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20030048.pdfj t )l DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER .tL NAMEINAME OF Bys,',!N�SS ' I ei_JV VV�,t 1ba5 4XIN MAILING ADDJaS Z6 CITY ZIP TELEPH NE �Z 6 1066 NAME ADDRESS CITY ZIP ITELEPHONE NAMf ADDRESS P. 0 9 Y � 7 f 7 CITY ZIP TELEPHONE 560o t7/0- Yeol 7,� I �� - -, STATE LICENSE NUMBER EXPIRATION 57C�,V< ;y 5// /_3 3 /0Z TAX ACCOUh 47a _01% 5L 9EW RESIDENTIAL ADDITION )tCOMMERCIAL REMODEL 1:1 MULTIFAMILY REPAIR [3 GRADING CYDS DEMOLISH 0 TANK GARAGE [3 RETAININGWALL CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTIVrTY) EXPLAIN: ,Les -law k NUMBER NUMBER OF OF DWELLING .2TORIES UNITS DESCRIBE W9RK TO BE 139NE� $2 ta c-P 13 aXI c 'e- HEAT SOURCE PAS IN CHECK NO: CBL N KED BY 67;7�' PLLIMSIN9�� H COMPLIANCE OR CHANGE OF USE SIGN IFENCE 3 ( — X—FT) 0 OTHE 2:22ALE"2- FIRS SPRINKLER FIRE ALARM PERMIT E XPIRES USE PERMIT ZONE NUMBER AVe -ANe JOB U TE/A�PT# ADDRESS 9-3 02�6- 0 8 X� /0 /-A, 1---L PLAT NAME/SUBDIVISION NO. LOT NO. L�D NO. L D FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I Esrp AP RW Parmll Street Use Porm t aq EXISTING — PROPOSED Inspectlon Required Sidewalk Required REQUIRED DEDICATION— FT Underground wmn METER SIZE LINE SIZE PRV REQUIRED YES13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE ENGINEERING REVIEWED BY BE ACCEPTED DATE FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADBI INSPECTION I BOND RM'D P I E3YE �xoi$ POSTED SEPA REVIEW SIGN AREA HEIGHT COMP LETS EXEMPT !XP ALLOWED PROPOSED ALLOWED PROPOSED LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) NLLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR z lwclland4d' PARWING REQ`D PROVIDED_j_ LOT AREA PLANNING REVIEWED BY DATE CHECKEDBY OCCUPANT JTYPEOF#JM�er 1&7E- GROUP CRITICAL AREAS SPECIAL INSPECTION JAREA NUMBER REQUIRED [] YE OCCUPANT LOAD 100- /A GLAZING % LOT SLOPE % VESTED DATE REMARKS PROGRESS INSPECTIONS PER UBC 1108/1'INAL INSPECTION REQ'D] d__ I A- AXI-11 dJ1..11 $ Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPENITY ONLY. AM CONSTRUCTION ON THE PUBUC Grading a TC.) WI DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, E LL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPILICATION: 180 DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN I SO 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 Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 21 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* x Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION 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 LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPENSATYM-.WSUPANCE AND RCW 18.27. 0 'G DATE I SIGNATURE (OW A E - DATE OGNE[y '425) PN 2�,/03 771-0220 REL SED BY f VAllz ATTENTION Off 1333 / ISA4 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YEI I OW - IN4PECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING I WA z 0 M C M 0 0 C M 01 -n A In 0 0 Fn 0 CA z 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS '�:.FOUNDATI04: ............ Wall........................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING:... Underground............. Rough -in ................... Commercial Final ...... MEATING: Gas �Test ...... ....... ...... Gas Piping ................. E4uipment Comme lal Final ........ rc EXTERIOR SHEATHING NAILING .......................... FRAMING ... ..................... FIRSTFLOOR FRAMING... INSULATION ................... wd; loorInsulat on ........... Will Insulation ........... Coiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. �V, 0 ff A Or� M AD r— iR ca 1V A, I RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OM��ER qi� BVSINES, je7"E S i �.�i � 4- W, MAILINGADO CITY TELEPH)14E P 6 P64 0z, P NAME ADDRESS CITY ZIP [TELEPHONE ,'V- CBL # Cc 0 ADDRESS V CITY Zip 562,0 17-le- '70DI 7Y TELEPHONE ?-� - '26 7 - VId 60 STATE LICENSE NUMBER EXPIRATION DATE .0 CHfCKED BY /_3 3 'D'7 �Z J01a 3 PROPERTY TAX ACCOUNT PARCEL N9. 44 7 � 6 EW RESIDENTIAL PLUMBIN K COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE TiFAmit:y REMODEL 0 muL SIGN [3_fIEPAIR GRADING 'FENCE C� S 0 x FT) 0 DEMOLISH 0 TANK 0 OTNE�Lq?/o C& GARAGE o RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY 1:1 FIRE ALARM -(TYPE OF USE, BUSINESS OR ACTIVTM EXPLAIN: 'S 7a W4 09 1 NUMBER PIUMBER OF OF DWELLING CRITICAL AREAS STOI11_ UNITS NUMBER DESCRIBE WqRK TO BE DON 430 S � la .0 1 e)(/ S 7' , egy coh6lz —L& _V -All oAt- 0.1 L1' PERMIT EXPIRES L� NOW USE PERMIT ZONE &V NUMBER Ave JOB, ArtES S -_0 -2 I ".t4 PLIAT NAM(E/SUBDIVIS N N�O./,, LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP ;�Provsd RW Pennit Required Straell Use Permli Req-d EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT _ . Underground VV=g F —W 13 — METER SIZE LINE SIZE 1 I --7— 0. OF FIXTURES PRv REQUIRED YESM NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE REVIEWED FIRE REVIEWED BY DATE DATE VARIANCE OR CU INEORADB# INSPECTION BOND R.%DP C I 13YES 0 POSTED SEPA REVIEW COMPLETE EXEMPT EXP SIGN AREA ALLOWED PROPOSED - HEIGHT ALLOWED PROPOSED ��51 1z, LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/ SIDE REAR ................ I /W XA PARKING LOT AREA PLANNING REVIEWED BY DATE REQ`D PROVIDED a 5 eV 5:n kl!fi CHECKED BY TYPE 0 SPECIAL INSPECTION JAREA REQUIRED 10 YES REMARKS PROGRESS INSPECTIONS PER UBC I 0 —A OCCUPANT GROU OCCUPANT LOAD I NAL INSPECTION REG-D g 8 00 IV's 12ho I Dow 04*' /.-1 7L�A 14' _e DescriptIon FEE DescriptIon 0/71, �4. Plan Check State Surcharge HEAT SOURCE GLAZING %"' LOT SLOPE % Q0_5 I Building Permit City Surcharge WAN CHECK NO: VESTED DATE Plumbing Mechanical 10 THIS PERMIT AUTHORM—ES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOUAIN (CURBS, SIDEWALKS, DFINEWAYSo MARQUEES, ETC.) WILL REQUIRE 1: SEPA"�IRMIISSION- 7 Engr. Review 2 5 PERMIT APPLICAlft., 0-1 WITHIN 11118 DAYS PERMIT LIMM I YEAR - PROVIDED WOR 16=1=1 ngr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAN'r, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt N I ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALLNOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due j NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PRCAIISION. - Recording Fee Receipt # '0? 'a 7:� ig 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION AP PROVAL GIVEN IS CORRE" AND THAT I AM THE OWNER, OR THE OULY 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 Building Official or hisibOr Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. WORKMENS COMPEN INMVANCE AND RCW 18.27. FF C I DATE SIGNATURE (OW A E DATE PIGNEY /( 13 IA035), I Wo- FNPff. 771-022U REL BED BY ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - F CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 m am mg C.) 0 C m m Z In m m Fn z 0 0 m