20050877.pdfDATE RECEIVED /
[PERMIT EXPIRES
c
(CITY OF EDMONDS NUM ER gar
CONSTRUCTION PERMIT APPLICATION OSUITE/APT#
DRESS �l ice'
OWNER NAM /NAME O BUSINESS ' V V V cl. "�' 1 S `
(} V (�►'� 10 n `^� PLAT NAMEISUBDIVISION NO. LOk NO. LID NO.
MAILINGADDRESS LID FEE S
PUBLIC RIGHT OF WAY PER OFFICiAI STREET MAP TESCPApproved 13 RW Permit Required ❑
CITY Sheet Use Permit Required ❑
ZIP ELEPHONE EXISTING _PROPOSED ____ inspection Required O
��� O^0 Sidewalk Required ❑
(1MJ(` +'r/r, REQUIRED DEDICATION FT Underground ❑
Wmnr required ❑
NAME METER SIZE LINE";ZT NO. OF FIXTURES PRV REQUIRED
YES 13 NO O z
2
w
ADDRESS REMARKS w
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE z
z
r•.rry ��� r,-, M U , ✓11 rN J ■ r- Di /.r..l w
/r4L J
NAME CBL#
oJ,� 1 NGINEERING REVIEWED BY DATE
i
ADDRESS r
�.._ V FIRE REVIEWED BY DATE
w
CITY ZIP TELEPHONE z
' ek mo,nls 19010 1'79--0�d`� LL
STATE LICENSE NUMBER EXPIRATION DATE C ED BY VARIANCE OR CU SHORELINE OR ADB# INSPECTION SEPA
L �y EY.r,Y11- ,}- t REO, C
Ot17 PLETE EXEMPT
j\,' 2 4 -� /' U YES NO S d�
9 01,740
i CA# ZONE SIGN AREA HEI H
PROPERTY TAX ACCOUNT PARCEL NO. Y ALLOWED PROPOSED ALLOWED PROPOSED
v'0� I
STUD
❑ NEW ❑ RESIDENTIAL❑ PLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR 0
❑ COMMERCIALCOMPLIANCE OR �� z
❑ ADDITION ❑ MIXED USE ❑ CHANGE OF USE z
PARKING LOTAREA PLANNING REVIEWED BY TE g
❑ REMODEL ❑ MULTIFAMILY ❑ SIGN REQ'D PROVIDED /Z)/050 n
❑ REPAIR A'INnCYDS ❑ FENCE KuL c�S
- ( X FT.) REMARKS r �L 3 w `DAO JA As} ,h
❑ DEMOLISH ❑ TANK ❑ OTHER
GARAGE RETAINING WALL FIRE SPRINKLER t w.lI int /Y �"%vA n
❑ CARPORT ❑ ROCKERY ❑ FIREALARM C
(TYPEOF USE, BUSINESS OR ACTIVITY) EXPLAIN: 0 �.CAt Z3 a• /!hQ - r -
eli V� 1 �i)Y �� Chi C ih C�/ 41'GL /� E OF O9�) OCCU
GROUPANT
Fir NUMBER NUMBER OF
r�- `I
OF ^ ` DWELLING
/ V .SPECIAL INSP ION CONSULTANT OCCUPANT
j STORIES -
� UNITS REQUIRED ES LOAD
DESCRIBE WORK TO BE DONE Q0 �+ �I
V t U t UL✓I0. O S I e/ dl C/Il!� REMARKS t7
Q (ti 1% 1 M Al a f CAS 1 I GE07ECH REPORT. m
L Ait0 I BY: i
Z r O v V ry ( i_ e +, O EF p 0 STRUCTURAL DESIGN "
Qict ! 1 A& 6'ek I i� G ,T TM VALUATION
:�a�e� $`
Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE LOT SLOPE% _mj�VESTED DATE
Building Permit City Surcharge J
PLAN CHECK NO: ` Plumbing Base Fee "
�', ,
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. fHIS PERMIT COVERS WORK TO Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS,. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC,) WILL REQUIRE Grading /
j SEPARATE PERMISSION, 1kf
ui PERMIT APPLICATION: SEE ECDC 19,00.005(A)(5) Engr. Review
a PERMIT LIMIT: SEE ECDC 19,00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
*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
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # d y
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT.SHALL NOT BE T' 7. ,p
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' rLr
Recording Fee Receipt #
1 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- CALL This application not a permit unlit signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foes aro prod, and
IN VIOLATION O THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S NSATION INSURANCE AND RCW 16:27,
OFFIC G IRE DATE
GEN DATE ER OR (425) ZAA /
v tREL
D )X E
ATTENTION EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL vff
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- oRIG AL -FILE Y LOW - INSPE roR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 1 IRC110. PI OWNER G LD -ASSESSOR
10/04 PRESS HARD - YOU ARE MAKING 4 COPIES
m
-I 71
C
m�
�O
On
C
--I C
XM
M Z
C Z
O mn
MM
O�
n M
Im
CC
r Z r
t �
2
D
Cn
O
n.
M
r
• I.
o�--
�__r6D5--
o9 76
�•
i PARI(Mri SPACES REOrn, APPROVED N1NC1
1
� PARKicvr_,. �o ,,F� �RaPOSER. r s rX mss..
"'NOT FOR PRODUCTION"' LANDAU ASSOCIATES, INC. I T:1173%025%01e\0eaIgn%Dee1gn Flgs,dwg (A) 08.5x14 Affected Perking 9/1012006 -
RR F ME[, "?ARVING aPACFS,
`o
f cyton Street
�/ �x x x x�x�x— x—x—x—_x�_x� Xx X—x�x
x�x�•x—x�x x�x� ��x\
�*
IF
ti
00000
-
! 17'
'.) crrplcaq /
P.W (Typical)
�\
+ ` \ Estimated
\ \� ,' Excavation Area
J
��.. �or
���
1.
w
If
Moomf
400110
+d 41040
L 5�/�11N�+ r0vet Parkf `t tF ext${jj 1�y I
%{or
iXi�T tr(,f�in a� 1!-i�C7(•5,i�i in L . '.
rli� T4i� i k
'•, •, x{b x Lv73tf�+jf,7 `cCiF�
I" •�)Cit�i Fj �i}L'}t���i�,i ��� � �t G "., k
March
Pedestrian
Yl �.,r S.t t�� ,i�,, .✓.✓ -Ltt4 71 +1jL+��
1 .+,:<< `7�, . zr !jIE
te t ` ;{ .1 F+ o;'L
observation "r`' �'ii'FQi.s.�`s,; �t r� �ilCt5i }to
t - %. y i7j,t}I.YX ♦% FC:�,ry . i7} rt �r✓ly%} iti ` y �;i 1,
Edmonds ok
I ftJ 7{,'ok
I{�Tf(Y11rjy. �i fCt
Marsh
No
0 20 40
Harbor Square Figure '
Scale in Feet Affected Parking Areas
LANDAU Edmonds, Washington
ASSOCIATES 1 EW
,APPROVED AS NOl ED 0!NNER/CON i RACTOR IS RESPONSIBLE FOR
BY ENGINEERING
CopFIlUS11. �.,:,�i�G:ti�. AMI) DMINAG�'
SEP 1 9
r
24 HR. NOTICE REQ. 9 BUILDING DEPT.
_ FOR INSPECTION
Date: 7-
d I
,., s