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20030423.pdf. I 6�'L� C DATE RECEIVEDf�l - -7 I [PERMIT UPIRES USE PERMIT CITY OF EDMONDS ZONE 'elp 9. VNLIMBER 6Q1 JOB ----ST E/APTD CONSTRUCTION PERMIT APPLICATION ADDRESS OWNER,�AT,INAME OF, 7SINESSr C* _I A fl PLAT NAME/SUBDIVISION NO. LOT NO. L D NO. 0 TS lk q, ZIP I TELEPHONE �'rZtp I qz�_WLI _(D_/ NAME ADDRESS CITY ZIP ITELEPHONE NAME CBLJ 5 1 r— 6 WS - YLk,01h VV�,_, M/ IX ADD 0 ' CA,1 r- 8 TrIbI LA 5 V-.,' 1kA/ CITY ZIP TELEPAONE 0 q "0 k"j, AV/75 I STATE LICENSE NUMBER EXPIRATION DATE VCC aI / / 0 () NEW RESIDENTIAL PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE 1:1 REMODEL 5i(MULTIFAMILY El SIGN REPAIR GRADING CYDS FENCE X FT) DEMOLISH TANK OTHEApy1t__ GARAGE CARPORT RETAININGWALL ROCKERY, FIRE SPRINKLER FIRE ALARM (TYPE OF USE, BUSINESS OR ACTT—W., III !. ",\ NUMBER OF STORIES NUMBER OF DWELLING UNITS /o CRITICAL AREAS V NUMBER DESCRIBE WORK TO BE DONE HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: :_0 n I A VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO It BE DONE ON PRIVATE PROPERTY ONLV. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURaS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE It SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS CL PERMIT LIMIT! I YEAR ' PROVIDED WORK IS STARTED WITHIN 160DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND 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 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 X, 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 18.27. SIGGZOW R OR ZAGO I DATE WNED UD FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW PorMit Required Sir at Use Permit Req'd EXISTING - PROPOSED Ins;Ltion Requ,ifed Sidewalk Required REQUIRED DEDICATION- FT Underground Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I YES C3 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADB# I INSPECTION I BOND REQ'D POSTED C3YES & $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSED z z a 6 LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR z z PARKING LOT AREA I PLANNING REVIEWED BY DATE REO'D PROVIDED I -R Z_:�OE� REMARKS Tr � 1111� 511 211110152111 - '474�111111111 CHECKEDBY TYPE OF CONSTRUCTION C,0Vj6,,j OCCUPANT I 7 GROUP SPECIAL INSPECTION OCCUFANT REQUIRED 0 YES JAREA LOAD REMARKS PROGRESS INSPECTIONS PER UBC I 01111MINAL INSPECTION REO'D 5 VALUATinm - —1-C? T_ I Description FEE Description FEE Plan Check State Surcharge Building Permit Ail City Surcharge - I- -� ' - Mechanical Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION 1425) 771-0220 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 acknowledged in space provided. OFFICIALS SIGNATURE �BY TE ED DATE ATTE"ON Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORZIN'AL - FILE YELLOWAINSPEC(TOR 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 z 0 4 0 M --i -n -j x M C M 0 0 C: M M Z :J 0 - n M ITI 0 @ 0 r_ 0 M C 0) M 0) M 0 Z X z z 0 IT! , .4 7.7 . * : —, - 77 0 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footlng ...................... Wall................... ...... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final ...... -HEATING: GasTest .................... Gas Piping ................. 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 .................. DATE 1`19CEIVE��j/,, . 10 /0 Z3 [PERMIT EXPIRES USE F: 12 RA IT CITY OF EDMONDS" ZONE �LNUMBER "Z2 —/�' JOB CONSTRUCTION PERMIT APPLICATION ADDRESS OWNERrjAINAME OF;SINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. 's 6 /UP",kUU1 MAILING ADDRESS LID FEE $ YESCP APPfOvsd PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required A110 T S �WO& Street Use Permit Req'd CITY EXISTING — PROPOSED inspection Required ZIP TELEPHONE Sidewalk Required Undergrowd 14 1- 3v L/ - (7 t/ REQUIRED DEDICATION— FT Wiringrequirod NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 1:3 NO 0 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z z CITY ZIP TELEPHONE NAME CBL# � I r— ENGINEERING REVIEWED BY DATE M 0 'ADD Tf % Cl C FIRE REVIEWED BY`-, DATE UJI CITY zip TELEPHONE VARIANCE OR CT i -SHORELINE OR ADBN INSPECTION BOND I STATE LICENSE NUMBER EXPIRATION DATE a POSTED F,7- 1(3y REO'D &0 1$ i7�., ES 'I SEPA REVIEW SIGN AREA HEIGHT X%. : PR7r co CEL 110. COMPLETE EXEM LLO%ZED PROPOSED, ALLOWED PROPOSED I )drco 0 0 -_ I a 3 z o / EXP "1 , j NEW RESIDENTIAL PLUMBING/MECH LOT COVERAGE REQUIRED SETBA(:*(S (FT.) PROPOSED SETBACKS (Fr.) I k, ALLOWED PROPOSED FRONT SIDE. REAR FRONT L/R SIDE REAR COMPLIANCE OR COMMERCIAL ADDITION CHANGE OF USE z z PARKING LOT AREA I PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REO'D PROVIDED J GRADING FENCE ED REPAIR CYDS ( X FT) REMARKS DEMOLISH TANK OTHER IaE�zi f oGARAGE o RETAINING WALL FIRE SPRINKLER FIRE ALARM CARPORT ROCKERY. (TYPE OF USE, BUSINESS OR ACTIVI(��. CHECKED BY TYPE OF CONSTRUCTION OCCUPANT GROUP NUMBER NUMBER OF CRITICAL LLING SPECIAL INSPECTION OCCUPANT OF OWE AREAS ^_2_0 LOAD JAREA R REQUIRED STORIES UNITS NUMO YES DESCRIBE WORK TO BE DONE =ESS INSPECT1191S PER UBC 108/FINAL INSPECTION REO'D dc c., k VALUAnON $ Le 6 W kk Description FEE Description FEE I -an Check State Surcharge HEAT SOURCE GLAZINGW LOT SLOPE % Building Permit City Surcharge ECK NO: VESTED DATE Phffribing�jAv cZ Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO �7 I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC V1 DOMAIN (CURBS, sioEwALKs, nnivEwAys, MARQUEES, ETC.) WILL REQUIRE 0 1 0Aq t: S!!!g:jPER,MI�S1PN._ T. Review �?g PERMIT P AM- AF` aAT_%N':"'Zt20_b v 116 PERMIT LIMM I YEAR - PROVIDED WORK IS STARTO WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review Plan Chk. Deposit 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Sit IN INTEREST. AGREES TO INDEMNIFX 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 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. D ue DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # 1219 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 OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Is not a permit until signed by the CALL 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. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFICIALS SIGNATURE TE SIG39tK IA95) it ,,�I Ow ER Oil A�GL_ DA�T�ENED low -001 771 -0220 DATE A ED B ATTEFION EXT 1 33 h IT IS UNLMVFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL )1�'I'e A&I it r/ A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YEI I ON - I ISP - "R 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 z 0 11 0 M =Pfi M rn 0 -40 0 C: ;I r. M M z 0 _n n -4 x M M 0-0) 0 r- 0 M 0) 0 M 0 Z .A z -4 X 0) z 0 A 0 M