20000442.pdfCITY OF EDMONDS
rCONSTRUCTION PERMIT APPLICATION
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STATE LICENSE NUMBER
Or-2--2-06 , _;�
RESIDENTIAL
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ADDITION
MMERCIAL
M COMPLIANC 01
CHANGE OF USE
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SIGN
REPAIR
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PERMIT
NUMBER
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L EGAL DESCRIPTION CHECKI
SUBDIVISION N
ID NO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
E I$UNG — REOUIRED DEDICATION —
PROPOSED
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LINE SIZE
NO,OFIIITIRES
IRV PEOUIRED
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REMARKS
ENGINEERING MEMO DATED Am— -t—
FIRE MEMO DATED EVI-EDBY I
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VARIANCE OR CU
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SHORELINE N
SERA REVIEW
COMPLETE I EXEMPT
EXP
SIGN
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AREA
1PR D
HEIGHT
ALLOWED 1PROPOSED
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LOT COVERAGE
ALLOWED I PROPOSED
REQUIRE
PROPOSE ETISAUK ()
FRONT UPSIDE REAR
LOTAREA
a
REMARKS
cHECKED=STRUCTION ICODE
SPECIAL INSPECTOR
ReoUIRED OYES
CAOUPANT
LO
jo
REMARKS
PROGRESS INSPECTIONS PER UBC'108
FINAL INSPECTION REQUIRED
PLAN CHECK FEE
BUILDING
HEATSOURCE:
GLAZING %
PLUMBING
Plan Check No. (-y-) \,2,
MECHANICAL
. . ., I, _VrA a
This Permit covers work to be done on private property ONLY.
GRADINGWILL
Any construction on the public domain (curts, sidewPikS,
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driveways, Marquees, etc.) will require sep
... A...
Penn �t Application; 180 Days
STORM DRAINAGE FEE
t LI In 180 Days
-Pem
"A licant, on behalf of his or her spouse, heirs, assigns and
pp'
al
SU e.o,S in interest, agrees to indemnify, defend an hold
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harmless t zdmonds ash gton, Its officials,
"a City of r in
2 In ' " ' ganis from any �Rd%ll alms for damages of
`P��Y:r 1:suanc
he , .6turd.,larl.ing directly or indirectly frombthe
PLAN CHECK DEPOSIT
I at his no B de med to
U` rm " a .11a
m". 'suan.c: O'yh.,U1e,.merUho
modi Ne or eda an ny'City ordinance
IV per
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
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provision."
I hereby go I'. I hd,,,a read this application; that the
aCknow!:d
ATTENTION
APPLICATION APPROVAL
forma n han Correct!, an I am the owner, or the duly
U, .
Ithall
authorizt agent of the owner. agree to comply With city and
THIS PERMIT
This application is not a permit until
state laws regulating construction; and In doing the work authoriz-
AUTHORIZES
THE
signed by the Bull ding Official or his/her
"o
ed thereby, no person w Iff be employed In Viola n ofthe Labor
0 LY
W RK NOTED
Deputy; and fees are paid, and receipt is
Code aline State of Washington relating to Workmen's Compensa
c nowledge in space ovided.
hon Insurance aria RCW 18.27.
INSPECTION
iGT.AE 10 N1
DEPARTMENT
OF�
Is SIGNAT A D TE
CITY OF
EDMONDS
CALL FOR
E EA �E
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL O�
_ rI Spa�
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771-0220 - ORIGINAL — F.IS YELLOW — IPIPECIOI
UNTIL
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED� LIEU
SECTION 109
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]EINAL PEW 'AL FO
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DATE.-�-�00
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE —
ENGINEERING DIVISION D
�—PLANNING DIVISION DATE—ok—
PR OJECT '�L= (q -2
SITEADDRESS C)
PERMIT#Q A #_DATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of:
------- Yinal approval of the described work
Bonds associated with the project may be released
GRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
_FAILED FINAL INSPECTION - OUTSTANDING ISSUES
1.
2.
3.
OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
�SETBACKS� ...... ...........
FOUNDATION:
Footing ....................
wall;. �q ...................
Pier/Porch., ..... .........
RetainingWall ............
Slab Insulation ....
PLUMBING:
-n
Underground .............
1 p
m
Rough n
m
Commer6lslnnal� ......
-40
0 C
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HEATING:
On
m
10
GasTest .................
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asPiping ........
Equipment ............
0211
CommarcialFinal ...... :d.
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EXTERIOR EIJEATHIN6
NAILING ....... .......
C,
FRAMING ........
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INSULATION:
Floor Insulation-;.O......
Wall Insulatil on., .....
Ceiling insulation .........
SHEETROCK NAILING ......
SPECIAL INSPECTION ......
