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20030408.pdf\1 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OF BUSINESS MAILING ADDRESS Ct 10 60 12 36 St S CITY IP TELEPHONE I[Eik"Ais 78ZI0101 '2-o6 544 916S-7 NAME N 40 114 el ADDRESS CITY ZIP ITELEPHONE NAME _%e ) JCBLN L CW A CITY STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY PROPERTY TAX AC 0 P RC L 0. vu- 42��-z eq NEW 'fjj�'VESIDENTIAL 0 PLUMBING / MECH ADDITION COMMERCIAL 13 COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY 11 SIGN REPAIR GRADING CYDS [3 FENCE X ( DEMOLISH ;66TANKTjy% , ftO —M OTHER oGARAGE CARPORT ALL RETAINING ALL IGP ROCKERY F RE SPRINKLER FIRE ALARM UYPE OF USE, BUSINESS OR ACTkrM EXPLAIN: 0 NUMBER NUMBER OF CRITICAL W OF DWELLIN AREAS I STORIES UNITS G:w NUMBERC/)!�'-7 DESCRIBE WORK f1O BE DONE HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: I VEST I '12.DAT9_ THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PEAMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATION: 180DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS 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 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 C17YS 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 OEJUE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S 001FIINkTION INSURANCE AND RCW 18.27. SIGNAY9 (0' E AGENT) I DATE SIGNED Nmowj-zpm�' 5-2-n.-03 AT ENTION ' 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. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES PERMIT EXPIRES USE PERMIT 12 ._()LIO ZONE NUMBER '0n3 JOB UITE/APT# ADDRESS (5fc'�V PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ TESCP Apprm- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit R Sn", Us. :rqmu:" Floq'd EXISTING — PROPOSED inspection Required E3 sidewaik Required 13 REQUIRED DEDICATION— FT Underground wiringrequirod E3 METER SIZE LIN�� NO. OF FIXTURES PRV REQUIRED 0 1 YES 13 NO 13 29 5 REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE I FIRE MARSHAI - MUS"T BE PRESENT EQR— VKwil"It'l, REMOVAL, OR CAr E FIRE REVIEWED BY DATE W rL VARIANCE OR CU SHORELINE 08 ADBN INSPECTION BOND REO'D 113YEs POSTED Lo— ffn' SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEM T ALLOWED PROPOSED ALLOWED PROPOSED :XP 17, LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR 0 z z PARKING LOT AREA REVIEWED BY DATE REO'D I IRROVIDED , [XNNING 'V'q .. . -,, Al / // /A -fJ CHECKED BY I Nt, TYPI y AC OCCUPANT. 'jqgX.QNSTR 5R GR UP SPECIAL INSPECTION JAREA OCCUPANT REQUIRED -ES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1108MINAL INSPECTION REO'D VALUATION Description FEE Description FEE Plan Check State Surcharge Building Permit i, /�—' City Surcharge Plumbing /7 pn Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due ) Recording Fee Receipt # APPLICATION APPfi(WAL CALL This application Is not a permit until signed by the Building official or his/her Deputy: and Foos are paid, and FOR INSPECTION receipt Is acknowledged in Space provided. OFFIPIALS DATE (425) _SIGNATURE h) ,.,W 06 771-0220 EXT 1333 ,REfE7MP' ;K1 f DA-k — 1 h1l .4 / i .1) XIJ 4-FILE YELLOWIFINSPE(ITO OWNER GOLD -ASSESSOR GREEN - ACCOUNTING z 0 M M C M 0 —10 0 C M M Z 1E) —1 C 0 -n ,n M M 0 6i 0 0 Fn C 0) K (1) M 0 Z ri z W z 0 I 0 M M Sent Ey: Hayes Enaineering; May 20, 2003 Mr. Robert Chave Planning Manager City of Edmonds 121 5th Ave N Edmonds, WA 98020 206546 3357; May-20-03 5:02PM; Subject: RV Propane Reference: Plan Check no. 03-215 Dear Mr, Chave: This letter is to request permission to connect my RV to the tank that is the subject of my cuff ent permit application. I have applied for a permit to locate a 125 0. propane tank on my property. The primary purpose for the tank is to heaL a new greenhouse. I request your approval to connect my 25 ft. RV to this tank. I will have the tank on "Keep FuU" service from the propane provider. If the RV were connected to the lzrge tank, the pipes in it would not freeze during cold weather (in case the little tank ran dry). The RV came with 5-gallon tanks that hold 4 gallons due to safety equipment recently instafled. We do travel extensively as my wife's job requires several annual trips abroad. Therefore, I would not always be home to refill the small bottles on the RV. We prefer to not drain the RY pipes so that it is available for spontaneous tnps. Thank you for approving this request and making Edmonds a better place to retire. Lee Re.Hayyes P.O. Box 396, EdmoruJs, WA 08020 email: JechmLq �.cm . � Fax: 206-546-3357, Phone: 206-646-9657 Paae 2/2 IJA roL Z, 0, M M 0 �-M 0 -W T, rn 6 Z 0 9' � �.N 4", I +18 +24 Lel -0- LEE & KATHY HAYES 9706 236th St SW EDMONDS, WA 98020 +12 +24 +3D +3D +12 APPROVED BY PLANNING LLZC� CITY -if 044m ftw -10 -20.5 WALL HT. -24 125 GAL. PROPANE TAW LG 21 x 4' SEISMIC ANCHOR BY BOLTING TO 4' SLAB LINE -10 b�o Xt, BURIED PROPANE LINE yo 000�WJPPLY VALVE fr ABOVE GRADE TYPICAL 4' CONC. SLAB 125 GAL. PROPANE TAW -16 ell x 4' Lck -16 aox w"n"t s o a r o 4' ELEV. FROM ZERO PROPERTY LINE p All� R. upi IT- -34 LINE 10 C. 18 91" CITY OF EDMONDS 121 5TH AVENUE NORTH e EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 Website: wwwxi.edmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building * Engineering December 22, 2003 Lee R. Hayes 9706236 th St SW Edmonds, WA 98020 RE: 125 Gallon Propane Tank Installation Permit #2003-0408 GARY HAAKENSON MAYOR Dear Mr. Hayes: I am writing to inforin you that your permit for installing a propane tank has expired as of December 10, 2003. In order to pursue the proposed project/installation a new permit must be obtained prior to performing any work. if you have any questions please don't hesitate to contact us at 425-771-0220. Sincerely; lib� Theresa M. mabaur Permit Coo inator Incorporated August 11, 1890 Sister Citu - Hekinan. Janan Z! I 0- M 0 C, N K M '4: X 0 M r 0. -4j; Zi- 1, 0., 6. M I RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... Wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final ...... HEATING: Gas Test .................... Gas'Piping . ................. Equipment . ................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. AJAZI IVOr r, . 'JDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OF BUSINESS I — - D Li- - . - , MAILING ADDRESS C1 10 G 2 316 A S-r CITY IP TELEPHONE 8 to Edt" OAS 'I Z0 1010 54 9105,17 NAME N0 14 '112-1 ADDRESS CITY ZIP I TELEPHONE NAME ( CBL ft 6 4 ot o_s ow A e�w) L C ADDRE4Q CITY LICENSE NUMBER EXPIRATION DATE I CHECKED BY ,PROPERTY TAX AC WOU 11 P C F LjN0 -- ; / &),--) -?o !?, � , 4/1'� I NEW Ig-'FESIDENTIAL PLUMBING / MECH 0 ADDITION C COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR 0 GRADING CYDS E] FENCE ( X—FT) DEMOLISH NKT TA We ? — E:] OTHER GARAGE CARPORT RETAINING ALL ROCKERY F RE SPRINKLER FIRE ALARM (TYPLI OF USE, BUSINESS OR ACTIV" EXPLAIN: e,� f— f2 NUMBER NUMBER OF CRITICAL OF OWELLING;,,!�� AREAS STORIES I UNITS NUMBER ESCRIBE WORK YO 13E DONE HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: I VESTfa DAT9 J L PERMIT EXPIRES P USE PERMIT ZONE NUMBER _4C JOB SUITE/APT# ADDRESS 2 L / -- 2. PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE$ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP AppfoVedl Rw Permit Required Street Use Permit Req'd EXISTING PROPOSED inspection Required Sidewalk Required E3 REQUIRi;4 DEDICATION— FT Underground wiring required E3 METERSIZE LI NO. OF FIXTURES PRV REQUIRED YESO NO C3 REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE I I ENGINEERING REVIEWED-0 FAIrU I n ANK FILL, REMOVAL, OR CAP FIRE REVIEWED BY DATE to Ix 3 - 6 M VARIANCE OR CU SHORELINE OR ADBI INSPECTION BOND [:IY RE,,& I ES $ - POSTED SEPA REVIEW SIGN AREA HEIGHT COMPLETE E;;ZT: ALLOWED PROPOSED ALLOWED PROPOSED EXP , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWFD PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR z z PARKING LOT AREA REVIEWED BY DATE REQ�D I PROVIDED 1 [�PANNING 71 " xv I/ / /y, CHECKED BY ITYP NSTHUL; UN wiz- GR SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [:] YES LOAD REMARKS z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D VALUAriON $ %-A Description FEE Description FEE Plan Check State Surcharge Building Permit I City Surcharge Plumbing Mechanical 2 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PElIMIT COVERS WORK TO 13E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review a- 5 PERMIT APPLICATION: 180 DAYS IL PERMIT LIMIr I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR 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 ANYAND Fire Inspection Receipt # lie 01130 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY 1 I _ FROM THE ISSUANQE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due 91 DEEMED TO MODUW WAIVE OR REDUCE ----[Receipt 0 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- x - 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 AGRdE 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 IN VIOLATION OEdTH9 LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Fees arc paid, and receipt is acknowledged In space provided. WORKMEN'S OWPINI�TION INSURANCE AND RCW 18.27. -1 OFFIPIALSJIGNATURE DATE/ SIGN AGENT) DATE SIGNED (425) , W �_':7 15-2-0-0-3 771-0220 DATt E)Cr 1333 F-Rft�Erx //V) ki ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIG1_N'At - FILE YELLOW INSPE�TOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR GREEN - ACCOUNTING X 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES t z 0 0 ITI =i --fi M C M 0 —40 0 C �c M IT! z 10-4 0 -n n M M C15 0 r- 0 M C 0) C CO) M 0 Z .4� ;V z --I x vi z 0 i 0 M