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20030854.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNE OW AM E OF BUSINEr MAILING ADDRESS I 2;�L f i:Z 7e� CITY ZIP TELEPHONE ,FDANoMe-, 9.ftW kar WJr0;-4!'S NAME ADDRESS CITY ZIP ITELEPHONE NAME ADDRESS CBL # PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE] to ADDRESS ;�-Xj / '-)l- 0 PLAT NAME/SUBDIVISION N 77 LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP YESCP Approved RW Permit Required Street Use Permit Rsq'd EXISTING - PROPOSED Inspection Required Sidowatic Required REQUIRED DEDICATION- FT UnderWound Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED ES13 NO 13 15 REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE 1 es ss, a Am S& i*a Ii'v ="IN AP'k 0k 0 DATE LooF f%� L� f f L jFo� f I � � � CITY AP ]TELEPHONE FIRE REVIEWED BY -URTL— W M OBSERVED BY CITY INSPECTOR VARIANCE OR 0 BOND cu STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY POSTED BE At 0 $ SEPA REVIEW SIGN AREA HEIGHT PROP TrAv �ni%o 0. COMPLETE EXEMPT ALLOWED PROPOSEDFALLOWED ROPOSED M 60 - __ - L — - __ , _ EXP 0-14rw RESIDENTIAL 12rPLUMBIN I:MEOH�5 ICE 401nnetW PROPOSED BE �BACKS (Fr.) F%ffij SETBACKS (FT.) AL W i NFRONT L/R! IDE REAR C COMPLIANC ADDITION COMMERCIAL 1:1 CHANGE OF USE required Isn ftiel-burning appi "mm im — Fumbeatedi. umear"Wry D) TE 0 REMODEL MULTIFAMILY 0 SIGN RE D PROVIDED GRADING FENCE REPAIR CYDS 0 ( X Fr) REMARKS [3 DEMOLISH 0 TANK 0 OTHER oGARAGE -1 RETAINING WALL 0 FIRE SPRINKLER CARPORT 1:3 ROCKERY FIRE ALARM (TYPE OF USE, BUSINES!5f�EXPLAIN: CHECKED BY (3Fj1;qNSTRUCTI0)I OCCUPANT ITYPE GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS izzLC.41-&� — SPECIAL INSPECTION JAREA OCCUPANT STORIES UNITS NUMBER REOUIRED r—I YES LOAD DESCRIBE WORK TO BE DONE at_6� Z_ REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 'ej elr;t c,;r /a I_f>_ZV_A QT_ x VALUATION sw $ DescrIptlon FEE Description FEE Plan Check State Surcharge HEAT SOURCE T GLAZING % LOT SLOPE % Building Permit City Surcharge J67— PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading DOMAIN (CURB% SIDEWALKS, DRIVMAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: 180 DAYS PERMIT UMM 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 2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY IALL FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. Due I 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE - 2 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Receipt # = Recording Fee I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION ICATION APPROVAL A I N P� 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- This al tfica on Is not a permit unfit signed by the a ;Th 1. .qp tic n 0� Pe P u CALL 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 B I 0IMPIcIal r his/her Deputy: and Fees are paid, and ItielDouty. and F, p ps FOR INSPECTIl DN celpti cknowladged in space piolldid. WORKMFITS SATION INSURANCE D RCW 18.27. A0Mc)Ia1'rch -- - SSI RE A SIGNATUR ER RAGENn DATE SIGNED IA13 142.5 i E 771-0220 DATE By 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 L z M C M -40 0 C M M z 0 .n ITI M 0 0 rn C C 0) M 0 z 0 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS .......... . ......... FOUNDATION: oo Ing .. ........... .......... F t �:,Wa I ............... . Pier/Porch . ................. Retaining,Wall ........... Slab Insulation ...... W PLUM' BING: m �....,�Unoerground ......... ------ --------- ffmA,imi.ln RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER MEINAME OF BUSINEL , z1#6 Adt.4 MAILING ADDRESS f .X—�L f z -,-;r CITY ZIP TELEPHONE FDotomeq. 9sba lf;tr wfw 41!�s NAME ADDRESS CITY NAME ADDRESS CITY STATE LICENSE NUMBER ZIP ITELEPHONE TELEPHONE aw< [Er RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYCIS DEMOLISH TANK IGARAGE RETAININGWALL' 0 CARPORT ROCKERY ITYPE OF USE, BUSINES LAIN: NUMBER NUMBER OF OF DWELLING STORIES UNITS DESCRIBE WORK TO BE DONE X ,41ef�-ik 'e"do, rUA_4y, CBL # 14 j PERMIT EXPIRES =HS-eq USE PERMIT ZONE NUMBER JOB ADDRESS K7 PLAT NAMEISUBDIVISION N 07 LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP ApPrOv9d AW Permit Required SueM Use Permit Rated EXISTING — PROPOSED IrdpeclJonRequired Sidewalk Required REQUIRED DEDICATION— FT Underwound Wiring requitecl METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE DATE 7 1111[mv - I I FIRE REVIEWED.0'X,*',��' DATE cc IMI By VAAMRIANCIE OR CU HORELINE OR ADB# INSPECTION BOND CHECKED BY I.= -.-- I REO'D POSTED M-PLUMBINf/ MECH j C MPLIANC COANGEOFUSE SIGN FENCE FT) [3 � OTHER F(AE SPRINKLER FIRE ALARM CRITICAL AREAS NUMBER COMPLETE EXFM`F1a`f?Vff19WI1 EXP I LOT COVERAGE REO ALLOWED PROPOSED FRAP I " .1 /ZACr-A A�-Z—i, I REO`D 117ME14 or L WMED SETBACKS (FT) FRONT LIR SIDE REAR z BY DATE 111.5111 Ilan 1.7 CHECKED BY jT4YPWEOSTRUCTInN,,,., OCCUPANT -GROUP SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION RECVD $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing .A..0 Mechanical W2 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 10 L_ BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUDUC Grading 11 3 DOMAIN (CUM. SIDEWALKS, DRIVEVAVS. MARQUEES, ETC.) WILL REQUIRE 1: SEPARATE PERMISSION. Engr. Review PERMIT APPILICATION: 180 DAYS PERMIT UMIr I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION IAPPUCANIT 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, EUPLOYEES,'AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIREnY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALI. No ej Landscapelnsp. Thtal Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE AW REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt N I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION rwsp4c ATION 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 applies n Is not a permit until signed by the TK)N; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED B A0. Off Witt hIsAw Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Iptis cknoyAodgedblepacepi*11d. WORKMENS 5�1�SATION INSURANC RCW 18.27. Bill NATIJ, R AGENT) DATE SIGNED (42 5) SS,V RA) AER 7Re 771-0220 tvw By DATt ATTENTION M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUAE UNTIt I A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELL CATIf OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING