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20030379.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION EA NAME/NAME OF BUSINESBI MAILING MMM .0 ZIP — I TlElj!`H� - W TZ, 141 k� - 7 S-? ZIP TELEPHONE 4A- 41 ICBLN — � I AffWff�P�-A--YAFAKAL=.di= =�� ZIP I TELEPHONE LICENSE NUMBER IROPERTY TAX ACCOUNT PARCEL NO. 01"N'EW $KFIESIDENTIAL PLUMBING / MECH IADDITION 3 COMMERCIAL COMPLIANCE OR 13 CHANGE OF USE 0 REMODEL MULTIFAMILY [-] SIGN REPAIR CYDS o FENCE X FT) DEMOLISH TANK OTHER GARAGE CARPORT RETAININGWALL ROCKERY F RE SPRINKLER FIRE ALARM (TYPE OF,��BUPSS ACTIVITY) EXPLAIN: z NUMBER OF NUMBER OF DWELLING CRITICAL AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE r-79MILY 4E55-) >� 5-4Ve2E_L [PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ADDRESS E/SUB Nvt - D I VW, N '1' .7 LOT NO, L�D NO. L D FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required EXISTING — PROPOSED Street Me Parmn floq'd Lj Inspoctlon Required f J13 Sideviatk Required REQUIRED DEDICATION— FT Undelground Wiring required METER S ZE I LINE SWE NO. OF FIXTURES PRV REQUIRED 13 YES NO REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE F44L APf"VAL OF: -TWIS v-su�;r -ro I sre- UA%9Lr2_-TtVAJ 4 C4ArA4 A" C"-l' -0, FIRE REVIEWED BY DATE Lu 01 VARIANCE OR CUI SHORELINEORADBN INSPECTION BOND AEO'D . POSTED 113YEs *o s - SEPA REVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED, , PROPOSED =XP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWrD PROPOSED -ff19NX SIDE FROtff Ryl D. 0 7. -7 7 1 0A - ro —01 , !3 1, 7.CM z PARKING 11 LOT AREA I PLANNING REVIEWED BY E I RECfD I PROVIDED QL _2 .;?-- =�! _ _ f 01 CHECKED BY ITYPIE :=CTION OCCUPANT -GROUP SPECIAL INSPECTION JA� OCCUPANT REQUIRED [] YES REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REO'D WA t F VALUATION r, $ 20 6L it 7e- 2-5at Descirlptlon FEE Descirldtion FEE 64, OD Plan Check MS State Surcharge HgATISOURCE , I GLAZING % LOT SLOPE % -1 — A(Af f, 6W M 1 Building Permit City Surcharge PLAMdAEtK_NO: n I VESTED DATE Plumbing THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical 7 U BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOIMN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: ISODAYS PERMIT UMrr I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS 3dn Engr. Inspectio SEE BACK OF PINK PERMIT FOR MORE INFORMATION L..- -A-.,of 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit t T..7 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF I 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 PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE TbtalArnt.DuedE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee Receipt # oz'�j I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN IS CORRE" 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- CALL This application Is not a permit until signed by the I ION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIO TIONO&THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In spac g4"Idod. INSURANC N'S E AND RCW 18.27. 4 ',40FANSATION 51 DATE SIGYED (425) PIGISIR�E � 1--p 771-0220 IR FIELEAAED Of" DATI ENTION Iv / I EXT 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 &LE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 0 M M C M 0 80 C C : ' M M _3 0 M M 8 (A 0 (j) M 0 z 0 M - -Ta'qeG vc-ci��T &-rxc[4 '(!)X— ez Two Z.;. F, I. e. pvc �WOF ON PIPE& Nbq*32'3'T' H 314- MITZR ME-rm b 43: COW-. ORNE Ln %Q Lu clovv FORCH 0 LU LU &ARA&E PLAN M2clWCAFT-4 er (2) IS- Pit tpl L1/6, [7 EASTING HOJSE 22" FIR TO 5E REMO 22' FI TO Ee 0 REMOVW, Typ- M X--X F, %F 40 IF I 7E PLAN 0 I ; - I-011 ANV E : I" = 20 2 CITY COPY cy 0 r- C, co W kn z tdruj VED APRcm a: PERM T CoUjp�j-IrEp U. goo -'$C cn.2 W'T'T t= Ln cy 5 cc r� U, r c� LE&AL DE5CRIFTION I co uj &n cm EM w Z SIL Lot #1 P' 15- 0 2-43 ui .. 'aiw cc U- U- pf— U. 14 10 z C's 0 0 _OPNNEP- FMA DEVELOPEMENT 5ERVICE5, L.L.C. C! IcI400 33rd AVE. K 5UITE 200 LYNNOOD, VqA '18056 (425),7-75-15ql FAX (425) (5-72--lqq5 LOT 00VERA&E LU LOT 15�2-14 5.F. 5TRUCTURE 2,12cl 5-F. 16% NALK5 4 DRIVE q(95 5.17. 17% LU TOTAL IMFERVIOU5 B4Ocl-7 5-F- 235�0- < z 4tj -7 -6' ED BY pLANNING .. ........ co Viet) EX. 15' ACCESS EASEMENT 41 AfAY ---------------------- Z803 TiGHTLINE ACCEPTABLE fOOTING J)RA10 OT R MATERIAL s u N 1 s E TO BE TIED 1� kf/r COU . . . . . . SDR 35 ENTI* SYS M PET SCH 40 41 N - 12 F81 o HANCOR 7- LOT 1 411 4 \j P S - 12 Ed —1fi' PRIVATE D 3AINAGE ESM' SEWER ar WATER & D. Lo INSPECTIONS REa 1326 CU 42r,771-0220 EXT' EX -4- tp 2+00 .00 01 12Ng RE9 P.P. k 01 25' PRIVATE DRAINAGE E SM'T. %am FF TO 11%4w TO A L D rE R W CIS w gow p i rs swow tj 0 10 Aro 2 3 oz L mo Pro IL t%rrn%jvLw A "n ING 'e BY ENGINE , 44". RESPONSIBLE OWNER/CONTRACTOR IS C.9m*T ?L*T -ro avAmw it Date: FOR EROSION CONTROL. AND DAMAGE F779 4 RECONED APR 22 PERMIT COUNTER, 42 -r,- w - ....... ... Z —"r www LL LL. LL z 0 -J cu V fo in . . . . . . . . . . . . ....... ull" . ...... . . . . . . . . . uj ....... ....... Height Calculation/Grading Verification Worksheet Addrew: Permim L 0--371 Date: RE �T4 1111, b- FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: P ERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE A M ENGINEERING DIVISIO14 DATEY Wef M z PLANNING DIVISION DATE' M n"MWN PROM CT C/) M M 0 SITEADDRES$_-12 80 to ADB# INSPECTED M M Z DESCRIPTION OF WORK TO BE INSPEC e final compliance with approved plans. E nal approv., ti was conducted to determin al on t to the,'release -of atilhereare. no o jections. from the above, signed Depart men. M �.�,'��'.denoes RFORMANCE BONDS and th e granting of M M 0 Fn GRANT FINAL PROJECT APPROVAL C (j) M ca MO Zr GRANT PROJECT APPROVAL WITH CONDITIONS NOTED z Co' of CONDITIONS given to owner/contractor by inspector Py— ca z 0 M FAILED FINAL INSPECTION - OUTSTANDING ISSUES Copy.of CORRECTION NOTICE given to owner/contractor by inspector 2. 3. RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:tezi3p:bldg:fonnsIO/OI ow, Do, t e P u m% CZ, c Iz-ow ,A PrId .MoUnt $ Date 4 . I I)ATE RECEIVED L6 1 r. I PERM IT EXPIRES -1 USE PERMIT CITY OF EDMONDS ZONE 1�s - NUMBERZOO -5- b CONSTRUCTION PERMIT APPLICATION JOB ADDRESS 41 0 A�E OF DUSINW h P7T NAAAE/SUBD �;7 LID NO. MAIM �00 t -. _I I LOT NO, NO ADDRESS Wav LID FEE S I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved UIC z re ;L�o AW Pefrot Required I Street Use PernAd R*q'd C)TY Z!IP jTEVPHONE EXISTING PROPOSED inspection noquired Sidewelk Required 7' ;7�- Ila REQUIRED