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20030491.pdfDATE RECEIVED PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBER 2CYD3-( CONSTRUCTION PERMIT APPLICATION JOB ITEIAPT# ADDRESS ormfg�?]ErsutJ� OWNER NAME/NAME OF BIJ - - &IYESS —7 PLAT NAME/SUBDIVISION NO. LOT No. LID NO. 15 MAILING ADDRESS LID FEE S TESCP APPMO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pannit Required ;tm,eeg�,Xkf Street Use Parmill Raq'd Inspection Required CITY ZIP TELEPHONE EXISTING — PROPOSED Sidewalk Required 1 Underground REQUIRED DEDICATION— FT vvmg rq..—13 NAME METER SIZE LINE SIZE NO. OF FIXTURES REQUIRED YEp'1VI NO C3 ADDRESS REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE CITY ZIP TELEPHONE NAME BL IV ENGINEERING REVIEWED BY DATE lz 0 ADDRESS W 9C FIRE REVIEWED BY DATE CITY ZIP TELEPHONE rL VARIANCE OR CU SHORELINE OR ADB#, INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DAT7ECKED BY POSTED REO'D 1E3YES 13NOI$ A( SEPA E SIGN AREA HEIGHT 'aWr?'r', PROT PCO ET ALLOWED PRO POSED ALLOWED PROPOSED A CO eAFAIDEL NO COMP E EFXErt , 5 EXP k LOT C 'k"D SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) 1:1 NEW WRESIDENTIAL PLUMBING MECH ED E FRW< SIDE REAR FRONT L/RSIDE REAR cy, COMPLIANCE OR COMMERCIAL I 0 ADDITION 0 CHANGE OF USE Te PA46W — I LOT AREA I P�001NINGIREVIEWED BY DAT MULTIFAMILY SIGN Rftp REMODEL : 11 11 1 — ��le ----------------- j .0-r. , FENCE &_7T r] REPAIR GRADING CYDS 1:1 ( _x_FT) REMARK§q_,-_� t4= ASJ�12 0 DEMOLISH 0 TANK OTHER �QAd oGARAGE -1 RETAINING WALL FIRE SPRINKLER 0 FIRE ALARM CARPORT ROCKERY l[TYPE OF USE, BUSINESS OR ACTIVITY) CHECKED BY ITYPE OF.CONSTRU*N OCCU GROU NUMBER NUMBER OF CRITICAL SPECIAL INSPECTI OCCUPANT OF DWELLING AREAS ON JAREA LOAD thf -iw I J UNITS NUMBER REQUIRED YES --STORIES/ DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 109/FINAL INSPECTION REaD of zcl,,�ks 14.641±1otAott Lcko PJ Ir VALUATION $ 70 13 9 -5 'E� Ip L450V Description FEE Description FEE;] Moi,,j kQ�t IA Plan Check Stat Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit -7q-1. 7 city Surcharge PLAN CHECK NO FESTED DATE Plumbing Mechanical 10 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MAnQUEES, ETC.) MLL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: 180 DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION Plan Chk. Deposit ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review ;APPLIr , AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF N NT E�T. EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND Fire Inspection Receipt # 11:�� 10 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Total Aint. Due FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE Landscapeinsp. DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # 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 0 E LABOP CODE OFflHE STATE OF WASHINGTON RELATING TO WORKI �=TIOl`y1NSUAPNCjrANO RCW 18.27. W163 APPLICATION APPROVAL This application is not a permit until signed by the CALL Building Official or his/her Deputy: and Fees are paid, and R INSPECTION receipt 13 acknowiedged In space provided. OFFICIALS SIGNATURE DAT 121195) 771-0220 ATTENTI? EXT 1333 IT IS UNLAWF VTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAI;LFIIELE - YELLOW IINSPB&OR R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - ( ER - GOLD - ASSESSOR GR� 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GR - ACCOUNTING -f'n C. 1 $913 4L i CITY OF EDMONDS 121 5TH AVENUE NORTH a EDMONDS, WA 98020 * (425) 771-0220 * FAX (425) 771-0221 Website: wwad , edmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building e Engineering September 16, 2003 Attn: Roger Belair 757 Somerset Lane Edmonds, WA 98020 GARY HAAKEN80N MAYOR .Building Permit: 2003-0491 Site Address: 757 Somerset Lane Expiration Date: 7/8/04 Dear Roger Belair: The purpose of this letter is to inform you that the last remaining inspection on your project is a final inspection(s). The final inspection(s) determines that there are no outstanding life -safety issues and approval allows the City to close your permit file. The City considers the final inspection to be one of the most important inspection s conducted on a project. In order to grant final approval the following must be complete: smoke detectors, house numbers, guardrails, handrails, self -close doors between garage and residence, egress from sleeping moms, safety glazing, weather-stripping, any