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20030136.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OF BUSINESS Kai+� Ht_J1)nf\L1, MAILING ADDRESS — TEI EPHONE TIN _(01 70, 110 ...... ----- � —401 'i ADDRESS CITY ZIP TELEPHONE NAME CBL# ADDRESS ZIP %_J I TELEPHONE STATE LICENSE NUMBER EXWIION T 1_4 cugages�py MOn � CLO 11� I to 4�5 21 1 �ROPERTY TAX ACCOUNT PARCEL NO. L I E Q NEW 1WR ESIDENTIAL UMS'NG ' MECH ADDITION COMMERCIAL COMPLIANCE OR 2CLHANGE OF USE REMODEL MULTIFAMILY SIG rl GRIIING11 FENCE REPAIR DS X OTHER DEMOLISH TAK AV W) GARAGE M G L UFRINKLIER M CARPORT IcKfY ALARM frYPE OF USE, BUSINESS ONAAffrivirrWLAIN: V �SE� NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS I NUMBER DESCRIBE WORK TO BE DONE PERMIT EXPIRES TSE PERMIT"e""es ZONE NUMBER 2M2? JOB SUITE/APT# ADDRESS t PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S I ESCP APP(ZV PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit R ifed Street Use Pertnit R6q'd EXISTING PROPQs REQUIRED 13 METER SI &JE 10090WOW IED )13 z fa I REMARKS z z OWNER/CO (WOC'O&Nf=RtgOi)kL4QU�LIDRAINAGE - - - - - - - - - - - - - - - - I ENGINEERING REVIEWED BY FIRE REVIEWED BY VARIANCE OFfV1Vnj S#)ROELPEE DATE DATE Ir FBOND POSTED 11i V=_ m I n SEPA R EW_ -A COMPIL SIGN AREA g!rAjt"H?GHT P&H EXP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR PARKING REO'D I PROVIDED LOT ffil "01 PLANIAEVAYED-90' DATE Art W 06 CHECKEDBY I=NWIW OCCUPANT GROUP X��G— SPECIAL INSPEcTibN REQUIRED [3 YES AREA OCCUPANT LOAD REMARKS PROGR REO'D CRjfflEfkftP fe �41, r n W 'a 47u d ND �JtW pip j 11C M V VALUATION I Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % L T OT SLOPE % Building Permit City Surcharge PLAN CHECK NID- VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 3 Grading M Do MAIN (CURRS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE — A111110— t: SEPARATE PERMISSION. 1W A Engr. Revi PERMIT APPUCATION: ISO DAYS 4ae 116 PERMIT ILIMM 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 hk. it �j 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 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 Landscapeinsp. TotalAmt.Due 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- x Recording Fee Receipt # I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DUI.Y AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This applicaflon Is not a porMit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Offlclal or his/her Deputy: and Fees are paid, and IN VIOLATIONAOF THE LABOR CODE OF THE STAT SHINGTON RELATING TO I% OF WA FOR INSPECTION receipt Is acknowledged in space provided. WORKMEN-SOYPENSA;!51"RA RCY!P.27. OFFICIALS SIGNAT7 DATE rER 0 Srlg� T �! DATE: SIGNED (425) e A0( e2 11 b). '1 /,n VY 771-0220 Z DATt RELEASED 13Y 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 - FILE YELLOW - INSPECTOR 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 a OM M 0 —40 0 C: M 10-1 0) 0 M M M a 0 0 Fn MO X z 0 0 M FIREP I FLOOR FRAMING ... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION 1, 'MISCELLANEOM .......... FINAL APPROVAL FOR '-OCCUPANCY .................. le-01"114 co-o 'e4c7-1rop. A22 -0 21 V M� c m C. fit-, m 10 Z,, Z DATE inECEIVL— CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS ZIP TELEPHONE IEL02d AaLL()l NAME ADDRESS CITY ZIP TELEPHONE NAME CBLN t -A, "'esc'D Ila] ADDRESS 710 I PERMIT EXPIRES - 7S _F! - PERMIT ZONE NUMBER "1402) JOB SUITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S TESCP APP"MW PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Wd M N&LIM" 14IN ir(_"F_jR%E PRV EQUIRED re We or, 78m hot ;NXor n YES NO 13 qu I - aim -non tea MI LJV 11;7.'jV-Vf-V n%-I E onfuel-burrAngapplimcesin cm.c t,-A '& j It ILA V IV FIRE RE�VrD BY Cr ZIP J TELEPHONE I I 91`11� M ��'Qrx\Htu VARIANCE OR CU SH13RELINE OR ADB11 I INSPECTION BOND STATE LICENSE NUMBER EXWTION Dd%T9 -4 CligeRM"Y REQ&Wj$ POSTED U)P&)_1r)SCfl�Ci10 _r 105&1-) SEPA REVIEW SIGN AREA OYES Mo — OSggo% HEIGHT PROPERTY TAX ACCOU PARCEL NO. COMPLET PT ALLOWED PROP, LOWED PROPOSED .� 34 1 - (0 Do_�9 26!2D _W) _1W I I - 0 EXP !R4CKS (FT.) 0 NEW ESIDENTIAL LUMBINIIONWA�, _D FR I REAR ff "'111161 '1 CO LIN!16R thte. 0 '.,SE ADDITION [j COMMERCIAL C PAR rcc WPM in, REMODEL 0 muLnFAmil Sill REOD I FE E to 0 REPAIR G DING LID ri FT) OT ANK JD DEMOLISH 11 1 VFRI AL _,,4 TANK GAR RETAI L FIRE SPRINKIL MW Itil OC 0 CARAPI 11101PPP ROCKE FIRE ALARM %lop" (TYPE OF USE. BUSINESS OR ACTIV" EXPLAIN: OCCU ANT -7 CHECKED IN 0 ION OUP SEL:e By 11Y OR P x NUMBER 4UMBER OF CRITICAL SPECIAL INSPECT N AREA OF )WELLING AREAS )Q OCCUPANT rrtJNITS NUMBER REOUlh ED 0 YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REGID -rcA Q�_ VALUATION �\ UY\, Q rr�i h 14 ij NO �j6w plpltl�z Description FEE "On Description FEE FEE I If C) Plan Check S u rc harge State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit r arge City Surcharge u ch PLAN CHECK NO, VESTED DATE Plumbing _Awz Mechanical TW�'�66iirr AiffkohitEs o�LdTHE�'vioFiteiic;T6."'THi"S'Pi�irr'66VERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOUNIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL F EQUI E SEPARATE PERMISSION. Engr. F evi4ew I I PERMIT APPLICATION: 1180 DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN IGO 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 NATURE. ARISING DIRECTLY OR INDIRECTLY - - FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY WAIVE OR REDUCE MY REQUIREMENT OF MY CITY ORDINANCE Landscapeinsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' zi Recording Fee Receipt # I HEREBY ACV#OW'LEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION COAFECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL GIVEN IS THE OWNER., I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a permit until signed by the Building Official i� his/her Deputy: and Fees are paid, and TION; AND IN DOINQ THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED INMOLATIO THE LABOR C DE 0 T E STATA OF WASHINGTON RELATING TO FOR INSPECTIONI receipt ls,acknowledged In space provided. WORKMEN4 PEN 0 R C)V 18. 2 7. ER 0 SIGNED OFFICIALS SIG URE DATE t'�T V!t6/'IN 771-0220 RELEASED r 'k- A'I'TENTION Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ILF,, YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 GOLD - ASSESSOR '#�'ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COF I MEMEL z 0 m am C MO 0 80 C � r. m m z 0 _1111 "3n! 9 m m a Vi 0 o Fn C2 0 z 9 0 m