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20030254.pdfDATE RECEIVED PERMITEXPIRES CITY OF EDMONDS USE" PERMIT ZONE NUMBER,:4,V_ff CONSTRUCTION PERMIT APPLICATION JOB ADDRESS zz') z z. cr�- UITE/APT#, s stj OWNER NAME/NAME OF BUSINESS PLAT NAMEISUBDIVISION NO. LOT NO. I LID NO. LID FEE $ tj MAILING ADDRESS Z 7,7 A Al a-1 0 -IV 7 7 CITY ZIP TELEPHONE 151e, r e 11v e- TTI 7A Z�06) NAME ADDRES3 CITY ZIP ITELEPHONE NAME ICBLN ADDRESS CITY ZIP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required EXISTING - PROPOSED Street Use Permit Roq'd inspection Roquil ad cl Sidewalk Required E3 7 — REQUIRED DEDICATION— FT n (ground idng required E3 METER SIZE LIN�� NO. OF FIXTURES PRV REQUIRED YES 13 NO E3 Le z REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE Av .1,41vz-�y9y,6t4111oAm STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. ;170 Al a 0,0 :�3, a :z /el A a,-z 0,0 NEW RESIDENTIAL PLUMBING / MECH ADDITION OMMERCIAL )r! a1N, COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR 0 GRADING CYDS FENCE X ( FT) DEMOLISH 1:1 TANK OTHER EiGARAGE CARPORT [3 RETAINING WALL ROCKERY F RE SPRINKLER FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIV" EXPLAJN: 5 BY DATE FIRE REVIEWED BY DATE W cc M VARIANCE OR CU SHORELINE ORADB11 INSPECTION REO'D I PBOND OSTED E3YES ONO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP , , , LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR ZZ PARKING I LOT AREA PLANNING REVIEWED BY DATE I REO'D I PROVIDED M NUMBER NWUMBEIR OF %_: - ELL No CRITICAL OF D AREAS 0 STORIES UNITS NUMBER 60W I DESCRIBE WORK TO BE DONE I ,e,*0,V a e- M e 7. / C HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN JCUREIS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISODAYS PERMIT ILIMM 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 DIRECTI Y OH INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF T"!' , it!RMIT 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 Qf-�LABOFI CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S.�NSMON INSURANCE AND RCW 18.27. DATE SIGNED 'Ile/ - V_ REMARKS CHECKED 13Y ITYPE :�Ir) C-QMjt OCCUPANT. GRO SPECIAL INSPECTION rREA OCCUPANT REQUIRED LOAD REMARKS z PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REG-W 9 VALUATION $ 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 # Landscapelnsp. Total Amt. Due Recording Fee Receipt # 4Q CALL FOR INSPECTION (425) 771-0220 EXT 1333 APPLICATION APPROVAL This application is not a permit until Signed by the Building Official or his/her Deputy: and Foos are paid, and receipt Is acknowledged in space provided. OFF 3 ATURE DATE �eLq 10-3 R E �_Dbf DATE 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 - IN&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 k z 0 ITI M 0 0 80 C I C X M M Z IC) -4 C 0 n —4 M M 0- 0) 0 r- 0 M C M 0 Z .4 X 0 z —4 X V5 z 0 1 ?5 M 13 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final ...... HEATING: Gas Test .................... GasPiping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING.......................... FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ...... Wall insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION MISCELLANEOUS .......... -------------- FINAL APPROVAL FOR OCCUPANCY .................. I -, CITYOFEDMONDS CONSTRUCTION PERMIT APPLICATION,,,, OWNER NAMEINAME OF BUSINESS - 0 e "" olf, 7z /f el <7 MAILING ADDRESS / 7 7#7 - /7A Alal CITY ZIP TELEPHONE 511�� f e NAME ADDRESS CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP ILICENPII� NUMBER , 1, ITY TAX ACCOUNT PARCEL NO. 74 41 al f .0 _I;r a z / Ili a NEW RESIDENTIAL ADDITION OMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE o RETAININGWALL CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: NUMBER. NUMBER OF OF DWELLING STORIES UNITS DESCRIBE WORK TO BE DONE CBL # 0 1 PERMIT EXPIRES USE PERMIT ZONE NUMBER"ff JOB UITI�/APT# ADDRESS -7 Z Z 4, PLAT NAME/SUBDIVISION NO. 7 LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved Rw Permit Required EXISTING - PROPOSED- Street Use Permit Req'd Inspection Required [3 Sidewalk Required! [3 REQUIRED DEDICATION- FT Underground wiring required METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YESO NO 13 REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 1 /. to,+ �-/y 6 5 � �PA X , 6 i �/// 0 ,vv,oe44,, 111w' * m ur/- 41e- FIRE REVIEWED BY DATE DATE UJI W VARIANCE OR CU SHORELINE OR ADB11 I INSPECTION PBOND CHECKED BY REO'D OSTED I SEPA REVIEW SIGN AREA OYES ONO $ HEIGHT - COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED , PROPOSED 1:1 PLUMBING / MECH COMPLIANCE OR 1:1 CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT) FRONT SIDE REAR P90POSED SET4kACKS (Fr.) 7ONT LJR SIDE REAR PARKING REO'D I PROVIDED LOT AREA PLANNING REVIEWED BY DATE 1:1 SIGN 0 FENCE ( _ x _FT) REMARKS 0 OTHER 1 F RE SPRINKLER :1 FIRE ALARM �w / 0 CHECKED BY TYPE =IC) I CCUM -&I �- UILA;UFAINII GROUP CRITICAL AREAS NUMBER SPECIAL INSPECTION REQUIRED [] YES fAREA OCCUPANT LOAD :? P V REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REG-0 T , -e"J4 .6 Z 0411 VA 1&40C -oe-j< 40,11,alf/ LUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % i LOT SLOPE % Building Permit � .4 z City Surcharge D PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading 2 rC.) WILL REQUIRE 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, E SEPARATE PERMISSION. r. Review PERMIT APPILICAT6i. &DAiSL'4 IL PERMIT ILIMM I 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, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # 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 0 NOR LIMIT IN ANY WAY THE CITY'S AB TO ENFORCE ANY ORDINANCE PROVISION.- 1 zi 'jl." Recording Fee Receipt # 1 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 until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON.WILL BE EMPLOYED Bull ding Official or his/her Deputy: and Fees are paid, an d IN VIOLATION Of­Ttt&,LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'!,pelgIPIINSA�ON INSURANCE AND RCW 18.27. OFFI rURE DATE SIGNATU W AGENT) DATE SIGNED 771-0220 RgE DATE AYANTION M 1333 IT IS UNLAWFUL TO USE OR OCC IJPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW '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 z 0 A 0 M =i =a 55 � OM C M 0 —40 0 C �K M ITIZ 10--i 0 -n M M 0 0 0 M C ca r. ca M 0 z V) z 0 ITI