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20030684.pdfLEER I DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS I / 10 Q5 � . .1� - _ sl_� — UT� ZIP TELEPHONE 6� ` �_O^A!2�s iIAME ADDRESS CITY NAME ADDRESS &ag CITY !iek_ STATE LICENSE NUMBER ZIP TELEPHONE - IC :BL 0 ZIP TELEPHONE XPIRATIONDATE I CHECKED LPERMIT EXPIRES USE PERMIT ZONE NUMBER JOB 'Y F,(47 d1l 6/ ADDRESS 5 , 5�u' PLAT NAME/SUBDIVISION NO. OT NO. LID NO. LID FEE $ TESCIR Appmed PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW ParrrUt Required Street Use Formit RWd EXISTING — PROPOSED InSPOCUO" Required Sidewsbc Required REQUIRED DEDICATION- FT Underground Widno required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I T YESE3 NO C3 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE REVIEWED BY DATE FIRE REVIEWED BY DATE M VARIANCE OR CU SHORELINEORADB# I INSPECTION I BOND REO'D POSTED 13YEs 13NO s SEPA REVIEW SIGN AREA HEIGHT RME 0 COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED ZT,J=�toq EXP , , , NEW ADDITION RESIDENTIAL X 0� COMMERCIAL PLUMBING / MECH P�", OMPLIANCE OR 0 CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT URSIDE REAR I z REMODEL MULTIFAMILY SIGN PARKING REO`D I PROVIDED LOT AREA PLANNING REVIEWED BY DATE REPAIR 0 GRADING CYDS FENCE X FT) REMARKS DEMOLISH TANK o OTHER oGARAGE CARPORT RETAINING WALL 1:3 ROCKERY FIRE SPRINKLER 11 FIREALARM OWE OF USE. BUSINESS OR ACTIVITY) EXPLAIN. CHECKED BY T -'3jZ)WV0N Occu ]TYPE GROQ&'�K NUMBER OF STORIES NUMBER OF DWELLING UNITS CRITICAL AREAS NUMBER SPECIAL INFEF01`1 REQUIRED [] YES AREA OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD —,-7 zy 'Ira ao9�d VALUAnON $ Description FEE Plan Check HEAT SOURCE GLAZING LOT SLOPE % Building Permit PLAN CHECK NO: VESTED DATE Plumbing r1ri X. Mechanical THIS PERMrr AUTHOR=8 ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: 180 DAYS PERMIT UMrr 1 YEAR - PROVIDED WORK IS STARTED WITHIN 160 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 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOTBE Landscapeinsp. DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' 'Recording Fee I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION A A GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF :rHE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL T T TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED c suit c SU' IN VIOLATION OF THE E OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION IF WORKMENS COMPEN CE AND RCW 18.27. 0 SI DATE SIGZ I (OWNER R NY) NE OELD 7 -0220 71 BY �FENWN EXT 1333 Description State Surcharge City Surcharge FEE Plan Chk. Deposit Receipt # Total Amt. Due Receiot # JCATION APPROVAL allon is not a permit until signed by the I or his/her Deputy: and Fees are paid, and Is acknowledged In space provided. 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 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - AS,< 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 q 0 m 'A m c M 0 80 c �c . m m ,C) 0 m M 0 V)r 0 o Fn C cl) ic ch M 0 M z z 9 0 m twooting owe % Wal I I I I I t I I I I I 1� P, Pl6r/Porch I.. LL Retaining Wall I I I I . . . I . . Slab Insulation I PLUMBING, d I -I ip 1 0 4 11 Undertround well 3,1 oughein ms 1 4 1 1 7 Commi ircial Final, 'I . 4 1. HEATING* "L I- I I t I I Pd 0 74f Gas Test I 1 4 F I I I 1. 4 r 1 4' .11, t IF It" �Gas PI )Ing I 1 4 1 I r I t 1 4 1 1 1 I f I I 'r I I L I 1. 1 c F. I I I I I I p ,Equipment f, I I I T e L' . I 1 11 1 1 . I . I I I I I I I I r .4 1 4 r L j CommorcW :Fin ail 1 4 1 1 0 4 I t L I 4 EXTERIOR SHEATHING 11 p I I I I 1 1. 1 4 1 NAILING 0 k FRAMING �,r fyV FIRST,,FLOOR FRAMING L r I I I ;,I ",I. L I ':'r INSULATION I. L; . I I I 1 1. 'k I I I L, I I Floor Insulation 1 4 1 r 1 1 1 1 L I . Wall In ;ulation, 00084004 VON I% Ceiling Insulation 4� Y SHEETROCK NAILING 4 f SPECIAV,,'kIISPECTION ON, VON* MISCELLANEOUS I k FINAL APPROVAL FOR 1 4 j r I �y OCCUPANC If 4 "DATE REFEIVEO CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ENAME OF BUSINESS —4, MAILIN,,G.ADDRESS A NAME C3 ADDRESS CITY NAME ADDRESS CITY STATE LICENSE NUMBER ZIP ITELEPHONE ZIP TELEPHONE CBL # ZIP TELEPHONE :XPIRATION DATE I CHECKED NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL 1:3 MUL11FAMILY 13 REPAIR [3 GRADING CYDS .[3 DEMOLISH [3 TANK oGARAGE CARPORT o RETAININGWALL ROCKERY OWE OF USE, BUSINESS OR ACTWM EXPLAIN: !NUMBER OF =/uNIT8 IUMBER OF DWELLING STORIES DESCRIBE WORK TO BE DONE 0 PLUMBING/MECH COMPLIANCE OR CHANGE OF USE SIGN 0 FENCE ( _X_ FT) 0 OTHER 0 FIRE SPRINKLER FIRE ALARM 17— PERMIT EXPIRES USE PERMIT W03, 0 Af ZONE NUMBER JOB ADDRESS 10T fdhd),dj"'Tr A. - I PLAT NAMEISUBDIVISION NO.7NO. LID NO. LID FEE S TESUP APPMV*d [3 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PeffrA R*wW@d StrW Us* Pwmh FteqV EXISTING — PROPOSED kop-tion Raqt*W ftawa* RoqjM REQUIRED DEDICATION— FT I UndwWound m1nor 13 METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED I I YESE3 NO REMARKS LEA OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DR16NAGE I I REVIEWED BY FIRE REVIEWED BY DATE DATE I lo VARIANCE OR CU SHORELINE OR ADB# I INSPECTION I BOND REO'D POSTED 13YEs 13NO $ SEPA REVIEW GN AREA HEIGHT COMPLETE . EXEMPT ALLOWSEID . PROPOSED I ALLOWED . PROPOSED LOT COVERAGE I REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR - PARKING LOT AREA I PLANNING REVIEWED BY DATE REO'D I PROVIDED I CHECKED BY jTYPEjrt)WC,fr10N CRITICAL AREAS SPECIAL INSPECTIOW JAREA NUMBER REQUIRED [] YES I REMARKS PROGRESS INSPECTIONS PER UBC Z 9 2 Description FEE Plan Check HEAT SOURCE GLAZING % LOT SLOPE % Building Permit PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PmmiT AUTHOR= ONLY THZ WORWHOTM Tmis PERury Comm wcftK To BE DOW On PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading D01WN (CURBS, SIDEWALK9, DRWEWAVS, MARQUEES, ETC.) WILL REQUIRE SEPARA'MPFRMISSION. Engr. R&Aew PFRUffAPPUCATIOIL' ISO DAYS PERNrf UUM 1 YEAR - PROVIDED WORK 18 STARTED WITHIN 180 DAYS Engr. Inspection SEE L%CK OF PINK PERMrr FOR HORE INFORMATION -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, rM OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE. ARISING DIRE =Y OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' A� Recording Fee 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 CRY AND STATE LAWS REGULATING CONSTRUC- CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LA95ITZ'M OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S COMPEMSfiMgll��E AND RCW 18.27. OR ER Ifn DATE SIGNED f425% IV - 03 77%1 -0220 EL &TENWN EXT 1333 BY W.R.1 LOAD . . I INSPECTIONLRECVD. g Doscription State Surcharge City Surcharge �EE Plan Chk. Deposit Receipt III I a .0p TotalAmt.Due— 1_75_ Receipt # 1 19 JCATION APPROVAI **n Is not a permit Until sIgnid by the d or WsMer Do": and Fees are paid. and Is acknowled*d In "ce prpvWod. rf IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL ===Jm A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPNE CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER - GOLD-ASSESS01 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING Z' 0 0 m m C m -4 0 C �c m 1:1, z 0 C 0 z 0 =1 0 m