96, ZONE NUMBER JOB ADDRESS AIAIWS Property Tax Account '4 Parcel No�.- 42AZ N-7- (YJ Ch 0 NEW Lj RESIDENTIAL I" PLUMBINGIMECH 11 ADDITION, COMMERCIAL El COMPLIANCEOR CHANGE OF USE tai REMODEL APT.BLOG. E SIGN -EPAIR. 43RAD140 CYDS. FENCE X _FT) :EMOLISH WOODSTOVE INSERT SWIM POOL HOT TUB/SPA GARAGE C RETAINING WALL/ ROCKERY RENEWAL & 011AAC. . i 1 NUMBER OF CRITICAL ;�DWELLING TAARFAS /y UNITS NUMBER WORK TO BE DONE (ATTACH PLOT PLAN) �Dii_ &unAjc2 . 3.14 ' &V -ro AM11 ID 'PROUlop- Wa'P'j0j(AP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved AW Permit Required C3 1EXISTING _ REQUIRED DEDICATION Street Use Permit Req'd 13 Inspection Required C3 OROPOSED Sidewalk Required METER SIZE LINE SIZE W OF FIXTURES PRV REQUIRED YES E3 NO C3 ;EMARKS ,CU .7 w1At1novelmm-m 3 ENGINEERING MEMO DATED r 6mmse /_r Wv SIGN AREA SEPA REVIEW ADS ALLOWED PROPOSED COMPLETE 1EXEMPT 40'j, SHORE EXP �RIANCE OF[CU P NJ EYIE BY I HEIGHT jL6T CCIVERA( ,TBACKS — FEET ;ONT SIDE REAR I _Z;-Teviox, Aklt L Olv&j I I I slt.x?-r I-ellsu IREQUIRED YES I W21 LOAD FIEMARKS PROGRESS INSPECTIONS PER.UBC 108 FINAL INSPECTION REOUIRED VALUATION BUILDING 27-00 H EAT SOURCE: % 44t/o PLUMBING Flan.Check No! lb- 2-0-T MECHANICAL no­lNnl5:1lJ&*y6lr 4pc14,(c Fee. This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewpiks, driveways,, marquess, etc.) will require separate permission. STATE SURCHARGE Permit Application: 166-Days STORM DRAINAGE FEE Permit Limit: I Year - Provided Work Is Started Within 180 Days ..Applica . nt, on behalf of his Or her spouse, heirs, assigns and ENO. INSPECTION FEE succe ' saors *,in. Interest, agrees to Indemnify, defend and hold harmless. the City of Edmonds, Washington, Its officials, empiloyeest 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 0 rhodify,..walve or reduce any requirement of any city ordinance Ordinance w the-City's ability to enforce any nor limit In any ay TOTAL AN40UNT DUE provii1on." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL Information given is correct; 'and that I am the owner, or th.9 duly I authorized agent of *the. owner. I agree to comply �wlth city and THIS PERMIT This application Is not a permit until state laws regulating gon tFuctlon; and In doing the work authoriz- thereby, no person wril be employed in violation of the Labor AUTHORIZES ONLY THE signed by the Building Official or his/her is ed Code of the State of Washington relating to Workmen's Compensa- . WORK NOTED Deputy; and fees are paid, and receipt acknowledged In space provided. tion Insurance and RCW 18.27. INSPECTION SIGN E.( INNER OR AGENT) VATL 5101SILL) DEPARTMENT TURE �ATE &YIn 6 i�gm CITY OF EDMONDS q h ( CALL FOR 'AELEASED 1111Y'� I D4rE 6 rE N TTI (0 N INSPECTION Ug4 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 - PINK — Owner GOLD — Assessor Z Z 5 102-87 USE PERMIT ZONER -CITY OF,EDMONDS /sits NUMBER 9 G06 37 CONSTRUCTION PERMIT APPLICATION jos OWNE9. N,�W � NAME OF BUSINESP , . _—, .,I I ADDRESS x . - w MAILING ADORI Z 0 0 Xx CIT LAIL NAME W NAME P n. &jx 12 CITY Epimomm STATE LICENSE NUMBER R C. w (r) ** 12� Aua N -:64 1 I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING — REQUIRED DEDICATION PROPOSEO TESCP Approved 0 RW Permit Required 0 Street Use Permit Req'd 0 Inspection Required 0 Sidewalk Required 0 33 TELEPHONE NUMBER _YaT-M I METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES 13 NO 11 REMARKS Awl jwi* 17*-Itivel AW 4W Lu Z IP TELEPHONE NUMBER AW 14.w k11A.4 A";r1ma4l 3eA(A loO 44--d PeCAVV^41L UU/7095 ENGINEERING MEMO DATED R94EWED BY Wbe Is fAe bA fft e r rx& _V14 6 IP TELEPHONE NUMBER M139/ RE MEMO DATED REEVIEWED BY u % U. EXP)RATJON DATE 418 SIGN AREA ALLOWED I PRO POSED 1 SEPA REVI ErEMPT COMPLETE I E 0 1 dX I include all easemehts LA61qq, 0 UNEW LJ RESIDENTIAL PLUMBING/MECH ADDITION 'COMMERCIAL COMPUANCEOR CHANGE OF USE REMODEL APT. BLDG. SIGN GRADING FENCE 11 REPAIR El CYOS. x _FT) DEMOL ISH WOODSTOVE. INSERT SWIMPOOL 'HOT TUB/SPA. . GARAGE. RETAINING WALL/ 11A1%? .50C.KERY led PAN"*&* 05 AL W NUMBER' NWUMBLEIR OF eL NG CRITIC 0 OF #VA 4� AREAS ti M STORIES Ply4r NITS 119— NUMBER 0 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) I A 91=11 I EXP I , VARIANCE CIA CU I I PLAUMONG REVIEW BY SETBACKS — FEET \J— HEIGHT LOT COVEAAGE FRONT SIDE REAR -W-N IREQUIRED C3 YES I I . I LOAD C1 REMARKS PROGRESS INSPECTIONS PER UBC 108 !-yzerr y_,5e,,,iugxm1r; FINAL INSPECTION REQUIRED Z Z PLAN CHECK FEE 516 BUILDING HEAT SOURCE:. 0 ING PLUMBING Plan'Che'ck No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any''construction on the,public domain (curbs, sidewpiks, driveways, marquess, etc.) will require separate permission. STATE SURCHARGE Permit 4011cation: 160 Days P�erm . If LI I mit: I Year - Pi6v . Ided Work b Started Within 18 . 0 Days STORM DRAINAGE FEE "Applicint, on.behalf'of his of her spouse, heirs, assigns and ENG. INSPECTION FEE Succdsdbrs'in Interest, agrees to,indemnify, defend and hold Zu harmless the Cit�_.of, Edmonds, Washington, Its officials, x employees, endagentil from any and all claims for damages of cc whatever nature,.arising directly or Indirectly from the Issuance , permit. Issuance of this permit shall not be deemed to Of I PLAN CHECK DEPOSIT 0 _j �is modify' Waive or reduce any requirement of any city ordinance 0 x nor limit In anyway the City'64billty to enforce any ordinance TOTAL AMOUNT DUE ZIA provislon.�!., .1 h6reby'acknoWledge that I have read this application; that the ATTENTION APPLICATION APPROVAL Information given Is correct; and.that I am the owner, or th.0 duly authorized agent of the owner. I agree to comply* with city and THIS PERMIT state laws regulating construction; and In doing thework authoriz- AUTHORIZES This application is not a permit until ed thereby, 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. SIG!��AT ER OR AGENT) DATE SIGNED DEPARTMENT ��Ow ;� � CITY OF TURE E �4�0 7 EDMONDS OANTIO'N`� CALL FOR INSPECTION AELEAiED 06" QATE IP(S UNLAWFUL TO USE OR*OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF 'OCCUPANCY HAS BEEN GRANTED. USC SECTION 1.09 PINK — Owner GOLD — Assessor .10247 .......... J�, 4M JA K "i". 'I. r 7VI -V t, q 0 44 it So nv !�4 I VEMD T 1)�61 16R, w a ""Ally q NEW -1 TnO PF I T - a 1 1. a 2 J -It J 7t4ldt. 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