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20030376.pdf[PERMITEXPIRES CITY OF EDMONDS USE PERMIT ZONE C6-4 [3C-NUMBER CONSTRUCTION PERMIT APPLICATION JOB qq SUITE/APT# ADDRESS OWNER NAME/NAME OF BUSINESS P"W Ll IJ4 01001 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE $ 10 41AF. TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit R—ked T Aqe& CITY ZIP TELEPHONE I Street Use permit "." EXISTING 'PROPOSED Inswoon Required 13 Sidewalk Required 13 e�,4 �714) /770 REQUIRED DEDICATION — FT Underground Wiring required 13 a421":`22 NAME _K ,avl.�, e METER SIZE LINE SIZE NO. OF FIXTURES p REQUIRED r i Ho Agic-1117-ea75 ", Fr I YESW NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE illqzlo 've- aee_ !!�WrzF CITY ZIP ITELEPHONE 44,12 hfWj*VANV All &125_A�- NAMB f_j�� # ENGINEERING REVIEWED BY /Do ADDRESS - A 17 A IL TI,/6j Lg CITY ZIP TELEPHONE E 5y DATE Iz 14 57 EXPIRATIONPATE'� IIANCE OR CLf SHfPELIINE OR ADBN INSPECTION BOND REO'D POSTED lbow Ll M N �E 46B._102.1,71b YES $ NOI SEPA REVIEW SIGN ARFA_ HEIGHT PROPERTYTAX ACCOUNT P.-IC-110. EXIEM�PT -ALLOW.EDPROPOSED ALLOWED PROPOSED r 270q2 227 EXP 7301.>-4s NEW PLUMBING MECH RESIDENTIAL LOT COVERAGE REQUIRED SETBACKS (Fr.) PR6POSED SETiiCFS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR ADDITION COMMERCIAL 0 CHANGE OF USE 04 Me I / 4AI0 CA111ft 4iz�_ z zha=e1z 6 'l REMODEL MULTIFAMILY [3 SIGN PARKING LOT AREA PLANNING RWW EVOSPY RECI`0 I PROVIDED 3 &%q%3 61LIg 2—i REPAIR GRADING 0 FENCE X CYDS "A*e 0 OTHER DEMOLISH TANK h h-17 MA-K so" GARAGE RETAININGWALL F RE SPRINKLER CARPORT 0 ROCKERY FIRE ALARM 4j otPMOIC, (TYPE OF USE, BUSINESS OR ACTN" EXPLAIN: 55 CHECKED BY ITYPELDR CONSTRUCTION OCCUPA14T Lqm-- �e 4F-5- _4 tRVMA1r GROU NUMStR UMBER OF CRITICAL �N' OF RY!E LING AREAS W �Llt SPECIAL INSPEC'nON JAREA, OCCUPANT LOAD STORIES NUMBER REQUIRED DESCRIBE WORK TO HE DOME REMARKS PROGRESS INSPEC71ONS PER UBC 108/FINAL INSPECTION REG'D zAA17 7Z) Exi 5-T/ A-L 312 cf RgFrAm, 5,;34ccs "2 VALILIATION $ or" ax. sw&4_ vie- fz"11-P Descrlpiion FEE Description FEE LIU iai;22 Plan Check State Surcharge I HPAT SOURCE GLAZING % LOT SLOPE % I_rk; 1 i= Building P . ermit City Surcharge -4 PLAN CHECK NO( 115.3 VESTED DATE ) )Z3 Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, E TC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review EADO 15 PERMIT APPLICATION: 180DAYS 116 PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WrrHIN 100 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS CT-7 - Fire Review Plan Chk. Deposit TY7? M IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF N 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND Fire Inspection f'�U Receipt # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. I'vi Total Amt. Due I 0 NOR LIMIT IN ANY WAY THE C11YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' M Eff Recording Fee Receipt # I HERE13Y 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 application Is not a permit until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and roes are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPENS NSURANCE AND RCW 18.27. OFFICIA SIG E DATE -if >WA-ly /kjj SIGNED IA95) I'A M N;� O'� LSIGNATU:RE: I(OWNER =GEI'VR LDA:TE A) 4&-Iq- I , ,, a *5� . i 771-0220 - - REL DAWf ATTENTION Off 1333 61M ko IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- IGINAL-FILE YELLOW. INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 1 7. a ma t.