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20020831.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS dto&) IA16, ,& dd a6firij MAILING ADDRESS 7 gr )7 CITY ZIP ITELEPHONE FiF, I FA21 IA MMKXIIFIAWI.W� MWA.'V" AM , Maw', 01 4M�� ADDRESS I 5T 5e*, .501'Te- I NAME ICBL# MI. 0 13 . - DI ztz;6 —.1 f sk DU CTITY ZIP TELEPHONE LICENSE NUMBER EXPIRATION DATE I CUCKED BY ROPERTY TAX ACCOUNT PARCEL NO. nn-7-0002 NEW RESIDENTIAL 13 PLUMBING / MECH 13 ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE REMODEL Y-MULTIFAMILY I [:1 SIGN . REPAIR — E] GRADING CYDS [3 FENCE ( X FT) DEMOLISH TANK OTHER oGARAGE RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (lrYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: &W / 4 - x 0 il NUMBER NUM BER OF CR OF �� DWELLING AREAS STORIEe- UNITS IN U M B E R/491-411VO a DESCRIBE WORK TO BE DONE 411 1 f . 1.4 j I . // y 0. PERMIT EXPIRES USE PERMIT ZONE —ZI 9,6 NUMBER4eV9 JOB SUITE/APT# ADDRESS_6&2A Is PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ES RW csZPR,:V,6.4',. Stittel Use Permit Roq'd EXISTING — PROPOSED inspection 11"quired Cl Sidewalk Required 13 REQUIRED DEDICATION— FT Underipound Wiring required METER SIZE Ll�� NO. OF FIXTURES PRV REQUIRED YES C3 NO 13 Z REMARKS Z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE REVIEWED BY DATE FIRE REVIEWED BY DATE uj cc I M VARIANCE OR CU SHORELIN50RADBN INSPECTION I BOND ------- 1 /V/14 REQ,o W ONO POSTED Is -- SEPA REVIEW SIGN AREA HT 'r COMPLETE EXEMPT ALLOWED PROPOSED . I PROPO L; ED SED :_XP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR Z PARKING REQD I PROVIDED LOT AREA PLANNING REVIEWED BY DATE I—jv axe4f—O&A � - otio-goe. I CHECKED BY TYPE OF CONSTRUCTION Co. OCCUPANTe GROUP SPECIAL INSPE"ON AREA OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-D 0 &--Vl 2 -Adz . /L � A. M 10A e*1- Im .4 is-- = A $ 77 1-0 It Description FEE Description FEE Plan Check 47, State Surcharge HEAT SOURCE GLAZING %' LOT SLOPE % Building Permit 470— City Surcharge PLAN CHECK NO, VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES O"LY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading a 3 DOMAIN (CURBS, SIDEWALXS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 1= SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: ISO DAYS 106 PERMIT UM[r I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection I SEE BACK OF PINK PERMrT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit I'APPLICANT, IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY IALL FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnspi. Total Amt. Due 9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* X, Recording Fee Receipt # 6,77 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATIO14 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 acknoy4odged In space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. IA NATUY. DATE E 4PW R A DATE SIGNED IA95) r3d.,21 i 771-0220 - -144 ffiE ED 13Y DATS( Wft AMIdION Off 1333 ��)196WZAj IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL )All' A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW. INS4,CTOR/ OATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR '1112 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING Z 0 0 1711 =i9i V;� M M 0 10 0 ITI M Z Z 0 -n n M M a- 0 0) 6 Fn M 0 Z Z Q) Z 0 1 0 171 I 'PATE RECEIVED �ECI /Z� r PERMIT EXPIRES CITY OF EDMONDS USE PERMIT 111E