Engineering department requirements etc. Of course not all of these things may specifically apply to your project but it does give you an idea about the kinds of things that must be complete as well as some items that do not need to be installed such as: paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from the date of issuance. If you will need more time to complete the work, permits can be renewed prior to expiration for one half fees. If the permit expires without a final approval granted by the Building Inspector, full fees are required in order to renew the permit. This can be very costly to you and we strongly encourage you to check your permit expiration date and call for the required final inspection(s). Note: If more than one department is required to final your project, this is noted on your Job Card. Please feel free to contact me at 425-771-0220 if you have any questions. Sincerely, Pe oord' ator Incorporated August 11, 1890 Sister City - Hekinan, Japan M ',DATE RECEIVED -�2 PERMIT EXPIRES PERMIT USE ZONE CITY OF EDMONDS NUMBER12ob:; o I/ q 6O� JOB CONSTRUCTION PERMITAPPL116A'TION —,sum7PT ADDRESS FO-W ��MAMEMAME OF Lin 2 ". un In Mn MAILING A 7,5X ADDRESS E CITY NAME KI -,.ADDRESS CITY STATE LICENSE NUMBER LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP 0 RW P*fn1'Pp"F1,.:.,, street use Palm, ZIP EXISTING — PROPOSED Inspection Required Sid"alkRaquired ATELEPHONE REQUIRED DEDICATION— FT UnderWOW4 Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 REMARKS OWNERICONTRACTOR -RESPONSIBLE FOR EROSION CONTROLIDRAINAGE ZIP TELEPHONE rink BL# DATE ENGINEERING z FIRE REVIEWED BY DATE 0 zip TELEPHONE M Na MEL WRNEW ESItkNTIAL -AD DITION COMMERCIAL REMODEL: MULTIFAMILY 13 0 GRADING, REPAIR CYDq n DEMOLISH [3 TANK kAAGE 71 RETAININGWALL 0 -0 CGA=ORT ROCKERY V JTYPE OF USIE, BUSINESS OR AcTriprX NUMBER. NUMBER OF OF STORIES DWELLING UNITS DESCRIBE WORK T 0 BE DONE RC^r, N 6 1410 044 N rq i-e—'a AACAeT. -4: C_ DATE I CHECKED PLUM13ING / MECH COMPLIANCE OR CHANGE OF USE SIGN FENCE ( x Fn OTHER, 0 FIRE SPRINKLER FIRE ALARM CRITICAL AREAS NUMBER N S Prc 0%- HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO' VESTED DATE THIS PERMIT AUT WRIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORKTO BE DOME ON PRIVATE PROPERTV ONLX ANY CONSTRUCTION ON THE PUBLIC 31 3. DOMAIN (CURM SIDEWALKS, DRIMIEWAVIL MARIQUEES, ETC.) WILL REQUIRE L SEPARATE PERWSSION. PERMIT APPILICATION: i@O DAYS ..PERUrrUMM1yUR.rK L OR Nn ED W K 18 STARTED WITHIN 180 DAYS Sag BACK OF MIT FPR 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,OFFICIALS, EMPLOYEES. AND AGENTS FROM. ANY AND ALL CLAIMS FOR DAMAGES O#WkATEVFR NATUFIE.APJSIN(30[RECTLYORINDIREClLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIB PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CnYS 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 GOING THE WOP4( AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION. BOR CODE OFjrHE STATE OF WASHINGTON RELATING TO WORKMElta ��TIIOWNRURMCWAND RCW 18.27. VARIANCE OR CU SHORELINEORADB# INSPECTION END REO'D OSTED CIYEs 13NO Is X4 J SEPA'FRE Nj',� SIGN AREA HEIGHT M T POSED C P . ALLOWED PROPOSED ALLOWED PRO M COM WE PT I e, _.XP 0 LOT C61V I D SETBACKS (FT)' PROPOSED SETBACKS iFT11I ED E F SIDE REAR FRONT LIR SIDE (REAR z M A PARIAG LOT AREA I P!AMNINGJREVIFWED BY DATE. a Rft vs 37 REMA:R*Kj�t 0 M 0 Fn % 9 CHECKED BY ITYPE OF VNS;Z�ON OCCUA RO a U�� SPECIAL INSPECTION CCUPANT- I f. REQUIRED r JAREA LOAD 0 REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INS. PECTION RE(WD $70, Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection MFEE Description State Surcharge qCity Surcharge FEE r9j LIFA PM Fire Review PlanChk.Deposft (t?UA_0- Fire inspection' Receipt # Landscapeinsp. Total Amt. Due Recording Fee 1 Receipt # CALL FOR INSPECTION 1A*35) %,WK. APPLICATION APPROVAL This application is not a permit unto signed by the Building Official or his/her Deputy: and Fees are paid. end receipt Is acknowledged in space provided. OFFICIAL§AIGNATURE DAT ,y1-')I A --% -P— �Vjl A 4-: 1 -'z 771-0220 ( 6121. Y ATE ATTEATIO� -30 EXT 1333 . 1 W1,11ro 7 f , IT IS UNLAWF LT0 STRUCTURE UNTIL S A FINAL INSPECTIDN,VJAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL 1 Fl YkLLOW11NSP OR/V CATE OF OCCUPAkCy M,13EEN GRANTED. UBC SECTION 109 PINKI�R *. GOLD-ASSESSO 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES -ACCOUNTING