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20000829.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NAMENAME OF BUSINESS I — CITY — ZIP I TELEPHONE TELEPHONE �71TY_ ZIP I TELEPHONE "O'NT'AL RESIDENTIAL 0 PLUMBING/MECH 0 ADDITION COMMERCIAL 0 COMIL ANCI OR CHANCE OF USE 0 REMODEL 0 APARTMENT 0 SIGN 0 REPAIR 0 GRADING CYDS 0 PENCE , _ 11 ITI 0 DEMOLISH 0 TANK o OTHER GARAGE 0 RETAINING WALL 0 RENEWAL 0 CARPORT R., 'KERV (TYPE OF USE. BUSINESS OR?,TIVETY) EX —IN; P_ ER OF LNG .17 CRITICAL AREAS :;I— NUMBER DESCRIBE WORK TO BE DONE PERMIT EXPIRES :Llj� USE PERMIT , ci ZONE NUMBER 000 o4 SUITEJAPTN ADDRESS FLAT NAMEiSUBDIViSIDN NO, I LOT NO- LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ww;—e als—c L.. ­,hl lh�c EXIS ING — PROPOSED— call —a REQUIRED DEDICATION— FT — —a— Vhfts1­Il.d YEPRV lOUIllD S C3 NO 0 MMARKS ­FQN.IBLE FOR EROSION CONTROUDRAINAGE ENGINEERING FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR AIDE. INSPE.CTION ,E . I BOND. STE OYES ONO ,EPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED `XP I I I LOT COVERAGE REQUIRED SETBACKS (FT.j PROPOSED SETBACKS (IFT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT. URSIDE REAR PARKING LOTAREA VIETY DATE VIDED REO'D I PRO 1 JPLAIING �7 /I CHECKED BY TYPEOFC NS7`R TION CO OCCU NT GROUP z _4 FECAL INSPECTOR AREA OCCUPANT 0 YES REQUIRED = LOAD FRSMARKS 'D 5 oan�noqqlmqPrCTIONSPE.U..I..11..AL.INSPECI....E�.. , PLAN CHECK FEE LOT SLOPE % BUILDING PLUMBING ED DATE MECHANICAL 2 :I PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO E DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC�) WILL REQUIRE SEPARATE PERMISSION, GRADING/FILL CHARGE at A. PERMIT APPLICATION: 18Q DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 'SO AS SEE BACK OF PINK PERMIT FOR MORE INFORMATION EN4EVEW FEES ;A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS as P IS N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF a EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Is ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDMECTU, OF THt X FROM THE ISSUANCE OF THIS PERMIT ISSUANCE S PERMIT SHALL HOT BE DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROYI SION.. se - ENG, INSPECTION FEE LANDSCAPING INSPECI ION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE t HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORREC' AND THAT I AM T14E OWNER OR THE DU�LY AUTHOTR, 'ZID AGENT 01 T' LAW F GULA , , NETFU THE OWNER. I AGREE To COMPLY WITH CITY AND STAT E N1 '. TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYE% IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27� SIGNA'7VR 0 TE SIGPED 1 CALL FOR INSPECTII (425) ATTENTION 771-0220 EXTf333 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. USC SECTION 109 FAX Isms VALUATION I FEE L,hil,iglldby the I �haht It I a 'I he, a:,qy:andFe.la.Fall.-h ose,plisc, ... d,,J.. space prwided. �_j OFF ALSSK�NAT �00E.R ASED By E OW OIKIINAL�111_1 YELLOW- hEl TOP PINK - OWNER GOLD - ASSESSOR Z 0 3: M C M 0 0 m M z 10-4 C -2 0 -n m m i 0 0 M i C C., Z z m I m Avl Mill" IN THIS FRAM9 IS LES THAN THIS NOTIC 'A IF TH'E- D06UMtw N6 (t*OQ,� a IAO) A004P pail `4 L4 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing.......... ........... wait................... Pier/Porch Retaining Wall M, Stab Insulation .......... PLUMBING: -4 Underground ............. M Rough -in ................... ma 0 �4 comme�clal Final oc� 1 M to GasTest ..................... Gas Piping ................ Equipment ................. :.Commercial Final 0 -n M M, i EXTERIOR SHEATHING NAILING ...................... FRAMING........................ FIRST FLOOR FRAMING M INSULATION ................... Floorinsulation Zr Wall Insulation ........... Ceiling Insulation z SHEETROCK NAILING 0 a SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR C) OCCUPANCY ............. V/10" =PERMIT EXPIRES �1--442 PERMIT CITY OF EDMONDS NUMBER SUITFJA T1 CONSTRUCTION PERMIT APPLICATION RES, --- CITY ZIP CITY ZIP I TELEPHONE A— ARESIDENTIAL 0 PLUMBINGIMECH 0 ADDITION 0 COMMERCIAL 1 COMPLIANCE 01 CHANGEOFUSE REMODEL [3 APARTMENT 0 SIGN n REPAIR 0 GRADING CYDS ENCE o F — X DEMOLISH TANK' OTHER GARAGE 0 RETAINING WALL RENEWAL o CAPPO RT RCXRY .... ITYPE OF USE, BUSINESS 014;�,TIVITYt EXPLAIN: R­ OF I NUMBER OF DWELL NO .19 I CRITICAL AREAS STORIES ig UNITS NUMBER DESCRIBE WORK TO BE DONE SLOPE % THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PETIMIT COVERS WORK T BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION` PERMIT APPLICATION; 180 DAYS PERMIT LIMIT'. I YEAR - PROVIDED WO`IKIS STARTED WITHIN Too DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;APPLICANT. ON BEHALF 0 HIS OR HER SPOUSE HEIRS, ASSIGNS AND SUCCESOR N INTEREST, AGREES TO INDEMNIFY EF,,D AyNEoESoLN0.=LE1S 'HE CITY C Ii ED ,4LD MONDE. WASHINGTON. ITS OFFIC S, E L. A TS FROM ANY AN ALLCLAIMSFOR DAMAGES OFWHATEVER NATURE� ARISING DIRECTLYOR INDIRECTLY PROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT 6 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUPSMENTOF ANYCITY ORDINANO E' - =ION N — - '. PLAT NAMtSUBD' O._ j lot"i .—.'9 LOT NO, LID 140. LID FEE S PUBLIC FIGHT OF 'WAY PER OFFICIAL STREET MAP EXISTING PROPOSED— REQUIRED DEDICATION— FT Kw P-15-1-1 .... Us. m.. A., Im.— an-aa. a sul—la, P.1-d 13 cl STER SZE LINE SIZE NO, OF FIXTURES PRV REQUIRED YES C3 No 0 REMARKS N TO E TOR RESPONSIBLE FOR EROSION CONTRO"'A" .IIE.ONT�A�T.11�.POI�l�LEFOIIEII.SI.NDO T _r.FAINAG WCO NWTRAC 5 LOWNE = REVEWEMIDATE ENGINEERING REVIEWEDIDATE ENG, NES'"N. Y DATE FIRE REVIEWED BY DATE FIRE REVIE SOB VARIANCE OR CU VARIANCE OR CU SHORSUNE OR ADER INSFFE.G!TI N 'S Q 0 YES 0NO BOND POSTED $EPA R IEW COMPLETE 9V EXEMPT -P E P FALLOWEDPROPOSED SIGN AREA ALLOWED PROPOSED I HEIGHT ALLOW D , PROPOSED I 3E LOT COVERAGE REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT FRONT� UPSIDE REAR PAR =Vl DATE REMA K TYPE I iMLON O'CUPANT '177 COOL, z —,I SPECIAL INSPECTOR IA—,. RE.0 EDO YES OCCUPANT LOAD sC::� REMA KS ROGRESS INSPECTIONS PER UBC 10111FINAL INSPECTION REQ'D 11 VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL 0 GRADINGIFILL URCHARG9 EN REVIEW FEES S ENG. INSPECTION FEE F LANDSCAPIN D INSPECTION FEE E PLAN CHECK DEPOSIT E RECEIPT NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION, TOTAL AMOUNT DUE [HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INF RMATION GIVEN By CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF IS THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL THEW RKAUTHORIZED THEREBY, No PERSON WILL BE EMPLOYED TION� AND IN DOING 0 THE E IN VIOLATION OF THE LABOR CODE OF STAT OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. FOR INSPECTII -St EN DATE SIG�ED (425) aladsaaaa_j 771-0220 ATTENTION I EXT/333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX a APPLICAT Titu"'2—gonsm I per it until sigma by I uing OfjKIgI .1 his. , puty: ad arat .. paid. and q —.1p, 14 ad 11 Paco pmaVid.d. JIALS SIGNATVBE_ DATE ASED By E zy �,_ 4a�44w - �! ! ORIGINAL -FILE VELLO111 A�PIICTOR PINK -OWNER GOLD - ASSESSOR 0 0 FA -4 o 3rn: 0 M M z Z 0 -n M M 0 M z IT!