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20030907.pdfI DATE RECEIVED [PERMIT EXPIRES U CITY OF EDMONDS z CONSTRUCTION PERMIT APPLICATION A OWNER NAMEINAME OF BUSINESS PAV#0 P. tjA-r6tj P`09'0ir I GIERG� MAILING ADDRESS / 0 a AV 61� 1460171 CITY ZIP OIYIQS WA. ?Y020 I TELEPHONE (Jz�- 72(4-�S-00 NAME f"zH All- On C- D6S), DRESS 1577 15-OL; 'SF. -�4J CITY ZIP TELEPHONE -79r-61233 NAME RCH CL) S _rtZ(A C, 7 CBL 0 03417 cc ADDRESS r 0. 12 ('-f I CITY zip go cl) TELEPHONE STATE LICENSE NUMBER EXPIRATION DAT 0(/- � Z C�UgCKED BY 1 ft) �/_ RCf1;ZC017_S7:f h 1 PROPERJY TAX ACCOUNT PARCEL NO. 006199603 o07 01 E NEW RESIDENTIAL PLUMBING/MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL 0 MUI.TIFAMILY SIGN 0 REPAIR 0 GRADING CYDS o FENCE X FT) 0 DEMOLISH TANK OTHER oGARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROOKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIV" EXPLAIN: NUMBER OF STORIES NUMBER OF DWELLING UNITS F CRITICA ARE S NU BE DESCRIBE WORK TO BE DONE , TO F 62 0,4 f 0 F (4-5 4K HEAT SOURCE kA GLAZING % N A LOT SLOPE % t4f PLAN CHECK NO: 7 tJ - VESTED DATE THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 3 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 160 DAYS 916 PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 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 0I M NOR LIMIT IN ANY WAY THE cnys ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- I HEREBY 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 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 WORKMENS CoM%NSATION INSURANCE AND RCW 18.27. DATE SIGNED '�W4NPG 7Z* I A)_ Z 9 _0 3 SE PERMIT ONE ;603 NUMBER OB DDRESS ;4ra�� SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APPrOv RW Wed Pennit RsqV Street Use Permit Req'd EXISTING - PROPOSED inspection Required 13 Sidewalk Required 13 REQUIRED DEDICATION- FT Underground I wiring reqiwod 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 113 I I YES 13 NO 13 z I I REMARKS Z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE BY DATE IRE REVIEWED BY DATE I -. M VARIANCE OR CU SHORELINEORADB# I INSPECTION I BOND 1REO'g( 13YE*JQNO 1$ __fOSTED SEPA REVIEW SIGN AREA HEIGHT 'OMPLETE EXEMPT ALLOWED P ROPOSED ALLOWED PROPOSED , (P LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) �LLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR r Z PARKING LOT AREA PLANNING REVIEWED, BY -DATE 11201*0 1 PROVIDED, IEMARKS :HECKED BY ITYPE OFf7 .WION C0199­ ULA; 'ANI Tj GROU ':P ;PECIALINSPECTION [AREA OCCUPANT IEQUIRED[3YES 'Z--6ejfi: LOAD EMARKS IROGRESS INSPECTIONS PER UBC 16WFINAL INSPECTION REO'D S ' ,b))1,o ` [_ Description I FEE Description FEE Plan Check qlf— State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review PlanChk.Deposh Fire Inspection Receipt # _421 Landscape Insp. Total Amt. Due Recording Fee Receipt # �2;3 MA LL F IN�PECTIO 14-35) %-Flr- 771-0220 APPLICATION APPROVAL This applicatIon Is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged in space provided. OFFICIALS SIGNATURE DATE W. <1 1.nC'-1V- nh-7119S. RELEASED BY ID E ATTENTION Off 1 33 &1 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 16 :A A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- IV 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 . . . . . . . . . . . ca io c- OT CoLrz" :,PPR OVED BY PLANNING -RECEIVIM, OCT 3 0' 2001 Ob/ cro X JL BUILDING DEPT.* V%Q>4 d d d 4 �g- d d RECORD OF INSPECTIONS 1 4 I I I I ;p P. 1, I I p .1 1 21'1 , I I . 1 4 INSPECTOR DATE APPROVED f I I d Sege L4�;*r 4 n d: SETBACKS, d 1. FOUNDATION: 4 L Footing 4 4. r Wall d z I. Pier/Porch d C) 'd Retaining Wall M d I d d I p I L d See d Slab Insulation d ogn "I 1 1. 1 9 1 4 t PLUMBING. I ?I P, 1. p 1, q. I )d 1 9 1, .1 JLP I , , X . I , . . 3 1 CUnderground *mesa @*assets d I M 1 1 11 '!1 1 d 1104 d p .'r IS Rougholn to Shop 01 d .1 , I I I r r 1 d k 4 1 d I . I L -4T I r I o 1p a mmercial Final d I do I p 9 1 1 1 1 11 p I I r r, r. I I k 0 1 k I I 1. .1. 1 1 4 I el I I p 'r 9 r I I I L -I. I I L 4 I :I I k 1 4 q I 1 4 9 r :'4 1 r I I 1 .1 1 41 1 1 1 4 1 1 d L 4 r I r I - I r k 10 H EATI N G d , p k I I 9 I d I L P I r k I 1 '4 1 1 1 r L k ': '4 d I I k I i 9 a a see @*of** does$ go& Gas Test Moslem Slow 4 d .p I� 4 1 k .4 4 1 d z t I I '$ ' 4 4 4 See 0 0 9 f 0 @ *Gas Piping I PL 4 p I I k f k L pp k L L I d Equipment� I d I k 't W r . I . . I . I I d d I k I d k I L Commercial Final d I I I . - r 9 k I 14 L I z d ..4 d . I . I . 