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20030973.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 6B IIIAMEINAM� OF BUSINESS r---, MAILING ADDRESS _2 q,_�.,)_ CITY ZIP EbmoAJOS 9,�r NAME ADDRESS TELEPHONE VC:6 --) ) 4 (—'IS& 0 T h v-cokse r) '-, /qve- Uj— CITY ZIP I TELEF NAME jo ADDRESS )c?;34/ jZj#,. cis STATE LICENSE NUMBER 6 q0 &:�,5 :7CBL # ,nl _10, ZIP I TELEPHONE 'ROPERTY TAX ACCOUNT PARCEL NO. T46 q 600 6 NEW 0 RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS 1:1 DEMOLISH 1:3 TANK GARAGE I RETAINING WALL 1:1 CARPORT ROCKERY (TYPE OF USE. BUSINESi OR A EXPLAIN: j ('e,_-A 'V7. NUMBER NUMBER OF OF DWELILING STORIES UNITS DESCRIBE WOBK TO BE DONE, USE ZONE I PERMIT EXPIRES PERMIT NUMBER--� JOB ADDRESS SUITE/APT# PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Perm equllod street us . eq'd EXISTING — PROPOSED ISm red REQUIRED DEDICATION FT .=n ', Ned R., it METER SIZE LINE SIZE NO. OF FI PRV REQUIRA -ZXTT ex NO REMARKS " 4'w OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTRO' IDRA��IE REVIEWED BY FIRE REVIEWED BY I (11 U1 —3;25f- 710 N DATE CHPCKED BY VARIANCE OR CU SHORELINEORADB# INSPI I'll I 13YEs SEPA REVIEW SIGN AREA COMPLETE EXEMPT ALLOWED PROPO 00 I V , 0 EXP PLUMBING MECH LOT COVERAGE REQUIRED ET (FT)A ALLOWED PROPOSED FRONW REAR T COMPLIANCE OR Z5 Z5 -7 CHANGE OF USE 4SETCKS SIGN PARKING RECVD PROVIDED LOT AREA NNIN I z oFENCE ( X FT) REMARKS 1%. U x OTHER — FIRE SPRINKLER F RE ALARM 7L BOND a z z ul 11 lz , PROPOSED rLO7W z A . zo I PROPOSED SETBACKS (FT) FRONT L/R SlDf REAR 0. I A2..�im %ZA, 4-1 gry- DATE r- -7/ '% 1,/Oq 1 I CHECJED BY PE F S CTIONK I CQDIE (;(7 OCCUPANI_ GROU�E,!�? CRITICAL AREAS ECIAL INSPECT] C' RE OCCUPANT NUMBE 7 U OU a E IRED [] YES E5 1-5r-LOAD 10e5 R I RKS PR RIESS INSPE S PER UBC 108/FINAL INSPECTION REQ'O X Ile"LCOOF (00-6-1 'Ax "?.. VALUA11ON !A -, x?. mks 1 4 f-1A 1�116 %,J%JO I Description FEE Description FEE Plan Check State Surcharge Lf So HEAT SOURCE GLAZING % L L SLOPE % V)C * !�c I S Building Permit 1 (4 City Surcharge PLAN C14ECK N& Ll iLal VE91111111111AUATE Plumbing fnq. � f 1-44 V Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLZ ANY CONSTRUCTION ON THE PUBLIC a Grading :3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: 180 DAYS 06 PERMIT UUM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE RACK OF PINK PERMIT FOR MORE INFORMATION *APPLICANT, 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 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Duo DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN A14Y WAY THE CITYS ABIL17Y TO ENFORCE ANY ORDINANCE PROVISION.* ee� Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION 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- 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 Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COWSWATION INSURANCE AND RCW 18.27. OFFICIALS SIGNATURE el D. REjWNEFr!) AGE DATE GNED i 1,44.25) ,?�?/T� z jlO� e 771-0220 DATE 4 Y_7 ATTENTION M 13:33 P'41 , 2h 19 a11491(9se IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL .�A 117A /f/J4494z I A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YEU_Cd- INSPICTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING . 4 . . z ITI M C_' rn 0 C IT11 0 C z 0 _11 M M 8 CA 0 C M 0 X z 0) z 0 i 0 171 m I Om a ro Lit c Z' DATE RECEIVED PERMIT EXPIRES CITY OF EDMONDS USE PERMIT ZONE NUMBER, - CONSTRUCTION PIERMIT APPLICATION JOB SUITE/APT# ADDRESS OW`7.