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20030721.pdfI DATE RECEIVED [PERMITEXPIRES CITY OF EDMONDS USE ZONE PERMIT NUMBER '7 CONSTRUCTION PERMIT APPLICATION JOB TADDRESS bol Mj 0jq SUITE/APT# Lift vl� NAME/NAJAE %VNER OF BU INESS V [:OV\ a Vs. rw' (A -S V Q, PLAT NAME/SUBDMSION NO. LOT NO. LID NO. MAILING ADDRESS L,4) LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APPrzV AW Permit R kM CITY NAME ADDRESS CITY NAME ADDRESS CITY Street Use Permit Req'd ZIP EXISTING — PROPOSED Inspection Raquirrid T Sidewalk Required , ITELEPHONE REQUIRED DEDICATION— FT Undwground OA2S 9LQ k*5 74a-'�il WiMprequired 13 METER SIZE NO. OF FIXTURES PRV REQUIRED a YES C3 NO 13 z REMARKS I OWNER/CONTRACTOR RESPONSI B LE FOR EROSION CONTROL/DRAINAGE ZIP ITFLFP14nNF: I ZIP I TELEPHONE CBL 0 STATE LICENSE NUMBER — , EXPIRATION DATE I CWE—CKED By .1 � ___ --- PROPERTY i� ACCOUNT PARCEL NO. I � 2.Q.3 0 Lf - . vaa- j NEW )<RESIDENTIAL PLUMBING/MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN 0 REPAIR GRADING ' CYDS FENCE — ( — x FT) DEMOLISH TANK 13 077ER GARAGE CARPORT o RETAINING WALL ROCKERY 0 FIRE SPRINKLER FIRE ALARM (TYPE OF USE. BUSINESS OR AGM11"p-E�F,"N' NUMBER OF STORIE NUMBER OF DWELLING _j UNITS C� ITICAL AREAS UMBER DESCRIBE WORK TO BE DONE HEAT SOURCE GLAZING'11 LOT SLOPE Y* PLAN CHECK NO: I VESTED DATE ENGINEERING REVIEWED BY DATE I PURSUANT M UPC 605.2 FIRE REVIEWED BY WAIM "I'll " . - bliu-1 [MATE SHALL BE INSTALLED ON THE Nin VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REQ'D POSTED 13YEs ONO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED AL LOWED , PROPOSED EXP Fr) LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBAC ;s (� ALLOWED PRO FRONT SIDE REAR FRONT UR SIDE EA `%,sUANT TO ECDC 19.30.020 R PARKING REO'D I PROVIDED THE CHECKED BY TYPE" OCCUPANP6 GROUP V/ 'ffrN SPECIAL INSPECTION [AREA OCCUPART REQUIRED 0 YE LOAD 1EMARKS PROGRESS INSPECTIONS PER UBC 100/FINAL INSPECTION REO'D 2 Description Plan Check Building Permit Plumbing fulia,rhaninni FEE Description State Surcharge City Surcharge FEE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1: 11 BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN Grading 3 (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review IL PERII&I'TAPPLICATION: 180 DAYS PERMIT UMIr 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 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 Fire Inspection Receipt # 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 Landscapelnsp. Total Amt. Due is NOR LIMIT IN ANY WAY THE crrys AaiLryy To ENFORCE ANY ORDINANCE PROVISION." I Recording Fee Receipt III —1 HERESY 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 APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees era paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPEN I URANCE AND RCW 18.27. FOR INSPECTION receipt Is acknowledged In space provided. IGNAVB.