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20030025.pdfUW DATE RECEIVED CITY OF EDMONDS ' CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS — X E:/-/, y H011A MAICINd ADDRESS 7a/� 07-F_41- tj�t CITY ZIP TELEPHONE E D M h A) f) j( ? 14M I jq.,k� 4 7-.*Z 0 00 NAME ADDRESS CITY ZIP TELEPHONE NAME Al CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION ICBLN CHECKED BY PERMIT EXPIRES - Z Air USE PERMIT ZONE '2 NUMBER x-00 3 —607 _,6 1 JOB ADDRESS bf—I _/1 ;�T sunVAPT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APPMW MY Permit Requited Permit RW EXISTING — PROPOSED Wipecdon Required Sidewalk Required REQUIRED DEDICATION— Fr underground Wirtingrequired METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES C3 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE NEW RESIDENTIAL PLUMBING I MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL muLnFAMILY SIGN REPAIR GRADING, CYDS FENCE X FT) ( DEMOLISH TANK o OTHER GARAGE RETAININGWALL [3 FIRE SPRINKLER ALARM CARPORT ROOKERY FIRE OWE OF USE. BUSINESS LAIN: NUMBER OF NUMBER OF DWELLING CRITICAL AREAS /VV STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE I in Akill:'-� k1-'-1Q11 I -jrG ul- ji- vent connectors %ogn ENGINE R11,Rdq0MWW fuel -buz ning 11111-PU85nM In .UnneaW Vace& UMC 81.5-17.J7 FIRE REVIEWED BY If VARIANCE OR CU SHORELINEORADBO INSPECTION BOND REO'D POSTED MyEs 13NO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED , GAS TE MUSTI RF :.Xp _IFE LOT COVERAGE ALLOWED PROPOSED R z AFFIDAWS DATE PARKING RECrO I PROVIDED I LOT AREA. I PLAIBLIGAtUPT . tb CHECKED BY 2ST TYVI, CON T 0 nnr, _1% TM OCCUPANT GROUP SPECIAL INSPECTTON REQUIRED [:] YES � AREA OCCUPANT LOAD WMARKS: PROGRESS INSPECTIONS PER UBC 1101111FINAL INSPECTION REG'D VALUATION Description FEE Description FEE Plan Check State Surcharge HEAT SOUR!�_7 GLAZING % LOT SLOPE % Building Perm . it City Surcharge PLAN CHECK NO: VESTED DATE Plumbing e 2-0- sip Mechanical THIS PERMIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 I=- SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS PERMIT UMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINWON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due 1 21 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a permit will signed by the TION. AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or hlsfhor Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovilodged In space provided. WORKMENS C '9"SATION INSURANCE AND RCW 18.27. OFFICIALS S)GNATUAE DATf: SIGNAT 0 DATE SIPNED IA95) 771-0220 j RELEASED BY /DAT)f 9NTION M 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 YELLON-INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING wf.� to 10 :0 of 7� Ito, 14.,, Pier/Porch -!I Pt "I Retqln g Wall I I d I wl P r, d I I. ..... S bel sulation 4 44 own P 1. P I I . P I I I P I a to sit 0 I UMBING, .1 e d % - l'-� L B� I I- L of . IF 6 �P � It I r 14 d P, tt, t d mmmmom� M d I q* Undergroun SEEM! P I . I A Is It tP 61. 1, -4 "CIL I L L L I- I P 4L L d a @@top moo, If @00 R If ough!In I P r P I I I 1 1 1 'L icial Final 0 memo* L, L I L L. Comme L L _L P I L P P. L L jo I d L L I kr 01 P r I .. I I. . t I " t. I L I ' I 111 2 HEATING& L L L r I I L I 1� ;i, II z L P L I r L I d' 'I L I I . I P L, I I . I 1, 1 V L St L I I . r — —_ I , I r . r I , L I L Gas mile 1 0 . . 11 . . I I P. L L P 1. 1 1 1 d 1. :. : dL L _LI L Gois:Piping L L I. I I ....... .... I. I, ., 1, I'L L I r kI f '�Orj I", 11P I d I P I P L, r4 r r L L r L L 0 � I �1, I t", F I. r.r SI t - I " I r I r I.q I . . I . . . r I L r r I L 14 1 'r' Equipment r. 'L I r f�' 1. 0, 1 I I I I. It r . -L I rq L r It 44 r d r r I r, r IP L L 4 r L L 4 r r ff 4 L r ial Final moo me r 'r 4 Com erc I. d I P r I I P m ca d I q I . I I I I I L ' , '., .1 I'� L I I d L L r* L P I r L I I . . ;L . . I If ' I r, . , I I, . , , I , I I , I I - d EXTERIOR SHEATHING I L L L I. L L . 