20050419.pdfDATE RECEIVED -,
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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MAILING ADDRESS
177P-1- 7( tIN Ve
CITY TELEPHONE
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NAME --,n
ADDRESS
CIL),
CITY ZIP TELEPHONE
NAME
A�Ilv,"
ADDRESS
CITY ZIP TFtEPHONE
STATE LICENSE NUMBER
PROPERTY TAX ACCOUNT PARCEL NO.
NEW
RESIDENTIAL
ADDITION
COMMERCIAL
*KREMODEL
MULTIFAMILY
REPAIR
CYDS
DEMOLISH
TANK
tl&/GARAGE
RETAINING WALL
L.)SQCARPORT
ROCKERY
*PE OF USE,. 13USINESS OR AC
EXPLAIN:
* e�, RL
—
NUMBER
0.7
OF.
NUMBER OF
DWELLING
STORIES
UNITS
CHECKED BY
PLUMBING I MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
EiFENCE
( x FT)
OTHER .0e
oFIRE SPRINKLER
FIRE ALARM
CRITICAL
AREAS
NUMBER
11AAt3c,R '�,Z—vtAoDC—L �Ao\l_e;IF
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V-� De P, et7e k6 1-1 N1 L, 40`0 $*7
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GLAZING %
CHECK NO:
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.
PERMIT EXPIRES
L
USE PERMIT
ZONElq,5-_12 C) Ll
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JOB NUMBER U SL I —
ADDRESS 7 74� At II/
PLAT NAME/SUBDIVISIIPN NO. LOT NO. LID NO.
V 7
9�_? - LID FEE S
I ESCP Approved 0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required 0
Street Use Permit Roq'd 13
EXISTING Inspection Roquirded
PROPOSED SidOWalk Require
FT Underground
REQUIRED DEDICATION wiring required E3
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES13 NO 13
tu
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
EZ) i (A P�;,PV 101(,� SU901C��
0
-RM- DATE
NEERING REVIEWED BY
FIRE REVIEWED BY DATE W
VARIANCE OR CU SHORELINE OR ADE111 I INSPECTION I BOND
REP'D j, POSTED
E3Y E S ))-(N 0 S
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
EXP
LOT COVEAG-E REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (E-M
ALLOWED PROPOSED FRONT SIDE REAR FRON_*4JR IDE REAR
0
��P/o t ;In
PARK G I LOT A PLANNING REVIEWED BY 'DATE
REO'D I IVROVIDED
2- 1 _ 11�)j e
eq p.0 r � '11
P2- :rt_ ant Cd 4D
CHECKED BY ITYPE OF CONSTRUCTION CODE OCCUPANT
GROUP
119 7�
SPECIAL INSPECTION JAREA qt7 OCCUPANT
LOAD
REQUIRED [3 YES
REMARKS
PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINAL INSPECTION RECI'D
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'51dma M, V Rok. - R10CHo AF02f4ez
VALUATION
$
Description
FEE
Plan Check
Building Permit
Plumbing
Description FEE
State Surcharge
City Surcharge
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMh COVER'S WOAK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
W PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT 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
IN INTEREST, AGREES TO INDEMNIF'� 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 NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp- Total Amt. Due
0 _9719i
NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.1
Recording Fee Receipt #
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 APPLICATION APPRdVAL
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 COMPENSATION INSURANCE AND RCW 18.27.
11 Sl NATUR DATE
(OWN AGEN-0 DATE SIGNED (425)
S f 0
c c 771-0220 RELE D BY
FATE1,
ATTENTION E)ff 1333
ell
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL 4'
INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OF OCCU-
ORIGINAL(1� FILE YELLoW - INS ECTO
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK-OWN&W - GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
4Ae%k%A c_AL�e 5
A.
