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20030741.pdfDATE RECEIVED PERMIT EXPIRES CITY OF EDMONDS L06E PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/AP`i# ADDRESS A"' ��/ 6�,.' 15 OWNER NAMEINAME OF BUSIOISS.,_ , X)�7 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S Z MAILING ADMESS sit) PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING - PROPOSED REQUIRED DEDICATION- FT TESCP Approved RW Permit Required Street Use Permit Roq'd inspection Required [3 Sidewalk Required E3 Underg d Witing rrooquunirod - Cl� ZIP �zz ?g TELEPHONE ;z0(9 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO 13 0 3 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE z z CITY ZIP TELEPHONE GAS PiPE fEST MUST BE OBSERVED By NAME CBL elTy !NSPECTOR ArrinAVITS SHALL ENGINEERING REVIEWEV13't swasal a %a NOTDATE BE ACCEPTED ADDRESS FIRE REVIEWED BY DATE cc M CITY ZIP T.ELEP 4E L_,./1tiU4,;W %17-T-7 ;�� 791V-51'r� LWIRAY10114 VARIANCE OR CLI I SHORELINE OR ADB* I INSPECTION REO'D 13YES ONO BOND POSTED $ STA_1E LICENSE NUMBER I E AN,' WELO.-z�,--;,r) bi 1-2 , A C CKED SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED I PROPERTY TAX ACCOUNT PARCEL NO. f EXP , , , z z NEW RESIDENTIAL PLUMBING / MECH tu A ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL 13 MULTIFAMILY SIGN LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR PAR L06 AR P N ING REVIEWEP BY DATE R E 0 1 D P% 1P welft r t N connectors REPAIR 1:1 GRADING CYDS FENCE X FT) El DEMOLISH 1:1 TANK OTHER GARAGE -1 RETAINING WALL o F RE SPRINKLER CARPORT E] ROCKERY FIRE ALARM iui; ing a.ppliances sia REMARKIc unheated spaces. UIAC 815.1-7 (TYPE OF USE, BUSINE,% OR ACTIV" EXPLAIN: CHECKED BY TYPE��7 OCCUPANT- GROUPe z 5 NUMBER OF STORIES NUMBER OF DWELLING UNITS CRITICAL AREAS NUMBER SPECIAL INSPECTION" I REQUIRED [] YES AREA OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC I GOMINAL INSPECTION REO'D ,40r, m a VALUNFION Is 6�1' ", Ako, a44,x4<, giyr-) S&x as Description FEE Description FEE Plan Check State Surcharge HEAf SOU110E GLAZIFJG % LOT SLOPE % Building Permit City Surcharge R7_ PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. 1: Engr. Review PERMIT APPILICATION: 180DAYS, PERMIT UMrP 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 2 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 Landscapelnsp. Total Amt. Due 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' zi Recording Fee Receipt N I HEREBY 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 CONSTRLIC- CALL This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION 4ecolpt Is acknowledged in space provided. WORKMEN'S C?^NSATION INSURANCE AND RCW 18.27. OF C SI N DATE si A7GE DATE (425) G::j��R 7S1GED;,/ 7— a I __ 771-0220 �T dA7E/ RE AtTE14TION E)ff 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 z 9 0 ITI M C M 0 10 OC --I C 3: M M Z 10-1 0 -n MM 0 ra 0 p Fn C (j) C 0) Q 0 Z .1� X z z 0 ITI C-0i e- L 4ve.: W% I A 10 x /,700 59 S? "S 13reeZWay 288 s-A 04 b/ _01 By PLAtiNNG 7v A d Z el -OWNER/CONTRACTOR IS RESPONSIBLE FOR . EROSION CONTROL AND DRAINAGE ZONI E SETP �IDKS: REAR_ OTHER HEIGHT - APPROVED BY PLANMiNu" R Ita1, //,� � - . VEID JAN 3 1 2003 BUILDING DEPT. CITY COPY k R'F- C 5'� " " 'I r-- E ocl - I, ZU1? BUILDING DEF Height Calculation Worksheet Address: ?2) Date:( §=0 Inspector(i): &A 1. Datum Point: IKA U� A UI P 10 2. Datum Point Elevation: 0 13 Z.. 3. Average Grade: 100. 