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20030847.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS CITY NAME ADDRESS CITY NAME ADDRESS CITY '5�e,4 71-;e C STATE LICENSE NUMBER 94 PROPERTY TAX ACCOUN ZIP USE ZONE JOB ADDRESS I PERMIT EXPIRES PERMIT NUMBER — 'll, SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Pennit Required e-j Street Use Parinh Rfq`d TELEPHONE EXISTING — PROPOSED Inspection Required Sidewalk Required ,elz r REQUIRED DEDICATION— FT — Underground Widnarequirod METER SIZE LINE SIZTJ NO. OF FIXTURES PRV REQUIRED YES 0 NO C3 7- 15 REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE ZIP ITELEPHONE CEIL # ZIP TELEPHONE EXPIRAT DATE [(7M— BY �114 NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY_ REPAIR 0 GRADING CYDS DEMOLISH 1:1 TANK GARAGE CARPORT RETAINING WALL 0 ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXfj.Ny, NUMBER NUMBER OF OF DWELLING STORIES UNITS DESCRIBE WORK TO BE DONE XI -PLUMBING / MECH COMPLIANCE OR CHANGE OF USE 13 SIGN FENCE ( _ — FT) N OTHER r- - --- - FIRE SPRINKLER FIRE ALARM ENGINEERING BY DATE N FIRE REVIEWED BY DATE cc .,CDC V;i�re(m I , " �, VM &g- et 10-:77 '*-.. & 1101 VARIAN&EM in ECTION EQ'D 3YEs 13NO I c BOND POSTED S SEFA—REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED I PROPOSED EXP I , LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT URSIDE REAR PARKING LOT# DATE REO`D I PROVIDE ---, 9% mlcB "; , - 7i- . --1 . I CHECKED BY ITYPE OF N2P CRITICAL AREAS SPECIAL INSPECTION AREA C NUMBER REQUIRED [31 YES tREMARKS P I PROGRESS INSPECTIONS PER UBC 1 OCCUPANT GROUP A OCCUPANT LOAD INSPECTION REO'D is is Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % ity Surcharge I Building Permit C PLAN CHE�� VESTED DATE Plumbing THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical I-- BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 2 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE I= SEPARATE PERMISSION. Engr. Review PERMITAPPLJCATION: 160DAYS 0. PERMIT ILIMM I YEAR - PROVIDED WORK IS STARMED WITHIN 180 DAYS Engr. Inspection I SEE BACK OF PINK PERMIT FOR MORE INFORMATION IAPPLICAW, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit 2 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 # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY PERMIT SHALL NOT BE 9 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due 01 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt # 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 Building Official or histher Deputy: and Foos are paid, and 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 FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATI9If/1WMNCE AND RCW 18.27. I OFFICIAL SI N XURE DATE 3 TL SIGN jLVRE (OWNER OR :/� DATE SIGNED %�—Uj —ftErAgD e e IN 771-0220 R lit' DAVIE It I ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW- INSPECTOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING MINE NEED z 0 0 M M8 40 0 C ITI —z 0"n t "n M M 0 0 rn 0� z 0 ITI FINAL PROJECT APPROWAL DATE: Mmmo fro: pEnm cooRDINAMR, BURDING DIMION ME DEPAIUMU DATE—L—__� ..FROM: 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL. Date S, ocVmLdocJ:un p.-bW8:ft=10/01. c k z 9 0 m :49 OM c mo 0 80 a --I C MM MZ JO -i �x (1) 0 -n n m m 0 0 o C cl) c c/) M 0 Z z --I 3: vi z 9 0 m El ,b .1 1, 40,11C qDA E RECEIVED T PERMIT EXPIRES CITY OF EDMONDS USE PERMIT zotre NUMBER2,�Z�?_- CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS OWNER NAMEINAME OF BUSINESS Is 6 2 &e_0-erk\4 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. I 15 MAILING ADDRESS I LID FEE S a�zg-D5- 93, e—J - I MAW Appro"d 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Street Use permit RWd CITY ZIP TELEPHONE Inspection Required EXISTING — PROPOSED SIdwaUtRequir6d ,elZ 5- Z lrl&, 1 L, UndwWound REQUIRED DEDICATION— FT WWgrequired 13 .20 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO E3 z ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP ONE —0 NAME CBL# 19.30-02 Se.LA-er I%D't Lc, PCDC ENGINEERING FP ADDRESS VT(E88MRW NE SHALL BE INSTALLED C7 ��PHONE 1110 OFF, R-IrEcom FIRE REVIEWED BY DATE CITY ZIP M Vf e112 7/ !F0/0 1 VARIANCE OR CU SHORELINE OR ADBI# INSPECTION BOND STATE LICENSE NUMBER EXPIRt7ATN DATE BY REO'D POSTED 1 �4 (M 4:--; _4e-k ),//1/0/ 1 OyEs 13NO $ SEPA REVIEW SIGN AREA HEIGHT 0 PROPERTY TAX ACCOU 4/25� COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 6 0/� EXP Wr UPC .2 0 NEW RESIDENTIAL LUMBING I MECH x )?I" LOT COVERAGINW 11 SED SETBACKS (Fr.) 3P R"M LIR SIDE REAR ALLOWED PROP h COMPLIANCE OR 1:1 ADDITION COMMERCIAL 13 CHANGE OF USE A rr 0 REMODEL MULTIFAMILY SIGN PARKING PLANNING REVIEWED BY DATE RE111D I PROVIDED REPAIR GRADING CYDS FENCE X FT) REMARKS DEMOLISH TANK OTHERW GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM OWE OF USE. BUSINESS OR ACTIVff�Y) CHECKED BY N OCCUPA�� ITYPE GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS I I SPECIAL INSPECTION OCCUPANT STORIES C UNITS NUMBER I JAREA LOAD REQUIRED [:] YES DESCRIBE WORK TO BE DONE REMARKS 108J ROGRESS, INSPECTIONS PER UBC 108/FINAL INSPECTION REaD P P or CTIO /a A& a 1 1% AWt J;�o 4A 11'1-zle- a VALUATION _ I I T V, Ob6ciripfflon FEE Description FEE Plan Check I State Surcharge HEAT SOURCE GLA23NG % .,'LCrr !LOP5 % Building Permit City Surcharge -TV, - - PLAN CHECISjAbr-�— VESTED DATE Plumbing io "z Mechanical THIS PERmrr AuvAoRIZU ONLY THE WORK=. = PERMIT COVERS WORKTO t: BIEDON9 4 T9'0hOPER7Y ONLY. UCTIOMOMTHEPUBLIC Grading 23 DOMA114 (2U=.A6IqEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: 1180DAYS PERWtUlf 4'YEAR - PROVIDED WORK IS STARTIED WITHIN 160 DAYS Engr. Inspection �'� �q BACK OF PINK PERMIT FOR MORE INFORMATION ON IBEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit ;APPLICANT. M 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 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY crry 0:�Dl%CE 2VIq Landscape�risp Total Amt. Due D-7 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE. P Receipt # Recording Fee'. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APP MOVAL GIVEN IS C6RREcr 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 IN VIOLATION OF THE LABOR -CODE OF THE STATE OF WASHINGTON RELATING TO Building Oftial or hlsftr Deputy: and Fees we paid, and FOR INSPECTION receipt is arknoyAodged In space provided. WORKMEWS COMPENSAW94RANCE AND RCW 18.27. e DATE SIG�NE SIG E (OWNER OR (42-511 OfFlqft� SIGN TURE DATE 1 j /-, Z " //; 7 f v ' /3' 771-0220 ReLwED fif —7—DAIE 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- 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 I