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20030946.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATIO14 OV�NgR NAME/NAME OF BUSINESS f� 4 1/1 1 ) H 11'j MAILING ADDRE0/ Ili-76-2_ P/ CITY I TELEPHONE �dmmdS q zip . cj��7 7q04 NAME ADDRESS CITY ZIP ITELEPHONE I , � I i T'D'ATH '2W- cc ADDRESS a6y o '—rh" Acl Le F MTV a - . ZIP I TELEPHONE LPERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ADDRESS 1q702 26)14 pl SUITEJAPT# PLAT NAMEISUBDIVISION NO. LOT NO. ID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ION '-ad RW Pa'ZIR'.k. S.1 Use Permit FIWd EXISTING — PROPOSED Inspection Requ;md Sidewalk Required 0. REQUIRED DEDICATION— FT UndorWound Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES C3 NO (3 z REMARKS z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ed on fuel -burning jappliancia in 1111h _[ENGI IRINPLE ;BL # eated spaces. UIAC 815.1.7 10-7 C STATE LICENSE NUMBER J­ P . EXPIVIATIO' Ul"t — QL2J6� GEBY wMaIL'i I lel D16 _U PROPERTY TAX6COUNETIARCEL NO- 5-00 NEW �CAESIDENTIAIL PLUMBING if MECH Or ADDITION COMPLIANCE OR 0 COMMERCIAL CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR FENCE GRADING CYDS t —_ X FT) 0 DEMOLISH OTHER TANK GARAGE CARPORT [3 RETAININGWALL FIRS SPRINKLER ROCKERY FIRE ALARM OWE OF USE. BUSINES ITY) EXPLAIN: NUMBER OF NUMBER OF DWELLING I CRITICAL AREAS I STORIES NUMBER DESCRIBE WORK TO BE DONE 17..kt � _ _ ,; � /N--4.n jk V k I AM Pffffij = HMO J�GLAZING % L SLOPE % FCA—N CIIIIECK NO: VESTED DATE THIS PERMIT AUTHORIMS ONLV THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONILf. ANV CONSTRUCTION ON THE PU13LIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATION: 160DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STAFITED 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 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." I HEREUY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGE14T OF IHE 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 WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. SIGN GE 0 MATE S N ED 7c�z, wr WN 10 5t 'I, M FIRE REVIEWED BY DATE W SHORELINEORADBN VARIANCEOR CU INSPECTION BOND RFO'D I POSTED nsion as Xks". TPRMSED SMACKS (FT) LOT FRONT LJ E REAR kLL.OWE Wi 9 FIT PARKING LOT AREA PLANNING REVIEWED BY DATE RECYD I PROVIDED I I CHECKED By I TYPE Pj Ifl_ 6j6u,p rAREA CUPANT L—INSPECTION Cc SPECIA LOAD REQUIRED n YES REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION FIE-Vu $ Description FEE Description FEE Plan Check State Surcharge Je Building Permit City Surcharge Plumbing ftu j Mechanical ] Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due tRecelpt # Recording Fee 1p APPLICATION APPROVAL This application is not a permit until signed by the CALL Building omcial or histher Deputy: and Fees are paid, and R INSPECTION receipt Is acknowledged in space provided. (425) FIC ALS SIGNATyREr% DqE — lAilsh 771-02 LEASED BY DATW —1 LL A—, m&d I 33 ATTEFiTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNT 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 RECORD OF INSPECTIONS L I RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OVM�N5" OF BUSINESS "JOHMSM MAILING ADDRESV 1cf7t,Z 2)6t") P1 CITY '�am NAME ADDRESS CITY ZIP ITELEPHONE 7q NAME CBL# WATH 'Fn��-fLl ,�ejv 1/0-7c) ADDRESS C'> CITY ZIP TELEPHONE CS/"'!� kr��4_p ke 1_7 STATE LICENSE NUMBER EXPIPAPOP DATE E ED BY IA PROPERTY TAXecrouqARCEL NEW ;Ii—FIESIDENTIAL PLUMBING/MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE Il REMODEL 0 MULTIFAMILY 0 SIGN E GRADING F NCE X FI) REPAIR CYDS [T DEMOLISH TANK 0 OTHER c30ARAGE RETAINING WALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM "E OF USE, BUSINES CTIVITY) EXPLAIN: NUMBER UMBER OF CRITICAL N OF DWELLING AREAS STORIES NITS NUMBER DESCRIBE WORK TO BE DONE me "Nj I OOL&+-e) %=Jh b.4y-ekwtt V ell IL.� H= GLAZING LOT SLOPE % PLAN CAECK NO: VESTED DATE THIS PERMIT JWTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU13LJC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 188DAYS ILI PERMIT LIUM 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 ISSUIkNCE 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 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 HE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEffS COMPENSATION INSURANCE AND RCYV 18.27. PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB UrrF-/An# ADDRESS 1q702_ 236 X4 jal s PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TIESCP Appnrlod AW Parritit Required Street Use Permit RWd EXISTING — PROPOSED Inspecdon Required Sidewalk Required REQUIRED DEDICATION— FT Underground I Wmg required 13 METER SIZE LINE SIZE NO. OF FIXTURES F REQUIRED 1 I 13 1 YEPsRIV3 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE re,g-ulredonfuel-burningsippllincesis unbeated spacm UMC 815-1.7 TN_GINE Rii R 5!22088 of whether the.w8ter 809M I FIRE RE�Vl open or cmeu, expolunwill Mal RATIF %P :V, re i quW on d hot water tR PW VARIANCEI)UW %;Q9fkO8WM*ft0-_aftVE190Tf0N I HD - ---F — JOYEs 13NO IS SEPA REVIEW SIGN AREA HEIGHT. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR BY PARKING LOT AREA RECI'D I PROVIDED I PLANNING REVIEWED DATE 06 or CHECKED BY ITYP I E qMt SPECIAL INSPECTION JAREA INSPECTIONS PER UBC 1106/FINAL VALUATION $1.01780 -..* L Description FEE Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection NO 1.0 GROUP OCCUPANT LOAD Description State Surcharge City Surcharge FEE Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapainsp. Total Amt. Due Recording Fee Receipt # UOL APPLICATION APPROVAL CALL This application Is not a permit until signed by the f6X Building Official or his/her Deputy: and Fees are paid, and R INSPECTION receipt Is acknowledged In space provided. F JkL6 SIGNATNR K;L BIG (OWN DATE 8 ED 40NA 1%4- 3 771 -01 LEASED BY A rMNTION "ItEWTION 33 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE LINT ;;p A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CE ' RTIFI- 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 0 z M "49 0) � 0 M C -1 In 0 C 5� z fil 10 z 31 465 0 In 3� z M n1 0) rn C C 9: M z 0 q 0 IT!