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20030975.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS -7-71Q ZC,(,f'1 S-�,<,( CITY q, ZIP TELEPHONE _LJ NAME ADDRESS CITY ZIP I TELEPHONE NAME ADDRESS P 114'.�31) 1�)rrrrl Ave- /V- C,TY51PA I P (7911si TELEPHONE �,6 E LICENSE NUMBER EXPIRATION DATE Al'q q-l-p5 ;ROPERTY TAX ACCOUNT PARCEL NO. 7 n 14 1 q ly-, t-),:ZM NEW RESIDENTIAL PLUMBIN ADDITION COMMERCIAL Ei COMPIL CHANGE REMODEL MULTIFAMILY SIGN REPAIR GRADING FENCE CYDS DEMOLISH TANK OTHER GARAGE o RETAJNINGWALL FRESP CARPORT ROCKERY FIRE AU (TYPE OF USE, BUSINESS OR ACTIVITY) amt— NUMBER NUMBWO—F — CRITICAL OF DWELLING A TAREAS ST RIES UNITS UMB NUMBER DESCRIBE WORK To BE DONE If_Vt1.S-1-1A14 CBL # I ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE I VARIANCE OR CU SHORELINE OR ADB11 I INSPECTION I BON13 REO'D POSTED 13YEs 13NO S SEPA REVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED I PROPOSED ALLOWED I PROPOSED. EXP G / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS ( ) 1ANCE OR ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR OF USE I I I PARKING LOT AREA PLANNING REVIEWED BY DATE X FT) REMARKS RINKLER M 11 AJi 79 Alea) ;nIAtze f /4, ,L14;,� C ct, Ith ew 14C'4-1-1nV &AI ww.;�r HEAT SOURCE GLAZING % I I LOT SLOPE % PLAN CHECK NO: I VESTED DATE — b� J [PERMIYEXPIRES WhI IN USE PERMIT ZONE NUMBER !2b6-5-/)q JOB SUITTEJ/# ADDRESS 0 at:3�' LOT NO. LID NO. PLAT NAME/SUBDIVISION NO. LID FEE $ TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pennit Requited street use Penn" Req EXISTING - PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- FT Undetwound Witing required METER SIZE LINE SIZ�7. OF FIXTURES PRV REQUIRED I YES 13 NO C3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATION: ISO DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAUL 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 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 WORKMEN'S gWPENSATION INSURANCE AND ACW 18.27. 7 SIG;NA�T DATE SIGNED �)3 CHECKED BY I TYPE OF SPECIAL INSPE 0 CTIS 7NA REQUIRED [] YES Description Plan Check Building P ermit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp- CALL FOR INSPEI 1425) %-Vol 771-OZ GROUP F, OCCUPANT LOAD 2 PER UBC 110111MINAL INSPECTION REO'D FEE DescriptIon State Surcharge City Surcharge FEE Plan Chk. Deposit Receipt # Total Amt. Due 44 _z Receipt N 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 acknovdodged In space provided. -IVSIGNATU I ALS S111 DATt 0 t 1 11,4& AVENTION _t/ EXTA333 ("T IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 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 FIRE REVIEWED BY DATE I VARIANCE OR CU SHORELINE OR ADB11 I INSPECTION I BON13 REO'D POSTED 13YEs 13NO S SEPA REVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED I PROPOSED ALLOWED I PROPOSED. EXP G / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS ( ) 1ANCE OR ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR OF USE I I I PARKING LOT AREA PLANNING REVIEWED BY DATE X FT) REMARKS RINKLER M 11 AJi 79 Alea) ;nIAtze f /4, ,L14;,� C ct, Ith ew 14C'4-1-1nV &AI ww.;�r HEAT SOURCE GLAZING % I I LOT SLOPE % PLAN CHECK NO: I VESTED DATE — b� J [PERMIYEXPIRES WhI IN USE PERMIT ZONE NUMBER !2b6-5-/)q JOB SUITTEJ/# ADDRESS 0 at:3�' LOT NO. LID NO. PLAT NAME/SUBDIVISION NO. LID FEE $ TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pennit Requited street use Penn" Req EXISTING - PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- FT Undetwound Witing required METER SIZE LINE SIZ�7. OF FIXTURES PRV REQUIRED I YES 13 NO C3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATION: ISO DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAUL 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 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 WORKMEN'S gWPENSATION INSURANCE AND ACW 18.27. 