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20030464.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS f3A-g" � V 1,A FA t 67 T=- L MAILING ADDRESS �= '9'33 13 CITY ZIP TELEPHONE F_C>MC't-jvS NAME ADDRESS CITY ZIP ITELEPHONE NAME CBIL # ADDRESS S-740 SST'4 Av& F4 I - CITY ZIP TELEPHONE 45 EArrL_r__ 20r. - *zS--79-:*4 STATE LICENSE NUMBER EXPIRATION DATE 6YALUS Cq.*- o8aor 8--29-0-3 PROPERTY TAX ACCOUNT PARCEL NO. 015 -7 - I - - 0-2e) - NEW RESIDENTIAL PLUMBIN MECH 0�1 ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE J9 REMODEL MULTIFAMILY SIGN REPAIR QIADINI CYDS FENCE X <. go I — — Fr) DEMOLISH TANK 0 OTHER GARAGE RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIREALARM ITYPE OF USE, BUSINESS OR ACTIVWA SM-mW 0 NUMBER NUMBER 00 CRITICAL OF DWELLING AREAS STORI I NUMBER DESCRIBE WORK TO BE DONE 1 1 62� I-fl I 140 51F PATiW&I 1.10 K A001-rlioo�_l FILJS 114TM&MIOM ALTF_rtA..-rko"-,-, ^e LPERMIT EXPIRES US E PERMIT ZONE �?r NUMBER�ft3 JOB S TE/APT# ADDRESS LL Ul Lt\) PLAT NAME/SUBDIVISION NO. LOT NO.__ LID NO. LID FEE S TFSCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PerrrJt Required Street Use Peffnft Req'd EXISTING — PROPOSED Inspectio" Required Sidewalk Requited REQUIRED DEDICATION FT Urtdarground Wiring required METER SIZE LINE SI E NO. OF FIXTURES PAV REQUIRED Z-7 'i7 YES E3 NOA REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE . -1 -, .� - - % � as __ . - - . '0_ 1 LI ENGINEERING REVIEWED BY FIRE REVIEWED BY D;TE 113 z 5 z z 0 VARIANCE 08 CU SHORELINE OR ADS# INSPECTION BOND REO'D POSTED 1$ 13YEs Ygo BEIRA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT PR P SED EXP LOT COVERAGE ALLOWED ROPOS D REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT L/R SI E REAR - 1 1_j oz 3W% !4V_ I i I 1 215 -7, 9/5' jqX .4 1 7,5/ z 5 2 71' � PARKING RE(Yo PROVIDED LOT ARE LANNING REVIEWED BY DATE 2, liq 440 3 Add,&., fllit IC4- e;, < S K&" ?, I � V, CHECKED BY ITYPE ffCOWTRUCTION CODE OCCUPAt;�,. GROUP TPECIAL INSPECTION JAREA OCCUPANT REQUIRED [:] YES LOAD REMARKS PROGRESS INSPEVnONS PER I)SC I 081FINAL INSPECTION REO'D 11�17,7e-r-v_vhn -=Aj $ rf fl ti 0 W=fia 11 I=- , I - r__ L 1= izii xm <51 1bQ 114)(0 1 - 01-� Description FEE Description FEE tan 2fD Plan Check State Surcharge HEAT SOURCE G 42A S T-z' Building Permit City Surcharge LAZING LOT SLOPE % PLAN CHECK NO: VE%TED CATE Plumbing 17 (9 63 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PIRMIT)CPOVERS WORK TO Mechanical BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading :3 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, IMMQUEES, ETC.) WILL REQUIRE It: SEPARATE PERMISSION. PERMIT APPLICATION: 180DAYS Engr. Review PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection 'APPLICAhm ON BEHAI F 73 10 wn nr-" DrUUDE. HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF r-ir EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND 1 Fir 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 I -a NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Re I HERESY 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 LABONMqDE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSAT9A INSLIPANCE AND RCW 18.27. FO [SIG�N,ATURE (OWNER OR, DATE SIGNED 4-gA t- 0 ATTENTION a Heview Plan Chk. Deposit eInspection Receipt # ndscape Insp. Total Amt. Due cording Fee Receipt # APPLICATION APPROVAL This applicaflon is not a permit until signed by the CALL Building Official or his/her Deputy: and Foes are paid, and R INSPECTION receipt Is acknovdodged In space provided. I N ATE (4-25) 771-0220 6E By DATE EXT 1333 IS UNLAWFUL 'ro 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 OR�IGINAL-FILIE YELLOW QINSPE�l 04/02 PNK-OWNER GOLD -ASSESSOR PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING t L z 0 0 M th M 10 0 In _z CO) 0 _w Irn M 0 (—J) 0 0 Fn C M0 z 0 0 M l4eawr "tx_ LIQL i:;f %IrAe.