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20030693.pdf4 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS —L&)- 2! L, P0 0 P_ j C_ MAILING ADDRESS 9 t. jL - ud CITY ZIP TELEPHONE 6bM0fj.b _q C/o ?.0 NAME 7E IZ ADDRESS 0,1,oll 7_6-A)5�/_ r CITY ZIP TELEPHONE — 7c,.- - - I � � 79 e6*: 'IS z PROPIERTYIAX ACCOUNT PARCEL NO. _5 NEW XSESIDENTIAL 1:1 PLUMBING MECH ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE REMODEL MULnFAMILY SIGN REPAIR ING CYOS FENCE ( X FT) DEMOLISH TANK T o OTHER oGARAGE CARPORT o RETAININGWALL ROCKERY o FIRE SPRINKLER FIRE ALARM (TYPIE OF USE. B"E F� 8 Oil ACTIVTM EXPLAIN: ,!.- A,.-' -77 4-./ 56a jF6.,&,r r a—_2 ea- 'r r z 4 4 - NUMBER OF NUMBER OF WELLING !Oe�AAREAS RITIC AL STORIES UNITS N DESCRIBE W9RK TO BE DOj4E 4t ,5 6tIf/UWA4 I P& AV /W HEAT SOURCE GLAZING % LOT SLOPE % - I - ?57 PLAN CHECKJN'O VESTED DATE THIS PERMIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANIT, 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. ARVANG 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 LIMIT IN ANY WAY THE CITYS 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, 0.1 THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK A4THORIZED TMOREDY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR q0DE,0DF TqR,"&ATE OF WASHINGTON RELATING TO WORKM514y C��SATIO)Y!rUqltl 18.27. _,FE,YYRCW_ 8 7;10� / �(OE R DATE SIGNFD x 'g/welm tg 5?/,r)z I PERMIT EXPIRES 6SE PERMIT NUMBER JOB SUITE/APT# ADDRESS *7 0 010 PLAT NAMEISUBDIVISION NO LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP proved psr�i) RW t Requ"Od Sue I Us. P.N Req'd EXISTING — PROPOSED inspection Required 13 Sidewatit Required 13 REQUIRED DEDICATION— FT underground Wiring required [3 METER SIZE LINE SIZE NO. OF FIXTURES I PRV REQUIRED YEs13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 4)_W&e?7zW0 a exemw UAVP�F-01 BY W16 FIRE REVIEWED BY DATE W Ic I M VARIANCE OR CU SHORELINE Oil ADB11 J INSPECTION REO'D 13YEs ONO I BOND POSTED 1$ SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED "XP , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED 1. FRONT SIDE REAR h'5i FRONT L/RSiDE REAR 1,90 PARKING LOTAREA PLANNING REVIEWED BY DATE RECeD PROVIDED ';L-, I `�p V57q-71,4 CHECKED BY TYPE Qg NSTRYCTION 0LA;UFANL_ i 7� I Cl?� I GROUP /,�& SPECIAL INSPECTION JAPAA j I j 2 OCCUPANT REQUIRED LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REG-0 $ IfL -1— Descrip'tion FEE Description FEE Plan Check I State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading CM Engr. Review Engr. Inspection Fire Review PlanChk.Deposit Fire Inspection Receipt # Landscapeinsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION (425) 771-0220 EXT 1333 APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and Feas are paid, and receipt Is acknowledged In space provided. DATE OFFICIALS SIGNATURE q)91P3 4 R JW-D By DATE S 7THA11h A. A ,01 Z, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 4-11/g2ff/ A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW -INS CTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING I z 0 0 M =Pfi a M C M 0 0 0 C M 10 0 _n M M 0 cf) 0 0 Fn C th M 1171 z z 0 0 M 91 fl Height Calculation Worksheet Address: dcs ri Date: I ON:&--02 I Datum Point: Lj 2. Datum Point Elevation: 