1. L L NAILING I I I d I P Ir 1 4 1 1 1 . I I I I I . I I L I d I., I I I P I t t F 4 1 r I I RAMING 4 P PA 4 L I d 1 11 71. '.FIRST FLOOR FRAMINGP*m, L It III I If a 9 If 19 I NSUIIATION V, I d I I I I . I I %ff M RECEiVtO' PERMITEXPIRES CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION USE PERMIT E 2bN 1 03 /At;lp NUMBER JOB RE SUITE/APT# ADD SS2I� �T OWNER NAME/NAME OF BUSINESS 14 El / H01A 'ecti, PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID_ FEE S MAICINd ADDRESS L?41E I I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION— FT 7ESCP APPMV*d RW ftrwA RaWked Sbvet Us* PaIMN R-q'd Inspection RequiNd Wows* PAIqUlmd UndsrW-W Wking reqWrod 13 ZIP /z TELEPHONE 0 A9 NAME METER SIZE LINE SIZE I I NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 ADDRESS REMARKS OWNER/CONTRACTOR ig or L vent cOnne-t"'S CITY ZIP TELEPHONE d 1W fuel.bunigng apPwulcus In rwtdred on C33 NAME CBLN JY,/V fxe unheated sp=s- ENGIN RING DATE ADDRE33 FIRE REVIEWED BY DATE CITY ZIP TELEPHONE ...... U SHORELINE OR ADS# INSPE ION BOND I STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY E07 R D 113YE's 13NOis POSTED SEPA REVIEV*& am HEIGHT COMPLETE X I PIWEWPMU AWED PROPOSED 1 1 qm S� I PROPEY,W,X�X; ffOUNI,,PARCEL NO. A-% f%—"7 .. A. 1% 9 U V 7i U,6 1 L/ Fj.'5 / )IJ RESIDENTIAL PLUMBING/MECH NEVI A COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE REMODEC 0 muLnFAMILY SIGN GRADING CYOS FENCE 0 REPAIR I X_Fn _ F&,o OTHER 0 DiMOUSH TANK [3 "LAGE RE-rAININ&OLt: -b FIRE SPRINKLER CARPORT ROOKERY FIREALARM_ I(TYPE OF USE, BUSINESS A LAIN: NUMBER NUMBER OF CRITICAL 'OF DWELLING AREAS STORIES UNITS NUMBER :'DESCRIBE WORK TO BE DONE L�o2ld& itlet-e)( HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: VESTED DATE VMS PERMIT AUTHORCM8 ONLY THE WORK NOTED. THIS PIUMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLI ANY CONSTRUCTION ON THE PUBILIC DOMAIN (CUR88, SIDEWALKS, DRIVIEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. t: PERmrrAPPucATio4L- isoiDAys PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SM BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESIORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTIlt OR INDIRECTLY FROM THE ISSUANCE OF 7.rHIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THO CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - I HERESY ACKNOWLEDGE I HAVE READ THIS APPLICATION; THAT THE INFORMATION 0114EN IS CORRECT' AND 'AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO CO W WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION: AND IN DOING THE W20 AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABO%CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS Cy"SATION I SURANCE AND RCW 18.27. Ila TDNTE SIONED 71 1,4 ;2,, LOT C ALLOWED - I PARKING LOT REO'D I PROVIDED I fSETBACKS (Fr.) L/.R SIDE REAR I a I BY DATE CHECKED BY OCCUPANT� TyPVVM GROUP * SPECIAL INSPECTION AREA OCCUPANT REQUIRED [3YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC I 08MINAL INSPECTION VALUATION FEE Description FEE 1AIL 61" State Surcharge Building Permit City Surcharge Sf Plumbing 2o Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscape Insp. Total Amt. Due If z 0 0 m q am m H C m C, Recording Fee Receipt # APP CATION APPROVAL CALL This application Is not a permit unfit signed by the Building Official or hisftf Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged in space provided. IIAO t-25) DATY OFFICIALS B)ONATU)IIE & A 4614­ 1 771-0220 D T RELEASED BY DATEF 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 -INSPECT PINK -OWNER GOLD-ASSESSO CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 134/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 0