-I GA 90620 Owner of Building: Welcp Adiciteip NS ECT9W THE 99 Ranch Tenant Shell & Corle H P '�!.,M YING WITH THE REQUIREMENTS OF THE 1997 'AND DIVISION OF OCCUPANCY AND THE USE FOR EDITION OF THE UNIFORM BUILDING CODE DBYTHII�* WHICH THE PROPOSED OCCUPANCY IS CLA I I Issued this §ptember, 2003 CHIEF BUILDING OFFICIAL By. TWa carifficale &W be poslad In a conspicuous Pubic am and shall not b3 an mullated or obscured and Wall be maftlnod In legible condition at all *no& Any change of occi pancy or use requires a building peirnk and a now Certificate of Occupancy Issued by the City of Edffwnds Sulding Oftial. '�DATE RECEMD PERMITUPIRES �21 � 000 USE PERMIT ZONE 4-7 CITY OF EDMONDS t2(ZNUMBER JOB SUITEIAPT# CONSTRUCTION PERMIT APPLICATION ADDREY OWNER NAME/NAME OF BUSINESS P01"Al If &4VA PLAT 4AME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESO LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCF Approved RW Pornixt Requ ed 64291 Strom Use Pannit RWd CITY ZIP TELEPHONE EXISTING - PROPOSED- Inspection Required I Sidewalk Required REQUIRED DEDICATION Fr Undergrourld PwY, &A Wi&g required 13 NAME Kg(11j) 6H C F VKTURES PFkVIREQUIRED METER 512E LINE SIZE YESK NO E3 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLfDRAINAGE q 2 4!L! CITY ZIP TELEPHONE 45)4�'t,6 lWfut, W/ -alico -W��C_ff- umi ILi2bJ522 1.11 NAMPAI CBL# r (Ad ENGINEERING REVIEWED BY DREe3 17 A0 JUA z,1 z 'L bT 4 _.e_ V_z rE DATE us / at CITY f fi 7,1 P TELEPHO 0 'Aar :Fig v SH EWR ADB;j IftCTION OND *A/ EXPIRATION JDATE PBOISTED YES3��O S SEPA REVIEW EA "EIGHT PROPERTY TAX. ACCOUNT PARCEL NO. COMPLETE :XEMPT ALLOWED PROPOSED IALLOWE PROP BED M EXP *pas C AMU - 5= - I — I V/SV 11 1 M LOT COVERAGE REQUIRED SETBACKS (Fr.) PR6POSED SETBACkS (Fr) NEW RES14NTIAL PLUMBING/ MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR COMPLIANCE OR C ADDITION COMMERCIAL 151 0 CHANGE OF USE r. in PARKING LOT AREA PLANNING ED A qj5 134Sq$3 FAMILY, REQ`O P OVIDED1 XREMODEL. 0 muLn Io GRADIN 11 CYDS MAR 13 REPAIR G X TANK OTHER DEMOLISH sen 7—opil C_ GARAGE RETAININGYALI, & _n _) 0 FjREhPhINhER 0 .13 CARPORT ROCKIERY F RE ALARM In (TYPE OF USE...PUSINEISIOR lkcTpjn'Y) EXPLAIN: CHECKEDBY ITYPE-OliCOINSJRUCTION. VV JE CCUPA14T AA6 WL&�Wk)r 5FW,,0_5 0 MITI 9AQ!& GROU NUMkR NUMBER OF C RITICAL ds OF DWELLING AREAS SPECIAL INSPECTION JAREA OCCUPANT STORIES UNITS NUM13ER REQUIRED E LOAD f MY DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD1 0: ik, 71 _)�n -w-e- M&Y Y894-1- 4ymcl 9! F T-1 f M, 9ma, 5AY—cfS AA)P'q E8r4Uj?,4A,'7_ VALUATION z f r141 EN 1110== W Vj q, rj�r R011. p n FEE- Description FEE z .1 1 Pla/CheCk'. State Surcharge -0.4 U1 FA 0 HFAT SOURCE GLA23NG % LOT SI OPI Building Permit 111149,01 City Surcharge M PLAN CHECK NO VESTED DATE Plumbing _S10 _0 030 Mechanical THIS PERMIT AUTHORIZED ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 4W t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURM, SIDEWALKS; DRIVEWAYS, MARQUEES, ETC.)'MLL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APDPucAv i: PROVl D w0% 0 PERMIT UMM I YEAR - O?HIN 160DAYS )F IN 4 1 A SEE BACKOF PINK PERMIT FOR MO IN OR ATION Inspection -APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit 6LJ 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 # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY E ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Arnt. Duo EEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE W4 I'll ee.� NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN 15 CORRECT, AND THAT I AM THE OWNER, ORTHE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY 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 Official or Ns/her Deputy: and Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON REL4PNG TO FOR INSPECTION receipt Is acknowledged In space prrjvyod. WORKMIIENB COMPENS�,�SURANICE AND RCW 18.27. DATE SIGNATURE (OWNER dh AGERh fOFR CWA1$( 414 DATE SIGNED OF C IWGE. 025) Y—ler, �� 5 ��t A b -4 M v ,,�71-0220' RE- B -------- F___D_ATf�� 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 -FILE YELLOW. INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS ��ARD t YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING