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20030915.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NAME/NAME OF BU7SS E7 V L^ 'I P) J17 14 —ITELEPHONE CITY ZIP LI-IM 14 ADDRESS CITY ZIP ITELEPHONE PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ADDRESS 67/4 SUITE/APT# 1 G7 Y6) PLAT NAMEISUBDIVI SION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved AW Permit Required Street Use Permit Roq'd EXISTING - PROPOSED-- inspection Required 13 Sidowatk Required Ell REQUIRED DEDICATION- FT Underground Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 43 YES13 NO 13 3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE NAME CBL ft "70 L/ I ENGINEERING REVIEWED BY DATE CC ADDRESS lo 2c, FIRE REVIEWED BY DATE Lu 0 CITY ZIP TELEPHONE I (9�- M VARIANCE OR CU SHORELINE OR ADS# INSPECTION BOND NUMBER EXI:fIRATION DATE C I REO'D POSTED 1E3YEs -� L -7 ft ___ EINOIS HEIGHT _._V , SEPA REVIEW SIGN AREA PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 0/_3 1)02 0( EXP , g_NEW RESIDENTIAL PLUMBING i MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE z z PARKING LOT AREA PLANNING REVIEWED BY DATE I El REMODEL MULTIFAMILY SIGN REO'D I PROVIDED REPAIR GRADING CYDS FENCE X ( FT) REMARKS DEMOLISH TANK OTHER 0 GARAGE RETAINING WALL 0 F RE SPRINKLER FIRE ALARM CARPORT ROCKERY (TYPE OF USE,,BVSINESS Oil ACTiVITY)i EXPLAIN' OCCUPANT Ec CHECKED By ITYPE" CTIR N GROUP Z..ER OF NUMBER OF DWELLING 1 CRITICAL AREAS 1 4/%__ SPECIAL INSPECTION EA OCCUPANT la o STORIES UNITS NUMBER REQUIRED 1:1 YES LOAD DESCRIBE WORK TO BE DONE ARKS PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REO'D rM VALUATION $ Description FEE Description FEE Plan Check I State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % 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 PUBLIC Grading 23 DOMAIN JCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE I= SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS PERMIT LIMIr 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 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 Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' zi Receipt 9 Z3 1 —D Recording Fee I HEREBY 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- CALL This application Is not a permit u ntil signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATIONQf-,THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. WORKMEN'SPMP!I�SATION INSURANCE A2 RCW 18.27. OFFICIALS SIGNATURE DATE SIGrNAE DATE SIGNED (425) 116 LWNER�� 771-0220 RELEASFD BY/ 1, DATE' ATTENTION V EXT 1333 f /�_ 111id)a IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL � V A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIG14LF E - YELLO�-INS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - NER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 4 0 M =i 9 M M 0 0 C: :� r. M M Ei z o -n M M a ra 0 o Fn C (j) 9 ca M 0 Z r- z z 0 M 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 ................. Eq'ulpment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Coiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR 33 OCCUPANCY .................. 0 "'& U 43 61" A6 D —VEDL V, LJ ATE RECEI RES PERMIT EXPI F USE PERMIT —IV CITY OF EDMONDS ZONE NUMBER JOB SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADDRESS 67/' I NiS— OWNER �AME[NAME OF OU S 7 PLAT NAME/SUBDIVISION NO. LOT No. LID NO. MAILIti? ADDRESS LID FEE S 11:5 ;r APPrOVOU t;0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW LPermit Required 1()2 .'� q Street We Peffn I Roqd CITY ZIP TELEPHONE EXISTING — PROPOSED Inspection Required 13 Sidewalk Required Ell REQUIRED DEDICATION— FT Underground -er7v -7/ Wiring required 13 NAI�E_ METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 A11A 15 z E ADDRESS REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE NAME TCBL# V1_,-] /2,7 ENGINEERING REVIEWED BY DATE cc AD R FIRE REVIEWED BY DATE cc CITY ZIP T�LEPHONE �714 IIL VARIANCE OR CU SHORELINE OR AD—U11INSPECTION BOND CENSE NUMBER FXI kT C REO'D POSTED OYES [03NO $ 3-7 E I V1 r— / A,- —k-' SEPA REVIEW SIGN AREA HEIGHT ;I PROPERTY TAX ACCOUNT PARCEL NO. ETE , EXEMPT ALLOWED , PROPOSED ALLOWED I PROPOSED 0`0 0/�3 /)0;,1 DO _'7 "7) EXP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) d_NEW P, RESIDENTIAL 9KPLUMBI.NG MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR z COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE z PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REO'D PROVIDED CL REPAIR GRADING CYDS' FENCE X ( Fr) REMARKS o OTHER DEMOLISH TANK RETAINING WALL F RE SPRINKLER GARAGE CARPORT ROCKERY FIRE ALARM (TYPE OF USE,ASINESS 0 CT EX LAIN' CHECKED BY TYPE", CONIMUCTION OCCUPANT GROUP 41 e�2 CRITICAL 0 V I NUMBER UMBER OF PANT . _7 N SPECIAL INSPECTION JAREA occu OF DWELLING AREAS LOAD STORIES UNITS NUMBER___ REQUIRED 04, YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D T,, C/M A/ VALUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: 03: VESTED DATE Plumbing 10 f lwm ---36 I , f.22 Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 2 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review PERmrTAPpuoi=._1mfji'Ays OL PERMIT LIMIr I YEAR -PROVIDED 0 ISSTARTEDWITHIN 180DAYS Ehgr. nspection 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 AIIJD Nre'Ins"'pection Receipt III ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp'. Total Amt. Due 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.* Recording Fee Receipt # I HEREBY �CKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORREC`f� 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 TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL Building Official or histher Deputy: and Fees are paid, and IN VIOLATIO HE CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged In space provided. WORKMEN'S P SATION INSURANCE AN!P RCW 18.27. OFFICIALS SIGNATURf DATE SIG Uf�E WNER R NT) DATE SIGNED 1%, 4. _2 5) 0 0 771-0220 RELEAS D BY I DATE 7 ATTENTION V M 13:33 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL #/ A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - Fit YF CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK�-OAER GOLD -ASSESSOR i', GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES t z 0 4 0 M -4 -n X M C M 0 -40 0 C M M o -n n M M a 0 0 M C CA r. V) M 0 Z-1 Fri z V) z 0 4 0 M