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20050481.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAMEE OF BUSINESS G Lo \NE['0w MAILING ADDRESS z ZD6 STOO* \AWY N CITY ZIP TELEPHONE 5 g10>1 o Zob" - 356 NAME 111900 Z3V OW CITY ZIP TELEPHONE S CID103 2p6-'8�q"'�'�✓ NAME CB IX� PERMIT EXPIRES PERMIT NUMBER JOB r SIJITE/APT# ADDRESS // /f r , r � J PLAT NAME/SUBDIVISION NO LOT NO. LID NO. LID FEE 8 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TescP Approved E3 RW Permil Requited Street use Permit Required 13 EXISTING PROPOSEDInspection Required 0 Sidewalk Required 13 REQUIRED DEDICATION FT Underground E3 Wain required E3 METER SIZE LINE SIZE NO. OFF TURES PRV REQUIRED L7 YESE3 NO Z C W REMARKS W OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE _ G I��JCc'LCa (N �Tlt`)i.�;S lZr� W ` (. -L t ENGINEERING REVIEWED BY /I% DATE ADDRESS V� L�� 4,{ '-"�� i"! 94, L jG FIRE REVIEWED BY DATE LU z CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRA 10 DATE NECKED B VARIANCE OR CU SHORELINE OR ADB# INSPECTION SEPA • REQ' COMPLETED EXEE L / CI YES irNO L PROPERTY TAX ACCOUNT PARCEL NO. CA# ZONE SIGN AREA HEIGHT jf'�� ��jj�j Q �f WAIVER-DiT /� ALLOWED PROPOSED ALLOWED PROPOSED S 003 / 3600570 I -1 OL STUDY O ✓N tv6 1:1 NEW ❑ RESIDENTIAL pLl1MBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) �J ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR KI COMMERCIALCOMPLIANCE OR �� N Z000O t C� N 13Z ADDITION II❑"' CHANGE OF USE a MIXED USE i ❑ PARKING LOTAREA PLANNING REVIEWED BY DATE g J REMODEL SIGN REQ'D PROVIDED _ ❑ MULTIFAMILY GRADING FENCE 34 ) ❑ REPAIR ❑ . CYDS ❑ ( X FT.) REMARKS ❑ DEMOLISH ❑ TANK ❑ OTHER ❑GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ❑ ROCKERY ❑ FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: *r!j'SmC��/ TYPE CONSTRUCTION ODE' OCCUPANT .� GROUP NUMBER NUMBER OF OF ' DWELLING O SPECIAL INSPECTION CONSULTANT OCCUPANT STORIES UNITS REQUIRED [3YES LOAD DjffiaC QRIIBE WORjC TO BE DONE ZOO SF AA L. E , GOTECH REPORT m �+ . BY' s �i eJ a �/^ \/V STRUCTURAL DESIGN BY: VALUATION Description FEE Description FEE Plan Check Slate Surcharge. J HEAT SOURCE LOT SLOPE% VESTED DATE Building Permit City Surcharge PLAN CHECK NO: j Plumbing Base Feele r f THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBIC Gradin DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE g J SEPARATE PERMISSION: � Engr. Review U1 PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) a PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION •APPLICANT; ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS 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 # a 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 Landscape Insp. Total Amt. Due 7 = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,* 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 This application Is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Official or his/her Deputy and Foes are paid, and TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED receipt is acknowledged in space provided IN VIOLATION 0 THE ABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WO KMEN'S CO PENS ION IN AND RCW 18:27. O FICIA SIGNATU DATE URE(OW ER GENT: DATE GN ED (425)81A u %G 771 =0220 REL ED BY ATE T NTIOfij EXT. 1333 , IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI• ORIGINAL -FILE YELLOW -(SP TOR FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109 1 IBC110 1 IRC1108 PINK -OWNER • GOLD - ASSESSOR 10104 PRESS HARD .= YOU ARE MAKING 4 COPIES I 0 m T C mo On MA _ M mZ K) C Z 0 Mn MM ON nr In r Z� � rn Z D -moi 2 CD Z 0 m . 2 }§/ |� 7� / � �. \ \ .. . . . � | |-� { �k\\ ] . � � � §. . � �� }��ii ƒ! 3 I \. ��� ` \. .� . a \ \ �\L ��f �q�� 2\�:� �.� / \: y\^�\� \� \. . .�.||! �i �l�� . . � \��}`!|�� � :��� �/� �� . . � ]I \�( y � . � : \� \ ` . � � }�77 }� $! . . © � . \� .fƒ4$ |�i� �� ����\\/ m/\�\.��-\ �� |�|| } }�y . .. . .!y § . . � . �� :.\e� ..�\- »z\/ /�� . . ° t r tn: r s t� t� .� .tf t r�`•�t .tom s� � r�^G��� .: t a"s t t_ ;Si rnt t� t�•t t t � t�t� r� rnt .t��•. •t s ' r�. t s• S t i J s s s t s t L ! i DEPARTMENT OF BUILDINGS ;In. ...: i1. '. r.• ..:,PER International Building Code Section 1`10, At: 8403 Main Street Edmond WA Building Permit #: 2005.0481 Occupancy established by this certificate: Dwelling Units: **NIA** No. Stories: 1 B Typw�Cpnstruction: V 1 Hour Basement: No Maximum�Occupant Load ,t'a` � (Per IBC 1004) Room capacity signs, when; q;tust remain posted at all times. �.,wJ a2�M ll7q, f k !Y aiJC ^Lll iy�.� n.' , r i. '..1� , 420ti'Stone`.+YUevNN� WA; 98.103 Owner of Building: Calle Ladro Address: Battle. THE Caffe La, HAS BEEN INSPECTED,AND APPROVED�AS Cq'MPLYIIVGa1NITH;TH REQUIREMENTS OF THE 2003 EDITION OF THE INTERNATIONAL BUILDING CODE AS.ADOPTED`QBY.THE CITY FORTHE GROUP=AND DIVISION:OF OCCUPANCY AND THE USE FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED. r, Issued this 18th`' ... day>of '' Au'siust 2005 CHIEF BUILDING OFFICIAL BY: This certificate shall be polled in a conspicuous public area and shall not be removed, mutilated or obscured and shall sintained in legible condition at all limes. Any change'of occupancy or use requires a building permit and a new Certificate of Occupancy issued by the Cily of Edmonds Building Official. ♦ ,.., r t r s sr t �►s. i s r+►t r+tt r s s:�.1 sr� :. st t r++s r: s tir t t e r aM1t sr s sr+�s sr s tr�•ti�s. sr; s: s, s r s..r t sr�s s: s sus r t j