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20000238.pdfDATE RECEIVED -7 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ZIP CITY 6_]EL NAME ADDRESS IF CITY ZIP NAME PERMIT EXPIRES — USE PERMIT 200238 ZONE NUMBER JOB ADDRESS SUITE/APT0 Avk_ &� PLAT NAMEISUBDiVISION NO. LOT No' LID NO. FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP _P _P ;Iw;._ft M"_ U�.ft R. �I­ I U.. P­1 d EXISTING — PROPOSED - JIG �'7. REQUIRED DEDICATION— FT U_ U PFV REQUIRED I S . .0 Ep .0 0 Y S C3 21ARKS.—T.— RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRS REVIEWED By DATE C qj T . E EPHONE LA-1c BID D MC Coit VARIANCE OR CU SHORELINE OR ADS# INSPECTI N D POSTED STATE LICENSE NUMB R EXPIR 0 DATE CHECKED BY E3YREQ ES rA NO COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED P I�Tyfr I'D ROL ­7 EXP I AD LOT C OVER E REOUIRED SETBACKS (FT.) E FRONT SIDE R AR PROPOSED SETBACKS N'T.) FRONT UPSIDE REAR C] NEW .... ALLOWED P FOPOS�o C] ADDITION C MPLIANCEOR 0 CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE C] REMODEL APARTMENT C) SIGN REDO PROVIDED REPAIR CYCE C] PENCE X FT, X DEMOLISH TANK 0 OTHER GARAGE CARPORT 0 R=IFNGWALL RENEWAL r (TYPED BE. NESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE 0 0 TRUCT N PAN CUP GROU NUMBER NUMBEROF c RITICAL AREAS SPECIAL INSPECTOR AREA OCCUPANT LOAD OF o STORIES DWELLING U.— NUMBER REQUIRED 0 YES DESCRIBE WOJOB�j Lf:Q REMARKS PROGRESS INSPECTIONS PER UBEC; IUU/IINAL HNI—CTION REO VALUATION I FEE PLAN CHECK FEE HEWE�CE LOT SLOPE % BUILDING PLAN clIECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 8 E DONE ON PRIVATE PROPERTY ONLY' Al.ly CONSTRUCTION ON THE PUBLIC GRADINGIRLI DOMAIN (CURBS, BI DEWALK ".2-A, ... LESS, ETC.) WILL REQUIRE B BE APATE PE.M ...... URCHARGE PERMIT APPLICATION: 100 DAYS PERMIT LIMIT. I YEAR -PROVIDED WORK IS STARTED WITHIN 180DAYS ENG. REVIEW FE S SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON Fill H A ES S a s OR "ERsPOUSEXNG".R.sL AS� F ENG. INSPECTION FEE -PL'CANT GSEHALF LESS T E IT " IITIR'S i. A FEES To :NDEMNy, , EFEN E T F NYAND AND LANDSCAPING TION FE .N�S" SH�N.TIDN. TS OFFICIALS. EMPLOYEES. ED VA E TLY RE TLY CLAIMS FOR DAMAGESOF WHATEVER NATURE,ARISINGD I INSPE RECEIPT ALL T 15 ISSUANCE OF THIS E IT S LLN TBE FROM THE ISSUANCE OF PERMIT. CE PLANCHEC D POSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT Y ITY R IN ANY ORDINAN­ '­­­ RECE TS/,7b NOR LIMIT IN ANY WAY THE CITY'S AeIUTY TO ENFORCE TOTALAMOUNT DUE 7 1 HEREBY ACKNOWLEDGE THAT I HAVE REA. THIS APPLICATI.Ny. 'HAT THEZ I EDFORMA'�'N APPLICATION APPROVAL GIVEN 15 CORRECT, AND THAT I AM THE OWNER. C R THE GUL AUH.RI AGENT OF Th" IPP11­10- I' "I I P"", ­0 11gled by thO THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL 8111P119 011-1 -1 G.,,V: �I,d F111 _ P.id. .�d TION. AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED RELA71NG TO FOR INSPECTION r ­.pti­.knm.Iodg, n.p... p­d.d. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'S COMPENSATION INSURANCE AND RCW 10.21� E OFFICIALS U DAT� SIG[,' (425) ,S?NATURE IOAYNErl AGlHl' _I _3 ;� pc 771-0220 ELE ED D E ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR CATE OFIOCCURANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD ASSESSOR 5198 z c M M 0 , , 0 80 c A M z -4 O.n -n rn m 0 o a C M 0 z I z --i z 0 m RECORD OF 1N5FftlL; I lUr4b INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall .......... Pier/Porch ................. Z, Retaining Wall ........... -4. Slab Insulation IT, PLUMBING: Underground ............. Rough -in M 0 Commercial Final —40 0 C. HEATING: M Z� Gas Test .................... 0-1 z Gas Piping ................. > ..Equipment ................. 