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20030956.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MA-r L C u vin i aq hairy, M MAILING ADDRESS -P CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP ONE NAME CBL 0 ADDRESS C zip TELEPHONE C4 2-S 2— STATE LICENSE NUMBER EXPJRATION DATE E ED BY PROPERTY TAX ACCOUNT PARCEL NO. NEW O�RESIDENTIAL PLUMBING/MSCH COMPLIANCE OR rl ADDITION COMMERCIAL 13 CHANGE OF USE REMODEL MULTIFAMILY 0 SIGN GRADING [3 FENCE REPAIR CYDS X FT) OTHER DEMOLISH TANK 0 oGARAGE RETAININGWALL F] F RE SPRINKLER CARPORT [3 ROCKERY FIRE ALARM g (TYPE OF USE, BUSINESS OR ACTIVTM EXPLAIN: NUMBER OF STORIES NUMBER OF DWELLING UNITS CRITICA AREAS NUMBER DESCRIBE WORK TO BE DONE I rN- as � 0 7 NV S Ploov bf rw3 -e- H S0112CE GL"NG % LOT SLOPE % PLM CHECK NO: VESTED DATE THIS PERMIT AUTHORIZED ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATION: 180DAYS CL PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN ISO 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 C17YS 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 WORKMENS COMPENSATIO ,WMtIPANCE AND RCW 18.27. PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS 1t2.Pj PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE S TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Street Use Perm" Req'd EXISTING - PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- FT Underground Wiring required 13 METER SIZE LINE SIZE ] NO. OF FIXTURES PRV REQUIRED 1 YES 13 NO C3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE z obtain Electrical Swe U.,.�,,tor & 1r, FIRE REVIEWED BY DATE I INSPECTION e B br L vent WWff 7­X_L[bwED jMPeE8jt.j�l!PWED eated ispacm LO1-GVARA0E­ TIMUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR 43 z PARKING LOT AREA I PLANNING REVIEWED,BY DATE REaD I PROVIDED I CHECKED BY ITYPE 0 C ON I CQjaE . OCCUPANT GROUP /\ SPECIAL INSPECTION' JAREA OCCUPANT REQUIRED LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D Description FEE Description FEE Plan Check � I State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapeinsp. Total Amt. Due i- Record2!L [Rec-elpt# ?, 3 2- 0 7CALL FOR IN! APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or histher Deputy: and Fees are paid, and i acknowledged In space provided. SIGNATV9E (OWNEWO AGE DATE.SIGNED (425) 6 10 >&Pa 771-0 R ATTENTION 333 IT IS UNLAWFUL TO USI CUPY A BUILDING OR STRUCTURE qUNT 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 w RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ..................... I b Wall *.." .... . ......... R etaining Wall ........... S lab Insulation ........ �.4 ...... ... PLUMBING:. Fl. round AL'. A R ugh -in ..... '06nifin6rcial Final HEATING: Gas''Test .................. G Piping ...... .......... its Equipm, ent.....,- . . ............. C ommercial -Final EXTERIOR SHEATHING NAILING .... ...................... FRAMING .... ................................. FIRST. FLOOR FRAMING... INSULATION ............ ....... I AY, , st , zi j 0. C)� m M, A VIA C C), DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAY L _C u vin I n�i kayi/l MAILING ADDRESS CITY ZIP TELEPHONE EAMMAS OqSo2jo 1-4-2_5722L� NAME ADDRESS CITY ZIP ITELEPHONE NAME CBL# L),ASO tZ- Aar g S" V ADDRESS ZIP TELEPHONE S2_ tMo STATE LICENSE NUMBER EXP RATION DATE ci7 AftA i es Q7 c6 Z,5 3 PROPERTY TAX ACCOUNT PARCEL NO. nCy5n-70CX:)0Q0 SW N NEW kRESIDENTLAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH [3 TANK GARAGE CARPORT [3 RETAININGWALL ROCKERY ME OF USE. BUSNINIS OR ACTIVITY) EXPLAIN: NUMBER NUMBER OF OF STORIES I DWELLING UNITS DESCRIBE WORK TO BE DONE rN PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB 12- 'P ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. UD FEE S TEW,P APVDV&d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PenrA Required Street Use Pennit 1`100 EXISTING - PROPOSED inspection Requim fildewak Requked REQUIRED DEDICATION- FT u Wiring roquLred METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED YES13 NO 13 REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE I mectrIcAl FIRE I I VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND I I AMID POSTED on PLUMBING / MECH ALLVV PROP6SE61 RONT SIDE REAR i COMPLIANCE OR 0 CHANGE OF USE PARKING AREA PLANNING REVIEWED BY SIGN REQ`D I PROVIDED_r I FENCE x FT) REMARKS 0 OTHER FIRE SPRINKLER FIRE ALARM IPROPOSED 3 BACKS (Fr.) 11DE REAR DATE CHECKED BY ITYPEMION CODE OCCUPA11TR GROUP CRITICAL AREAS SPECIAL INSPECTION' JAREA OCCUPANT NUMBER REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD accj it t. Rfal rs te Description FEE Description FEE . �V)U� Plan Check State Surcharge a GLAZING LOT SLOPE % Building Permit City Surcharge PLAN I�HECK NO: VESTED DATE Plumbing 2u Mechanical THIS PERMIT AMORMS ONLY THE WORK NOTFAL THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY 0ONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE POWISSION. Engr. Review PERMIT APPUCATIOlt 100 DAYS PERMIT LIMM 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 sucep SORS 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 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY Fire Inspection' Receipt III FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapolnsp. Total Amt. Due DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY13 ABILITY TO ENFORCE ANY ORDINA14CE PROVISION., Reoordi 2fLi: Receipt # 1032&0 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GNM 18 CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITFI CITY AND STATE LAWS REGULATING CONSTRUC- CALL This applicaWn 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 INSPECTIO Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In spew provided. WORKMENS COMPENSATIQWMBUPMCE AND RCW 18.27. .4. A-bm�IAA a 01nMAT1 IDA 4T F_ 771 -OZ BY ATTENTION to _--­�333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI1___--` A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGIN& - 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 M M M M z 32 0 _n n M M 10 V; 0 o Fn C, z 0 0 IT!