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CITY OF EDMONDS UMBER
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CONSTRUCTION PERMIT APPLICATION OB
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NAM12USINESS PLAT 1�1 NI,
ME, PI NAMEISUBDIVISION NO.
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EXISTING __:ZL_ PROPOSED
CITY ZIP E
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REQUIRED DEDICATION___� FT
711,7
METER SIZE 57 =�OO IXTIRES PRY REQUIRED
NAME IE-x NO 1:3
IV,
REMARKS
ADDRESS OWNER/CONTRACTOR RESPO �SISLE FOR ELOSION CONTROUDRAINAGE
ZIP c) 'D —W.
CITY ITELIPHOIE
NAME 0 e514 IV foa
'mm-EIERING .-I—EDIDATE
ADDRESS q
FIRE REVIEWED BY DATE
CITY ZIP Be ME r
VARIANCEORCU HORELINE OR ADEN NSPEC�ION BONDD
STATE LICENSE NUMBER
oeSERA REVIEW SIGN AREA EIGHT
PROPERTY TAX ACCOUNT PARCEL NO. Co ALLOWED PROPOSED ALLOWED PR.IOSg-
12
E.
D SETBACKS (FT.) PROPOSED SETBACKS (FT.)
7NBW ALLOWED PROP FRONT SIDE REAP FR LIR B DE I
E.,.ENTAL PLUNIS'K. , MED. COVERAGE REQUIRE "�- R,
,��D IS 1;
COMPLIANCE 08 7�
C:] AUDITION ri CHANGE OF USE PARKING LOT AREA P IN I RE ew
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REPAIR 0 X REMARKS
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C] DEMOLISH [3 TANK
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TOR'. UWN IT. NUMBER
DESCRIBE WORK TO BE DONE REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'Dj
VALUATION
FEE
PLAN CHECK FEE
7 V.
LOT SLOPj�
C,
BUILDING
PLAN CHECK NO:
PLUMBING
02-2h
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Abb
BE DONE. ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
L
JAI
SIDEWALKS, DRIVEWAYS , MARQUEES. ETC.) WILL REQUIRE
DOMAIN (CURDS. RE
SEPARATE PERMISSION,
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
PERMIT LIMiTl YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
INSPECTION FEE
ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
ENG.
;APPLICANT
N INTEREST, AGREES TO tNOEMNI`Y- DEFEND AND HOLD HARMLESS THB CITY OF
EDMONDS, WASHINGTON, ITSOFFICIALS. EMPLOYEES.AND AGS�TSFROt ANYAND
INDIRECTLY
0
NOT BE
UqW
,SMALL
Y E
T ORDINANCE
CE PROVISION.'
LAN CHE KDEPOSIT
-A
—_
TOTAL AMOUNT DUE
RECEPT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
A Ll A I N APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
s P—A fl s,, �y I..
T EOWNER IAGREETOCOMPLY TY AND STATE LAWS REGUI-ATIN G CONSTRUC
W ITH Cl
CALL
E.,e owy. and Fees sio p,,d. ,d
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N WILL BE EMPLOYED
T,ION AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSO T
WASHINGTON RE ATING 0
lodg p,d.d.
FOR INSPECTION1 Q,pj 1-1.110,19 nspe
N VIOLATION OF THE LABOR CODE OF THE STATE OF
WORKMEN S COMPENSATION INSUR
0 ICIA ION P-51
SIG��(�WNEq OR AGE T) DATE
(425)
5/2/60
771-0220
ELEA D Y D�TE
ATTENTION
EXT 333
ITIS UNLAWFULTOUSEOR OCC6�PY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORK31 ILE . YELL bs
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PIN -OWNER . GOLOWA'SSEIT."
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RE-CF— IV E D
MAR 0 7 2000
DEVELOPMENT SERVICES CTR-
CITY OF EDMONDS
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RECEIVED
MAR 0 7 2000
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
Pirpr
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ONNEWCONTRACTOR IS RESPONSIBLE FOR N
EROSION CONTROL AND DRAINAGE
INsPECTION, REQUIRED
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OWNER
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*****DESIGN DATA***** =1
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IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
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FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM
NOTES.
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1. Call Engineering Division (771-0220) for a lightline and de-tention system Wspecti
7 - - - - on
before backfilling and for final inspections- OVED BY
W . Sys 4TW-
for Cp O.au . _vato is the
2. Responsibility for operation and maintenance of drainage systems on private Property is 77
rt Once ra.. p ::
on.. jE tb.. Shed
. troi rij
the at
responsibility of the property owner. Material accumulated in the.stoage pipe must be flushed
th ' th — i to .Ow Pro ro rifice DATE
. Ss
out and remIyved from th . IS catch basins to allow Proper Operation- outlet control 0 L
, _ , I I. _ — I
must be kept open at all times.
Project Review Checklist
Plan Che
ck
ProjectName: 1-106
Project Address: -- fiC 5�,V Receipt Date:
Underground Wiring Required
Hydraulics Permit
Plat/Subdivision Requirements
Street Dedications
Easements - Public/Private
Engineering Storm Drain Review Feel
Engineering 2.2 inspection Fee
Drainage Plan (On -site)
Setback - Storm Drain Line
Open Ditch - Existing
Culvert Required
Culvert Size
Shoulder Drainage/Shale OP- R-Off
Catch Basin Required
Driveway Slope & Vehicle Access
Sidewalk Required
Curb & Gutter Required
Curb Cut for Driveway Required
Street Paving Required
Right_of-Way Construction Permit Required
Bond Required for Public Improvements
FEMA Map checkfWater Table
Side Sewer Availability
calculate Sewer Fee ifNo LID#
Water Meter Size
Water Meter Charge Required
Hydrant Required
Street Cut
Miscellaneous
RW Permit # 00 - C., �,&
Ss Permit # 0,/ a,� 5 D
Fire Connection$ —
Meter Size — Paid $
Y-�5
/V0
I'VO'7KS D
-T,Y; 44 /L-
All
Date Issued
Date Issued
Date Issued
Date
Receipt #
Receipt #
Receipt #
Receipt #
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-FINAL PROJECT. AP
TO. OSQ-
I DATE: (01o4/3o
MMO TO: PERmrr coommmp, BUILDING DIVISION
FROM: D1111 DA1-
GINEERING DIVISION DATLO I -LAOC)
.PLANNING DIVISION DATE-
sITEADDREss—ILL-2315t EL
z
ADB#__--DATE INSPECTED 0..
PERMM[T
DESCRIPTION OF WORKTO BE INSPECTED
was conducted to determine compliance with approved plans'. Find approval denotes that
A field inspection
there are no objections from the above signed Department to the granting of:
Final approval ofthe described work
performance Bonds associated with the project may be released
GRANT FINAL PROJECT APPROVAL
GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
",A r4 S
vtwt'�
\J6\1'L cou- W
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
I .
2.
3.
. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
oc&prv1.doc.U=p:b1dg:f0=S6/98
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
ckj
Footing ......................
f,
Wall..........................
Pier/Porch ...........
Retainlrig We I ...........
Slab Insulation
PLUMBING:
Underground .............
Rough -in ..................
Commercial Final
HEATING:
Gas Test ....................
-----
Gas Piping .................
VA5
Equipment .................
Commercial Fin at
EXTERIOR SHEATHING
NAILING .......... ...............
T
FRAMING ........................
__C
vyl
FIRST FLOOR FRAMING
INSULATION ...................
Floor insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
t7- 6D
OCCUPANCY ..................
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION JOB
_1_6�_N3R�M.EINAME
OF BUSINESS LID NO.
PLAY NAMEISUBDIVIStON NO. ICING.
�j "4� LID FE
MAILINGADDRESS
PUBLIC RIGHT 01 WAY PER OFFICIAL STREET MAP
Sb Utp"Z%� d �'ALJ_
PROPOSED D_
EXISTING
CITY ZIP . C
E.UAE. DEDICATKDN_�_- FT V',=.
7
METER SIZE SIZE NO�7[RES PAV REQUIRED
AE 9
VILINE
YES NO
A MARKS
AD BESS 0 NERIG2N CTOR 2E'S P2 FOR EROSION CONTROUDRAINAGE
_NlIEUE
TELEPHONE
CITY ZIP
NAME —7
77
--TE—VIEWEDIDATE
I RING
1 ADDRES
FIRE REVZ�,EGBn A DATE
CITY
o
B01 0
C11
D
STATE LICENSE NUMBER E C]N
SE�A REVIEW HEIGHT
ALL WED PROPOS
COMPLETE EXCMPT ALLOWED PROPOSED
PEATY TAX ACCOUNT PARCE� NO.
Ext_
LOT COVER GE REGUME0 SETBACK$ (IT) PROPOSED SETBACKS (FT)
3/NE. C3'-.E.IDB.TIAI 0XPL.EIN. I NECH ALLOWED PROP F ONT SIDE REAR FRO T JR SIDE BE A U
-�- '-2 7:5 7,
C MPLIANCEOR '5D 7'
AUDITION COMMERCIAL -
C3 CHOANGE OF USE PARKING LOT AREA 0 Y J�
_��PROVIDED
REMODEL APARTMENT SIGN REO'D
FENCE
REPAIR !:LJL CYDI X FT) FEW`
DEMOLISH E] TANK 0 OTHER
Eg'fAA.�PGI'�T ARETAK'�,g"y- WALL 0
E BUMME. I CI�E Y OF C T UCTION C1157 OCCUPA
GROUP
ITYPE
N NUMBER 0, CRITICAL SPECIAL, INSPECTOR If 5-r 74vp
U A EASA
OF, DWELLING REQUIRED 0 YES
STORIES UNITS NUMBER
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1 081FINAL INSPm; I IuN mmu u Do
IL4, I 6H?4�a) 'Tx--
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zi wAT7a!5g_ f
FEE
PLAN CHECK FEE
(7)
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BUILDING
...... ....
PLUMBING
PLAN CHECK NO:
o—
I (D
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
ON THE PUBLIC
L.
BE ONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION
�DOM IN (CURBS, SIDEWALKS. DRIVE S, MARQUEES, ETC.) WILL REQUIRE
RA WAY
L
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
STARTED WITHIN 1.0 DAYS
ENE, REVIEW FEES
PERMIT LIMIT. I YEAR - PROVIDED WORK IS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
FEE
-APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNEIAND SUCCESDRS
AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
ENG. INSPECTION
-==c'
IN INTEREST,
2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
DA AGES OF WHATEVER NATURE. ARISING I, —
PEFI�ll
ALL C�AIIHT =ANGE L T E
IT SHZ
PLAN CHECK DEPOSIT
2
or
FROM T DF ANY CITY ORDINANCE
)RDINA�CE PROVISION.-
TOTAL AMOUNT DUE
RECEIPT
HAT THE INFORMATION
HEREBY ACKNOWLEDGE THAT I HAVE REoAD 'HIS Aop�'THCEA`D�oLNI TAUT.O.IIED
APPLICATION APPROVAL
GIVEN I CORRECT. AND THAT I AM THE WN, AGENT .1
THC'T Y A N D STIT E L AN S REGULATING CONSTR.0
CALL
T ppi., , 1 . p—It -.1 1.,ld by IhO
otf,I�., hlllhll Dlplly. — F ... ... b..d
THE CINSER. I AGREE T
TION. AND IN DOING THEoW.o'R'K%yLWH' IECTHEA Y NO PERSON WILL BE EMPLOYED
RELATING TO
FOR INSPECTION k,,Ild9.d 11 10 PI—d-
IN VIOLATION OF THE LABOR CODE Or THE STATE OF WASHINGTON
WORKMEWS COMPENSATION INSURANCE AND RCW U1.27,
OFFICIA GNAT DATE/
c
4/01?
SIGNA3 DATE SIGNED
��PpWNER 01 AGENT
(425)
771-0220
CATE
RELEAS D Y
EXT 333
/co
ATTENTION STRUCTURE UNTIL
IT IS UNLAWFUL TO US E OR OCCL"UILDING OR
771 -0221
—YELLOW
INSPECTICN HAS BEEN MADE AND APPROVAL OR A CERTIFI-
RIGIN L FILE - 16spelToR
A FINAL
OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PIN OWNER - GOUD..ASsEssbR
CATE OF
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