01, Commercial Final EXTERIOR SHEATHING. M M 0 0) NAILING .......................... . h 0 FRAMING .................. C= FIRST FLOOR FRAMING... ma z INSULATION ................... Floor Insulation Wall insulation ........... Ceiling Insulation SHFETROCK NAILING z SPECIAL INSPECTION M MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ; ............. , IIIIIIIII PERMIT EXPIRES USE -7 PERMIT CITY OF EDMONDS 'ONE NUMBER CONSTRUCTION PERMIT APPLICATION 'A%BRESS SUITE PTft US Zo NE 5 CATION 'AD D E-B E'.0 �! IVISI T NAMEISUBDIVISI.H NO LOT LID NO. LID FEE S I. RIGHT OF WAI �STIN. _ U'RE. DEDIC�TC E,Z MAILING ADDRESS 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP R o 541- .. III. I.— P., d D EXISTING — PROPOSED— 00 CITY REOUIREDDEDICATION� FT — 0 M NAME METER SIZE I LINE SIZE 1 10- OF IIXTURIS PRV REOUIREO YES 13 NO ARKS ADDRESS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 'CONT An 113, n CITY ELEPHOOE %iUWllr Lok I 6W NAME EWNERlACTOR,RllllrNl­l ENGINEERING R5VIEWFD/DATE A5DDRES.S 0 --r4TY-Y) Ao FIRE REVIEWED By DATE /A c )—D 0 0 rn �'T U, A TELEPHONE -%�w7j­nc)b L VARIANCE OR CU SHORELINEORADBK INSRPES.CTION B Y!S [I NO JPS NO 00 ED ST STATE LICENSE NUMBER 1-1-1—ION DATE H.S I C CHECKEO BY SERA REVIEW co IPLETE I EXEMPT E. P SIGN AREA ALLOWED I IR I.S 1) HEIGHT ALLOWED I PROPOSED PARCEL NO. con C) I M __I 00 0 c E] NEW 'f@-ESIDENTIAL );a:�fLUMBING I MEDIA LOTCOVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.� FRONT SIDE REAR PROPOSED SETBACKS (7.) FRONT URSIDE REA R C] ADDITION , C] COMMERCIAL ci COMPL ANCE OR CHANGE OF USE 1 -.4 g, m PARKING LOT AREA PLANNING REVIEWED By DATE 0 REMODEL F] APARTMENT C3 SIGN (FENCE EPAIR P,) DEMOLISH TANK E] OTHER REDO I PROVIDED I ID c EMARKS 7F GARAGE RETAINING WALL R511-L CARPORT C] 0 rn rn 0 ITYPE 0 ISIS OR ACTIVITY) EXPLAIN: N ;7 0 CU NT GC PA 0 ;1 0 rl a NUMBER OF o STORIES NUMBEROF DWELLING U.­- CR TICAL AR S UMBER ECIALINSPECTOR JAIE1 REQUIRED M YES trROUP OCCUPANT LOAD DESCRIBEWORK OBED HE REMARKS INS CT, PROGRESS INSPECTIONS PER UBC 1 081FINAL INSPECTION REO'D 0 mo z --I ch z VALUATION FEE PLAN CHECK FEE GLAZING I LOT SLOPE BUILDING rn PLAN CHECK NO: rESTID DATE PLUMBING F. MECHANICAL , THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t:l BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRU -10 N...,T.. P B -L�l - DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC. LLRE.U, E SEPARATE PERMISSION. L GRADINGIFILL ��S RCHARGE PERMIT APPLICATION: 180DAYS PERMIT LIMIT: I YEAR. PROVIDED WORK IS STARTED WITHIN 180 DAYS SEEBACKOF PINK PERMIT FOR MORE INFORMATION END. REVIEW FEES ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALLCLAIMS 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 ORDINAN 'E P 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE ROVISION.- X ENO. INSPECTION FEE LANDSCAPING INSPECTION FEE RECEIPT PLAN CHECK DEPOSIT R OE17 S TOTAL AMOUNT DUE 55- t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION GIVEN IS CORRECT AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THEOWNER� I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTAUC T : AND IN DOING THE WORK AUTHORIZED THEREBY. 10 PIPION WILL BE EMPLOYED 'ION I L ING To N VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RE AT WORKMEN.E COMPENSATION INSURANCE AND RCW 18.27, ,C7�RE (OWNER G — OAT 9� APPLICATioN APPROVAL CALL Bu�j Thl, 1pptillll.b 1� PO-1 ""IFIlgIld by th, dj,,gOjr,,j,I­hmlbllDlPuIY:ald FOR INSPECTION ­,,­­M.d9. p—ld.l. OFFICIALS A BE (425) 771-0220 ILI IDS ATTENTION EXT M IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771 -022 1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW - INSPECTOR PINK -OWNER GOL -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX