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20030554.pdfUM DATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRES13 f 101, otgox 1?17 — CITY ZIP TELEPHONE 6t �2006) ffp I . NAME &&9-2 1A 4"ZZff ADDRESS CITY LEPHONE 7 /91> 7 NAME CBL# ��a�,e� 6;P&V& "710 ADDRESS ,66�ri5-4-P401-0< CITY ZIP TELEPHONE eP j9VP5 STATE LICENSE NUMBER EXPIRATION DATE CIA 5 17ZA4 C. r � �lv.11,1 1 C/9' >/, P, 0- PROPERTY TAX ACCOUNT PARCEL NO. 0 4-' 0 NEW RESIDENTIAL PLUMBING MECH 0 ADDITION COMMERCIAL CHANGE OF USE REMODEL MULTIFAMILY 0 SIGN REPAIR GRADING 0 FENCE X CIDS FT) DEMOLISH TANK OTHER oGARAGE RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (ME SIN!" mf (31VITY11 LAIN: NUMBER NUMBER OF RITIW OF DWELLING AREAS STORIES UNITS NUMBER 11A DESCRIBE WORK TO BE DONE r A, _11� if HEAT SOURCE GIAZING % LOT SLO - % I - 1 4 2-�? - PLAN CHECK NO.-- � — 102N I VESTED DATE USE ZONE JOB ADDRESS PERMIT EXPIRES i�& PERMIT NUMBER PLAT NAMEISUBDIVISION NO LOT NO. LID NO. LID FEE 6 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TEscP AW&v4d 11WP*rrrAtR9Wk6d Trem Use PeffrA Asq'd EXISTING __ PROPOSED InspecUonPosqukod gmawalkRaqulfed REQUIRED DEDICATION— FT umwwmvia IWkingrequWod 13 ME INE SIZE NO, OF FIXTURES PRV REQUIRED I- YES 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE I L FIRE REVIEWED BY DATE M. VARIANCE OR CU ORADB# INSPECTION BOND %W REO'D I i POSTED .V-- I 11b. 4 OYES A SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT I ALLOWED , PROPOSED I ALLOWED , PROPOSED LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR I I . dds�'� PARKING LOT AREA PLANNING REVIEWED BY DA)E RECID If^ I PROVIDED J.n _ I — 14r"jit.r&I - .11m, I CHECKED BY ITYPE OF SPECIAL INSPECTION JA REQUIRED [] YES REMARKS PROGRESS INSPEC Description Plan Check Building Permit Plumbing Mechanical PER UBC FA OCCUPANT GROUP OCCUPANT, LOAD 2.a INSPECTION REO'D FEE Description FEE State Surcharge 1Aft.,&,% City Surcharge a.n -,, -b-.w I r7f) THIS PERMIT AUTHORGMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. LTC.) WILL REQUIRE 3 SEPARATE PERMISSION. t: Engr. Review PERMITAPPUCATION: ISO DAYS CL PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WrrHIN 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 # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapoinsp. Total Amt. Due I_ZiU� DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # im I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION A ROVAL 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 application Is not a permit until 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 Official or histher Deputy: and Fees are paid, and receipt Is acknowledged In space provided. WOR KMEN'S COMPE CE AND RCW 18.27. OFFI& E PATE I - (OWNLER AGLE",,/ DATE SIGNED 1A 13 XITU �IGURE nllllll�l 771-0220 -RELEASED BY I DATV AT ENTION Ex r 13 3 3 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL - . �/ I A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR GINAUI-FILI, - Y LLOW JINSPEtTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P= - R - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 9 m c M 0 80 c :0 m m m z 10-4 0 -n n m m 0 vi 0 o Fn C 0) m ch M 0 Z M z z 9 0 m A' ...... .... No. Stories: I Occuimanev established bv this certificate: I Dwellina Units: **NW* E21S1 Construction: VN Basement: N/A (Per U.B.C. 1002) 1,', must remain posted at aft times. �JA fival FpUngafth owner of Building: Edmonds Arts F91 d kffl 12gM 629.'Edmonds, WA 98020 �es THE ""' AWAO.Oko D-AsCOMPLYING WITH THE REQUIREMENTS OF THE Ival Foundlfign4i�As BEEN:INSPkM V#. Edmonds Arts jVLEDMON OF THE UNIFORM BUILDING CODE AS,4%DOP*ED BY THE'ary, FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE PROPOSED OCCUPANCY IS CL�iFIED. Issued this 28th d by of_jjngM 2004 CHIEF BUILDING OFFICIAL BY: shll��Id In legible condition at all times. Any change of occupancy or use requires a building peffrit and a new This certificate shall be posted In a conspicuous public &me and shall not be removed, mijillated or obscured and Certificate of Occupancy Issued by the City of Edmonds Building Official. Maximum Occupant Load Room capacity signs,, 0 77 Q- I . I - -Lilii� - - - I . d ILI: I L AP 0 fq� IA I I - I T. IV 4 1 ILI I I�f It If I '41 fat. L, ILI. +; L I ILI: I I I+ +I+ If. I RECORD OF INSPECTIONS Ifr- I fLe, DAT INSPECTOR E APPROVED It -41 I II LIP' I J.'L I S ETBACKS L., i 0 11 A L04 F FOUNDATIONs I I If I P. 'I I -M iIfitI Footl no o,6049660.0 I *V808 #69016 6 4 r I I I IIII 1, I. J. I If P' *too 0 a 6 a 0 6 4 9 0 0 0 a a 0 $000" Wall LtititIfikit LL IL I I t Pier/Porch ItIIIt 4ir II1ittta4 Retaining Wall ILI I et 4 4 j Not IL' 4A ILIItISlab'Insulation: moo�j Wn4+ ItitU3 MING I I �4 itPLU I1IIiffILI IUnderground, *%*;a All IILLL ,[ r' I I 41, 1Ita me of are r,4 If1II1 II I I 1I I I IIRoughv,ln IIIILtIt -fill I I I j I I it q iff�oFkk �7— ILI1Commercial, Final t 2 I1 titMEATINGM. iI1IItII It ItLTest I ...... I G 8 sea% a so* 0 6 0 a ef" L,% , I I pp -I I -P itt'tj +r IA T I (I Lt -P) aa a d 8 6 am1 . I . I I ItIIIII I r�, I I I IIPL 14 Mbnt,t, L' I I I It1 `4 tEqu mastIILIit'rf. tCommercial Flnal,� 1IitIL, IIIititA IIIVMERIOR SHEATHIM 1 .4� jr P' �L., ell LIItDifNAILING'f itIIitIitFKAMINU as* so a $&as* 9 906 *0 406006 0 LtVOL Lt' IIIlee FIRST,FLOORlFRAMING.... tIf fitI ILtLt P. . I I . . I I I k' f ItI Iage#*@, I I I I . . ififitit1It4 j Floor Insulation* V. I5F 4 1 1 44 IfWall Insulation I F 4 1 1 II I t t41 fCeiling Insulation,' IIitIIIIII I t. It t.1 +1 1 1ISHEETROCK NAILING ... ..... ... IilliIfL SPECIAL INSPECTION fag 14 IVpr 1 1, 1 1 L rd LtMISCELLANEOUS rl:;,.r FINAL APPROVAL FOR I1 1 4 1 '1 L /I if 1. 11., 1 1 .1 1 1 ..... I 4 OCCUPANCY tILt jr tIThe initials RSR Rick S f I I 4 1Roberts, a temporary contract I1I14 inspector for the C1 ty IIIfL fIFm fifI JA S CEA�D� C. PERMIT EXPIRES -DATE RE USE no "vr ri CITY OF EDMONDS ZONE N U M B E R Z,%O ­0 5 Sq _CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS _J�! OX '� A?.-? , to,__g I I CITY ZIP TELEPHONE ±jL5- &.3'- g�;7/ 901 - NAME gLag-2 1A ADDRESS __ 4ff!�� / CITY ZIP TELEPHONE NAME- CBL# 40�_Wj4e I ADDRESS ,653- WW CITY ZIP TELEPHONE 45FDAPW 4��7;9-047 GTATE­LICENSE NUMBER EXPIRATION DATE I PRE C1145Floacr 4 j� �I>Lp' ;_Az7'' PROPERTY TAX ACCOUNT PARCEL NO. 2-740-le10 0" NEW RESIDENTIAL PLUMBING / MECH 0 ADDITION COMMERCIAL CHANCE OF USE REMODEL 0 MUI.TIFAMILY 0 SIGN [:].REPAIR GRADING CYDS [3 FENCE ( X FT) DEMOLISH TANK 0 OTHER oGARAGE RETAINING WALL 1:3 FIRE SPRINKLER CARPORT ROCKERY FIREALARM OWE O(FJJSSI=�Ifl� NUMBER OF NUMBER OF DWELLING CRITI R CAREAS IV114— ir STOR :8 UNITS A, NUMBER DESCRIBE WORK TO BE DONE 9 W-A-9; ri WIWI e J JOB f I 011rTFIAPT4, ADDRESS PLAT NAME/SUBDIVISION NO. COT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TE5GP APWOV@d RW Pam* Roquired su" use Parrvift Rom EXISTING - PROPOSED Impection Required SidaWAM RequWad REQUIRED DEDICATION- FT ur4ftwo" G'eqws� METER SIZE LINE SIZE ES P R v :[YES : :REQUIRED I 3 N REMARKS' OVMEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED BY 9ATE a, e Z= �-O-s e7ses ' FIRE REVIEWED BY DATE Us 0C rL VARIANCE OR CU I HORELINE OR ADB# ? INSPECTION BOND REQ'D E3YEs X-o POSTED 10141H AE- - _I SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED , 'XP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR PARKING LOT AREA PLANNING REVIEWED BY DA REO'D PROVIDED I I Ito 10-t I — 6. F jAj_j'CC.g CHECKED BY ITYPE OF-GOSTRUcTiON Ccwo . OCCUPA SUI L I GROUP FA ,SPEWLINSPECRON OCCUPANT, �66UOED [j LOAD YES REMARKS PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION REC?D DO= FEE Description FEE 1.1 -Is Plan Chaq I State Surcharge GLAZING % LOT L HEAISOURCE S OP �rna Building pe q City Surcharge PLAN CHECK NO- VESTED DATE ?)A::�� .' Plumbing ?/x "' AD141 H -bZ- I C)C- Mechanical 26. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CUnBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILI. REQUIRE WARATEPERMISS19N. Engr. Review PERMITAPPLICATION: 180D�VM PERAFAT LIMM I YEAR - PROVIDED WORK 18 STAMD WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFAR"RON *APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, A$SIGNS AND SUCCESORS Fire Review PlanChk.Deposk 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 Landscape Insp. Total Amt Due DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY C17Y ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT LHAVE 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 application Is not a permit unfit 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 Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged in space pravided. WORKMEITS COMPENSADW CE AND RCW 18.27. 1 OFFI 8 81 URE PATg I SIGNATURE (OWNER OR AGE" DATE SIV33NED IA13 i.5) 771-0240 �. RELEASED BY D ATT J. f ATTENTION Off 1333 J./ IT is UNL�WFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINA�- Flo YELLOW IINSPE�rcR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK-WMR GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING sees! z 0 ITI M C Ma -48 0 C ITI 10 z ca 01 Fn- C CA z FYI