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20020744.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME"E OF BUSINESS NOC-4. J-om4jgotj MAILING ADDRESS 19.3;, Wfft CITY zip TELEPHONE 1-)e'IJ LJMA W 1q. "12 57- NAME ADDRESS CITY ZIP I TELEPHONE NAME CBL AL W 00btu 7o/2 ADDRESS 2 2- Vt 72 CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATI N,7TE PROPERTY TAX ACCOUNT PARCEL NO. Otis oc) ErNEW RESIDENTIAL PLUMBING MECH ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING FENCE X CYDS FT) DEMOLISH TANK OTHER oGARAGE CARPORT RETAINING WALL FIRE SPRINKLER ROCKERY FIRE ALARM UWE OF USE, BUSINE ACTIVITY) EXPLAIN: i=��dugAZ 77 A.I_qi F ft NUMBER NUMBER OF CRITIC I OF I DY!E I I AREAS I STORIES .. _�LING Null DESCRIBE WORK TO BE DONE HEAT S�U�RC BLAZINI LOT SLOPE % PLAN CHECILNQ: VESTED DATE PERMIT EXPIRES mmemo� ids E PERMIT ZONE NUMBER JOB SUITE/APT# AD RESS — D (4 PLAT NAME/SUBDIVISION NO. 'LID LOT NO. NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Requited Street Use Partnit ReWd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT UndetWound Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE W cc I M VARIANCE OR CU SHORELINEORADB# I INSPECTION BOND REO'D POSTED 1$ s ONO EPA REvI S SEPA REVIEW SIGN AREA HEIGHT COMPLETE E7PT ALIOVfEO PROPC)SED ALLOWED PROPOS , IN4 A I n � 9-G, 111.6 "XP � LOT COVE GE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) kLLOWED OPOSED FRONT SIDE REAR FRONT UR SIDE REAR I I Ri E)"NG, z A' 1, PAPAING LOT AREA No R EWtDfSY DATE 9L pt REQ`D i PROVIDED 11 I I V91 + �MX W9 -Z-oz I CHECKED BY I TYPE OF CONSTRUCT N C92E OCCUPANT .1UL I el:-1 GROUP SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE0Vj'D!j $ G 41 Description FEE Description FEE Plan Check I State Surcharge City Surcharge Building Permit Plumbing EOGIN _fCj__S) I -_ Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBUC Grading DOMAIN (CURBS, SIDEWALKSo DRIVEWAYS. MARQUEES, FTC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMrTAPPLICA'nON: 180 DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CrTYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee I HEREBY ACKNOWLEDGE THAT I 14AVE 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- CALL 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 FOR INSPECTION WORKMEN'S COMPENSATION INSURANCE AND RCW 10.27. SIG�A (O!�W-Ofl-e=.L DATE S GNED (425) ,�E 771-0220 Plan Chk. Deposit rq.!� — Receipt # Zm Total Amt. Due Receipt # APPLICATION APPROVAL This application Is not a permit until signed by the Ing Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. . A17ENTION Off 1 33 In 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. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES L,S SI NATUREA D �9 BY ORIGINAL -FILE YELLON-INSPECX PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING 1 k z 0 4 0 M =i M M 40 0 C= 3� K M M IC) CO) 171 0 0 0 C z z 0 4 0 ITI ZONE011111 SIMCKS: FRONT SIDE N 6 1-.A F� REAR_ --Jkl4e— OTHER� HEICHI 10 Fee, 90A. w IV, EXISTING F/I �c AW1Y0fAu&11Ay lef 220TH STREET SW III j r StORWALK FENCING EXISTING FENCING akisy, G ThVtJAVIDALI elolf-iCTIGNAL I r LOTSLOPESDOWNW DRIVEINAW OP AWAY ARO 5% FROFAWESTTOEAST N k CRASSY LAWN kXI5TINGPAVWEHY SF 31, W-W f LAWN I XISTWO RECTIDNAL IVEWAY ASP4ALT1CR%:SH90 ROCK DRIVIFWAV AND 4AKING AREA -A 22005 76th AVE W EXISTING PAVERS I ------ EDMONDS, WA .7dHNfEW Ir ? J 0�1 o FXISTP4 PAVEMENT T P Us 340.75 GF r GRASSYLAWN MATLM VARC'tV EVERG 43M 7REESIF5�11*313E ASPHALT/CRUSHED ROCK - - - - - - - - j CJMVffWAY AND PARKING AREA �DIW;-' ZxIsipt., 1AL JOREC11C 11RIVEWA GRASSY LAWN �AzALE)IsA�o k c PA410A J ........... 7— T-*T I cIr"y colpX7 r A BUILDING DEPT. I kl'�, M, m W rn I Z. -'WATE RECEIVED PERMIT EXPIR E S CITY OF EDMONDS �SE PERMIT ONE 07� (/-16- �L NUMBER CONSTRUCTION PERMIT APOLICATION JOB SUITE/APT# ADDRESS L2-, OWNER NAMEINAME OF BUSINESS C2 z:IL sssjg� Alon. X0 q #j 'j- 0 Aj PLAT NAMEISUBbIVISION NO. LOT NO 'LID NO. MAILING ADDRESS LID FEE S 1 0 fk ko TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Requited Street Use Permit R&(rd CITY ZIP TELEPHONE 1 EXISTING — PROPOSED Inspection Requited Sidewalk Requited 0 3L j4 UnderWound REQUIRED DEDICATION_ FT Mringisquinsd 13 NAME METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED FNO. YES C3 NO E3 E ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP LEPHONE NA I 161E CBL# 174- ENGINEERING REVIEWED BY DATE ADDRESS 22 If 0 6 Al VIES—, �Aj E, REVIEWED BY DATE CITY zip, rL 191,02 00 206 9017 -7'416 VARIANCE OR CU SHORELINEORADBN INSPECTION BOND STATE LICENSE NUMBER EXPIRATIPN ;E—I-' CKE B ro,/. REO'D POSTED JpXEs ONO $ SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXE PT PROP90ED ALLOWED PROP11T 79"9-0,q9 oly-s- C) E XP NEW RESIDENTIAL 0 PLUMBING/MECH LOT E E REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) COV 7 ALLOWED A2AGPOSED , FRONT SIDE REAR FRONT LIRSIDE REAR IPNCEPR 0 0; ADDITION 0 COMMERCIAL rRM OF 1 J'E I ro N e) t4 e I A* �YUWNG ISE _J�T PA0AING LOT AREA P NG R EW D DATE 0 REMODEL MULTIFAMILY 0 SIGN REQ`D I PROVIDED % 916 FE NCE sEpAtA GRADING CYDS X FT) REMARKS 077Eq .0 DEMOLISH TANK GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY 0! FIRE ALARM: -A (TYPE OF USE, BUISINE EXPLAIN: CHECKED BY TYPE OF CONSTRUCTION OCCUPANT 14oc;*J 77 A GROUP ..NUMBER NUMBER OF CWTICA OF DWELLING 'AREAS [UNITS 1 10 SPECIAL INSPECTION JAREA occu PANT STOR IES I NUM REQUIRED YES LOAD DESCRIBE WORK TO BE DONE PROGPE �S IN!PE!4IONS PER UBC 1108/FINAL INSPECTION REG'D. V-5 0 VALUATION $ Cn z 0 Description FEE Description FEE Plan Check — '9— � � 1 State Surcharge -q 0 M HEAT 8 C GLAZINC�3 LOT SLOPE % building Permit City Surcharge PLAN CHEC&NQ: VESTED DATE Plumbing Mechanical t: THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALXS. DRIVEWAYS, UARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. fn%, Review PERmrrAppuckhow ISO DAYS , , I PERMIT IUMrr I YEAR - PROVIDED WORK 19 STARTED WITHIN 100 DAYS Engr. Inspection SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit ffi 0-- IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF . SHINGTON, rrS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # ALI. CLAIMS FOR DAMMAGES OF HATEVER NATURE, ARISING DIRECTI.Y OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. Due. DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GWEN 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 IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or hlsftr Deputy' and Fees are paid, and A receipt Is acknowledged In space Provided. WORKMENS COMPENSATION INSURANCE AND RCW 18.27. 1 'URE D OFIACIAL5 8 2NAT BIG E (OWN Am 0 E S NED -LJ 'A'35) .4 771-02&.%# RELEASED BY nATt I ATTENTION 'USE EXT 1333 IT IS UNLAWFUL TO OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGII 10 1 ON' INSPECT61:1 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR GREEN - ACCOUNTING 04/02 PRESS. HARD.-YOVA.RA-MAKINq 5 PPF!IES.--,..