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20030328.pdf11 Seoul PL ftz-A DATE RECEIvad i �j I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION MAILING ADDRESS -101 V7 0101 ZIP f) I TELEPHONE NAME ADDRESS CITY ZIP ITELEPHONE NAME CITY ZIP - I TELEPHONE STATE LICENSE NUMBER ACCOUNT PARCEL NO. NEW [] RESIDENTIAL ADDITION P(COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK oGARAGE RETAININGWALL CARPORT ROCKERY (TYPE OF 9PE. BUS EBB OR ACTIVITYl EXPLAIN: L/ 61" g&46-r, NUMBER UMBER OF NOUNITS OF WELLING i P1 STORIES DESCRIBE WORK TO BE DONE CBL N CHECKED BY PLUMBING/mrCH COMPLIANCE OR 13 CHANGE OF USE '5� SIGN 0 FENCE X FT) 0 OTHER IFIRE SPRINKLER 3 FIRE ALARM LPERMITEXPIRES 6A412-13 USE PERMIT ZONE NUMBER JOB ADDRESS ITE/APT# 1() 1 PLAT NAME/SUBDIVISION NO. LOT No. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP JUI Approved RW LP'sprnOt Required Famill Req�d EXISTING — PROPOSED Inspectloo Required Sidewalk Required REQUIRED DEDICATION— FT Uriderground Wking required METER SIZE LINE SIZE _[_;� OF FIXTURES PRV REQUIRED (3 YES E3 NO E3 - REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE REVIEWED BY DATE FIRE REVIEWED BY DATE W VARIANCE OR CU SHORELINE ORADBI1 INSPECTION I BOND 1JA*" I O'D POSTED 1$ Mirs 13NO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED ED PROPOS 'ALLOWED PROPOSED , Z 1. 3 7_3, 11 , 14-, 1 17- :xP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRON T LIR SIDE REAR WA 1 fVA I . � AAA PARKING LOT AREA PLANNING REVIEWED BY DATE REQ`D I PRO IDED An I N*A*- 4X2.4thl CHECKED BY ITYPE-OF COfNRu GROUP CRITICAL -41 AREAS SPECIAL INSPECT 10 AREA OCCUPANT NUMBER REQUIRED [] ES LOAD ]REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D A A I j .4 �- /I 4A,0A%,e3 "g,"7 &AI $ /V. 41 h Al Z_ Descriptlon FEE Description FEE HEAT SOURCE GLAZING % LOT SLOPE % Plan Check State Surcharge Building Permit City Surcharge PLAN CHECK NO.!Zl M VESTED DATE Plumbing ALP - ., 16-.570, Mechanical V0 W .- THIS PERMIT AUTHIOREZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading D OLUUM (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. — Engr. Review PERMITAPPILICATION: ISO DAYS PERMIT UUM 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 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND 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 Landscape Insp. Total Amt. Due 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 # I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECL AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CRY 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 Oinclall 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. WORKMENS COMPENSATION INSURANCE AND RCW 18.27. OFP91ALS BIG E DATE SIGNATURE (OWNER OR/dfNT, DATE SIGI F (425) A A 1,,,,,,A 6 A 0 13&5 771-0220 Y DATE RELEN D ATTENT16w- M 1333 A101111k e5�114 J17 &�& IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 11' _ 4 4"a /C" I A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW-INSPE40R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 121 5th Avenue North� Edmondsq WA 98020 IW C0 (time) 3�2 2003 (date) Correction is Required no later than: 5:00ym _March 1 ified in the Orderg a Notice of If correction is not made by the date and time spec Civil Violation shall be issued. The Notice of Civil Violation shall assess fines of $100.00 per day, or portion of a day, during which the violation continues. arch 7. 