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20030984.pdfI '-)IF6 At011er'--, DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS gCg4j&!&tg Z& / /_ C_ MAILING ADDRESS CITY ZIP TELEPHONE 4-se &Ov"o4 04 . q 7e).;j S vj'- 6f NAME ADDRESS CITY ZIP I TELEPHONE NAME e CBL N T& =-W 7ef ADDRESS z AIS 11ZFf A6 bITY ZIP TELEPHONE /'�'o 47=0 SW AM44 drx- I STATE LICENSE NUMBER EXPIRATION DATE %ft* IA elozzm PROPERTY TAX ACCOUNT PARCEL NO. 72-7- 7,o3 - q01 - NEW [:] RESIDENTIAL ADDITION )9�COMMERCIAL REMODEL MULTIFAMILY 0 REPAIR GRADING CYDS 1:1 DEMOLISH TANK [3 GARAGE CARPORT RETAININGWALL ROCKERY UWE OF USE, BUSINESS OR ACTPATY) EXPLAIN: to 9, 1: 1 C 6 NUMBER OF NUMBER OF DWELLING 1 STORIES —3 UNITS DESCRIBE WORK TO BE DONE HEAT SOURCE PLAN CHECK NO: COMPLIANCE OR CHANGE OF USE SIGN FENCE FT) OTHE FIRE SPRINKLER FIRE ALARM CRITICAL AREAS NUMBER OVI791�r 'OL(b C-OfL4 LOT SLOPE % VESTED DATE LPERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITEIAPTO ADDRESS JVJ,� t �/W )bn __ 3N PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TI.CP,.AP-- RW P. Street Use Permit R*q'd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT., Underground Witino required 13 METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED 7. YES13 NO z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE W VARIANCE OR CU SHORELINE OR ADB11 INSPECTION BOND REO'D I POSTED 13YEs 13NO SEPA REVIEW SIGN ARET HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED :XP , , I LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR PARKING REQ'D I PROVIDED LOT AREA I PLANNING REVIEWED BY DATE CHECKED BY TYP 0 CONSTRUCTION I CODE OCCUPANT I t GROUP -Es -7 SPECIAL INSPECTION JXREA OCCUPANT LOAD REQUIRED — YES REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'D M k'� 1Z . , L- - - r_— , . . , I �;Z— A - , — I $ oljo .001-- 11 i Description I 1 FEE Description FEE Plan Check 4/06� State Surcharge 44 Building Permit City Surcharge 1,6_0 Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading 2 :3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: 180DAYS 06 PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit '77-7 iLp IN INTEREST. AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF P 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY fQ f&jt FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due 91 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 2 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 GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION A I --nTE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This applicaUon Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid, and 14cfa PROVAL IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPENW909WURANCE AND RCW 18.27. -.--% C SIGN DATE SIGNAT7P DATE BONED (425) _I%g . Ill I I til 24 0 771-0220 LEA ED BY 4 AT9 779NTION 7 M 1333 ( 'TSA /) I J A IT IS UNLAWFUL TO U OR OCCUPY A BUILDING OR STRUCTURE UNTIL 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 ORIGINAL - FILE YELLOW - INSPECTO PINK - OWNER GOLD - ASSESSOR S GREEN - ACCOUNTING M 11f z 0 4 0 M 'A:% M M N W f- :2 x M M 0 _n ITI M Fn 0 z 0 q 0 m =iii am a MO 0 -.40 0 C —4 r. X M M Z co) 0 -n n � -4 2 ic m M 0 0 0 M C M 0 Z .1 z z 9 0 m 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:temp:bldg:fonnslO/,OI Op A .7777 Underground ............. V flner5 RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMENME OF BUSINESS MAILING ADDRESS "fw CITY TELEPHON ZIP NAME I: ADDRESS CITY NAME 191. ADDRESS ZIP ITELEPHONE gzloy TIE q7=0 X Zip STATE LICENSE NUMBER EXPIRATION DATE rA elozzm W111,96 PROPE ACCOUNT PARCEL NO. Z-?2-7-,7 o3 - 1`01 - 1:3 NEW RESIDENTIAL E] --ADDITION_ MMERCIAL �<Co REMODEL muLnFAmitY REPAIR GRADING CYDS �[3 DEMOLISH TANK GARAGE [3 RETAININGWALL CARPORT ROCKE (TYP -OF USF, BUSINESS OR ACTIVITY) EXPLAIN: E ::NUMBER I NUMBER OF OF, - OWELL1140 STORIES UNITS DESCRIBE WORK TO BE DONE CSL # 70f .100(o PERMIT EXPIRES ILA A USE PERMIT ZONE NUMBER;�03_0�81 JOB SUFTE/APT# ADDRESS _ �w bn PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appr RW red P644 R= Street Use Permit R*q d EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT UnderWound Wiring required 13 METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED YES 13 NO 9( z q REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE BY DATE FIRE REVIEWED BY DATE IEL 0? VARIANCE OR CU SHORELINE OR ADB# I INSPECTION BOND CH REQ'D POSTED A BEIRA REVIEW SIGN AREA OyEs 13NO S HEIGHT 11 COMPI ETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPO V1QWMW%'A*CH COMPLIANCE OR 13 CHANGE OF USE SIGN FENCE ( — FT) OTHEFIr FIRE SPRINKLER FIRE ALARM CRITICAL AREAS NUMBER ov, 7F!r LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SET13ACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR PARKING LOTAREA PLANNING REVIEWED BY., ;ATE REO'D I PROVIDED IL REMARKSL CHECKEDBY NIV*OfCONSTRUCT!ON_ jCO OCCUPANT lli Z-7 GROUP '1--P SPECIAL INSPECTION JAREA I UU1JUVANAl REQUIRED [] LOAD YES Fri REMARKS PROGRESS INSPECTIONS PER UBC 1108/171NAL It -TInm ar�'n� 'A'—, _— — M —4-. /1 1-- — r-:?—.. ., )�Z_A ,I it mi 1�4f $#Vlt�f I /el&k VALUATION s 9,a0qq 7 Description FEE Description FEE Plan Check 140 State Surcharge HEAT SOURC�� 13LA71NG % LOT SLOPE % Building Permit q7(p77 City Surcharge —woo PLAN CHECK NO: VESTED DATE 1 Plumbing Mechanical V�w 'Z� THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Grading t: 2 13E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 3 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) W1LL REQUIRE Engr. Review t= SEPARATE PERMISSION. 2 PERMITAPPLICATION: 180DAYS IUMM I YEAR - PROVIDED WORK 18 STARTED WITHIN 160 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION Filre. ,_Reviev�,,. epos Plan Chk. D It =;p 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCC EiORS.. IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE.. Cl. T OF DS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM.ANY AND Fire Inspection f'"N :;� ' 11�1 % )IL-) Receipt # f 02 -19 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 Landscapeinsp. Total Amt. Due Z--/) d Recording Fee Receipt # &��17 eL NOR LIMIT IN ANY WAY THE CITVS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- . I HERE13Y 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 OWN ER. 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 IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided,. WORKMENS COMPENSAIqWII�ItURANCE AND RCW 18.27. C IGN DATE 1A0 11425) el S191 NATUIii �N DATE SIPNED L) f, �17 0 771-022 -Rr ;LEASED BY P� r_ L 011111C." - IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A _$ FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- bATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 ORIGINAL - FILE YELLOW-INSPECTORI PINK - OWNER GOLD - ASSESSOR ES GREEN - ACCOUNTING z 0 1 0 M =Vfl 7W j! OM C Ma 0 __110 0 C: E� x M M z 0-4 a —Z 0 -n n 3.5 -1 C ITIM 0 V5 0 0 Fn C 0) z 01) M 0 z co z M