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20030875.pdfI DATE RECEIVED //, CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/bkWE.OF BUSINFs.q . 11 '-) r) __ r-x- 4V�- CITY ZIP TELEPHONE NAME DD A IR E S S CITY ZIP ITELEPHONE [PERMITEXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS Zr7"F ease PLAT NAME/SUBDIVISION NO. LOT NO. LID NO, LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP IESCII RW =. P.r: Street Use Peffnit Req'd EXISTING — PROPOSED Inspecilon Required Sidewalk Required REQUIRED DEDICATION— Fr Undergmund Wkirtgrequired 13 METER SIZE LINE _SIZE OF FIXTURES PRV REQUIRED' YESD NO 13 z3 15 REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE NAME P. LN CBLN -A ENGINEERING REVIEWED BY DATE ADDRES::::::::�� FIRE REVIEWED BY DATE CITY J ZIP ITELEPH PNE STATE LICENSE NUMBER EXPIRATION DATE VARIANCE OR CU SHORELINEORADB# INSPECTION IS BOND REO'D POSTED R6 Cac ewez� Ay z A 13YEs 13NO PROPERT ,tTAX CEL NO. 0/9 fW SEPA REVIEW COMPLETE I EXEMPT SIGN AREA HEIGHT ALLOWED. R ED ALLOWED PROPOSED . IN P; Pr 0% I EXP AD 6, A V. es% "I I NEW RESIDENTIAL PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSEf j RECAW-Siffi A S (Fr.)' �� Sprj TFJ�§. LIR SIDE ZT E lj� 'YFQ� 19 SETBACK&AR ADDITION COMPLIANCE OR COMMERCIAL CHANGE OF USE �4!, tad . ,rIS t-it t otpovAl OR CAP � REMODEL MULTIFAMILY SIGN PARKING ! DINbT REOID I PROVIDE XdW PLANNING REVIEWED BY DATE REPAIR GRADING FENCE CYDS 0 ( X_FT) REMARKS 0 DEMOLISH J2(TANK _ OTHER GARAGE -1 RETAININGWALL FIRE SPRINKLER 0 CARPORT ROCKERY F RE ALARM MXE,QF USE, BUSINESj(R MIVffY) EXPLAIN: CrI6 hilvi CHECKED BY TYPE OCCUPANT A& & 7S�S A16� TH GRO 3 UP /�? VIE., NUMBER OF I NI&BER OF DWELLING CRITICAL AREAS SPECIAL INSPECTION JAREA OCCUPANT STORIE _] UNITS NUMBER REQUIRED 0 YES LOAD DESCRIBE WORK TO BE DONE REMARKS 66 1W 0, �) q C PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REG-0 -/7 _494 rA P1 �Z ATION 76L — f U-C, $ ZMXV-99 &LgENML9 6r4A Do . scriptlon FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % VESTED DATE Building Permit Plumbing City Surcharge PLAN CHECK NO: Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO It: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC a Grading 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, E I TC.) W! LL REQU RE I- SEPARATE PERMISSION. Engr. Review PERMIT APPILICATION: ISODAYS PERMIT UMrr I YEAR! - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAK 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 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Z6 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 MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL 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 or his/her Deputy: and Foes are paid, and IN VIOLATION OF THE LABCIJ�LZODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S IMPE NRA�"D RCW 18.27. OFFICIAL:S 11 DATE S ER OR E DATE SIGYED (425) WSA a.a llllylr� 771-0220 .1 Wpm RELEASErB1r,- DAYIE L ATTERT-5-fi 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- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL -FILE - YELLOW -INSPECTOR PINK -OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING a , z 0 4 0 m :q:9 rn M 0 0 0 M Z jo 0 -n 0 0 0 rn C cl) 0 Z z z 9 0 m RE-INSpECTED OUTSTANDING ISSUES. - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:temp:bldg:formslo/oI 7 1 111!1�,(ti�,O;Ith"*,�,,�,�IvIpr��l-- Ir .. !' M, t q.DATE RECEIVED PERMITEXPIRES _2 USE PERMIT CITY OF EDMONDS ZONE NUMBER ION CONSTRUCTION PERMIT APPLICATION JOB 21 SUITEJAPT# ADDRESS��j I/ ;��A�lr OWNERNAMEWMF,O JSINESS i mFlv/ PLAT NAMEISUBDIVISION NO. LOT NO. I L�D NO. MAILIN ADDRESS L D FEE $ 7 -5- 75 Auf ale5110- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESCP Approved Rw PonTA Rairuff it Street use I'Offnit"Rail'd CITY ZIP [TELEPHONE EXISTING - PROPOSED inspection PAquired Sidewalk floquired REQUIRED DEDICATION- FT Underwound WMg required NAME METER SIZE LINE OF FIXTURES PRV REQUIRED YES 13 NO 13 AD -DRESS V//T REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY f I ZIP TELEPHONE Ak s s Val NAME�;�� A 't ENGINEERING REVVV III I lot= I 111111001FDATE ADDRESS F� I ax FIRE REVIEWED BY DATE CITY zip TELEPHSNE x. e017h I;& _'4xe 7 _F_?41 17 VARIANCE OR CU SHORELINECRAD1111 INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE CH REQ'D POSTED I 1$ clorc teaeir"'Rq '201zlo, 13YES 13NO SEPA REVIEW SIGN AREA HEIGHT PROPE AX ACCq PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED , , I EXP NEW RESIDENTIAL 0 PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT URSIDE REM COMMERCIAL COMPLIANCE OR 0 ADDITION 13 CHANGE OF USE 0. L JA z 0 REMODEL MUL11FAMILY SIGN PARKING LOT AREk_ 11dwy RECID PROVIDED IR ATE NTTOK GRADING o FENCE X 0 REPAJR CYDS FT) iali all REMARKS litmvv %oil 0 DEMOLISH J2( TANK OTHER [3 GARAGE RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (ME.PF USE BUSINES R ACIIVffY) EXPLAIN: �00 CHEC:00 BY TYPE= OCCUPANT e3 GROUP NUMBER NUMBER 43F CRITICAL OF DWELLING AREAS SPECIAL INSPECTION OCCUPANT STORIES UNITS MIER JAREA REQUIRED [3 YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER USC 1108/FINAL INSPECTION REQ'D I lvs-e 3 M!� de,,,vi /% A/ 1,6 7 - P' 144"Aah_eotl YAMATION lvk $ &WROMAIVE (V,4A Description FEE Description FEE Plan Check State Surcharge h HEAT SOURCE GLAZING % LOT SLOPE % Building Permit PLM CHECK NO: VESTED DATE Plumbing Mechanical THIS PEWIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUFES, ETC.) WILL REQUIRE. Gradin g SEPARATE PERMISSION. gngr. Review PE.Rmrr APPLICATION: lea cAvt PERMIT LINIM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. lnspq�tlon SErSACK OF PINK PERMIT FOR MORE INFORMATION City Surcharge -APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS " S6i6CE6ORS Fire Review I 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 CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PEnmrr, ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY C17Y OnDINANCE Landscapeinsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Receipt N Recording Fee 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL OWEN 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 IN VIOLATION OF THE LABgA4O E OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Olficial of histher Deputy: and Fees we paid, and receipt Is acknowledged in space provided. WORKMEN'S COM5PAU$1f-kN9V No RCW 18.27. OFFICIALSYRE TE StGNATQ"ff4ER Oil GE DATE SIGYED (425) ;W7 'a 1 771-0220 D E ArmNTM 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 z 0 11 0 M