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20030968.pdfDATE RECEIVED �/o CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS 54eP&,j,5 Pqyj:oh MAILING ADDRESS 73;L,o DJeL4-AvP, CITY ZIP TELEPHONE �dy-"Iikjic q 0,9 A .0 1 NAME ADDRESS CITY NAME Fe_a/7�41 F ADDRESS 1 ?:1.3/ 716- CITY ZIP I TELEPHONE 4 ve- ZIP F1 f6D 3 e STATE LICENSE NUMBER PE F_ & f=1 I PROPERTY TAX ACCOUNT PARCEL NO. 15 I PERMIT EXPIRES assess USE PERMIT ZONE &/ NUMBER JOB SUITE/APT# ADDRESS2g �1� . _Q2 , PLAT NAME/SUBDIVISION NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I ESCP AP '_ aqV AW PefrrJtPR k1d Street Use Permit Req'. EXISTING — PROPOSED-- Inspection Required 13 Sidewalk Required 0 REQUIRED DEDICATION— FT Urwletground Wirtngisquired 13 METER SIZE LINE OF FIXTURES PRV REQUIRED YES13 NO 13 15 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CBL # I 10 6�C 9 —ENGINEERING DATE FIR REV ED B DATE ul TELEPHONE It W 17140 A03 If.). 5 VArNCEORCUJf SHotLINEORADBO INSPECTION BOND EXPIRATIONDATE CJtFCKED Y REO'D POSTED Fs OYES ONO I e7 SEPA REVIEW _I SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I I , EXP CH LOT COVERAGE ALLOWED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT L/RSIDE REAR PROPOSED R z E PARKING LOT AREA PLANNING REVIEWED BY DATE REO'D I PROVIDED I FT) REMARKS R NEW RESIDENTIAL PLUMBING / ME 0 ADDITION OMMERCIAL COMPLIANCE 0 CHANGE OF US REMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE X rl DEMOLISH TANK OTHER [3 GARAGE [3 RETAININGWALL RE SPRINKLE CARPORT ROCKERY ALARM eg�IRE UWE OF USE. BUSINESS OR ACTPATY) EXPLAIN: ,0-� "ev A2�j jn�g� I NUMBER OF NUMBER OF DWELLING 1 C RITICAL AREAS STORIES UNITS 4 NUMBER DESCRIBE WORK TO BE DONE -L.^ < _� " 4,,- -1,e e-+— a.. 4 1— I -M r—. 3e % e,,n 0 e_�, I HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK No. VESTED DATE #7 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180DAYS PERMIT UMM 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 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 ANYWAY THE CITYS, BILITY 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 S rATE 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 WORKMEN'S COMPENSATIO!�J�URANCE AND RCW 18.27. 81 T (OWNER OR)( DATE SIGNED 2EN7n\ —/0 - CHECKED BY ITCYP9 OF CONSTRUCTION UE� GROUP SPECIAL. INSPECTION JAREA OCCUPANT REQUIRED [3 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REG-0 Description FEE Descriptlon D 8" FEE Plan Check Surcharge Building Permit 7_4 fState City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapeinsp. Total Amt. Due Recording Fee —[Receipt III CALL FOR INSPECTION 1A0 %-125) 771-0220 APPLICATION APPROVAL This application 15 not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. OFF A D�TE RELEASED BY 'DATf ATTE14TIO14 M 133 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I / W/o , Yf , A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YLLOW -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 FINAL PROJECT APPROVAL FORM z 9 0 m =i 9 'M' c ma 0 80 c 4K m mz 10--1 c 0 -n n m M a 0 0 M C ca r. 0) M 0 Z z z 9 0 m 2. 3. RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL DatcL_ Sign,--- ocaprvl.doc.l:tenip:bldg:fonnsIO/OI RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... Wal I . . . . . . . . . . . . . . . . . . . . . . Pier/Porch ............ Retaining Wall ............ Stab Insulation ........... PLUMBING: Underground............. Rough -In .................... Commercial Final ...... . H EATING: Gas,76st .................... Gas Piping ................. Equiprnpnt . ................. . C6rhmibrclal, Final EXTERIOR SHEATHING NAILING .......................... FRAMING ..................... FIRST FLOOR FRAMING... INSULATION ............ ....... Floor Insulation im .,Wall Insulation ........... Ceiling Insulation ....... SHEETR.00K NAILING ... SPECIAL INSPECTION ... MISCE LLANEOUS .......... FINAL APPROVAL FOR MS OCCUPANCY ................. DATE hECeivib LPER�MITEXPIRES USE PERMIT f% r% f%lkl C_% ZONE F_ 111VII &j NUMBER62SV,// JOB sunVAPT# CONSTRUCTION PERMIT APPLICATION ADDRESS OWNER NAMEINAME OF BUSINESS C1110 54epe,14 P4,V,'1,wAj Age+-r"hK4,A(etAf0/09V PLAT NAME/SUBDIVISION N77 LOT NO. LID NO. MAILING ADDRESS LID FEE $ TESCP APP"r"O PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PerrrA Required 73;1,0 �OeLb­f4vv, '�AV- Street Use Permit Wd CITY Inspectim Required ZIP TELEPHONE EXISTING — PROPOSED ­ 9 9 fol.A0 I NAME ADDRESS CITY ZIP ITELEPHONE IM /.r4e ADDRESS 1 17:01 3 f6f A__bL -.4 1., TELEPHONE Ly 6 34;ti —4-; CnY(.A) ZIP STATE LICENSE NUMBER EXPIRATION DAI V k PROBERTY TAX ACCOUNT PARCEL NO. NEW� I , . [:] RESIDENTIAL ' ADDITI�� ')4COMMERCIAL REMOD EL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK oGARAGE CARPORT o RETAININGWALL ROCKERY OWE OF USE, BU OR ACTIVITY) EXPLAIN: NUMBER OF F I n�n'o . STORIES DESCFU13E WORK TO BE DONE HEAT SOURCE G PLAN CHECK HO.!, A-� -010 Side". MqU REQUIRED DEDICATION— FT underground Wiringrequirod [3 METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED I I YES 13 NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CBL # 0 ENGINEERING REVIEWED BY DATE FIII(RE%06*ED Bf DATE /144—C 17, (b -S —�1-74p_q 42 VrNCE OR CU I SHO"IlEELINEORADBif INSPECTION BOND K V, REO'D POSTED 13YEs ONO ZR SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED , PROPOSED ALLOWED , PROP08ED EXP I PLUMBING/MECH I LOT COVERAGE REQUIRED SETBACKS t I PROPOSED BEIBACKS % I !COMPLIANCE OR ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR CHANGE OF USE PARKING DATE 0 SIGN REQ`D I PROVIlft low o FENCE id X FT) REMARKS %0VIVII OTHER D�,FIRE SPRINKLER IRE ALARM CRITICAL AREAS NUMBER LOT SLOPE VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC D0&WN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE PERMIT LIMM I YEAR - PROVIDED WORIVIVOTMED WITHIN 180DAYS SEE BACK OF PINK PERMIT FOR PADRE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HEB 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 CORRECr ANQ 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 WORKMEN'S COMPENSATIO ."RANCE AND RCW 18.27. E (OWNER ORAQFNVf� DATE SIGNED CHECKED BY IV CL AP OF CONSTRUCTIO ULAAWAN I v�xz;-mm- 12 GROUP --r=:> SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [:] YES LOAD REMARKS PROGRESS INSPECTIONS PER LIBC 108/FINAL INSPECTION REaD VALUAnON 'A.2m -.0 Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review A Q V r. Inspection Fire Review Plan Chk. Depos 7Xb Fire Inspection Receipt N 00— �A)e A Landscapoinsp. Total Amt. Due Recording Fee Receipt # F CALL FOR INSPECTION 1425) 771-0220 APPLICATION APPROVAL This application 15 not a permit until signed by the Building Official or hIs1her Deputy: and Fees are paid, and receipt Is arknomModged In space provided. OF IA DATE RELEASED BY UAIA:- J ATTENTION EXT 1333 A9 �,4/47 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 11 1 " 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 n z M M M 0 C M C z_ 0 In ITIM Fn C z 0) z 0 4 M