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20030505.pdfM DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS I . MAILING ADDRESS f. 6) - & x CITY F, �M ".'_ N j4E �� 60511 C1 Irl ZIP TELEPHON q6 0)-C) I � Alovtei;, 1;�r ,— -76 / C, ADDRESS 4V t 111-71 'Re-J41C C, rl Zlr ELEPHOqE (q) -111b I 5";� �AME ICBL0 k)Wev, j� -1 1 _j PERMIT EXPIRES I USE PERMIT ZONE NUMBER JOB SUITE/APT#j ADDRESS F�LAO PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. _k LID FEE $ ___ I .. cp A, oved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Street Use Permit Req'd EXISTING — PROPOSED inspection Required Sidewalk Required REQUIRED DEDICATION— FT Undevound Wiring required 13 METER SIZE NO. OF FIXTURES PRV REQUIRED 13 YES 13 NO 13 z _n REMARKS OWNERJCONTRAcTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE r__ / �-1 - — _4V REVIEWED DATE UA FIRE REVIEWED BY CITY TELEPH E % zip N 2777Y-2- —09?13 BOND S—PE EORADB# IN PECTION VARIANCE OR CU SHORELIN RE STED, REO'D PO R EXPIRATION DA�TE CtJECKED I�IY STATE LICENSE NUMBER S t S ;9W $ 13Y �S -A/ SIGN AREA HEIGHT jE SEPA REVIEW MPT ALLOWED PROPOSED ALLOWED PRO POSED COMPLETE EXE PROPERTY TAX ACCOUNT FARCIEL NO. jL EXP RESIDENTIAL 1:1 PLUMBING MECH REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) LOT COVERAGE REAR ALLOWED PROPOSED FRONT SIDE REAR LFRONT UR SIDE Z 1 NEW 1 COMMERCIAL COMPLIANCE OR 0 ADDITION 1:1 CHANGE OF USE PARKING LOT AREA prANNING REVIEWED By D [3 REMODEL MULTIFAMILY 13 SIGN REOD I PROVIDED 1100 FENCE 1:1 REPAIR CYDS 1:1 ( _X_Fr) REMARKS 0 DEMOLISH TANK OTHER oGARAGE RETAININGWALL FIRE SPRINKLES 0 ROCKERY 0 FIRE ALARM CARPORT (TYPE OF USE, BUSINESS OR ACTIVITY11 EXPLAIN: C UPA CHECKED BY ITYPg OF CONSTRUCTION CODE GROUP re- q-7 W91mr-f NUMBER NUMBER OF CRITICA OF A DWELLING AREAS A /V#q- SPECIAL INSPECTION AREA OCCUPANT LOAD STORIES UNITS NUMBER REQUIRED OYFS DESCRIBE WORK TO BE DONE , I 4Qat.)' REMARKS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D PROGRESS /'0' o o o Le U,/,x is V -d—ii t;o a4,12 'Loa !24 ON $ Description FEE Description FEE Plan Check State Surcharge-, HEAT SOURCE GLAZIUG % LOT SLOPE % Building Permit City Surcharg /V VESTED DATE PLAN CHECK NO: Plumbing Mechanical THIS PERurr AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPERTY ONLX AM CONSTRUCTION ON THE PUBLIC Grading D N (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE OMAI SEPARATE PERMISSION- Engr. Review PERUrTAPPLICATION: 180 DAYS PERMIT umm I YEAR - PROVIDED WORK 19 STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review Plan Chk. Deposit 'APPLICAK ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS CITY OF IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt N EDMONDS, WASHINGTON. ITS 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. Total Amt. Due DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE WAY THE CnYS ABILITY TO ENFOR CE ANY ORDINANCE PROVISION.* Receipt # NOR LIMIT IN ANY Recording Fee THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL/ I HEREBY ACK14OWLEDGE GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Is not a permit until signed by the CALL Building Official or his/her Deputy: and Fees are paid, and THE OWNER. I AGREE To 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 receipt is acknowicidged In space provided. FOR INSPECTION WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27. OFFICIALS SIGNATURE DATE - DATE 11 (425) 7—/0-0-3 SIGITUR 7EAJOWPE 771-0 DATE 220 RE 'r'- EXT 1333 ENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL IF INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPfCTOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SE CTION 109 PINK -OWNER GOLD -ASSESSOR ARE MAKIN G 5 COPIES GREEN - ACCOUNTING 04/02 PRESS HARD -YOU Z 0 0 M C I MH 0 C � r. M