20030786.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
I i�3�3 a 1114-11", -P W
CITY ZIP TELEPHRI
NAME
ADDRESS
CITY
NAME
CITY
ZIP I TELEPHONE
16628 44th AVE
STATE LICENSE NUMBER
EXPIRAI
BRUCESH043JA
PROPERTY TAX ACCOUNT, PARCEL.,NO.
NEW
lid RESIDENTIAL
ADDITION
COMMERCIAL
eREMODEL
MULTIFAMILY
1:1 REPAIR
13 GRADING CYDS
1:1 DEMOLISH
1:3 TANK
[3 GARAGE
-1 RETAINING WALL
11
CARPORT
ROCKERY
(ME OF USE, BUSINESS OR ACTIV" EXPLAIN:
-,5vz
NUMBER
NUMBER OF
OF
WELLING
STORIES
UNITS
DESCRIBE WORK TO BE DONE
CBL #
PERIMITEXPIRES
PERMIT
ZONE ..NUMBE5,j?& e�9
JOB SUITE/APT#
ADDRESS
C
I j.. ljq
PLAT NA(AEISUBDIVISION NO. T NO. LID NO,
LID FEE $
TESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
Strest Use Permit Req'd
EXISTING — PROPOSED Inspecticm Required
Sidowalk Required
REQUIRED DEDICATION— FT UnderWound
wiring required 13
METER SIZE LINE SIZE 7. OF FIXTURES PRV REQUIRED
YES E3 NO 13 0z
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
DATE
FIRE REVIEWED BY DATE
PURSUANT TO ECDC 19.30.020
I IWI
VARIANCE OR CU
I ITIR WAURIMHWftH$
SEPA REVIEW SIGN AREA I- - - - HEIGHT
COMPLETE . EXEMPT I ALLOWED . PROPOSED ALLOWED . PROPOSED
LO COVERAGE
REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
19 PLUMBING I MECH
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
1
2
COMPLIANCE OR
1:1
-
7
CHANGE OF USE
P,RAMt: DI
YNTAVEAV RAN10000WOM DATE
[3 SIGN
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F-COINSTRUCTION CODE OCCUPANT
ITY
GROUP
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?RWEA.44�
ARM
SPECIAL INSPE
OCCUPANT
NUMBER
REQUIREI
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-D
PURSUANT To UPC 605.2
2
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0119 U W_ 19% Vw� 11 VoV4. P.
sk VALUATION LIb
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'Building Permit
City Surcharge
PLAN CHECK NO:
VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
23 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
1= SEPARATE PERMISSION.
Engr. Review
15 PERMIT APPUCATION: IGODAYS
CL PERMIT UMM I YEAR - PROVIDED WORK IS STARITIED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPUCAUL 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 #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
91 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CIIYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
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
AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
-TION;
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
reco�pt Is acknowiodgod In space provided.
WORKMEN'S COMPENSATION INS URANCE AND RCW 18.27.
-
- —_
OFFI IGNATM DATE
TURE (OWNER 0
DATES NED
1A 03
771-0220
RELEASED BY
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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
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,,,k,,,�ATE RECEIVED
PERMIT EXPIRES
USE PERMIT
CITY OF EDMONDS ZONE NUMBER-4v// 6; �1; A
JOB SUITE/APT4'
CONSTRUCTION PERMIT APPLICATION ADDRESS i( --Pi Vq
OWNER NAME/NAME OF BUSINESS
PLAT NAFAE/SUBDIVISION NO. -7 NO. LID NO.
15
IRLING ADDRESS
LID FEE S
I
AL(owS 1/44b
7ESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP MY Pennit ReWited
I
Street U" Permh Rao
CITY_
ZIP
TELEPHONE
EXISTING 2A amr111111101MEM spectla n Required
A Required 8
"g
0
REQUIRED DEA
r6qtgW 13
NAME
METER SIZE tUft PRV REQUIRED
%,W111`6111111111 '2
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YES 13 NO
ADDRESS
_yff"I
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CIT
ZIP
TELEPHONE
GO FIFE I to I M ST BE
NAME bet. #
Lail ENGINEERI ,,FFS SHALL-NnUfffbATE
ADDRIMMILMUurn 3 Die
BE ACCEPTED
1=1446NEW z
FIRE REVIEWED BY DATE to
12
CITY 0100"LWW401 PHONE
b9l'""W"Illm WE
VARIANCE OR CU BOND ITI
'STATE L NSE NUMBER EXPIRATION OKTE' CH KED By SA
POSTED
A!!!eUREREGM
UL
06 A. 34A
04
SEPA REVIEW0x"% IJLI L=IANNWALLED. HEIGHT
0 PROPOSED
PROPERTY TAX. ACCOUNT PARCEL NO. COMPLETE , EXEMPT
M
EXP
LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED'. SETBACKS (Fr.) ITI
___yPLUMBING MECH 0
0, NEW RESIDENTIAL ALLOWED* PROPOSED FRONT SIDE REAR FRONT' LIR SIDE: REAR
so
FHEI
0
COMPLIANCE OR
ADDITION COMMERCIAL
0 ICHANGE OF USE
0
PARKI DATE M
1%TW rs ITI
P, 3
07
REMODEL 0 MULTIFAMILY ilGN
10
on I
o FENCE red el-burnin P1151nmelmii-
REPAIR [3 GRADING CYDS X Fr) REMARKS a
DEMOLISH 1:1 TANK 0 OTHER unheated spnem UMC 815.1.7
_OGARAGE cl RETAININGWALL 0 F RE SPRINKLER 0 _T11
L -CARPORT ROCKERY FIRE ALARM _n
k,
CHECKED*bY P CONS RUCTIO Occ, PAW�
1 !17 GROUP
ITI M
NUMBER UMBER OF CRrnCA
OF NDWELLING AREAS SPECIAL INSPECTION ocor NT
LOA 0
STORIES UNITS NUMBER REQUIRED rl YES 0
DESCRIBE WORK TO BE DONE C cl)
REMARKS M co
PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REG'D s 0
Mew F�Wna= Acb&2&
IRSiYANT. TO UPC 605.2
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Description FEE
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E2 Description FEE
0
Plan Check
State Surcharge
HE6T SOURCE GLAZING % LOT SLOPE % Building Permit Surdiarge 15 0
ITI
L
PLAN CHECK NO: VESTED DATE Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
t: BE DOME ON PRIVATE PROPERTV ONLY. ANY CONSTRUCTION ON THE PUBILIC
DOMAIN (CURE.11% SIDEWALKS, DRIVIWAYS. MARQUEES, ETC.) WILL FtiEQUIRE Grading
7 SEPARATEPERMissioo. z
Engr. Re�ew
PERMITAPPLICATIGN: IGO DAYS
PERMIT UMn! I YEAR - PROVIDED WOFIK IS STARTED WITHIN 180 DAYS Engr. Inspection
BEE BACK OF PINK PERMIT FO" 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, EMKOYEES. AND AGENTS FROM ANY AND 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 Landscapelnsp. Total Amt. Duo
DEEMED TO MODIFV; 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
AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
GIVEN IS CORRECT,
rHE QWNER. I AGREE M COMPLY WITH CITY AND STATE LAWS REGUrATING CONSTRUC- This application Is not a permit until signed by the
rK CALL, Building Official or his/ho(Deputy: and Fees are paid, and
D
AN IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
ON OF THE LABOR CODE OF THE STATE OF WASHINGTON, RELATING TO FOR INSPECTION receipt Is acknowledged In space provided.
E.S COMPENSATI RANCE AND RCW 18.27.
OFF1 6 DATE
SIGNATrE
GEM) DATE SPNED
URE (OWNER 0 A (425) L I/
V�<lo _R)__ DIAT�r/
I ILA �"A_ IN 771-0220 RELEAUED BY
ATTENTION Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIW.- , ORIGINAL - FILE - YE7LLOW - INSPECTO
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSO
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING