20030386.pdf4
DATE RECEIV�V/, /
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER M E F BUSINESS
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LING ADDRESS
CITY ZIP ITELEPHONE
=L�2jaaff__ WA 217-0 (Zo&) ;Zq2 -2 (OK
NAME
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ADDRESS
CITY ZIP 0 ITELEPHONE _W15'
EQ22:!M__a4_ 2-02-
NAME CBL If
ADDRESS I
CITY I JI ZIP I TELEPHONE
STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY
TAX
[3 NEW
lb4l-IESIDENTIAL P UMBING/MECH
ADDITION
COMPLIANCE OR
COMMERCIAL CHANGE OF USE
REMODEL
MULTIFAMILY SIGN
[:3 REPAIR
-3
CYDS
FENCE
FT)
DEMOLISH
_W
TANK
OTHER
GARAGE
RETt4NINGWALL
FIRE SPRINKLER
CARPORT
ROCKERY
FIRE ALARM
(TYPE OF USE, WSINESIS OR ACTIVIIM EXPLAIN:
NUMBER
NUMBER OF
CRITICA
OF
DWELLING
AREAS
STORIES
UNITS
NUMBE;��
DESCRIBE WORK TO BE DONE
's - - I f_1% A 11
H i GLAZING % LOT SLOPE %
PLA NO: VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMrr COVERS WORK TO
BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSUC
DOUPJN (CURBS, SIDEWALKS, ORIMEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT UMM 1 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 HE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRE" 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
M VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'=ATION INSURANCE AND RCW 18.27.
819NATURkOWNE%�11 ATENT) DATE SPNED I
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PERMIT EXPIRES
USE PERMIT
ZONE NUMBER
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PLAT NAMEISUBDIVISION NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
P Ap
TREWS GF =ed
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EXISTING PROPOSED
Street Use Permh Rsq'd
Inspection Required
sidewalk Required
Underground
REQUIRED DEDICATION FT
Wiring required
METER SIZE
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LIN SIZE
FIXTURES
PR REQUIRED
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YES E3 No A
REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROIJORAINAGE
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MMINEERING REVIEWED BY DATE
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FIRE REVIEWED BY DATE
VARIANCE OR CU SHORELINE OR ADBN I INSPECTION 1$ BOND
REqDj, POSTED
[3YEs,35vo
BEIRA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED PROPO
EXP
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS
ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE RE
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PARKING LOT AREA I PLANNING REVIEWED.BY DAV
RECID I PROVIDED 02
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CHECKED BY ITYPE IOUCTION PTftn OCCUPANT
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SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [:] YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 100/FINAL INSPECTION RE
A . — J� - . / --gr - -er— /2-.n e-7-- a
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
$,4141
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Description
FEE
Description
FEE
Plan Chwk
state surcharge
Building Permit
City Surcharge
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
140fo
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapoinsp.
Total Amt. Du!,-�?
Recording Fee
Receipt #
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 Fees are paid, and
receipt Is acknoWedged In space gkovided.
OF DATE
;4M O�Xah'
RELEASEABY DATE
r [2, 1) 2711
RIGINAE - FILE YELLOW - INSPECTOR
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
Eli?
CITY OF EDMONDS
-0220 FAX (425) 7714)221
121 5TH AVENUE NORTH EDMONDS, WA W= (425) 771
Website: wmdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning 9 Building 9 Engineering
C. 175
GARY HAAKENSON
MAYOR
The purpose of this letter is to inform YOU that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your permit file.
The City considers the final inspection to be one of the most important inspections
conducted on a project In order to grant final apPrOv al the following must be complete:
smoke detectors, house numbers, guardrails, handr ails, self -close doors between garage
ety glazing, weather -stripping, any
and residence, egress from sleeping rooms, saf
Engineering department requirements etc. Of course not all of these things may
specifically apply to your project but it does give you an idea about the kinds of things
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that must be complete as well as some items that do not need to be installed such as:
paint, carpet, moldings, wallpaper, etc. Please b e advised permits expire one year from
ts c be
the date of issuance. if you will need more time to complete the work, permi an
renewed prior to expiration for one half fees. If the permit expires without a final
ull fees are required in order to renew the
approval granted by the Building Inspector, f
'T
permit. This can be very costly to you and we strongly encourage you to check your
or the required final inspection(s). Note: if more than
permit expiration date and call f
ar
one department is required to final your project, this is noted on your Job C d.
Please feel free to contact me at 425-771-0220 if you have any questions.
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECTAYPROVAL
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CONSTRUCTION PERMIT APPLICATION
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.NAME CBL #
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CITY
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ZIP I TELEPHONE
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ESIDENTIAL
ADDITION
J:] COMMERCIAL
REMODEL
mummmy
REPAIR
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DEMOLISH
TANK
uGARAGE
RETAININGWALL
CARPORT
ROCKERY
OF USE, EASINESS OR ACTIVITY) EXPLAIN:
kME
,VUMBER
'no
NUMBER OF
OF
STOPJES
DWELLING
UNITS
DESCRIBE WORK TO BE DONE
CHECKED BY
)P UMBING/MECH
790
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE X FT)
OTHER
FIRE SPRINKLER
FIRE ALARM
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PERMIT EXPIRES
USE PERMIT
ZONE NUMBER 2')
JOB
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PLAT NAME/SUBDIVISION NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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RWS==Od
street use Perm" PAO
EXISTING PROPOSED
inspection PAquired
sidewa* PloquIrad
REQUIRED DEDICATION FT
Underground
Wiring required
METER SIZE
LINE SIZE
OIFIXTURES
PRV REQUIRED
T-NO.
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I
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION C&"RAINAGE
-11.1 tff W-ij 1fAVV_V_VIrM& ftl2prA.
-NMINEERING REVIEWED BY DATE
Z::� M�
f4N&&LL S1 15 k&3
FIRE REVIEWED BY DATE
VARIANCE OR CU SHORELINE OR ADEIM I INSPECTION I BOND
REqDo POSTED
13YES.)E%O 1$
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
ee
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LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBAtk%
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REA?
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-[PLANNING REVIEWED BY DA*
PARKING LOT AREA,
REO'D PROVIDED
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CHECKED BY TYPE O=RUCTION
OCCUPANT
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GROUP
CRITICA
AREAS
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SPECIAL INSPECTION JAR
OCCUPANT
NUMBE
REQUIRED YES
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REGVD
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HEAT SOURCE GLA23NO LOT SLOPE
Building Permit
City Surcharge
PLAN CHECK NO: VESTED
Plumbing
Mechanical
THIS PERMIT AUTHORMW ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PEnWSGION.
Engr. Review Ab
P98MITAPPUCATIOW 180DAYS
PERMIT U;Arr I YEAR - PRCMOED WORK IS START111-0 WITHIN 189 Pas
Engr. Ins pectl
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
;AF1,PUCANTTQN BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGN6"trSUCCESORs
OF
Fire Review
Plan Chk. D epv
N NTEREj. AGREES TO INDEMNIF% DEFEND AND HOLD HARMLESS THg CITY
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS ftM ANY AND
Fire Inspection
Receipt*
ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ; isquANCE 0 11 IT, LL NOT BE
DEEMED TO MODIFY, WArVE OR RI Oi tODIR 04EF YAORDINANCE
-0
Landscape Insp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE crTys ABILITY TO ENFORCE IE�5 PROVISION.*
Recording Fee
Receipt
I 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 OWNE . GREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
ThIs solcation Is not a permft unW sIgned by I"
TION; AND 1,tNG THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPPYED
IN IN GT
BUN and
ding OMcW or Nsftr Deputy: and Fees are Pala,
IN VIOLATIO THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
I
FOR INSPECTION
recelpt Is acknowledged In space "013,
I tVy
WORKMENS ION INSURANCE AND RCW 18.27.
81 IEFOR A@ENT) DATE SIPNED 1
142
OF�V!C DA
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OLI 0
771-0220
DATE
RELEASEPLAY
FU TO Y G OR STRUCTURE UNTIL
U E 0 VAC P
EXT 1333
ry
2 01
IT IS UN
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
ORIGINAI - F;UE YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GWITED. UBC SECTION 109
PINK - OWNER GOLD -ASSESSOR
..,,,04/02 PRESS HARD -YOU ARE MAKING ;COPIES
GREEN ACCOUNTING
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