�OWNER OR GE DATE (425) OFFICIALS SIGNIfTURE DATE IGNEI, 771-0220 RELEASED BY 6ATE I =:TENTION Off 1333 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 ORIGINAL - FILE YELLOW - INSPECTOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING L z 0 0 M Om C M _4 § 0 C 3� E M M 10 �' 01 M ra rn C: (ft Q 0! z 0 M FINAL PROJECT APPROVAL FQM z m am c ma 0 80 c �c m mz 3: V) 0 -n n M m 0 V; 0 r- 0 M C cl) rl ch M 0 Z q M z z 9 0 m GRANT FINAL PROJECr APPROVAL. RE -INSPECTED OUTSTANDING ISSUES Si Dde ------- ocqwvLdoc.l:twV:bWg:kwmlo/ol a 4 . q110 _j() 1 PERMIT EXPIRES or CITY OF EDMONDS USE ZONE PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS ej 0j �/ SUITE/APT# L_Cl kk_Q_ ,qVNER NAMEINAME OF BU[I:NEGS 1 :9 C—( V\, Ck V\ C) V PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. ffi MAILING ADDRESS q—�2 PC LID FEE $ TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PSM*t 1110wired stmot Use P*nTM RW C ITY TELEPHONE Zip EXISTING — PROPOSED Inspection Rewired Sidewalk Rewired q REQUIRED DEDICATION— Fr i�'. d �(a �;D� J UndKWound Vfttng rewired C3 . NAME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED I YES 13 NO [3 0z ADDRESS REMARKS I I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP ITELEPHONE NAME — I - ICSLN ADDRESS CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. Do NEW ]FERESIDENTIAL PLUMBINGIMECH ADDITION 0 COMMERCIAi COMPLIANCE OR CHANGE OF USE REMODEL 0 MULTIFAMILY SIGN REPAIR GRADING CYDR o FENCE X FT) 0 DEMOLISH TANK 0 OTHER oGARAGE CARPORT RETAININGWAILL ROCKE tr FIRE SPRINKLER FIRE ALARM "E OF USE. BUSINESS OR ACTIVnYLWLAJN nly�?,Z NUMBER NUMBER OF CRITICAL OF I STORIES DWELLING UNITS AREAS NUMBER DESCRIBE WORK TO BE DONE REVIEWED BY DATE FIRE REVIEWED t*ATM 314tVICE SHMFF DATE I . &I" BE INSTALLED ON TM M VARIANCEOILM I 3OND REO'D POSTED 113YEs 13NO 1$ SEPA REVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED I PROPOSED ALLOWED I PROPOSED EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR PIUMR UANT TO ECDC 9.30.020 PARK-ING ' I WK16ATE REQ`D PROVAD'MDM- IL I SHALL 131 INSTALLM NEAR CHECKED BY ITYPEITATPC OCCUPANIVI) GROUP SPECIAL INSPECTION [AREA OCCUPA14T REQUIRED LOAD 13 REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D a I 1 11 Description FEE Description FEE Plan Check State Surcharge HEAT SaJRCE GLAZING % LOT SLOPE% Building Permit City Surcharge —.000 PLAN CHECK NO: VESTED DATE Plumbing AR) Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PIRWATE PROPEM ONLI ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN (CURBS, SIDEWALKS, DRIVIEWAYS, MARQUEES, ETC.) WILL RE -QUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS PERMIT LIMIr I YEAR - PROVIDED WORK 15 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 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 Iiandscapoinsp. Due OF ANY CITY ORDINANCE Total Amt. DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT NOR LIMIT IN ANYWAY THE CRY'S ABILITYTO ENFORCE ANY ORDINANCE PRO VISION. - Recording Fee Receipt # I HER6Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INF6�MTION APPLICATION APPROVAL GIVEN Is CORREM A140 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 TIJE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OFTHE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official of his/her Deputy: and Fees we paid, and recolpt Is acknowledged in space provided. WORKMENS cOMPENSA��UR�ANCE AND RCW 18.27. OFFICIA�LS SIG DATE N TUR �qsf�GNARE �DWNEFI Oil CIE DATE GNE 1425) Z 4 1-02 20 77% -7 RELEASED BY' 6ATE EBITION; EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL FINAL INSPECTION HAS BEEN MADE AND APPROVAL -OR A CERTIFI- ORIGINAL -FILE YELLOW -INSPECTOR GOLD - ASSESSOR ATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER '02. GREEN - ACCOUNTING' PRESS HARD -YOU ARE MAKING 5 COPIES z 0 4 M M C: M 10 0 r �c M ra � z 0 In, M M MO z 0 1 0 M