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20030510.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS D 01, okon MAILING ADDRESS 4h CITY ZIP TELEPHONE j&6'%b'%j_S LIN, SL NAME ADDRESS CITY NAME PC ADDRESS P0 90)c '71, CITY 1etj1A_- — STATE LICENSE NUMBER ZIP TELEPHONE CBL N LLC, 1 6 ZIP I TELEPHONE 0 NEW RESIDENTIAL 0 ADDITION COMMERCIAL 1:1 REMODEL MULnFAMIl.Y GRADING CYDS ,,X—REPAIR DEMOLISH TANK GARAGE CARPORT [3 RETAINING WALL ROCKERY (TYPE OF USE, BUISINr legIVIM A NUjjeER7W/ OF r'6� NUMBER OF DWELLING STORIES'_' 45V45j_ UNITS DESCRIBE WORK TO BE DONE LPERIMIT EXPIRES I USE PERMIT ZONE NUMBERC>dp� JOB SUITF/APT# ADDRESS A PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ TEMCP APP(Ov9d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Psn"It Raquifed EXISTING — PROPOSED ace stroot Use Parmh R d inspeewn Floquirod Sidmalk Required REQUIRED DEDICATION— FT Underw-ml Wiring roquLred 13 METER SIZE LINE SI RES PRV REQUIRED ESE3 NO E3 REMARKS RESPONSIBLE FOR EROSION CONTROL/DRAINAGE OWNER/CONTRACTOR DATE DATE FIRE REVIEWED BY I x - — UHtUNt: OR ADBN !NSPEC i0jN BOND -0018,0 VARIANCE OR CU I , T' POSTED I CMECKED Y REQ'D No $ n '8 '[3YEs ONO $ F HEIGHT SEPA REVIEW SIGN AREA COMPLETE . EXEMPT ALLOWED , PROPOSED ALLOWED I PROPOSED LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT) PLUMBING/MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR z CHANGE OF USE --- - I PARKING LOT AREA I PLANNING REVIEWED By DATE SIGN REOD I PROVIDED o FENCE ( _ X_FT) REMARKS OTHER [3 FIRE SPRINKLER FIRE ALARM I CHECKED By ITYPE OF F.ONITR P N I'M I GR P CRITICAL SPECTION AMA OCCUPANWT AREAS SPECIAL IN JLOAD .NUMBER 191A I REQUIRED [3 W I HEAT SOURCE J - GLA23NG % LOT SLOPE % PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLy. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) VALL REQUIRE SEPARATE PERMISSION - PERMIT APPLICATIOW 160 DAYS PERMIT LIMM 1 yEAn. PROVIDED WORK IS STARTED WITHIN 160 DAYS 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 OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND 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 NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- hwWwas.m.ossm 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 T11 ERSON WILL BE EMPLOYED L O� "Z P' Co STATE OF SHINGTON RELATING TO IN VIOLATION OF THE L:AABOR CO tW CE AND RCW 18 WORKMENS COMPENSATIO CE AND RCW 18 DATE SIGNED REMARKS I PROGRESS INSPECTIONS PER USC 1108/FINAL INSPECTION REa 9 fl id $ Description Description FEE ' F�FE�E Plan Check State Surcharge Building Permit City Surcharge L Plumbing Mechanical Grading --------- Engr. Review Engr. Ins !on Fire Review Plan Clik. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fee Receipt # _ APPLICATION APPROVAL CALL 'a This application Is not a permit until signed by th Building Officiall or his/her Deputy: and Fees are Paid. and FOR INSPECTION receipt Is acknowledged in space provided. LS SIqN#URE DATE 11125) %-TK- I 771-0220 —REL-E A-S-Ed 'BY D EXT 1333 G OR STRUCTURE UNTIL IT IS UNLAWFUL TO USE OR OCCUPY A BUILDIN A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLON- INSPECTOR PINK - OWNER GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 GREEN -'ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES 5 z 0 4 0 M M C M __I§ 0 C � W, M M z 0 In M M (a Fn C 0) C ca M 0 z z 0 0 M z 0 4 0 m =i :-n M c M -10 0 0 C ­4 r. X M m Z 3: 0 -n n m M a 0 0 M C cl) ic ca M 0 Z z z 0 m RE-INSPECIM OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date si ocaprvLdocl:t=p-bWr-folms10101 .7 1 LIJ flab AL 'Ile It 17 0 r 4'DATIE RECEIVED 0 PERMIT EXPIRES CITY OF EDMONDS USE ZONE PERMIT NUIMBER(7�� CONSTRUCTION PERMIT APPLICATION JOB ADDRESS A SUITE/APT# AW OWNER NAMEINAME OF BUSINESS I 1� bokon PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE $ 9-�, TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PenrAt Required S"m Use Peffnk Roo CITY ZIP TELEPHONE EXISTING — PROPOSED— ln� Required Sidewast Required Liag � REQUIRED DEDICATION— FT nderWound ring required NAME METER SIZE LINE SIZE j-'Z, OF FIXTURES PRV REQUIRED 1 YES 13 NO C3 /V /4 ADDRE88 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE d,941, C17Y ZIP TELEPHONE N&M-E CBL# I PC fl?Mkien _22J- SE've LLC ENGINEERING REVIEWED BY DATE ADDRESS P0 KO)c CITY ZIP TELEPHONE FIRE REVIEWED BY DATE Lm C(, 01910 VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE REaD POSTED MY OYES 13NO S SEPA REVIE W SIGN AREA HEIGHT PROPERTYJAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALL OWED PROPOSED V0�9 7 L , EXP NEW RESIDENTIAL KPLUMBING/MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) FRONT SIDE REAR FRONT URSIDE REAR ADDITION COMMERCIAL COMPLIANCE OR I CHANGE OF USE REMODEL 1:3 MULTIFAMILY 0 SIGN PARKING LOT AREA PLANNING REVIEWED BY DATE REQ1D I PROVIDED GRADING FENCE REPAIR CYDS FT) REMARKS I DEMOLISH TANK OTHER oGARAGE [3 RETAINING WALL [:3 FIRE SPRINKLER CARPORT ROCKERY. FIRE ALARM (ME OF USE. BUISINFairdbR ACTIVITY)i EXPLAIN: CHECKED BY ITYPE OF CO,)NT OCCUPANVT 44RCTION Z GROUP Z_ NUMBER NUMBER OF CRITICAL OF DWELLING AREAS 0 - I — SPECIAL INSPECTION JAREA OCCUPANT LOAD STORIEV_ &/4�� NUMBER REQUIRED [:] YES DESCA18E WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D. e.jAga -e 16 & P V1 A Wqjer- 3ArAA*jQ -16 krwAg_ mm :Euin met#- VALUAnON Ef Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMff ALITHORMES ONLY THE WORK NOTED. THIS PEJRMff COVERS WORK TO t: GE DONE ON PFUVATE PROPEFM ONLY. ANY CONSTRUCInON ON THE PUBLIC Grading D0hWN (CURSS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERUISSIONL Engr. ReView PFRMrrAPPUCATION: IGGDAYS PERMff LIMPI! 11 YEAR - PROVIDED WORK IS 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 III ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due Z/.a DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CnY8 ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Recelpt#fjf24 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION A PROVAL GIVEN IS CORRECr 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 appikation Is not a pem* until signed by the TION; AND IN DOING THE WORK AUTHORIZED Tn"ff1:jA1EEB!y"-W PERSON WILL BE EMPLOYED BuiLdIng OfIlcial or hWftt Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR C9W_Qf-M1ff­STATE OF SHINGTON RELATING TO !P FOR INSPECTION fecelpt 15 acknowledged In space provided. WORKMERS COMPENSA _Tq�FIANCE AND RCW I LS Big URE DATE SIGNATURE AGEfMj DATE SIGNED 1111435) I -Val '1 ', I -Z 771-0220 RECEA&66.1 NTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MAL)h ANU AFFKUVAL UK A L;t:K 111-1- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING INED