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IT,
MISCELLANEOUS
FINAL APPROVAL
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FOR OCCUPANCY .........
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USE c PERMIT
CITY OF EDMONDS zo IN C-' NUMBER
CONSTRUCTION PERMIT APPLICATION
NAMEINAME OF BUSINESS ADDRESS TP5
OWNER
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No K
CID No
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AILING
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"U"",
P BLIC RIGHT OF WAY PER OFFt CIAL STREET MAP
TESCIP Ap Cl
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CITY
1111THI — 'IOU"" 11110111—
NAME
PROPOSED
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METER!
DF FIXTURES
FAV REQUtAED
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IS
ADDRESS
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REMARKS
CITY
IP TELEPHONE
UMBER
NAME CXG�
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=111111117
'BOB
ENGINEERING MEMO DATED REVIEWED BY
CITY
NU..E
FIRE MEFT DMATED" .—ED BY
STATE LICENSE NUMBER EXPIRATION NJ
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04
VARIANCE OR CU
4DS
SHOREUNEN
Li.ik5escription oi vropeny - inct— at, ea-ments
SERA REVIEW
SIGN AREA
HEIGHT
I
-
-
0
o
COMPLETE I EXEM" UL
IN �
rl EPOSIO
ALLOWED 1PROPOSED
EXP
LOT COVERAGE REQUIRED
ALLOWED ED FRONT
SET CKSt
SI REA
PRoPoSED-TBACKS(FT.)
FRONT UIASIDE HEAR
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IPROPOS
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Pro
LOT AREA
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ADDITION
COMPLIANCEOR
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REMODEL
GRADING FENCE
OYDE (—x—FT))
NECKED BY TYPE 01 CONSTRUCTION _- I CODE
OCCUPANT
GAO JYZ�
REPAIR
0 n
DET SWIMPOOL
WtNOSEORT 0" HOT TUB/SPA
SPECIAL INSPECTOR
REQUIRE.
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GARAGE RETAINING WALLI
E] RENEWAL
0 YES
3:
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REMARKS
.fT-YPEOFUSE,SUSINE
CARPORT ROCKERY
PR.1VTIVJTY)EKK, Irk
PROGRES� IN SPECTiONS PEA -UPC 108
a a;
0
0
NUMBER OF
CRITICAL
AREAS
F
IS
es
D ELLIN G
UNITS
NUMBER
M 0
DESCRIBE WORK TO BE DONE JATY�iCH PLOT ALAN)
F11NAL IfiiPECTION REOUIRED
X
VALUATION
FEE
PLA4,CHECK FEE
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SUILDIN G
SOURCE:
941
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PLUMBING
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Plan Check No. 100 -
MECHANICAL
-This Perm —it covers k to be don a on private koperty UNLT..
BAD; GIFILL
M
Any construct[Onwoonrthe public domain (cut a
driveways, marquees, etc.) will require separat� par
URCHARGE
Permit Application: 180 Days
STORM DRAINAGEFEE
Permit Limit: I Year - Provided Work IS Started Within 180 Days
op behalf of his or her Spouse, heirs, assigns and
9A��l
Interest, agrees to indemnifyi0dallind and lol.d,
I g 'a
harmless the City of Edmonds We n
hinalms
am 'no I r"' from any �nd all for damages of
P'oy:l
Wh eV R LIS, . I.Ing directly or indirectly froMbthe
at
PLAN CHECK DEPOSIT
dissuanC
of this permit. Issuanc: Sholl not a earned to
a0n'yhe'qQi.rRrh
modify. aive or red uc , am In any cit ordinance
nor limit In any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision,"
Is
I h reby acknowledge that I.have read this application; that th
a'
ATTENTION
APPLICATION APPROVAL
the dule
information given Is correct; and that I am the owner, or y
a thorized agent of the owner. I agree to comply With city and
U
T.15HPERMIT
This application is not a permit until
a is a laws regulating constru ction; and In doing theWork authoriz-
ALT
Signed
hDIE.Ildr 'rIgOfficial or his/her
ad thereby, no person will be employed In violation of the Labor
OI,ILC`7HEES
WORK NOTED
spur b' an' d a a aid, and receipt is
Code of the State of Washington relating to Workmen's Compensa.
c nowledge in space 01 a
tion Insur Lno atio RCW 18.27.
towN
jNSIECTIO.
E PARTMENT
C IT Y
0'
SIGN T A TE
IX
= le-40,
EDMO NCOr
cALL FoRI,
E EA, BY A
ENTION
NSPECT,0
00
IT 19 UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 171-0220 ORIGINAL - FOS YELLOW - Inspector
UNTIL A
A CERT FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
PINK - Ovine, GOLD - AsseSSOI
SECTIONI109
102-87