20030241.pdf11 .
DATE RECEIVED
CITY OF*.DMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
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W MAILING ADDRESS
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CITY ZIP TELEPHONE
75a%t I 4xz,,T. -775-, age,34-
NAME
ADDRESS
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CITY
NAME
ADDRESS
7-40
CITY
STATE LICENSE NUMBER
WE
TELEPHONE
400.94--_
ZIP TELEPHONE
so 7, 0 +Z-57
� I PROPERTY TAX ACCOUNT PARCEL N
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CHECKED BY
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NEW
RESIDENTIAL
PLUMBING / MECH
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ADDITION
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OMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
0
APARTMENT
0
SIGN
0
REPAIR
GRADING
CYDS
FENCE
( — X FT)
DEMOLISH
C]
TANK
OTHER
GARAGE
CARPORT
[—]
RETAINING WALL
RENEWAL
(TYPE OF USE, 7BU INESS OR ACTIVITY) EXPLAIN
ZAM
NUMBER NUMBER OF
OF DWELLING
STORIES UNITS 45.
DESCRIBE WORK TO BE DONE
��AFMIH �
FAIV��
0
HEAT SOURCE
PLAN CHECKJ
CRITICAL
AREAS
NUMBER
I
% LOT SLOPE
7,1 oz. ssirx. —
NESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
a DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
:3
P- SEPARATE PERMISSION.
iz
W PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
"APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
U) IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
_j
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
IM
< ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
01 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUIREMENTOF ANY CITY ORDINANCE
=0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.^
I
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
THE OWNER. I AGREE TO COMPLY WkTH CITY AND STATE LAWS REGULATING CONS TRUC.
TION; AND IN DOING THE WORK AUTWRIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION 0�r
0 a LAtOR C�D RELATING TO
S tOF THE STATE OF WASHINGTON
WORKMEN'S C ATI N INS R CE AND RCW 18.27.
PERMIT EXPIRES
USE
ZONE PERMIT
NUMBER
JOB SUITE/APTP
ADDRESS
PLAT NAM E/SUB DIVISION NO. LOT NO. LID NO.
LID FEE S
TESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL ST EET MAP RW Permit Required
EXISTING (100 Street use Permit Roq d
PR P ISEDiz Inspection Required
Sidewalk Required
REQUIRED DEDICATION FT Undercround
Wiring required
Siz LINE WZE NO. OF FIXTURES PRV REQUIRED
YES 13 NO 13 z
RAW. rr
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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FIRE REVIEWED BY DAiE
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VARIANCE OR CU
SHORELINE OR ADD#
INSPECTION
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REO'D
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SIGN AREA
HEIGHT
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ALLOWED , PROPOSED
ALLOWED PROPOS7
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HEXEMPT
'COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
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FRONT . UR S EAR
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PLANNING REV17EWED B DATE
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ECHECKED13Y I TYPE QF CONSTRUCTION com I OCCUPANT '7!RA014
1 SPECIAL INSPECTOR AREA occupAf -f
REQUIRED YES LOAD
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECT
DATE SIGNED
A
ATTENTION I
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
5/98
VALUATION I FEE
PLAN CHECK FEE
0 jf1dWIIIII
STATE SURCHARGE
ENG. REVIEW F�:V�e
ENG. INSPECTION FEE
LANDSCAPING
INSPECTION FEE
PLAN CHECK DEPOSIT
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RECElmxr"—A
TOTAL AMOUNT DUE
7, 111 0
APPLICATION APPROVAL
This application is not a permit until signed by the
CALL Building Olficial or his/her Deputy: and Foos are paid. and
FOR INSPECTION receipt is acknowledged in space pilvido/.
OFF I AT?
(425)
771-0220
EXT/333
771-0221
ORIGINAL - FILE - YELLOW - INSPECTOR
FAX PINK - OWNER - GOLD - ASSESSOR
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AVERA67E 1".;)ATUM HE16HT5
PROPERTY CORNER A: 5-1-15'
PROPERTY CORNER 5: 6216'
PROPERTY CORNER Co: 61-55'
PROPERTY CORNER 0: 60-16,
TOTAL: 242.041
AVE�E DATUM: 6051,
(TOTAL / 4)
MAX. ALLOK HT.: 41051,
(VATUM + 50-09
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CITY COPY
RECEIVED
NOV 14 2002
PERMIT COUNTEF
VAlr_- 10-16-02
BU17ERFIELD PARTNERSHIP INC c..oFFER5T0NE PLAN CHECK $1
;� T
210 5TH AVE. - #203 EDMONDS, WA 98020
� & 6 1
!� 02-215
FAX: 425-776-57746
425-775-0564 f5UlLl:;)lN(S7
EMAIL: ButterWIdDesign@ATTBI-COM 450J
128 - 4th AN—r-NE SOUTH, WMONE75, VA- '15020
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RATURN ADDRES$: CONFORMED COPY
City of Edmonds, City. Clerk 20030508 0071 6 PGS
121 5h Avenue 05.08-2ZO3 og:47am $24-00
COUNTY, wASHINGTON
Edmonds, WA 98020 SNOHOI I R
COVENANT
RPI
Reference #:
(2
IgRnpr Additional on pg.,
d s
See A-3 TwnRZ& An Qtr
Legal Vestriptloft (abbreviated) g
OR Lot Block_�.
