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20030686.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS % _1/ . zzltb- �Est P %-. \,j CITY ZIP TELEPHONE q".2 NAME ADDRESS CITY ZIP ITELEPHONi NAME CBL# eD ADDRESS —nA I e'(0ox) - T(j //k'j e_ - \,j - CITY ZIP TELEPHONE C)ep —1 Lj? 7 _/ 13t) USE ZONE JOB ADDRESS PERMIT EXPIRES PERMIT '&7�1 I NUMBER Z4,'C-5 __(" 'L SUITE/APT# PLAT NAMEISUBDIVISION NO. LOT NO� LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP its Aproroved RW c6pirnh Required street 11-a Permh Req'd EXISTING — PROPOSED Inspection Required Sidewatit Required REQUIRED DEDICATION— Fr — underground WIMC required 13 METER SIZE LINE SIZ X`n RES PRV REQUIRED 43 YES 13 NO 13 z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE STATE LICENSE NUMBER EXPIRATION DATE C (I)o 0-r" r-F I (:I �, 0 PROPERTY TAX ACCOUNT PARCEL NO. r)'9 Coll eo [3 NEW RESIDENTIAL '61je 14 PLUMBING/MECH ADDITION . COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE REMODEL MULTIFAMILY 0 SIGN REPAIR GRADING FENCE CYDS 0 t X_ FT) DEMOLISH [:3 TANK OTHER 0 GARAGE CARPORT o RETAINING WALL FIRE SPRINKLER ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR AgM!�N: NUMBER BER OF CRITICAL OF LILING AREAS STORIES 'tRIBE S— NUMBER rt7E WORKIrO BE DOVE ,UANT To UPC 605.2 - ER SERVICE SHUTUPWAI BE INSTALLED ON THE FIRE VARIANCE OR CU SHORELINE ORAbB# I INSPECTION BOND REO'D I POSTED IDYL 13NO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED . ALLOWED PROPOSED :XP LOT CO V5� ,��ETBACKS (Fr.) ALLOWED imam SIDE REAR SHA14L BE INSTALLED AR —1 PARKING 1 fft%'AajW)RNfd6W 13Y DATE REO'D I PROVIDED 0 BY PE 0 CODE OCCUPANT TY T91 CIO L CHECKE IN J 4V GROUP X3 1 SPECIAL INSPECTION AREA OCCUPANT REQUIRED n YES LOAD REMARKS I PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REaD 1 HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORRES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWAUCS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISO DAYS PERMIT LIMM I 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 MATURE, 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 NOR LIMIT IN ANY WAY THE CnYS 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 WOT('�WS-!!j PENSAT12��CE AND RCW 18.27. SIGrURE (OWNt�E�" DATE SIGNED $ L___ I Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscape Insp. Total Amt. Due Recording Fee Receipt It CALL FOR INSPECTION (425) 771-0220 APPLICATION APPROVAL This application is not a permit unto signed by the Building Official or his/her Deputy: and Fees are paid, and receipt Is acknoModged in space provided. OFFIC N URE S4D0' R EVE A S E L ATTENTION 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 z 0 —4 0 M M M 0 C M M 0 M Fn C 2 . 0 Z' 0 =1 . ol 0 M FINAL PROJECT APPROVAL FORM TO: z 9 0 m :i --fl am c ma 0 80 c ig MM m z --i 0-11 n m M a 0 0 M C co) ic cl) M 0 Z z -4 X V5 z 9 0 m RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:temp:bldg:for=10/01 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: tng .................... Wall . ........................... P16r/Pcirch ................... Retalnlhg Wall ... I i "DATE RECEIVED* q1_P2h) 2) IV,-] PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBER 0 CONSTRUCTION PERMIT APPLICATION JOB sunE/AFr# ADDRESS � I - OWNER NAME/NAME OF BUSINESS PLAT NAME/SUBDIVISION NO. T NO. LID NO. 15 MAILING A13DRESS LID FEE $ 7ESCP Approved -P PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Rw PwM Re"Ifed S tmei Use PeffnN RWd CITY ZIP TELEPHONE EXISTING — PROPOSED inspection Required Sidewa* Requirod undetwound M 0 ups. REQUIRED DEDICATION— FT Wiringrequired 13 NAME METER SIZE LINE S!!2. OF FIXTURES PAV REQUIRED I YES 13 NO 13 z ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE NAME CBL# law—mi tj c. REVI IY ENGINEERING DATE ADDRESS -MA FIRE REVIEWED ku CITY ZIP TELEPHONE ftbffW?=WxM= 9c IE ,ee VARIANCE OR CU SHORELINE OR ADBI INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE C REQ1O POSTED 1$ MyEs ONO SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX AMOUNT PARCEL NO. COMPLETE , EXEMPT ALLOWED SED ALLOWED PROPOSED PROPO EXP LOT COVE 11AIME C KS PROPOSED SETBACKS (Fr.) NEW RESID IM2_ JFT) ENTIAL PLUMBING / MECH ALLOWED �LJUR193Q'Wfo LIR SIDE REAR 1 I WMRlRfWULAMiX;j(mvj I COMPLIANCE OR 1XIM ADDITION COMMERCIAL CHANGE OF USE RIZAL nm-�� PARKING DATE "a�� [3 REMODEL MULTIFAMILY [:3 SIGN REOD I PROVIDED SHUTOW 116 REPAIR GRADING FENCE CYDS X Fri REMARKS [3 DEMOLISH 0 TANK OTHER GARAGE FIETAININGWALL FIRE SPRINKLER CARPORT -ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ASWN: CHECKED BY OCCUPANT OM4C!N ITYPE ICODE GROUP /� NUMBER LIM . OF CRITICAL OF DWELLI a AREAS SPECIAL INSPECTION I I I f4r OCCUPANT JAREA STORIES UNITS NUMBE LOAD R REQUIRED [3YES DESCRIBE WORKIro BE D jr %,7E I REMARKS PROGRESS INSPECTIONS PER UBC.1081FINAL INSPECTION REG'D AM AM M -ilia I M Li [:-Tzr% VALUATION if r i. I Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO- VESTED DATE Plumbing L111 Mechanical TMS PERMIT At"MRIZES ONLY THE WORK NOTED. THIS PERMrT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC 2 Grading DOMAIN (CURBS, SIDEWALKS, DRrVIEWAYS, MARQUEES, ETC.) WALL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPUCATION: 180DAYS 916 PERMIT LIMIR 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 INTEREST, 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 AZ — Landscapoinsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE N OR LIMIT IN ANY WAY THE CnY8 ABILITY TO ENFORCE ANY OR13INANCE PROVISION." Recording Fee Receipt # I HERESY 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 M COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Is not a penrift until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building official or his/Mr 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. WORK4Pf8-GQ4PENSATi,CVo9?;!fMCE AND RCW 18.27. OFFIC 8 1 UBE DATE IG BE (OWNERTIENrT) DATE SIGNED (42 0 771-02,' 20 RELEASED B DiftE ATTENTION EXT 1333 —met- IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A t*INAL INZirtUIIUN "Ro mr-N mmur- mNu Arr"uvt%L un t% %icniii-i- ORIGINAL -FILE YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 GREEN -ACCOUNTING PRESS HARD -YOU ARE MAKING 5 COPIES a .