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20030472.pdfa DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS ,!��xe?ziwo gt'.' MAILING ADDRESS CITY ZIP TELEPHONE NAME ADDRESS CITY NAME CITY STATE LICENSE NUMBER 1W Y PROPERTY TAX.ACCOUNT PAR ZIP ITELEPHONE CBL If -,ax*4.r71Uz_ 1 96 ZIP TELEPHONE xl2j— ;7;70— a '/C' V EXPIRATION DATE //z A r— NEW RESIDENTIAL PLUMBING/MECH 0 ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE R M E ODEL TIFAMILY MUL SIGN 191 REPAIR GRADING 1:3 CYDS o FENCE ( x FT) DEMOLISH [3 TANK OTHER GARAGE CARPORT [:I RETAININGWALL ROCKERY FIRE SPRINKLER FIRE ALARM (ME OF USE, BUSINESS EXPLAIN: am NUMBER kUMSER CRITICAL OF DWELLING AREAS 41 '.j STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE —a I PERMIT EXPIRES Z2 Z2 USE PERMIT -3 ZONE NUMBERW JOB SUITVAPT# ADDRESS PLAT NAME/SUBDIVISION NO, -7 NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ES Appro-d AW ceprmrh =RsWirod Street Use Permit Raq 'd EXISTING — PROPOSED inspection Required Skjaws* Required REQUIRED DEDICATION— FT UndarDround 13 METER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED YES 13 NO 13 z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE REVIEWED BY DATE FIRE REVIEWED BY DATE W Ic W VARIANCE OR CU HORELINEORADB# INSPECTION BOND J REO'D 1, POSTED I 13YEs 13NO $ BEIRA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED AL PROPOSED .XP , , LOT COVERAGE REQUIRED SMACKS (Fr.).. 'PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR PARKING LOT AREA PLANNING REVIEWED -BY DATE I RECYD I PROVIDED I CHECKED BY ITYPE N N A OCCUPANT,�� IRMA GROUP SPECIAL INSPECTION JAREA. OCCUPANT REQUIRED [3 YES LOAD REMARKS PROGRESS INSPECTIONS PER USC 1188MINAL INSPECTION REO'D $ 1 Descriptlen FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing V Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPEFITY 0NLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAJN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ISETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS L PERMIT UMIll I YEAR - PROVIDED WORK 18 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 INTEREi� AGREES TO INDEMNIFY. 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 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due _4774_� NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee I Receipt III =af_ 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- CALL This application is not a permit until signed by the 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 Building Oflicial or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt 13 acknovdodged In space provided. WORKMEN'S COMPENSAT19N. RANCE AND RCW 18.27. OFFIgNp IGNATURE PAV SIGNATURE (OWNER OIA DATE SIGNED (425) 7 Jz&'-� /0,;j 771-0220 'C'141010- ""_ OF &TE —RELEASED BY C�f ATTENTION 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 -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 11 0 I v essst .. ....... eggs, �tg, d IN, d I n� :Is I VI :k- d ...... dI I L I RECORD OF INSPECTIONS s. pq I I I r INSPECTOR DATE APPROVED 'L 1 4 SETBACKS FOUNDATIONse I 'd . I . . . I 6 4 Footing, I I , IV f.I I d 4 Wall d I I I I I I I I..k I I I d d I I Its 1 0 Lt Pier/Porch 466doesdo age* 0 0 110 1 1 1 1 1 1 1 IF I d I It -I I 1 0 1 1 1 1, — II I I I e v I I I I I I I I I I L 1 1 9 9 1 9 1 0 I Retaining Wall 4 L. IN I jr P 1 4 Is IN 0 Stab Insulation I IIN 1 4 .1 1 1 'L I I I L I .11 1 1 1 . IL� 1 0 11 1 1 d N, t'�I I 111 12 `4 �tl If % I A L, pr Id . 1 4 IV I I PLUMBING, Or t 1 d J11116 I d III's I. �Un eggs 09,rground Dos I 1 .1 1 P 1. 1 . d 6, 1 L I L I 1 1 1 1 1 1 9 Roughmin 1 1 4 1 11 r y . I If d % V It Commerc lal Final 1 1. d is t I j I I I. t, d III It I I I I I I LPI -1 L L 4 L I IN I, L,, I L P ,, I . I I I N . , 4 L st , " . dI_ % i Is 14.. 41 L HEATING. L L I i F Is L % : 'L L t t s 4W L I 0 d L L I Is L I I I. r L L Gas Test see 0 eess*.Oos 96066 o sea v L I 1 9 I Ik 1 4 L % 'L Gas Piping I I I d I I rd't 9 Is I L L I I I I d I 1 .1 '1; 1 IN, 4 It 14 1 L L Id Vf 4. 1 r tIII I t L I L d t I, Its I I d Commercial Final....... fr L' 'L L 1 4' 3 L I I It 11 .11 9 Is I I ..I. IN Ik t , 1, V I I I I 1 4' 11 111 — I � . 4 1 1 '1 L I I , I 1 %4 WER110R.SH EATHING L I I I 1 1 L I I I IL I L It I II . I . I I I d L d I I I f NAILING doesissi* L t. 1.6 .I� J'e I-i t", I FRAMING 60,660004 1164 6 A I r 7 4 I d 1 2 id td FIRST FLOOR FRAMING..$ I t I d I L It I d Is _t,. I d I 4 INSULATION 1' 4 1 1 1 1 1 NI, I I 's I L 1 1. d I I d tt 1 1 I.t L I I I Floor Insulation I , P, 4 1 L 1 9 1 1 1 1 1 4 11 1 1 1 % d I 4 1 Wall Insulation d 9 9 4 11 4 1 1 1 4 1 Ceiling Insulation d r I d d I SHEETROCK NAILING so* I A tI I 1 4 SPECIAL INSPECTION N. , 19 I I V ) 130. 't, IN i I MISCELLANEOUS I. rt L L I FINAL APPROVAL FOR else. Now, OCCUPANCY f L P It's P'si it d IV 7� A I'DATE RECEIVED PERMIT EXPIRES USE IPERMI CITY OF EDMONDS ZONE NUMB61 J—U0 9 SUITE/APT# CONTflRUCTION PERMIT APPLICATION. - ADDRESS OWNER NAMENALIE OF BUSINESS PLAT NAME/SUBDIVISION NO. NO. 'LID NO. 7E6T LID FEE S kL`JLING ADDRESS TESCP Apprond 13 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP FtW ftnTA_RaqjW 7- su" U" Pwmk PAO CITY ZIP EXISTING PROPOSED kapKow PAqL**d TELEPHONE Sidrmft RwgrW REQUIRED DEDICATION— Fr WtMgr@qL4r*d 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YESO NO E3 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY ZIP TELEPHONE NAME CBL # 7 ENGINEERING REVIEWED BY DATE ADDRESS 7' FIRE REVIEWED BY DATE z 0 CITY zip TELEPHONE zy q�`O, T6 7 7J .116 1/ —] C) "'.1 M SHOIIEUNEORADBff BOND VARIANCE OR M INSPECTION I o STATE LICENSE NUMBER EXPIRATION DATE - REO'D POSTED 10YEs 13NO =i 9 104 y SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALL13WED POSED PROPERTY T UNIT PAFIFEL NO , M LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT) NEW RESIDENTIAL PLUMBING MECH ALLOWED';,..; PROPOSED FRONT SIDE REAR FRONT LJTI SIDE REAR COMPLIANCE OR ADDITION COMMERCIAL 0 OF USE CHANGE % LOT AREA PLANNING REVIEWED BY, DATE REMODEL RECrD PROVIDED 0 muunFAMILY 0 SIGN M y GRADING REPAIR o FENCE CYDS X_ FT) REMARKS 0 OT�EFI 31 DEMOLISH 'TANK GARAGE RIFIAINING WALL 0 FIRE SPRINKLER 1:3 0 CARPORT ROCKERY FIREALARM OF USE, BUSINESS. OR EXPMN: 0 PAW CHECKED ITY ITYPE=N Cam CCU RV 43ROUFI -9 M vu NUWER humsm 0 CRITICAL DWELLING AREAS SPECIAL INSPECTION OCCUPANT j JAREA UNITS NUMBER REQUIRED [3 LOAD YES Fn -.DESMSE WORK TO BE DONE C eE elewe _C'jP rZ .45 REMARKS PROGRESS INSPECTIONS PER USC 1108/FINAL INSPECTION REQ'D 2 1P VALUAIION $ Descript1cm FEE Description FEE z Plan Check State Surcharge 0 -4 WT SOURCE,: GLAZING % LOT SLOPE % Building Permit City Surcharge 0 M PLAN CHECK NO: VESTED DATE Plumbing Mechanical T" PMW ArMon=- OWN THE WORK NOT M- THIS PERMIT COVVRS WORK TO BE DONE ON PFUVATE PROPEMY ONLI AMY CONSTRUCTION ON THE PUBLIC Grading DOMM (CURBS, SIDEWALKS, DRIVEWAVS, HAMUEES, ETC.) WILL REQUIRE SEPARATE PEWSSION. Engir. Review PERUITAPPLICATIOlt 180DAYS, PMRWT UUM I YEAR -PROVIDED WORK 19 STARTED WITHIN 11118DAYS, Engr. Inspection SER BACK OF PINK PUMIT FOR MORE INFORMATION 'APPLICANT, ON BE CESORS HALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST,� AGREES TQ INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMOND3. WASHINGTON. ITS OFFICIALS, EMPLOYEES NO AGENTS . FROM ANY AND . A Fire Inspection Receipt # ALL CLAIMS FW DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMrT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEUEO TO MODIFY WANE OR R11FOUCe ANY REQUIREM ENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt Due NOR LILUT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- .� i amm-MM.-OMEMMMM Recording Fee Receipt # I HMBY ACKNOWLEDGE THAT I HAVE RUM THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GM 18 CORFMCr AND THAT I AM THE OWNER, On THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL ThI3 application Is not a peffnit untif signed by the T*N; 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 FOR INSPECTION BuIldin OtficW or hlsftw Deputy: and Fees are paid, and recelpt Is acknovAedged In space provided. WORMERS COMPENSATI RANCE AND RCW 18.27. OIFFrIC GZPU R E A7T BKWTURE (OWN ER A DATE 81 GNED 1A#3 %-WE6 5) 41. 771-0220 RELEASED BY bATE AMMON M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I �A A INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. ORIGIN& - FILE - YELLOW - INSPECTOR CAk-0 OCCUPANCY HA S BEEN GRANTED. UBC SECTION 109 PINK -OWNER - GOLD -ASSESSOR GREEN - ACCOUNTING 04/Oi PRESS HARD -YOU ARE MAKING 5 COPIES