20020828.pdfDATE RECEIVEtD-1 I
I _USEE ERMIT
CITY OF EDMONDS ZON PNUMBER
CONSTRUCTION PERMIT APPLICATION jo SUITE/APT#
AD
r-7A EINA.E .1 uSIN
e- eg PLkT NAMEISUBDIVISION NO. I 14T NO LID NO.
ING ADDRESS ;7_ LID FEE S
pq -ad r,* &A
FFICIAL STREET MAP A."",.
PUBLIC RIGHT OF WAY PER 0 Te- Ad,
al-U.-anneald
EXETIN. PROPOSED
_113
ZIP ITE11PHO"I
q
S q(0
REQUIRED DEDICATION 13
METER SIZE I LIHE SIZE I NO, OF FIXTURES PRV REQUIRED
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTAOUVRAIIN
- I ! '� �' e �n' 0 " R E f'. I o r 67) r-, 00
ES E3 N 13
RIESS REMARKS
CSL #
ENGINEERING REVIEWED By
A-14 L
101 tg1oz-
CITY
Fil E REVIEWED BY
OXTE I
V
ZIP TELEPHONE
IT
STATE LICENSE NUMBER
EXPIRATION
VARIANCIOFICU_� SHORELINIORADBI I INSPECTION 1. BOND
Rea POSTED
E3 YES
et PROPERTY TAX ACCOUNT PARCEL NO,
E III" All
COMPLETE EX -L!��BSED
HEIGHT
ALLOWS? PROPOSED
002— 002--
1A 010)
E P ,
0 NEW
ASS,olm.
'!�,L S EC H
LOT COVERAGE REQUII ED SETUACII (FT.) PROPOSED 6 TRACKS BT)
ALLOWED PROPOSED FRO SIDE REAR FRONT URESKIE HEAR
ADDITION
f-] COMMERCIAL
C PLANCEOR
Cc'L
0
REMODEL
MULTIFAMILY
CHANGE OF USE
SIGN
PARKING LOT AREA�PLANNINO REVIEWED BY DATE
R .1
EaD PROVIDE
REPAIR
GRADIrIG
CYDS
FENCE
ri X_Fn
REMARKS L'
DEMOLISH
TANK
OTHER
'�z
'A'
ERA 'E
GARICIFIT
PETAININGWALL
F ME SPRINKLER
NESS
g:
A OCKERY
OR
FIRE ALARM
__]�CC
U 4
TION
=P
0' �'Z
Be cup
-
OF
H.Tu,m,',EE',' 7,
NUMBER OF
DWELLING
J_ UNITS
DFUTTA18CA
ARE S
�U E
�)Aa�.A
OCCU AT
LOAD
DESCRIBE WORK TO BE
DONE
REMARKS
PROGRESS INSPECTIONS PER USC IDS/FINAL INSPECTION REO'D
�Vw_ &O-111t
Ile-
LM81d441
OT
/ALUATION
Description FEE Description FEE
Mic
Plan Check
State Surcharge
VAT
/ �00?L<__ Y'T
Building Permit
City Surcharge "0
.
, _ I VESTED DATE
PLAN CHECK ]!,:,L
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE OAK NOTED. THIS PERMIT COVERS WORK TO
HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
a D "N (CURDS, SIDEWALKS, DRIVEWAYS a
:1 0 SEPARA76 PERM; MAR USED, ETC.) WILL REQUIRE
t SSION,
Review
a
PERMITAPPUCATI N: INDAYS
Engr.
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
APPLIC ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit III
IN INTERWEST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARM EBB THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
— .
#
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Receipt
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
WAIVE OR RED
Landscapainsp.
Total Amt. Due
9 DEEMED TO MODIFY CE ANY REQUIREMENT OF ANY CITY ORDINANCE
o NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ... I.A."s PROVISION`*
—
Recording 1.
Receipt I
I 11111111Y ACKN LEGG 'HAT REAUTHIS APIHCATION; THAT THE INFORMATION
OW "
APPLICATION APPROVAL
T, I T.ATIHAV
GIVEN a CUR ED A D THE OWNER. A THE BLY AUTHORIZED AGENI OF
THE OWN"N I AGREE To COMPLY WITH Cl AND STATE LAWS REGULATING CONSTRUC.
CALL
Thill.ppiclamn te dear, p—arrafil eigned b, Irm
G
"'IN. AN. I ,No THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF, THE LABOR CODE OF THE STATE OF WASHINGTON REILATING TO
B,diding Official,a, Maine, DOPIIY� and Free are paid. and
FOR INSPECTION Healp1sark ... todg,di,sp ... peWeIrd,
Wo KmEN,V6OMP SATION IN URANCE AND RCW 18.27,
E
H
... ��IGWAVNT) DATE7;!�/
(425)
WNATIUME&
0 -7—
771-0220
G E
ENTION
EXT 1333
IT I. U-__F-L TO USE 'Y A U WING OR STRUCTURE UNTIL
A FINAL IN alp E.TI.N A.%ECENLMADE Al'�D APPROVAL OR A CERTIFI-
ORIGINAL�FILE YELLM-INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUN FIND
z
ITI
M a
__10
00
C
X m
ITI z
z
o -n
M III
610
0 ITT
C 0)
C 0)
M 0
>
z
-4
x
00
0
FL L
ell
tmm 064,4 "Rife
C xl,,5t,�5 -fo-c 0,4"- 4700 5v
jE -x,,�5f �5 e.+,6 3-1.r sp
So
;Me S-9
om
mo a�
,L,4 Arco—
m M.
# 13,: *lot' 10
c
55'AI8 — &VOZ-002 —4)161
+
-on
mm
ffi1Xi',1\WAA 0
o Fn
cc a
m
OWNER/CONTRACTOR IS RESPONSIBLE FOR Z, fl,�
EROSION CONTROL AND DRAINAGE
ZONE m
rRONIT
OTHER
HEIGHT— p D
R
2U?
APPROVED BY PLANNINU" OCT
BUILDING DEPT.
2— CITY COPY
If
+
fftLt Po;^4.- + /co'
POADW
lbo
toco
L4
4to I
4 q 4,1
-rgo t'
b4at.- 0
57G
X72- -q
FA
fx 0
c
mg
c op Tes 0
propose
st IN
S�ory
mm
ROM DES
�-.ALL 0 .......
0 F:
0 T,
C (a
M 0'
A-
c
/0(0
OWN(R/cONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE!
co
7A
0
m
AUU UU I I ERS/DOWNSPOUTS
ND SPLASHBLOCKS
APPROVED AS NOTED
A "'ENGINEERING
13Y
I "-LL�tgi
Date:
OCT -
BUILD!NiG DEPI
A 4PZ-03D�
CITY CLERK
CITY OF EDMONDS
121 STH "ENUE NO.
EDMONDS. WA 98020 CONFORMED COPY
200210281591
10/28/2002 04:51 PM Snohomish
P-0001 RECORDED County
STATE, MENT ON ACCESSORY DWELLING UNITS
GRANTOR: 9&,Pl,4 GRANTEE: tTpar 6-1A>OM6
Property Address: ?SZ93 2-3Z
Edmonds, Washington
L!gal Description: 1(-ox- :z
recoy�jocc ;K Vol, 6, n(�
ay� kdw-ii'<4 C'ecatily.
Assessor's Parcel Number: 5-5-18— 0o7--co-z.—ole)l
I, have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code (ECDC) and understand that an accessory
dwelling unit, including a second kitchen, as defined in ECDC Section 21.05.015 is
prohibited until an Accessory Dwelling Unit Permit is approved.
I also understand that an Accessory Dwelling Unit Permit cannot be approved unless all
the criteria in Chapter 20.2.1 are met, and all the necessary items are submitted,
including an affidavit of occupancy and a covenant to be filed with the Snohomish
County regarding the regulations imposed on Accessory Dwelling Units.
Property Owner Signature:.'
Property Owner Name (printed):
Date:
STATE OF WASHINGTON)
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidene that Ea IQh R. &I I
signed this instrument and acknowledge it to b;; ier free and voluntary act for the uses and
purposes mentioned in this instrument..
Notary's pre ure seals must be smud ed. Dated:
9
Signature of
RA L,
j
DEBRA KARBER
N TARY PUBLIC Notary Public: __&Lya I
STATE OFW
LPI, -oFwASI-IING1'rDN
- AS
COMMISSION EXPIRES Residing at: LLI )I n Wo
0�,
LAPRIL 9, 2003
My Appointment
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOIIOMISII COUNTY AUDITOR.
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE_ —I -J� _'�ZCO S—
PLANNING DIVISION DATE
PROJECT
SITE ADDRESS
PERMIT ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED /V9,L2Y4,Z
Q —
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
-7 2�_GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fbmis:ocaprv1 3/25/04
z
9
0
!P
_49i
55 --1
ox
CM
M 0
-4 0
0
C:
-4 C
M ra
z
C
0
M M
0 a;
0 r-
0 M
C
M 0
Z
z
z
9
0
ra
. . .. ......
RECORD OF MPE&ION�
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
7L
Footing ..................
Wall ..........................
PleT/Porch . ................
z
Retaining Wall ...........
0
Stab Insulation ..........
PLUMBING:
—4
Underground .............
. ....
IT
Rough -In ...................
IT!
0
0
Commercial Final
r
IT!
HEATING:
ITI z
Gas Test ..........
>
C: � I I
GasPiping .................
Equipment .................
0
-n 20
Commercial Final
-q
M ITI
EXTERIOR SHEATHING
S _C) 63
NAILING ............
C o
FRAMING ....................
go
ITI 0
4 FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
z
Wall Insulation
Ceiling Insulation
z
SHEETROCK NAILING
0
SPECIAL INSPECTION
V4
M
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................