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20030666.pdfA DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING A CITY - NAME ADDRESS ZIP CITY ZIP ITELEPHONE NAME CBL N PERMIT EXPIRES USE PERMIT ZONE NUMBER J013 SUIT 't ADDRESS I <fv— PLAT NAME/SUBDIVISION NO. LOT NO. L�D NO. L 0 FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Ap="d RW POM'A strom Use Pon EXISTING — PROPOSED =.Wd SIdewatkRequired REQUIRED DEDICATION FT 1 Undetwound 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES13 NO 13 z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE 00 if 0V__Wl J9P9--JF_Vk0i1S 4ZX 1=4441-4--1 LLM-f ENGINEERING REVIEWED BY DATE ADDRESS M esses . iial 8�cala_.LL_ a /W FIRE REVIEWEDBY DATE CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCE OR CiLl I SHORELINE OR ADB# INSPECTION RE D S 0 [3YEE 0 3:�2< BOND POSTED $ $EPA REVIEW COMPLETE I EXEMPT EXP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED SED e2 11= PROPO P ERTY TAX ACCOUNT, PARCEL NO. 0 NEW );J�RESIDENTIAL PLUMBING MECH COMPLIANCE OR 1:1 ADDITION [j COMMERCIAL 1:1 CHANGE OF USE 1:1 REMODEL [] muLnFAmiLy [:1 SIGN 1:1 REPAIR GRADING [3 FENCE CYDS X FT) LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (VT.) FRONT SIDE REAR I / - 'e7tol� I PARKIN LOT AREA REOD I ROVIDED P --2— ;:� PLANNING REVIE1 W2� REMARKS DEMOLISH TANK GARAGE RETAJNINGWALL cl FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EVIAN,. CHECKED BY OCCUPANT JTYPE�r/gCTION JC27, GROU P e NUMBER OF STORIES NUMBER OF DWELLING UNITS CRITICAL AREAS NUMBER4-* _�2 .2, -3 SPECIAL. INSPECTION 7AR REQUIRED [:] YES EA OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC IDS/FINAL INSPECTION REG'D 616'ePA'lb 6704e/V ---- VALUATION s Description FEE Description FEE Plan Check /V �5 Str^9 Surcharge HEAT SOURCE GLAZING % LOT SLOPE T Building Permit 5_�_ City Surcharge . PLAN CHECKNOI; VESTED DATE Plumbing THIS PERMIT AUTHOR&MS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC a 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t SEPARATE PERMISSION. PERUITAPPLICATION: 180DAYS ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Mechanical Grading Engr. Review Engr. Inspection '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 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # FROM THE ISSUANCE OF THIS PERMIll. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # 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 �S42&-7q APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AU EBY, NO PERSON WILL BE EMPLOYED ER ED 17 RE ZE Of Z IN VIOLATION-GF-4LHE LABOP,,SURANOF H OF WASHINGTON RELATING TO D MATE CE " WORKX)MIS C"SATqWlN CE 18.27. G � 81 TUR AGE DATE SIGNED This application Is not a permit unlit signed by the CALL Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space pro-Aded. OFFIC ATURE DATE 1,425) _�7 2n - '0 -3 r _1011NN �� a ATTENTION 'Nf 7 IT IS UNLAWFUL TO USE OR OCCI IG OR STRUCTURE UNTIL 1 77%1-0220 EXT 1333 2- DATE �4`&Ax& A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL - FILE YELLOW - IN CTOV PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING Z' 0 M =i:fi ra � 0M C M H W r- E� r. M IS Z 0.n. M M 0- 0 0 C z 0 0 M p Ac lu'uN - 7 20033 �,'l � I! N-ITCOUNTER VCH' P, 4.04 Ito I J& I..L v- �- APPROVED AS NOTED BY ENGINEERING Date: off z 0 I 0 m =i:fl 55 -4 om a ma 0 -10 oc �m m m 10 F, z 0 -n n � � ic m m 0 V5 0 0 Fn C 0) c Cl) M 0 Z z z 9 0 m RE.INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date si ocaprvl.doc.l:u=p-.bldg:fimwlO/OI Ne I q7ATE RE(t IVED oi RMIT EXPIRES E USE PERMIT CITY OF EDMONDS ZONE NUMBER,1� STRUCTION PERMIT APPLICATION J013 —CON ADDRESS OWNER NAIqE/NAME OF BUSINESS Ll�� PLAT NAME/SUBDIVISION NO. LOT NO. UD NO. L;dll��= MAILING ADDRESS LID FEE S YES 1453 W/ 5-7— PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW j _)61,7— - Stme, CITY ZIP 'TE EXISTING — PROPOSED WAII-AGO FAQWfed LEPHONE Sidwalk ReWired 8�b UndwWWW REQUIRED DEDICATION mn:::f FT Wking requirod 13 NAME METER SIZE LINE SIZE 7. OF FIXTURES PRV REQUIRED I 1___*1 YES 13 NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE rOR EROSION CONTROL/DRAINAGE 90$ M(A) 19fr,591110itS SWzfVflC,:F, CITY ZIP TELEPHONE -r C71 TM IN&L 10SW_ 100 NAME CBL# ENGINEERING REVIEWED BY UATE ADDRESS -1 MICOULY'LL, FIRE REVIEWED BY DATE +E CITY ZIP TELEPHONE IEL I STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. VARIANCE OR CU SHORELINEORADB# I INSPECTION BOND REQ�D _ POSTED CIYES_JMQ $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP 5Z:5 1 1 . NEW tk"RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS Mr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIROIIIE REAR COMPLIANCE OR �70 5 V& #/I ADDITION 0 COMMERCIAL CHANGE OF USE -5 REMODEL muLnFAMILY SIGN PARKING LOT AREA PLANNING REVI ED BY�" IATE IL REOD PROVIDEJD REPAIR "GRADING 0 CYDS FENC ( X FT) REMA... DEMOLISH TANK OTHE [3 GARAGE CARPORT o RETAINING WALL ROOKERY cl FIRE SPRINKLER FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE MDQN$TWCT`ION I J�_" Cons �OCCUPANL, q7 GIOUPle -3 NUMBER OF NUMBER OF DWELLING [UNITS CRITICAL ml AREAS SPECIAL INSPECTION JAREA OCCUPANT LOAD STORIES NUMBERAO REQUIRED 0 YES DESCRIBE WORK TO BE DONE . REMARKS PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REaD j .15,z=1�6"9AM bz=,k±4_ 1 HEAT SOURCE GLAZING % LOT SLOPE PLAN CNECKAO' VESTED DATE C2 a — _-IS ac - THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERUTY COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC 1 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, OWGUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION- PERurrAPPucA-nON: ISO DAYS PERMIT UUM I YEAR - PROVIDED WORK 13 STARTED WITHIN 180 DAYS SEE BACK 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 OFFWAALS. EMPLOYEES. AND AGENTS FROM ANY AND 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 TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR tkMff IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HERE13Y M DGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMAIION GIVEN Is CqRR AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OWNE7NR2!,R1iPGE. e-to COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOM' THE WO K AUII�D THERECY, NO PERSON WILL BE EMPLOYED RI IN VIOLATptj-"E LABOA DE OF E OF WASHINGTON RELATING TO I CV S,qAft8AT!9I(INSURANCE 18.27. WORIG�EA , . R V DATE SIGNED AGENT) $ L:�(/() .- - Description FEE Description FEE' Plan Check State Surcharge Building Perff A city Sur a Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscape Insp. Total Amt. Due — Recording Fee Receipt # CALL FOR INSPECTION APPLICATION APPROVAL TNs &WIcatIon Is not a permit until signed by the Building OMcW or hWMr Deputy: and Res are paid, and fft0IPt 13 acknowedged in opm provided. Accl "DC 0 E ATTENTION 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 1425% I. ­�Fj 771-0220 'R DATE EXT 1333 GINAL-FILE YELLOW - IN96ECTOR" -OWNER GOLD -ASSESSOR 4­1 GREEN - ACCOUNTING E I z 0 =i 0 M :i:fi ra � M M 0 80 C �c M 0 _n M M Q) 6 Fr, In 0 z 0 4 0 M