335.0 APPROVED AS NOTED
BY ENGINEERING
Ak3rc 3 Date:
hl-'-1138 L 3 +3 - 0 RESPOI�SIB;E
MCES' filZ�F, ?Itr'J ROSIGN Ce."! AND DAmAGc
IAA,)c 3.47+ IF NjFW 60P
OR 99-Pk jIzS MfWp,: -To 4�W15-TIN&il
if S?*v4?— OKA- 70s
6110% LEGAL DESCRIPTION
t6-8944*39' 4=901521" 10 Vi5z-C. u Poug P-6po."" I Ir P�a -r- 3 30 THAT PORTION OF LOT 22 PLAT OF MEAOOWDALE SOUND MEW TRACTS
R=20.00' R=20�00* AS PER PLAT RECORDED IN VOLUME 11 OF PLATS. PACE 51 RECORDS
L=31.35' L=31.51' i�.,
tr b9*4 (411LAT': OF' STICHOMISH COUNTY. WASHINGTON.
320.6 *29 4 298.69 DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUT14 WEST CORNER Or SAID.LET 22 THENCE
o4v m NORTH 00'45'36' WEST ALONG THE WESTERLY LINE OF SAjD LOT 22 A
04STANCE OF 90.38 FEET TO A POINT OF CURVATURE WHICH RADIUS
EXISTIN DR. u 88 '09 SEARS SOU TH DO*30'15' EAST.
ASPH .02* THENCE ALONG SAID CURVE. SOUTH EASTERLY AN ARC LENGTH OF
20 31.33 FEET. THROUGH A CENTRAL ANGLE OF 89'4419". WTH ARADJUS
329.5 3 '.6 2 DO FEET.
THENCE SOLITH 00'45736- EAST A DISTANCE OF 2.59 FEET.
T.
A ,NCE NORTH 89'2945- EAST A DISTANCE Or 1200 FEET;
I L4 9 THENCE NORTH 00'4536- WEST A DIS7ANZi OF 2.41 FEET;
L2 THENCE ALONG A CURVE TO THE RIGHT AN ARC LENGTH Of- 3t5l
21�1
z SEE NOTE Ills,`4 FEET. THROUGH A CENTRAL ANGLE OF 90'15'21". %1714 A RADIUS OF
cy) 20,00 FEET:
24'
THENCE NORTH 8929*45' EAST A DISTANCE OF 60 00 FEET:
THENCE NORTH 00*30'15" 'NEST A DISTANCE OF 119 FEET.
L33 4. 1 THENCE SOUTH 8nTD9- EAST A DISTANCE OF 45.02 FEET.
327 8, 10
>
329.6 333.5
/649 THENCE SOUTH 00'4536" EAST A DISTANCE Cc 90 18 FEET.
rn le .335.5 THENCE SOUTH 8n5'20* WEST A DISTANCE Or 157.00 FEET 10 THE
N 89-29*45- E _� 3 POINT Or eECINNINC,
Z
32 00' .6 1 33510;
1 40 u CONTAINING 13.760 SQUARE FELET OR 0.3159 ACRES OF' LAND�
21r �329_4 ol 4 j151.1 /A5C& EIS.
1 17727 In
.3
SUBJECT TO AND TOGETHER WITT EASEMENT AND MAIHIENANrt
33,73
AGREEMENT CN TRACT -A' CITY OF EDMONDS SHORT SUSCINISIOU FILE
NUMBER S-2002-59 AS RECORDED UNDER SNOHOMISH COUNTY
AUDITORS FILE 0200303245003 AND RE -RECORDED UNDER A.F.
#200403105304
M % SUBJECT TO AND TOGETHER V61TH ALL EASEMENIS. RESTRICTIONS.
I'V. RESERVATIONS. AND RIGHTS OF RECORD IF ANY
20' /157.00'/,
A.K,k
30' N an5*20" E /-"-r I110
OT I LOT I City OF EDMONDS SHORT SUBDIV19ON #S-2002-59 AS
RECORDED UNDER SNOHOMISH COUNTY AUDITORS FILE A,F
FuNE
EA N
A—N-F-1
L
I a=,. #200403,05304
-it- NOTE
L'
00'45'36' W
1 2.59'
E2
N - W
00*45 36
1 2.ZI
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1 5 UU-313 15- E
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