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20030419.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS A 4MN -,f0j+W 12,09171AS MAILING ADDRESW r6 17 -;Z-0-7 C11 4;-' , 4c,' CITY ZIP TELEPHONE -77v/ C1 NAME ADDRESS 77 CITY NAME ADDRESS (9 lq_� :� CITY olt� STATE LICENSE NUMBER A CI�IRA4 I ZIP I TELEPHONE CBL # 'k . I 1,1&q ZIP �9)�o I V*�� EXPIRA 0 6A111 �71J, 9 PERMIT EXPIRES E PERM&�t" ONE NUMBE I ( JOB SUITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO, LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP App"mod RW Permit Required Sueel Use Parnall Req'd EXISTING - PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- FT Underground Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I&Pamrvy- ar-,ft'r-, : PIPF=,. I&-rAl-LA REVIEWED BY CA..';.�� FIRE REVIEWED BY VARIANCE OR CU SHORELINE OR AD7111 J1 INSPECTION BOND REO'D POSTED OyEs.�WNo 1$ - SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED , PROPOSED us EC NEW ADDITION RESIDENTIAL COMMERCIAL PLUMBING/MECH COMPLIANCE OR C&CHANGEOFUSE LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR I - I � PARKING LOT AREA PLANNING REVIEWED BY DAT z A REMODEL MULTIFAMILY 0 SIGN R PROVIDED :L REPAIR 0 GRADING CYDS FENCE X F-1) S Sig lsza a DEMOLISH [3 TANK OTHER zl�! 32zgo rr 3 GARAGE cAnPoRT [3 RETAJNING WALL ROCKEAY F RE SPRINKLER FIRE ALARM 1*% rim 0, %-"01�4s & (TYPE OF USE. BUSINqS OR AcnvrM EXPLAIN: ZMtU r,1 CHECKED BY ITYPE OF.0014STRUCTION COf OCCUPANT� GROUP A3 37- V/V NUMBER OF DNUMBEROF, 2. [CRITICAL AREAS SPEC JAREA OCCUPANT 4 LOAD -STORIES UWELLING NITS NUMBER REQUIRED 0 YEs 1 -7W DESCRIBE WORK TO BE DONE REMARKS 'D PROGRESS INSPECTIONS PER ILIBC 108/FINAL INSPECTION REG ZLA J j AA o P Descir A&I bw--exLr a Iption FEE Description FEE V AV-1feepu Plan Check State Surcharge AEAT SOURCE GLAZING % LOT 4FE-916 — Building Permit PLAN CHECK NO, Plumbing Lai Mechanical ��YA City Surcharge z 3 t: 2 M IL 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, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: 160DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARMIED WITHIN 160 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT; ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF Fire Review Plan Chk. Deposit 1?51 IN INTEREST, EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt N ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE FROM DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORD INANCE Landscapelnsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee " Receipt # I HERESY 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 CONSTRLIC- 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 OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowiadged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFICIALS SIGNATURE DATE SIGNATURE (0 1 R A Hij DATE SIGNED 1A 1-125) 6 1-6�3 771-0220 DATE A'I`TENTION 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 HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING It! 1. z 0 M M C M 40 0 C rn M z 0 ,n 3� C * I M M a 0 6 Fn r 0* z z 0 1 0 ITI 1 77, 7 f 77 .1 r if , r OA �6 Jai/ E Re 4� xf Lip 1 17 A or eAr o? r ose 14, pa 41 P IY4 9 61. R V ..1 /41" 44 ep Ie pla dr toc,� All's do �40f 4:�00 I I Ip Roof 7Z 74 sp to Oic 1,,,114rov ;e C. grar w4 7AI tr t r, Noe It Awii 400? r7 tok IN ww if I I I La I Cat' "I t 7 1 rI 16 ie ew :f e. pp i,- tI I - I I., I i-P It r., I. '-I I +r I Ito - If c, Ir I �.� I . I., � I I If too 70a4 4 1. If I If, If jam If I. f. ''t, r+ If : 1,1. 1, 1 It d, L 1 4 44 f I ov 7 a Moto If C4 se tf 0q 00 �a Wp If dr /#mot- covoe Iit p4v i I Ika- 41 If If f 4�70 1 4 If I I j J Pit' I , op rl MICROFILM It 1 .1 rv� I If- 41 40 a 1A If It yIx t, It, !N-4 20030725-boog CITY CLERK CITY OF EDMONDS 121 5TH AVENUE NO. ROMONDS, WA 98020 STATEMENT ON ACCESSORY DWELLING UNITS Property Address: 9617 Edmonds, Washington Description: F�1& wl� Assessor's Parcel Number: JI e5,!T-- 4,� a 4 ain t.-i e5 I have read the requirements for accessory dwelling units contained in Chapter 20-21 of the Edmonds Community Development Code and understand that so Accessory Dwelling Unit, including a second kitchen, Is prohibited until after an Accessory Dwelling Unit permit has been apprgved by the City of Edmonds. I also understand that approval of an Accessory Dwelling Unit permit Is subject to compliance with Identifled criteria, to public comment� and neither this statement nor the, Issuance of a building permit shall act to limit the discretion of the City Is the review of any application for an Accesso Dwelling Unit permit. ry . 