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20030945.pdfDATE RECEIVED�A CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS ____�[A L M oZ / C_ MAILING ADDRESS 0- 2 7,5 CITY ZIP TELEPHONE _9 LqaoZo Y2-,r- L NAME ADDRESS L) \/4. Poe- 7-4'�407- > <' �'v CITY ZIP EPHONE N A %!4el C �C6 =51 NAME -� CBI..N U AW ;P449MA16- j , -7 Cj 3/4<_ ADDRESS CITY ZIP TELEPHONE "4jeW9tV 1Z f- t*;--- ?8f.;L1 2 _(ZS I STATE. LICENSE NUMBER EX Y.O.N DATE I CILECKED NEW ESIDENTIAL PLUMBINGIMECH ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE REMODEL MULTIFAMILY 0 SIGN REPAIR GRADING CYDS o FENCE FT) t X FT) DEMOLISH )K1ANK [:] OTHER GARAGE CARPORT RETAININGWALL ROCKERY Ej FIRE SPRINKLER FIRE ALARM (TYPE OF USE, BYWESS OR ACTIVTM EXPLAIN: M NUMBER NUMBER OF CRITICAL OF IES DWELLING AREAS STOR UNITS NUMBER DESCRIBE WORK TO BE DONE 74/— ?90A4A1e-_ 0 7-tv, HEAT SOURCE GLAZING % LOT SLOPE % T PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 DOMAIN (CURBS, SIDEWALKS, ORMFEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. t: PERMIT APPLICATION: ISO DAYS PERMIT UMM I YEAR - PROVIDED WORK 15 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 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE !3 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 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 gODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S Af!�W AND RCW 18.27. 'eZOffENSATITr YR SIGNAT ,U WOW �Ili V02f DATE SIGNED A [PERMIT EXPIRES 6k 2z USE PERMIT _0 ZONE 0�w, NUMBER JOB ADDRESS2 26-j 2 SUITE/APT# V2 12 /> PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Street Use Permit Rsq'd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- FT UnderWound Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I YES13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING REVIEWED BY DATE 5 U FIRE REVIEWED BY DATE uj VARIANCE OR CU SHORELINEORADBN 17NSPE 'ON BON F a I= POSTED JOYES ONO 1 $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSIED LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR I z PARKING LOT AREA PLANNING REVIEWED BY DATE REO'D I PROVIDED 06 [REMARKS 1n'- F MARSHAt I CHECKED BY ITYPE OF CONSTRUCTION OCCUPANT 7 GROUP I/," SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [3 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ-0 ---.n �A fl _n - 4n,01 - . .-,I I - .47 �4 I Description FEE Description FEE Plan Check State Surcharge Building Permit city surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapoinsp. Total Amt. Due Recording Fee Receipt h CALL FOR INSPECTION 1A9 1�25) 771-0220 APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or histher Deputy: and Fees are paid, and receipt Is acknowledged in space provided. 0 NAT4E. DATE DATE ATTENTION Off 133 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 - 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 M M M 0 C M M 0 -n MITI a- 0 0) 0 Fn C 0, z z 0 4 0 M op v W4 0 1 �,24 1, T o pZ. a/ -13/f, -00a5- 10T (/c58.0,99(8?,yo) ,5/ 4 9 1 07 Covg?.A % .."k � � -apa sv� 1 'Ai -0 � RECEIVED DEC 0 12003 1pz C(9 wc- S� ER PERMIT COUNT LIS- Y- --.POP X I FINAL PROJECT APPROVAL TO: DATE: BUILDING DIVISION MEMO TO: PERMIT COORDINATOP FIRE DEPARTMENT- DATE FROM: SON 1R.WrITNEERING DIVISION DATE - FAILED FINAL INSPECTION - UUTSTANVINU 10OUDO to owner/contractor by inpector Copy of CORRECTION NOTICE given 2. 3. RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL Date Signature Lw�:bldglormsmcaprvl 3/25/04 z 0 m m ma 0 -40 0 c- d m 3: M m 10 Z ca 0 _n n m m 0 V5 or- 0 M C ch c ca M 0 z z co z 0 1 5 m I LAY L6^�� - AT E 46EIVE LPERMIT EXPIRES CITY OF EDMONDS USE PERMIT ZONE NUMBER 0&09-0 CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS 2b c9 C21 2 q2 LL OWNER NAMEINAME OF BUSINESS 4A I- It, Moe /C_ PLAT NAME/SUBDIViSION NO. LOT NO. LID NO. . MAILING ADDRESS LID FEE $ TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PenrAt Required Street Use Partnit Req'd CITY ZIP TELEPHONE EXISTING — PROPOSED inspection Required Sidewalk Required underwomw REQUIRED DEDICATION— FT Witing required 13 _iAME METER SIZE LINE SIZE T77OF FIXTURES PRV REQUIRED YES13 NO 13 z —70DRESS poe REMARKS AGE OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAIN e5i5i*M16_ &eA�tiVA)67 1A) CITY ZIP 'HONE .*F I- r, NAR)P_$ �," A I hA NAME 10— CBL.# _5U3UJE_"A1 ENGINEERING REVIEWED BY DATE ADDRESS I Izew FIRE REVIEWED BY DATE us CITY ZIP TELEPHONE —6.57,7 &5' f STATE LICENSE NUMBER EXPIRAYON DATE WIECKED Y VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND FIECI'D POSTED 113YES 6aaaf.10z,12 13NO PROPERTY TAX ACCOUNT PARCEL NO. SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED y y :� , 0 d2 C5) — C4 / — .. I . . , EXP Me NEW X-.PESIDENTIAL PLUMBINGIMECH 'LOT COVERAGII'&�% C SETBACKS (Fr) ALLOWED PROPO W LIR SIDE REAR t;4mi[m ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE - REMODEL MULTIFAMILY SIGN PARKING LOT AREA I PLANNING REVIEWED BY DATE REQ`D I PROVIDED C6 I GRADING FENCE REPAIR CVDS ( _ X_FT) Z; REMARKS FiRE MARSHAL —6 OTHER DEMOLISH ANK ^,v --MST BE PRESENT FOR RETAINING Wkw FIRE SPRINKLER [:]-GARAGE jj 04 I VI CAP iANK MEL, REMOVAt, CARPORT RgCKERY -.-FIREALARM OR-ACjW (ME OF JUIE� _[M EXP OF CONSTRUC CO 7 I GR UP ER F CRITICAL 0 MB 0 NUMBER NU W LI OF EL NG AREAS 41 1 SPECIAL INSPECTION JAREA OCCUPANT LOAD RIES 4=V UNITS NUMBER REQUIRED [] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION ?40 i,_ VALUAnON $ Descriptlo n F*e Des"Cril n Plan Check (R.4 eurcharge HEAT SOURCE GLAZING % LOT,?LOPE % S#char Building Pewmit city cge, PLAN CHECK NO: VESTED WE q — 4:;Zj 1�1"blng , -_ 44 THIS PERMff AUTHORIZES ONLY THE WORK N F 6 P IT CQVERS WORK 40'� Ii: BE DONE ON PRIVATE PROPERTY ONLI A' dON'CHEPUBLIC, �ra�'1994 -r /111--t 2 DO&IIAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.hljj!�L REdUIRIE r.. SEPARATE PERMISSION. 2 fngr�,116vlew 15 PERMIT APPLICATION: 180 DAYS 1016 PERMIT umm I YEAR - PROVIDED WORK IS STARTEID WITHIN IGO DAY,Sky 4;�, C Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 11 BEHALF OF HIS OR HER SPOUSE:.HEIRS, ASS IG";:SUCCESORS Fire Review 4 ian Chk Deposit ;AP AGREES TO INDEMNIFY, DEFEt40 AND HOLD HARMLESS,,THE CITY OF N =TGN 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 PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE' Insp. Landscape Tj dPAj6t. DU? DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY OREONANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - LtDut Recelp Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPUqATION 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- This application Is not a permit until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABO ODE OF THE STATE OF WASHINGTON RELATING TO Building Oftial or histher DoputY: and Fees we paild. and FOR INSPECTION receipt Is acknowitidged In space provided. WORKMENS ,AO AND RCW ,KENSATIO I oplqc NAT DATE siaNATMuow i o DATE IGNED IA05) rE 771-0220 A %D BY I DATE A17ENTION 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- INSP�C_roh CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 KING 5 COPIES GREEN - ACCOUNTING PRESS HARD -YOU ARE MA z 0 -1 0 M =i:fi 55 � OM a Rig 80 M M z 0 n _n M M a a5 0 0 Fn C MO Z� z z 9 0 M