20030357.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
VIC W,. L_ e- i n 7
CITY
NAME
ADDRESS
NAME
1C
0
ADDRESS
CITY
STATE LICENSE NUMBER
PROPERTY TAX ACCOUNT PARCEL
ZIP TELEPHONE
6016 (41o6ill -S
ZIP ITELEPHONE
ZIP I TELEPHONE
NEW
[] RESIDENTIAL
ADDITION
XCOMMERCLAL
REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
DEMOLISH
TANK
GARAGE
CARPORT
RETAINING WALL
ROCKERY
(TYPE OF USE, BUSINESS OR ACTWM EXPLAIN:
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NUMBER
OF
STORIES Ji
"WISER OF
DWELLING
UNITS /'YF//h
DESCRIBE WOF& To BE DONE
CBL N
PERMIT EXPIRES
LLL3 I —
ZONE PERMIT
JOB NUMBERA&,j
ADDRESS SUITE/APT,
--i-In A 5
'000 Lk7— 'hoo . I — I —
LAT NAME/SUBDIVISION NO.
LOT NO.
ilD NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Ap—od
AW
EXISTING — PROPOSED
Stre
Inewwn Required
Sidewalk Required
REQUIRED DEDICATION— FT
underground
Wiringroquired 13
METER SIZE
'LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
I I
YES 13 NO 13
CZ3
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROQDRAINAGE
REVIEWED BY
FIRE REVIEWED BY
DATE
DATE
cc
I I
kTION DATE
CHECKED BY
V AR
VARIANCE OR CU
SHORELINE OR ADBN
BOND
REO'D
YES ErNO
POSTED
$
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BEIRA REVIEW
C 0 MP
COMPLETE EXEMPT
EXP I to,.,
X P
SIGN AREA -
I ALLOWED PROVSED
'Pyj,6&.14
HEIGHT
ALLOWED ED
IVA I PROPOS
LC
LOT COVERAGE
LLO"
ALLOWED PROPOSED
PIA
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT L/RSIDE REAR
PLUMBING/MECH
ri COMPLIANCE OR
CHANGE OF USE
WS IGN
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PARKING
REQ`D
a P 0 1
R VIDED
LOT AREA
1 PLANNING REVIEW ED BY DATE
FENCE
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REMARKS
OTHER
FIRE SPRINKLER
FIRE ALARM
CHECKED BY I TYPE
WW 0 (—R(.&
CRITICAL
AREAS SPECIAL INSPECTION
NUMBER REQUIRED []
YES
OCCUPANT
GROUP 0
OCCUPANT
LOAD
Ht:M0%HKU I
PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION RE01D
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VALUATION
$
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE
GLAZING %
LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO- VESTED DA�E'��
Plumbing
THIS PERMIT AUTHORUIES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC
2
3 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) VALL REQUIRE
Grading
SEPARATE PERMISSION.
PERMrrAPPUCATION: 180DAYS
CL
Engr. Review
PERMIT LIMIr I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
"APPLICANT; ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Plan Chk. Deposit
1 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
!31 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
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Total Amt. Due --ogf:�
0 NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
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Recording Fee 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
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
This applicaflon Is not a permit until signed by the
IN LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WO EN'S CC%(EENSAATION INSURANCE AND RCW 18.27.
FOR INSPECTION
Building Official or his/her Deputy: and Fees are paid, and
receipt Is acknowledged In space provided.
8104TURE AGfNT) DATE SIGNED
(425)
IALS SIGN URE DATE
3ELEASED
riqjlp— AWA lip I 7,Q03
eaMONNOWN
771-0220
L eu,�� a)
ATIVNTION _61,W 9MV0, /
EXT 1333
BY
IT IS U14LAWFUL TO USE OR OCCUPY A BUILDING C R� rN'�
F
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL -FILE YELLOW- INSPECTOR
04/02
PRESS HARD -YOU ARE MAKING 5 COPIES
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
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CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
'""T VIOLATION,
ORDER TO CORREt-.,
Location of Violation (Address and/or description of location: 170 West Dgyton St., Suite 103A.
Edmonds, WA 98020
Issued To: Asa Williams, St. Clair Mortgage and Investment CoMpM
Address Of Person This Order Is Issued To: 170 West DgZon St., Suite 103A. Edmonds, WA. 98020
--77-
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Code Section Violated:.Edmonds COMM= Development Code 20.60.01 O.A — Pennit Mguired ID
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Description of Violation: DSigq without sigg pemijit
Corrective Action Required:1) Submit complete application and fees for sign permit (double fees
required)
Correction is Required no later than: 5 . :00vm (time) March 5. 2003(date)
If correction is not made by the date and time specified in the Order, a Notice of
ivil Violation shall assess fines of
Civil Violation shall be issued. The Notice of C
CA
$100.00-yer day, or portion of a day, during which the violation continues.
