20030489.pdf4
DATE RECEIVED
4 1
pjl��s
[ PERMIT EXPIRES
USE PERMIT
CITY OF EDMONDS ZONE je6 1,12 NUMBER
JOB
CONSTRUCTION PERMIT APPLICATION
ADDRESS
Alfi
a )
OWNER NAME/NAME OF BUSINESS se j:�
IH41?K 4 Uk/AeGrRC7 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
MAILING ADDRESS LID FEE S
TESCP APPFOV*d
0 Z,5-- ':� Z Al PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
I - AO ill�-tk,:- UJ -
Rsqd
Street Use Permil
CITY ZIP EXISTING — PROPOSED In6pection Required
TELEPHONE Sidewelk Required
Underground
(�On
206,9"M REQUIRED DEDICATION— FT W U r uIred 13
NAME METER IZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
kk 14 YES NO 13
A I
ADDRESS EMAR
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY ZIP TELEPHONE o5b
ZooiO, cptze 16,6 el
NAME CBL#
0 BY
NGINEERING REWMED
—
W
0
ADDRESS ,,DATE
FIRE REVIEWED BY DATE
CITY ZIP ELEPHONE
VARIANCE OR Cu SHORELINE OR ADS# INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION U17ECKED BY REO'D POSTED
3 YES B-NO $
SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAA)vC, ACCO PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
Od I"& 11i M 0 -Z 5' 2 1, 7'-
I
10 EXP
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
NEW RESIDENTIAL PLUMBING/MECH
0 ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
2rADDITION COMMERCIAL COMPLIANCE OR Z3,439. 7-s7 /o 'flo. -32-
CHANGE OF USE
PARKING U IT AREA PLANNING REVIEWED BY DATE
REMODEL MULTIFAMILY SIGN REO'D PROVIDED 06
+ &
REPAIR GRADING CYDS o FENCE x FT) REMARKS
10 61:3
DEMOLISH 0 TANK OTHER
GARAGE RETAININGWALL F RE SPRINKLER
z
CARPORT ROCKERY FIRE ALARM_
0
(TYPE OF USE, BUSINESS OR EXPLAIN: CHECKED BY ORfANSTR CTION C OCCUPANT
ITYPE
r.� 17 GRO
NUMBER NUMBER OF CRIICAL
OF AREAS OCCUPANT
DWELLING SPECIAL INSPECT] LOAD
12ve
Rom
STORIES UNITS NUMBE REQUIRED
[] YES 042
DESCRIBE WORK TO BE DONE -7
f
-907 —
%6& ek/ WeSr = REMARKS
PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTIOm ncw-w
I if dj
Of 44% er 6W 0 VALUATION
$ '5n d A423-- ELV-
Description
FEE
Description
FEE
fm eck
kv Inkirld a
tall"
State Surcharge
I
HEAT SOURCE GLAZING % LOT SLOPE 96- y
RRAs Permit City Surcharge_
P=�E CHO: VESTED DATE Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
3
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: ISO DAYS
IL PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WrFHIN 180 DAYS Engr. Inspection AL'4�2
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
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt #
1 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapelnsp. TotalAmt.Due
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
1
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
x Recording Fee Receipt #
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 WITH CITY AND STATE LAWS REGULATING CONSTRLIC- 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 histher Deputy: and Fees are paid, and
IN VIOLATION OF TH�OR DODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN'S C�p T101 !�eN CE AND RCW 18.27. 0 C SIGN E OVE
SIGNATUT!�m6m DA E SIWf (425) 4
47MA-3-
11
220
771-0 -REL9A
ATTENTION EXT 1333 71 3
1z. XA &I
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL —a
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIG&AL,- FK -INSP7CTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 � .1 ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
Im
:r
z
0
0
m
am
Ca
M 0
-40
0 C
m
m
9z
0
.n
m m
86
0
. Fn
C2
in 0
;a
z
z
0
m
0
m
a
v, 1 1
p S
ZONE
SETBAC'F/%Qc-%-
FRONT
I r y (v v-zw -Y
SIDE
APPROVED BY PLANNINU REAR. w
VIM" mum PIXF 011.91111411`41 41P
OTHE
t
CAD
A 1 -5 C4
.HEIGHT
09111COV1111) ACIMCN& 011FAINW. M V 96 97
RRAL WE rpol"ICIIII. a" r 99 NO
pw4mw Gomm pokcb& "Cum 01130e"
w
YOM N" CARMLAnCill TOM WO ACMW OvVVA" "#A N 89*01'46
PAW &C MM SAW W AIM MCUCAI VIAM Am"" WaVVI)MED BT 104"m 901 N 89-41*46" W
180 A. -
EL.-95 kpo AZ% 30.00
1-85v
SIMON C�*
30 4q, EL.-95
r ON,
Mr
EL.=98.8
I Y':Kv
"DKXV puffir 0
k�14,r
D EL.=97.39
�Zf
0 r mc rdim" M44
tN TO onrAu M-M ly NEW
M GRAIN w"' rj""
6AFWA Dj
LIXCOAR#M"*L-L
pplCrumu"Cooplim. UJFVCW Is"..
v LAW nm"p
HW WOP LK 1100114 DA%W
IAM 40MON In, O#d$4409-0#b#A
k CA""w"C" 04" Q"m to 14.11 PaLa" Cma
AVE. GRADE EL.,M9
41611from
X�.
C.OiSMIM WAVE lMCM%T CWL UM VOOM -msxmm� OAT so C" —"rAavvA"y to
ARMLA11111410110M
R!140�2 (W F00 VMX
be
40
AM
C-5-
"majocrool,
wwruxid~
Pm
op
4EL,.1.3:.
0 tTm=:
A,
U
r - I
F
POW %WCARI 094 my '6
cwft" Lit. ffrAk7p V "-Wrm
10"36.
u 99
w (F 93 KAA AW-A
0 C,
C5 V=MllAlWLl*
muawwwro mat -to
>
§
AtAT w ovAcmas us wm mum Ui
"11.36.1cm i j Un ORA
1� co em
"mom
Mori 3 Om IN
z
17. EL. VVJV
MAINS. CPI
9"m DL
%
a.
as wo. Amin k" evo ku KOM
100
r NEW ADDITION in
AM sM,Z oymmi AM R, wr owa;
'j, A, mKm AA AM, Rs, RP,ft SHOWN DASHED
=*�m' ml m m, w mg K � xrw4ra to to
Go
MICRO` %Asam4 3 w
SN"It IS PC C0,101" v IsAlt 0 LTVIM 01AACE v rw.
3 02 41
I z W. Kl*�M AWA 2" rP
%
32
w
cowass marmic n town m
UJ
wv�arwl WKI MAP 14M PON -0 PA
WIN, PIPING 4 MORAL AS vamol,
>
DR 1p
<
'3a
4AXAM x A
w wx Al"A"AS ALL �"Xll will"t, 4 wy
M "A MZ MC PAN MCA&
00013111 Ism GlAwt us ~ P'" WAS 617111A p1m 0 w um
13
MR AM ow" w UK MCA "Ca"X0 PIN 04 tiolcp^ (1115
Pla,mck
n
n MM-W
RAM, SPA
Is -MM -W'
V, =pr,
L
A"10 PIN 1:4 MI'll M) DIM'
.............
EL.97.54 C%4
ww 11I)a Mll� SAM M MM ll�
0 EL.-98.!l -A
N RQ*nl!AAO wL
180.00
95 TAW 11112" WT
CL .94 96 100 EL.- 00.5
o�o 97 98 C%i
PE
FOUND 1/2- IRON PIPE
W RUSTED BOLT THRUOGH SIDE 06 '.'%'0
321-4V32 A -.5%2'
�4
FINAL PROJECT APPROVAL FORM
TO:
DATE:
z
9
0
m
am
c
m
0
80
c
-4 C
3: M
m z
3:
Cn
0 -n
n
m m
0
0
o
C
M 0
Z
;u
--4
z
z
0
m
Z.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Dat6 Si-
ocapr vl.doc.l:tcmp:bldg:formsl0/0l
m
CITY OF EDIVIO DS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
N
0 2-Y
CITY ZIP TELEPHONE
C?e
K6,.,
—7)/V0003 `06 /C)2Z
wim
NAME
"CITY ZIP
AME
0 e.
Z=
ADDRESS
CITY
ZIP
STATE LICENSE NUMBER
Ar
PROPERTY TAX ACCO PARCEL NO.
