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20030687.pdfDATE RECEIVED 4 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS RAROJ-p- W,-AAID MAILING ADDRESS 1007�'-JAvZ- z 3 3) 5- CITY 151, TELEPHONE 0 /V D a 06 5 IL 2- C?6 6. NAME ADDRESS CITY ZIP I TELEPHONE / /.-/ 0 —C.L? PERMIT EXPIRES _/_ 03 120:3 USE PERMIT ZONE NUMBER JOB # ADDRESS — 77 pLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pern4i Required Street Use Pernift Raq'd EXISTING - PROPOSED Inppection Required 93 Sidswalk Required 13 Underground REQUIRED DEDICATION- FT Wiringrequirod 0 METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YESC3 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE___ NAME CBLN Mrwee el ENGINEERING REVIEWED BY DATE ADDRESS FIRE REVIEWED BY DATE CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE CHECKE BY VARIANCE OR CU SHORELINE OR ADBN r INSPECTION BOND REO'D POSTED I is 113YEs 13NO SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSE D ALLOWED PROPOSED 0 0 06 0 , , EXP NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR F__7 COMPLIANCE OR ADDITION COMMERCIAL El CHANGE OF USE REMODEL MULTIFAMILY SIGN PARKING LOT AREA I PLANNING REVIEWED By DATE REO`D 06 REPAIR GRADING 0 FENCE X Fr, CYDS ( REMARKS DEMOLISH TANK [:] OTHER riGARAGE [3 RETAINING WALL o FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM 01-- (TYPE USE, BUYNESS OR ACTIVITY) EXPLAIN: CHE KED BY ITYPE OF CONSTRUCTION CODE— OCCUPAAW-% GROUP V N BER UMBER OF CRITICAL OF NDWELLING AREAS SPECIAL INSPECTION ARE OCCUPANT STORIES UNITS NUMBER REQUIRED [] YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD -7' '7— /J 14 _G )-- :0 __ F., _)(_V1ef.4-1 1. - 4 111A S )3A.S 52AZ VALUATION $ T )R 7—A Description FEE Description FEE Zav4 14e^ d OW4yalov Plan Check State Surcharge ...sip,,e 'HEAT SOURCE GL421NG % &j LOT SLOPE % Building Permit City Surcharge 1.5 PLAN CHECK NO: VESTED DATE Plumbing 0 0 -?WSW", Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC-) WILL REQUIRE 3 1 SEPARATE PERMISSION. t: Engr. Review PERMIT APPLICATION: 180DAYS IL PERMIT LIMM 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 # 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 OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." z Recording Fee Receipt # z ZW) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPMATION APPROVAL GIVEN IS CORRE" 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 IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Foes are paid. and receipt Is acknowledged In space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFICIAL ATURE DATE SIGtWURE ( RAGE" DATE SIGNED (425) VIWINE 771-0220 AEjAdzy 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 111011 z 0 0 M M C -40 0 C M M C 2 ca 0"n M Fn 0- z 0 M I ru, k') DATE RECEIVED 10-3 1-03A —/--=) r&F11 0 I- Ell U r USE PERMIT 'E CITY OF EDMONDS Zo N E ZONE NUMBER 200 37106 82� N CONSTRUCTION PERMIT APPLICATION B '08 su '0 ADDRESS AD D RESS OMER NAMENAME OF BUSINESS 11A go j A&I D C R S (0 PLAT NAh PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS 7_ 3 31 /0 0 TI-i A v& LID FEE $ TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Roquired j Street Use Permit Reqd CITY C/ EXISTING — PROPOSED Inspertlon flecitgratl Sidewalk Required ITELEPHONE O/V r IL REQUIRED DEDICATION— FT UnderOMMA QUIR I Wiring recitAred 13 NAME METER SIZE LINE SIZE NO. XTURES PAV REQUIRED (3 I YES13 NO 13 z ADDRESS ill REMARKS I OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP ITELEPHONE NAME CBL # dl MEW ENGINEERING REVIEWED BY DATE ADDRESS FIRE REVIEWED BY DATE IMC CITY ZIP 7HONE STATE LICENSE NUMBER EXPIRATION MFE77ECKE BY VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REQ'D POSTED 113YEs 1 [:Ihin $ eiism PROPERTY TAX ACCOUNT PARCEL NO.' SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 0 , NEW AESIDEt nAL rh PLUMBING I MECH" EXP LOT COVERAGE REQUIRED SETBACKS (Fr) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT VRSIDE REAR COMMERCIAL COMPLIANCE OR ADDITION 0 CHANGE OF USE REMODEL MULTIFAMILY SIGN PARKING AREA PLANNING REVIEWED BY DATE REaD I PROVIDED LOT REPAIR GRADING FENCE X CYOS FT) REMARKS DEMOLISH -FANK OTHER GARAGE o RETAJNINGWALL Ei FIRE SPRINKLER CARPID ROCKERY FIREALARM lt-,�rlmo kze (TYPE (fi USE. BU4jN SS OR ACTIV" EXPLAIN: CHEJKEO BY ITYPE OF CONSTRUCTION CODE— OCCU GROUPPAV 41C;� IT BER OF CRM AL UMB' W FDWELL OF NUMILLING FAREAC CTI N AREA OCCUPANT SPECIAL INSIDE 0 U ITS UMBER —STORIES N S NUM REQUIRED [:] LOAD YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REG D LJR � -.A) 5,1A1 Ae)eewo P4- . ..... VALUAnON $ /-/(27- ;V Description FEE Description FEE 4QWdyPlan Check State Surcharge .,pav 11101 HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge /—T 'PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORCMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO * BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading * DOMAIN (CURSS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERIIIIISSION. Ergr. Review PERMIT APPLICATION: 180DAYS 06 PERMIT ILIUM I 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 SUCCESOA§' Fire Revi",. Plan Chk. Deposit IN INTERElk. AGREES TO INDEMNIFY; DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPUDYEES,`AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire'Inspection Receipt # 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 Landscapelnsp. Total Amt. Due I E NOR LIMIT IN ANY WAY THE CITYS 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 WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. WORKMENS COMPENSATION INSURANCE AND RCW 18.27. OFFIC ATURE DATE 81 RE WN R AGE DATE SIGNED "25) WEn6 771-0220 RE L Y 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