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20030495.pdfk DATE RECEIVED I PERMIT EXPIRES q I 1-)-- 11 CITY OF EDMONDS USE PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS Q#NER NAMEINAME OF QPSINES� PLAT NAME/SUBDIVISION NO. LOT NO. CID NO. 15 MAILING ADDRESS j LID FEE S qC( TESCP Ap PUBLIC RIGHT OF WAY PER 0 L STREET MAP AW PefrMP1101".4,16d CITY ZIP TELEPHONE Street Use Permit Reqi'd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT Underground Witing required RME METER SIZE LINE SIZE 7. OF FIXTURES PRV REQUIRED YES 13 C3 NO ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP ITELEPHONE TxG 299 NAME ENGINEERING REVIEWED BY DATE y, Cc ADDRESS f�j esse FIRE REVIEWED BY DATE ge CITY TELEPHONE 6KjfSPC-j-T- (7601 1,i!ne- 36:!> 0322B M STATE LICENSE NUMBER EXPIRATION DATE C0fCKED BY VARIANCE OR CU SHORELINE ORAD1111 INSPECTION PBOND REQD OSTED I C?"Z^ MIU41MI 13YES 13NO ve>00i,& SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ASCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED :z , , EXP NEW RESIDENTIAL PLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR COMPLIANCE OR ADDITION . COMMERCIAL CHANGE OF USE REMODEL MULTIFAMILY SIGN PARKING LOT AREA PLANNING REVIEWED BY DATE REOD PROVIDED 06 GRADING FENCE 0 REPAIR CYDS X FT) I REMARKS DEMOLISH TANK 0 OTHER GARAGE o RETAINING WALL FIRE SPRINKLER FIRE ALARM CARPORT ROCKERY —1 (TYPE C)b USE. BUSINESS OR ACTIVFM EXPLAIN: R CHECKED BY TYP NSTRUCTION OCCUPANT 42 22iU GROUP 27 7 Ul NUMBER NUMBER OF Ae CRITICAL A OF DWELLING REAS SPECIAL INSPECTION JAREA OCCUPANT STORIES UNITS NUMBER REQUIRED [3 YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD (V-- A E VALUATION $ Descriptlon FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO'.#, A VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE IWOR6 NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTV ONLY. ANY CONSTRUCTION ON THE PUBUC Grading DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE k: SEPARATE PERMISSION. Engr. Review PERIMITAPPUCATION: ISODAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAtfr, 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 # 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 Landscapelnsp. Total Amt. Due -///L5 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee Receipt # I HERE13Y 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 CONSTRUC- 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 Foes are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATIO 'P 'INSUANCE AND RCW 18.27. OFFICIALS SIGNATURE DATE BE DATE 61%1) (4-25) S-al V, 771-0220 'MENTION E DATE �R �EA ;;Y� M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- V_ VI/ OR�GINAL - FIL YELLOW (INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PNK- R GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING Z 0 4 0 M OM C Rig 4 C-) OC ,�c M M 10 2i z O'n In � 52 C M M Fn z 0 :d 0 M 09/10/M3 12:1e 4253399244 WILLIAMS MECHANICAL AUG-30-2000 WED 01131 Pn PUBLIG WORKS M Nu. 42b (44 UUbf LA Business/contact Service Addr*1161111; Location of ASSOM BeeRflow A680mbly Assembly Vi \JiNub b rer ng Line Pre"Ura atrirno oF 'rest —S—Lt. 11 ressure I Do awwl tight-- Closed tl�iht I i w Initial 10C Aw. IDO-----.PS Test lc;',L:�sld jitp.. 9. material Used T st A gr DG-CI*Swd light CIO$** tight ", " I �11 Repair ;L A Account M In Type of Assembly Rellof Valve d at Air InIst nol ap4n—� urn PAGE 02/03 -77-7 M Check Valve 01 011. FG—gip inspection: ........ Ftemarks: A air asp 1,nifiel Test information: BAT Cart No. x a Signs root isur P TED Tell Date Tested ca + Ropeir T"t Informatl0f): BAIT Date Tested____-- V Cart No. gignatUrg or 1 aster I PRUINTED N OF TESTE Edmonds, WA 09026 "it sac0ow Tell fqtl3on to: AtIMI.Inclimmmurphy- dMQnd&.7jjC2jOkhSL5W phone 842r�T?i-0239 palt4211.7AA-U57 RECEIVE -& w -rotarrr-Olk L POS air pAOF SEP 10 2003 wordatatock" test 10port DEVELOPMENT SERVICES C CITY OF EDMONDS 2Z% TR. A- :10 4253399244 WILLIAMS MECHANICAL og/10/2003 12 '31 PH PUBLIC WORKS FM NO, 425 744 6Ub( AUG-30-2000 WED 01, Aak JaACJSF Tw rA7 ausine,WCoi Service Addr Location of P 19acktiow Asi Assembly t.ine PteSSUrG at Time of Test j� _ L�l b Dr. 4105W Ighl Johl Initial RP re Lsoked� Leaked- AccountC Type of Assembly PAGE 03/03 P. 01 1 m ffr—e —ak 0 �r I 6"'0' AI�Ll"l �C!7�kVW�ve ot vt a at 0�panad __jnid notopion Material J Used old t Openad 81 00ened at Test After Clo"4 L Lcir, Bid Repair Dc PP Id provideT.