WOMEN
TELEPHONE
Z-06-wo - 160,
ICBLN
TELEPHONE
EXPIRATION DATE I CHECKE
NEW
RESIDENTIAL
fo
PLUMBING / MECH
9
2rADbrriON
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
MULTIFAMILY
SIGN
0 REPAIR
GR6DING
o FENCE
CYDS
X FT)
11 DEMOLISH
13 TANK
OTHER
(X.GARAGE
[3 RETAININGWALL
0 FIRE SPRINKLER
ALARM
CARPORT
ROCKERY
FIRE
(TYPE OF USE., BUSINESS 0 EXPLAIN:
NUMBER
NUMBER OF
-211VOY1
PERMIT EXPIRES
OSE PERMIT
ZONE NUMBER
JOB SUITE/APT#
ADDRESS
joa �;4p
ra/ re,
PLAT NAME/SUBDIVISION NO. "LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF OFFICI
TESCP Approved
AW Pam* ROWIrod
Street 1.112 Permit Wd
EXISTING PROF
wapection Required
f
Sidewalk Required
REQUIRED DEDICATION' Fr
underground
WiMil recItAred 13
METER SIZE
LINE SIZE
NO. OF FI RE
PRV REQUIRED
21A%k
YESX NO E3
REMARK'S
OWNERICONTRACTOR RESPONSIdLE FOR EROSION CONTROIJDRAINAOE
050 -A
MINEERING REOMED BY
hi
_,,DATE
FIRE REVIEWED BY
DATE tu
rL
VARIANCE OR CU
SHORELINEORADBO
INSPECTION
BOND
REO'D
I
POSTED
I
I.
13YEs Wo
s ..—
1
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROP08ED
, V
0
,
25. 121*7.
:xp
,
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT LJR SIDE REAR
7
73. 9.
' I Zg z-5
L6 Iyt.
.)5q
iio
I ,
7
PA KING
: It,
Loll AREA
PLANNING REVIEWED BY DATE,
1
REQ`D PROVIDED
I
2 4
CHECKED BY
OF.
STOR ES
I I
DWELLING
L UNITS
AREASoa-0 8
NUMBE 1�
SPECIAL INSPECTION
SP
RE
REQUIRED
DESCRIBE,WORK TO BE DONE
A b 0 t -rf aisl 7b /to 25%F
Uj 407
1!51
E
REMARKS
PROGRESS INSPECTIONS PER USC 1101111MINAL INSPECTION RECYO
P R
JX—R
+/
a�i5 r A03 +1
ff ti ff
V-f1
W—kij 7, (�o? (?-t1ddqqEr
a- 601 fY' W
g=
VALLIAnhN
a adi -4 A424- rMa -
HEAT SOURCE
*0 L6T SLOPE 'I.
PLAN CH7E VESTED�,DATE
THIS PERurr AuTHoArzEs ONLY THE WORK N6TED. THIS PERMIT COVERS WORK TO
t BE DWAE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, LUnQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIr 1, YEAR -PROVIDED WORK 15 STARTED WTTHIN 180DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALSo EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Description FEE Description
eck State Surcharge
Dee"'Pt"
4SEeh,
Surc
Build199 Permit City Surcharge_
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review Plan Chk. Deposit
Fire lnspecflon Receipt
FROM THE ISSUANCE OF THIS PERM11. I UNCE OF 1HIS r n
Landscapainsp. Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE I
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINA14CE PROVISION.'
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GINEN is CORRECT; 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- This applIWIon Is not a permit until signed by the
CALL
TION; AND IN DOING THE RK AMORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building OfficW or his/her Deputy: and Foos are paid. and
IN VIOLATION OF THW900R JODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided
WORKMEN'S C��SATION IN, RANCE AND RCW 18.27.
OR
PRO
DI
V
INFOR
N
AN
SION
MATIOU
D AGENT OF
ONSTRU
I M LOY
E E P E
JE�TING To
OFFI I CIMA SIGNrf WE
SIGNATLIP] �pi'XdEfm DATE SI9jWD IA-35)
94-ro- I iA
/ 1/1 A A.-UJ
771-0220 RELEAS D 7Y TE
L
ATTENTION EXT 1333 Z/P
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
eSPF
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI ORIGINAL - FILE YkLLOW - IN �TOR
CATE bF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER_ .1bOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN' --ACCOUNTING
=:M
z
0
4
0
M
=Pfl
ra �
Q M
C:
M
0 C
-4 K
3: M
M
z
0 -n
T11
M M
0 Vi
0
o Fn
a cl)
C V)
M 0
z
z
0
4
0
M