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20030683.pdfM DATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS -9-C), -8 ox (0 CITY ZIP TELEPHONE FDA w o's 9 4-g 5 -,� 3 q - cv_!E>� NAME 0 ADDRESS CITY ZIP TELEPHONE NAME CBL Me.,bV,tf)r_ CotqS-r. 1ZEZ6C9r_r-n 1�jj ADDRESS ?-7-A- k)1CKS_e,5c>N CITY ZIP TELEPHONE -5 e47 11� T 1. 1 �_, e!)r, STATE LICENSE NUMBER DATE le-ICRECKED ttk=13RICV,04 giz PROPERTYTAX ACCOUNT, PARCEL. NO. NEW RESIDENTIAL PLUMBING/MECH ADDITION C MM C COMPLIANCE OR CHANGE OF USE REMODEL VMULTIFAMILY SIGN REP IR YDEPM 0 GRADING FENCE X CYDS FT) � OL ISH [3 TANK OTHER 0 GARAGE CARPORT RETAJNINGWALL FIRE SPRINKLER ROCKERY FIRE ALARM WOE OF USE, BUSINESS OR ACTIVITYI EXPLAIN: 60y0o5 NUMBER NUMBER OF CRITICAL OF STORIES DWELLING UNITS AREAS NUMBER 491 DESCRIBE WORK TO BE DONE wimwr pio_ Fz1lFW_fW*17MF1A17T1TT1i �K r."Wil" rhT1,71 ?opv,,l Cam reM7ATJ9 c LOT SLOPE % _PLAN CHECK NO: Q3 I _" FPERMIT EXPIRES USE - PERMIT 11NI'R 'M NUMBER JOB ADDRESS SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. L�D NO. L D FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESUP AP MY P8rrr4ft=jjd Street Use Parrnit Req-d EXISTING - PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- FT Undergrourid g requ� 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES13 NO C3 0 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE AM otscawa 196 %0". Llwj 6"M4 - rmrK& **-Myk PO& - UOU I IQ& f0p4e, 0,0 -erod ENGINEERING REVIEV&D BY DATE I LZ eV5 FIRE(�2;tL�� DATE Lu 9 VAIJANCE OR CU SHOILINEORADIIII INSPECTION BOND REQ'D POSTED 13YES I:3NO1$ SEPA REVIEW SIGN AREA COMPLETE EXEMPT ALLOWED PROPOSED �?_61PROPOSED EXP , , LOT COVERAGE REQUIRWXeEYBACKS (FT. "I" PROPOSED SETBACKS (FT) POS ALLOWED PRO n-7 SIDE REAR FRONT LIR SIDE REAR PARK! AREA PLA*ING DATE ROVI RECVP ED �,,rIID I LOT REVIEWED BY REMARKS CHECKED BY Ofr�pj OCCUPAbT ITYPE GROUP �_ I SPECIAL INSPECTION OCCUPANT JAAEA REQUIRED[:IYES, 131):Z LOAD REMARKS PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REO'O VALUATION Description FEE Description FEE Plan Check State Surcharge .Building Permit City Surcharge 16 Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMrr COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading a DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 L_ SEPARATE PERMISSION. 2 Engr. Review 5 PERMrTAPPUCATION: 160DAYS 916 PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection 6MD SEE BACK OF PINK PERMIT FOR MORE INFORMATION N BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS Fire Review PlanChk.Deposft I ;APPLICANT N INTEREVAGREES 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 PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due 142— NOR LIMIT IN ANY WAY THE CITTS 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 application Is not a permit until signed by the TION; AND IN DOING THE_jWeR ORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Olificial or his/her Deputy: and Fees are paid, and IN VIOLATION OF THI?TA=". THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. SUPOF WORKMEN'S COMPEN=N IN CE AND RCW 18.27. OFFICIALSSIGNAT DATE 81 EIR ts*"" OATI�ISIGNEE� IA95) % (-Y/w If 7zz 771-0220 _71�1�11011:= ED B f DATE XTTENTIOfi i(/ 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 4INVECTOR 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 m =Pfi 65 :0 am c M 0 80 c � r. m mz () -1 CD 0 -n n m m 10 vi 0 0 Fn M 0 z z CO) z 9 0 m FINAL.-IROJECT APPROVAL FO. A TO: z 9 0 m =i 9 rn c m 0 0 m m 10 cn 0 -n n m M a V5 0 0 Fn a to c V) M 0 Z z z 9 0 m � I., J:.. � 'Lit- ILL I . I . I I I L I . I I I � . I I I I I I I I I I I I I I I l I I I I l . I I � � I . t I I I I I , ! I , l I 1 1 , I ; It I L I ; : I I I ILL t I I 1 4 It I If I 11 It I, I I ILL I Rough4n L c I I I, %4f I ILL I It ILL I I ILL ILL I I I It I ILL L. 6 1 t It Id ILL, I I t Commercial Final I . . . . . I It I I I L, :1 1 1;*' ILL dl� I LIZ ILL: ILL "If .1,4 L r ' , 1 1 1; 11, If If I ILI . I I ILL. ILL jo tp I fl, ILI 0 I., I t 4 4 If 1% .1 1 1 11 It I I d, f 6 It I EATING A 4 z H OFA I . L 1. 1. 1 . I 1 0 1 1 1 I I I , : A Z I I !I. lf 4 11 1 1 1 . I I I I - 'N ILL I. 1 4 It It I I I. I ILL. ILL 0 1 0 .P I ;L' ILL ILL it I Gas.Test I' ILL If ILL ILL I k 1 4. 0 0 AS a D a 0 Lot a a a 4 4 0 0 a Ir It'll Gas Piping 1 4 1 1 0 4 1 1 4 If . I I I 1 6 1 1 . I ' I ' r I I i I I I ) I . I I I I I I I I I I I I I I I I I I tr I 1 .1 0 JI)v 41 1 f; I LL _r'l -Equipment I 1 0 1 1 1 1 1 1 r ILL I If ILL -Z If l� P It t., I I ILL . "ILL I It ILL Z 1� : d, If r " , ; I . 0 L ILL �'L I , Commerdal Final 24 0 1 If "%Irl ILL' I t' L d If 4L I I I If It . I I . fl, 0 It 4 1 11 . I I I t - I ILL I I 0 Xd EXTEROA, SHEATHING It .I Lot -0 It t Ir tD, it I 4 I It I r I I I I r 1 4 r t .1 1 1 . I I. , r I . I r I I I I I 4 1 1 r I , I 1 4 1 1 1 1 j I I r l Ld If a 0 0 9 a a a 6 0 *010 0- o t I t L' 0 4 1 -4. NAILING *9�9996*48 I r I L It I I I 1 .1 A I I I 'Llft I f I r I- I I I r FRAMING" :I 'It t I I. I I ILL I 'j LLL I I ILL, I If L I I tt I It I It J fL It II % I If � I : t Ill " ' , I 0 1 1 ILL I ILL Lt. FIRST FLOORIFRAMING060 It Ll j I I. - I . e . I I . I I I V'� . 4 t ILL& I I IV It I ft, I# , LI I ILL, I, ;kj L. I L� . I I I r I I 1 1. 1 1 0 1 1 1 If PJ I k I If It Ift _ , , I I A j I. L" If I If If I It', ''L-aik000to Avrif%M 1 1 t I 11 f PERMIT EXPIRES CITY OF EDMONDS USE ZONEtp PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION I JOB ADDRESS f^\V Uj SUITE/APT# OWNER NAME/NAME OF BUSINESS PLAT NAMEISUBDIVISION NO. LOT NO. I LID NO. MAILING ADDRESS LID FEE $ Sal ox & L; 11 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APPMW RW Penrit Rwtum stmet Use Pemit Reld CITY ZIP TELEPHONE EXISTING — PROPOSED Inspectlon ReqWred Sidw"kRequkid r_0Ao1jo:S C�6o4c) 1.39-o'256 REQUIRED DEDICATION— FT undwwoum Wiflogrequired 13 NAME METER SIZE LINE SIZE [77RES PRV REQUIRED (3 YES 13 NO E3 z A ADDRESS* REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE crm ZIP TELEPHONE NAME CBgL!