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20030366.pdfDATE RECEIVED Al CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS 18504 Olympic View Drive CITY ZIP TELEPHONE Edmonds 98020 423-774-9214 NAME ADDRESS CITY ZIP ITELEPHONE NAME Tknks By Dallas ADDRESS 19551 40th Place NNE CITY 98T55 Lake Forest Park STATE LICENSE NUMBER Cal. # TELEPHONE _xCj& 365-0291 EXPIRATION DATE__Jp:� NEW RESIDENTIAL 13 PLUM ADDITION COMMERCIAL COMP CHAN REMODEL MULTIFAMILY SIGN REPAIR GRADING o FENC CYOS 0 DEMOLISH El TANK OTHE EGARAGE l CARPORT RETAINING WALL ROCKEAY FIRE S FIRE _13 (ME OF USE, BUSINESS OR ACTIVITY) EXPLAIN: Removal of Oil Tank: Rental I NUMBER NUMBER OF CRITICAL OF DWELLING I AREAS I STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE LPERMITEXPIRES USE PERMIT ZONE NUMBER ADDRESS 806 9th Ave. South -MrE!iA6PnT`ds PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Ps1rrJt Required EXISTING — PROPOSED Street Use Permit Reqd Inel - Sidewalk Required REQUIRED DEDICATION- FT undorwourw wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YEsI3 NO 13 z REMARKS OWNER/CONTRACTOR RESPONSIB LE FOR EROSION CONTROL/DRAINAGE 1"A KIV ril I ENGINEERING)fEVI1Wff_BW-- REM9,46, GR GOP, 'WTE FIRE REVIEWED BY DATE LU VARIANCE OR CU SHOFIELINEORAOBff I INSPECTION PBONO REO'D OSTED 13YEs ONO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED EXIP BING / MECH LOT COVERAGE REQUIRED S BACKS (Fr.) PROPOSED SETBACKS (Fr.) LtANCE OR ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR GE OF USE I I PARKING LOT AREA I PLANNING REVIEWED BY DATE REQ`D PAnvinsn I E X FT) R PRINKLER ALARM I sJ %'n:) VIP, C% St 0 %A Al Q0010APS r-A-t '5tLv, HEAT SOURCE GLAZING % LOT SLOPE % 9gw gas fur4ace I I PLAN CHECK NO: I VESTED DATE THIS PERMIT AUTHORRES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC DONWN (CURBS. SIDEWALKS, DRPJEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERUITAPPILICATION: 180DAYS PERMIT LIMM I YEAli - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAK 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 C"S 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 WORKMEN'S,V,J�ENSATION INSURANCE AND RCW 18.27. SIGNAT E (OWNE OR AGENT) DAT SIGNED LA-ft t-% f-% "U ;k_rl. axn'CrA ] DAT CHECKED BY JTYPE�� I CPC§" 01 TJ�,'l - .'CUPANT _Z SPECIAL INSPECTION JAREA OCCUPANT REQUIRED 0 YEs LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD VALUATION $ --- 1 L Description FEE Description FEE Plan Check State Surcharge Building Permit Plumbing City Surcharge 15- Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt III Landscapelnsp. Total Amt. Due Recording Fee Receipt # APPLICATION APPROVAL I Th'sa fication 15 not a permit until signed by the CALL 8 1 ingOM let ortillitheir Deputy: and Foes are paid, and FOR INSPECTION /��ecmal it Is acknowledged In Wco proviqld. ( r, FF IA AT FIE 'E 1A9 ) "' i ,25 el) 771-0220 -R-eWs—ED BY DATIEte ATTENTION � 'A FXT 1.1.1 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. UBG SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES ORIGINAL - FILE YELLOW - INSPECTOR PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING k z 0 M M C M 0 C M 0 _n -n M M fn' C W MO z z M a FINAL PROJECT APP&OVA.LFORM TO: k 1. 2. 3. RE -INSPECTED OUTSTANDING ISSUES,- GRANT FINAL PROJECT APPROVAL Si ocqnvl.doc.l:temp:bldg:formsIO101 z 0 m :i 9 65 -4 3: am c Ma 0 80 c 4c MM MZ 10 -1 c p co 0 -n m m 0 0 0 M C co c co M 0 Z z -4 X V; z 0 m I - P APP& . -"*DNIWVUA UOOIJ ISUIA 4,- .......................... . ON111VINI ONIHIV3HS UOIUH.LX3 lu . ...... lelp4owwoo .............. juiowdlnba U. 7.:, -2 ................. Buldld-s'BE) . . . . . . . . . . . . . . . . . . . . . Isel SBE) :DNIiVSH ...... IBUIj leloiewwoo 10. .......... ul-46nou tlj UJI ............. punoir)j6pun to 4L :gNiewnld .......... uollalnsul qL ;[U HUM �o ................. .......................... lipm ...................... 