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20000905.pdfDATE "c"V"\ CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNET�� �1�01'ZEOSS"e MAILING ADDRESS CITY ZIP ITELEPHON9 J�A � , - — - I , (A I ')") i� I I f-i - � ';� I - .-15 ADDRESS CITY NAIVE ADDRESS n Q�"-\ "-� - PERMIT EXPIRES USE PERMIT ZONE NUMBER 20!�SQ5 108 ADDI SQ 7PTI PI -AT NAMEISUBDIVISION NO. LOT NO, LID N , LID FEE S PUBLIC RIGHT OF WAY PER 011ICIAL STREET MAP P.- 0 EXISTING — PROPOSED- 00 REQUIRED DEDICATION— FT E SIZE "CAT'O 'ZE L' PRV REOUIRED -ETER yes 0 No REMARKS OVVNERICONTRACTOR RESPONSIBLE FOR EROSION CONTR.UORAIN­ 21 ywry-Avill I FIRE REVIEWED By DATE ONE -7 Q 7 fTELll ILI VARIANCE —OR CU SHORELINE OR ADEN CEORCU -INSPECTION I BOND STATE LICENSE NUMBER EXPIR ON DATE CHECK DBY I POSTED JZO i SIGN AREA CYRE... ES 13 NO HEIGHT SERA REVIEW MPLETE EXEMPT ALLOWED PROPOSED COMP ALLOWED PROPOSED PI EL NO. ,J.�%ACCOUNT PAR wo It) '7"Of EXP XP LOT COVERAGE REWIRED S.ACKS III PROPOSED SETBACKS IlT1 NEW RESIDENTIAL lL...IN I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UP SIDE REAR AUDITION COMMERCIAL _�A E OR 0 CHANGE OF USE PARKING G REVIEWED By DATE C] REMODEL APARTMENT [] SIGN REGO I PROVIDED C] FENCE -REMARKS EPAIR ��RGRADING CYOS ( X FT) DEMOLISH TANK OTHER ciGARAGE 0 RETAINIRN�G WALL CARPORT C] RENEWAL (TYPE 0 '��OSS OR A,CTIVIW) EXPLAIN: C"C"DBY Occu GROU NU NUMBER- MSER OF Al TICAL SPECIAL INSPECTOR OCCUPANT DWELLING UNTS A EAS NUMBER EQUIRED JAREA R C3 YES LOAD LOT SLOPE % PLAN CHECK NO: I ...... — THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE m SEPARATE PERMISSION. t: PERMIT APPLICATION: 18� DAYS PERMIT LIMIT'. I YEAR . PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION w �APPUCANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS !I IN INTEREST, AGREES TO IND5MNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS.WA NGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND SH' L A R 0 M LLCUkIMS FO A AGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECT I FROM THE ISSUANCE OF THiS PERMiT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE A Y REQUIREMENT OF ANY CITY ORDINANCE - NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION, REMA KS ROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REQ'Dl 41 _FwgArdiaQ�. �'j whtx6ax the wate is oen or clused, expansion tank; are required on a!l bot witer tanks per tftTtrdW iU.UZV .-ECDC 1 d" ko) VALUATION FEE P AN CHECK FEE BUILDING PLUMBING MECHANICAL NG.REVIEW EES N INSPECTION FEE INSPEG*CR"PEE PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNT DUE R C I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION OW OR THE DULY AUTHORIZED AGENT OF GIVEN CID YNER. IS RRECT, AND THAT I AM THE THE OW ER. I AGFIEETQGoMPLYWIT.Cl AND STATE LAWS REGULATING CONSTRUC N 'IT CALL 'HON. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSO WILLBEEMPUDYED IN CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTI, VIOLATION OF THE LABOR 1ORK"IN I COMPENSATION INSURANCE AND RCW 11,11 1(7NATUREGPNEJ�,� ) C � C AT, ,, ED D SIGN 1 (425) 771-0220 ATTENTION EXT1333 IT IS UNL AWFUL TO USE OR 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 �,S8 B"Id"g OlIfi-I h'—, Q'P'IY -d F111 ,, PlId. Ild �I,,,.­dq.d,n spa.. provided L OFFICIALS SjGfjAWRE DATE ORIGINAL FILE YELLOW - INSPECTOR PINK -OWNER GOL -ASSESSOR z 0 m m 0 0 -40 0 C -4 E m M M z ID -4 0 n n rn In 0 0 0 c: m ca m (1) - M 0 z z z 0 d 0 m -- - ----------- RECORD OF INSPECTIONS INSPECTOR DATE APPROVED S BACKS ..................... ET FOUNDATION: Footing ...................... p wall.......................... Pier/Porch ................. 0, Retaining Wall ........... 0 Slab Insulation -4 PLUMBING: rn. Underground C C3 M Rough -In ................... ot k Commercial Final 171� HEATING: z Gas Test .................... > —4 Gas Piping .......... Equipment ................. 0 _n -n;M commercial Final M M I EXTERIOR SHEATHING NAILING .......................... cv) FRAMING ........................ M 0 FIRST FLOOR FRAMING INSULATION ................... Floor Insulation z i Wall Insulation ........... Calling insulation z SHEETROCK NAILING 171 MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. \rn 'S Q - 1:5 —L--, OATS PIECE Z PERMIT EXPIRES PERMIT NUMBER CITY OF EDMONDS N PERMIT APPLICATION JOB T. CONSTRUCTIO ADDFE-Q ka cZ� OWNE7nMElNA PLAT NAMEISUBDIVISION NO. LOT NO, LID 110* \K lz�y\. 0 LID FEE 5 MkL�WNGZ�;IDRIII Ap,­ 0 0 PUBLIC RIGHT CF WAY PER OFFICIAL STREET MAP .0 Rlq.l,.d U.. P.— C3 kil— 0 CITY :ISTING — PROPOSED 0 85OUIRED DEDICATION PT 0 o0a IT METER SIZE LINE SIZE NO. OF FIXTURES SQUIRED PRV NAME YES C3 NO C3 REMARKS OWNER/CONTRACTOR RPqPONBISLE FOR EROSION CONTEOLIDRA'NAGE Bill 0l05I­a-lE:s(713L(o:5 01 11-OID �pr .],A��CCOUNT PARCEL NO- 1-nn n12111-It (_�If 0 NEW 'W RESIDENTIAL N4PLUMBING I MECH 0 ADDITION C] COMMERCIAL o COMPLIA CE OR CHANGE OF USE 1:1 REMODEL C] APARTMENT 0 SIGN E] FENCE '�WREPAIR 0 ORAIIII CYDS ( — X FT) DEMOLISH C3 TA14K o OTHER GARAGE C] RETAINI WALL C] RENEWAL CARPORT ROCKE NO RY (_p, 0 ,e 'j�rSl 01 ACIIVITYI EXPLA�Ift NUMBEAr- NUMBEROF A� CAL �JA OF DWELI ING EAS� z ---.GINEERING REM —DATE 0 FIRE REVIEWED By DATE m VAR AN F R H WE OR ADS' "ON VARIANCE OR CU SHORELINE OR AOBN MSP I C 0 CU S OREL POUND REQ�D OSTED D NO OBTED OYES ONO SEPA REVIEW SIG AREA HEIGHT S PA I EW SIGN AREA �WE rn �IPFOPOSEC L-WE. PROPOSE D PROPOSED OMPLE7E EXEMPT ALLOWED PROPOSED ALLOWE COMPLETE EXEMPT AL m I I Xp EXP o VERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fl) LOT COVERAGE REQUIRED SETBACKS (I LOT CO c ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR ALLOWED PROPOSED FRONT SIDE REA rn zn z PARKING LOT AREA PLANNING REVIEWED By DATE PARKIN. LOT AREA PLANNING BE 2 RED D I PROVIOED ,ED D I PROVIDED ri) 0 -n REIVA... m M CHEC�XED By 'cu N OGROU NT� N 0 rn (j) S ECIAL�IWSPECT OR PECI L P AREA OCCUPANT LOAD U, On REQUIRED 0 YES ;13 REMARKS PROGRESS INSPECTIONS PER UBC 10afFINAL INSPECTION REO'D 3. z P HEAT OURCE G�ZIN6= LOT SLOPE I PLA ECK NO: v ..... .... THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO ION ON THE PUBLIC BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCT 3 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS� MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. tt PERMIT APPLICATION: 180 DAYS PERMIT LIMIT, 1 YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND Su­u­ IN .NTER,,T=.ETS.TO NDl.11j,4,iFY. DEFEND AND HOLD HARMLESS THE CITY OF E 'N.S. W W. :T CIALS. EMPLOYEES, AND AGENTS FROM ANY AND 0 ATEVER NATURE. ARISING DIRECTLY OR WDI­­ ALL CLAIMS FOR DAMAGES OF WH 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 0 NOR LIMIT IN ANY WAY THE CtTY'S ASI LITY TO E N FORCE ANY ORDINANCE PROVISION. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS ApRpTLH,,ATUOLNY, THAT TIE INF R.ATI.N GIVEN 1 5 CORRECT. AND THAT I AM THE OWNER 0 D AUTHORIZED AGENT OF - THEOWNER. I AGREE TO COMPLY WITH CITY AN6 STATE LAWS REGULATING CONSTRUC TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED RELATING TO IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'S COMPENSATION INSURANCE ANDRCW 16.27. LNATUR11 DAT z VALUATION FEE LAW CHECK FEE m BUILDING PLUMBING MECHANICAL GRADING/FILL STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE EE RECEIPT p=DEPOSIT TOTAL AMOUNT DUE R CEI APPLICATION APPROVAL Tlil I .IP,, 1.1111.19—byth, CALL ,puty:,�d Ell. 11, p.ld—d FOR INSPECTION _ 1111912 llk­I,dgld ,space Provided. D­ .111CIAIS (425) ;_� I I I _uze-v A ELEAS ED By .Irj 1312 _ATTEhTION r- A I E OR OCCUPY A BUILDING OR STRUCTURE UNT11 771-0221 IT IS UNLAWFUL TO US PROVAL OR A CERTIFI- ORIGINAL � FILE YELLOW - INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND AP FAX -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD 5198 z VALUATION FEE LAW CHECK FEE m BUILDING PLUMBING MECHANICAL GRADING/FILL STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE EE RECEIPT p=DEPOSIT TOTAL AMOUNT DUE R CEI APPLICATION APPROVAL Tlil I .IP,, 1.1111.19—byth, CALL ,puty:,�d Ell. 11, p.ld—d FOR INSPECTION _ 1111912 llk­I,dgld ,space Provided. D­ .111CIAIS (425) ;_� I I I _uze-v A ELEAS ED By .Irj 1312 _ATTEhTION r- A I E OR OCCUPY A BUILDING OR STRUCTURE UNT11 771-0221 IT IS UNLAWFUL TO US PROVAL OR A CERTIFI- ORIGINAL � FILE YELLOW - INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND AP FAX -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD 5198 _ATTEhTION r- A I E OR OCCUPY A BUILDING OR STRUCTURE UNT11 771-0221 IT IS UNLAWFUL TO US PROVAL OR A CERTIFI- ORIGINAL � FILE YELLOW - INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND AP FAX -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD 5198