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20030726.pdf4 . 1, &_ A )w-' V �Z- � , , DATE RECEIVE1 9:1 � It CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATI I OWNER NAMEINAME OF BUSINESS C4.ty of :,!dn, ni)6�7, MAILING ADDRESS 12.1 - 5-th PA-e. N% CITY ZIP TELEPHONE Ed.,xionde, W.-A 9BO20 4.2_5:177111-02_�E NAME IST C�InF-j' ADDRESS .10. PoN 2 5 9 CITY ZIP TELEPHONE senrttf.e' NAME CBLN ADDRESS 21Q1 - 72nd z'A,-1,a CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATII F 11.1 -1,103 V 7S*8 PERMIT EXPIRES USE PERMIT ZONE NUMBERA�VL�zll JOB su ADDRESS 700 Main St. PLAT NAMEISUBDIVISION NO. NO. LID No. LID FEE S _LOT PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APPM00 RW I'V11111 FINVICNI Strom Use Pormit FWQ'd EXISTING — PROPOSED inspection Requked Sidewalk Requited REQUIRED DEDICATION— FT urodarground Wiringroquirod METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED [ J YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE A MlI "" ' "j ui'C 605.2 SRIZVrom aw1 ENGINEERING FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR AIDB# I INSPECTION BOND BY FIEQ'D POSTED SEPA REVIEW SIGN AREA - 113YE 1$ HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED , PROPOSED us Ir Iz LOT COVERAGE REQUIRED SETBACKS (FT.), SIDE REAR PROPOSED SETBACKS (Fr.) FRONT LIR SIDE REAR ALLOWED PROPOSED FRONT I M PARKING LOT AREA PLANNING REVIEWED 13Y DATE REO'D PROVIDED FT) REMARKS NEW RESIDENTIAL PLUMBING / MECH ADDITION COMPLIANCE OR COMMERCIAL CHANGE OF USE REMODEL MULnFAMII.Y SIGN REPAIR GRADING CYDS FENCE X ( DEMOLISH 0 TANK 0 OTHER GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIREALARM (rYPE OF USE, BUSINESS OR ACTIVITY]i EXPLAIN: Certe-r NUMBER NUMBER OF RITICAL OF DWELLING AIIA- AREAS I CUMBER 44 STOR UNITS DESCRIBE WORK TO BE DONE . ': .. Repl-..ce ex st!-nicr �,:rate:c p.-.p�_ncy end. (C " r -'! HEAT SOURCE GLAZING LOT SLOPE % PLAN CHECK NO: I VESTED DATE THIS PERMIT AUrHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DO&WN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WALL REQUIRE SEPARATE PERMISSION. PERMITAPPLICATION: 1160DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 11" DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS A to SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLE! S THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS -ROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTV OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMI1 SHALL NOT BE E TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY ( ITY ORDINANCE N LIMIT IN ANY WAY THE CRYS ABILrTY TO ENFORCE ANY ORD114M CE PROVISION.* I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHO�IZED AGENT OF 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 IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMER"OMPEb4ATION INSURANCE AND RCW 18.27. DATE SIGNED C' 11r, qp ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR A FINAL INSPECTION HAS BEEN MADE AND APPRO' CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SE 04/02 PRESS H, CHECKED BY TY 0 ON cqpj-- OCCUPANT 1/ 4, GROUP fo*"441 - IY7 F SPECIAL INSPECTTON JAREA.,"_ OCCUPANT REC YES LOAD REMARKS PROGRESS INSPECTIONS PER ILIBC 11081FINAL INSPECTION RE :-.