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20030084.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OwNNAMEIN S USI VOF B Mt /QRG ADDC5A YZf-44,33 �� jz:14�r=. ZIP TELEPHONE 'NAMff I'V A Y, _;4� ^Z� - _'�X5b—t aaZ 1 C171Y ZIP I ALEPHONE _';4 't I — ICBL# '11600 VA. /34's k- Zf ZIP 'J'fELEPHONE -4t:&& IF illog W06-.9419- "ATAIT LICENSE NUMBER EXPI ON D �� ZADP_r sz:2/f 1 6 47 15 PROPERTY TAX ACCOUNT PARCEL NO. I 1ijj)'3 IPERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ITE/APT ADDR!2j'�w 'v & 11-'& op"', PLAT NAMEISUBDIVISION NO. "LOT NO." LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APPr0v6d RW Po'mlt Required Street Use Peffnit Req'd EXISTING - PROPOSED inspection Required Sidewalk Required REQUIRED DEDICATION- FT Underground Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES P( NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE W _;WRIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REO'D POSTED i13YEs 13NO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED , PROPOSED ALLOWED , PROPOSED. EXP LOT COVERAGE I REQUIRED SETBACKS ( ) PROPOSED SETBACKS (Fr.) NEW SIDENTIAL V-PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR 0 ADDITION YCO" MMERCIAL CHANGE OF USE I z PARKING LOT AREA PLANNING REVIEWED BY DATE 9 9L REMODEL MULTIFAMILY U SIGN REOD I PROVIDED REPAIR GRADING FENCE CYDS ( X FT) REMARKS DEMOLISH 1:3 TANK OTHER GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROOKERY FIRE ALARM UWM,USE. BUSINESS OR A ' III: =_e_4 c CHECKED BY I TYPE OF 0 N CODE OCCUPANT JA"A_ . � & "A 22::!: �f �_ Ltd M0, 7 GROUP 5 NUMBE/I _B6W / I ItRITICAL UM OF DWEWL AREAS 17 SPECIAL INSPECTION AREA OCCUPANT IT STO IES UNITS NUMBER REQUIRED [] YES LOAD DENRIBE WORK TO E DONEj REMARKS PROGRESS INSPECTIONS PER UBC I 00/1711NAL INSPECTION REO'D L Ali Is 11A VIE36 VALUATION //� ) $ Description FEE Description FEE Plan Check 1 State Surcharge LOT SLOPE % 1, Building Permit 1. 6_� City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. AM CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPUCATION: ISO DAYS PERMIT LIMM I YEAR - PROVIDED WORK 15 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, WASHINGTON. 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 BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE ABILITY TO ENFORCE ANY ORDINANCE PROVISION., NOR LIMIT IN ANY WAY THE CITYS Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION AMICATIO PROVAL 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 until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR_GgDE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or hisfhar Deputy: and Fees are paid, and receipt Is acknowledged In space provided. WORKMEN'S COMPrNSATPN-Q&U`yNCE AND RCW 10.27. OF C11 IGNrAT DA NAT (OWNER OR GENT) DATE SIGNED (4-25) WA )_3 771-0220 REL16SED BY I IDAT kTTgNti6W 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- OR�G M FILE YELLOW - IN ECTC CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P N NER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 0 m C —10 0C m 0 _n mm 6 Fn co C C4 m 0 z z 0 1 ?5 m r RECORD OF INSPECTIONS INSPECTOR DATE *APPROVED SETBACKS ..................... FOUNDATION: Footing...................... Wall.......................... Pier/Porch ................. alriln� Wall ........... Ret9 Slab Insulation ...... I P m CU 'BING: Undergrpu�pd ............. X Rough -In .............. Commercial Final ...... HEATING: GT ............... as est ..... Gas, Piping ....... : Equipment c6m i6l, me al!Final EXTERIOR SHEATHING :.NAILING ................... F M ............. ING� .... R FRAM1,ING....' FIRSTfLOO. INSULATION Floor Insulation ......... Wall Insulation .............. Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR yv� OCCUPANCY .................. W4 V�TE RECEIVED PERMIT EXPIRES SE PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUC ION PERMI APPLICATION JOB CL'S_ 4�414,t_GUITEVAPT# ADDRESS 07MZE NA�01` BUSI ga 7S PLAT NAME/SUBDIVISION N LID NO. M ADD LID FEE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 1ESCF' APPI-ed Aw '."" R'i :292 U . Street Use Penrift Rei UTY, ZIP iELEPHONE EXISTING — PROPOSED Ini Required Required Skjoi L REQUIRED DEDICATION— FT I Uriderground 912 JA (a z29 - i /. lwmgfoq ed 13 .2 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 133 j I � -15 YESA NO 13 I z ADDRES REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE AS ZIP ITIfLEPHONE gitO 9.6.2iQ 144 /_ -.�2 J/P —4 74 1 ME CBLN ENGINEERING REVIEWED BY DATE cc DRESS A00 z.3 1/v d _i -0 . FIRE REVIEWED BY DATE Lu ll —1 JiLEPHONE cc M W:�G_ Zoe L29Q1a:a*1k-,V747 a EFSE Ir6N UMBER EXPIRATION D TE VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND REO'D POSTED �CKU�61Y 13YEs 13NO $ 0 1 //'C� SWA REVIEW SIGN AREA HEIGHT -COUNT PARUL NO. COMPLIFTE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I , , EXP NEW M RAIDENTIAL aKLUMBING f MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR COMPLIANCE OR ADDITION YCOMMERCIAL CHANGE OF USE 1: 1 REMODEL 0 MULTIFAMILY SIGN PARKING LOT AREA PLANNING REVIEWED BY DATE REO'D I PROVIDED REPAIR GRADING FENCE CYDS X FT) REMARKS 0 DEMOLISH TANK OTHER o GARAGE 0 RETAININGWALL E] FIRE SPRINKLER --CARPOPT ROCKERY FIRE ALARM (TYPE OF USE, BU INESS OR A EXPLAi CHECKED BY!jTYPE OF CONSTRUCTION CODE OCCUPANT GROUP q NUMBEI 'FUMBER Qf/ /-I _ORITICA� 104 LL ,OF UNIT LINJV AREAS DWEL STORIES NUMBER SPECIAL INSPECTION JAREA CUPANT REQUIRED LOAD [],VF S 0 IBE WaK TO BE DO ntm- ',-a k REMARKS ii 4 PROGRESS INSPECTIONS PER UBC 108MINAL INSPECTION RE12D At A L�, kz) t""da&= 4A�Ilz ILA_/ 1J.4,AY 14 A -r-141- I 11A--,r=A Al �;e a I � it /I t—,f / _j d- 6f s9 4- Les, i :W V-) A7 $ F2 ri V" A -A. .4 J rL_,. 41 ai Description FEE Description FEE .j Plan Check State Surcharge HEAT SOIJACE 0 ING,.% LOT SLOPE % Building Permit City Surcharge t PLAN CHECK NO: VESTED DATE Plumbing M Mechanical THIS PERMIT AUTHOR17ES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPEEM ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRMVAYS, MARQUEES, ETC.) WILLREQUIRE SEPARATE PERMISSION. Engr. Reviihv PERMIT APPILICATION: 1150DAYS PERMIT IUMM I YEAR - PROVIDED WORK IS START M- WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERM11f 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, WASHINGTON, 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 BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee Receipt # 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION AP 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- This applicaUon Is not a permit until signed by the CALL TION; AND IN GOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPILOYED Building Official or his1her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOWINSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPENSATION INSUFlii AND RCW 18.27. OFFICIALS S GNA7TU E DATE OWNER OR DATE SIGNED IA05) 77,71 1. V; A 1z I 771-02: 20 —PATE _ioq,44 ZdAgEC(Si'll AffEffiddlky EXT 1333' IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL T A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- X)R�GIIJAL FILE YELLOW ll�S�CT�R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 3S S, P Ni� �-NER GOLD -ASS SSOR 04/02 GREEN - ACCOUNTING PRESS HARD -YOU ARE MAKING 5 COPIES z 0 m M C M C M M 10 C 0 M M 8 V) I I I 0 Fn C C9 MO z 0 1 0 IT!