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20030238.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAMEgABUSINESS �J_ -ei-k V eVSj AJ MAILING CITY ZIP TELEPHONE 1-49 NAME ADDRESS CITY NAME r V C ICBL# q1) q ADDRESS 0. 3 9�46y ZIP 1 3 TELEPHONE C��eal% 4?(F(C SjkTE UCENSE NUMBER EXPIRATIOP DAIE CHECKED BY PROPERTY -TAX ACCOUNT. PASCEL NO. NEW RESIDENTIAL 0 PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR 1 1:1 CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING FENCE X CYDS FI) DEMOLISH TANK OTHER GARAGE CARPORT RETAJNING WALL ROCKERY FIRE SPRINKLER FIREALARM UWE OF USE, BUSINESS OR A _ LI t I 14U E M E 0 PU2 NUIL48ER OF DWELLING CRITICAL AREAS ST il�� UNITS UMBER N *IA- DACRIBE WORK TO BE DONE Al rPf1xA,),Wf,0,Aff ynew_ 10, t_1 - HEAT SOURCE GLAZING % I LOT SLOPE % PLJkN CHECK NO: I VESTED DATE THIS PERMIT AUTHORIZES ORLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) VALL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISODAYS PERMIT ILIMIR 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 INDIRECTIY 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 CRYS ABIL17Y 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 WORKMENS COMPENSAT19�ASU=D RCW 18.27. SIGNAI&k—J41NER OAkGE") /, - J 41' 1 DATE SIWED7 PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP proved RW Permit Ro"Ired Street Use Permit Roq'd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT Underground Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES C3 NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE MUST BE PRESENT FOR WEFIjet.q BRIE-MOVAL, OR CAP DATE FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADB# I INSPECTION 1$ BOND REO'D POSTED 13YES 13NO $EPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSED a z ILL] LOT COVERAGE I REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED I FRONT SIDE REAR FRONT UR SIDE REAR z PAR LOT AREA PLANNING REVIEWED BY DATE— IKING CL REOD PROVIDED I I CHECKED BY SPECIAL INSPECTION REQUIRED [] YES GROUP OCCUPANT LOAD REMARKS 2 PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-0 $ 1 - Description FEE D Sicr'pt'OnT ESurcharge FEE Plan Check State Building Permit City Surcharge 6- Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Aml].DujeZh—_- Recording Fee ta2 CALL FOR INSPECTION (42�5) 771-0220 EXT 1333 APPLICATION APPROVAL " This applicatilon Is not a permit unfill signed by the Building Official or his/her Deputy: and Fees are paid, and - receipt is acknowledged In space provided. 01 1 kL,* S119NJURE DAY 44"1619" �J& V7/i REI.IfAdCD BY /DATf IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I 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 I = TO: z 9 0 m M 0 A 0 c 3: M m Z 0 -n n m rn a 0 0 M C ch E cn M 0 z z 0 m Z.. 3. -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:teinp:bldg:forms6/98 j7�1 -le"�i i I UJ .tl ui 41 A . 6 DATE RECEIVED -N_1W ERMIT EXPIRES ly 1 FP USE PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERIVII a i licAnom JOB I SUFTE/APT# OWNER NAMEMME-W BUSINESS MAILING ID jei_k V P/u S 1,5P 02 M ,�A/ CITY ZIP TELEPHONE -r, 7) XO -5 L-L a).a NAME ADDRESS CITY NAME r CBL # ADDR Eats 0. T CITY _T ELEPHONE -7 � 5eq 3 0 61 - 5 a ST4&TE LICENSE NUMBER EXPIRA 0 E r CtECKED BY FILCOCI�aj'69iW or�j Wr� j PROPERTY TAX ACCO PAPJ)CEL NO. 02AA V -7e" . ligiff f NEW RESIDENTIAL 0 PLUMBING / MECH ADDrrION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMOD EL MULTIFAMILY SIGN REPAIR GRADING CYDS [3 FENCE X FT) DEMOUSH TANK OTHER [3 GARAGE RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY LAIN: FIRE ALARM (TYPE OF USE, BUSINE88 OR ACTIVEM Exp NUMFIEZ/ I CRMCAL NUMBER OF OF DWELLING AREAS Tommys- g- , - , UNITS NUMBER D6CRIBE WORK TO BE DONE W- "OF -JWA ra HEAT SOURCE GLAZING % I LOT SLOPE % PLAN CHECK NO: I VESTED DATE THIS PERMIT AUTHORIIZIES ONLY THE WORK NCYTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS. DRIIVEWAYS, MMQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMITAPPUCATIOW ISODAYS PERMIT LIMM I YM - PROVIDED WORK IS STARTED WITHIN leg 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, 17*8 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 CORRECTAND 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 WORKMEWS COMPENSATIOINI&SURANr _.,kAND RCW 10.27. ADDRESS 0- 1 L� z PLAT NAME/SUBDIVISION NO. —V LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESCP Approved RW PwrrA Required Stm*t Use Perrilift RKV EXISTING — PROPOSED— I-pection Required Sidewalk Required REQUIRED DEDICATION— FT Undwipround WWg required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES E3 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE TANK REVIEWED BY FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINEOR�� INSPECTION 1$ BOND REO'D POSTED 13YEs 13NO SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED , PROPOSED I ALLOWED . PROPOSED LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR PARKING LOT AREA FLANNING REVIEWED BY DATE REO`D I PROVIDED I CHECKED BY ITYPE Of CONSTEILICTION E OCCUPANT .� imk� 127 GROUP SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [ LOAD, REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ�'D $ Ew 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 # Landscapainsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION IA-3 771-0220 EXT 1333 APPLICATION APPROVAL This application Is not a pennit Until signed by the BuUdIng OfftW or his/her Deputy: and Fees are paid, and ocelptisd&nowledged Insparo provided. oil I SIGMURE DATE R-ELgAIJED BY /DATY 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 a z W I =