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20000368.pdfPERMIT EXPIRES USES PERMIT CITY OF EDMONDS ZON NUMBER 2003GS CONSTRUCTION PERMIT APPLICATION 'ADDRESS III �1/ -14- 11:1�' a), SUITUAPTR ER NAMENAME OF BUS NESS FLAT NAMEISUBDIVISION NO. I LOT NO* kty,vtek, :E ING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP w 'p—b.b S . .... ...... cl 15 11 G EXISTING — PROFOSED� ITILEP"INI R ... REWIRED DEDICATION— FT RV R ZE METER SIZE LINE Sill E NO. OF FIXTURES P E.UIRE. IE YE. . NO REMARKS IRESS OWNER]CONTRACTOR RESPONSIBLE FOR EROSION CONTROIJORANAGE �ri. 4 a_rrww,,) 1&&-wo� f"c) _rE OLJ to VX erU1kd-0 ENGINEERING REVIE—DIDATE I ADDRESS FIRE REVIEWED BY DATE c RIANCE OR CU SPECTION JPBOHO OSTED STATE —LICENSE NUMBER EXPIRATION DATE CHECKEDBY SERA REVIEW COMPLETE EXEMPT EXP HEIGHT OWED , PROPOSED -46 NEW 0 ADDITION RESIDENTIAL cl COMMERCIAL PLUMBING/MECH COMPLIANCE OR CHANGEOFUSE LOT COVERAGE ALLOWED PROPOSED �� s_ RA K REQUIRED SETBACKS JM. FRONT SIDE REAR 16- /0 1-5, TAREA PLANNING REVIEWED PROPOSED SETBACKS (FT) FRO>T UPSIDE REAR %6w 10- — By D E] REMODEL APARTMENT E] SIGN L_Ici�� VIDEO 00 FENCE G Ej REPAIR G I G CYDS t X FT) EMARKS DEMOLISH K El OTHER WAN ARAGE C] RETAININY3 WALL RENEWAL Z ��ARPO�T ROCK (TYPE OF USE, BUSINESS OR CTIVITY)EXPI-AIN: C.U.N Roup NUMBER NUMBER OF CIITICALq SPECIAL INSPECTOR BRANT PANT 011u� OF o STORIES DWELLING AREAS R M UMBE R10I YES LOAD DESCRIBE WORKTOSE DONE EMARKS CT PROGRESS INSPECTIONS PER UBC 108ITINAL INSPECTION RE VALUATION FEE PLA CHECK FEE 4M- EAT S UR GLAZING I LOT SLOPE I UILDING 410- PLAN CHECK NO: JVE5111 IAII 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 GRADINGIFILL DOMAIN (CURBS, SIDE WALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQumE SEPARATE PERMISSION STATE SURCHARGE PE MIT APPLICATION 180 DAYS KIS PERMIT LIMIT. I YEAR STARTED WITHIN 180 DAYS PROVIDED WOR ENG. REVIEW FEES SEEIIAC K OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE ;APPLICANT, 19 N NTEREST, AGREES TO INDEMHIFY- DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING I EDMONDS. WASHINGTON. ITS OFF DIALS. EMPLOYEES. AND AGENTS PROM ANY AN. INSPECTION FEE ALLCI.AiMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY OF INDIRECTLY NOT E RECEIPT FROM THE ISSUANCE OF THIS PERMIT ISS ANCE OF THIS PERMIT SII DEEMED TO MOD 11WAIVEOR REDUCE ANY PCOUHREMENTOF ANY CITY ORDINANCE PLAN CHECK DEPOSIT RECEIPT 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANYORDINA.CE X TOTAL AMOUNT UE IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAI THE INFORMATION 01 APPLICATION APPROVAL GIVEN I CORRECT, A 0 THAT I AM THE OWNER OR THE DUN-Y AUTHORIZED AGENT THE OW E LAWS REGULATING CONSIBBC NSER, I AGREE TO COMPLY WITH CITY AND STAT CALL Ib,7b1,,bPPbC I 1-1 � Pbbbb "'bl �'G-eb by 1 �b,I 1— bb IbI IT — TION AND 'XT' RK AUTHORIZEPITHEREBY. NO PERSON WILL BE EMPLOYE. 1EIATIN. 1. I_ FOR INSPECTION Ikb.Illdg.d b, 11 IN VIOLATI R CODE QWfHE STATE OF WASHINGTON WOR p PENE LA.. KNS- NSATtGN NS��E AND CVY 1627 - OF L N 5- IATE co SI DATE SIGNED (425) Z, C--. 15,11", /0 L 1 771-0220 LE E DATE ATTENTION EXT 333 IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND AP ROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5- z om c mo 0 80 c -4 x m m _z 0 _n n -4 x m rn 0- 0 0) 0 r', C, Z 3: z _q 3: (1) z 9 0 rn POLICY NO. 109120-A SCHEDULE A-4 THE LAND RE-FERRED TO HEREIN IS SITUATED IN THE STATE OF WASHINGTON, COUNTY OF SNOHOMISH AND IS DESCRIBED AS FOLLOWS: PARCEL A: Lot 4 of VINYARD SHORT PLAT S. 12-81 recorded tinder Recording No. 8408290222, records of Snohomish County, Washington; EXCEPT that portion described as follows: Beginning at the most Westerly corner common to Lots 3 and 4 of said Short Plat; Thence South 00119'27 West 15.01 feet; Thence North 89*39'04" East 309.79 feet; Thence North 06*02'14." West 194.99 feet to a point on the Northerly line of said Lot 4; Thence South 83,56'57" West along said Northerly line 50.00 feet; Thence South 06,03'03" East 140.00 feet to the Southeast corner of said Lot 3; Thence South 81052'33" West along the Southerly line of said Lot 3, a distance of 256.81 feet to the true point of beginning. (Being a portion of Tract 58, Edmonds Sea View Tracts according to the plat thereof recorded in Volume 3 of Plats, page 76 and Tracts 17 and 25, Puget Sound Machinery Depot Five -Acre Tracts, according to the plat thereof recorded in Volume 5 of Plats, page 47, records of Snohomish County, Washington.) (also known as revised Parcel B of Boundary Line Adjustment recorded June 20, 1989 under Recording No. 8906200263) PARCEL B: A non-exclusive easement for ingress and egress as described in instrument recorded under Recording No. 142303,11 and as described and delineated in Short Plat recorded tinder Recording No. 8408290M and as delineated in Short Plat recorded under Recording No. 8906200263, being a portion of Lot 58, Edmonds Sea View Tracts, according to the plat thereof recorded in Volume 3 of Plats, page 76 and Tracts 17 and 25, Puget Sound Machinery Depot Five Acre Tracts, according to tile plat thereof recorded in Volume 5 of Plats, page 47, records of Snohomish County, Washington. bp -5- RFr ,FIVF-D MAR 0 2 VK3 Wj%opMENT SERVtCES CTR. CITY OF EDMONDS Z� 0 0 0 m C $ M a N'1� 0 0 m O� ; NA C — ! ��t z 0 -n I M M" 0 0 C Co. K rA 0 z z 0 rif It i L PROJECT REVIEW CHECKLIST ( '— PLAN CHECK #: PROJECT NAME: _p PROJECT ADDRESS: RECEIPT DATE: . ... ....... ........ VIEW PY (qi!!�Vp �,PLAN. =R -iTl E�ll S REE.-: lSetbacksNadance/Setback Adaustment lConditional Use Permit ADS Requirements Z Other Zoning Requirements 0 Underground Wiring Required 0 Lot Slope IS% SEPA Environmental Checklist/Hydraulics Permit Tree Cutting Plan Plat/Subdivision Requirements 0 Leqal Description Veritication C: m 0 Quit Claim/Street Dedications -1 0 Easements - Public/Private 12 00 a Engineering Storm Drain Review Fee 13 M Engineering 2.2 Inspection Fee .14, M Z 0 Drainage Plan (On -Site) 15 C Z Setba k - Top of Bank, Stream, water Cou s -16: > Setback - Storm Drain Line U) Open Ditch - Existing :18, 0 -n Culvert Required -n Culvert Size 20� 9 Shoulder Drainage/Shale Open Runoff M M 0 S C atch Ba in Required 0 6riveway Slope & Vehicle Access 0 M C Cn Sidewalk Required :24 K Cn Curb & Gutter Required 25�: M C) Z � I Curb Cut For Driveway Required . . . . . . ....... 7' rn Street Paving Required 27: X Right -Of -Way Construction Permit Required Street Name Sign Required > Z Other Signing Required --I Bond Required For Public Improve 31 2; (0 FEMA Map Check/Water Table 32 Z Side Sewer Availability 3 3: 0 Calculate Sewer Connection Fee If No LID # .34" _j 0 S retFi'a L 35 M ?a ,C.r 'ng Wati 7Main Size ..g 36� lWater Meter Size 87:: .40, :41 R E C E I V E 0 Reviewed By: Wil"N FIRE PLANNING ENGINEERING Pug& R E C 0 R D OF C 0 N T A C T S ,13 PAID $ RECEIPT I 14 PAID $ RECEIPT # is 16 19 SIZE PAID $\.k'C:) DAT RECEIPT. .. ......... RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Potch 0 Retalmrig Wall ............ Slab Insulation PLUMBING: 2 171 Underground ............. yvx 0 C Rough -in ................... p M Commercial Final IT! HEATING: Gas Test ................... Gas Piping ................. n Equipment ................. IT, M Commercial Final 0 EXTERIOR SHEATHING 90 NAILING .......................... ITI 0 FRAMING ....................... vy, FIRST FLOOR FRAMING INSULATION ................... Z Floor Insulation Wall Insulation z Ceiling Insulation 0 SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 000 T 3 i6l Ir --- -------- PERMIT EXPIRES USE ZONE PERMIT CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION joB Or,R NAMEINAME OF ADDRESS 74, IUITEIAPTI PI -AT NAM E/SUBDIVI SION No. L MAILING ADDRESS LOT NO. '�D NO, D FEE $ c( PUBLIC RIGHT OF WAY PER OFFICIAL STREET MA�_ P-1 �1 0 P-1 R1- TEIIPHO ..IU,. d E EXISTING . PROPOSED o Fdaods REQUIRED DEMCATION� FT �d.d NAME LINE SIZE NO, OF FIXTURES YEIRV REQUIRED ,,4 ADDRESS S 0 NO 13 3 1. OWNER/CONTRAcToR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY zip TELEPHONE 4-� ENGINEERING REV, CITY IP7 E F FIRE REVIEWED BY DATE STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VAAIANCE OR CU SHORELINE OR AD8v INSPECTION RE:L 0 YES No BoN POST ED CEL No PR4R CONJ I 1)1=1 SERA REVIEW COMPLETE I EXEMPT SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED , PROPOSED )( NEW RESIDENTIAL (__1 PLUMBING / MECH C] ADDITION COMMERCIAL cl COMPLIANCE OR CHANGE OF USE 0 REMODEL APARTMENT El SIGN 0 REPAIR G Q CYDS o F NCE LOT COVERAGE ALL.— PROPOSED IRED SETBACKS (FT.) FRoNj SIDE REAR - PROPOSED SETBACKS (FT.) FRG�IT L/A SIDE REAR w., — PRO�vlf[) L T AFEqA I NNING REVIEWED BY D CO] DEMOLISH NK("* C] OTHER X=RET Cl RENEWAL— T 11 cHEC TYPE OF ��CTION C2?L7 GRO UPA UP OF STORIES NUMBER OF D ELLING W UNITS CRITICAL AR AS NUMBER OCCUPANT LOAD I I HE DONE N CTION R�EaD ��SP VALUATIO14 PLAN CHECK �E� &EAT I'Ut G-ZN" T SLOPE U�L.I.G PLAN CHECK NO: Q—o - w__ VESTED DATE PLUMBING T.I.P-NOTAUT. 1`112E�ONLYETHEWOLRY� 0 _' NOTE - IERWIC.IER W.FKTO MECHANICAL BE DONE ON PRIVATE. B., RTY.N ANY CD�NTST'R`UCTION ON THE PUBLI DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE GRADING/FILL SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS STATE SURCHARGE PERMIT LIMIT I 1E. . PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE SACK OF PINK PERMIT FOR MORE INFORMATION ENG. RSV;EW FEES or *APPLICANT ON BEHALF HIS OR HEF3 SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST. ENG. INSPECTION FEE AGREES TO INDEMNIFY. DEPEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON. TSOFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND LANDSCAP NO S ALLCUIMSFOR DAMAGE OFWHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY FROM THE ISSUANCE '.NSPECTfO OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE -PLAN CHECK RE EIPT ANY REOUIREMEN7 OF ANY CITY ORDINANCE 0 NORLIMIT INANY WAYTHE CITY'S ABILITY TO ENFORCE ANYORDIN DEPOSIT I HEREBY ACKNOWLEDGE MOUNT DUE THAT,j HAVE READ THIS APPLICATION: THAT THE INFORMATI GIVEN 15 CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT ON THE OWNER. I AGREE TO COMPLY .1 WITH CITY AND STATE LAWS REG TION;ANDINDOI WOR (AUTHORIZE U—ING CONSTRUC- P-THEREBY, NO PERSON WILL BE EMP DYED CALL Thpph,l p,,,, by th, "t I HHE IN VIOLATION P E LABOR CODE qF-THE STATE OF WASHINGTON RELATING TO WORKMEWS FOR INSPECTION 0 ItY. F 1� "I PlId. ld 0 ap PENSATION I S =E AND RCW 18,27. d. paco p—,d S' Ni ESIONED (425) OF(111A N' E _ / /4 tol", w 771-0220 ATTENTION EXT 333 11 LE E DATE IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS 13EEN MADE AND APPROVAL OR A CERTfFl- 771-0221 CATE OF OCCUPANCY HAS 13EEN GRANTED. UBC SECTION 109 ORIGINAL -FILE YELLOW- INSPECTOR 5`98 FAX PINK - OWNER GOLD - ASSESSOR z m p rn c: a m 0 0 c: m 0 -n n m M 0 0 OC Fn (a m 0 ;0 -4 Q) z m