20030511.pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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MAILING ADDRESS
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CITY ZIP TELEPHONE
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NAME
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NAME
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CITY ZIP
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STATE LICENSE NUMBER
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ADDRESS
PERMIT EXPIRES
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LID NO.
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PLAT NAMEISU13DIVISION NO. LOT NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING - PROPOSED
REQUIRED DEDICATION- FT
METER SIZE LINE SIZE NO. OF FIXTURES
LID FEE $
I ESCP Approved
RW Permit Required
Street Use Permit Roq'd
Inspection Required
Sidewalk Required
Underground
Wiring required
PRV REQUIRED
YES 13 NO 1:1
REMARKS
OVNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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ENGINEERING REVIEWED BY
FIRE REVIEWED BY
TELEPHONE
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VARIANCE OR CU
EXPIRATION DATE CHECKED BY
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NEW ARESIDENTIAL PLUMBING / MECH
COMPLIANCE OR
ADDITION COMMERCIAL CHANGE OF USE
El REMODEL MULTIFAMILY SIGN
GRADING o FENCE
REPAIR CYDS ( X FT)
DEMOLISH TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE. j INESS OR ACTIVITY) EXPLAIN:
NUMBER NUMBER OF
OF DWELLING
STORIES UNITS
DESCRIBE WORK TO BE DONE
SEPA REVIEW
COMPLETE , EXEMPT
EXP
LOT COVERAGE
ALLOWED PROPOSED
PARKING
REO'D I PROVIDED
REMARKS
SHORELINE OR ADB#
DATE
DATE
INSPECTION
REO'D
OYES ONO S
SIGN AREA 17
ALLOWED - PROPOSED I ALLOWED
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REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT)
FRONT SIDE REAR I FRONT LIR SIDE REAR
LOT AREA I PLANNING REVIEWED 13Y
CHECKED BY ITYPE OF CONSTRUCTION I CODE
SPECIAL INSPECTION JAREA
REQUIRED [] YES
DATE
OCCUPANT
GROUP
OCCUPANT
LOAD
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ
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Description FEE Description FEE
Plan Check State Surcharge
SOURCE GLAZING % LOT SLOPE % city Surcharge
HEAT Building Permit 4
PLAN CHECK NO: VESTED DATE Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. 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
E 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. Due
QUIREMENT OF ANY CITY ORDINANCE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY RE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- C ipt #
r EReceipt #
Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORmA:rION APPLIC *rION 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 CONSTRLIC- This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL 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 a ' cknowledged in space provided
WORKMEN'S 5py�ATION INSURANCE AND RCW 118.27. 1 iikILS StGTPRE DATE
TURE/OWNE GENT) DATE SIGNED (425)
SIGNA JRYR A I I/ / I 1A,
771-0220 RELEASED
ATTENTION E)ff 1333
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
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
GREEN - ACCOUNTING
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I SE 114, NE 114, SEC.25, T.27N., R.3E., W.M.
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RECEIVED
MAR 0 9 2000
'I DEVELOPMENT SERVICES CTR.
,30- CITY OF EDMONDS
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PREVIEW HOMES
WESTGATE VILLA6E
(VOL. 20, P6.28)
93RD PL. W
WALL
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6TONC RUMNING WALL 0-111%
w/ FEKr N'. 451-
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PROP.
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Surveyors
PPMDAINARY
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1�2 [SHORT PLAT FOR:-
MASSOUD KHAMI
SE 114, NE 144, SEC.26, T.27N., R.3E., W.M.
�WN. UT DAIL i REV. By DATE IPROJECT WMGER SCALE
D TN 9120199 3 DJR - J, OZ 00 1 K.L. LONG 1 10-60,
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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 ....................
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 ..................
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