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20030962.pdfDATE RECEIVED PERMIT EXPIRES CITY OF EDMONDS U Z CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS j�lfv P,4,'Kvf,1'1-t MAILING ADDRESS / 57 "&-Alcl ce CITY ZIP TF�EPHONE 7 _0' NAME ell 1�lwllwl FIESS q T CITY ZIP ,k19'C 1-4 A�Q 9ejo 3 3 ITELEPHONE IVZJ_) 0 ob NAME CBL# OW/1 'el - cc ADDRESS CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. 5 0 0 q 3 6 5 -d o 0 - 1:1 NEW 0-_R�ESIDENTIAL 0EEDMECH Q"ADDITION COMMERCIAL COMPLIANCE OR 11 CHANGE OF USE g"REMODEL MULTIFAMILY 1:1 SIGN GRADING ED FENCE REPAIR 1:3 4W CYDS ( — X—FT) DEMOLISH TANK Ei OTHER GARAGE RETAINING WALL [3 FIRE SPRINKLER El F ALARM CARPORT ROCKERY RE (TYPE OF USE, BUSMIOR ACTIV" EXPLAIN: ME WA 2zudz' A j NUMBER OF Z_ NUMBER OF DWELLING CRITICAL AREAS 9 STORIES UNITS NUMBE OESCNE WORK TO BE DON J&17 4? howe a'el Ar rz:/ 370�j At�':51-5r- El rZ-- MISA- )Ct I f.A Ali Z=� SOURCE LOT SLOPE % etec.ib� I LAN CHEGK DIO rp m— *"�i VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO tz 2 BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMITAPPUCATION: ISO DAYS CL PERMIT UMM 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 CLJUMS 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 0, 5.1 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' 1 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 COJ?f OF THE STATE OF WASHINGTON RELATING TO WORKMEN-15 CO)�FIENSATN INWNCE AND RCW 18.27. SIGNATURE�V DATE SIGVD YNEf '01_� I�Lzo le SE PE ONE =�ER 1'91)03 OB SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF PER OFFICIAL STREET MAP 7ESCP Approved AW Permit Required Street Use Permit Req'd EXISTING — PROPOSED inspection Required Sidewelk Required REQUIRED DEDICATION FT Underground Wiring required METER SIZE LINE SIZE NO. OrURES PRV REQUIRED YES 13 NO z REMARKS z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE '411 .41 kivill 1IkA0j:r2A/kfj1I% "Va. REVIEWED BY DATE 4�-. . il I I 111jin j IRE REVIEWED BY DATE W VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REO'D I 13YES _VNO POSTED I S — BEIRA REVIEW SIGN AREA HEIGHT 'OMPLETE EXEMPT ALLOWED_, PROPOSED D PROPOSED ALLOWE, KP ac--, _P)q 1 I LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) 1LOWED PROPOSED FRONT SIDE REAR M J5_ FRONT UR SI E REAR I I I E51 z PARKING 1EQ'D PROVIDED 1-798 LOT AREA I PLANNING REVIELW DATE 2— 1 2— 1EMARKS ,H&CKED BY I TYP ION COM OCCUPAN 5 g�' I = 117 GRO V, 3PECIAL INSPECTION JAREA OCCUPANT REQUIRED 9YES 10 1 _Z --, F-- LOAD EMARKS IROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 67'.1 —_�— 4 A A ]A --, 1 4. j —. VALUATION Description FEE Description FEE Plan Check State Surcharge ZZ11z Building Permit City Surcharge '1151, Plumbing jjz? Mechanical Grading Engr. Review Engr. Inspection Fire Review PlanChk.Deposft Fire Inspection Receipt # Landscapel 39�_� Total Amt. Due Rec Fee Receipt # _Z&Fng APPLICATION APPROVAL CALL This application Is not a permit until signed by the B, Iding Official or his1hor Deputy: and Fees are paid. and FOR INSPECTION receipt Is acknowledged In apace provided. fA9 1425) DATE 771-0220 EASED BY q%TE �C&Pvk 6)Wd - OR�GINAL-FILE YELLOW -INSPECTOR PNK-OWNER GOLD -ASSESSOR GREEN - ACCOUNTING A-ffENTION �/ mma 1 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UN ak A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES V z . I —E6pENl:)s oil 0000 94 t5V. :VD 6A e 6 P ?A*t4ewv w D%571tm 400 6V Ul 0'?- -ro jtter u Nv&" I v e C2 C-4 cy) (Or- 0- O\o, IQL 'D i- 70 400 0. c; C4 0 z 1021 1 i .01 1!nm 00000,001, ..4 00.00, As -400.00, 95.46' N 89*47'1 6" W W� moo-, RltaEIVED W4r ow AOV 17 2003 Aw or ,.-'DEVELOPMENT SERVICES CTR. CITY OF EDMONDS APPROVED AS NOTED BY ENGINEERING Date: Nkq-k-Lno:z - a \0�pe�� em-4ap- z,g r scaoo67 5io,06� wa .5wp6 NIS - f -=� 6 v 7*0 ADD GUTTERSIDOWNSPOUTS AND �PLASHBLOCKS LOT 51 ZE: ldl5l 50LIARE FV /,o 6c- 7,7010 Hl=-leHT r-,ALC,. 