� AUM 151.311.11-uzu P`231 N AMMMn I WA9 VALUATION 9 H*AI&-- $ jfUWKTM f1fa INSTALLED NEAR SHUTOFF Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing 40 Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION1 (425) 771-0220 EXT 1333 APPLICATION APPROVAL This applicalJon Is not a permit until signed by the Building Official or his/her Deputy: and Fees fire paid, and receipt Is acknowledged In space provided. Cl LS S)0 E DATE , PATUR _AJ O�%hz r DJE IUCTURE UNTIL OR A CERTIFI- ORIGINAL -FILE YELLOW- INSPECTOR ON 109 PINK -OWNER GOLD -ASSESSOR ID -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING I 20 0 11 �w 11-1 A VP4� t-I 4 RECEIVE11-1, PERMIT EXPIRES 7-7 CITY OF EDMONDS USE PERMIT ZONE NUM&�' CONSTRUCTION PERMIT APPLICATION JOB SUrTE/APT# ADDRESS 700 Main St. OWNER NAME/NAME OF BUSINESS City of Bitirionds PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS UD FEE S 121 - 5th AvF--. N. IESC4- Approv0d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW Parmit Requirml Sum Use Parmh Paq'd CITY ZIP ELEPHONE EXISTING — PROPOSED- Irwpwdon Raquired SW#w&& Ftectuirld Bftonft, WA 98020 425/771-0235 REQUIRED DEDICATION— FT UndaWojnd Widng mqukW CI ,_IT NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED PSI Calsulting Engiraers YES E3 NO C3 ADDRESS P.O. Box 4259 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE PURSUANr TO UPC 605.2 CITY ZIP TELEPHONE Seattle,* .518194 4,2.,�/ �22;-�321j SERVICE S M1.2 x NAME .'I w""h _N Nardo'he Mechmi -BO4§ ENGINEERING REVIEWED BY DATE ADDRESS 21431 - 7211d Ave. W. FIRE REVIEWED BY DATE. ul CITY ZIP TELEPHONE z Bitmnifts, WA 98026 425/776-6200 - - VARIANCE OR CU SHOREEINE OR A DB# INSPECTION BOND STATE LICENSE NUMBER - EXPIRATION DATE H C By 'RI E KED . RECI'D POSTED tjAjCCWj52B2 11/l/03 [3YEs 13NO $ SEPA REVIEW SIGN AREA HEIGHT PROPEFRIMTY TAX ACCO PARCEL N ACC 0. PRO COMPLCIC EXEMPT ALLOWED POSED ALLOWED "n NEW [j RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.j ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR M C COMPLIANCE OR 11 ADDITION COMMERCIAL CHANGE OF USE M 0 10 REMODEL MULTIFAMILY 0 SIGN PARKING LOT AREA PLANNING REVIEWED BY DATE REDID PROVIDED 4L C I 0 REPAIR GRADING CYDS FENCE X REMARKS M 10 0 DEMOLISH 0 TANK o OTHER IGARAGE RETAININGWALL FIRE SPRINKLER 3 El CARPORT ROCKERY FIRE ALARM MM;OF;U6E' BUNNIffig �Wl A&1V10-4)q!WN:-Ift �'- - , O&OPANT 0 -n City Matiptitpose Center CHEdkED BY TY OhNITRUION GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS SPECIAL INSPECTrON AREA OCCUPANT M M STORIES UNITS NUMBER REQUIRED [3 YES LOAD 0 DESCRIBE WORK TO BE DONE 0 0 REMARKS PROGRESS INSPEqQN.$ PER UBC 1081FINAL INSPECTRON REaD 5 Replace existing water piping and (4) toilets ECD-C 19.30.020 MOL APRMME=� jR,A2M1FAT SHALL BE INSTALLED 'nON VALUA $ rM W Description FEE Description FEE Plan Check State Surcharge co z HEAT SOURCE T—GLAZNG % LOT SLOPE % Building Permit City Surcharge 0 PLAN CHECK NO: VESTED DATE Plumbing M Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPERTVjqNLX ANY C014STRVCTION ON THE PUBLIC Graq�qg DOMAIN (CURBS, SIDEWALKS. DRlVEWAV8,W0UEES,eTr_) VALL REQUIRE SEPARIFE PERMISSION. 774� Engr. Revieilv PERMITAPPLICATION: 160DAYS PERMIT UMM I YEAR - PROVIDED WORK 10 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 Chit. 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 PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. Duo IV DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT' OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* # Recording Fee Receipt I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORREcr. 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 CALL 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 Building Official or hieffief Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. WORKM1EP:FMI`5!jA1 CE AND RCW 18.27. CIPACI LS S,)Gj4ATURE DATE SK3 RE 0 0 E DATE SIGNED (7 1425) G 9/15/03 / I 771-0440 -RELEASED OY DktE ATTENTION 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- 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