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20030559.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER PAMEMAME OF U NESS (jK)e0_ I L_ 7 �NG ADDRESS / 10 r7 /SG -s C ZIP TTELEPHONE r. �Q.May'jy:i,s �&o ?-(. 12 if NAME ADDRESS CITY ZIP I TELEPHONE NAMR pI � (_ COL # inA4 ADDRESS �00—'70A4vc Cr ZIP TELEPHONE arlVWtj 1 "7 6 I Z_46 STAPLICENSE NUMBER E11ONjPATg —rd rn -F*os9UA_ Vlflbi MT PROPERTY TAX ACCOUNT PARCEL NO. R! Q1 C)Ob _rib loo oo. 0 NEW arRESIDENTIAL [:] ADDITION [] COMMERCIAL 0 REMODEL 0 MULTIFAMILY GRADINQ. REPAIR e aM CYDS DEMOLISH TANK GARAGE RETAINING WALL CARPORT ROCKERY (ME OF USE, BUSIN OR ACTNg`n EXPL.All't NUMBER NUM OF DWELLING STORIES' UNITS DESCRIBE WORK TO BE DONE PLAN CHECK NO: PLUMBING / MECH COMPLIANCE OR E] CHANGE OF USE [-] SIGN o FENCE FT) 0 FIRE SPRINKLER FIRE ALARM I C_ PERMIT EXPIRES PERMIT ZONE r NUMBER �5,_5_V _12 JOB ADDRESS SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Perm Strom UN It Roq'd EXISTING __,.,:='__kOP ,ns= Required Aw Sklawatic Required 13 REQUIRED DEDICATION FT underground E3 Ming required METER SIZE LINE SIZE 0. OF FIXTURES PRV REQUIRED [ YES 13 NO 13 z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE BY FIRE REVIEWED BY VARIANCE OR CU SHORELINE OR ADBN I INSPECTION BOND POSTED 1$ 1REqD 13YES 2kO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED , EXP LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR E R FRONT UR 81; EAR ?)070 2-V 'I 'z< 'PARKING ' I LOT AREA I P�ANNING REVIEWED.BY *bATE REaD PROVIDED I " -ext s�h t4A no" — e- I CHECKED BY ITYPE OF Cot FRITICAL tE� AREAS SPECIAL INSPECTION AREAA NUMBER 09-a' REQUIRED fr-11 YES REMARKS VALLI $ �'ION Description Plan Check OYLOPI Building Permit DATE Plumbing OCCUPANT GROUP j OCCUPANT LOAD 2 PER UBC 108/FINAL INSPECTION REQ'O 9 1 2 FEE Description FEE State Surcharge ;z?City Surcharge 160ZA_01111� U 11�� f z I �z I Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO —30 BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading 2 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: 130 DAYS CL PERMIT UMM I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS Engr. Inspection SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAK 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 2 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 CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- - Recording Fee Receipt # AL 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROV 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 until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODf: 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 provided. WORKMENS COMPENSA A , _' _�~NCE No RCW 18.27. OFFICIALS SIGNATURE DATE 11113�NAT� 'DATE SIGNED (425) ;x0ele-0 1 771-0220 SE154Y DATE ENTION Off 11333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAI - F YEL---. IN SP60R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING .-C z 0 0 M :q M rn 0 M M z 0 fill M M M z 0 1 0 M APPROVED BY PLANNING 1_07� 03 1!�v ew liz UN N E I FOR E pis" It , '7n Ri, Asr -Shfff A3_ j�;7 F-A /b&C-A IRA. mew M r v 10 k6s"4 .41, Nd Off bNTPJiC"rOR IS RESPONSIBLE jt4V"Vld%hS CC)�'f FWL AND DAMAGE p Ko APPWV�U AS NU*1 LU BY ENGINEERING -21 te IZW3 ate: ®r il FINA1, PROJECT ApPROVAL FORM TO: z 9 0 m =i ii A c Ma 0 80 a --i C x rn rn z 0--1 c cf) 0 -n ,n m M C3 Vi 0 o rr; a 0) K co) M 0 f- z --i x vi z 0 1 F) m s - GRANT FINAL PROJECT APPROVAL RE -INSPECTED OUTSTANDING ISSUE Si ocaprvl.doc.l:tenip:bldg:fonmIO/OI rn 10 ,.�k XPATE RECEIVED PERMIT EXPIR�ES� CITY OF EDMONDS E ZONE PERMIT NUMBER&_,�2 CONSTRUCTION PERMIT APPLICATION Joe �_!r OWNER NAME"E OF BUSINESS ADDRESS SUITE/APT# ljlt� Jj�LTH I L �;_re 4 if v�j S' PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. 15 4AILING ADDRESS U 22 I LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appro"d C ZIP TELEPHONE Rw POMA Rdqulfod EXISTING stmet use Peff" Raqd ----,-----PROI`OSED kwpecd- Requirawd I--- Sid&"& Rawked REQUIRED DEDICATION FT Undw9mund NAME Widng rsqWrod METER SIZE LI�NE �SIZE �NO. OF �FIXTUR`ES PRV REQUIRED ADDRESS YES 13 NO C3 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY . ZIP TELEPHONE 51 4V K) Q-,VJ lb—T Y. J E-Y (9A .. ........ NAMR....% CBL# N R fj ADDRESS ENGINE INGREVIEWEDBY DATE AL&&LL, -_ —7110L��3 � C ZIP TELEPHONE FIRE REVIEWED BY DATE 5&�26 lzo t- 1510 STA1ALICENSE NUMBER EXPIRAT�710N�AIT,! Y� VARIANCE OR CU SHORELINE�QRA710BMI INSPECTION BOND rn I -0 ..a REQ POSTED 13YE I PROPERTY TAX ACCOUNT PARCEL NO. S 0 $ a HEIGHT SEPA REVIEW SIGN AREA Lca i2l 0 0 < - - (,, 0 �? o o COMPLETE EXEMPT ALLOWED PROPOSED ALLOWEI)i PROPOSED I ko.- I , -_ 11 NEW arRESIDENTIAL EXP - 9-15 1 -< 25 PLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR 11 ADDITION o COMPLIANCE OR COMMERCIAL CHANGE OF USE FRONT R SgE REAR 0 0 2 11 REMODEL MULTIFAMILY [:1 SIGN 'PARKING LOT AREA PLANNING REVIEIA FD BY IDATE REO'D PROV DED 1:1 REPAIR GRADINCL [3 FENCE CYDS :r� ( X FT) RK — — 13 DEMOLISH 0 TANK WER Ja=y—, GARAGE [:] RETAININGWALL F RE SPRINKLER 11 CARPORT ROCKERY 441-s6h kt 4] n -e _] F:REALARM (TYPE OF USE. SUSINEO OR A 'Y) EXP N — I'll /I . I CHECKED BY I TYPE OF CONSTRUCTION OCCUPANT NUMBER,' NURMR OF CRMC-A—L OF. DWELLING AREAS STORIES Z I V_ /V GROUP SPECIAL INSPECTION UNITS NUMBER OCCUPANT DESCRIBE WORK TO BE DONE JAREA REQUIRED LOAD A'd REMARKS Poo I �cj PROGRESS INSPECTION UBC 108/FINAL INSPECTION REQ-O VAL70N $ 1Uh A!fAA Description FEE Description FEE "04 rT SVURCE; I GLAZING % LO-b SLOPE % Plan Check _011 State Surcharge —Ao. e, (. k-A - � (- - I - YO Building Permit (?q City Surcharge _42) PLAN CHECK NO: _;;� VESTED DATE 63- Plumbing .4el) L Z_s THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT CON ERB WORK TO 1: Mechanical 30 BE DONE ON PRIVATE P 3 ROPERTY ONLY ANY CONSTRUCTION ON THE PU13UC 3 DOMAIN (CURDS, SIDEWALKS. DRNEWAYS, MARQUEES. ETC.) WILL REQUIRE Grading 1: SEPARATE PERMISSION. PERMITAPPLICATION: 160 DAYS Engr. Review PERMIT LlMrn i YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAY3 SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection CANT, ON BEHALF OF HIS OR HER SPOLISE, HEIRS, ASSIGNS AND SUCCESORS I"NIPNUTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE Fire Review Plan Chk. Deposit CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # 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 LandscapeInsp. NOR LIMIT IN ANY WAY THE CrrY`S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Total Amt. Due I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION Recording Fee �9244 GIVEN IS CORRECT; AND THAT I AM THE 0 WNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC APPLICATION APPHUVAL TION; AND IN DOING THE WORK AUTHORIZED THEREEN, NO PERSON WILL BE EMPLOYED' CALL ThIp application Is not a permit unlit signed by the IN VIOLATION OF THE LAB COD OF THE STATE OF WASHINGTON RELATING T WORKMERS COMPENSAT CE AND RCW 18.27. 0 Building Official of his/her Deputy: and Fees we paid, and FOR INSPECTION receipt 13 acknowledged In space provided. SIG ED OFFICIALS SIGNATURE DATE 111140 ;Ry) 7 1 -09 A ATTENTION 11 _ % E Y DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL Off 1333 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL FILE -'YEL�A. INSPE�CCTC 04/02 PINK - OWNER - GOLD - ASSESSOR PRESS HARD -YOU ARE MAKING 5 COPIES GREEN . ACCOUNTING z 0 m ms 0 0 m m z 0 In m m 0 0 m 0 Z ;a CO) z 0 0 m