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20030232.pdfI DATE RECEIVED /wwir CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS :!i7u- a 0a wr. lina-Lor--p. MAILING ADDRESS f4j)AR1.4 Piffh V-aAt- S$TA-M_ N. a 110!0 !Z32& 0 - CITY ZIP VLEPHONE ADDRESS CITY ZIP PERMITEXPIRES USE PERMIT ZONE tj U NUMBER JOB SUITF/APT# ADDREfS_, -7/?L Aih-- L 21-2- 2 / PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. Af>_F,y'.5_A asmil -'1 &)011 LID FEE $ 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I ESCP Approved RW Permit Requked Street Use Permit 'W'. EXISTING - PROPOSED inspection Required Sidewalk Requlr*d REQUIRED DEDICATION- FT Underground Wiringrequired 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO E3 z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE NAME CBL# ��_TAIEE ENGINEERING REVIEWED BY DATE ADDRESS Box 33-3-70 FIRE REVIEWED BY DATE Lu CITY ZIP ELEPHONE M 5'06:11M C7 020 VARIANCE OR CU SHORELINE OR ADB# INSPECTION STATE LICENSE NUMBER ECKED B 1711202_.. POSTED ------ 1$ I3YES2It!O gmi 12'x SEPA REVIEW SIGN AREA . � HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWE ROPOSED ALLOWED POSED 00AL C9 j 0 1 , QQ91, EX NEW RESIDENTIAL ;g.PLUMBI MECH LOT COVERAGE REQUIRED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR PROPOSED SETBACKS " I d FRONT URSIDE REAR COMPLIVAN Ak r__A7eLnff z 0 ADDITION COMMERCIAL CHANGE OF USE j(F1'r- PARKING AREA PLANNING REVIEWED BY DATE 4V REMODEL MUI.TIFAMILY SIGN REO'D PROVIDED I I hfm�;h� 3 V REPAIR GRADING CYDS FENCE X FT) R 14- W, I I - DEMOLISH TANK OTHER oGARAGE RETAINING WALL [3 FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY)i EXPLAIN: CHECKED BY ITYPE F CONSTRU900 C E assesses OCCUPANT GROUP 14-Ir-1 64�! -.5 _7CRITIGAL 11-11. NUMBER OF NUMBER OF DWELLING AREAS SPECIAL INSPECTION Jr OCCUPANT LOAD STORIES U NUMBER JAREA REQUIRED DESCRIBE WORK TO BE DONE I REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D &nm jz'0^Cn-"P Eaviemebrr LAO, _--licaawazz O-hLy !VALUATION Dewriptlon FEE Description FEE Plan Check State Surcharge I- - HEAT SOURCE T­6� NG % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO, Z�2� VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX AM CONSTRUCTION ON THE PUSUC Grading DOMIUN (CURES, SIDEWALKS, DRIVEWAVS, MMOUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. t Engr. Review PERMIT APPUCATION: 180 DAYS M. PERMIT ILIMM I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPUCANT; 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 T FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due C DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # 1-9 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 C17Y 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 FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. F I GNAT ATE S1 URE (OWNER C =AdE DATE sr NED (A-25) . wAr- 12... 1--, ) k' 3 771-0220 UAIEf REL 77TENTION EXT 1333 _2 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILJ 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 4 0 rp 55 M M 40 0 r � C M ITI z o -n n rn a —00) 0 0 Fn C: co C co M 0 z co z 0 1 0 M cl 4 Y*iiMTE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS Dr-r--_'5510111AL C,-"-1r::1z V(F m!!� P 1? L MAILINGADDRESS MORRI5. PjjiA iZr-AL C_F74M RQ. _1250Y 5:73-2_90 CITY ZIP VILEPHONE 1 E ADDRESS CITY NAME 1?z C� — 41 ADDRESS ZIP CBL N CITY ZIP ELEPHONE 6IF-A'11, 1� 206 1 9jj3jj — STATE LICENSE NUMBER EXPIRATION DATE ECKED B -17)--7 — - — - - — I 4''mij I I NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL [3 muLnFAmwy REPAIR GRADING CYDS DEMOLISH 13 TANK 0 GARAGE -1 RETAINING WALL 1:3 CARPORT RocKERY (TYPE OF USE, BUSINESS OR ACTIVITY'll EXPLAIN: NUMBER NUMBER OF F' IES 0 STOR DWELLING UNITS DESCRIBE WORK TO BE DONE USE ZONE JOB IF,] PERMIT EXPIRES PERMIT zay, NUMBER -Omz, SUITE/APT# -s� 14 '21-2- PLAT NAME/SUBDIVISION No. LOT NO. LID NO. jAf)Lr-j5 A I LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW PefffA Required Street Use Perrinft Raq'd EXISTING — PROPOSED InspoctlonFloquired Sidewalk Required REQUIRED DEDICATION— FT Underground WkIrtgrequirad METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO [3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAI NAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE I VARIANCE OR CU SHORELINE OR A111111 I INSPECTION I BOND A REQD J. POSTED 1 ,,7r OYES jW0 Is SEPA REVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED VqCPOSED 4OV40 EXF �%ajte LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (1`15� ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR PARKING if& AREA I PLANNING REVIEWED BY DATE IL REQ`D I PROVIDED A � :,IV14 II CHECKED BY ITYPE F CONSTRU610) OCCUPANT 0 - / &6 !!; GROUP i � I- ARITICAL him REAS SPECIAL INSPECTION JAREA �C_CUPANT MBER "11A REQUIRED [:] YES LOAD REMARKS d— PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-D R 00 1�-ryp PLUMBIN((MECH) COMPLIANCIT109— CHANGE OF USE SIGN o FENCE FT) OTHER FIRE SPRINKLER FIRE ALARM Fayipmem-r LA-T-4. Le_oou N t, p/4 L VALUAnON 0 $ 7000* Description FEE Descripticin FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO* VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I-- BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC 3 Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180DAYS PERMIT IJIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BE"ALF OF HIS QR . HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire RevIeW: Plan Chk. Deposit ;APPL'CAN7,1, N INTeRE T, AGR9ES TO INDEMNIFY. DEFEND AND.HOLD HARMLESS THE,CrTY 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 PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due NOR UL41T IN ANY WAY THE CITYS ABIL17Y TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN 13 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 acknowledged In space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. FF1 I I GNAT PATE DATE SIGhLATURE (OWNER NED Sri 1A 0 lk-125) 1%M -v--31),V--1t_2_11 3 > 771-0220 DATE ATTENTION EXT 1333 a-f-s 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 M M8 40 OC � M M M 0 _Tl MM 8 5i 6 Fn z 3� V) z 0 q 0 IT!