- e or r.nn IncnAitlon: quired air gap ceparatl on Remarks: Initial Test Informat-lon: BAT 13 � cart. No. y _4� X Sign re ff It ft� -PRINTED NA R t. ymer Infnrynatloil: a Date Tested Dato x L#GM FlUt rign3turg $step PRINTED NAWE OF TESTER Cly,tP-dMWnd$-711C2lCthSt-SW'Idmand*.WA 08029 Back1low"rest ROPOrt tb: Attn- unds McMurphY - Phafgb 0 425-771 -0"5 62�1't &24.7"6037 E:IVED POS lop wr P&'* IF L yvarcalatilexfow test 10POrt SEP J 0 2003 CTR. DEVFLOPMENT SERVICES C CITY OF EDMONDS t 2,= � ' - -------_--`�---��cr��~��-----r��r`��`__`--_._~� .'.- ' '�~ - �-__-,.-~~�`._,~`~,�,--.^-,.-,_'_--'-- - � ' � � � ' | � . \`,/ \ / ' ' `' `. ' � '`'i � `' ' ' ` ) ' '� ` � / '. � �'�� ' -' `� ' . ' ! � �'�� ' -+ - �/`-��~``'-' ___~ I 11 PDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NAMEINAME OF EVSINESS IMAILING ADDRESS 22��05 — CITY ZIP ITELEPHONE Vi.. CITY "P TELEPHONE L.--. I 1-w- EZAjaga= Cts2o� ITAS 2-69 113( NAME 0WW'; t4\C-�%WkcA(, /Mc - ADDRESS eloe>_45AA\Tb� mu PERMIT EXPIRES IISE PERMIT ZONEC7-01 NUMBER JOB sunWAPTO ADDRESS PLAT NAMEISUBDIVISION NO. LOT NO. CID No. LID FEE S PUBLIC RIGHT OF WAY PFR OFFICIAL STREET MAP TESCP AMOVed RW PenTA Rawkw StMat Use Pofmk Wd EXISTING — PROPOSED kapscuon ftquked SWwwalk RowkW REQUIRED DEDICATION-- FT ur4srom"I VVWgrequked 13 METER SIZE LINE SIZE I NO, OF FIXTURES PRV REQUIRED YEs[3 NO E3 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE W6?C"- -36-2. _Q .., 032 u VARIANCE OR CUI SHORELINEORADSO I INSPECTION BOND STATIE LiCENSE NUMBER EXPIFLATION DATE I CHECKED BY REO'D POSTED DYES 13NO 1$ MWIM I *Ib:�&- 7-36-21 - I HEIGHT SEPA REVIEW SIGN AREA PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE . EXEMPT I ALLOWED PROPOSED I At I C VED - PROPOSED 0 NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MUITIFAMILY REPAIR GRADING CYDS 0 DEMOLISH TANK GARAGE POR`r o RETAINING WALL ROCKERY (TYPE USE. BUSINESS OR ACTWM EXPLAIN: NUMBER OF NUMBER OF DWELLING STORIES UNITS DESCRIBE WORK TO BE DONE LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCEOR 0 CHANGE OF USE LOT LLOWE PARKING LOT AREA PLANNING RENIEWED BY DATE SIGN REQ`D PROVIDED FENCE I I I ( _ _ FT) rREMARKS, OTHER FIRE SPRINKLER FIRE ALARM CHECKED BY TYP NSTRU N jCgQf_, OCCUPANI�2 GROUP CRITICAL jj!2! AREAS SPECIAL INSPECTIOTNAREA OCCUPANT S F LOAD NUMBER REQUIRED [3YES AREMARKS PROGRESS INSPECTIONS PER UBC 110811FINAL INSPECTION REQ'D Plan Check HEAT SOURCE GLAZING % LOT SLOPE % Building Permit PLAN CHECK NO- VESTED DATE Plumbing THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical BE COME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU13UC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMffAPPucA,noK- 180DAYS PERMIT UMM I YEAR - PROVIDED WORK IS GTARTED WITHIN 190 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS I OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS F're Review IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CrTy OF EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY Fire Inspection ALL CLAIMS FROM THE ISSUANCE OF THIS PERUM ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE FEE Description FEE State Surcharge City Surcharge Plan Chk. Deposit Receipt total Anit.bue ul z 9 0 M rn C M 40 0 C � r. MITI 10 �, 0 M M ai Fn C C, X, z z 0 4 0 MI NOR LlMrr IN ANT VVAT THE CITYS ADM 7 10 ENFORCE ANT vnwl�-- PH Recording Fee Receipt # ZZV2 L ': I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL I GIVE IS CORRECr AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT. OF NJER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- THE C CALL This application Is W a permit un ill 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 Oftlell or hieftw Deputy: and Fees are paid, andi recelpt Is acknowledged In sp= proOded. MINCE AND R WORKME L CIN 18.27. NS COM�ENSATIO �NSU, OFFICIALS SIGNATURE DATE 13E DATE SIGNED IA13 %425) JL7� ID 771-0220 By 'UM'NTION Off 1333 I ,2 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- )- YELLOW !'INSPECTOR '0111G�NAL(FILE CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK-OW1115h GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING5 COPIES GREEN - ACCOUNT114G