20060290A.pdfDATE RECEWE�,/
C�5 _:��
PERMIT EXPIRES
CITY OF EDMONDS
PER T
NUMMBIER
CONSTRUCTION PERMIT APPLICATION
SUITEIAPT.
VDD
OWNER NAMPINAME OF BUSINESS
B E S S
FIAT NAMEtSUBDIVISION NO LOT NO, LID NO
MAILING ADDRESS
L 10 FEE S
0 IJ
PIBLI RIGIT IF WAY PER OFFICIAL STREET MAP 13
-1,
CITY ZIP TELEPIIONE
E �ISTING PROPOSED __ _ � ___ __ I " P""' 0
........... 00
C4 M 0^j D 9ile ve
x;;r
_5
REQUIRED DEDICATION FT
NAME
I NO, 01 111TIRE1 REOGRED
YES C! No 13
t ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
_ff-Ty- ZIP
CP F-t 1qA
JTEIEIHONE
NAME
DIE
_rd>W/,/
AlMo
ADDRESS
-7A 67- 5,.)
ffCYCLE REVIEWED BY MATE f
CITY ZIP TELEPHONE
PUBLIC WORKS REVIEWED BY DATE
1114JVA11d,-.d 9V56 1
STATE LICENSE NUMBER E PIRATION DATE IT CKED By
FIRE REVIEWED BY DATE
z
I.
47 �0
SERA
VARIANCE OR CU SHORELINEORADS, I INGRED
0
PR��E
��IGN
I
[3 Y. J... 1-1111ETED I ��IT
RESIDENTIAL
ZONE SIGN ARIA H T
PA. ALLOWED"GHBORnsED
NEW El 1L.A.M. I EGH
I
El C M R "
ADDIT 'ON OMMERCIAL COMPLIANCE OR
0 STUDY -Q.q
IMIXED USE r_1 CHANGE OF USE
[ n
LOT GO ERAGE REQUIRED SETBACKS (FT) P OPOSED SETBACKS (FT)
Inn
C:
ALLOWE UR SIDE BEAR
0 PROPOSED 'RON
M a
REMODEL MULTIFAMILY SIGN
FA
MULTI AIL
Mo
0
-4 0
REPAIR GRADING CYDS 'FE"1E X FT.)
PARKING LOTAREA I PLANNING REVIEWED BY DATE
0 C:
DEMOLISH TANK E] OTHER
M
M z
0
GARAGE RETAINING WALL [] F :RE SPRINKLER
C
CARPORT ROCKERY REAI.AR.
Z
>
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPI.Aft
NUMBER NUMBER OF
O'n
OF DWELLING
STORIES UNITS
TYPE OF CONSTRUCTI cc OCCUPANT
ON
n
DESCRIBE WORK TO BF nOAE
OUR
OGG,
SPECIALiN E TI CONSULTANT TIT
P
rn m
REQUIRED C3 YES LOAD
z
0 M
C ro
M 0
e,,-7o V&5- 4, V,5- Zu /17P4!r 6;
z
i
Sy/1
VALUATION
__q
$
3:
>
T. I'Vb
Description FEE Description FEE
z
-4
HEAT SOURCE LOT SLOPE% VESTED DATE
Plan Check State Surcharge
I
—city
Cn
Building Permit Surcharge
z
PLAN CHECK NO:
-Z
Z-3
Plumbing Base Fee
THIS PIRMITAUTHO-1 ONLY THEWORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
IT!
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t SEFA�TE PERMISSION.
Grading
PERMIT APPLICATION: SEE ECEIC IS-005(A)(5)
A. PERMIT LIMIT.� SEE ECDC 19.00.005(A)(6)
Engr. Review Recording Fee
SEE BACK OF PINK PERMIT FOR 1011 INFORMATION
Engr. Inspection Plan Chk. Deposit
APR SSIGNS AND SUCCESSORS
' LICANT, ON BEHALF OF HIS On HER PIUSE,HEIRS,A
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY 01
Fire Review Receipt #
I EDMONDS, WASHINGTON, ITS OFFICIALS, EMILO1111, AND A61ITS FROM ANY AID
IF
AL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection Total Amt. Due
FR M THE ISSUANCE OF THIS PERMIT. ISSUANCEOFTHIS PERMIT SHALL NOT BE
D EMED TO MODIFY, WAIVE Of' REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVIVOIT'
Landscapemsp. Receipt #
IHEREBYACK OWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFO MATION
APPLICATION ApPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR T E DULY AUTHORIZED AGENT OF
CALL --ppl—n— A, 'm
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
FOR INSPECTION B"""O" D'P`1 "" "'A
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL HE EMIR DYED
IN VIOL TION OF THE LABOR CODE 01 THE STATE OF WASHINGTON RELATING TO
—.1 A� ,' "O"AA,
WORKMENS COMPENSATION INSURANCE AND AGIN 18:27,
(425) F LS SONIA DATE
(OWNER 0 IT)) ATEsGNED
'�7E
771-0220(
EXT. 1333
/TENTION
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN IVIADE AN. APPRIDIAL OR A CERTI-
ORIGINAL FILE - YELLOW INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109/iBC1101IRC110,
PINK � OWNER - GOLD , ASSESSOR
61.5 PRESS HARD - YOU ARE MAKING 4 COPIES
GARY HAAKENSON
CITY OF EDMONDS MAYOR
25)771
121 STH AVENUE NORTH - EUMONDS, WA 98020 - (4 -0220 FAX (425) 771-0221
Website: �uedmonds,wa.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building - Engineering
May 22, 2006
t
Gretchen L. Corliss
z
Homestead Condos
8017 212" Street SW #4
Edmonds, WA 98026
RI
Re: Fence permits for Homestead Condos
0 m
C
M 0
Dear Gretchen:
it has been brought to my attention that an incorrect permit fee was c ollected for two
m
M Z
1
fence permits, 2006-0299 and 2006-0290A at 8017 212" Street SW, Edmonds. An
'0-4
C 2
additional $10.00 is owing for each permit for a total of$20.00. Please remit a check
> --j
payable to the City of Edmonds in the amount of $20.00. Your attention to this matter is
greatly appreciated.
0 -n
Sincerely,
m M
0
6
C
C CD
Marie flarrison
Senior Permit Coordinator
m 0
Cc: file
z
z
m
Incorporated August 11, 1890
Q
Permit Inspection Details
Permit: BLD20060290A
FERMITTrA(
. . ..............
010 ��ii
10/11/2006 Hawkins 15 oktog�antsnginee�ringG�
y
Total Time: Is
Total Inspections:
Total Tlrne: is
z
-04
M
C
IT
X IT
IT Z
jo
5C
1z
u
0 -TI
"n
M ITI
0
Ca
IT 0
z
z
z
IT
718/2009 9:04:57 AM
Page I of I
77