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20030831.pdf6 DATE RECEIV ED PERMITEXPIRES Li CITY OF ;DMONDS USE PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT# ADDRESS _j 0 OWN NAMEINAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Requ:r6d CITY ZIP TELEPHONE Street Use Paffn I Req'd EXISTING - PROPOSED Inspection Required _edm onds L125- 7Y,-/-;? 3-155- Sidewalk Required REQUIRED DEDICATION- FT UndwWound WiFingfoqutred NAME METER SIZE LINE SI�E NO. OF FIXTURES PAV REQUIRED -7 YESE3 No 0 ADDRESS REMARKS z z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP ONE NAME 'jCBLN EERING REVIEWED BY DATE CC ADDRESS 10 3 tu FIRE REVIEWEDBY DATE CITY ZIP TELEPHONE ME STATE LICENSE NUMBER EXPIRATION DATE CHECKED By VARIANCE OR cu SHORELINE OR ADS# INSPE 'ON BOND REQ7D POSTED 13YES EgrO $ SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL, No. EX D ROPOSED PROPOSED COMPLETE EMPT ALLOWE ALLOWED N EXP NEW ZR-fES.IDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT) SIDE REAR ALLOWED PROPOSED FRONT REAR FRONT LIRSIDE COMPLIANCEOR ADDITION [3 COMMERCIAL CHANGE '553� 7 7-5 to 29 -15 i3AC; z OF USE --1 REMODEL N MULTIFAMILY 1:1 Sir PARKING LOT AREA PLANNING REVIEWED BY E REO'D PROVIDED REPAIR 0 GRADING FENCE 2- 1 7— z5`2101 25igf2rf lel"I"' CYDS X FT) REMARKS G/ DEMOLISH 1:1 TANK OTHEWj [3GARAGE I RETAININGWALL FIRE SPRINKLER CARPORT 0 FIRE ALARM ROCKERY (TYPE OF USE. BUSINESS 0 N: CHECKED BY PE OF CONMUCTIO� OCCUPANT TY GROUP 0 NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORES�.mt--il UNITS NUMBER 4� r2 AREP? SPECIAL INSPECTION OCCUPANT REQUIRED LOAD 7-b [] YES - DESCRIBE WORK TO BE DONE REMARKS /V&Z' OGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D !j 17)" VALUATION V I Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAMNG % LOT SLOPE % T Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT ALITHORRES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOLIAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS CL PERMIT UMM 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 —76). X 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 DEEMED TO MODIF% WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due 7A 21-:3 0=1 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I I Recording Fee Receipt # LL3. 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 HE 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 Building Official or histher Deputy: and Fees are paid, and IN VIOLATION Pj1HE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. 4.S 4 S 0 )W WORKMEt "SATION INSURANCE AND RCW` 18.27. OFFICIALS SIGNATURE DATE SIGNATURE W E OR AGE" DATE SIGNED c), 'A'05) LA --i-VI 71 7 -0220 RELEASED BY AT 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- ORIGINA6-�ILE YELL& -INS/PECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 1-3 E AGE # AG ct) 201 C14 1. ITLE PAGE LE GE I PA T BO R PLAN I� F T LEVE L F R PL S IA. F ST LEVEL F bo V WE E E N 2. WE ELE ION �,d FASTING 0 3. NOR VATION COMED DECK IT-2 L 4. SECT ELEVATION VIEWS 4 . SECT E EVAT ON MW PC 5. F ING N AND POST AND IL TAILS 6. TA S T I S ETAILS D DE A L IMOPOSLOCOWREDOECK AM BUILDING HEIGHT CALCULATIONS: FRONT ENTRANCE RENoVATK0)tN OTHAVENORT)i PROKRTY UK A = EL. 11 V-9" IIAWMIKI 42 B = EL. 114'-3" rrmuVr-LJ D F- bo C = EL. 11 l'-1 0" D = EL. 107'-1 0" TOTAL: 445'-8" 4 111'-5" + 251-0" 136'-5" IMPERVIOUS AREA CALCULATION: R r-- C V E-: D THERE IS NO CHANGE TO EXISTINC- FOOTPRINT OR IMPERIOUS AREA SEP 2 3 2003 IN THIS PROJECT DEVELOPMENT S�RVIGES CTIA. CITY OF ED MIONDS SCAI-&. �=21Y-0" NoT -ro 15;cAt-.F C !3"l-REF FILE (_I L E I tA Sw c0l" Avc, N, Spmomv.c, W A q go 2o I FINAL PROJECT APiROVAL FORM z 0 m :q :6 Vi -r-' OM c MO 0 80 c --I K MM MZ 10 -1 0 -n In m M C3 Vi or- 0 M C M 0 Z ;u z z 9 0 m I 13 Cz. rn I El ATE REC CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME/NAME_QF BUSINESS PERMIT EXPIRES 0— ;5 USE PERMIT ZONE NUMBER200�3, 01531 JOB SUITEIAPT# ADDRESS IT14- / — &le"(�It L A T PLAT NAMEISUBDIVISION NO. P LOT NO. LID NO. 6z'ra MAILING ADDRESS LID FEE $ Rl PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P U 8 LIC 7ESCP Approved RW Pem* 116WIred Sum Use Peffnh Req�d CITY V. ZIP TELEPHONE EXISTING EXISTING — PROPOSED InspecWn RequIrw 13 sidewalk RequM 13 IN ,?dmo ds �WW W5- 7qV_2 3-,Zz- 5t REQUIREI REQUIRED OEDICATIO I P2,2= FT wuwftffl I ",- 13 NAME ME I IER SIZE METER 8 NO. OF #IXTURES PRV REQUIRED I I YES 13 NO 13 ADDRESS M S REMARKS OWNER/CoNTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP ITELEPHONE NAME�� ADDRESS CITY STATE LICENSE NUMBER ZIP I TELEPHONE NEW NOVESIDENTIAL 0 ADDITION COMMERCIAL REMODEL 13 MULTIFAMILY REPAIR [:] GRADING CYDS DEMOLISH [3 TANK oGARAGE CARPORT RETAINING WALL ROCKERY (TYPE OF USE, BUSINESS OR_&CXlffl_U EPIAN: NUMBER NUMBER OF OF DWELLING STORIES UNITS L DESCRIBE I WORK TO BE DONE WA REVIEWED BY FIRE REVIEWED BY DATE lu W r6 VARIANCEORCU SHORELINEORADBO INSPECTION BOND *ION DATE CHECKED BY I REO'D I POSTED .�M 0YEs b I s Wow, SEPA REVIEW 1 SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED , EXP LOT, COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR COMPLIANCE OR 0 1,5 17*11; 10& CHANGEOFUSE G PARKING M IT AREA PLANNING REVIEWED,BY 06 0 SIGN REO'D I 'ROVIDED 017E 7 .7 2 10/ FENCE X F REMARK G OTHE h PE SPRINKLER ME ALARM CHECKED BY - ITYPE O= CRITICAL AREAS SPECIA. INSPECTION 1ARE9 NUMBER ff'915�REQUIRED [] YES 7&! REMARKS R PROGRESS INSPECIRbINS PER UBC 108, i VALUATION $ ;�)61 C Description Plan Check OCCUPANTge.A, GROUP OCCUPANT LOAD INSPECTION REaD FEE Description FEE State Surcharge HEAT SGURCE GLAZING . % LOT SLOPE % Building PGrmit City Surcharge PLAN CHECK NO: VESTED DATE PlUh1bI4 Mechanical THIS PERMIT AUTHORGMS ONLY -THE WORK NOTED. THIS PERMIT covEns WORK TO 1: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBILIC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION. 190DAYS PERUIT UMM 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 ONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND A EDM GENTS FROM ANYAND Fire Inspection �Recelpt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE ANY Landscapd1hp. Total Amt. Due 5L DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt 0 1 9 _� 1 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 CONSTRUC- 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 6r his/her Deputy: and Fees are paid, and IN VIOLATION_qrVE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is ocknowiedged In space provided. . W0RKMEITSffMPqfSAT1ON INSURANCE AND RCW 18.27. OFFICIALS SIGNATURE DATE- Si NATURE E OR AGE DATE 810 ED 7� 1A I%% 2%P &q -_7 1014ill 771-0220 RELEASED BY ICAT ATTENTION EXT 1333 if, I LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A F AL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINA E YELL&-INdPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES SEEM sss� z 0 M M C M 0 0 C M M z O"n MIT! 0 Fn MO CA z 0 M