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20030159.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS V IcAc_ % c6m 1 C—,14A &C MAILING ADDRESS S G. I Avo fL0 r.) 4;p CITY ZIP TELEPHONE k= 1-16 9 NAME 1-:!--p P-'-- t-J 1) -T 4 tk1SC)C_iA—rW-S ADDRESS P-C- 71,c�-A CITY ZIP TELEPHONE lfkpo NAME ICBL# ADDRESS CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. :�; 0 NEW RESIDENTIAL —1 PLUMBING/MECH ADDITION COMMERCIAL o COMPLIANCE OR CHANGE OF USE ;K REMODEL MULTIFAMILY SIGN REPAIR FENCE CYDS ( '_ , X FT) DEMOLISH TANK 07-HER oGARAGE RETAININGWALL 0 FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM I[TYPIE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: Is V_ NUMBER NUMBER OF CRITICAL OF STORIES &tl DWELLING NITS 1 A 100 N DESCRIBE WORK TO BE DONE mo tj or- 7_0 -7- o 'S-TO " A-9 t> i -T 11111 1-3 A S -TO 44-Tv7L _5Q)-Tr A-MOOXF- e--3EiVTirjl6 USE ZONE ie , jgP1 JOB ADDRESS PERMIT EXPIRES PERMIT NUMBER.-6�04 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Ap RW Permit= ad EXISTING Street Use Permit Raqd Inspection floquited PROPOSED Sidewalk Required REQUIRED DEDICATION FT Und"Wme'd Wirintifectuired El METER SIZE LINE SIZE NO. OF FIXTURES AV REQUIRED YEPs 13 NO 13 REMARKS z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 121',eM I r12t5, r-. % KV -% ir 4 A17N It::�-Ar 1.� A ENGINEERING FIRE REVIEWED BY BY DATE 0*3 VARIANCE OR CUI SHORELINE OR ADS#, INSPECTION REq2_,, POSTED E3YEsAo is SEPA REVIEW SIGN AREA - HEIGHT COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWEI , PROPOSED EXP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR , FRONT LIF11REAR 0 it I. Ila r I a�A I (a g?E) -115 51.3 .., F PARKING I LOT AR PLANN REVIEWED BY Di R IOVIDED h �;V CHECKED BY ITYPE OE= SPECIAL INSPECTIONJAiR REQUIRED 0 YES j1d( y VALUATION ZAP OCCUPAJ4 GRO OCCUPANT LOAD PER UBC: 1108/FINAL INSPECTION REaD Description FEE Description FEE PlanCheck State Surcharge All HEAT SOURCE GLA-71NG % LOT SLOPE % 2vz Building Permit C4 Surcharge 111;� PLAN CHECK VESTED DATE Plumbing 171 ZZ/ 4. Mechanical THIS PERMIT AMOREMS ONLY THEIWORK NOTED. THIS PERMrT COVERS WORK To BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN Grading (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMrTAPPUCATION: Engr. Review 06 180DAYS PERMIT LIMM I YEAR -PROVIDED WORK IS STARTED WITHIN 180DAYS Engr. Inspection SEE RACK 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 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # 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 Landscapelnsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I I Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL 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 CALL This application Is not a permit until signed by the Building Official or his/hor Deputy: and Fees are IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPEN ION IN URANCE AND RCW 18.27. FOR INSPECTION paid, and receipt Is acknowledged In space Provided. erG�ATURE (OWNER 011/GEW DATE SIGNED 1A135) DATE qnrL A100- 771-0220 Z140-71. _**_tP&qM ATTENTION EXT 1333 AfLEAsA BY f UFE lz�illlko " hi IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 11f111 I/W A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- "'LIU4444&� ORIGINAL -FILE YELLOW -IN CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -AS! 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 A 0 M Al A .100 100 A -too' too' IS RESPONSIBLE OWNER/C0NTi`AU-*t 01 lax 'FOR EROSION CONTROL AND DAMAGE 100 100, 7- 4-' - 44�kf too R /DOWNSPOUTS ST SYST TO EXII! TO 66N Uj kv, N Zz. pp, OTED ca ROVED AS N V%..a U50 w 10 8Y *.NGINEERING NOVO- eKss Dati: APPROVED BY NNING 14 S/CD 52 0 ajok ItA I> vi-% ENO ilia 1=0 rAnAr- pal 00 .10 RECEI VIED 100,f JAN 2 1 2003 PERMIT COUNTER CS t.., A, -T%-TY4 New ImPMA-Imsis 't 13,j Soo sr--r V4 ILW t vw to C9 M Psv ID P-A-6 Wft k— Ptj -5110-v CrT 1 (09 S r--T E-0 0 so f , Vj 4- 0%0 00 APPROVED BY P Apo 1100 0 GARY HAAKENSON ITY OF EDMONDS MAYOR (425) 771-0220 - FAX (425) 771-0221 121 5TH AVENUE NORTH EDMONDS, WA 98020 Website: www.dedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning Building Engineering C August 18, 2003 Attn: Dick& Geri Chase 8619 Madrona Lane Edmonds, WA 98026 Building Permit: 2003-0159 Site Address: 8619 Madrona Lane Expiration Date: 3/5/04 Dear Dick & Geri Chase: orm you that the last remaining inspection on your The purpose of this letter is to inf project is a final inspection(s). The final inspection(s) determines that there are no -saf e City to close your permit file. outstanding life ety issues and approval allows th The City considers the final inspection to be one of the most important inspections conducted on a project. In order to grant final approval