3 0 4 M!, .4.. Maximum Elevation Allowed: 105- &ade) 2�"-- av go 5. Reference Point Elevation Shot to House: C=. M (datum elevation) I Oc96 (grade to transit level Une'shot to house) �.M 0 6. Measurements from line shot onto house to kdof ridge:* M Z'� 0 MM Ck M Total: 0 4 ZI 0 a 0 M 7. Actual Elevation: (reference point elevatio�) + (measurements from #6) 9 0 Conclusion: 96 (actual) is greate rre-s4:s=WajP I (allowed); therefore the house &I is not over the height requin mbrtlre—rECDC 16.20.30 requiremients F V�� I RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ....................... FOUNDATI ON. Fdoting ........................ Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In .................... commercial Final ...... HEATING: Gas Test . ..................... 07 _J14 cj- Gas Piping ................. Equipment.,....-..... Commerbial'F na EXTERIOR SHEATHING NAILING .......................... 'FRAMING' .................. FIR§f FLO61R*11iiWING... INSULATION ................. Floor Insulation Wall Insulation ........... Ceiling Insulation ..... SHEETR06K NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. V000" 0 IT11 M 0 r 1711 IT11 z Co 0 _n "n M M ca 0 Fn C M z Z, 0 1 0 1711 "PIRTE RECEIVED RMIT EXPIRES FPE U4S E PERMIT CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NAMEINAME OF BUSINESS— . A Z & zw�' IN TELEPHO;4E Wj;Z;; 1.2069 NAME ADDRESS CITY ZIP ITELEPHONE NAME A A CB�107 ZIP LICENSE NUMBER ZONE K 45 t�r e�� Z/Z—/z NUMB ER JOB UITE/AP�# ADDRESS go PLAT NAME/SUBDivISIoN NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required EXISTING — PROPOSED Street Use Permit Roq'd Inspection Required 13 Sidewalk Required 13 REQUIRED DEDICATION- FT Underground Wiring required 13 METER SIZE LINE SI NO FIXTURES PRV REQUIRED #3 A rTrLn YESM NO 13 z ft soni z R MARK z 1: U TROLIDRAINAGE OWNE/C SIL ELVO 1 93 �R [Vtr � 5 PROPERTY TAX ACCOPNT PARCEL NO. 4,0 5�'_400 NEW RESIDENTIAL PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR E] CHANGE OF USE REMODEL MUL11FAMILY SIGN REPAIR GRADING FENCE CYDS x FT) DEMOLISH TANK OTHER GARAGE RETAINING WALL 13 FIRE SPRINKLER CARPORT ROCKERY FIRE At -ARM !TYPE OF USE. BUS��, & NUMBER NUMBER OF I CRITICAL OF DWELLING AREAS I STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE BY CITY ENGINEERINGREVFEwEDBY RF ArrF;PTF;n DATE FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADBI INSPECTION BOND REO'D I POSTED I OYES ONO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP , , I LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LiRSIDE REAR z PARKING �i aT ARgA I f -e-' Vel, /AD' a4*-x4 e. i Isn VwS I F 12v-t) "'� - 0/6 41, HEAf SOURCE GLAZING % ` I LOT SLOPE % PLAN CHECK NO: I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 1160 DAYS PERMIT LIMM I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. 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, EMPUDYEES, AND AGENTS FROM ANY AND ALL CLAIMS 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 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, OR THE DULY AUTHORIZED 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 I iv6e B oj L venA connectors I --I HMulredrsn tuel-burning appUancI1116 Is I unheated spaces.'UMU 81!5-JL-" CHECKED 13Y jTYPEV0VNSRJ 0 GROU PA fjT, -7 occup T W SPECIALINSPECTIOW JAREA OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D VALUATION $ Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # LandscapeInsp. Total Amt. Due Recording Fee Receipt III CALL APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and . I I � � I JA A IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO F 114 _4eco pt s ac now a go n space prov WORKMEN'S C9PRkNSATION INSURANCE AND RCW 18.27. 0 IA' SI N UF)t DATE SF_ R DATE SIG)JED /A'25) 771-0220 ATV AtTEKTION 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 qICCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES z 0 M =Pq U5 � 0 M C M0 0 0 C: rn ITI Z IC) --I C _z 0 _n n --I M M 0 0 0 M C (j) C CA M 0 Z F --i 'n 0) z 0 M