1;�, Prope Date: .STATE OF WASHINGTON COUNTy OF SNOHOMISH) I certify that I know or have satisfactory evidence that signed this instrument and acknowledge it to be his/her- frie iu—i4oluntary act for the uses and purposes mentioned in this instrument. Notary's Pressure seals must be smudged. &PgrA of Motary Public Notary Ibli State of Washington KIM K. ESKELSON t My Appointment Expires Mar k"in . : p in MyAp nt C. N DIMIAMA .1 -000MMU THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOIL MICROFILM -�W,r CIT I copy QPATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS 1144iz� -fOAIl MAILING ADDRESW 9`6 / 7 C7- 1;7 6c-j CITY ZIP TELEPHONE IOAA)� '2,V(9�_6 -7 761 �j NAME E ADDRESS CITY NAME cc DDRESS (9 CITY 0'1� STATE LICENSE NUMBER PROP 0 NEW ADDITION "P REPAIR DEMOLISH oGARAGE CARPORT (TYPE OF USE. BUSINI.�p NUMBER OF STORIES I I --- " 11 ZIP _17EEPHONE T C B �L#' "�OA,CrZbt 7-40 , 4 102, PERMIT EXPIRES IAE PERMI ZONE NUMBE�"_)_(�t_( 19 JOB SUITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pernsit Required Stiven Use Permit Rsq'd EXISTING - PROPOSED inspection Required Sidewalk Required REQUIRED DEDICATION- FT 1 underground winnngreq r METER SIZE LINE siz��ixTURES PRV REQUIRED YES13 NO C3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE , A z n,-n� _. Nr I— - \ % — . . n. rl— . A --A A I t, ENGINEERING REVIEWED L I 1 121-- 410 If/() 0/ #61 k"Izj 11 � I low- -�' FIRE REVIEWED BY [)ATE UA ZIP I *LEPHONE cc IZE 6? eo 0 1 72(,,7' 8_6 EXPIRATION D ATE CKED Afq;E'Oh �VAR CU jSHCRELIN !�60 SO INSPECTION REQ'D BOND POSTED 0�/ �Y ------- 13YESaNO $ SIGN AREA VEIGHT PARCEL NO COMPLETE EXEMPT ALLOWED PROPOSED 76 L�A�PRO�OSED 55- 5-TorgyL6 �IB!3G 1. ECH LOT COVERAGE 3L LOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS FRONT C COMMERCIAL COMPLIANITa V 191CHANGEOFUSE ---------- "we 3 ��_ 'P 2 "? J PARKIN6 I— LOY-AlEt N!NA ItE ntWED:BY DAT MULMFAMILY ELSIGN it REO'Q I PROV DED : FENCE CYDS 1:1 ( _ X FT) 0 OTHER TANK R&WKS 2�1 <TT U(-, _'A AsIDO—ca o RETAININGWALL FIRE SPRINKLER ROCKERY FIRE ALARM y'TM_ r -I- 11h CA0 t-JlAaV-_"Q-4& Om OR ACTIVITY) EXPLAN: CHECKED BY OF CO STRUCTION CO E OCCUPANT�,_. ITYPE G'ROUP )10 _L'I ItR D L t�p t1V4rL .02-- A EA N*4 SPECIAL INSPECTION JAAE MCLWANT 0 CR18E WORK TO BE DONE (LF, ;0 low, REM&RKS PR6GR`ES9INSPE 'D CTIONS��41 TJBC lill/Wak 11141116"g� REG _)4jTU,1A,,q,0A1Ir )AI AC 6T �^5,0 9AI L A&4 III A06 VALUATION ADU j0V -er!f& AOZ L0,1Y hZ&Zt,"',041� Description FEE Description FEE ltet?u Plan Check State Surcl�grge GLAZING % LOT SLQP Building P6rmit City Surcharge C-/gs -1161-1 /5 6W VESTED DATE PLAN CHECK NO. KI I '. Piurtibind, Fe "Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT C6VERS WORK TO t: BE DOME ON PRIVATE PROPERTY QNLX-ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE Grading SEPARATEPERMISSION ft Engr. Review PERMIT APPUCATION: 180 DAYS 116 PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN iso DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION APPLICAffr, ON BEHALF OF PUS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit 950 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 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIF% OR ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due WAIVE REDUCE NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt IN I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN 18 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- CALL This application In not a permit until signed by tho TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED BuMng OMcW or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMIEtfS COMPENSATION INSURANCE AND RCW 18.27. OFFICIALS S GNATURE DATE SIGNATURE (O"ER 0) Al�g DATE SIGNED 1A0 1425 71: 771-0220 ATTENTION. M 1 333 DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCidRE UNTIt— 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 HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 4 0 m am C ma 0 -10 or :� r. m m 10 2i z 0 _n Irn m 0 a; 0 0 Fn C co) C 0) M 0 z 0 1 0 m