DEDICATION— FT Undeqprourod Wftor"t*sd NAW METE I slzf -4 Ally, LINE SWE NO. OF FIXTUAES 'I'D PAV REQUIRED' 1F.Al 49 YESP( NO 13 A FIE.. REMARKS C? /4f OWNER/CON TRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE ft- fIr4AL f(PTIZOVAL OF 'TiJIS 5 _-4 6 a I?L- r "T 0 CIIST-7— M 1-a ZIP (CWWL*�IIVAI JTEILEP�ONE + NA CBL# kADNAI ADIJAESS NGINEERING REVIEWED BY I 11 FIRE RgI 0 BY DiiE Clify TELEPHONE 101-Alr"Mh oz,Fu;�d ETILE1% V 0 4xw al �- -49A sees --- - STATE LICENSE NUMBER EXPIRATION DAT7 n1v VAR R SPECTION BOND PE PYES RE 00 / RE POSTED *S6 ES *0 1$ L �-�r4�A72 SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP LOT COVERAGE REQUIRED SETBACKS (Fr.) [afINO'EW WOORESIDENTIAL PLUMBING MECH PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED BE IqW COMPLIANCE OR ADDITION COMMERCIAL r -7. CHANGE OF USE :� REMODEL MULTIFAMILY PARKING LOT AREA PLANNING REVIEWED BY AR&TE .0 SIGN REQ'0 1,gOVIDED [TREPAIR CYDS o FENCE 11C wo X—FT) gym- �_Ml t4 DEMOLISH TANK 0 .0TH]4R Ame GARAGE RETAINING WALL F RE SPRINKLER �2 C-1 QL4 CARPORT ROCKERY F:RE ALARM (TYPE OF Us a 8 ACTIVITY) EXPLAIN: CHECKED BY TYPE OF_fMST CTION CMET OCCOPA 2!Z (U� ) C I GRO NUMBER NUMBER OF CRITICAL OF t 1 L Up DWELLING AREAS SPECIAL INSPECTION JAR�& STORIES UNITS REQUIRED NUMBER [3YES DESCRIBE WORK TO BE DONE REMARKS r PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION RE010 .��Le 77�z _1U VALUATION $ MIN AA-1 f P Description FEE Desciption FEE A tj Plan Check State Surcharge Hi;AT POURCE f- 7 ",GLAZING - x1d L SLOPE Building Permit City Surcharge __OLUR 'CHEb1% Nv-. VESTED DATE Plumbing bon-#,% T U THIS PERMIT AUTHORIZES ONVV THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical 13E DONE Oil PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBILIC Grading 6 DOMAIN 3 (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: IGODAYS PERMIT UMIr I YEAR - PROVIDED WORK is STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OWHER SPOUSE, H E*IFIS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit [ Tf IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF I 'UMUNUO. WASHINGION, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND I ALL CLAIMS FOR DAVAGESOF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # 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 Landscapeinsp. Total A t Due "'NOR LIMIT IN ANY tyAY.yHE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- ing Receipt # I HERE13Y ACKNOWLEDGE THAT I HAVE READTHIS �KPPLICATION; THAT THE INFORMATION A GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO CO:KLY WITH CITY AND STATE LAWS REGULATING CONSMUC- TION; AND IN DOING THE WO AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL This application Is not a permit until digned by the IN V E LABOR COD E OF THE STATE OF WASHINGTON RELATING TO SATION INSURANCE AND ncw le.27. FOR INSPECTION Building OMetal or his/her Deputy: and Foes are paid, and� FOcelpt Is acknowle dged In spaS>ppvIdod. . a 1A 13 11 G R E. DATESIG D 771 -0220 AntNTIO IF KIL EXT 1333 RELEAS`ED DATd UPY UPY IT IS UNLAWFU �SE OR OC TRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIG 7 YELLOW INSPECTOR INA FILE 04/02 PRESS HARD -YOU ARE PINK -OWNER GOLD -ASSESSOR GREEN -ACCOUNTING MAKING 5 COPIES