20050487 (2).pdf1.00)S Alooaf- LL -e;
DATE RECEIVED
CITY OF EDMONDS N
CONSTRUCTION PERMIT APPLICATION o
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NAME , CBL#
[PERMIT EXPIRES
ERMIT �
UMBER ��-G�L'�' �% %O "
B SUITE/APT#
DRESS
AT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE 5
BLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApproved O
RW Permit Required
Street Use Permit Reglnred
ISTING _ PROPOSED _ Inspection Ruqwrdd
Sidewalk Required
EQUIRED DEDICATION FT Underground E3
Winedrequired
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
/ I YES D NOA
EMARKS
WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
'J'AtIL rr�12. r4A/A-t, I Al,SP%r'�l//l1�`� �i4�LILlAl
01 ENGINEERING REVIEWED BY DATE
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C'pni o.J.� s ����. � Was- ��. -o�i�7 &
STATE LICENSE NUMBER EXPIRATION DATE BY V RIANCE OR C SHO LINE OR ADB# INSPECTION SEPA
REQ'D COMPLETED EXEMPT
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CA ZONE SIGN AREA HEIGHT
PRUPERTY TAX ACCOUNT PARCEL NO. WAIVE j ALLOWED PROPOSED ALLOWED PROPOSED
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❑ NEW ❑ RESIDENTIAL ® PLUMBING / MECH LOT COVE GE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
COMMERCIAL COMPLIANCE OR Z
❑ ADDITION I z
❑ MIXED USE CHANGE OF USE ` z
REMODEL El
PARKING LOT AREA PNNING REVIEWED BY DATE g
❑ MULTIFAMILY SIGN REO'D PROVIDED
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GRADING FENCE it 'A1 r� C
❑ REPAIR ❑ CYDS ❑ ( X FT) MARK CXryt;Y�l" j
❑ DEMOLISH ❑ TANK ❑ OTHER "
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GARAGE RETAINING WALL `00 , �-
_ ❑ CARPORT ❑ ROCKERY ❑ FIRE ALARM ' '
a(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
TYPE OF CONSTRUCTION CODE OCCUPANT
IVU) NUMBER NUMBER OF
3 i
m OF DWELLING Q> SPECIAL INSPECTION CONSULTANT OCCUPANT
O STORIES UNITS LOAD.
DESCRIBE WORK TO BE DONE 1r4nrwr
REQUIRED DYES --
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/V �5 f A LLC �n ,/S f /�' li+ /) )/� 11V GEOTECH REPORT m
BY:
STRUCTURAL DESIGN
BY:
e'y100eL ���' ja-f� -`o 8e VALUATION
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jr-0 SIALLI T: SieI'Ns Description .
/ FEE cription FEE
RL 'Bet oere /)oca:V L/:r ��V1Jr e Plan Check State
Surcharge
HEAT SOURCE LO SLOPE% V STED DATE i
Building Permit 7 City Surcharge
PLAN CHECK NO: �'J Plumbing ��} Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO Mechanical
t BE.DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC 1.
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Gradingi�.
t SEPARATE PERMISSION.
Engr. Review
w PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
o 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 rO 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 ACAf Receipt # s
Q 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
x NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,* •••—
Recording Fee Receipt # l
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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed p the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or acknowledged
Deputy: in and Foos are paid, and
IN VIOLATION OF THE LABO CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged m space provided.
WORKMEN'S COMPENSATI IN NCE AND RCW 18:27.
E DATE
SIGNATURE (OWNER OR f GENT): j DATE SIGNED (425)
5-- 0.5 5 771 =0220 RELEA E Y Ci DAG'E
ATTEN ON EXT. 1333 Cl i/' , h .-�
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGIN FILE FILE YELLOW - INSPE OR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 I IRC910. PINK - WNER GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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WE INFORMATION
ADDRESS: 10130EDMONDSWAY. EDMONDS,WA 96020 _ Xlw e;W-1l'tsui4¢r-
TAX ID: 81070020010103
r B1<Iq' pI N I N� LEGAL DESCRIPTION: WESTGATE PARK DIV. 2 SLK 002 DA1- BEG SELY COR TR i TH
. -'� (N O. I1 o _AT SWLY ALO SLY LN GO It
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NEIGHBORHOOD NUMBER: 6601000
{ .TAXING DISTRICT INFORMATIO"l• JURISDICTION NAME: SNOHOMISH; AREA: 001;.44.6.'br A-(J
CORPORATION: 015; SECTION & PLAT: 8107; ROUTING NUh6ER: 271K}36P -
i . } 1 LEGAL ACRES: 0.3000. �p'1a��2_ (i h' 9 it _
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ZONING: EDMBN }'.
._.. _ _ . _.:..._ ._... .. USE PrMrhery tone
{ _ PROPOSED Sdad Use Is Wowwd In Neighborhood Bulnsss
PARKING: Regukad par ECDC 17.060 =6 staid dasmOm or 1 stely errhpioYrae
. j E)ft*V ee, 9 slab
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Proposed -10 Mads hd k*V 1 bsnlsr-fts saON" OW
4 _ EPOE :0� (!w8M1�Nr TRAFFIC IMPACT ANALYSIS and ha: Exempt perM A 1.
BUILDING COM
2003 Accessibility) whh WwWrOon Stab Amendmanb
200.1 IMC Mdud„9Ir brnaBonal Fuel Gas Cods) Wb Washlrgton Sbft Nandmanb
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2003 IFC wAlh Washtrglon 8hb AhsObms2003 UPC wiles nghDnnls
Arnoirseseft
01111ITIOG 49TO19AGS p'UILDIFl6 ' w.eh r,ebtwae�na,mc d.b(WAC Cs -11j
0 0 ; woWngLon Sbb vwaaWon Indoor Air Ousllty Carle (WAC 61.13)
EdrsiondTYPEOaCmmnftyONSTRU TION: ghrdCode
OCCUPANCYCLASSIFICATION:CLAASSIFCATIOONN: E(EduuOonY-WnarpftnYuoughwade 6)
OCCUPANT
F LOAD
CALCUwPow T10khshls OorW arse d rehrsrhos Ibnry)160.8E a oa
13 opanb
3 edm1Yslairsibm nl1►a ansa/ 1 OCOIOeIa aer dEn
TOW • 8 ra�L. .
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L1.. '. FIRE SPRINKLER SYSTEM: NotRequired (Las than 20,000 SF, m pr;t Wad less Urn 60,
wool
k v, ; r - alleratl0rl wMha doe rhol athcead etnrcYss Van)less Urn 60
{ FIRE ALARM SYSTEM Not Rsgt*w (oowpanl )
PORTABLE FIRE 8MNGU1SHER: Proridsd N maW sbdt Qyps 2A:10B C)
^j FIRE SAFETY 6 EVACUATION PLAN; PmAdW
I� , IEYr�eT„l`,(Q�aar,L7,��p;JrJIo.v �J rl
I I (Ft�1 Y L.1 Xg' 1 V V 1 L l ILLUMINATED EXIT SKINS: ProMW (bstbry bad"*) m Irdbbd on dmwbv
EXITILLUMINATION: Praddsd (ontWy bodm*) a W* bd ondnwthp
! Ioo BY ENGINEERING
• .. r- r„- PAI
•,- Co VENTILATION A I_NDWR AIR QUALITY, _
r�CRl�lh G.Ji ! _r
F�deIW9 mnanla, Includes mhimum 6 SF a operable wiresswe or 20 SF of owr.bb door (ntual
pis
vsnllbllon) for each morNana ofthsblidng. Both E:c!”fansw pralded.d each neYowse
_.,.o.Total Oper” WYMow a d Door Nes RegWad
Arm ProAded
' - -' .. Area�70 SFz0.0.4 08.32SF%wtammq*W
Tarhsrd Window and _ al - - - - - - ^ - - — - - - - - - - - - - - - ToW w4Wow at 8 SF plw 3 doom at 20 SF 90.00 SF vend area pralded
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DEPARTMENT OF BUILDINGS
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PER International Building Code Section 110
j At: 10130 —Edmonds Way - Building Permit #: 2005-0487
Occupancy established by this certificate: Dwelling Units: NIA
l E
T Construction: VB Basement: N/A
Ypl�.. _
Maximum Occupant Loa47(Petr IBC 1004)
Room capacity signs, when;raqu�cedpgst remain posted at all times. ;
Owner of Building: Samuel Browning . Address: =10130"Edmonds Wav
: THE Louis Braille School HAS-BEEN'INSPPCTI DV. ND'APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE
2003 EDITION OF THE INTERNATIONAL BUIL NID G CODE AS ADOPTED%BY THE:CITYFOWTHEt GROUP AND DIVISION OF OCCUPANCY AND THE
USE FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED '
Issued this 14th day ot'Febig6iiry 2006 `
CHIEF BUILDING OFFICIAL :
BY:
l This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall be maintained in legible condition at all times, Any change of occupancy or use requires a building permit and a new ('
Certificate of Occupancy issued by the City of Edmonds Building Official.
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