9 . . I . I I I . . 1 9 1 1 ! , r 'r 4 d I k L .4 'L 4 p I k k EXTERIOR SHEATH 4 ING "L d L 9 I d, d WAILING 4 C Fn d r- I I I 'I, I I I I I I k. I I ic C �L L 'p 'I I k r r goose 4 1 r r I I I d I I I I I I j 1, 1 .1 1 I I I d 1, 1 L 1. 11 L L j _r L L L Lyo L I d L I I L; I . I I I I . I % 1 1 '9 1 1 k k FRAMING k 1 4 11 k I I 4 L, I k ..k I d FIRST'FLOOR FRAMING P I I 1 1 set I k I 1 4 1 k r I I d I . I I I . I P' L NSULATION k 0 owes @fog* 0 *4 1, r L p 1 9 1 d m qDATE RECOWEO CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NME OF BUSINESS PAviio P ilATctl P013,fiv 1 136RCj- MAILING ADDRESS 10 /3 4 CITY ZIP TELEPHONE am. 0 z S-0 NAME J= tWMr kjfj& D6116fl 5 ADDRESS f,O-UZ=t:M 1�77 1510g S77. 54%-) CITY ZIP TELEPHONE &) L Yti o 795--l-2 NAME CBL# 103417 DRESS CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DAT. C CKE�D B 01_ .0 Z 001.70 )25 Is PROPERTY TAX ACCOUNT PARCEL NO. j % 100619,4001, 007 0.1,--, Cff NEW RESIDENTIAL 0 PLUM13ING MECH COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE REMODEL MULTIFAMILY SIGN FENCE REP�IR GRADING, x FT) CYDS DEMOLISH TANK OTHER RETAININGWALL GARASE 0 FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM 9YPE OF USE, BUSINESS OR ACTIVIM IEXPLAIN: DECIC NUMBER NUMBERtOF CRITICA4 IZOO'/ W1 Tt I OF DWELLING UNIT& STORIES DESCRIBE WORK TO BE DONE Ago A 0-ECK To FieoN r 0 F 0 as iar 7 HEAT SOURCE GLA23NO % LOT SLOPE % AjA A tq esr PLAN CHEQK NO: VESTED DATE THIS PERMIT AUT14OREMS ONLY THE WORIO PERMIT COVERS WORK TO b BE DONE ON PkNATE PROPERTY ONi&j STRUCTION ON THE PUBLIC 2 .1019MAIN (CURB . S, SIDEWALKS, DRIVEWIA&GUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 160DAYS IL PERMIT ILIUM I YEAR - PROVIDED WORK IS 4TAIMO WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION OFt,93 PERMIT EXPIRES USE PERMIT ZONE 47 (" e -0q 0 7' NUMBER;003 JOB SUITEIAPT# ADDRESS 6-11 q �j-a&r PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE S TESCIR ApPrOved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PeffrAt Required street use Pernut Roqv EXISTING - PROPOSED Inspection Required Sidews* Required underground REQUIRED DEDICATION- FT Wring required METER SIZE LINE Slii�- OF FIXTURES REQUIRED I I YEps'IV3 No 13 REMARKS OWNERICONTRACTOR'RESPONSIBLE FOR EROSION CONTROL/DRAINAGE DATE FIRE REVIEWED BY DATE a z z 0 M VARIANCE OR CU SHORELINEORADB11 INSPECTION I BOND REQ'Q1 I I POSTED. 13YE9�&NO, 1$ - . =i 1% SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED I ALLOWE PROPOSED 0 - _.XP , . C M —1 LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBAC0 (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR 0 r ,;_k,S94 Do, --:kof &0 6b M By L 4DATE LOT AREA I PLANNING REVIEWED I L RECVD I PROVIDED . ,_� I I IV) . n CHECKED BY ITYPE OF CONSTRUCTION SPECIAL INSPECTION REQUIRED [] YES REMARKS INSPECTIONS PER UBC I Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review i . -aAAY 0 _T11 n OCCUPr ITIM GROU 7 OCCUPANT LOAD 0 Fn C ca M C) FFINALINSPECTIONREG'D PFEE Description FEE State Surcharge City Surcharge (V 0 ;A CANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SLICCESORS �PLJ P N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLDIHARIMILEss THe. CITY all Fire Review Plan Chk. Deposit EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEEe, ANdAGENITS FROM,'" AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY F61rispection, Receipt # 00, WIF 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 Landscape Insp. Total Amt. Due UTOA �_:o NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I 0 Recording Fee Receipt I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN 18 CORRECr, 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- //z C ALL ALL APPLICATION APPROVAL 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 18.27. INSPECTIO F INSPECTIO� BuOding Official or hitijbisr Deputy: and Fees are paid, and receipt Is acknowledged In opera provided. WORKMENS C"P SATION INSURANCE AND RCW OFFICIALS SIGNATURE DATE /7 7WVteC;rG a,— DATE SIGNED 91 fA _;I (425) Sr) oa�4_ 771-0220 RELEASED BY DYE ATTENTION EXT 1333 ///eA­­//` IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- (7 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 IT! j.