M Z 0 _n "n M M 6 Fn CIO co M0 Z Z 9 0 M FINAL ROJECT APPROVAL FG. z 9 0 m =i :p, m rn 0 0 m mz 10-4 —Z 0 n m M a 0 0 rn ch 0) M 0 Z z z 0 m 2.. RE INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL Dat Si ocaprvl.doc.l:temp:bldg:formsIO/OI ::::LA1t: MUL111LU INt4l PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE Plgj) NUMBER JOB CONSTRUCTION PERMIT APPLICATION ADDRESS LP-20 b11V0169_ OWNER NAMEINAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S MAILING ADDRESS 7ESCP Approved 13 PU C( RW Parrrit Requited �EHT OF WAY PER OFFICIAL STREET MAP Street use Permit RWd C_ , __ CITY EXISTING — PROPOSED Inspection Required ZIP TELEP" 6, Sidewalk Required 4780 Undorg;rourwd REQUIRED DEDICATION— FT WWgrequkad 13 lo 76/o NAAEt,4 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO E3 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDFLAINAGE *.26� _14D zip TELEPHONP cre LL-L- NAME 'BL ENGINEERING REVIEWED BY It ADCAESS 17E 0 FIRE REVIEWED BY CITY IP TELEPHOVE IEL goll-- (qj5) ga+k� I I 7Y2 -09?8 VARIANCE OR CU SHORELINEORADB# INSPECTION BOND REO'D STATE LICENSE NUMBER EXPI TION DATE CHgCKE0 BY POSTED DYES ;9W $ k d 10 7 HEIGHT SEPA REVIEW SIGN AREA ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO COMPLETE EXEMPT ALLOWED PROPOSED I a*70 -32&_001 _0116— 6D I U21-0-3-2-004-00-016 41 EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) NEW 'RESIDENTIAL PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR COMPLIANCE OR !:Q,�DDITION COMMERCIAL 11 CHANGE OF USE PARKING LOT AREA T P4NNING REVIEWED BY D E E] REMODEL 0 MULTIFAMILY 0 SIGN REM I PROVIDED IL 0 FENCE REPAIR CYOS ( x FT) REMARKS o OTHER 0 DEMOLISH 0 TANK GARAGE -1 RETAINING WALL FIRE SPRINKLER CARPORT 1:1 ROCKERY FIREALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPA OF CONSTRUCTION CODE OCCUPANT -S III,_ GROUP NUMBER' BER OF CRITICAL4� IU L OCCUPANT OF DAM LING AREAS SPECIAL. INSPECTION JAREA A(4 LOAD INUMBERL744 -STORIES I REQUIRED [] YES DESCRIBE WORK TO BE DONE 1 . A REMARKS Reekolle- . 12 1 Ar. "_&_ 1% If r A PROGRESS INSPECTIONS PER UBC 1108/171NAL INSPECTION REaD. 10, 000 47 & It^ -A I Ak Alk lro 4,4,% ec� 4t9 44&ht VALUAnON IA.) 11 1 101 in $ L Descriotion FEE Description FEE Plan Checkd State Surcharge HEAT SOURCE GL I AZI G LOT SLOPE % r a Building Permit 7 zM0 City Surcharge 45— PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZEG ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBILIC Grading 2 DOMAIN (CUM, SIDEWALKS, ORNEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSIOtL Engr. Review PERIATTAPPILICATION: IDODAYS PERMIT UMM I YEAR - PROVIDED WORK 19 STARTED W1ITH1IN 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 IN INTEREST, EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # I ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE or THIS PERMIT SHALL NOT BE Landscapoinsp. Total Amt. Due I fl DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CTTVS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." - R" Recording Fee Receipt # I , &4 z I HIEREBY 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- CALL This applicaUon Is not a permit until signod 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 Metal or his/hor Deputy: and roes tire paid, and receipt Is acknowledged In space provided. WORKMENS COMPENSATION INSURANCE AND RCW 18.27. OFFICIALS SIGNATURE DATE SIGN %TURE,AOW�E�RW AX DATE SIPNED -1,(, 0 ZO 3 (4255% '1 —01 Jrt( - 771-0220 E DATE see ATTENTION Jr EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL gwdd= ao, LIZ __j A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW- INSI74CTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK-OMER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 4 0 M M C MS .-1 0 OC M IT! lc)� z Of 0 @j) 0 0 G C 0 z z 0 1 0 171