2003 Date Posted Date Mailed: March 7, 200 Date Served M Issuing Party— Mike Thies Title Code Enforcement Ingpector Signature z 0 q 0 m 74:9 m Ma 0 -40 oc -4 C X M m Q z 0 -n n m m 0 vi 0 o Fn C (j) c co) M 0 Z z z 9 0 m RE_INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL Si ocaprvl.doc.l:temp.bldg:formsIO/OI I YDATE RECE PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBERC-411off CONSTRUCTION PERMIT APPLICATION JOB UITE/APT# ADDRESS �zln -9 OCEFI "EINAM"F SIVESS PLAT NAME/SUBDIVISION NO. LOT NO. V LID N . 0. , LL-2 L_ 0 .0 �n c MAILING ADDRESS LID FEE $ 7F.SCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Perrris Required Strost Uso Pernth Reld EXISTING — PROPOSED Inspect- Reqtifed TELEPHONE Sideweb: Required REQUIRED DEDICATION— rT I UndmWound old S 4�E6 1 vv1nnQPf,@qVU`RE,U,,E, NAME METER SIZE LINE SIZE I NO. OF FIXTURES I 13 YES 13 NO 13 z ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY =ELEPHONE NAME BL# b4e6Z' ENGINEERING REVIEWED BY DATE cc ADDRESS 12 8",IL 0z FIRE REVIEWED BY DATE CITY ZIP TELEPHONE cc rJ6 VARIANCE OR CU SHORELINE OR ADB# INSPECTION 1$ BOND STATE ILICENSU NUMBER EXPIRATION DATE CHECKED BY D POSTS 118NO Ses :n SEPA REVIEW SIGN AREA HEIGHT MOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED M EXP voe , I M LOT COVERAGE REQUIRED BET13ACKS (Fr.) PROPOSED SETBACKS (Fr.) NEW 0 RESIDENTIAL PLUMBING/MECH LIR REAR ALLOWED - PROPOSED FRONT SIDE REAR FRONT SIDE 0 C OMMERCAL COMPLIANCE OR WA IVA ADDITION . . P(C CHANGE OF USE M M PARKING LOT AREA PLANNING REVIEWED BY DATE 0 REMODEL 11 MULTIFAMILY IGN REDID I PRO IDED XS Nd!__2� 2 0 REPAIR GRADING FENCE CYDS X FT) REMARKS OTHER 0 DEMOLISH TANK GARAGE RETAININGWALL FIRE SPRINKLER 0 CARPORT ROCKERY FIRE ALARM WV1y (TYPE OF,YPE, OU81NESS OR ACTIVITY) EXPLAIN: MRGR 0 R C OC CHECKED,BY TYPE.QF CCUPAqQ )j JR/I EA0 A2 Irn M R 1014r�Rra 'NUMBER NUMBER OF CRITICAL 0 OF DWELLING A EAS SPECIAL INSPECTIOIAREA OCCUPANT 0 Fn STORIES UNITS NRUMBER REQUIRED LOAD 11= DESCRIBE WORK TO BE DONS REMARKS M PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECrD 9 ///z '455,4-41,0, VALUATION $ cf) Description FEE Description FEE z 0 4- �516105 Plan Check State Surcharge HEAT SOURCE GLAZING % OT SLOPE % Building Permit city Surcharge M PLAN CHECK NO -A VESTED DATE Plumbing kW. -AW SO, 00 M:L31 Mechanical THIS PEWIT AUT14ORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading OIONUUNI (CURBS, SIDEWALKS, DRIVIEVAYS, MARQUEES. ETC.) WILL REQUIRE SEIPARATE PERMISSION. Engr. Review 21— PFRMITAPPLICATION. ISO DAYS PERMIT ILIMIr I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review Plan Chk. D OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS eposh IN I T NDE NIFaY FEND AND HOLD HARMLESS THE CITY OF EDMONDS, C F�M%DYEES, AND AGENTS FROM ANY AND 0 Fire Inspection Receipt # Zj� Mj� AMA t� ALL CLAIMS FdR so TEVE NA RE. ARislNe pm&rmy OR IRECTLY �T Fj FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF `rfilS PtRMIT S=korst, Landscape [nip." 41 Irotal AMI. Dpe �? 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. r Recording Fee Receipt # I I iER EBY ACKNOWLE DO E TM6. I H�YdFtik' TUI S mo CTI)ON THE"INFQRMATION I t UL�THA]r GIVEN 18 CORRE" AND THAT AM -114 OWNER, OR ALITHORIIEDIAGENT PF, APPU IONAPPA L THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This O)cstion id not a.permlt unfil signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building 011161al of Idsft*Xepjdy: jtnd " are paid. and 1U MAI AVfnu ^E v " An �nnc nc vuc ovAvc OF WASHINGTON RELATING TO C 0 oklanclIft 1 recelntlsacknovA edinenace-ovided IFYUKUMALK COMPENSATION INSURANCE AND RCW 18.27. AfAO OF j BIG TI�RE DATE SIGNATURE (OWNER OR EfM DATE SIGNfD 6113 /40�5, 771 -0220 REL ATE Off 1.333 - 7 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 - IN'SPEC6 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING