20030334.pdf,; DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINElb,
MAILING ADDRESS
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CITY ZIP TELEPHONE
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NAME
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ADDRESS
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NAME JCBLN
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CITY ZIP I TELEPHONE
STATE IUCENSE NUMBER
PROPERTY TAX ACCOUNT PARCEL NO.
NEW
RESIDENTIAL
0 ADDITION
COMMERCIAL
0 REMODEL
MULTIFAMILY
0 REPAIR
GRADING CYDS
0 DEMOLISH
TANK
[3 GARAGE
CARPORT
RETAINING WALL
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIV" EXPLAIN:
#I 1=6 /
1) 14 OV 7—/ 4-A_
NUMBER
OF
NUMBER OF
DWELLING
STORIES
UNITS
DESCRIBE WORK TO BE DONE
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02 PERMIT EXPIRES
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USE PERMIT
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NUMBER
JOB
ADDRESsa�j 30 vn�
SUITE/APT#
5 V
PLAT NAME/SUBDIVISION NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Petmit R6qui(6d
Streej Use Permit RWd
EXISTING — PROPOSED--
Inspection Roquifed
S1de*&1kR@quW*d
REQUIRED DEDICATION— FT
Underlyound
Wong required 13
METER SIZE
LINE SIZE
OF FIXTURES
PRV REQUIRED
FNO,
YES 13 NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
BY DATE
FIRE REVIEWED BY DATE W
A N C
VARIANCE OR CU
V A F E 0 R
E OR ADBN
INSPECTION
BOND
PIRATION DATE
CKE
P=
REO'D
I 1$
POSTED
13YEs if;60
S E P A
SEPA REVIEW
RE
SIGN AREA
HEIGHT
COMPLETE EXEMPT
C 0 M P LE T E
ALLOWED PROPOSED
ALLOWED
PROPOSED
E
EXP
X P
L OT COVE
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
MEC H
PLUMBING / MECH
IN
AL LOW ED P
ALLOWED PROPOSED
FRONT j TI.DE REAR
FRONT
L/R SIDE REAR
I
PL A N C E OR
[3 COMPLIANCE OR
C)
0 e%�
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4E USE
F
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LOT AREA
PLANNING REVIEWED BY
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MARKS
REMARKS
FIRES!tKLER
0 FIRE ALARM
CHECKED 11 ITYP=10N I"E I UUUU'AV-'�
GROUP
CRITICAL
AREAS Q — L4 (0 SPECIAL INSPECTION JAREA OCCUPANT
NUMBERaC3 j,'1' d REQUIRED[] YES LOAD
REMARKS
PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REG'D
49CA-1 a- 7-
HEAT SOURCE GLAZING % LOT SLOPE %
PLAN CHECK NO: o-,,*7_ (4-70'1 V�qtED 9ATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMiT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOFMN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 100 DAYS
PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OH 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 ALI 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 _Qf_THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WnRKUEWS,MMP2WSATION INSURANCE AND RCW 18.27.
VALUATION I
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Description
FEE
Doscription
FEE
Plan Check
j2O
State Surcharge
Building Permit
C ity Surcharge
A�n
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapeinsp.
Total Amt. Due
Receipt
Recording Fee
CALL
FOR INSPECTION
(42
%..5)
771 -;220
APPLICATION APPROVAL
This application is not a permit unfit signed by the
Building Official or histhor Deputy: and Fees are paid, and
receipt is acknowledged In space provided.
OFFICIALS SIGNATURE DATE
4 -P
-'�nzls 51 ?
__ -
REI,EASEO BY DATE
, j
ATTENTION Off 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 - (IL.F
,)- YELLOW - INJECTOA
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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LOTS 21 AND 22, BLOCK 64, CITY OF EDMONDS
ACCORDING TO THE PLAT THEREOF RECORDED
PLOT PLAN
IN VOLUME 2 OF PLATS,, ON PAGE 38, RECORDS
OF SNOHOMISH COUNTY, WASHINGTON.
PR
TOGETHER WITH ALL OF THE VACATED ALLEY
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'DATE RECEIVED4 I
PERMIT EX 136.. Al 112 E?
CITY OF EDMONDS
USE PERMIT ;7
ZONE
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRES!332S�-_
OWNER NAMEINAME OF BUSINESb
/= /—/—v A
LOT LID NO.
PLAT NAME/SUBDMSION NO. _ftO.
.0
"LING ADDRESS
LID FEE
9=1C7 ��PRACur--
TESCP Appr&.Vd
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW PWWA R*Wkod
G"M Use Peffnk
CITY TELEPHONE
zip
Wd
EXISTING - PROPOSED tmpftuon R*qL*zd
Sidwalk ReWired
D: 5
2 A,-e -3.3 &
REQUIRED DEDICATION- FT 1 Undergmund
" gr L*od 13
NAME
METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED
I I
1 3
'3 -7-1-r-- CA57-b/lj �OL_K_s
64-T
YES13 NO 13
DRE
7 Z
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTFIOLMRAINAGE
ZIP ITELEP"O,E
2 S/;I_y I I ( - (-3 �'/
7,
NAME CBL 0
-1 /
A--S -A
ENGINEERING REVIEWED BY DATE
CC
ADUESS
FIRE REVIEWED BY DATE
uj
CITY ZIP TELEPHONE
IE
VARIANCE 9R CU` .. SHoREuNeZ;ADB#.j INSPECTION.j$ .. BOND
STATE LICENSE NUMBER EXPIRATION DATE /C%ECKEP
_�-REQ'D
[3yEs WO
-
SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
(90 L13 0 0
EXP
NEW RESIDENTIAL PLUMBING / MECH
LOT COVEF6GE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT I UIDE REAR FRONT URSIDE REAR
ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
, plk�/_S *% t",
?) .19 = S
0 REMODEL muLnFAmiLy SIGN
-�.�RKING LOT AREA IF ED BY QKTE
RECe
CL
t0j&Z�; 2?
REPAIR GRADING FENCE
CYDS X—FT)
A-2
REMARKS
TANK OFp—r f,&
GARAGE RETAININGWALL F RE SPRINKLER
CARIORT ROCKERY FIRE ALARM
(TYPE OF USE; BUSINESS OR ACTIVrM EXPLAIN:
CHECKED BY OCCUPA
W—S , b k—= /V -rl 4 J_ C— Ct!g.
1TYVrCfT_ GROUP
NUMBER, IUMBER OF CRITICAL -714t)
OF� - ;, IWELLING AREAS (05
P"INITS
SPECIAL INSPECTION JAREA OCCUPANT
LOAD
STONES NUMBERW:�k A U
REQUIRED [3 YES
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REG'D
2
4-7— R�z,4-iQ _' e) 4 X09r6,1,Dr7Nr__J=
AN1111M 90*FMW%
Description
FEE
Description
FEE
Plan Check
00
State Surcharg
—v
HEAT SOLIFICE-7 GLAZING % LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: VE ED E
Plumbing
62
1 99.1
I
fAqc ha!jaI
THIS PERMIT AUTHORr"S --- n THIS PERMIT COVERS WORK TO
t_- - BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
dr_a6g'
DOMAIN (CURBS, SIDEWALKS. DFUVIEWAYS, MARQUEES, ETC.) ULL REQUIRE
SEPARAIIE PERMISSION.
Engr. Review
PEMIT APPUCATIOW 180 DAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review
Plan Chk. Deposit
I
"APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS T14E CITY OF
ANY AND
# 73
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM
Fire Inspection
Receipt
Le
71
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapeinsp.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S AL31LITY TO ENFORCE ANY ORDIN064CE PROVISION.,
Receipt # fa I-qq
Recording Fee
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 applicaWn Is not4k peftit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, No PERSON WILL BE EMPLOYED
IN VIOLATIO R CODE OF THE STATE OF WASHINGTON RELATING TO
Building Offiqlal or hisibar Deputy: and Fees are paid. and
FOR INSPECTION receipt Is acknovAefted In space provided.
WORKMEN MP SATION INSURAN D RCW 18.27.
OFFICIALS SIGNATURE DATE
B MA (CNN R A DATEI 3N
IG
Irt-0)
771-0220
REI, ABED DATE
ATTENTION
Off 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-k1W,) YELLOW. INJECTOF(
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUIMNG
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES