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20030795.pdfN ! DATE RECEIVE7 'e, CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION QMER NAME/NAME OF BUSI E 3 P , )4110P ;4f-d-5/ley MAILING ADDRESS 101-2-1 -2- q P/ '16j CITY ZIP ITELEPHONE NAME ADDRESS CITY ZIP ITELEPHONE ME [I CBL # t cc �ADDRPS 1_17�dc CITY TELEPHONE 0 !�� STATJ=- LICENSE NUMBER EXPIMTION DATE I CHMKED BY PROPERTY TAX ACCOUNT PARCEL NO. -76(:2� NEW RESIDENTIAL PLUMBING / MECH A WCOMPLIANCE OR ADDITION COMMERCIAL 1:1 CHANGE OF USE REMODEL MULTIFAMILY E] SIGN REPAIR C] GRADING o FENCE CYDS ( X FT) DEMOLISH 13 TANK OTHER EiGARAGE Ei RETAINING WALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BU OR ACTIVITY) EXPLAIN: CRITICAL OF WELLIN AREAS 0 STORIES UNITS NUMBER NUMBER NUMBER OF D DESCRIBE WORK TO BE DONE ELM,% HEAT SOURCE GLAZING % LOT SLOPE % 2!�� 1 1 A CHECK NO: I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPILICATION: ISO DAYS PERMIT LJIMIT: 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 N 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 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 NOR LIMIT IN ANY WAY THE CITTS 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 VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN!S COMPENSATION INSURANCE AND RCW 18.27. C", FPERMIT EXPIRES"' 0 USE PERMIT 'zLL ZONE N U M B E R 7qLI J013 ADDRESS V/ Jlt/l UITE/APT# 'fO PLAT NAM E/SU BDIVI SION NO. LOT NO, LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appfayed RW Permit Required Street Use Permit R&Nq'd EXISTING — PROPOSED Inspection Required 13 Sidewalk Required 13 REQUIRED DEDICATION— FT Underground Widritirequired E3 METER SIZE LINE SIZE I NO. OF FIXTURES I PRV REQUIRED YES13 NO C3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE GAS PIPE TEST MUST BE ENGINEERING REVIEWED BY uc mutocr i cu DATE a Z 5 z z I FIRE REVIEWED BY DATE Lu M M. VARIANCE OR CU SHORELINE OR AD1111 I INSPECTION PBON REO'D OSTED OYES 13NO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED , PROPOSED ALLOWED I PROPOSED EXP LOT COVERAGE REQUIRED SETBACKS (FT:) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR z z F A1,11,11bla REVIMEO BY DATE REO'D "' I-Aid-4 41� .1 3ther the water ustem CL nKs are per CHECKED BY JTYPE?ZNSTRUCTION OCCUPANT GROUP CL7 ;;i SPECIAL INSPECTION JAREA OCCUPANT I REQUIRED [] YES LOAD I REMARKS VALUATION Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engn Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapoinsp. Total Amt. Due Recording ee Receipt # CALL FOR INSPECTION IA05) %-F&* 771-0220 APPLICATION APPROVAL Th s application is not a permit until signed by the Buildinig Official or his/he( Deputy: and Fees are paid, and ecoiptisucknowlodged in5pace provided. I L 11 URE DATE I MIMSKI-� 911 J//� -RELE—ASED BY f DATIf ATT1ENTION 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- 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 k z 0 i 0 M --I -n ui � a rn C M 0 -40 0 C -4 3: 3: M M z X:) --I C 0 n M M a 0 0 rn C co) C CO) ITI 0 Z z z 0 M RECORD OF INSPECTIONS INSPECTOR, DATE APPROVED 'SETBACKS ............. ...... F0.UjNDATJON: Footind ........... i .... i ......... Wall............. i..: ............ Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. o h .............. R '66 -In Cdmm.erciaI Final -HEATING—. Gas Piping ................. Equipment................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... FRA?4ING .......................... AMROOft F 'W`6 ...... ­IN96 di .......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. A CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION PfiN,ER NAME/NAME OF BUEUtu5ES L I I-e MAILING ADDRESS 10 / -2- CITY ZIP ]TELEPHONE �-�14 A NAME ADDRESS CITY ZIP ITELEPHONE NA E CBL 11 .ADDPfSS t�P-2y-)D 'rtv'n-4 Cj CITY TELEPHONE _go qf STAW LICENSE NUMBER EXPI TION DATE CHWKED BY VV _7(03 1 0qje7Sq q7 I PROPERTY TAX ACCOUNT PARCEL NO. E] NEW RESIDENTIAL PLUMBING / MECH A X COMPLIANCE OR ADDITION [] COMMERCIAL CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE X FT) 1771 DEMOLISH TANK OTHER GARAGE RETAINING WALL F RE SPRINKLER CARPORT ROCKERY ME ALARM (TYPE OF USE, BUSIqEqS OR ACTIVITY) EXPLAIN: NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE I". A-( PERMIT EXPIRE S�- 4 / ILL USE PERMIT ZONE NUMBER _7q JOB ADDRESS V/ 1/��/ UITE/APT# AJ PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required street Use Permit Roq.d EXISTING - PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- FT n tg Wiring required E3 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YESO NO 1:1 REMARKS z z OWNER/CONTRACTOR ff.§N%�FR EROSION CONTRUL/DRAINAGE IFS111 NIIIIII.Q11" RF 12 ENGINEERING FIRE REVIEWEDBY VIV1111 Lu cc VARIANCE OR CU SHORELINE OR ADB#_j INSPECTION BOND REO'D I POSTED OYES 13NO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I I LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR z PA KW I*eEqjvwajzqysMF1e E IL REO'D &kX0'lSWT(*W"ff is o an or close4, expansion mnKs ar [REMARK Hrecaoiuived on all hot water tanks per 'aff-40IM1111 K�,A'GTA IiWu Es... HEAT SOURCE GLAZING % LOT SLOPE % 2i:5;Q I I — A CHECK NO: I VESTED DATE CHECKEDBY JTYPEe,�7N TRUCTION 1;14 OCCUPANT GROUP 1779 SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [3 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REG'D_j 1 11 PA I n fuel-bu vning applianC66 ix VALUATION ted spaces. UMC 815.1.7 or Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO tz BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading X DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review 2- 5 PERMIT APPLICATION: 100 DAYS 116 PERMIT UM1r I YEAR - PROVIDED WORK IS STARTED WITHIN 100 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 DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECM 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 FOR INSPECTION1 Building Official or his/her Deputy: and Fees are paid. and receipt Is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. 11 RE DATE 0 1 So U SIG U E (OWN R OR E DATI SIGNED tT 771-044V A RELEASED BY NTION Zl/ EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I— 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 I k z 9 0 M --I -n C5 0 M C M 0 -40 0 C .1 C M Mz U35: 0 _n "n M Ir Z3 0 o Fn C (j) M (j) M 0 z z V) z 0 q 0 IT!