3. Average Grade: Ot .4. Maximum Elevation Allowed: �-2-(averagtgiade) 5. Reference Point Elevation Shot to House: acs (datum elevad IM 9n)+j (grade to transit levei Une *shot to house) I .6. Measurements from line shot onto house to roofridge:' Totd: 7. Actual Elevation: I ' 0 1- Ob (reference point elevadoi) +2�i_�9-(measuremints from#6)= Conclusion: (actuQ is greater kleirs I a k,.2 4 b -Qw 1 6 S77, (aHowed); therefore the house Id is not over the height requiremeff—per ECDC 16,20.30 requirements CONFORMED COPY 200309181176 1 PG Y CLERK 09-18-2003 04:32pm $19.00 OW Oil EDMONDS SNOHOMISH COUNTY WASHINGTON PH AVENUE NO. 110MONDS. WA 98020 Property Address: ACCESSORY DWELLING UNIT COVENANT .1 L -I- / 4 — 9 -1 P c - I.,ki Edmonds, Washington 7-�a7lt) 4 9,0WA / - .12- — eo r-i tri — e--) Io / � C) nn .6- Assessor's Parcel Number: Legal Description: Z6 I, the undersigned, have attained approval for an accessory dwelling unit (ADU) . at the property address above, in accordance with the provisions of Chapter 20.21 (Accessory Dwelling Units) of the E . dmonds Community Development Code. I agree and understand that it is . my responsibility to notify all future property owners or long- term lessors of the existence of the ADU and that its existence is predicated upon the occupancy of either the ADU or primary dwelling unit by the owner of the property. Additionally, I will notify all prospective buyers of the limitations on use and maintenance of the ADU as stipulated in Chapter 20.21 - (Accessory Dwelling Units) of. the Edmonds Community Development Code. An example of the.limitations of the ADU per Chapter 20.21 is the property owner is required to reside in the primary or accessory dwelling unit for 6 months out of every year. finally, this covenant shall be recorded in order to notify all current and fitture property owners that if any conditions of the ADU approval are violated, the property owner will be required to remove all imp I rovements which were adde97 co�vert the primary dwelling unit into an ADU and restore the site topingle-fun,� unit. Property Owner Signature: Print Name: Property Owner Signatitre: I I Print Name: Date: 4!5!5-1-22 STATE OF WASHINGTON ) COUNTY OF- SNOHOMISH) I certify that I know or have satisfactory evidence that Ale signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and purposes ment . ioned in this instrument. 1OPW ust be smudged. Signature of 0i, Notary Publi Residing at: C,- My Appointment 116) Expires: 4" TIRS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR. 0: '1k V C) M i ha �3 .0 (A ADL$ uu; I ERS/DOWNSPOUTS OWNERICONINTRACTOR IS RESPONSIBLE FOR AND SPLASHBLOCKS EROSION CONTROL AND DRAINAGE GUTTERS/DOWNSPOUTS .70 CONNECT TO EXIST. SYST. lima )� I 11�1, APPROVED BY PLANNING. HE GHT_ - .-I .-A,1 APPROVED AS CITY COPY JUL 1 12001 COUNTER FINAL PROJECT APPROVAL FORM z 9 0 m =i 9 -. 4r M c m a 0 80 c X rn M z E: o -n n m M a 0 0 M C cl) c cl) M 0 Z X z z 9 0 m 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature I:temp:bldg:forms:ocaprvl 3/25/04 I S. The initials RSR are Rick Roberts, a temporary contract inspector for the City* The Initials NIT are Milton Thompson, a temporary contract inspector for the City. N17 00 z 0 M. M M M Z' ID r MM rT, M Z M 0 Alf D;TE RECEIVED 2L PERMIT EXPIRES OSE PERMIT CITY OF EDMONDS ZONE gi��_ Z, ;7 NUMBER ��7 CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS 2 OWNER NAMEINAME OF BUSINESS PO 0 r- / C_ PLAT NAME/SUBDiVISION NO. I LOT NO. LID NO. MAILING ADDRESS LID FEE $ z s7 I -j — 9 PUBLIC IC TESCIR Approved RW Pennit Rewired EXISTIMW_ UED M Street Use Permit R60 Inspection Required Sidewalk Required CITY ZIP TELEPHONE 9802c) v5-o.3� 00!�p REQUI I UnderWound 1 V�Wg required NAME METER SIZE _r INE SIZIE —1 NO. OF FIXTURES PRV REQUIRED YES C3 NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE Crry5? zip 4e (b,4 i�� LE NE ITE ""o '& E jCSL1__ /Z ENGINEERING REVIEWED BY A E ADDRESS iz ;Z Q,12 z 4 7_,�A& FIRE REVIEWED BY DATE CITY ZIP TELEPHONE &,ZMmb.�; 0�&i STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY , VARIANCE OR Cu SHORELINEORADEIN INSPECTION REG'D BOND POSTED .103A [3YEs KNO $ ......... SIGN AREA HEIGHT PROPERTYUX ACCOUNt PARCEL NO. 041- f el,)6- SEPA REVIEW COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED — EXP I NEW XRESIDENTIAL PLUMBING/MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT L/RSIDE REAR ADDITION rl COMMERCIAL COMPLIANCE OR 0- cs,7N --ASA 5/ -7-5" h5l fl PARKING LOT AREA PLANNING REVIEWED BY DATE 116 REMODEL IgLnF 0/ REOD 155 PROVIDED :5 0 REPAIR N-C-�CY13S 1 F NCE 0 ( X FT) OTHER , E ARKS e _3 DEMOLISH ANN 0 GAWE o RETAININGWALL F RE SPRINKLER FIRE ALARM CARPORT ROCKERY (TYP9 OF USE. BPYESS OR ACTIVITY)i EXPLAIN: CHECKED BY OF-WNSTRVCTION cpqE— OCCUPAk Afi��&rly ITYPE Y7 GROUP NUMBER OF NUMBER O?Wr DWELLING - .9 RITICAL�Wl, AREAS SPECIAL INSPECTION JA OCCUPANT LOAD STORIES U1,4110 e!7:14��rN REGUI RED [:] YES DESCRIBE W _ORK TO BE DONE ""I'Ag'A REMARKS 9:_ia !/ 'INJ EC*iON REallil PROGRESS INSPECTIONS PER UBC 1108/11FINAL P ZI VIA)-, f /1�/ 7 ri 115 Al L) VALUATION z 0 M M C M 0 C M M C —Z 0 _n M M 0 0 0 Fn C (0) K Q) 20 imjw t4w/A h vwe, z z 0 M AdAWA4 ALA , bvpv4, Descriphon FEE Description FEE Plan Check kT State Surcharge JL T SLOPE % Y HEAT SOURCE GLAZING % 0 -7 Building Permit n7 VESTED DATE PLAN CHEC 01 Plumbing City Surcharge Mechanical THIS PERmrr AwWonnms ov TED. THIS PERMIT COVERS WORK TO 1= BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBUC Grading 2 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review x PERMIT APPLICATION: 1180DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APP N BE:,IALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS NREWTOAGR Fire Review PlanChk.Deposft IN IX a TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fireinspection Receipt # I; ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN 18 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- This application Is not a permit until signed by the TION: AND IN DOING THE WORK AqTHORIZE 1 TOWEBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CflDEOF T R-AYATE OF WASHINGTON RELATING TO FOR INSPECTION Building OMcW or histher Deputy: and Fees are paid, and receipt Is acknoyAodged in space provided. WORKM5� COMP SATI0y`1"UWREX"CW 18.27, OFFICIALS SIGNATURE DATE ER DATE SIGN�D IAO 7,-Tr-5) low-) :2�2q_Z22_1_ 771-0220 e D E RF,,7tkp6 BY AT ATTENTION EXT 1333 zkl' 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 GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES