20030329.pdf4
DATE RECEIVED
q1 b-) I PERMIT EXPIRES
CITY OF EDMONDS
U . S PERMIT
ZO E IZ6 4A NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
SUITEIAPT#
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C11=11ri OF B )I�ESS
PLAT NAME/SUBDIVISION NO. LOT NO.
LID NO.
NG AD��
LID FEE $
TIESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Perm Required
Street Us"e Permit Req'd
T�
ZIP TELEPHON EXISTING — PROPOSED
inspection Required
sidewalk Requited
NTYNIL�
0
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REQUIRED DEDICATION— FT
Underground
wiring required 13
NAME
NO —
METER SIZE LINE SIZE 0. OF FIXTURES PRV REQUIRED
[
YES[3 NO 13
ADDRESS
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAG E
CITY
ZIP TELEPHONE
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ENGINEERING REVIEWED BY
DATE
CITY ZIP
1_16ENSE NUMBER
PRJW�MTAX ASCOVAT PARCEL NO.
3 72-14C)c
0 ADDITION COMMERCIAL
0 REMODEL ULTIFAMILY
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< 7
NUMBER
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OF
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STORIES
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Ul
DESCRIBE WORK TO BE DONE
TELEPHONE
EXPIRATION QAJE
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SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
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LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT
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PARKING LOT AREA 1��VG REVIEWED 13Y DATE
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REO'D I PROVIDED
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CHECKED BY
CRITICAL
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SPECIAL INSP
NUMBER
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REQUIRED [j YES
REMARKS
HVITSOURCE GLAZING % LOT SLOPE %
PLAN CHECK NO: 0 3 VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT UMM I YEAR - PROVIDED WORK 16 STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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
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
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
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 WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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
WORKMENS COMPEN I CE AND RCW 18,27.
ENT)' DATE SIGNED
OCCUPANT
LOAD
UBC 101111MINAL INSPECTION REO'D
T_ 11 A MArls,0.011 I
$ __L -_
Description FEE Description FEE
Plan Check State Surcharge
Building Permit City Surcharge
Plumbing I
Grading
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Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
CALL
FOR INSPECTION
(425)
771-0220
EXT 1333
APP;71CATION APPROVAL
This application is not a permit until signed by the
Building official or his/her Deputy: and Fees are paid, and
receipt Is acknowledged in space provided.
OFFI GNATURE DATE
mA�y DATE
ff9d(&A
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 YELLCMANSACTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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DATE RECEIVED C& PERMIT EXPIRES
USE PERMIT
ZONE IZ5 1A
CITY OF EDMONDS NUMBER 4�_l
CONSTRUCTION PERMIT APPLICATION JOB ,,,,,,,,SUITE/AP'r#
ADDRESS
NESS
PLAT NAMIE/SUBDIVIISION NO. LOT NO. LID NO.
LID FEE S
7 NO ADD?R8 TESCP App-M 13
PUBLIC RIGHT OF WAY PER OFFICIALSTREET MAP, AW PermAt Required
U v$j \k
, Street U" Permit Req'd
EXISTING — PROPOSED inspection Required
Sld@Wo* Required
jTELkPHON9_
Undergrouriod
(,ffY
le Q9 REQUIRED DEDICATION— FT Ming required
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
Oz
_T T YES El NO 13
ADDRESS REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAG I E
I.- M040001
1
CITY ELEPHONE .,E 1:9%1—
ON" 4_11v,
NAME,-- LN -DAIN -vi X"9011 1A5
ENGINEERING REVIEWED BY DATE
ADDRESS
a, K Z., V/ 7- FIR. REVIEWED BY DATE
CITY ZIP TELEPHONE.
&,Y, VARIANCE OR CU SHORELINE 911 ADB# IN SPE CTION BOND
VE CUgCK D BY POSTED
LICENSE NUMBER EXPIRATION D REO'D,'
OYES *0
SEPA REVIEW i SIGN AREA HEIGHT
PR� TAX ARCEL NO. -COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
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5.
E P
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.)
T' AL
N �RESJ ENTIAL PLUMBING MECH ALLOWED PROPOSED FRO REAR FRONT URSIDE REAR
'COM
OM A C MPLIANCE OR
ADDITION MERCIAL 0
CHANGE OF USE
:ESEN
PARVJNG LOT AREA P ING REVIEWED BY DATE
IL
41
REMODEL 0 ULTIFAMILY SIGN RECtl) I PROVIDED
y
,
FENCE
REPAIR Wr It
C DS X—FT) R RKS
c2zaa LD
wgu/ r_ym
OTHER
DEMOLISH ;rANK 0
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92W L Las
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE, BUSINESS N:
* occu
CHECKED BY RU noN1 C05L PA
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VO P)j�
GROU
Uel
__Lf
tR 0
NUMBER M F CRITICAL OCCUPANT
DUWEBL
OF LING AREAS
1_14 —//0 SPECIAL INSPEC
LOAD
STO RIES ; UMBER REQUIRED [3 YES
ESCRIBE WORK TO BE DONE
REMARKS
Q, 'r 41 PROGRESS INSPECTIONS PER UBC IGO/FINAL INSPECTION REG-D
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(3, \:
IS I) ""
Inti ml-5A411 I
AAA / 14649 dA.
VALUATION
$
—in An", I§nL= n'
vmw_ j
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING t OT SLOPE %
Building Permit City Surcharge
PLAN CHECK NO: 03-/2?2 VESTED DATE Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO shn
E BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
PERMIT APPLICATION: lea DAYS
PERMIT UUM I YEAR - PROVIDED WORK 16 STARTED WITHIN 150 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPILICANT. ON BEHALF OF HIS On HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chic. 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 PERMITE ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape T6tal AML Du,9
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt #
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- This apoicallon is not a pem* until signed by the
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE EMPLOYED Building Oflicial 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 pfo�Adecl.
WORXMEPCS COMPEN I CE AND RCW 18.27. OFFICIALS -SIGNATURE DATE
DATE SIGNED 125)
.771-0220 A Y
ATTENTIO EXT 13 33 ? � 77
M4
IT IS UNL6WFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 1,0
V
A FINAL IWPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELL0V/INS4C
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD-ASSESSO
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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