Assessor's Tax Parcel IDN(s): (1) 2i27-034-047-QQ (2 232Z -4
Assessor's Tax Parcel ib# not yet assigned
tMCITAL
Whereas, the Grantor(s) CopRerstone LLC hereafter
r ferred to as "Grantor(sY , have received a Building, Permit # nWx? I for
e
property which is zoned BC, and is located at 128 Fourth Avenue South, in Edmonds,.
Washington, tax account pare el number(s) 002327-034-047-00 and 002327 -034-048-00
and legally described as f0II()ws:
rn-
CommENCING ON THE WEST LINE OF 4TH STRAET AT
A POYNT THAT IS 120 FEET NOkTH OF THE
C);'
NOPTHWPST CORNER OF THE WMRSECTION OP 4TH
STREET AND DAYTON STREET; THENCE WEST 126
FEET, MORB OR LESS, T6 THE PAST LINE OF THE
ALLEY CONVEY86 TO THE CITY OF EI)M6N]bS bY
DIREI) RECORDEt) UNDER RECORDING NO. 1782213 IN
SNOHOMSH COUNTY, WASHINGTON; THENCE NOM
ALONG THE EAST LINE OF SAID AILLEY TO A POINT
THE LINE Of SAID
THAT IS 105 FEET SOUTH OF NORTH
SOUItHgAST QUARTER OF THE SOUTHEAST
X
QUARTER, THENCE FAST ALONG. A Lfte THAT
PARALLEL WITH AND 105 FEET SOUTH OF THE NORTH
LINE QF SAID SOUTHEAST QUARTER OF THE
SOUTHEAST QUARTER TO THE EST LINE OF 4TH
STREET; THENCE SOUTH ALONG SAID WEST LINE A
DISTANC9 OP 40 FEET, MOR OR LESS, TO THE PONT.
OF ]BEGINNING.
AUTH01UZFb �OR RECOADINO
U11
4hionds
By
EBY.-
age of
Whereas, the grantor(s) desire to provide exterior exit balconies within "it
courts on the second and third floor of the north, south, and east sides of the subject
building which are also used as decks as shown in Attachments'A and 8.
Whereas, the City has received a building permit application for a new mixed -
use. building to be located in a commercial business zone at 128 Fourth Avenue North,
Edmonds, Washington.
Whereu, the City of Edmonds Building Official must verify through plan
review and building inspection that compliance with the 1997 Uniform Codes,
Whshington ttate Amendments, and Local codes are met.
Whereas,* the City of Edmonds Bui Iding Official desires to notice current and
future owners of the building (collectively "the Owners') of the designate4 use of the
exterior exit balconies as required emergency egress from sleeping rooms and the
r4uirements, to have and maintain such use.
. NOW, THMFORB, in consideration of the City of Edmonds, Washington
approving -the building permit the Grantors agree as follows:
TERMS
§gptigh I.- f!inding Effect.
This Covenant and all terms hereof shall be
binditig on Orantor(s), their heirs, assigns and successors in interest, and shall be
4eemed to run with the land and bind all future Owfters of the teal property described
Above.
Sg Uti U-2. ftordigg. Within 30 days after execution of this Covenant by the
.Parties, the City shall record. this Covenant with the Snohomish County Auditor.
Orahtor(s) shall P*ay all recording fees.
&Ctioll �, QXqnV%: Extg1jor ftit Balconies, Grantors hereby covenant that
the exterior exit balconies located on the north, south, and east sides of the building on
the seeond and third floors as described herein and shown on Attachments A and B:
a) Will remain completely clear and unobstructed at all times'for required
emergency escape to the public alley from the sleeping rooms that open otito the
exterior exit balconies.
b) Will not be altered in any way including any portion of the gates, latches,
i4lividers, guardrails, signage, etc. without first obtaitiing approval from the
Building Offidial of the City of Edmonds-.
e) Will tiofhave lockifig devices or latches of any kind installed,6n the exit gates,
except at the full -height door opening into the alley where panic'hardware will
be provided with'a keyed lock on the alley side. A key. will be provided in a
lock -box for Fire Department access.
d) Will maintain gates in good working order.
AUTHORIZED FOR RECORDING
Q1 dmonds
113r. Date: _�Z31
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CLEAR THAN THIS NOTICE
-NOTICE: IF THE DOCUMENT IN THIS FRAMEJSLESS
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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