20000349.pdfCONSTRUCTION PERMIT APPLICATION
OWNER NAME�NAME 01 B S NESS
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MAILING ADOR
o -i I rI7 < PY 7-
051
EXPIRATION DATE
PERMIT ;4 () 0—:LL
NUMBER
-)I /1 '7 — e2,— 0 i
GAL DESCRIPTION CHECKI
SUBDIVISION NO
S'
PUBLIC RIGHT OF WAY PER OF —AL STREET MAP
p U a L C 1 H OF Y P E A 01
T N PE U A.
EXISTING _REQUIRED DEDICATION
E X is I
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—P-ED_
ESCP App—iKI
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S 'U. P A.
A,,, N,
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METERSIZE
E
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PHIRE-L'A D
YES 0 NO 13
REMARKS
ENGINEERING MEMO DATED
TIEVIEVE-1
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Y
NEW
... WENTIA].
PLUMBING11il A
ADDITION
COMMERCIAL
CO PLIANCE A
CHANGE OF USE
BE ODEL
APT.BLDG.
SIGN
REPAIR
GRADING
E] FENCE
LFT)
a OVE
W HN,ODST
EAT
SW M POOL
HOTTUBMPA
-A-A-E
CARPORT
RETAINING WALL/
ROOKERY
El RENEWAL
0 'r=11.
(TYPE OF —USE. BUSINESS
OR ACTIVITY) UPLAIN:
INE �1.
IN MBER
U,
=LILER 11
YVA No
CRITICAL
JA REAS
SERA REVIEW SIG AR H 1.H.
COMPLETE I XEMPT ALLOWED 1PROPOSED ALLOWED 1PROPOSED
�P
LOT COVERAGE REQUIRED SUBAUK5 I11.1 .... LEE, SETBACKS IF 1.)
ALLO'WED I PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR C
C3 YES
..A;
C
I'MROGRESS INSPECTIONS PER UBC 108
li-i,oy-e rls�M p5
FINAL INSPECTION REQUIRED
VALUATION
FEE
PLAIN CHECK FEE
BUILDING
HEAT SOURCE:
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curb$, slde.olks..
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
permit Limit: I Year. Provided Work is Started Within 150 Days
"AppHcant. olibehalf of his or her spouse, heirs, assigns and
EN , INSPECTION FEE
11 d
su n ICnj,,yrest, agrees to inwde= IYf defend and hol
Edmonds Zsh it. Officials
'a-11
in.=rah. of
from any �rdl c2gimTi or damages Oi
e,plOY:a "Xid a.Ziln'll
d S c
h n 1. a, 1. directly or indirectiy, frombthe I.suan a
. a,
of this permit aho not. a a med 0
PLAN CHECK DEPOSIT
of this permit. issuance
modify, waive or reduce any requiremen I an, Ity ordinance
City's to enforce any ordinance
TOTAL AMOUNT DUE
1,5,33,7
59.ib)
I ability
nor limit � any way the
provision.
MEN...N�
o
I hereby aclklol�:dge I.rIa I ha's read this application; that the
ATTENTION
APPLICATION APPROVAL
inform ation 'Ivan car, C'� and that Isam the owner, or the duly
owner. I ag re to comply with city and
THIS PERMIT
is not a until
authori,ed agent of the
State laws rag . lat ing construction; and in doing the work authortz
AUTHORIZES
This application permit
Signed by lins.1elilding Official Or hllh�r
ad thereby. no person will be employed In Violation of the Labor
0 LY THE
WORK NOTED
g.puty. ind s are Paid, and receipt is
at Washington relating to Workmen's Compensa.
acknDWIedged in space provided.
0 tion Insurance aria FJPAI= �27
INSPECTION
DEPARTMENT
11 DATE SIGNED
rVJTU ;O.WIE"
T"
CITY OF
EDMONDS
,
CALL FOR
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE 0. OCCUPY A BUILDING OR STRUCTURE
HAS BEEN MADE AND APPROVAL OR
771-0220
UNTIL A F:NAL INSPECTION
A CERTFCATE OF OCCUPANCY HAS BEEN GRANTED. UBC
r
SE -TION 109
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...................
FOUNDATION:
Fooling ......................
wall .......................
Z.
Pier/Porch ............
v,
RetainlngWall ............ 7�
0
Slabinsulation .......
PLUMBING:
13 M
Underg round .......... ..
C
M
0
Rough -in ...... ..........
-4 0
0 C
Commercial Final, .......
M
M
Z'
HEATING:
C z
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GasTest .................
-
:4
_< 0)
GasPiping ........
0 -n
-n
Equipment ................
-4
Commercial Final .........
M rn
EXTERIOR SHEATHING
0 M
NAILING ..........
9 CA
M
FRAMING ............
Z
INSULATION:
71
Floorinsulation .....
Z
Wall insulation ...........
Calling Insulation .........
0)
z
SHEETROCK NAILING ......
0
SPECIAL INSPECTION ......
MISCELLANEOUS
FINAL APPROVAL
L I)
FOR OCCUPANCY -
Q3
USE
ZONE PERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION jos,
CHLUKISUBDIVIStON NO
JOWNIR NAMEINAME OF BUI)NI11 ADDRESS 19 L 1-J
des I-
Y Al V- V3
CITY T111P 0 U0,18ER
STATE ICENSEN MBE 77..
o
Legal Description of opa
�Include all easements
13
Por—I N .n
NEW
REEII.E.TIAL
C MPLIANCE OR
ADDITION
COMMERCIAL
C4ANGE OF USE
Alt BLDG
REMODEL
SIGN
REPARA
GRADING
FENCE
I—.—
wo TOVE
Ej SWIM POOL
DEMOLISH
INSEONTS
HOT TUB,SPA
OARAGET
RETAI NINO WALL/
CAIMPOR
R RY
OCKE
RENEWAL
(TYPE OF U$E� UPSINESS OR ACTtVIIY) EXPLAIN
—",I I——
NO...
NIIIEN 11
—
oIll-AL
or
.T.FUES
I.ff�SI:ENUMOEP
A.LAS
P
DESCRIBE WORK TO
BE DONELAT717�T PLAN)
"'A
PUBLIC RIGHT OF WAY
PER OFFICIAL STREET MAP
I TESC",APP"` U
EXISTING —REQUIRED
DEDI( ;_DN
R P. It R 0
S� U. P.—I R%, il
7
METER IIIE
LINE SIZE
N0,01111TURES
I PRVREQUIFED
YES 0 NOO
I
REMARKS
7AARM
_Pwmn
VARIANCE OR CU
ADS 0
SHORELINE N
SERA REVIEW
COMPLETE I EXEMPT
EXP
SIGN
ALLOWED
AREA
ROPO 0
__
HEIGHT
A17LOW
_
O�SED
__
LOT COVERAGE
ALLOWED I PROPOSED
�r _
E.UI SZ.Ka`(`FT.1
_EG
FRONT SIDE REAR
. il�O
. P7
FRONT,IJRSIDE REAP
LOT AREA
_�UUMINING --REVIEW By
DATE
REMARKS
CHECKED BY I IY�Z CONS RUCTION
h "L,
1 cl
OCCUPANT
GRO 3
SPiCIAL INSPECTOR
REQUIRED
YE.
OCCUPANT
LOAD
MARKS
PROGRESS INSPECTIONS PER LISIC 108
FINAL INSPECTION REOUIRED
7T /,,_p
PLMN CHECK FEE
BUILDING
SOURCE
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY
GRADINOWILL
to
Any construction on the III np= pidswolks,
veways, marquees, Ole.) 11 'mission
j
_or
Permit Application: 100 DIV&
STOnM DRAINAGE FEE
Permit Limit: I Year ' Provided Work Is Started Within ye
"Applicant, on behalf Of his or her spouse, heirs. assigns andd
ENO, 114SPECTION FEE
i
Loc ssore d I defend and no
a in Interest. agrees to It am,, yl.
I
dE We h ng . IS O",c,.S.
harmless I he City a' Edo' 5
�nd Xlcil.lm- for damages off
4k- L '�J,
am g.nt. IrOm any
wh '110"" on ii directly of Indirectiy, from the issuance
B v"
this permit she not be doomed to
P LAN C.ECK DEPOSIT
of this Permit Issuance of
mod fy, waive or red uce any requ roment of any oily ordinance
nor ilmll In any way the City's ab!lity to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby a,Know ledge that I have read this application; that th a
ATTENTION
APPLICATION APPROVAL
informal 'on given is correct; and that I am the own or. or the duly
authorized agent the owner, I agree to comply with city and
of
THIS DEAM1,T
This application is not a permit until
'I
state laws regulating construction; and In do ng the work aothoriz-
Labor
FIZE
'1UZL1 THE
sIgn,d Y Ides."ildrIng Officln,,,�,rr his/her
ad thereby. no pe son will be employed in�iolation of the
�ORN NOTED
Depu 'y%n B Paid a eceipt Is
Code of the State of Washington relating to orkmen'sc.mperIsa-
ckn,�Gdg.dl in space provided.
tion Insurance ar,O
I .. EC"�',','T
�EFAFTM
OF
Url"Ir TO .E.
U"
0o
CITY
EDMONDS
CALL FOR
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 01 IT .. TuE
HAS BEEN MADE AND APPROVAL 01,
771-0220
ORIGINAL F,le YELLOW — inspector
LJ
UNTIL A FINAL INSPECTION
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
S TION 109
EC
PINK — owr.er GOLD — Assess.,
1024,
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