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20001004.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS b 1" 0 �-T Lk MAILING ADDRESS 9— 31 �. I N 9TY ZIP ITELEPHONE 2 el- (I NAME CITY EXPIRES 7­00 PERMIT USE PERMIT ZONE NUMBER Joe SUF7VAPI'N ADDRESS &,31,7 ZIP' fAl '30) — 7p PI -AT NAMEISUBDIVISION NO. LOT NO LID NO, I LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESIPAIII-11 5da., EXISTING — PROPOSED— n.-P",'neI'Id,','d RE UIRED DEDICATION— FT — UndIa,,aand .'dId,.,aa.d METER SIZE LINE SIZE No, OF FIXTURES I REQUIRED I S El NO 0 YEP REMARKS nWNVRdCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE �Ll--,—IcA( LOATL14 ,DDRESS Lt 111 v Y AiE ATY ZIP TELfl..7E ,iele_iA1\ji) c%34 M-420, 'TATE LICENSE NUMBER E.1I.AI KIN -Al I CHN By � c,-n o Lo iA M;W IA,31_00 Ro p�ICC NO. n Cc 0 NEW It RESIDENTIAL 0 LUMMNG/MEC. ADDITION C] COMMERCIAL ci C MPLIANCE OR CHANGE OF USE C] REMODEL APARTMENT SIGN 0 PENCE t4 FIEFAIII I _ � _ IT) DEMOLISH TANK o OTHER GARAGE ING WALL RETAINI 0 RENEWAL ARPORT F_._ NUMBER NUMBEROF, OF DWELLING A STORIES UNITS N DESCRIBE WORK TO BE DONE required on all lic, i­ ji-Li-E E.I.AT. -NGINE Hy Code. ECDC 19.10)=�020,jc FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR AD5# INSPECTION RED 'D I PBO B OSTED C3 YES 0 No SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED ��p I I I LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SSTBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR — PARKING L.TAREA PLANNING REVIEW ED BY DATE REDD I PROVIDED I I CHECKED By T SPECIALINS 70 REQUIRED j[T3yES' Iff '7 1 GROUP K OCCUPANT LOAD PER UBC 1081FINAL INSPECTION VALUATION I FEE PLAN CHECK FEE HEAT SOURCE GLAZING LOT SLOPE I U 'L.ING PLAN CHECK NO: VESTED DATE PLUMBING THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L T MIT E PUBLIC 11 B.E.0A,NljO" PR�IIATE PROPER Y ONLY. All' CONSTRUCTION . N C.. . SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) IN ILL REQUIRE SEPARATE PERMISSION. MECHANICAL GRADINGIFILL STATE SURCHARGE PERMIT APPLICATION: 180 DAYS A. PERMIT LIMIT., 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE SACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES ;A F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS PPLICANT, ON BEHALF 0 Y. OF M INTEREST. AGREES TO:NDE. N"' DE FEND AND HOLD HARMLESS THE CITY F EDMONDS, INA HINGTON, TS OFFICIALS, EMPLOYEES, AND AGENTS PROM ANY AND S RE. ARISING DIRECTLY OR INDIRECTLY ALL CLAIMS FOR DAMAGES OF WHATEVER NATU x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REOUCEANY REQUIREMENTOF ANYC TY ORDINANCE Q, 'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- io. NOR LIMIT IN ANY WAYTHE CITY ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT UE RECEIPT El - PT HERES ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION'. THAT THE Mp RMATION GIVEN SCORRECT�ANDT ATIANITHE OWNER . OR THE DULY AUHO RIZED AGENT OF T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC EMPLOYED TION, AND IN DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE L T IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE ATING 0 WORKMEN'$ COMPENSATION ll� I SURANCE AND RCW 18.27 — MIINEI APPLIC �TION APPROVAL TIa—pla-11(ad a, . p. dal -.1 �19.ld by and CALL Blldalg Oillc--:,O.f O­,ty. and F­ ­ plal. and "'Iapi FOR INSPECTION —1—ang6d an space pcovidod,.— (425) (TLS SIGNATURE,��> DATE -,g ,0 mtm�dyl 771-0220 RELEkSED By DATE ATTENTION OR STRUCTURE UNTIL IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING HAS BEEN MADE AND APPROVAL OR A CERTIFI- EXT 333 771-0221 ORIGINAL FILE - YEILOW�INSPECTOR A FINAL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD - ASSESSOR z m c: m , a 0 80 c M M z 0­1 -z cft 0 n "n -4 m 0 I 0;; C 0) c v) M 0 Z :-I ;u z —1 0) z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED � E7ii B KS ............... ...... :13 AC OUNBA-nOW Footing ...................... Wall.......................... Pier/Porch ................. Z, Retainirig Wall ........... Slab Insulation M PLUMBING: -n Underground ............. a M C3 Rough -in ................... ITI Commercial Final 0 C HEATING: M ITI Z Gas Test .................... z Gas Piping ... ..... ....... Equipment ................. 0 _n Commercial Final M EXTERIOR SHEATHING NAILING .............. C-j 17 n FRAMING ........................ ca 0 FIRST FLOOR FRAMING INSULATION ............ ...... Floor Insulatiorf Wall Insulation ........... —1 Ceiling Insulation SHEETROCK NAILING Z K --I SPECIAL INSPECTION 0 M MISCELLANEOUS .......... FINAL APPROVAL FOR rK OCCUPANCY .................. Z4 E RECEIVED —7 PERMITEXPIRES USE PERMIT CITY OF EDWND�3 ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUlTE/APTa ADDRESS 15LWk) IROL4 OW ERNAMEN CrOANES PI -AT NAMEISUBDIVISION NO. LOT NO_ LID NO. FEE S MAI INGADU E55 P RIGHT OF WAY PER OFFICIAL STREET MAP UXISSLTICING Ti..=1 at I a CITY E — PROPOSED— In.p. S, I . . d In. W REQUIRED DEDICATION— FT Wnng ­d NO. OF FIXTURES PRV REQUIRED NAME YES M NO 0 REMARKS ER ONT OWNERICONT ADDRESS ugarulessuiR n emer the water system CITY ZIP TELEPH HE is open D. clowd. uVanglorl TanKS are aquired no all NAME IN E 9 ISI z ADDRESS EFIRE --. 0 REVIEWED By DATE I CITY ZIP C " K ph,,/,j q��4 TILtPHONE, )4�; OR ADS# INSPEC I N BOND ­1­111 __ . . 11 . VARIANCEORCU SHORELINE REQ'D POSTED STATE LICENSE NUMBER OYES 13 NO 0 rn A o, I a S 5N9 SEPA REVIEW SIGN AREA. HEIGHT COMPLETE ExEra PT A LLOWED 15RO OSE ALLOWED PROPOSED M 0 PRO ME L NO. 4� 2� oc UP -4 0 OC C ERAGE REQUIRED OypROpOSED. SETBACKS (Fr.). PROPOSED SETBACKS (Fr.) SIDE REAR NEW. F16SIDENTIAL . PLUMBINGIMECH ALLOLIOTED FRONT SIDE FEAR . FRONT UR M AUDITION COMMERCIAL COMPLIA CE OR El CHANGE OF USE 10 c LOT EaD )VIDED AREA PLANNING REVIEWED BY REMODEL -C] APARTMENT 0 SIGN [PROVIDED A A P7 GRADING FENCE . I X T SPAR Cycis F I EMARKS fj) 0 C3 TANK o OT ER W; t, a— -n —1 pDEMOLISH 0 AFIA RETAINING WALL RENEWAL RP G' 11 GA ORT M M 0 ES 46 TIV Y)EXP6�N'�­:-. (TYPE OF USE. Cii CKEd BY I FC C GROU 0 0 1. 1.3"NUMBER NUMBER OF ITICAL SPECIAL INSPECTOR AREA OF Wo DWELLING HIT AREAS NUMBER REQUIRED [3 YES LOAD 20, STORIES DESO (BE WORK B DONE ---A _�_ -7 PER uou juWFINAIL INSPECTION REO'D PER UOU lUwrlm ­ I PROGRESS INSPECTIONS z z VALUATION FEE 0 PLAN CHECK FEE BUILDING HEAT SOURCE LOT SLOPE % PLAN CHECK NO: PLUMBING MECHANICAL r'. IS PERMIT COVERS WORK TO THIS PERMIT AUTHORIZES ONLY THE WORK NbTED. TH CTION ON THE PUBLIC PROPERTY ONLY. ANY CONSTRU ORA NO FILL t: BE DONE ON PRIVATE z DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE :1 SEPARATE PERMISSION. A E URCHAAGE STT S PERMIT APPLICATION: IBO DAYS WITHIN 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED ENG. REViE FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION UCC'SOFS 'APPLICANT NEE LF HIS OR HER SPOUSE, HEIRS. ASIIGNSA.N.0 E. NAR.LE A ST INDEMNIFY, DEFEND AND HOLD I E CITY OF E F ED ENG. INSPE TION FEE L ANPDS, A, PI NO ININTEREST 'S NO 2 ED 0 ITSOFFlrIA AGENTS FROM-AN'�AW Nj F HATiVE�NATPU',',Ey,'AEllSlilAN.DI RECTLYOR INDIRECTLY 5 ON FEE!. ALL I A N OFENTS PERMIC,TSYHAOLLD OT SSUAN E F THIS PER IT. ISSUAN R FRC . INANCE . ANY _AN CHEC K DEPOSIT PLAN CHECK DEPOSIT ... ... ....... . OCE IFY. AIVE AREDUCEANYRE UIREM 9 DEEMED FORCE ANY ORDINANCE PROVISION.. EN 0 NORUMUTINANY AYTHE CITY'S ABILITY TO TC )TAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATUOLNY. THAT THE INDFOIMATI N LICATION APPROVAL GIVEN IS COPRECT�ANO CIHAT I A. THE OWNER, OR THE . AUTHOPn AGENT OF OWNER N. CONSTRUC TO OMPLY WITH CITY AND STATE LAWS By- Pa ald. and CALL Tlil 1=11D, IV: and Fee"M P BE .,A.. A BE TION; AND IN DOING THE WORK AU HORIZED THEREBY. HOPE='= :EMPLOYED CODE OF THE STATE OF WASHINGTON RELATING TO no,,ipI I, - pn—dl.d.. FOR INSPECTIONJ _di-P. IN VIOLATION OF THE LABOR WORKMEN-. CO.lEllSATI.N INSURANCE AND ROW 18.27. OrTLS SIGNATURE . DATE (425) DATE SIGNED 771-0220 RELEASED BY D.E EXT 333 ATTENTION IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNT11 771-0221 FILE YELLOW. INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 109 ORIGINAL - j FAX PINK - OWNER GOLD - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION