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20030577.pdfI DATE RECEIfED 4; 1-3 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMMAME OF BUSINESS _jf',A9,' 9,AoZiedr.� — MAILING ADDRESS -LOU31 IV4 A4 W WI-9 CITY ZIP � F ]TELEPHONE NAME ADDRESS CITY ZIP ITELEPHONE NAME Alo,ioO wkTa 14FA-r"-5; ADDRESS il-104 12-441"6t A-t*S CITY ZIP TELEPHONE V4'e- 1Z L.4-0—D WO STATE LICENSE NUMBER EXPIRATljpI`*DA PERMIT EXPIRES USE PERMIT ZONE N U M B E R JOB ADDRESS APT# PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Portnit Requited Street Use Permit R@q'd EXISTING — PROPOSED Inspection Required 13 Sidewalk Required 13 REQUIRED DEDICATION— FT Undarliround WMg required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 REMARKS z OWNER/CONTRACTOR rAN 0 III "IFL. AGE R I I 1 16 1 L. V I 1 ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE IEL VARIANCE OR CU SHORELINEORADB# I INSPECTION 1. 13OND REO'D POSTED DYES 13NO SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSED [j NEW ADDITION 1:3 RESIDENTIA L COMMERCIAL JKP LUM 1831 N�� /CH '0.�xNCE OR CHANGE OF USE LOT COVERAGE I REQUIRED SETBACKS (Ft.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED I FRONT SIDE REAR FRONT L/R S0. REAR REMODEL MULTIFAMILY SIGN P I AM& DATE ff ALEA f N&V REOD HT REPAIR DEMOLISH GRADING 0 CYDS $�TANK FENCE 0 x FMn o OTHER ,0&a#E re ul on fugi burnlix'"Obam IN REMAR S '...te� unheated spaces. UMC 815.L7 oGARAGE RETAINING WALL CARPORT ROCKERY CrVE OF USE, BUSIPP OR ACTIVTM E>PLAIN: FIRE SPRINKLER FIREALARM CHECKED BY ITYPE U 0 OCCUPANT GROUP NUMBER NUM13ER OF OF D 0 S ES WELLIN TOM UNITS DESCRIBE WORK TO BE DONE 6" CRITICAL AREAS NUMBER 1401'WATOe' SPr ALINSPECTION AREA OCCUPANT REQARED [3YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 106/FINAL INSPECTION REQ-0 PURSUANI 10 ECDC 19.30.020 6.9— Pit P0,41— 44� VAT VP a= VALUATION S BE INSTALLED NEAR $ Description AIEK SkiUlUFF FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % 6iK I Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC 2 Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: 180DAYS, PERMIT UMrP I YEAR - PROVIDED WORK 15 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, A13REES 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 DEEMED WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapainsp. Total Amt. Due TO MODIFY, 0 NOR LIMIT IN ANY WAY THE Crr1rS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* I Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION I APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF E 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 GOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/hot Deputy: and Fees are paid, and IN VIOLATION OE THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION -1 receipt Is acknowledged in space provided. WORKMENIS C)"SATION INSURANCE AND RCW 18.27. F I S SIG 7 RE DATE SIG I)ER PR AGENT) DATE SJONED ?/V"' 9 Nm 71-316-3 771-0220 11114 1 ___9TE RELEASEEIBY ATTENTION Off 1333 1=====� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK-0%NNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 9 0 M :i M In 0 r � x rn 10 � C 2 0 In M 0) Fn C 0) rb 0) M C) z 0 M a 4 . RECORD OF INSPECTIONS INSPECTOR DATE APPROVED ........ SETBACKS - VA" OW, . . . . . . . . . . . . . . . Wall ......................... Pier/Porch .................. Retaining Wall ............ m Slab Insulation .......... mn PLUMBING: 'Underground ............. Rough-Iln .......... . CopirneOal FMI ...... T z 1Z Ga's -Test J, .................. Gas Piping ........... Equipment . ................ C om'm'er6lal Final ......... EXTERIOR SHEATHING NAILING .......................... C FRAMING ............. i M ........... F TFLOOR FRAMING... IRS .1 11 A .7 DATE RECEIED �4DATE R� PERMIT EXPIRES e::9 USE PERMIT CITY OF EDMONDS ZONE NUMBER JOB APT# CONSTRUCTION PERMIT APPLICATION ADDRESS S 19 OWNER NAMEINAME OF BUSINESS ::Ll - _�, 4� (,A9 � (;AoZifdt� PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. I MAILING ADDRESS LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appmod RW Penrill Requirred 0 U -7 A Req'd St" Use FanyiR CITY ZIP TELEPHONE EXISTING PROPOSED Inspectlon Required Sidmalk PAquired REQUIRED DEDICATION— FT Underwound D r4.0 A _06 A 00 7-u 476OL4 o 3al Wliftrequired 13 r�j NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YESE3 NO 13 I ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE GAS PIPI TEBT MUST BE CITY ZIP ONE U 0 BY CITY INSPECTOR NOTNAME --TCBLfl AFF1 IHALL I I OW� At-riO0 WA-T�;a ENGINEERING REVIEWED BY BE jjCt%fM DATE ADDRESS 11-1014 FIRE REVIEWED BY DATE Ic CITY ZIP TELEPHONE Vi cW0 -3 4 1 4/406% 9,P0 VARIANCE OR CU HORELINE OR ADB# INSPECTION BOND STATE LICENSE NUMBER EXPIRA7 DATE CHEg*ED BY REO'D POSTED I S 10YEs 13NO SEPA REVIEW SIGN AREA HEIGHT PM C COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP , , , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) NEW 0 RESIDENTIAL �PLU�MBING I ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR ��CH CEEOR C ADDIMON COMMERCIAL P KihLG AEA fijftNtbfiff"f5 JDAT E REMODEL MULTIFAMILY 0 SIGN RECYD it" % 0— IL liancoin. Co nn hip- -burning app 4entec REPAIR GRADING CYDS 0 FENCE X Fn REMAR —A SpaCe& UMC 815.1j. OTHER 1:3 DEMOLISH *TANK [3 GARAGE RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE. 6 1 OR ACTIVITY) EXPLAIN' T CHECKED BY ITYPE; �TRUCTIO co OCCUPANT GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS SPECIAL INSPECTION AREA OCCUPANT I LOAD U . STORIES UNITS NUMBER REQUIRED rl YES DESCRIBE WORK TO BE DONE f 1�w REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECtD 14 aAf ea J�ta *rA LL 61) WjkgjjAttT To 13CDC 19.30-020 A) 0 A2491 J2 i Of VQ_ A MSSURE REGULA'DRVA' �VE (MV) llq� AR A ft VALUATION -SHALL SHMFF - ALL WAV DOE a Desairflon FEE Description FEE Plan Check jCitySurcharge_ State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit 614"'; 5Z7 PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVIIVAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review PERurrAppucoiow ieoDAys PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection BEE 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 Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Ql- L112 Recording Fee Receipt # I IIERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN 18 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 Building OMcW 6r hist6or Deputy: and Fees are paid, and IN VIOLATION OE THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAodged In space provided. WORKMEWS Cp&lj�_VSATIM INSURANCE AND RCW 18.27. 88 RE DATE SIGNWRE WNER PR AGE" DATE SiGNED VVII, 7 6-3 141 1. ce" j! 771-0220 -RELEASELdf & DATE ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 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 z 0 0 1711 —1 -n M C M CO) 0 _n n Fn M 8 V5 0 rn C9 C ITIO z Coll z 0 M