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20030229.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 7 MEINAMWF BUSINESS -,a �_� ) ; c i � v__ L L 4t u- ZIP TELEPHONE Z)_ 9 X4� ZIP TELEPHONE A ICBL# ZIP TELEPHONE 3TATE LICENSE NUMBER EX LO L -4, 0 t)_7-,5 -1 q 4,6 ROPERTY TAX ACCOUNT PARCEL NO. 0-5EW RESIDENTIAL ADDITION MMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK oGARAGE 0 RETAININGWALL CARPORT ROCKERY OF USE, B4SINES4 OR A LAIN: W-01 PERMIT EXPIRES USE PERMIT ZONE NUMBER Y013 UITE/APT# ADDRESS 20_1) / � � "� J / �r_f 1324a PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved AW Permit Required Street Use Permit RKd EXISTING - PROPOSED Inspection Required 13 Sidewark Required 13 REQUIRED DEDICATION- FT UndwWound Wiring required 0 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I 6:_ YEOO NO REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE REVIEWED BY DATE FIRE REVIEWED BY DATE I VARIANCE OR CU SHORELINE OR ADB# INSPECTION I BOND REQ'D POSTED 113YEs ONO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED - PROPOSED LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) MoIrLUMBING/MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR COMPLIANCE OR 2 CHANGE OF USE I z PARKING LOT AREA I PLANNING REVIEWED BY DATE 0 SIGN REaD I PROVIDED FENCE ( — X —FT) REMARKS OTHER FIRE SPRINKLER FIRE ALARM NUMEYER NUMBEA RITICAL .,W C G OF DWELL G AREAS .STORIES UNITS NUMBER DES E , 0 TO B�EqNE /r EAT SOURCE GLAZINIII % Z LOT SLOPE % PrAN CHECK f1fait. VESTED DATE THIS PERMIT AUTHORIZES ONLY THE W6RK NOTED. THIS PERMIT COVERS WORK TO BE OONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATION: 180 DAYS PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS 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 DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS 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 THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION 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- 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 WORKMEN'S COMPENSATION INSURANCE AND RCW 10.27. ;lGrTURMF.11 7VMER O;7AG5:N!M__N I DATE SIGNED CHECKED BY ITYPE OF CONSTRUCTION I CODE OCCUPANZ rrk':7�' P. 4 -7 GROUPR SPECIAL INSPECTION JAR12A OCCUPANT REQUIRED [] YE LOAD REMARKS IROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-11.0 .M-- .9 A- � I -A-- 1.1 — — — 111L --A k A— $ ---I Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapoinsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION 1425) 771-0220 EXT 1333 APPLICATION APF%ovAL This application Is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. OFF [A G DATE -RELEASED BY D E —, /;, 4, � C- i hr -2 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I tl A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL 4FILE_) YELLOW . INS'PECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING M ('00) RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... ------------------ ----------------- Wall......................... ---------------- pier/Porch ................. Rate 9 Wall ........ --- ---------------- Inin' Slab Insulation .......... PLUMBING: Undergroun d ............... -inRough ................... Commercial Final ...... q Gas Test ...... ........... ............. Gas Piping' ................. Equipment ...... 0 m6rcial'Fina EXTERIOR SHEATHING NAILING .............. ........... FRAMING: ........................ F FIRST FLOOR FRAMIN6.'..' .................. INSULATION Floor Insulation ......... Wall Insulation. Ceiling Insulation ....... . SHEETROCK NAILING SPECIAL INSPECTION ... ----------- --------------- MISCELLANEOUS .......... ---------------- FINAL APPROVAL FOR OCCUPANCY .................. M: M 01, M 10 M M, tk M OqTE�1 E RECEIVED I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION I OWNERj&MF/NAuFn;:nIiAimi:r_q V., -*3 30 CITY ZIP TELEPHONE AME M5,44 4 ZIP TELEPHONE A �CBL 0 PERMIT EXPIRES USE ZONE PERMIT NUMBER JOB SUITF/APT# ADDRESS = 40 PLAT NAME/SUBDIVISION f1b. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Pernill Required Street use Permit Rwd EkISTING — PROPOSED Inspection Required SidewAlk Required REQUIRED DEDICATION— FT Underipotmul Wiringrequit'Od 13 METER SIZE LINE SIZE NO. OF FQgURES PRV REQUIRED 1 1 67 YEOO NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE ENGINEERING REVIEWED BY DATE _= ':!�sess - FIRE REVIEWED BY DATE US CITY,�F ZIP TELEPHONE 01 4�w— g ?/ If VARIANCE On CU SHORELINE OR ADB# INSPECTION BOND /`STATE LICENSE NUMBER E"A", "TE, CKED REO'D POSTED -1 hf) _19) e�c'� 13YES ONO $ /1 2 SEPA REVIEW SIGN AREA HEIGHT 71 PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED .jr0Q 2 S;9 EXP o RESIDENTIAL WO rLUM BING / MECH LOT COVERAGE ED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) 000 ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR 0 ADDITION eser MERCIAL M COMPLIANCE OR z CHANGE OF USE El REMODEL 0 MULTIFAMILY SIGN PARKING REO'D LOT AREA I PROVIDED PLANNING REVIEWED BY DATE REPAIR GRADING FENCE CYDS ( _ x_Fr) REMARKS DEMOLISH TANK OTHER oGARAGE RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM MN_qF USE, BUSINESSLOR ACTIVjMjfX"N: CHECKED BY STRUCTION 0: C�N CODE CCUPA G P U'AgAL 19146 _ OU I NUMBIR CRITICAL k*jR �A ZA I NUMB 'AREAS HR OF DWELL G SPECIAL INSPEC '71ON A OCCUPANT STORIES UNITS NUMBER REQUIRED LOAD (ES BE D_QNE DE2Z&:O -t-PIREMARKS PROGRESS INSPECTIONS PER UBC 1 01111FINAL INSPECTION REQ'D q y", " A J LO' j'k -A--- 2 rf OF VALUATION V A T LUA Description DeSCO Plan Check Plan Ch' fBuilding FEE Description FEE State Surcharge aEAT SOURCE GLAZIN(L% LOT SLOPE % i Permit City Surcharge PtAN CHECK N% VESTED 13ATE Plum 1 Plumbing AJ B lff_)l 7) /1 1% Mechanical 2JA THIS PERMIT AUTHORIZES ONLY THE WdRK NOTED. T141S PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUSILIC Grading DONLAIN (CURSS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARIATE PERAW10N. Engr. Review PERUITAPPLICATIOlk 1&bAYS IL PERMIT ILIMM 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 # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIPY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due LAS I NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY OR13INANCE PROVISION.- . -1. 1 _ Recording Fee Receipt # :a I - 114 I HEREBY ACKNOWLEDGE THAT I HAVE PEAD THIS APPLICATION; THAT THE INFORMATION APPLICATIONAPPI-01FAL GIVEN IS CORRECT', AND THAT I AM THE OWNER, OR THES DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a permit unlit signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMENT COMPENSATION INSURANCE AND RCW 18.27. "SIGNATU5'j1rNEI1 O�0; AT; NEDZ [D E SI 1A9 �725) COFFILAL N DATE 771-0220 RELEAS D4,E ATTENTIOW V 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-t1g. )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 z 0 M am m 0 m ca 0 `T1 .M m m R H M C.) z 0 0 m