the following must be complete: smoke detectors, house numbers, guardrails, handrails, self -close doors between garage -stripping, any and residence, egress from sleeping rooms, safety glazing, weather department requirements etc. Of course not all of these things may Engmieermg i things specifically apply to your project but it does give you an idea about the k nds of d to be installed such as: that must be complete as well as some items that do not nee m rom paint, carpet, moldings, wallpaper, etc. Please be advised per its expire one year f rmits can be the date of issuance. If you will need more time to complete the work, pe renewedprior to expiration for one half fees. If the permit expires without a final ees are required in order to renew the approval granted by the Building Inspector, full f permit. This can be very costly to you and we strongly encourage you to check your permit expiration date and call for the required final inspection(s). Note: If more than -nent is required to final your project, this is noted on your Job Card. one departi Please feel free to contact me at 425-771-0220 if you have any questions. Sincerely, dinator Permit Coordinator 0 Incorporated August 11, 1890 Sister Citv - Hekinan Jat)an C FINAL PROJECT APPROVAL FORM z 9 0 m 34: M c M 0 0 c m m z 10-1 0 -n n M m a vi 0 o Fn C co c 0) M 0 Z M z co) 0 m RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:temp:bldg:formsIO/oI m LAIV ILIA&LCA10 g.4L%, XXI%'m L-'. Roberts, a temporary contract inspector for the City. fAJ 'y DATE RECEIVEP PERMIT EXPIRES CITY OF EDMONDS USE PERMIT V - ZONE _57 5� 91, NUMBER (-�� ) - ,4 CONSTRUCTION PERMIT APPLICATION JOB SUITE/ T# 1 ADDRESS OWNER NAMEINAME OF BUSINESS -1> I CA(_ A <�; Em iI rA s (-r PLAT NAMEISUBOIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE $ TESrP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PermA Required CITY Street Us, Permit RWd EXISTING PROPOSED MspwUon Required ZIP ELEPHONE SIdewalft R"uW*d 9 .7 C) REQUIRED DEDICATION FT Underttround I Wmgfectuired 13 NAiE METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE -View tvy_p 16 NAME CBL# ENGINEERING REVIEWED BY DATE ADDREqS '��Jjq jo-3 .41L AllIlk- FIRE REVIEWED ff I's CITY TELEPHONE ZIP TI STATE LICENSE NUMBER EXPIRATION DATE CH"ED BY VARIANCE OR I P BOND REqRD_.,. I P POSTED E3Y ES S 0 $ I IYE _,V4O SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWEI) PROPOSED (2) EXP [_]�NEW 'Sk4iESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SID� REAR FRONT LIR S REAR 0 ADDITION 0. COMMERCIAL C MPLIANCE OR 0 0 CHANGE OF USE PARKING LOT ARE NN>G REVIEWED BY CATE RE40DEL muLnmi&,�* SIGN REOD VIDED GRADING FENCE Q_REPA IR CYDS X FT) RMS OTHER bEM1OLiSrH TANK 'GARAGE RETAINING WALL FIRE SPRINKLER CARPOF[r ROCKERY. FIRE ALARM (TYPE OF USF, BUSINESS OR ACTIVITY) EXPLAIN:, o —1 r m. CHECKED BY Typl��ON ICQDE.— OCCUPA C �GROU 4 P NUMBER NUMBER OF CRITICAL OF WELLING AREAS I i, i. S ECIAL INSPECTION "]AM— Z/W OCCUPANT STORIES NITS NUMBE - -LOAD REQUIRED [:] YES 1,4 Z, DESCRI13E WORK TO BE DONE L 0 itigo �g REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTI N RE*D A ''I. I vt&e VV *Ake 6Z 14,jffgwaa� . f,. A. VALUAnoN Description FEE Description FEE Plan Check 17)N- State Surcharge HEAT SOURCE GLAZING LOT SLOPE % Building Permit City Surcharge PLAN CHECK VESTED DATE Plumbing Mechanical THIS Pawrir Atrrmoazms ONLY ir"c- liitoityc NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWAIXS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. t: Engr. Review PERMIT APPLICATION: 100DAYS PERLUT LIMM 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, ASWNSAND 6UCCESORS Fire Review Plan Chk. DeMit g72 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 MR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY 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 CITVS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee Receipt # LIT& n 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 appllc&tWn is not a perrn.11 until signed by the TION, AND IN DOING THE WORK A HORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building OMcW or his/her Deputy: and Fees are paid. and IN VIOLATION OF THE LABOR CC:E OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION rem1pt is acknowledged in space provided. WORKMENS COMPENSATION INSURANCE AND RCW 18.27. - - — I N — 9FFICIALYSPATUDO DATE I RE: (OWNER OR GE /I 1A 25) '-�_D_IAPL 4 I /) -,t 771-0220 JOATE1814GNED 110-LEAISP-By DrE AtTENTION E)ff 1333 & Ll= IT IS UNLAWFUL TO U 0 py§�l IL I STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW- INSkQ6R CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 PINK -OWNER GOLD-ASSESSbR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING