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20030560.pdfa DATE RECEIVED /V CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/ AME OF BUSINESS "/" 7 1-11).44 /Ahv/",?U/44� �T-//4 MAILING ADDRESS CITY ZIP ITELEPHONE Acoolwf NAME ADDRESS I tic. -so V--' CITY ZIP TELEPHONE IZ71-127e -2, 9 * 7 -.2, 57 6 NAME / 111410 . . - V LIV-1 - � 2 ICBL# ADDRESS JI PERMIT EXPIRES bsE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS �17 OZ PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S TESCP Approved PUBLIC RIGHiT OF WAY PER OFFICIAL STREET MAP AW Permit Required strobt Use Psrmh R80 EXISTING X PROPOSED Inspecilon Required Sidewalk Required REQUIRED DEDICATION— FT UnderWound Wiring required METER SIZE LINE SIZE [ 0. OF FIXTURES PRV REQUIRED I YEs13 NO E3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE -I I A % 9ITY, ZIP' TELEPHONE k- L STA!'=NSLE UMBER EXPIRATION DATE CHECKED BY] NEW RESIDENTIAL 19 PLUMBINGIMECH ADDITION COMMERCtAl. COMPLIANCE OR 13 CHANGE OF USE REMODEL MULTIFAMILY 0 SIGN REPAIR 0 GRADING CYDS 0 FENCE X Fr) DEMOLISH 13 TANK Me oGARAGE o RETAININGWALL o FIRE SPRINKLER CARPORT ROOKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVTM EXPLAIN: NUMBER OF NUMBER OF DWELLING CRITICAL A R E A S UNITS NUMBER DESCRIBE WORK TO BE DONE Me ENGINEERING REVIEWED BY / DATE - FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADB# IUS ECTION BOND ;Vls POSTED 1 la,4REO'D S ONO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PIOPOIEJ , Nor."a /N--r EXP X r Q.- LOT COVERAGE REQUIREDS�ErBAC S (Fr.) R PROPOSED SETBACKS (FEI FRONT R ALLOWED PR POSED 1 --,TFRM , MSIDE _RKIWG LOT AR 4AN41NO REVIEWED BY DALV.!A@L �� ME CHECKED BY ITYPE OFPN71ON COD� OCCUPANT GROUP M SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [:] YES 2317 LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 1201,014M.Ad 11. W. JO.'0104 102a- #W771 UJI W ri w/r" jt2 �Axw� 2elg-4�$ VALUATION WdItup" IM, &/z — I Descirlption � FEE Description FEE Plan Check r_Q 47) — State Surcharge -//,TO HEAT SOURCE GLAZING % LOT SLOPE % 646ewflc I Building Permit 0-34 , City Surcharge 4 Is PLAN CHECK VESTED DATE Plumbing 1.40 615MR 115612� ON: Z 211_4 lqjp f i5 .sg� r .1 --- - Mechanical THIS PERMIT AUTHORCMS ONLY THE WORK NOTED. THIS PERMIT COV9S WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVIEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: ISODAYS PERMIT UNIT I 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 00 Plan Chk. De" IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON, IT$ OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection .5, Receipt # JIM ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY 10— FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. 