6ulloo :14OUVOIN1110:11 i5i 03AOUddV 31VO U01OUSINII SNO1103dSNI :io auoo3u I DATE WRECEIvEDI�_ I = CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS 18504 Olympic View Drive CITY ZIP TELEPHONE Edmonds 98020 1 425-774-9214 ADDRESS CITY ZIP ITELEPHONE NAME Tknks By Dallas ADDRESS 195511 40th Place NE CITY 98T55 Lake Forest Park STATE LICENSE NUMBER COL # TELEPHONE 2.cj,& 365-0291 NEW RESIDENTIAL ADDITION COMMERCIAL [j REMODEL 0 MULTIFAMILY �T:] REPAIR 0 GRADING CYDS Vt El DEMOLISH EEO] TANK [3,,.,GARAGE o RETAINING WALL CARPORT _FR�OF ROCKERY .1 USE. BUSINESS OR ACTMM EXPLAIN: Reiioval of Oil Tank: NUMBER- NUMBER OF LjSiORIES� OF D`W �LL NG UN 8 I DESCRIBE tXORK TO BE DONE U ii`�JV rX A, I PERMIT EXPIRES USE E P PERMIT 2a3 ZON \S — tq NUMBER ADDRESS 806 9th Ave. South -09 ronfds PLAT NAMEISUBDIVISION 7�. LID NO. LID FEE S TES"Apr�� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Street Use Penn Rao EXISTING — PROPOSED inspection Required Sidewam ReWired REQUIRED DEDICATION— FT Underground Wiring required METER SIZE LINE SIZE I NO. OF FIXrURES PRV REQUIRED YES13 NO 13 z REMARKS' OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRE MARVAL MUST BE PRESENT FOR 9 FIRE REVIEWED BY DATE W cc I M VARIANCE OR CU SHORELINEORADBO INSPECTION BOND iTION DATE I REO'D I POSTED I OYES 13NO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT 0 ALLOWED PROPOSED ALLOWED PROPOSED EXP , , , PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SET13ACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR COMPLIANCE OR 0 CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE SIGN REOD PROVIDED FENCE X FT) REMARKS 0 OTHER FIRE SPRINKLER FIRE ALARM Hol(w TYP CHECKED BY TYP ON RU OCCUPANT -GROUP ntal T—CRtTICAL AREAS SPECIAL INSPECTION JAREA OCCUPANT NUMBER REQUIRED LOAD L_j YES REMARKS PROGRESS INSPECTIONOMEC 108/FINAL INSPECTION I.—Iff JIM A it - 0, Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit 40 City Surcharge New cfS fur -lace PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONIN THE WORK NOTED. THIS PERMirr COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY COMMUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDIEWALICk DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATEPERMISFAON. Engr. Review PERMIT APPLICATION: 1180DAYS PERMIT LIMM I YEAR - PROVIDRD WORK 19 STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PEPAJIT roR 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 ANY AND Fire Inspection Receipt It ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIFWCTI.Y 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 crrys Asiurry TO ENFORCE AW ORDINA14CE PROVISION. - Recording Fee Receipt # Wejs:�_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION A00 LICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF I- THE OWNER. i AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL This Ication Is not a permit until signed by the �ng )COIM TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED S�, let or hWher Deputy: and Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION I tIsacknowIodgadInsAaceprovId%d. WORM NBATION INSURANCE AND RCW 18.27. FF IA a RE TE SIGNATU E (OWNE OR GENT) DATE SIGNED (425) 7 -0220 71 3RErADBY VDATE[ ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS 13EEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR 04/02 GREEN - ACCOUNTING PRESS HARD -YOU ARE MAKING 5 COPIES i z 2 0 M =i In 65 � 0 In C M 10 0 C 3! z ITI M 10 CA -n M M a FA 0 6 Fn C z 9 0 M