20020829.pdfDATE RECEIVED!
CITY OF EDMON
CONSTRUCTION PERMIT APPLICATION
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PERMIT EXPIRES
USE
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JOB SUITE/APT#
ADDRESS
FLAT NAMEISUBDIVISION NO,
LOT NO,
1�11 NO*
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PUBLIC RIGHT OF WAY PER OFFICIAL
STREET MAP
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REQUIRED DEDICATION— FT —
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REMARKS
21
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAtNAGE -
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ADDRESS
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FIRE REVIEWED BY 'DATE
CITY
S 1"I, NCEORCU )SEUNEORADSa I INSPECTION BON
STATE LICENSE NUMBER EXPIRATION DATE C EGKED BY 'ARM RE 0 POSTED
r E3YE1 ONO S
PROPERTY CEL NO.
COMPLETE EXEMPT
ALLOWED 1111-SED
ALLOWED la—d—
EXP ,
,
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LOT COVERAGE
RED IRED SETBACKS (FT.) i PROPOSED SETBACKS (Fr.)
0 NEW ff'.�.ID.NTIAL 0 PLUMBING I ECII
ALLOWED PROPOSED
FRONT SIDE REAR FRONT URSIDE REAR
ADDITION COMMERCIAL COMPLIANCE OR
0 CHANGE OF USE
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_TLOT
rl REMODEL MULTIFAMILY 7 SIGN
PARKING
RdEaG I P.peng�.
PLANNING RE
A EA -111WED BY DATE
C] FENCE
rl GRADING
[D"REPAIR cypa t X—FT)
REMARKS
0 DEMOLISH [3 TANK OTHER
EiGARAGE o RETAINING WALL [3 FIRE SPRINK
CARPORT ROOKERY FIREALARM
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
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ICODE
TYPE OF CONSTRUCTI OCCUPANT
0" 1 GROUP
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NUMBER NUMIER OF CRNNCA0w/v6-x
OF 3WELL NG� AREAS
rAg�
00CU NT
STORIES UNITS NUMBE
LOAD
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DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1013/FINAL INSPECTION REaD
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VALUATION
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Description
FEE
Description
FEE
Plan Check
State Surcharge
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are GLAZING LOT SLOPE %
LOT `R-pE -
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Building Permit
DATE
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTNOR�S ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
.a... WO.KTO
ort"'B"BLIC
b, HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
WILL REQUIRE
OMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPAMIrPrRMISSION.
n,,,
PE MITAPPLICATION: INDAYS
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A. PERMIT UMM I YEAR � Pno'"D D WORK IS STARTED WITHIN ISODAYS
EI'�G.Epe.tl.n
Engr. Inspection
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
PLICANI. ON BEHALF OF HIS On HER SPOUSE, HEIRS. ASSIGNS AND SUCCESCUIS
Fire Review
PlanChk.Deposft
I ST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYFES,AND AGENTS FROM ANYAND
IALL CUVMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY ON INDIRECTLY
Fire Inspection
Receipt N
FROM THE ISSUA CE OF THIS PERMIL ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. [)us
0 NOR LIMIT IN ANY WAY THE CUTYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION
Recording Fee
I HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION: THAT HE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
T E OWNER. I AGREE TO COMPLY WITH Ct AND STATE LAWS REGULATING CONSTRUC.
CALL
seen trader, Is net a perrolt until algAnd by Me
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
OF THE OF THE STAT" OF RELATING TO
BitaThes
ding OrZal or hiolhor Tape y: And Fees are paid, ant
IN VIOLATION LABOR CODE WASHINGTON
WORKMENS COMPENSATION INSURANCE AND ACW 18.27.
FOR INSPECTION
ro rl"�/IIU.NA DATE
DATE SIC
I.NATURE�� a A.E.11 NED
(425)
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771-0220 7ELIAS1. BY /GATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
ORIGINAL- FILE YELLOW - INtPECTdR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK . OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5
COPIES GREEN ACCOIJNTING
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.. .... ... . ..
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
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Wall _ .......................
Pler/Potch .................
Retaining Wall ...........
Slab Insulation
PLUMBING:
rn
0
Underground .............
C:
Rough -in .................
M
Commercial Final
101
HEATING:
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Gas Test
01,
Gas Piping ................
Equipment ..............
In 11111
Commercial Final
EXTERIOR SHEATHING
NAILING ...................
M 0
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FRAMING
;D
FIRST FLOOR FRAMING
INSULATION ...................
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Floor Insulation
Wall Insulation ...........
Ceiling Insulation
M
SHEETROCK NAILING
SPEC14L INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
SAV 91 v