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20031008.pdfDATE RECEIVED ji CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME SINESS Fxe� A C +1 o V MAILING ADDRESS RbOb 21(�� -1411 7!�T. 5to CITY ZIP TELEPH E 672 16B�) NAME ADDRESS CITY ZIP I TELEPHONE NAME - HEIZ-71LAM> 1101 ADDRESS C zip TELEPHONE 'tff- �YA AA STATE LICENSE NUMBER EXPIRATION DATE I CPOW BY JdfVnE L (2�;?9 K47 14ki loq I PROPERTY TAX ACCOUNT PARCEL NO. 1:1 NEW RESIDENTIAL 0 PLUMBING / MECH A"d ADDITION pq COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE 13 REMODEL MULTIFAMILY 1:1 SIGN REPAIR GRADING [3 FENCE I CYDS FT) DEMOLISH TANK OTHER GARAGE L_J o RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM OWE OF USE, BUSINESS OR ACTIV" EXPLAIN: 0 NUMBER NUMBER OF CRITICAL a OF D ELLING AREAS STORIES UWNITS NUMBER f_&71-Wd DESCRIBE WORK TO BE DONE I HEAT SOURCE GLAZING % LOT SLOPE % MDN4---- I PLAN CHECK NO: 0 --,3 -2&4L VESTED DATE THIS PERMIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT UMIr 1 YEAR- PROVIDED WORK IS STARTED WITHIN ISODAYS 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 CITTS ABILrrY 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 TO WORKMEN'S COMPENSAT!RF#JURANSR AND RCVV 18.27. E GN9D DATE SI w7j, 17A5103 L�� I 111PERMIT EXPIRES Wl,--,Vl a. USE PERMIT ZONE �003- / 009 NUMBER JOB SUITE/APT# ADDRESS q0) g, PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required EXISTING - PROPOSED Street Use Penn" Roq'd inspection Required 0 Sidinvalk Requ Wed 13 REQUIRED DEDICATION- FT Underground Wiring required CI METER SIZE_,- ___UNg_rj-- FRV RE15UIRED YES 13 NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE REVIEWED BY DATE FIRE REVIEWED BY DATE 1 101 VARIANCE OR CU SHORELINEORADBN I INSPECTION BOND REQ'D POSTED 113YEs _7%0 1$ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED __XP I 1< I at>, >_ at-1 - P,�d , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT U S REAR 2 3Z5P 15' -1. !� I 1�0 I a 1 51 (8 9 �� 1 z PARKING LOT AREA� I N G R EMVInl 0 BY 46AT REO`D I PROVIDED CVr I =NN q,,,j- ,.. it REMARKS 0 CHECKED BY ITYPE OF CQNST-RUCTION COIJE . GROUP NT ;� - M1 r_�_ SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD. 0— 11 - - �11 V - . /7 /1 - .- I . /7 .. A VALUATI N $ / �01 Description FEE Description FEE Plan Check State Surcharge zI 4op INS& - Building Permit City Surcharge Plumbing All 5 Z�_ Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapeinsp. Total Amt. Due L Z/,#/, !�o Recording Fee Receipt # s2 �2n CALL FOR INSPECTION (425) 771-0220 EXT 1333 ( 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 acknowledged In space provided. OFFICIALS SIGNATURE DATE E! S By 0 ,IIF,7 1)1141 1 A -.12, L IT IS UNLAWFUL TO USE 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 COPIES OR�GINAL - FILE -. YELLOW - INSPECTC P NK - OWNER GOLD -ASSESSOR GREEN - ACCOUNTING z 0 4 0 rr. p"t" fol TWIpt'lp"! %I. III .-pp pp P, IVPP 7' 7", 'y ll'soloo ".lpt III pop q. ,owg ollp ot, p. A`f`.PJ%px-V mwrq Fpp�'I!r ON�; '.1 T PI-p-pp, tqt�i 'It it 0 I 4 1 r tp ppolm", Implo, poptp, It It 1 4 It upooggazaRECTIONS k' I. pp INSPECTOR DATE APPROVED S I IrSETBACK FOUNDATION: 1 4 d, I I It I. Footingto 1 9 a It a 0 a a 0 0 of I mqm** Pogo Wall made, 0, pp; VV go Pier/Porch I I r r 1 4 Retaining Wall I III. I. 0;pp Idi:lp Slab Insulation I I I - I I I I . I I I 1 0 m I 1 4 1 1 1 4 1 I P I I '4 1 1 1 m PLUMBING I. I,' I P6 g. Underground 1 4 1 1 4. . I M m ougholn Pogo @*&pbsees as sea P JD 22, l' I I lal Final C omrnerc ..' I I z I'll. I It I I. I I pp rt", ;r HEATING I p.' I Ca t Gas Test an + + 4 1. I p I "p,p I- I 1 4 1 1 ;'1 1 1 1 1+ 1 1 1 1 LL + I I + Gas Piping rI - I 1 41" - I -"� i ..I 1 +1 1 1 1 1 1 -.0 .1 tip , I. - I.I. I I I r I I.: ;p, pI I, . I. I Im I I 1 0 1 ; - I plp ml I I I I + I I + I Equipmen + t t t I I I I-) I I I ILI I Ill I I I + + I I Ill. . + It I I I I t I I + I F al I + Commerc a + + I I I I I I I _4" I p" I"' pl� I I I t I I I r r I I I I I I I I + + I + T' EXTERIOR SHEATHING NAILING I I I 1pf f .1 r' I I "v- 1 ".4 -.. I I I. I I I I, I I I I III III ... I I, tp_ I I I I I III' I it w 1. .,,1 +1 FRAMING 1 41 1 + + + F ST + R FLOOR FRAMING401 1-4 N4 It 'r Ippt I .. Z- I SU t I 'fly 1, Ilk I I k(I I N LATION + Floor Insulation .1 z + Wall Insulation I I t + I l I I 0 I + I lCeiling Insulation m 1 4 SHEETROCK NAI - LING goo iSPECIAL INSPECTION ... mommm, 1+ MONSOON, — MISCELLANEOUS 6400000066 it k OVAL FOR FINAL APPR 4 1 OCCUPANCY 0 0 0 0 6 0 0 0 a a 0 & 0 0 a a a NOS "'No + 1003 j r I I I I I I F n it I I, + I MATE RECEIVED I V PERMIT EXPIRES Idivit; f z I CITY OF EDMONDS USE PERMIT ZONE ip,�.5 NUMBER CONSTRUCTION PERMIT APPLICATION JOB UITE/APT# RESS q02 Ir -2 1 ADD caa OWNER NAME/NAME USINESS -_ I - I . PLAT NAME/SUBDIVISION N 07 LOT NO. LID NO. MAILING ADDRESS c(e) 2 LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TE5CP AP= Aw ParM Rbcfd CITY ZIP ITELEPHQ14E EXISTING PROPOSED strout Use Perrnit Ir REQUIRED DEDICATION AU NAME PRV REQUIR D YES [3 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP ONE NAM CS ENGINEERING R DATE ADDRESS z 0 FIRE REVIEWED BY DATE Ir 0 2(a. tz� ; jz� TELEPHONE 206- q,59-2q3pj Ir M VARIANCE OR CU BY SH RELINEORADB11 INSPECTION RE STATE UCEN?r:;,NUMBER EXPIRATION DATE C Tfl�e_,Ea7' 029 K4 q /0 1 �c 13YES AD $ L SEPA REVIEW EXEMPT SIGN AREA ALLOWED ROPOSED HEIGHT AL LOWED PROPOSED, M C PRoPERTY.TAX ACCOUNT PARCEL'NO. - I )< -I- , M EXP 13 .'.NEW. .1 # RESIDENTIAL P MBING/MECH LU. LOT COVERAGE ALLOWE D PROPOS D REQUIRED SETBACKS (FT) FRONT SID REAR 1 1 _1015 PROPOSED SETBACKS (FT.) FRONI 11 SIDE REAR (9 C r. . �'-�DbrnON 0 COMMERCIAL COMPLIANCE OR �r _I a 151 1 S a F - fTI rn CHANGE OF USE 0M ODEL MUI.TIFAMILY 11 SIGN PARKING REQPD PROVIDED LOT AREA,�ING REVIEWED BY AT z ,-,�E GRADING FENCE OrREPAIR CYDS 1:1 X FT) REMARKS OTHER DEMOLISH 0 TANK 0 0 _n IV . GARAGE o RETAININGWALL FIRE SPRINKLER El CARPORT ROCKERY FIRE ALARM .119 (TYPE qjF US E. BUSINESS 01� ACTIV" EXPLAIN: _r_*A I L; CHECKED BY TYPE OF.M&SIRUCTION CCME V OCCUPANT GROUP fn- M a 0 0 r_ 0) NUMBER OF .472.1w - * ...15TO10 NUMBER OF I DWEI.Lm r I U: fT. I CRITICAL AREAS L S NUMBER N 13ER SPECIAL INSPECTI?N.. _ "46U10126 A!�� OCCUPANT LOAP. S r. 0) DESCFUBE WORK:T0 BE DONE M REMARKS PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION RECtD )Cgr Ag (2_QCX-- Y_-AA2 VALUATION z Description FEE Description FEE z 0 Plan Check State Surcharge 0 ITI HEAT SOURCE GLAMNG % LOT SLOPE % Building Permit City Surcharge Alylve, PLAN CHECK NO: VESTED DATE Plumbing Mechanical 3 t: 52 06 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. TH16 PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Or DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION. 188 DAYS PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 150 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ONB9HALiOF1H1SbRHkRSPdUf1E, HEf_RS,ABbIGN8AAD-SU_q' CESORS' Fire RW* Plan Chk. Deoosh IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS IM 10,01- EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspoction Receipt # 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 NOR LIMIT IN ANY WAY THE CrIY8 ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION AGENT OF APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This sppfica Lion is not a permit unfit signed by the BuIldIng Otficial or h1alher Deputy: and Fees era paid, and TION; AND 04 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 receipt Is aanowlqdged in space provided. WORIGAEN'S COMPENSATPWVIWUFIAN,% AND RCW 18.27. e OFFICIALS SIGNATURE DATE (OMW"N E R DAIE SIGN D 1%4.2 -5) 'VI jaz��l Z/ 155 C) 3 P10 771 -0220 -A BY D E ss NTION Exr 1333 eo ctiw IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 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