900225.pdfFA
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
J�o y ozym�,� �/,� �✓ .D.a ,
CITY ZIP TELEPHONE NUMBER
�>moni�s' SSo2, 77&— 1326
ADDRESS
NAME 0A c'�
W rx"te,
ADDRESS
CITY
STATE LICENSE NUMBER
Legal Description of P
(show below or attach
Tax Account Parcel No,
I�
TELEPHONE NUMBER
TELEPHONE NUMBER
USE PERMIT
ZONE ZS V NUMBER -1 ooz�
ADDRESS O / ' Ok/ or SUITE/APT
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP
EXISTING REQUIRED DEDICATION APPROVED BY
PROPOSED
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑
STREET USE PERMIT REQUIRED ❑
SEE ENGINEERING MEMO DATED
SIZE
REMARKS
rty - include all easements ALLOWED
copies)
L_J NEW LJ RESIDENTIAL LJ PLUMBING
ADDIALTER COMMERCIAL MECHANICAL
REPAIR APT. BLDG. SIGN
❑❑EXCAVATE, FILL I� pEx�FT)
DEMOLISH OR GRADE (�I (
ElCARPORT SWIM
REMODEL GARAGE POOL
❑ WOOD STOVE RETAINING WALL/
INSERT ROCKFRV RENFWAI
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
��-
4 (000 ��75PL
AREA
PROPOSED
VARIANCE OR CU
SETBACKS - FEET
FRONT SIDE
ENV. REVIEW I ADB
COMPLETE I EXEMPT
REAR
BY I TYPE OF CONSTRUCTIO
REVIEW BY I DATE
HEIGHT I LOT COVERAGE
O I HEIGHT
SPECIAL INSPECTOR AREA OCCUPANC
REQUIRED GROUP
❑ YES L; NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305
FINAL INSPECTION REQUIRED
PLAN CHECK FEE
BUILDING
PLUMBING
Plan Check NO, MECHANICAL
This Permit covers work to be done on private property ONLY. GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year • Provided WorK is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
(n successors in interest, agrees to indemnify, defend and hold
W harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
x` whatever nature, arising directly or indirectly from the Issuance
0 of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT
o modify, waive or reduce any requirement of any city ordinance
x nor limit In any way the City's ability to enforce any ordinance provision.TOTAL AMOUNT DUE
"
I hereby acknowledge that 1 have read this application; that the
information given Is correct; and that I am the owner, or the duly ATTENTION
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and In doing the work authoriz• AUTHORIZES
ed thereby, no person will be employed in violation of the Labor ONLY THE
Code of the State of Washington relating to Workmen's Compensa• WORK NOTED
tion Insurance. INSPECTION
SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT
_— z — CITY OF
3
EDMONDS
ATTENTIO ' CALL FOR
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE INSPECTION
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102.87
O r
to
OCCUPANT
LOAD
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
0 ICIAL'S SIGNATU DATE
3-Z�d
RELEASED BY: DATE
ORIGINAL
— File
YELLOW
— Inspector
PINK —
Owner
GOLD —
Assessor
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oR EXHIBIT A
M1LtRr=D C. lE.ARSOW
IN GOVERNMENT LOT I,
SECTION Ia,T•27N,jR•4E•,WI.A•
EbkAONOs, WASHINGTON
.
CITY CLERK
CIVIC CENTER t ''
EDMONDS, WA 98020 w
3 I 18
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CITY OF EDMONDS
• P• W, DEPT• ENGINEERING DIV.
+ EXAMINED
13Y 4g
5e DATE
REMARKS
fu
4'Its, 160
L Lovell"Sauerland & Associates, Inc.
S ENGINEERS • SURVEYORS • PLANNERS
29105 100TH AVE, W. • EDMONDS WA. 9E020 • PHONE ?1`54591
r DRAWN CHECKED DATE F.11, *CAI{ flE N0.
oJ.�' + "/"��• W GWL G-23-88 I"■ro0' al llLll
I: 41
------,- , ^ l TY CLERK
j' CIVIC ICENTER .
EDMONDS, WA 98020 EXHIBIT B (CONTID) to r
the left having a radius of 75.00 feet; thence westerly, along
the arc of said curve to the left and through a central angle
of 5705213411, a distance of 75.76 feet; thence N 64624030/1 W, a
004 distance of 124.54 feet to the True Point of Beginning.
PARCEL 3
All that portion of Government Lot 11 Section 18, Township 27
North, Range 4 East, W.M., described as follows; Beginning at
the northwesterly corner of said Section 18, and proceeding
thence along the west line of said Section 18, S 1'01137" W
656. 58 feet to the southerly margin of the Edmonds -Beverly Park
Road; thence along said southerly margin on a curve to the
!` left, having an initial course of N 54*0811311 E and a radius of
349.60 feet, a distance of 126.04 feet; thence N 3362815011 E
58.79 feet to the intersection of the southeasterly margin of
the Edmonds -Beverly Park Road with the northerly margin of
Sunset Way as was conveyed to the City of Edmonds by Quit Claim
= rr:ta; ` Deed recorded under Auditor's File No. 1794710, records of
`f f .
Snohomish County, Washington; thence' continuing N 33.28150" E,
y�'�r; along the southeasterly margin of the Edmonds Beverly Park
Road, a distance of 197.35 feet to the point„ of curve of a
' •{ i � tt��l}Lip,
=LLL�rw+,� , curve to the right having a radius of 98.90 feet; thence
northeasterly, along the arc of said curve to the right and
through a central angle of 6864013611 a distance of 118.54 feet
to the True Point of Beginning of this descriptions thence
,� ��;:; easterly, along the southerly margin of the Edmonds -Beverly
;' Park Road, being the arc of said curve to the right ' having a
r Mkt(
'` radius of 98.90 feet and through a central angle of 765214411, a
distance of 13.60 feet to a point of tangency; thence
t tLS 69.57150" E, along the southerly margin of the Edmonds-
4�~" Beverly Park Road/ a distance of 127.50 feet; thence
S 14054'4411 W, a d
istance of 97.32 feet to an intersection with
the northerly margin of Sunset Way as was conveyed to the City
;4 of Edmonds by Quit Claim Deed recorded under Auditor's File No.
1794710,
kill,
records of Snohomish County, Washington, said
,a t,s .t',
.kr intersection being a point on a curve, from which point the
radius .-point: of said curve bears S 2000713011 W; thence
westerly, along the northerly margin of Sunset Way and the arc
of said curve, being a curve to the left and through a central
angle of 15°02'20" a distance of 55.
�i g , 12 feet' to a point of
tangency; thence N 8465415011 W, along .the northerly margin of
Sunset Way, a distance of 13.69 feet to the point of curve of a
curve to the left having a radius of 70.00 feet; thence
westerly, along the northerly margin of Sunset Way, being the
arc of said curve to the left and through a central angle of
1465510611, a distance of 18°23 feet; thence N 904915611 W, a
distance of 130.96 feet to the True Point of Beginning.
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P. W, DEFT. ENGINEERING DIV.
EXAMINED
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