�,q ENGINEERING FIEVIEV&D B Y DATE ADDRESS I Uz ?—Z4- K)1C1/,C_P,3C>N i .1 . FIRE L BY W DATE ul I Z' CITY ZIP TELEPHONE 4.3� or Ir a 63 - 1// 4L VARfANCE OR CU SHORrLINE OR ADB# INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE j,,0M_EC REO'D 113YEs POSTED 13NO Is % SEPA REVIEW SIGN AREA 9M SAROPOSED PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED A >PW M C3 A-,3 A- I EXP , NEW PLUMBING/MECH j WT-COVERAGE. ALLOWED PROF:O!S�E�D ;-REGUIRgPAMIFACKS (Fr.) PROPOSED SIDE REAR LFRONT SETBACKS (Fr.) LIFISIDE REAR M ADDITION C MERCIAL COMPUANCE OR CHANGE OF US E z 0 REMODEL [3, VMUMl`1 FAMILY SIGN PARKLWO— REQ`��TROVIDED LOTAREA P SEWED BY DAT E ING REV M 10 1. CYDS o FENCE RE 0 GRADING X 0. FT) OTHER V-DECMOLISH I C 01. REMARKS 41 0 TANK RETAI GARAGE NING WALL FIRE SPRINKLER 0 CARPORT ROCKERY FIRE ALARM 0 n (TYPE OF USE, BUSINESS OR ACTIV" EXPLAIN: 0/..) 00 5 . : . M M CHECKED BY ITYPE OF 00TV ffTt OCCUPAW GROUP . NUMBER OF, NUMBER OF D WELLING CRITICAL AREAS DES SPECIAL INSPECTION JAMEA OCCU PANT. LOAD - STORIES UNITS NUMBER REQUIRED [3YES 74 DESCRIBE WORKTO BE DONE 0) I,), nAJ :S—rg o(fl E* REMARKS M PROGRESS INSPECTIONS PER UBC 111081FINAL INSPECTION REaD:. 9 r- A L) F_ /,v Pt, roonva S. 5Trtf tA 0 /U �1 ��_.S,4,t� is :51,4 9,� 510 r- &),41, U VALUATION 1 .&,4A)7 f cvz mwx 047r:: ):Z F--Loa A d%&W6rAD OAA4 IAAft_.�Y ppspription FEE Description FEE ICA Z &WOW tAWL Awn f P an teCk State Surcharge HEATPOLIRCE GLAZING % LOT SLOPE % Building Permit City Surcharge 6 M Plumbing PLAN CHECK NO: VESTED DATE Mechanical TMS PERMIT AU`THORI= ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PnopEm OHM ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURESS, SIDEWALKS. ISIRIVIEWAVS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS EIRMIT LIMM I YEAR PROVIDED WORK IS STARTED WITHIN 1160DAYS Engr. Inspection I SEE BACKOF PINK PERMIT MR MORE INFORMATION 'APPLICANT, ON BEHIALIF 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. IT$ OFFICIALS, EMPLOYEES, AND AGENTS MOM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # A FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE CITY ORDINANCE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGE NT OF E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL, TW9 application is not a pertnit unt%Wgn6d bithe N; AND IN D IN ORIZED THEREBY. NO PERSON WILL BE EMPLOYED 0 OF THE STATE OF WASHINGTON RELATING TO FOR INSOtCT16N Building 01115clal or hloftw Deputy: 6nd Fees are paid, and receipt is acknovAedged In specie provided. VIOLAI riON OF r ENON nINSU CE AND RCW 18.27. R1KMEN`B COMPELNE� 1A110% 0 FI L IGNAAT�ffl,. DATE 86�0 (OWNER R A DAT IGINEDI t, Ullll_� 103 771-0220 VV SED BY 1 f DATE TTENTION 'M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- IGINAL FILE YELLOW AN, CTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES I=Q GREEN -ACCOUNTING