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20030592.pdfDATE RECEIVED F-dr na, v1d i MQfe UAJ I I I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS A,"r-(?-(CA-r,J &GC-170r-J PCZT- GG LING ADDRESS I bTh& bAY-roF-j CITY ZIP TELEPHONE I— Dif­t 0 N DS 1 -7 -7 c3 -.37C2 NAME ADDRESS CITY ZIP ITELEPHONE NAME P, fz I 1-j 7 ic ADDRESS k CS9 1 a ENCM�A &%IJEI- LAJ CITY ZIP [TELEPHONE Eb pj.-, N D's 4-7-� -7 -7 8 3 -7 G Z_ STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY PROPERTY 16X ACCOUNT PARCEL NO. 0 NEW 13 RESIDENTIAL PLUMBING/MECH DITION COMMERCIAL COMPLIANCE OR CHANGE OF USE I R M L Y D EMODEL SIGN GRADING FENCE REPAIR 0 CYDS FT) 13 DEMOLISH TANK OTHER GARAGE RETAJNINGWALIL FIRE SPRINKLER CARPORT_________ ROCKERY FIRE ALARM OWEPF USE, BU§INE§S OR ACTINIM EXPLAIN: NUMBER OF STORIES NUMi1ER OF DWELLING I UNITS CRITICAL AREAS I NUMBER DESCRIBE WORK TO BE DONE J001fto P00P, APP12ADV— k?_0 T C-C) AR-al,IWD P-A-Si_ OF WAIR J-d_'�OR4AL_ PERMIT EXPIRES '?-23 0-03 __0111 USE PERMIT -Z?Z— ZONE NUMBER ?-4�0 3­05 JOB UITE/APT# ADDRESS Rile" PLAT NAME/SUBDIVISIOZ N707.LOT NO. LID NO. LID FEE S TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Parrrdt Required Stvaet Use Permit Req'd EXISTING PROPOSED Inspection Required 11 Sidewalk Required 13 REQUIRED DEDICATION- FT Underwowd Whing required 11 METER SIZE LINE �� NO. OF FIXTURES PRV REQUIRED I YES13 NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE FIRE REVIEWED BY DATE DATE 03 z VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND 6?3 - i 1- -1 RECW 1 ... POSTED $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRON T LIR SIDE REAR - a — —_ . I PARKING LOT AREA I PLANNING REVIEWED BY DATE REO'D IOVIDED !—P� I -- 22--a3 CHECKED BY OF CO NSTRUCTION CODE OCCUPANT ITYPE I GROUP SPECIAL INSPECTION OCCUPANT REQUIRED [] YES IPROGRESS JAREA LOAD REMARKS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D 'I Of-&j FLACE'_ f-ku-CEAR-�e &_f_?QFAc:z:5' oil'i r,,=kT(4Ejz_ a tji,_3 �-A — UATION $ — I I Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE ­5�G % LOT SLOPE % T Building Permit City Surcharge 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 ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPILICATION: ISO DAYS PERMIT umm 1 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 a EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # 1--c- L_ IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE CITY ORDINANCE Landscapeinsp. Total Amt. Due W14-1vee OR REDUCE ANY REQUIREMENT OF ANY 2 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt N I HEREBY 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 application 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 V OF T 1BOR CODE OF THE STATE OF WASHINGTON RELATING TO 'FOR INSPECTION receipt is acknowledged In space provided. M MI WKM EIT �SN ON INSURANCE AND RCW 18.27. e- OFFICIALS SIGNATURE DATE SIG NE DATE SIGNED (425) 'rENT) 8 Aj 6:�- 771 -0220 ` PRELWEASEeX ! _V DATE MfENTIO 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 :1 0 M M M .-I §, 0 r �! z M M lo 0 _n '�n I M M 90) Fn ic Cal z 0 11 0 M I '�,.'f'DA7E RECEIVED PERMIT EXPIRES 2__3 0-423 sees USE PERMIT LA I T U1_ LIL)MUNILib ILUNC NUMBER 4AA-" -7 C­ CONSTRUCTION PERMIT APPLICATION JOB -SUITE/APT# ADD e OWNER NAMEINAME OF BUSINESS RESS LOT NO. LID N�. MAILING XDDRESS PLAT NAME/SUBDIVISION NO. m7 LID FEE S o r ev\,,li) TESCP App"I"d _�5r/' 14VE /(j PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PermA Reciahed Street Use permit Re" CITY ZIP TELEPHONF EXISTING — PROPOSED Ir"Pt2n Required Sidewak Required &4 ON CIS -7/ REQUIRED DEDICATION— FT UndwwmM 7—zo . Wiring recItArod 13 NAME METER SIZE LINE SIZE I NO. OF FIXTURES R"EQUIREO I I I YEPs 13 NO 13 ADDRESS CITY ZIP ITELEPHONE NAME Cat. N P, k C i,-k Cc ADDRESS 1 (39 1 .6 CITY ZIP TELEPqONE El� i-ko N Ds '77 G Z_ STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY 'ROPERTY TAX ACCOUNT PARCEL NO. QO zj-2 . qz--z �_21 t�o NEW RESIDENTIAL PLUMBING / MECH DITION REMODEL COMMERCIAL COMPLIANCE OR CHANGE OF USE SIGN REPAIR GRADING CYDS [3 FENCE ( — X—FT) DEMOLISH TANK o OTHER GARAGE CARPORT RETAININGWALL ROCKERY E] FIRE SPRINKLER FIRE ALARM M?E,PF USE, BU)INE OR ACTIVITY) EXPLAJN: NUMBER OF STORIES NUMBER OF DWELLING UNITS CRITICAL AREAS NUMBER DESCRIBE WORK TO BE DONE I A004to PoOk APPR.O%,c kZ(_-3 T C-0 WCWiTL I A900 W 1) P_AS�_ of NA IZ Jk'�&4c)R_(AN 0 1 1,J IfLIA�C_P_ f,_kkL_('(AY2-�e AfZ- T-(jFA 0 I`j Fl= k Tp�_; J;?- Of IST (N.4G �A 0 NO HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: I VESTED DATE THIS PERMIT AUTHORIZIES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPILICAT10W. 180 DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS SEE 13ACK 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. APJSING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANYWAY THE CITY`6 ABILITY TO ENFORCE ANY ORDINANCE PROVISION." 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 THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATIOL4 OF T"BOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKM 8 =N2214 INSURANCE AND RCW 18.27. DATE SIGNED _T8 Aic, -toO_3 SIGN�TU ENT) I- REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE ENGINEERING REVIEWED BY FIRE REVIEWED BY DATE DATE VARIANCE OR CU SHORELINEORADBO I INSPECTION 1$ BOND RE106 POSTED (3YES 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/RS!DE REAR W, ------------- AO PARKING LOT AREA I PLANNING REVIEWED BY DATE REO'D I PROVIDE Z _4 CHECKED BY TYPE OF CONSTRUCTION C Clff� OCCUPANT I dy Y�- I GROUP SPECIAL INSPECTIO OCCUPANT REQUIRED [] YES LOAD I PER ILIBC 1108/FINAL INSPECTION REaD 9 I is $ Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscape Insp. Total Amt. Due W.41 v Recording Fee Receipt # CALL This application Is -not a permit until signed by the Building Official or tftfhar D"uty: and roes are paid, and FOR INSPECTION receipt Is acknowledged In space provided. 1A9 ,.425) OFFICIALS SIGNATURE DATE 6-Jr-0_3 ®RE 771-0220 L E AKVS-* .Wf DATE 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- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR GREEN -ACCOUNTING