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20030885.pdf3 DATE RECEIVED _2::� 1 1 PERMIT EXPIRES E PERMIT tE CITY OF EDMONDS NILIMBj52�'� CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESSf7/,, OWNER NAM NAME 0 INESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILINU AUU]rjEZj5 LID FEE S &Afl: IAJO OPUBLIC RIG14T OF WAY PER OFFICIAL STREET MAP I ESCP APPIZad Rw Permit 8 i'fid Street US@ Permit Roq'd CITY ZIP TELEPHQNE EXISTING — PROPOSED Inspection Required Sidewalk Required [3 E3 04 oma4a ION REQUIRED DEDICATION- FT Underground I winno rGquir NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED (5 YES 13 NO 13 z ADDRESS REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY ZIP ITELEPHONE NAME CBL# ----% � % :b kcve_ - L19A ENGINEERING REVIEWED BY DATE ADDRESS FIRE REVIEWED BY DATE CITY ZIP TELEPHONE A-Itt, E 0-YA I In . RIANCE OR CLI SHORELINE OR ADB# INSPECTION BOND STATE LICENSE NUM13ER EXPIRATION DATE CIjjCKED 131 FIRO'D POSTED PROPE TYTAX CCOU14T. PARCEL NO. &076 NEW RESIDENTIAL ADDITION NL2tDCOMMERCIAL REMODEL r— MULTIFAMILY �?OEPAIR E] GRADING CYDS 0 DEMOLISH 13 TANK —1 RETAININGWALL 0 1;1RAGE ::rARPOP1T ROCKERY I[TYPE OF USE, QUSINESS OR PCTIVITYII EXPLAIN: NUMBER 1 NUMBER OF OF DWELLING STORIES NITS DESCRIBE WORK TO BE DONE 1#9 HEAT SOURCE GLAZING % PLAN CHECK NO: PLUMBING / MECH COMPLIANCE OR CHANGE OF USE SIGN FENCE ( X Fr) OTHER FIRE SPRINKLER FIRE ALARM —% I YES WO S SEPA REVIEW SIGN AREA N HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I , , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR 13 z z PARKING LOT AREA PLANNING REVIEWED BY REQ`O I PROVIDED I 1_1_1W G_ 1 11 9 CHECKED BY ITYPE OVECONSTRU T 17F�K OUCUK ks ION GROUP CRITICAL AREAS [AREA OCCUR NUMBER REQUIRED [] YES LOAD LOT SLOPE % VESTED DATE THIS PERMIT AUTHORIZER 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 PER MISSION. PERMIT APPLICATION: ISO DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 160 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 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 CITYS 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 C17Y 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 WOM�MEN'S COMPENSATION INSURANCE AND RCW 18.27. DATE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE0101 Ie� '..'b � � - — �n� _ - _�7 4--_ �. ^ VALUATION Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection LWA 10 FEEADescription State Surcharge City Surcharge FEE Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapeinsp. Total Amt. Due Recording Fee I Receipt III APPLICATION APPROVAL This application Is not a permit until signed by the CALL Building official or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt is acknowledged In space provided. (425) ','Of! IALS S " I TURE D TE 771-0220 -REIEASeD dY-- D�f 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 vp I I t z 0 q 0 M 9 65-4 3: M C M 0 0 0 C M M Z g) --I C CO) om "n M M 055 0 r. 0 M C cl) r, 0) M 0 Z .11� X z z 0 ITI 7-1 V 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 ....... E XTERIOR SHEATHING o4 a NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ; ........ Wall Insulation ........... Calling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR 3 --31— OCCUPANCY .................. 200:9 08945v I= DATE RECEIVED PERMIT EXPIRES CITY OF EDMONDS YI E PERMIT ONE ' 4 / NUMBEk, Z�� CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRE ::f7j.-5 OWN NAME OF &USINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS C/o LID FEE S OP UBLIC RIGHT OF WAY PER OFFICIAL MAP TESCP Approved 0 kI, P, s�13 STREET RW Penrift Required CITY ZIP TEL " jjRCj(1E &)e fc) N Street Utte Permit Roq'd EXISTING — PROPOSED Inspection Req Ired Sidewalk Raquued -7 REQUIRED DEDICATION— FT underground Wiring required E3 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 13 1 1 YES 13 NO 13 z 1 - — M ADDRESS REMARKS z z x OWNER/CONTRACTOR RESPONSIBLE FOR CONTROL/DRAINAGE -EROSION CITY ZIP TELEPHONE I Alin I - r T r"I"71"'ll, WLE EU CB C, -e Chov LA k M ENGINEERING REVIEWED BY DATE RESS �) � q Lu - FIRE REVIEWED BY DATE CITY TELEPHONE Zip I )q go I VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND K E I STATE LICENSE NUMBER EXPIRATION DIATE Rkq'D / POSTED _LC&C JDI T--r_V_:STr 1i < 13— 1 13YE2 '%0 $ I C L03Q PROPE CO EL NO. EXVARV SEPA REVIEW SIGN AREA N HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED COMP C5 E p EXP NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR COMPLIANCE 08 ADDITION OMMERCIAL z CHANGE OF USE REMODEL MULTIFAMILY SIGN PARKING LOT AREA [PLANNING REVIEWED BY DA�jj, REO'D PROVIDED z 5 CL Rib NbEPAIR GRADING FENCE X CYDS FT) RE DEMOLISH TANK OTHER �=GARAGE o RETAINING WALL F RE SPRINKLER 0 PORT ROCKERY FIRE ALARM (TYPE OF USE, QUSINESS ITY) EXPLAIN: A Q_" 4-07j'eCA 11 1 CHECKED BY ITYPE OF CONSTRUCTION CODE OCCUPANT 7 _1A GROUP NUMBERI NUMBER OF 'CRITICAL OF DWELLING AREAS SPECIAL INSPECTIONIAREA OCCUPANT STORIES UNITS NUMBER REQUIRED [] YES LOAD DESCRIBE WORK TO BE DONE REMARKS z PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REO'D (LI C CA A A 94-r-) dL A411,W 44- - 64�4& LN4-11) VALUATION baj2it) 9�11-7 --t1a)-g 4. Deschption FEE Description FEE Plan Check State Surcharge HEAT SOURCE 13LAZING 11 LOT SLOPE % T Building Permit City Surcharge 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 PUBUC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS CL 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.ASSIGN9 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 FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due DE9 MED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE r 20 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HERE13Y 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 TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Is not a permit until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO ! FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN S COMPENSATION INSURANCE AND RCW 18.27. IALS SIG URE - TE BELOW DATE SIGNE 1217 (425) =Ix)AI 0 771-022 _Rdi.EASE�D 9Y D6TE 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 z 9 0 M :; =5 10 M a M 0 -40 0 C —1 C X rn ITI Z 1c) --I C r- 7.1 4 (j) 0 -Ti Irl M 1711 006 0 0 Fn C (j) C 0) M 0 Z .I� X z --i 3: 55 z 0 1711