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20030234.pdf,�owlnwb5 )ql-eT DATE REC CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 11rNZME/NAME OF Dust SS /;1), 11 V, MAILING ADDRESS bp TEL%PHONE NAME ADDRESS CITY ZIP ITELEPHONE PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ADDRESS 0 e-h 1-k�e SUITE/APT# PLAT NAME/$ LIDDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESCP Approved AW Permit Requited Street Use Permit Rscfd EXISTING - PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- Fr Uriderground Wiring required METER SIZE LINE Slii NO, OF FIXTURES P RV REQUIRED YEs13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE zj_ I - N CBL # I I tls�-Z= tNGINEERING REVII�WED BY DATE I CC ADDRESS 1-7i'le CITY ZIP TELEPHONE FIRE REVIEWED BY DATE Lu IC STATE LICENSE NUMBER EXPIRATION 01,TE CWKED BY CE OR CU - OR ADS# BOND VARIAN SHORELINE INSPECTION REO'D POSTED 113YEs 1$ 13NO SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCO PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 0 , , , EXP NEW RESIDENTIAL 13 PLUMBING MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE z REMODEL MULTIFAMILY SIGN PARKING LOT AREA PLANNING REVIEWED By DATE REOD I PROVIDED REPAIR [3 GRADING [3 FENCE CYDS Fr) MMA _;�DEMOLISH 1:1 TANK 0 OTHER a I N I SE, GARAGE o RETAININGWALL ci FIRE SPRINKLER ALARM I CARPORT_ ROCKERY FIRE UWE OF USE, BUSINESS OR ACTIVITY]l EXPLAIN: I COIN occ CHECKED BY ITYPE OF COnTRY UPANT _T Ld-7 GROUP ��N NUMBER NUMBER OF OF DWELLING AREAS SPECIAL INSPECTION JAREA OCCUPANT STORIES UNITS NUMBER REQUIRED 0 YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'O VALLI ON $ Description FEE Description FEE Plan Check 445 S late Surcharge HEAT SOURCE WING % LOT SLOPE % T_G Building Permit City Surcharge PLAN CHECK NO: VESTED DxrE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading 23 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE 1= SEPARATE PERMISSION. 11 Engr. Review 15 PERMIT APPILICATION: IISODAYS 0. PERMIT ILIMIT: 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 Plan Chk. Deposit IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF a 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 Landscapelnsp. Total Amt. Due M NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # ZY2 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 per.mll until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or histher Deputy: and Foes are paid, and IN VIOLATION OF THE LABOBXODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION recolAt Is acknowledged in space provided. W0RKMVX8-QOMPE-NSAT90-4N=NCE AND RCW 18.27. I N DATE SIGWj DATE SIGNED IA05) VRF( 771-0220 - 'tEF0jW RE S D BY /DATE A17ENTION M 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 YELLOV/INS/ECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 1� &I-%rftf Anannina From: Clifton, Stephen Sent: Tuesday, November 02, 2004 3:49 PIVI To: Graf, Jeannine Subject: RE: PFD asbesto s abatement That is my understanding. ----- Original Message ----- Fmm: Graf, 3eannine Sent: TU esday, November 02, 2004 3:49 PM To: Oftri, Stephen ubject: RE: abatement S PFD asbestos Direct o r To clarify no additional asbestos removal will take pla ce until the PFD remodel permit is issued --correct? Thanks Graf T i ----Original Message ----- M. From: aifton, Stephen Sent. Tuesday, N ovember 02, 2004 3:46 PM To: Harrison, Made Cc: Cruz, andi; Graf, 3eannine Subjecb RE: PFD asbestos abatement Yes, 1—owansive renovation in Aoril of 2005. Al MIS time it ie goal s v _w Stephen ----Original Message 11 I 1��e- 7- -�DATE RE 17 CITY OF EMONDS CONSTRUCTION PERMIT APPLICAT16N ED NAME/NAME OF BUSINESS MAILING ADDRESS Z 0�. / NAME ADDRESS CITY ZIP ITELEPHONE PERMIT EXPIRES USE PERMIT ZONE P-12 NUMBER6�wg— A9151.1 JOB SUITEIAPT# ADDRESS PLAT NAMEISUBDIVISION NO, LOT NO. LID NO. LID FEE $ PUBLIC RIGHT 93F WAY PER OFFICIAL STREET MAP TE P RWScerrft=6d Street Use Permit nwd EXISTING — PROPOSED— Inspectitm Required Sidewalk RoWired REQUIRED DEDICATION— FT Underground Wiring required _13 METER SIZE LINE SIZE I 1 070 F FIXTURES PRV REQUIRED YESM NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE NA7 L P CBL # I //,o I ENGINEERING REVIEWED BY DATE ADDRESS FIRE REVIEWED BY DATE CITY ZIP TELEPHONE &L/ STATE LICENSE NUMBER EXPIRATION DATE KKED BY C 1"r-F VARIANCE OR Cu SHORELINE OR ADBM INSPECTION BOND REQ'D POSTED 1 A 13YEs 13NO 4 SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCO P CEL NO. COMPLETE , EXEMPT ALLOWED , PROPOSED I ALLOWED , PROPOSED 0 J NEW RESIDENTIAL PLUMBING / MECH ADDITION" ER�—C OMMERCLAL COMPLIANCE OR CHANGE OF USE REMODEL 1:1 mucril'AMILY SIGN 0 REPAIR 0 GRADING CYDS 0. FENCE X FT) EMOLISH 1:1 TANK OTHER 0 GARAGE CARPORT [3 RETAINING WALL ROCKERY FIRE SPRINKLER FIRE ALARM (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 6,4-n or4 NUMBER OF STORIES NUMBER OF DWELLING UNITS — CRITICAL TAREAS UM NUMBER DESCRIBE WORK TO BE DONE wz��.6 7 IS HEAT SOURCE IN CHECK NO: NG %. LOT SLOPE % 1. 1 VESTED DATE LOT COVERAGE REQUIRED SETBACKS (FTj PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR PARKING LOT AREA PLANNING REVIEWED BY DATE REO'D I PROVIDED CHECKED BY ITYPE OF CP-�MTR CO OCCUPANT GROUP 81 OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTI 7, .— - - - — — r—o-ytA-, /I— ^ AA -%— 11 Description Plan Check BulYing Permit_ Plumbing Mechanical FEE Description FEE State Surcharge City Surcharge THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading 2 DOMAIN (CURSS, SIDEWALKS, DRIVEWAYS, MARQUEES, FTC.) WILL REQUIRE I- 8111PARATEPERMISSION. Engr. Review PERMIT APPLICATtott 180 DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection - - - -- SEE BACK OF PINK PERMIT FOR MORE INFORMATION Plan Chk. Deposit -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review 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 Total Amt. Due FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. 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 # tg ! I HEREBY ACK14OWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL; GWEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTIJORIUD 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 thi 71ON: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLJOYED 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 rocelpj Is acknowledged In space provided. WORKMqMQ,OMPENSATION INSURANCE AND ACW 18.27. FF-ICIA DATE SIGNI,fURE (*4E R AG OR9 DATE SIGNED 14215) �z S'31 —zG 771-0220 _7 —TATE RE BY D E 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 C ERTIFI- OR IGINAL-FILE - YELLaWINSACTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING4COPIES GREEN - ACCOUNTING