NILIMBER_&W-dg,:'�3 CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS-5 &9A u�� OWNER NAMEINAME OF BUSINESS ILI 61,/6'If jdto'.J 1AA-, PLAT NAME/SUBDIVISION NO. LOT NO. I LID NO. LID FEE S -7 MAILING ADDRESS - -N 2 �� --/ I 17� r '90 7 11-1 0/ 7c PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION— FT TESCP Approved RW Permit Required Street Use Permit Req'd Inspection Required 13 Sidewalk Required 13 Undergrowd wmno required 0 CITY ZIP < TELEPHONE 7 7&. METER SIZE LINE SIZE 1 NO. OF FIXTURES PRV REQUIRED YES[3 NO 13 15 NAME (7 /60 /11116166 6 .2 ADDRESS - r.— 22-()7 Z /0 0 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z CITV ZIP TELEPHONE AMAMI MTN% lob 776. Z?// NAME CBLN LIU 1V1 r L 1: 1 C 11 t ENGINEERING REVIMD YF s' 's "ss'bATE cc ADDRESS z1z FIRE REVIEWED BY DATE W CITY ZIP TELEPHONE Z2 VARIANCE OR CU I SHORELIN50RADB# A//A _ffikEs INSPECTION 0,PREQ'D [3NO1$ BOND POSTED I STATE LICENSE NUMBER EXPIRATION DATE 14,., IC�j ()t2 ID6 -4. 1q, o4— CHECKED BY SEPA REVIEW COMPLETE , EXEMPT EXP SIGN AREA ALLOWED PROPOSED EIGHT ALL ED I PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. -7 I-LO( )2 NEW RESIDENTIAL PLUMBING I MECH COMPLIANCE OR ADDITI COMMERCIAL CHANGE OF USE REMODEL LTIFAMILY SIGN LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT LIRSIDE REAR z RE PARKING LOT AREA PLANNING REVIEWED BY DATE to 0. _j FENCE REPAIR ING CYDS x Fr) OTHER DEMOLISH AR I K1 M zi na+ 10,9 ve- U GARAGE ETAINING WALL F RE SPRINKLER CARPORT ROCKERY El FIRE ALARM UWE OF USE, BUSINESS OR ACTIVITYI EXPLAIN: Ll S TYPE OF CONSTRUCTION I;J� OCCUPANTe GROUP NUMBER NUaBER OF CRITICAW"Ovillier r.-I DWELLIN AREAS ��/ NITS NUMBE SPECIAL INSPE6TION REQUIRED [] YES REA OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTIOn ncu-u DESCRIBE WORK TO BE DONE ((A 11 kve ('�j fflw-254us -pr ::r Z/- / - VALUATION $ *::3A tyley Lied &tkj— ra:� -7 Description FEE Description FEE Plan Check A/ /1—' "� State Surcharge HEAT SOURCE I GLAZING % LOT SLOPE % Building Permit City Surcharge Plumbing VESTED DATE PLAN CHECK NO- Mechanical Dca - 61� ��a THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPILICATION: 180 DAYS UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS BEE'BACK OF PINK PERMIT FOR MORE INFORMATION Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Plan lRecelpt 2 IALL 9 0 'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND 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 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CI1YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Fire Inspection # 9/2/ 7 t?_ Landscapelnsp. Total Amt. Duo C� Recording F ee Rece 1pt # 1%' &277 I HEREBY ACKNOWLEDGE THAT 1, HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC' 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 APPLICATION APPROVAL This application Is not a permit until signed by the CALL Building Official or his/her Deputy: and Foos are paid, and FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. 1-1 (425) FFI�IA GNAT DATE 771-0220 f DATj( E LriED BY 819"9�Ow E L L/ DATE SIGNED Attt#ION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL E)Cr 13133 144 A /) A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW-INS4ECTOR/ CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE PINK -OWNER - GOLD -ASSESSOR MAKING 5 COPIES GREEN -ACCOUNTING 10000 111111111 z 0 4 0 M 0M C Ma 0 0 0 C I C M M 0 IT! n M M 0 ra 0 0 Fn C (Ij C V) M 0 X z 9 0 M