20030196.pdfM
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
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INI MAILING ADDRESS
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ZIP ITELFPHONE
NAME
ADDRESS
CITY ZIP
NAME
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ADDRESS
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CITY ZIP I TELEPHONE
PERMIT EXPIRES
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USE PERMIT o
ZONE NUMBER
JOB SUIT
ADDRESS
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-5.550
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PLAT NAME/SUDDIVISION NO. LOT NO. LID NO.
LID FEES
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REVIEWED BY DATE
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LJRSIDE REAR
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ADDITION COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
PLANNING FIEVIEWE
PARKING EA D BY DATE
REMODEL MULTIFAMILY
SIGN
REO'D I PROVI
GRADING
REPAIR CYDS
FENCE
X
REMARKS
DEMOLISH TANK
OTHER
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CARPORT ROCKERY
FIRE SPRINKLER
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(TYPE OF USE, BUSINES ACTIVITY) EXPLAIN:
CHECKED BY JTY�)�WN Cqgi,�y OCCUPAW
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NUMBER NUMBER OF
OF DWELLING
CRITICAL
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AREAS
50 OCCUPANT
SPECLALINSPEE N AREA
LOAD
-STORIES/4' UNITS
NUM,
NUMBER
REQUIRED 171 V.
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION RE0,113
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DescriptIon
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT 8 LOPE %
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUrTHORGMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSIVIUCT11ON ON THE PUBILIC
Grading
DO"N JCURSS, SIDEWALKS, DRIVEWAYS, 1111111ARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMITAPPUCATION: 180 DAYS
ERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 100 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
I
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
ISSUANCE OF THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE OF THIS PERMIT.
Landscapelnsp.
Total Amt. Due
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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
APPUCATION 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 until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Offlclal or his/her Deputy: and Fees are paid, and
receipt Is acknowledged in space provided.
WORKMEN'S COMPENSATYMMIVCE AND RCW 18,27.
OFFICIALSIIGNZIRE, PATE
SIGNATURE &ER OAtGENT) DATE SIGID
(425)
1.4
771-0220
DATf
RELEASEff BY
ATTENTIqh
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. 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
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DATE RECEIVED
PERMIT EXPIRES
USE PERMIT
ZONE
CITY OF EDMONDS
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB su
ADDRESS
OWNER NAMENAME OF BUSINESS
MA IrXA) 49C—AtM
PLAT NAMEISUBDIVISION NO. LOT NO. LID NO.
MAILING ADDRESS
LID FEE S
'PHONE
TEGCP ApWaved
PUBLIC'RIGIVT OF WAY PER OFFICIAL STREET MAP RW 136=11 RoquIred
Strost U" P#rrnit Raqv
t r,-,
CITY— ZIP"TELE
EXISTING — PROPOSED inspecuon Reqtdred
Sldvwalk Raquked
REQUIRED DEDICATION— FT UndwWMM
VA&g raqtilmd 13
NAME
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 13 NO 13
ADDRESS
REMARKS
klanr.
OWNER/C( WA
Type B or L vent connectors
CITY ZIP =EPHONE
required oxiwel-burrdng applianw; In
NAME CBL
spacm UMC 81S.r.7-1
Z1110-
A4
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ENGINES UAIM
ADDRESS
7ANP AVe S
DATE
FIRE REVIEWED BY
CITY ZIP TELEPHONE
IE
laldna: 1 95 q 40
Kair 0
1 —1-
STATE LICENSE NUMBER EXPIRATIO TE
VARIANCE OR CU SHORELINEORADBO INSPECTION BOND
REO'D POSTED
t 1$
CHOY
0YEs 13NO
SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TWAX_ ACCO PARCEL NO.
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
M
EXP ,
M
SET13ACKS PROPOSED SET13ACKS (FT)
—4
.1
RESIDENTIAL
[j NEW M-OPLUMBING i MECH
LOT COVERAGE REQUIRED (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR
, I 0 C
0 ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
1
M -4
ILY
El REMODEL MULnFAM SIGN
PARKING LOT AREA PLANNING REVIEWED BY DATE
REQ`D PROVIDED
06
10
r
FENCE
11 REPAIR 0 GRADING CYDS X Fn
REMARKS
OTHER
DEMOLISH TANK
0"In
GARAGE RETAININGWALL FIRE SPRINKLER
CARPORT 0 ROCKERY FIRE ALARM
frYPE OF USE; BUSINESS EXPLAIN:
CHECKED BY jTyg�fpoN OC PANT
cu a ;Z
GROUP
M
NUMBER JMBM OF CRITICAL
DNWUELLING AREAS
OCCUPANT
LOAD
UNITS NUMBER
REQUIRE D YES
C=
DESCRIBE WORK TO BE
REMARKS
PROGRESS INSPECTIONS PER USC 1108/FINAL INSPECTION RECtO
ID /16t &//A 62a L
tr&e-
o"
ON ji
$
0
01
Description FEE DescrIption FEE
Plan Check State Surcharge
0
HEAT SOURCE GLAZING % LOT SLOPE
Building Permit City Surcharge
M
PLAN C VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES OMY TH& WORK NOTED. THIS PERMff COVERS WORK TO
t= BE DOME On PRIVATE pROPEM OpM ANY CONSTRUICT11ON ON THE PUBLIC
Grading
DOMAIN (CURBIII, GIDEWALKS. DRMVAYS. MARQUEES, ETC.) WILL REQUIRE
GEPARATS P11FINISSION.
Engr. Review
I
M
POWITAPPLACATIOW ISODAYS
PERUff UMM I YM - PROVIM WORK 19 STAMO WTTHIN 100 DAYS
Engr. Inspection
SEE BACK OF PINX PaRMIT FOR MOM INFORMATION
APPLIC", 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, WASHWGTON, rM OFFKXALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE. ARISING DIRECTlY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OFTHIS 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 CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt #
1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRC" 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 application is not a permit until signed by the
CALL
TICk. AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF WASHINGTON RELATING TO
Building Official or his/her Deputy: and Fees are paid, and
FORINSPE CTION receipt Is acknowledged in space provided.
IN VIOIATION OF THE LADO_RSODE OF THE STATE
WORKMEICS RWMReCE AND RCVV 18.27.
OFFICIALS RE ATE
SIGNATURE""ER OR ENT! DATE Sl 7D
1A0
�PIGNA
1,425)
T
02
)
1 771-0220
RELEASE15 BY DATE
ATItwn-N
Off 1333
IT IS UNLAWFUt-Td—USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YELLOW. 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