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 # 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- CALL This applicatilan Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAedged In space provided. WORKMEN'S COMMNSATION INSURANCE AND ROW 18.27. OFFICIALS SIGNATURE DATE DATE SIGNED E za __q L—AD) -0220 771 ATTENTION jvf - qltqlG M 1333 IT IS UNLAWFUL TO USE OR OCCUP) IR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINA17 FILE YELLOW - INSPECT/R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 2 z I z OFFICAL Eu PERMIT Num'. CANOPY PSPLAY LOT X NOTESz I TRAFFIC ARROWS ARE T4 E)aSTWa BM.DW.3 E Z RIDE CANOPY 230241 t-§C*4WAY qq i . EDMONDS WASHMTON GATE r o HF41 pp fbiL C4 -2 211, TRAFFIC ARROWS NOTE 4q j DRIVEWAY SVEWALK ExiST946 ASPHALT I A-5 CONT. SEWER TO,.\ 14� �A- So EZ RIDER SEWER NEW 4q- COMBINED F ATS 0 `�os�s� E)aSTlNG 414 4 PUMPSTER 6 RECYGLE EXISTM LIGHT BIN 201v STD HC, ASH. AMP M WASZT CURB : 9= EMSTING LANDSCAPING SIGN SEE NOTE 03 22?-74' PL SIDEWALK -P-OW FENCE 6&-lom -/- - 6cr-r */- GATE C3 IW SQUARE PLANTERS TYP. I/ q5.3Y AR Cq5.41? _Z --4 L+ WA m DRCVEWAY`.;,-,-�� FH. ASSUt-W TOP ) r JOeP PAINTED A EL 100-00 1 LINES M&M, AND MA" EXISITN6 SITE PLAN SHOWIN6 NEW ESPRESSO STAND m"aimm scALE-. r - za WITH TRAFFIC APPROVED. OF 9P,� Ma" POWER TO K&OM BEEN APPROVED BY T�-!E DATED 4/26/00 AFPROVED BY PLANNING3 z SIDEWALK 4' wX">E FOG LINE By OMEERING ^flkfz r-L rOAT;71 SITP- PL-A& z 0 0 m :q:% us � am c MO 0 80 c � x m mz JD --I co 0 -n n mm a 65 0 0 Fn C9 c MO Z 7-1 z z 9 0 m z 0 4 0 m :q 9 vi � am a ma 0 80 c 32 M m mz 0 -n M m a 0 0 M C (j) c (A M 0 z z 0 0 m z 0 A 0 m M c MO 0 80 c �c m mz 0-1 0 -n n -4 3: m m a Fn 0 0 Fn C (j) K (j) M 0 Z X z z 9 0 m PER UNIFORM BUILDING CODE SECTION 109 23027 HIghXa Edmo!W _I 99, s WA Building Permit #: #2003-0560 Occupancy established by this certificate: Dwelling Units: **N/A:e* No. Stories: N! Type Construction: VIN Basement: NIA Maximum Occupant Load (Per U.B.C. 1002) -mus remain posted at all tirne& Room capacity signs, when required, t Owner of Building: Mike & Lindq ThomN Addr oiss: - 5105 1 Street SW, Edmonds, WA 98026 THE High Flyinp Espresso HAS BEEN -INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1997 EdItI;j of Un UNIFORM 13UILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIOIED. Issued this 25th day af_____Mly 2004 CHIEF BUILDING OFFICIAL BY: This corttkale sW be posted In a cornpicuous pub4c am OW riot be. a. nNated or obscured a-d bV,,,Wmd In 14ble corKillon at all times. Any dm" of oomgwicy or use mulves a buNding perrrAt and a rww Cerallote of 0ouvancy Issued by the CRY of EdmorWs Sulung Mal. --------------------------------------------- -- ---------- --- -------- Islas 44� I DateParC:: row ;L-7 timount PaAC I 1,11.2 lVROATE RECEIVED 1� /Z� 7 PERMIT EXPIRES / I 14 4 CITY OF EDMONDS "USE PERMIT ZONE NUMBER A4�:� CONSTRUCTION PERMIT APPLICATION JOB ADDRESS 2-02 �/w SUITE/APT# OWNER NAM E OF BUSINESS rA 110,44 PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. MAILING ADORE ss LID FEE $ PUBLIC RIGtiT OF WAY PER OFFICIAL STREET MAP X TESCP Approved MY ParrrAt Required Street Use Pannit P.Wd CITY ZIP ITELEPHONE -2-1 -;7 elg- EXISTING - PROPOSED-- REQUIRED DEDICATION— FT Inspection Required Sidewalk Required UnderWound WiMlirequired NAME, METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YEs[3 NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE CITY ZIP ELEPHONE )Gwt NAME tt 0, (1hr\ BLN f - 1. e��,oec ENGINEERING R IEWED BY I DDRESS' o31 zip TELEPHONE -2;7 FIRE REVIEWED BY L 4WIC, �'- -MINE DATE c) I z 0 1E Mea CC - 1 L rp STATE LICENSE ?IUMBEA', EXPIRATION�DA�TEJ CHECKED BY VARIANCE OR Cu JED SHORELINE OR ADB# ION BOND REO'D POSTED VY S is ?: ds —q S 13NO PROPERTY ACCO SEPA REVIEW SIGN AREA HEIGHT TAX CEL NO. COMPLETE EXEMPT Ail. POSED ALLOWED PIOPOIEJ IT11 7 no I e- - , C: EXP M i NEW RESIDENTIAL PLUMBING/MECH LOT COVERAGE A p POSED REQUIRED SETBACKS �PrFRI (Fr.) PROPOSED SETBACKS (FT) RlEe FRONT 1JNilllSIDE R -4 0 1:3 ADDITION COMMERCIAL COOPLIANCE OR CKANGE OF USE tLILOWED NE M. M REMODEL TIFAMILY 'MUL SIGN RMRKPING R 0 E 001 WnFn 0 1 1 LOT AREA PON ING q REVIEWED BY D 2i 11 "b'REPAIR GRADING CYDS VIOCE X _FT) 0. DEMOLISH TANK GARAGE RETAINING WALL FIRESPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIV" EXPLAIN: IMBER OF MiIER -NL CRITICAL rF DWELLING AREAS UNITS AW NUMBER Cis DESCRIBE WORK TO BE DON EWA z 0 n n M M M 0 CHECMD _7BYTYPE O�PN;;PION ICODE- OCCUPANT GROUP SPECIAL INSPECTION REQUIRED YES JAREA 1* 1 2-3,601 OCCUPANT LOAD!. REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REaD lit W., eed I AIFF#30771' VALUATION mew A A", n I pqpu-wlm $ r uv-c �pton "a ly [j Ir I I lad A 11ag f E4rW-KM- Description FEE Ml� Dos FEE z Plan Check �.ee State Surcharge C9 HEAT SOURCE GLAZING.% LOT SLOPE % I Ifni IT11 ( �gd ounding r-ermit city Surcharge =;0 PLAN CHECK H VESTED Mechanical, THISPERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERUfff-f"AS "'ORK-0 3 r.BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading,-* 3 DOMAIN (CdRBS, SIDEWALKS. DRIVIEVAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERIMITAPPUCATIOlt 111110DAYS PERMIT' J.1111131.11 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS "r. inspection fEE BACK OF P INK PERMIT FOR MORE INFORMATION -APPILICANT, 0 BEHALF Of HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESO S R IN INTERE A EEO TO INDEMNIFY: DEFEND AAD HOLD HARMLESS THE CITY OF EDMONDS WA 94N, ITS OFFICIALS, Fire Review Plan Chk. D" EMPLOYEES, AND AGENTS FROM ANY AND W ALL CLAIMS FOR NIPES OF WHATEVER NATURE, ARISING OIREC4Y OR INDIRECTLY Fire Inspection Receipt # I FROM THE ISSUANWOF THIS PEPMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, )VAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp., Total Amt. Due q NOR LIMIT IN ANY WAY THE CTTYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt it I HERESY 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 IJAYVS REGULATING CONSTRUC- CALL TWe application 15 not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or Nsther Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF'WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. L WORKMENS COM?KNSATION INSURANCEAND RCW 10.27. OFFICIALS SIGNATURE D E SIG (OWNN ENT) I DATE SIGNED (420% 771-0220 R DATE A7TENTION (7,71 W 1333 IT IS UNLAWFUL TO USE I R STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR�GINAIL - FILE YELLOW - INSPEC16R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P NK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU AREUAKINGS COPIES GREEN - ACCOUNTING