7 SIG;NA�T DATE SIGNED �)3 CHECKED BY I TYPE OF SPECIAL INSPE 0 CTIS 7NA REQUIRED [] YES Description Plan Check Building P ermit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp- CALL FOR INSPEI 1425) %-Vol 771-OZ GROUP F, OCCUPANT LOAD 2 PER UBC 110111MINAL INSPECTION REO'D FEE DescriptIon State Surcharge City Surcharge FEE Plan Chk. Deposit Receipt # Total Amt. Due 44 _z Receipt N 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 acknovdodged In space provided. -IVSIGNATU I ALS S111 DATt 0 t 1 11,4& AVENTION _t/ EXTA333 ("T IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 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 w 'DATE RECEIVED PERMIT EXPIRES -C Ust PERMIT CITY OF EDMONDS ZONE NUMBER JOB CONSTPUCTION PERMIT APPLICATION ADDRESS -710 oRtl)-M FOWNER NAMEINAME OF BUSINESS Ij 1 0 -1- _ j I PLAT NAMEISUBDIVISION NO. LID NO. MAILING ADDRESS -7 -7 S+ Y CIT f;e4 TELEPHONE Z'P/� NAME . 0t=I ADDRESS CITY ZIP NAME ICBL#-, Nor'-Or_a ADDRESS iga3o Awe- CITY�A , TELEPHONE 12 66�_';6 'k STATE LICENSE NUMBER 01 17,Al, 1=11 PROPERTY TAX ACCOUNT PARCEL NO. rl NEW RESIDENTIAL rl ADDITION COMMERCIAL 1:1 REMODEL 0 MULTIFAMILY REPAIR GRADING CYOS 0 DEMOLISH TANK :-GARAGE ICARPORT o RE7AININGWALL ROCKERY (TYPE OF USE, BUSINESS OR ACTIV" EXPLAIN: NUMBER NUMBER OF OF STORIES DWELLING UNITS DESCRIBE WORK TO BE DONE to D q_1_.p5­ L V 19 PLUMBING / MECH COMPLIANCE OR 1:1 CHANGE OF USE 0 SIGN o FENCE FT) OTHER FIRE SPRINKLER FIRE ALARM LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW PenrJt Required Street Use Peffnh RKd EXISTING - PROPOSED Inspoction Required SW&wo* Required 13 REQUIRED DEDICATION- FT Underground Wifing required METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED YES13 NO 13 REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE I REVIEWED BY DATE FIRE REVIEWED BY DATE I" cc M A31 VARIANCE OR CU SHORELINEORADSM INSPECTION BOND REQ'D I POSTED 13YEs 13NO s SEPA REVIEW SIGN AREA . HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED * ALLOWED PROPOSED EXP , , , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR PARKING REYMP By DATE REQ`D PROVIDED CTi;n REMARKS �1_9_ I A 'j, CHECKED BY ITYPE OF M�� I CODE - UL;UUIPAJ:�� CRITICAL - GROU� I --� _.p AREAS SPECIAL INSPECTION AREA OCCUPANT NUMBER REQUIRED L OAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD Y '49- �UIV 1,1&d S,0/4//Ct� AJI Ivea.,, HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: VESTED DATE THiS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRWATE PROPEFIITY ONLX ANY CONSTRUCTION ON THE PUBLIC M DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC,) WILL REQUIRE S!!AQATE PERMISSION. I: a Q PERMIT APP Viib, ' 4dokts N: PERMIT LJMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAtg 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 $HALL 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 BE EMPLOYED IN VIOLATION OF THE LABOFLCODE OF THE STATE OF WASHINGTON RELATING WORKMEN'S'900 PENSATI _ SURVANCE AND RCW 18.27. GIG R E DATE SIGNED VALUATION $ Description FEE Description FEE Plan Check State Surcharge Building Permit _20 City Surcharge Plumbing Mechanical Grading Review Engr. Inspection Fire Review Plan Chk- Fire Inspection Receipt # Land scapalnsp. Total Amt. Due I Recordll�!g5m___ Receipt # C CALL FOR INSPECT13 111125) 771-0 APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or tJsftwr Deputy; and Fees are paid, and receipt 13 acknoydodged in space provided. OFFI ALS SIG TU�R�E DAT RE1kAhtD­BY IT IS UNLAWFUL TO USE OR OCCU�y A BUILDING OR STRUCTURE UNTIL --------- A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF jDCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES ORIGINAL -FILE YELLOW- INSPECTOR PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING