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20030862.pdfDATE REC:,jT PERMIT EXPIRES CITY OF EDMONDS USE PERMIT ZONE 45- A�_-o 01;� AL NUMBER CONSTRUCTION PERMIT APPLICATION JOB PLTEJAFT#j ADDRESS PL OWNER NAMEINAME OF BUSINESS 11�xp A it �? % J�fa M :7- Lj � CL PLAT NAME/SUBDIVISION NO, I LOT NO. LID NO. 15 MAILING ADDRESS,3 LID FEE $ sw. TESGF Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pernilt RBquk*d use Parinit Roq'd CITY ZIP 1­LEPHO - ­ Street EXISTING PROPOSED Inspection Required Sidewalk Required 9 of�e) 771 —*73qq REQUIRED DEDICATION FT— Underground " 111111 VV%. C1 A - - NAAdE METER SIZE LINE SIZE I NO,,��XTURES I PRV REQUIRED YEsI3 NO ADDRESS 'v/,a,-i _p2n) REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 3oo AAx2�%v.,A - % CITY ZIP ATPLEPHON (.t ) 4- 1; f 8'7 S_ NAME jCBL11 4�2 ENGINEERING REVIEWED BY DATE DD EBB 1,L) It 0/03 a&q _7 - - - FIRE REVIEWED BY DATE tu lz CITY I TEVPHONE, VARIANCE OR CU SHORELINE OR ADBI INSPECTION BOND 1Z EXMRATIa"_#.TE REO'D POSTED 13YES; Elm s PROPE TAXKlACCf, PARCEL NO ol(e, 00 SEPA REVIEW SIGN AREA HEIGHT ALLOWED ALLOWED , PROPOSED EXE PROPOSED COMPLETE MPT Ne- 0C)o Z5 , _2Z EXP NEW RESIDENTIAL PLUMBIN MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/Lq SIDE REAR Of COMPLIANCE OR ADDITION COMMERCIAL 0 CHANGE OF USE 116 110 jo fz REMODEL 0 MULTIFAMILY SIGN PA KING LOT AREA PLANNING REVIEWED BY DATE REQ`D I PROVIDED 2- GRADING FENCE X REPAIR CYDS FT) REMARKS DEMOLISH TANK OTHER GARAGE RETAINING WALL 0 FIRE SPRINKLER CARPORT ROCKERY FIREALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECZED BY STRUCTION C?n OCCUPANT -.0 g5v,-- ITY�x GROUP 93, CRITIC NUMBER NUMBER OF AL OF Z DWELLING AREAS I 137 SPECIAL INSPECTION OCCUPANT LOAD DRIES __ UNITS NUMBER49-3 JAREA REQUIRED [] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D c jAA I A k-� A VALUATION ff2n5a 6202iz /7-:= V1 ft., Description FEE Description FEE NE Plan Check State Surcharge E HEAT SOURCE GLAZING % LOT SLOPE % 6& Building Permit City Surcharge PLAN CHECK No VESTED DATE Plumbing I q 4 - !A, -- Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PER"IT COVERS WORK TO I: BE DONE ON PRIVATE PROPERTY ONLX AM CONSTRUCTION ON THE PUBLIC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS PERMIT LIMIT! I YEAR - PROVIDED WORK 18 STARTED WITHIN 180 DAYS Engr. Inspection 1,3(,/ 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 W `5___ 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 MATURE. ARISING DIRECTLY OR INDIRECTLY a OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT E - I 4r=c FROM THE ISSUANCE Landscapeinsp. Total Amt. Due DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' NOR LIMIT IN ANY WAY THE Recording Fee Receipt # '/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 C17Y 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 FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged In space provided. WORKMERS COMPENSATION INSURANCE AN 0 A 'IGN DATE GNATURE (diF&ER OR E DATE SIG4ED IA-35) %'TIE, A /k/� 41116LO IM 771-02 20 1 "REL&S-913 E ATTENTION Z�7 _-IJUILDING EXT 1333 "_ /7 L4 IT IS UNLAWFUL TO USE OR OCC ;UPY A OR STRUCTURE UNTIL ' A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- IN� - Ft' E F, ECTOR ;IN' CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 _ W tPIGNK- NER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING W R Ito Mesas SMOTAW &111101016 a",* 0101L A pld v m 13 1 w cd OWN Mir w -u C:) ol', OU w dmd.., 1. 4 1 r ko 01 vief t EDMONDS SEA VIEW TRA C TS 40 Sell *QJM* 06" floor IMLIG 0 3 13 13 clo ci z aw AZT+ me 0 at Ono son oft JOr 4 "of ale -00* %a Ile 1 4 Nli 001. 0, rj=. Mono. 90. w .4 J1*06 4 IF LMMMG t f qgj VMS 0 B1m"w! Is I Is # 4 q. won 0 a Now @we We V15W 4 3 4 mamil All 01 1 r-- OMAN@ mon� no D�ORWI� 1404816010F mom LOT SO PLOT PLAN SCALE lm=Wo(r N,Alto, i4gk 6a. sLitjLpjA C, 1�1) 31swu 4 . I 04 :AvrLq Ion . �.. I. ... .. . . � .., Soler � 6 low -6 11,000111019, Awl z 0 i 0 m =i 9 ro ;I am co m 0 -10 x m m Z JE) -i c 2 9-1 � 101) 0 -n n 4 m m 0 0 o CO) M 0 Z X -1 z z 0 m a 200 5 DATE CITY -OF EDMONDS 't., CONSTRUCTION PERMIT APPLICATION) ij..9WNER NAMEINAME OF BUSINESS , , I V1 MAILING"ADDRESS, n � 5 -- i m� ", CITY ZIP warA I - 2 - . FA9111:1:1.1; M A- . . . . . . . . . . ........ ... r A PARCEL N6.' 1/3"t "n /- -, rN I)o 0 NEW I& RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE CARPORT RETAININGWALL 0 ROCKERY CrYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: I ;�.': , � T I", I "i"­. I IPS�Asj.%& psi PERMIT EXPIRES USE PERMIT N 7L, '0 ZO E fi?5— NUMBER JOB ADDRESS PL PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCIP Approved RW Pern'At Required et Use Permit R60 EXISTING PROPOSED Inspection Required SidewalkRequirsd REQUIRED DEDICATION FT Underground Wiring required 13 METER SIZE LINE SIZE I NO. 0 FIXTURES P V REQUIRED YESR[3 NO REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE (D ea05t>J (� DJUJ ENGINEERING REVIEWED BY DATE alc 101f0103 wommuninsom� FIRE REVIEWED BY DATE Lu cc M Ar— t7 VARIANCE OR cu SEPA REVIEW COMPLE rE EXEMPT EXP I %,,-- SHORELINE OR ADB# INSPECTION BOND REOD POSTED 10YEs MAO s .0-10 SIGN AREA HEIGHT ALLOWED , PROPOSED ALLOWED PROPOSED a 25 9 1 Aff- LUMBIN MECH COMPLIANCE OR USE 0 CHANGEOFUSE LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) FRONT SIDE REAR FRONT DE REAR 101 SIGN PARKING REQ`D PROVIDED LOT AREA PLANNING REVIEWED BY DATE . . 116 0 FENCE X FT) 7- REMARKS [3 OTHER I 0 FIRE SPRINKLER - FIRE ALARM UIUMI 66TS �1 NUMBER NUMBER OF CRITICA OF DWELLING AREAS STORIES UNITS LNUMBERd3 - 13-7 DESCRIBE WORK TO BE DONE 7 HEAT 8 RCE GLAZING % LOT SLOPE % �75 (a 0 1 12 - f z' "r IVESTED DATE THIS PERMIT AUT"ORIMES OMMY"R WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURDS. SIDEWALKS, DRIVEWAYS, MARQUEES, EFC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180DAYS PERMIT ILIMIM I YEAR - PROVIDED WORK IS STARTED WITHIN 100 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, EMPLOYEES. 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 HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION 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- 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 SPECIAL INSPECTION JAREA REQUIRED [3 YES REMARKS PROGRESS INSPECTIONS PER UBC VALUATION Description Plan Check Building Permit_ Plumbing Mechanical Grading Engr. Review Engr. Inspection OCCUPANT GROUP INSPECTION RECfD FEE Description State Surcharge City Surcharge- FEE Fire Review Plan Chk. Deposit Fire Inspection Receipt # ?'Vlel D Landscapeinsp. Total Amt. Due IqZ, �T Recording Fee Receipt # APPLICATION APPROVAL This application is not a permit until signed by the CALL Building Official or histher Deputy: and Res are pald, and F R INSPECTION1 receipt is acknowledged In space provided. t WORKMEN'S COMPENSATION INSURANCE AN 7. '9ACW-,1 Gfi 0 FI�NA IG&NA DATE 4 ..EIGNATURE (df&NER OR DATE $10 ED (425) Z' 771-0220 TE RE��&Sql) BIV f ATTOTION M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A UILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- YELLO� - IWSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 �RIGINA PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING z 0 0 M =i :-n ca 0 M C M 10 0 C: 5� C IT! M z 5� W 0 -n M� i MITI a ra 0 o Fn C8 C MO z X z 0) z 0 1 0 IT!