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20030856.pdfDATE REC IVED I I- q - 0 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINVE OE BUSINESS . 1% MAILING ADDRESS 704- IW�W, S-L)- CITY ZIP TELEPHONE e- I dj o/ Z-0 Kto 14 'podl I u, - Ar -7 q 3 - 7 0,?f, NAME ADDRESS CITY NAME cS'j V\ bq " C e-. ADDRESS to 20 ZIP I TELEPHONE SL v 6. ly. I J TELEPHONE f cati I %W-'rd1_?660 STATE LICENSE NUMBER EXPIRATION DIE ED BY HECK NEW RESIDENTIAL PLUMBING / MECH 0 ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL muLnFAmiLy SIGN [3 REPAIR GRADING CYDS FENCE x FT) ( - - DEMOLISH 0 TANK OTHER GARAGE rARPORT RETAININGWALL 0 ROCKERY FIRE SPRINKLER FIRE ALARM rrvor. nF tIRF- RUSINESS ORAMITY1 EXPLAIN: MBER CRITICAL G AREAS I NUMBER NU [NUMBER OF OF DWELLIIN U ITS STORIES 2- UNITS DESCRIBE WORK TO BE DONE __k9'WV11VW 4VjA;W47" e-114411,11C [PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ADDRESF 7L5 41;'6rr, 457 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP IESCP Approved AIN Permlit Required Street Use Permit Rsq'd EXISTING - PROPOSED Inspection Required SIdewalkRaquIred REQUIRED DEDICATION- FT - wUmu'l 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED j NO YES13- REMARKS OWNERMONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE Lu IX I Ir �'EORCU SHORELINE OR ADB# INSPECTION I BOND REO'D POSTED SEPA REVII-E-W SIGN AREA I 0YEs 13NO $ HEIGHT COMPLETE . EXEMPT ALLOWED , PROPOSED I ALLOWED , PROPOSED FLOT COVERAGE I REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT) ALLOWED ' PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR P R ARKING LOT AREA NING REVIEWED BY DATE RECID PROVIDED a S REMARK CHECKED BY_jTiYPPEE0WFRUC11ON ',CUPANT. OC GROUP ;q3 7 r SPECIAL INSPECTION AREA OCCUPANT LOAD REQUIRED [3 YES R EMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RET11 2 1:4 If vALUA55N Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit ;0 city surcharge A5 PLAN CHECK NO: VESTED DATE Plumbing zo- Mechanical THIS PERmrr AuTHORLMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLV- ANY CONSTRUCTION ON THE PUBLIC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 t: SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 150 DAYS pERMrr UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS OF Fire Review Plan Chk. Deposit Receipt # IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY 9 FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT $HALL NOT BE DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due Receipt 111 23093 0 NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - 'jp Recording Fee 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 Otficial or his/her Deputy: and Face are paid. and ERSON WILL BE EMPLOYED TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO P G TO IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATIN FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S CSjr [ON INSURANCE AND RCW 18.27. ,,EENISAT OFFICIALS siGwrURE DATE BIG URE WNE OR DATE SIGNED (4 25) 771-022 0 �&ELEAIFE_D W DATE 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 HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 04/02 PRESS I I IIIIIIII I Y PATE RECJIVEO T. PERMIT EXPIRES il -4-07 CITY OF EDMONDS USE PERMIT ZONE NUMBER ?_ZV.3 —0815 CONSTRUCTION PERMIT APPLICATION JOB ADDRESS 701WAff le, �tdl 011A)ij, OWNER 11 O�BUSIN�ss 1 5 �S _ 7 C off I C, Wm r rcvi PLAT NAME/SUBDIVISION NO. LID NO. 15 MAILING ADDRESS S, LID FEE S TESCP APPI=ed OFFICIAL 701[-)751"'1 ,gtv, PUBLIC RIGHT OF WAY PER STREET MAP RW "", R Street Use Peffnit Rold CITY ZIP TELEPHONE UK,to 3 EXISTING PROPOSED impection Required Sidvwa& Required REQUIRED DEDICATION- FT Undergmuund Widngioq Ired 13 NAME mirER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO C3 I ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z CITY ZIP TELEPHONE NAME CBL# Sj bq P, V lvc. 1311. V.\ vi C tA k ty It a ENGINEERING REVIEWED BY DATE W ADDRESS /, 4F lo w4ql, w St. FIRE REVIEWED BY DATE Cy 71 TELEPHONE W/- ?6 6 0 M STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCE OR CU SHORELINE OR ADB# INSPECTION IS BOND REO'D POSTED -117 - 4�4&JOA-C-S06 3JI? I 13YEs ONO PR oza SEPA REVIEW SIGN AREA HEIGHT WIVIMETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 200 IL 5PTC , , EXP -A-1 0 NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE R I EAR ADDITION COMPLIANCE OR COMMERCIAL 13 CHANGE OF USE z REMODEL MULTIFAMILY PIGN PARKING AREA PLANNING REVIEWED BY DATE REQ`D I PROVIDED 17 1 0 REPAIR' GRADING o FENCE X CYDS FT) REMARKS 13 DEMOLISH 0 TANK 0 OTHER 0 GAFIAGE RE-rAINING WALL FIRE SPRINKLER CARPORT. ROCKERY FIRE ALARM V '(rYPE -OFAISEWINESS OFVACTIVnY) EXPLAIN: le t I dle--W ___7 5 CHECKED B.Y ITYPE OF r.QNSTRU"ON OCCUPAN GR 43 tf7 .6 CR NUMBER NUMBER OF ITICAL OF WELLING AREAS Z JAREA -OCCUPANT SPECIAL INSPECTION LOAD STORIES UNITS NUMBER REQUIRED [] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-D Kq."y n. AwAf, K!�E eltAVIIC Wal iLV LY VIC— _"yI44Cj_ W; q0 4, - A VALUATION Description FEE Description FEE -,46&Qb &IIIW7- ' Plan Check ;E State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge ASo PLAN CHECK NO: VESTED DATE Plumbing Mechanical Z-0 THIS POWIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION:, 180 DAYS PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAK ON SE14ALF 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, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAMS FOR DAMAGES OF WHATEVER NATURE, ARIISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due 140-50 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.' 23o931 Recording Fee Receipt N HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN 18 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 IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO Building Offlcial or his/her Deputy: and Fees are paid. and FOR INSPECTION receipt Is acknovdadged In space provided. NSATION INSURANCE AND RCYY 18.27. DATE OFFIC LS S11 URE DATE SIGNED (425) 771-0220 '-AELEASED W DATE ATTENTION Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADEAND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW -INSPECTOR CATEOF OCCUPANCY HAS BEEN GRANTED.' U9C SECTION 109 PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING -YOU ARE MAKING 5 COPIES PRESS HARD 5