� OF BUSINESSIF _ � r )47 or) C i" �j 1,4 _� 61 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. 15 MAILING ADDRESS LID FEE S 1-1 C) TESCP Alp-- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP W '. '.. CITY TELEPHONE street use Permit PAO EXISTING — PROPOSED inspection Required SIdevratkRaquired )/n Ei'mnoNoS f2z6p VP`- :2 I Underwound REQUIRED DEDICATION FT uIred NAME METER SIZE LINE SIZE NO. OF FIXTU PRV REQUIRED %e I I Loy-r� Thru1,)&3et, -07 YES ng 15 I-= z ADDRESS Xo_30o, &Vf 0 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE fv(?- w-givapp-0 ILt&Laus aj NAME ICRLN kif 7�'fi3( kc)OAt ij) 4� REVIEWED BY DATE Cc C ADDRESS ENGINEERING I Ea kx_;� UL 26� ez- Iq, ?I/ J�Q FIRE REVIEWED BY cia- ZIP TELEPHONE LICENSE NUMBER EXPIRATION DATE C,'IjE9KED BY 0771 VARIANCE OR CU SHORELINE OR ADN[3WjE0G D 0 D 0 WD I D�2VJ L 6�'Iyl L — @ 0 3W 0 I& SEPA REVIEW AIMN AREA ff HEIGHT PROPERTY TP ACCOUNT PARCEL NO. I APT AL EN PROPLW AL WED PROPOSED .1 EXEI M N2 C) co C) o V r ' zo , EXP NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE 4QUIRED MACKS PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED WONT E RE®R V ONT LIRSIDE REAR COMMERCIAL COMPLIANCE OR ADDITION 0 3 cS7. Z (6 Vi, Jk 47 15 1-1-7 ?�%t CHANGE OF USE REMODEL MULTIFAMILY SIGN PARKING I LOr A1�tkPLALqWQ.W%PED BY DATE REOD C6 ijovlee`7 liii 7/3 IZ? REPAIR GRADING FENCE X CYDS FT) REM KS DEMOLISH TANK OTHER _ _ _ GARAGE RETAININGWALL FIRE SPRINKLER 13 FIRE ALARM CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTIVIlp? EXPLAIN: a; ACTRLICTION Coix OCCUPAPfL, (- e -4-, ( A .0 11 f I ) A I - GROU!L:3 I NUMBER OF CRITICAL NUMBER Uff OF DWELLING AREAS 4 OCCUPANT ST RIES UNITS NUMBER& :Am REO D LOAD 1:1 YES DESCRIBE WOOK TO BE DONE �fe Lk Va, )V REMARKS JMCS r- _-- PROGRE INSPECTIONS PER UBC 108/FINAL INSPECTION REG 'D Alod-e 1'-)L&Ajr4 /000'\ 4�9it rt (yl at J -I/- , 'i "'Kt 0 % x VALUATION $ C' 000 DescriptIon FEE Description FEE Plan Check 5(,) 1!�50 State Surcharge Ll SU HEAT SOURCE GLAZING% LOT SLOPE % LOT SLOPE % n.ATE A Building Permit P cl -W City Surcharge D PLAN CHtCK N TED DATE al Plumbing -c�2a4 . 'NOTED TH THIS PERMIT AUTHORMS ONLY THE WORK - is PERMIT COVE36 WORK TO Mechanical BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURSS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) VALL REQUIRE SEPARATE PERMISSION. Engr. Review 15 POWITAPPUCATION. 180 DAYS PERMIT ILIMIT: I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS Engr. Inspection SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION "APPLICANT, 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 Receipt # 7- ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUA14CE OF THIS PERMIT SHALL HOT BE Landscapeinsp. Total Amt. Due 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." Recording Fee Receipt # I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORREM 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 Building Offlelal or his/her Deputy: and Fees we paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovdodged in space grovIded. WORKMERS COYPKATION INSURANCE AND RCW 18.27. 1A 10 OFFICIALS SIGNATURE 15/425�T/Ols " DAT 1 RE ER 0 AGENk) 3NED %42-5) f . I . I., A, -4, 771-0220 , -j BE B DATE !"e`eee ArMNTION EXT 1333 /" fllf IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL ILA I- A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIC31NAL-FILE - YELLO�-INSPiCTOR 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 9 0 ITI :; --fi