-K A - 100.5 A A M 046 c- lbb.W 46, A too -I'm L CM C-44 WU4f_ T12.90,L 20.5b 1,4.00' 17.14i r st 0.1 1 al Is fvofc W7 m*-r too.& Lo Oki L M-26 I _4 MM 11w. on M 7 D CM WON ECIT—TO SCIST. SYA 47f e. 4-- w ffloV-77- 'VED RR -By 0 SOICOMMOTOR IS REMSIBLE FOR EROSION CONTROL AND DRAINAGE LAAIA_ W10H IbWT +..1004� so�Lw a 1ASL 0 F -4- c> mom[_.. I I CD A Mp mi IR J 4 ISSUES GRANT FINAL PRojECr APPROVAL. RE -INSPECTED OUTS, TANDING Date ocqrvLdoc.l:tepp.-bWg:formslo/oI z 0 m 749 63-1 a m c MO 0 80 c ic MM mz co 0 -n n m m 0 a; 0 0 c M 0 Z X z z 9 0 m 0 a D OATE REC ATE RECEIVED 0 e3 PERMIT EXPIRES VF CITY OF EDMONDS SE ZONE PERMIT NUMBERCft.3]gjkl!� CONSTRUCTION PERMIT APPLICATr7lON7[ADDRESS JOB UITE/AP`T# be V Lj�j OWNER kAMEAWE OF 13USINESS 5;; r-A,1/-7Z-L PLAT NAME/SUBDIVISION NO. LOT NO.__ LIDAO. MAILING ADDRESS /LID FEE s- 3 is 140me-irz 7ESCP APPFDV@d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pwfffma Requ od 1 Street Use Permit Rcq'd CITY zip TELEPHONE EXISTING PROPOSED, Inspection RequIrod Sidowalk Required F-V ti X;41 8 24 REQUIRED DEDICATION FT Underground 13 wiring required METER SIZE LINE SIZE NO. OF EIXTURES PRV REQUIRED YESD NOA ADDRESS REMARKS: OWNER/C�NTRACTOR, RESPPNSIBLE FdR EROSION 'CONTROL/DRAINAGE CITY ZIP ITELEPHONE i nf, Ff AM, NAME CBLN 67ALOS auL. ENGINEERING REVIEWED BY D ADDRESS C21 �Amrz 63 S-74o S9TI-1 AW,-% �-4&. FIRE REVIEWED BY DATE 141 CITY ZIP TELEPHONE cc IEL '. VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE TE REQD POSTED drAL U co Cq J* 88 4W 13 -2 9 OYES $ M.0 SEPA REVIEW SIGN AREA H EIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EX ALLOWED PROPOSED ALLOWEY PROPOS D Iiappegk -1 0401; - ISO 0.2() - 01BOC3 , EXP NEW RESIDENTIAL LUMBIN MECH LOT COVERAGE 'ROPOSED REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) FRONT L/R E REAR ALLOWED FRONT t SIDE REAR AD60N COMMERCIAL COMPLIANCE OR 11 OF , 3 CHANGE USE REMODEL 13 MULTIFAMILY 0 SIGN PARKING LOT AREA I PLANNING REVIEWED BY DATE REOD I PROVIDED . - I- I 2= :2- qqgq# A��ePw-_' ING FENCE 13 REPAIR CYDS 11 X_FT) ' RKS 7 K OTHER QEM9LISH TANK "o 0 GARAGE RETAININGWALL F RE SPRINKLER ALARM CARPORT -ROCKERY FIRE (TYPE OF USE, BUSINESS LAIN: k CHECKED BY TYPE &'CQMTF CTION CODE OCCUPANT r /, N GROUP NUMBER NUMBER 0 CRITICAL W OF DWELLING AREAS A oo-1 t SPECIAL INSPECTION JARE OCCUPANT LOAD OOW STORIES UNITS NUMBERfy/!;/— REQUIRED JA 13 YES DESCRIBE WORK TO BE DONE REMARKi PROGRESS INSPECTIONS PER J)BC 108/FINAL INSPECTION REQ'O 21 -46 SF TIM ii�mmliort ALTErtATliot�41S AAA> VALUATION $ Descrililtion Descir FEE Iptlon FEE Plan Check c HEAT SOURCE. GLAZING % SLOPE % 47A A9 PLOT I Building Permit LStateSur&harge City Surcharge City Su r( S PLAN CHECK NO: ED E Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK An"COVERS WORK TO t: 86 DOME ON PRIVATE PROPERTY ONLX ANY NONTHEPUBLIC ' Grading 2 DOMAIN (CUREIS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: 1180DAYS PERMIT UMM I YEAR - PROVIDED WORK 16 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 ANY AND Fire Inspection Receipt # �?z ALL CLAIMS FOR DAMAGES OF WHATEVER NArURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due AM - NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee 1i 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 AGREE TO COMPLY WMI CITY AND STATE!AWS REGULATING CONSTRUC- CALL This application Is not a permit until signed by the TiON; AND IN DOING THE WORK AUTHORI;EO THEREBY. NO PERSON WILL BE EMPLOYED Building Offlclal or his/her Deputy: and Face are paid, and IN VIOLATION OF THE LAB R-MkDE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMENS COMPENSATfj INSUPNCE AND RCW 18.27. OFFI N,&, DATE SIGNATURE (OWNER on DATE SIGNED (42 'PAL316- -(-,A L L 771-0220 -7.3 DATE AI`TENTION Off 1333 44m,��Y� ol�lv 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 - INSPE&OR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING