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PERMIT EXPIRES
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t 0 DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTIONON'THE PUBLIC
Grading
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, Efc) WILL REQUIRE
SEPARATE PERMISSION.
En9r. Review
PERMIT APPLICATION: IN DAYS
PERMIT LIMIT I YEAR - PROVIDED Won" IS STARTED WITHIN 1. DAYS
SEC SACK OF PINK PERMIT Fork MORE INFORMATION
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-APPLICANE ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
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IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOL HARMLESS THE CITY OF
OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Receipt #
EDMONDS, WASHINGTON. ITS
ALL CLAIMS FOR DAMAGES OF WHATEVER, NATURE. ARISING FIRICCHY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF 11118 PURMIT SHAI I Nor TIE
Total Amt. Due
0 MODIF WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Recording Fee
Receipt # .. I It",;
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OF; THE DULY AUTHORIZED AGENT OF
CONSTHUC�
ThIs ppfication Is rOt 8 B"
THE OWNER. I GREE TO COMPLY WITH CITY AND STATE LAWS REGULATING
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY,
IN VIOUT R CODE OF THE STATE OF WASHINGTON RELATING TO
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WORKMEN!SOWSAUTIOBNOINSUMNCE AND RCW $0 27.
OqFM DATE
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-RELEASED BY I IDATE
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
'Gill FILE - YELL -INSTiECTO
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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04/02 PRESS HARD -YOU ARE MAKING
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CITY, Copy
CITY CLERK
CITY OF EDMONDS
121 STH AVENUE NO.
WOMONDS, WA 98020 200312010385 1 PG
12-01-2003 12:37pm $19.00
SNOHOMISH COUNTY'. WASHINGTON
ACCESSORY DWELLING UNIT COVENANT
Property Address:
Edmonds, Washington
Assessor's Parcel Number:
Legal Description: =P�h L_,,L-X2j ,_ Bwe� r-->-en- LC7rZtA_QQS 1= r�p r--C COFE
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L the undersigned, have attained approval for an accessory dwelling unit (ADU) at the
property address above, in accordance with the provisions of Chapter 20.21 (Accessory
Dwelling Units) of the Edmonds Conummity Development Code.
I agree and understand that it is my responsibility to notify all future property owners or long-
term lessors of the existence of the ADU and that its existence is predicated upon the
occupancy of either the ADU or primary dwelling unit by the owner of the property.
Additionally, I will notify all prospective buyers of the limitations on use and maintenance of
the ADU as stipulated in Chapter 20.21 (Accessory Dwelling Units) of the Edmonds
Community Development Code. An example of the limitations of the ADU per Chapter
20.21 is the property owner is required to reside in the primary or accessory dwelling unit for
6 months out of every year.
Finally, this covenant shall be recorded in order to notify all current and future property
owners that if any conditions of the ADU approval are violated, the property owner will be
required to remove all improvements which were added to convert the primary dwelling unit
into an ADU and restore the site to a single-family dwelling unit.
Property Owner Signature: NAZ&C�,
PrintName: (tt �7_4-- t r.,2 t!,i
Property Owner Signature: 0�
Print Name:
Date: /0-/ 17-b3
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that -he
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
Notary�,--�Wffpp_ V` vust be smudged. Dated: 0-
`V,;% Signature of
Notary Public:
jo �,OTARk 110�
PUB00 Residing at:
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My Appointment
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
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APPROVED AS NOTED EF
BY EN EERING
DAkAjLOMj��-dk2--*---.2812 COLBY AVENUE, EVERETT, WA 98201 PHONE: (425) 258-6400 (206) 726-4119
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Nov. 6. 2006 9: 1 SAM Structural Design Associates �No. 2714 P. I
Structural Design Associates
Fi7xineering Struclures io Last
November 3, 2006
Area home Planners
2812 Colby Ave
Everett, WA 98201
Subfect. Mikkelsen Addition, 2 park place - Edmonds, WA 98026
SDA Rel. # 1753
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To Whom It May Concern:
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At the request of Sam, with Area Home Planners, this office reviewed the subject
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project comparing the I ?Y7 UBC loads to the 2003 IBC loads.
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The subject project was designed using the 1997 UBC for lateral foods. The 2003 IBC
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factor is 1.0, (a fairly level site away from hifts andescarpments). Sam assured me this
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site had a Krt of 1 0.
The building designed under the UBC has been designed with sufficient load to resist
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IBC loading, and is structurally adequate.
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Pie c ci this off ice with any questions regarding this letter.
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Chris vington, P.E.
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Height Calculation Worksheet
Date
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1/teinp/builditig/foniis/heiglit worksheet
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
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vyls
Footing ............
wall ..........
12
Pier/Porch ..............
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Stab Insulation ..........
PLUMBING:
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Rough -in ................
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HEATING:
Gas Test ....................
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Floor Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
171
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ...............