Date Posted Date Mailed: February 25, 2003 Date Served Febru= 25, 2003
T"
s Title Code Enforcement IngRector
Issuing Party Mike Thie
Signature
J
4
RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
0,oif- Aof
MAILING ADDRESS j
1,10 W. [)A�-Voyx -Sk ucve �U3A
CITY I ZIP TELEPHONE
Idmo%al-a 4j�)016 1(42N)61-+
NAME
It
ADDRESS
CITY
NAME
ADDRESS'
CITY
STATE LICENSE NUMBER
ZIP ITELEPHONE
ZIP I TELEPHONE
PARCEL NO.
I ��� e9
NEW RESIDENTIAL
ADDITION XCOMMERCAL
REMODEL MULTIFAMILY
REPAIR GRADING
CYDS
-DEMOLISH TANK
oGARAGE RIFTAJNING WALL
CARPORT
ROCKERY
(TYPE OF USE. BUSINESS OR ACTIVrM EXPLAIN:
moitt"a(At Aj k�w
NUMBER
IN UIABER OF
OF
STORIES
DWELLING
UNITS
DESCRIBE woRk To BE DONE
- J I - U-01 LA �t
HEAT SOURCE
PLAN CHECK NO:
r
PERMIT EXPIRES
i�L-3j FE
USE PERMIT
ZONE NUMB&�_j
JOB
ADDRESS
_,�UMITE/APT Wo
PLAT NAME/SUBDIVISION NO.
LOT NO.
4.ID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP=od
MY ps
EXISTING — PROPOSED
Street Use PMMK
Impaction Required
Sidewalk Required
REQUIRED DEDICATION— FT
Undworound
WWo required 13
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 13 NO 13
I
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
a
REVIEWED BY DATE
FIRE REVIEWED BY DATE I I
TION DAT
ED BY
VARIANCE OR CU
SHORELINE OR ADB# I
Alw�,01
INSPECTION
REO'D
E3YES EMO
BOND
POSTED
is
fWel/
SEPA REVIEW
COMPLETE EXEMPT
EXP vo.,
SIGN AREA
�LLOWED P OePSED
1 d- !X
Z",& .4.
HEIGHT
ALLOWED PROPO ED
#VA I PROPO
LOT COVERAGE
ALLOWED PROPOSED
aA
REQUIRED SETBACKS (FT)
FRONT SIDE REAR
I MA
PROPOSED SETBACKS (Fr.)
FRONT LIRSIDE REAR
A64
PLUMBING/MECH
oCOMPLIANCE OR
CHANGE OF USE
WSIGN
PARKING
REO`D PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
FENCE
( _ X _FT)
MAI
#VA
:2!� 01M
REMARKS
OTHER
FIRE SPRINKLER
FIRE ALARM
WAW 0
CHECKED BY
TY 0
PE EoCONSTRLICTION
CODE
q7
OCCUPANT
GROUP
CRITICAL
SPECIAL INSPECTION JAREA
REQUIRED
OCCUPANT
LOAD
AREAS
NUMBER
L -7-A"
A IA
% LOT SLOPE %
d/ VESTED DATE
U YES
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD-
Description FEE Description FEE
Plan Check State Surcharge
Building Permit 1.2ity Su5charge
Plumoing I&
Mechanical
THIS PEMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DONUUN (CURBS, SIDEWALKS,
Grading
DRIVIEVAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMITAPPUCATIOW IGO DAYS
Engr. Inspection
PERMIT UMIr I YEAR - PROVIDED WORK 18 STARTED WITHIN ISO DAYS
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
;APPLICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
N 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
Fire Inspection
Receipt N
MOM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CrrY`S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt 0
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
APPLICATION APPROVAL
j 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
" '�ATION
CALL'
This application Is not a permit until signed by the
BuIldIng Official or h1affier Depiuliy: and Fees we paid, and
IN OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Wo#
WERS COXJ�ENS
,ATION INSURANCE AND RCW 18,27.
FOR INSPECTION
fewIPt Is a6knovdadged In space proiMed.
S104TUFIE ACWNT) DATE SIGNED
rrb-�
1A9
5)
'RELEASED
I IALS SIG ATURE DATE
771-022 0
ArIVNtION
E" 1333
BY
'IT IS UKAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTO/rNT*—�IL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF'OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL - FILE - YELLOW INSPECTOR
PINK - OWNER - GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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