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20000602.pdfCITY OF EDMONDi_� CONSTRUCTION PERMIT APPLICATION �A 017CIC MAILINGADDRESSI \1 I o I OL CITY ZIP ,,,,,ITELEPHONE \�- IA f\ r\ wt bas - I h3 o). CITY ZIP TELIP1101,I1 NAME Q VIA __)l \ __I +- Q A-e ADDRESS ';;�o IIC) TELEPHONE' lITY !I` I - Fp_ERMIT EXPIRES USE PERMIT ZONE NUMBER JOB S TIT�IAITI ADDRESS fn W A qJO24 FLAT NAMEISUBDIVISION NO� LOT NO, LtC)NC(. LI. FEE 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP C3 F.'1% 1%� d 0 EXISTING — PROPOSE. 0 0 REQUIRED DEDICATION— FT V RlQlIRlD YE�S 0 NO El �RE�ARKS­T­T­ FOR EROSION CONTROUDRAINAGE--1 FIRE REVIEWED By DATE — L­­ (:)YES (:]NO A I LM \? �A (:�-4 4 a" 1101__ 1� �AS E�PA ­TREIIS� _V.HlRll HEIGHT RoPERTY TAX ACCOUNT PARCEL NO. EXEMPT COMPLETE EXEMPT COMPLETE ALLOWED PROPOSE. ALLOW ED , PROPOSED nn Exp EXP I I LO COVERAGE F;-E—oUIRED SETBACKS PROPOSED ETBACKS (FT,) T COVERAGE 0 NEW 9_�ESIDENTIAL La-PLUMBINGIMECH ALLOWED PROPOSED FRONT SIDE FUR FRONT UPSIDE REAR L' G F. k El ADDITION E] COMMERCIAL I o C MPLIANCE OR CHANGE OF USE PARKING L DATE REMODEL APARTMENT SIGN RECID I PROVIDED 0 rAADINr CYDE C3 FEN E C] DEMOLISH 0 TANK OTHER oGARAGE C] RETAINING WALL CARPORR RENEWAL USE BUSIN&VSlffA�GTIV­lTY) V—XUIN—: �A �G)F C,e ne 7ee �&l J� _e n STr� I OF G7 CHECKED By _0F 11) oC...u7L?, NUMBER NUMBER CRITICAL AR PANT SPECIAL IDNSPECTOR LOAD OF DWELLING STOR ES UNITS ,UEAS mBEA JARIA REQU IRE Cj- YES ;I.E W.F=DONI % II0 sQ Iz u % cp Mwo6allil _ n REMARKS PROGRESS INSPECTIONS PER UBIC 1=11NUAL INSPECTION REQ Q_ k4- I PLAN CHECK FEE _Z1 HEAT SG_UAGE I �NG �-1 LOT SLOPE BUILDING PLUMBING PLAN CHECK,�!� �IlTll DATE EC.A.ICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTtD. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON,TH E PUBLIC DDMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MAROUEES. ETC) W LL REQUIRE BE SDEW' SEPARATE PERMISSION. GRADINGiFILL STATE SURCHARGE P A 11 APPLICATION: 180 DAYS E M T PER' PR RK,S STARTED WITHIN 16DOAYS PERMIT LIMIT. I YEAR " oV'DED W A SEE BACK OF PINK PERMIT FOR MORE INFORMATION OF ENG. REVIEW FEES -AP PL -AN N EHALF OF AND, U ES F5 N P INTEREST. AGREES TO INDEMNI S HAR ESS HE ITY F ;A PLICANT, ON BEHALF OF HIS OR HE El �ASSI NIL N I R - FY. E E 'EDMONDS, WASHINGTON ITSOFFIClA E L YEE A DA ENT FF. ANYA F I E TLY I IRE TLY ALLCLAWS FOR DAMAGEiOFWHATEV T E RI I H S. CE THIS PERMIT, I N E F T IS F5 IT $ ALL N T BE FROM THE ISSUANCE OF DEoSMEDT. MODIFY.WAIVE �O REDUCEANY E IRE ENT F N ITYPIRDINAN NOR LIMIT I Y W Y T. AN E R IS' NOR LIMIT olN ANYWAY THE CITYS A81LI YT E F EANY I LANDscAP G INSPECTIO FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE I 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 CONSTRUC D LoYED TION:ANDIN ONG THE WORK AUTHORIZED THEREBY. NO PERS NWILLBEEmp T I VIC I " o N LAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RE ATING 0 WORKMEN S COMPENSATPW�EURANCE AND RCW I B 27, CALL FOI q INSPECTI 71 _ Q 23!�;_ sIGNATUR(JOW I DATE S16NEO k=l !L2L_ I - (cm 16 l2ftom ATTENTION I EXT 333 IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 51se VALUATION I FEE APPLICATION APPROVAL T,­pp,­,,­ ­1 , p,,,It -1,1 III,ld by th, 'U""�II , .,,d F­ — ­d. _X0, i� .._Mldgod,, sbace F­,­. D By —f � OR10INAL - FILE - YELLOW - INSPECTOR PINK - OWNER - GOLD - ASSESSOR z 9 - 0 ca c m mo _q 0 00 -4 = rn mz 0-1 3 0 -n n m M 0 0 0 c: mo Z r- X z fj) z 0 :j 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. M Retaining Wall ........... Slab Insulation .......... M. PLUMBING: IT1 0 Underground ............. C) Rough .......... -in IT M Commercial Final -4 HEATING: Gas Test ...................... Gas Piping ................. ------------ Equipment ................. ITI M 0 Commercial Final 0 un EXTERIOR SHEATHING NAILING ................... Mo. FRAMING........................ ;13 FIRST FLOOR FRAMING INSULATION ................... Z Floor Insulation rA Wall Insulation ........... Z Ceiling insulation C.) M SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. DATE RECEIVE PERMIT EXPIRES US' us' PERMIT SZo CITY OF EDMONDS ZON NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITFIAPTN ADDRESS 1�4 OWNER NAMENAME OF BUSINESS FLAT NAMEISUBDIVISION NO. LOT NO, LID 16. we;\,;: t m MAILING ADDRESS I LID FEE S I'll ol \-I KA PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T1.1pl."ll, a a p CITY EXISTING — PROPOSED imzlp ITELEPH?N19E 41S - ]4�' REQUIRED DEDICATION— FT SIZE LINE SIZE NO I FI.T FES 'FR V REQUIRED NAME ::�A[MeTEH YES 0 NO 0 ADDRESS MARKS A REMASKS 1-FRI-NITRACTOR RE11-18LE FOR EROSION CONTROUDRAINAGE W_r AND ICITY ZIP ITELEPHOIE NAME v­ ENGINEERING VItUE WIVI rLt8l ADDRESS '9 0 FIRE REVIEWED BY DATE �j CITY ...... . VARIANCE OR CU SHORELINE OR ADBa INSP EC ION STAYE LICENSE NUMBER EXPIRATIONDATE CTKEDB, RE 'D. POSTED OYES ONO V-) \-A ej c 0 SEPAREVIEW SIGN AREA _. � HEIGHT PROPERTYTAX AC OUNTRAR F. NO. OMPLITE I EXEMPT ALLOWED PROPOSED D1 K) 7- EXP q 0 0 LOT COVE KS PROPOSED SETBACKS (FT) RAGE REQUIREDSET C NEW RESIDENTIAL [3-FLUMBING / MECH ALLOWED PROPOSED FRONT SIDBA PEAR FRONT URSIDE REAR ..i RCIAL cl C 0 ADDITION COMME COMPL ANCE OR 0 HANGE OF USE j PARKING LOT ARIA VIED By DATE E] REMODEL APARTMENT SIGN REDD I PROVIDE Cl I ILANIIOG RIEVIE X M z JO --i REPAIR GRADING Y.. FENCE X FT) REMARKS Ca�� E] DEMOLISH C] TANK OTHER 2 CD ROO EV WALL 0 C] GARAGRET E] RETAKIN RENEWAL CARPO CHECKED 11 0, CO .H Occu J 0 _e ' -1)" 1 C87 71 NUMBER NUMIIRO' SPECIAL INSPE I AREA DW 5 1 J Ar [:]CTOR OCCUPANT OF JELLING LOAD UNTS NUMBER REQUIRED YES 5� ad Ill m 0 o Fn cj) M 0 z _STORIES 0- ' REMARKS ZEIIIE W BEOO PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D vi ht-�-K �n \KA z z 0 n'E5TED TPLUMBING VALUATION FEE PIN CHECK FEE PLAIN . HECK FEE LOT SLOPE I BUILDING EAT Sq.ULC_. I . — BUILDING m DATE ILL.. G P LAN CHECK r MECHANICAL I THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO PERTY ONLY. ANY CONSTRUCTION ON THE IUBLIC BE DONE ON PRIVATE PA GRADINGIFILL OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. S E SURCHARGE P'RMITAPPLICATI N; 181) DAYS PERMIT LIMIT,, I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS ENG. REVIEW FEES P SEE BACK OF INK PERMIT FOR MORE INFORMATION SUCCESORS ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS N INTEREST. AGREE TO DEFEND AND HOLD HARMLESS THE CITY OF G :NDEMNIlY. E EDMONDS. WASHINGTON TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND =0 FEE j VE ATURE. ARISING DIRECTLY OR INDIRECTLY ALLCLAIMS FOR DAMAGE OFWHATE R N RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE IN ANY WAYTHE CITY'S ABILITY TO NFORCE ANY ORDINANCE PROVISION. ILA. ..E�K DEPOSIT IECEIP NOR LIMIT C I TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN CORRECT. AND THAT I AM THE OWNER OR THE DULY AUTHORIZED AGENT OF IS IAGREETOCOMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL T a nat , p,am,I 1,da 11pld ty lal THEOWNER. TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED RELATING TO FOR INSP CTIO E�.' dng Oth-I ., hillhol D,pay: and F­ - p,,d. ad n.-p- ­a-I.1,.d,a p... pl-d-d. IN VIOLATION OF THE LABOR CODE Or THE STATE OF WASHINGTON S COMPENSATION INSURANCE AND RCW 18.27. .- 816NATUO DATE WORKMEN _Sj%�ATUR� �Tl D 9 SIGNED 164 J�CIALS nOWNER OR AGE yu TZ� FELEASEDBY OTE f ATTENTION EXT 333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 0 R A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD ASSESSOR 519.