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20030618.pdfI 1,DAT RECEIVED .... P CITY OF EDMONDS —CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS Klcv)ad 'R , —5. U A X_ MAILING ADDRESS -1976 1 _E� I f n cv P—o CITY zip U TELEPHONE L-Ine)"Jo0c) q90,31[l, NAME I: ADDRESS CITY ZIP =ONE NAME at ADDRESS CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. NEW RESIDENTIAL 1:1 PLUMBING MECH COMPLIANCE OR ADDITION 0 COMMERCIAL 1:1 CHANGE OF USE REMODEL MULTIFAMILY 11 SIGN REPAIR GRADING [3 FENCE CYDS x FT) DEMOLISH TANK OTHER 13 GARAGE RETAININGWALL FIRE SPRINKLER 00111,11he" ROCKERY FIREALARM_ (TYPE OF USE, BUSINESS OR LAIN: NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS NUMBERI:' DE CRIBE WORK TO BE DONE PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ADDRESS /aj __ _._ AVE SUITEIAPT# hl. PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T6,9CP App' RW Par_ R7'_ Street Us. P . RI -I EXISTING � PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION'_'�� FT Undewound ffiringfoctuirod CI METER SIZE LINE OF FIXTURES PAV REQUIRED YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE P-Ati, -riev__ i2.%kjQjj%?cn ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE Ir a VARIANCE OR CLI SHORELINE OR ADS# INSPECTION BOND REGLD 113 POSTED I _ YES 0 W $ 40-� SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 'XP , 5, LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR PARKING LOT AREA I fLANNING REVIEWED BY DAfE REO'D I PROVIDED -'7— -7, CHECKEDBY I TYPE OF CQNSTRUCTION OCCUPANT c4f�r— I GRO UP OCCUPANT REQUIRED --tLOAD SPECIAL INSPECTION JAREA 0 YES REMARKS PROGRESS INSPECTIONS PER UBC 1108/171NAL INSPECTION REO'D -C-.CXr An 9 VALUAI IUN $ U_" U3- Description FEE Description FEE Plan Check State Surcharge lkso HEAT SOURCE GLAZING % LOT SLOPE % -M 6?._Re_�d IS0^ 1. — Ficif Building Permit City Surcharge �"4_ PLAN CHECK NO: VESTED DATE g- —11-8 Plumbing '61 _. Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC =:I Grading DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: 160 DAYS CL PERMIT ILIMM I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS Engr. Inspection Me, 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 2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # 114 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY on INDIRECTLY I 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. Total Amt. Due NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt # I HERE13Y ACKNOWLEDGE THAT I 14AVE READ THIS APPLICATION; THAT THE INFORMATION __j APPLICATION A ROVAL 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 histher Deputy: and Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S,?PekNSATION INSURANCE AND RCW 18.27. OFFICIALS SIGNATURE D E SIGNATIJR(((OWNEFI�R AGEN-n DATE SIGNED IA95) 7 41;h93 771-0220 __4 'DATt OWN iiELEASEb4 ATTENT1014 Off 1333 jju IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR��INAL - JILE -. YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P NK Lq�INER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 04 W` CDP CD tri A vc? cn jp:, CiTly COIAMLIVA A IG 6 2003 U PERMIT u"OR"T"ER NEI ij I ;' JUL 3 1 2003 CITY COPY c CI c. APPROVED BY PLANNING APPROVED AS NOTED _v/ BY ENGINEERING ?L#c*� cstLA *wwuF. As our -11w)r 17 .. ...... . 1.4 Govq�qz_ AcHrbin Ems4:m� qv..31�%Vlc Q_ Qctv-lqj OWNSPOLITS 17 GLITTERS/D e�% ST cl f TO EXIST. To CONNECT 00 rptl re. 7 I -lot. NER/CONTRACTOR IS RESPONSIBLE F R EROSION CONTROL AND DAMAGE F Lc.-L JA' -C e Ck 13, 80(p lj� Fc% PuAjtj/ctwlv+w.% C6 an in 117 7 C'o .... . . =Mpeq-�10U,5 SiArFor 43fjclrcL RC6 ZONE E4S Pc%vlp4 Roqrl L000d Rqlstd AsploAll. bove-tc)ctil am zl'n V E"Y, i cs t f'h W/A&10- , iovt c? .0 E? 7V c� 9 Asr*dOT 13 2. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature l:teiM:bldg:fonm:ocaprvl 3/25/04 z 0 1 0 m =i5i 65 � rn M —10 0 0 C:: :2 c M z 0 -n n .-j x m m 0 0 0 M C (j) c (j) M 0 Z z -4 3: ra z 9 0 m FINAL PROJECT APPR&AL FORM t RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature l:temp:bldg:fomis:ocaprvl 3/25/04 z 9 0 m 74:5 M c M 0 0 c 3: M M Z 10-1 —Z co 0 -n n m M 0 0 0 M C (D c co M 0 Z .q� M z z 9 0 m a I '00 '',bDATE RECEIVED 1 6 PERMIT EXPIRES CITY OF EDMONDS USE PERMIT Arz) 14t) ZONE ER NUMBE CONSTRUCTION PERMIT APPLICATION JOB sun'FIAPTO ADDRESS I OWNFR NiME/NAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ MAILING ADDRESS 19,2of (5 -r::, ,,, r PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP a mved RW S1kf%q-d TF Fla - E stre Ififi0fttionn" 0 Sidewatic Required CITY ZI;71' TELEPHONE C) oe r + underground wwo required 13 NAME M INE MON 3 NMWTURES PRV REQUIRED YESD NO ADDRESS x REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP EPHONE ITEL NAME ENGINEERING REVIEWED BY DATE ADDRESS 11th till �461 W'n FIRE REVIEWED BY D�TE U, cc PITY ZIP TELEPHONE M VARIANCE OR CU SHORELINE OR ADBN INSPECTION � BOND STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY REQ!D POSTED [ 13YE SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSE 005QE I _04A EXP NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT LIR SIDE REAR ADDITION [3 COMMERCIAL COMPLIANCE OR CHANGE OF USE 5;1 'j. 5 / ? PARKING LOT AREA PLANN REVIEWED BY DOE ING REMODEL M600AMILY SIGN REQ`D �zl PROVIDED FENCE 0 REPAIR 0, %�GRAOING CYOS FT) �7__ REMARKS [:3 DEMOLISH 11 TANK OTHER GARAGE [:3 RETAINING WALL 0 FIRE SPRINKLER GARPOW ROCKERY FIRE ALARM (TYPE OF USE. BUSINESS OR LAIN: CHECKED BY_ TYPE OF CQNSTRUCTJON OCCUPANT GROUP 7uMBER OF NUMBER OF DWELLING C; qc"d �L(A.` AREAS SPECIALiNSPItCTION OCCUPANT f STO JES UNITS :R JAREA REQUIRED [] YES z7s LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REGfD. I A t:% r EL.-T +0 ell I all 9 C-A -C-CLc VALUATION $ Description FEE Description FEE z 0 Plan Check zz 011 state Surcharge M HEAT SOUR GLAZING%-, - LOT SLOPE % CE P) Fi -,,I Building Permit VESTED JE PLAN CHECK NO: Plumbing City Surcharge 54( Mechanical 2 THIS PMIT AUTHORrzES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC DOMA!N (CUM, SIDEWALKS, DRMVAYS, MARQUEES, ETC.) WILL REQUIRE Grading SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: 180DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE MCK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCE SORS Fire . Review -,tr4 DEFEND AND HOLD HARMLESS THE CITY OF Plan Chk. Deposit IN INFERES1. AUREE5 10 INU-M EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WH&EY91`1 NATUREj ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS OERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE. Landscapeinsp. Total Amt. Due 21 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I I � I HEREBY ACKNOWILEDGETHAT 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 OWNEFL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This applicallon Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building OfAdal or his/her Deputy: and Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION recopt Is acknowiefted in space provitled. WORKMEN!'&!MRNSATION INSURAN E AND RCW 18,27. OFFICIALS SIGNATURE DATE SIGNED IA' SIGNAXUFf(OW`NERj)R AGENT) %4,25) 771-0220 11ELEAS .'DATt 70 IT IS UNLAWFUL TO'AJSE OR OCCUPY A G ATTENTION/&)" 1? 2777ZEXT 1333 dq# U I I Off STFAJCTURE UNTIL L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR��INAIL - 41LE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P N��ER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GR , EEN -.Acc