4'- r,"Zz-,-gzz1l TOTAL 414.0 X 4 - 103.5 If 1JR, T 13V pt4 104 115.46' ..L04 lv".V*77/194� 1-16�16VOO 02510 :20 5(y 89*47'16 756 -100 0 /Z 715 1� F--1 11.2 9 17M f=LmAN 622 ALOHA k4A*,r Offl!'OENIMAL N O-TES CITY OWY v HeiAt Calculation/Grading Verification Worksheet Address: k Ov, V4- W Permit t-Oc'03 9 U Date: — �3 A 1) A. Datum Point: B. Datum Point Elevation: UQ C. Average Grade: C)3,!S 3. Maximum Elevation Allowed: (average grade) + 25' 4. Reference Point Elevation Shot to House: (datum elevation) +5-3 (grade to transit level line shot to house)= 6. Measurements from line shot onto house to roof ridge: 4,,-77 Total -03)sz (reference point elevation) 4-L 7. Actual Elevation: L _(measurements from #6) = I a 60 . ' :�-c)— Co clusion: iifeir-t less (allowed); therefore the house is/ .5 Z- _ (actual) is�gre than is not over the height requirement per ECDC 16.20.30 requirements LATEMABUILDINGWISCUieight CalculationGrading Verification Worksheet.doc F . INAL PROJECT APPROVAL FORM z 9 0 m :;:-n rn m 0 80 M M z 10--i c 3: r J) 0 -n n m M cl 0 0 M rj) M 0 Z .4 ;a _q x z -4 3: W z 9 0 m 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:tenip:bldg:fomisIO/OI "7-, The Initials MT are Milton Thompson, a temporary contract inspector for the City. C)DATE RECEIVED PERMIT EXPIRES Z Mr-PY-1 k 11 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS -2- 9 rx-( MAILING ADDRESS �?g z 5 CITY zi TELEPHONE 41;� P��OIdj nap?,& 7S�O-OZ7 NAME /# .,f/, ADDRESS 6o V 5T CITY Zip ' TELEPHONE ,klWt j 4 AIJ 9�033 1 NAME 11 ICBL# 191 ADDRESS CITY Zip I TELEPHONE STATE LICENSE NUMBER E� PROPERTY TAX 'ACCOUNT PARCEL NO. 10 0a - LI) NEW. E24ADDRION COMMERCIAL &YR EMODEL MULTIFAMILY GRAPINQ sREPAIR. CYDS 0: DEMOLISH, TANK GARAGE RETAINING WALL 0 CARPORT ROCKERY (TYPE�OF�Use. Busl OR ACTIV LAIN: 7 NUMBER OF- NUMBER OF DWELLING STORIESJ, MNITS .,DESCPAE WORK TO 6 -d I I ird Ar f .1 D, HEAT SOURCE GLAZING % PLAN CHECKNO: ol USE PERMIT ZONE �?1903 - oq6I NUMBER JOB SUITEIAPT# ADDRESS 141-1) 66^ e2% 22ea::1id AA41-4,esaaaa,. PLAT NAME/SUBDIVISION NO. - LOT NO. LID NO. / LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP ApPrOM RW Perrrill Required street use Pennit Raq`d EXISTING — PROPOSED Inspection Required REQUIRED DEDICATION Fr Sidewalk Required underground Whing required METER SIZE LINE SIZE PAV-RIEQUIRED �E SE31/ , NOA REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE C111 A 0fak-) IVAW-"M ffa:Rfi- 'Iz-) TI&JALI ffRGINEERING REVIEWED BY DATE a: lAfmna FIRE REVIEWED BY DATE VARIANCE OR CU —rORELINE ORADB# I 1[3y INSPECTION REQ'D ES �WNO _BOND POSTED Is IlTION DATE I CHECKED BY I SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED I EXP I 4 aq I I WEDMECH C MPLIANCE OR 0 CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED �� 01%0 T;� —L�A� REQUIRED SETBACKS (Fr.) FRONT SIDE REAR 1 . 0-zP—CLx0Vf- PROPOSED SETBACKS (Fr.) FRONT LIR SIPE REAR 1 PARKING RE0`D I PROVIDED 2.- 2- LOT AREA I PLANNING REVIEWED BY 1FDATE QD SIGN FENCE ( FT) REMARKS OTHER FIRE SPRINKLER FIREALARM 9 Z, , / .. - . C�CKED BY ;:,::-a ITY ON OCCUPAN�� GROUP a CRITICAL AREAS SPECIAL INSPECTION LAREA OCCUPANT IUMBER(,6!)-10 REOUIIEDDJYES r�AR)J-Z LOAD REMARKS R INSPECTIONS PER UBC 108/FINAL INSPECTION REaD A44 VALUAnON IR01, P I LE Description FEE Description FEE Plan Check State Surcharge LOT SLOPE % Building Permit /z 04 City Surcharge Plumbing M2 VESTED DATE Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 3 916 BE DOME ON PRIVATE PROPERTY ONILM ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES.. ETC . )WILL,REQUIRE SEPARATE PERMISSION. PERMITAPPLICATION: 1160DAYS PERMIT OMM I YEAR - PROVIDED WORK48 STARTED WITHIN 180 DAYS. SEE BACK OF PINK PERMIT FOR MORE INFORMATION Grading Engr. Review Engr. Inspection Fire Review I 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 Fire Inspection ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Landscapoins 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 Recordl g F�eeL NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' z 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 CO[)d OF THE STATE OF WASHINGTON RELATING To 3x CALL FOR INSPECTION WORKMENS COM ,XANCE AND RCW 18.27. ,,P1ENNkTPfl INS)) IA13 1,425 771-0220 SIGINATURE (6.41NEIYK, DATE SIGYD ArtFhTION EXT 133; Plan Chk. Deposit Receipt # Total Amt. Due Receint # APPMATION APPROVAL This application Is not a permit until signed by the ding Officitil or his/her Deputy: and Foes are paid, and receipt Is ackricrModged In space p(ovided. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE LIN A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES uAlpfloy � DATE I By WTE I 0 ORIGINAL -FILE YELLOW -INSPECTOR PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING t z 9 0 M M M 0 -10 0(- IT11 IT! z 0 .n 1711 M 0 0 0 ITI 0, z z 0 z 0 0 M