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20040322A.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OFJWJ&RffgS mAu-Im .7-plox 00 7 61 Aii�o CITY NAME ADDRESS CITY S CITY ZIP I TELEPHONE 7N /0 , - / ZIP I TELEPHONE STATE LICENSE NUMBER E 'ROPERTY TAX ACCOUNT PARCEL NO. 7 NEW Rf—RESIDENTIAL ADDITION COMMERCIAL REMODEL 13 MULTIFAMILY REPAIR 0 GRADING CYDS DEMOLISH 0 TANK GARAGE -1 RETAININGWALL 1:1 CARPORT ROCKERY (rYPE OF USE. B OR EXPLAIN: NUMBER NUMBER OF OF DWELLING STORI:2� DESCRIBE WORK TO BE DONE HEAT SOURCE GLAZING % PLAN CHECK NO: CBL N USE ZONE JOB ADDRESS '71 J PERMIT EXPIRES PERMIT N U M B E t 12 =,'-, ZOUITE/APT# 1<1/1 PLAT NAME/SUBDIVISION NO. LOT NO. L�D NO. L D FEE $ I tsur, Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Street Use Permit Req'd EXISTING — PROPOSED Inspection Required Sidewalk Required 13 CI OUIRED DEDICATION— FT 9 underground Wiring required CI METER SIZE LINE SIZE NO. OF FIXTURES REQUIRED YEPRIVII NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE — I ­ — — _ VARIANCE OR CU SHORELINE OR ADB# INSPECTION IATION DATE CHECKED BY REQ'D PBOND OSTED OYES ONO s 1EXP SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED, I I LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT I UR SIDE REAR .-,<POMPL ANCE OR z CHANGE OF USE PA KING LOT AREA REVIEWED BY DATE SIGN REO'D I PROVIDED o FENCE I 6AS l[PLANNING ID TC Ir 1111.111111111110T 111-UP—HIN1110 I BE ( — X—FT) REMARKS El OTHER OBSERNFR AY OlfHNSPEMR F RE SPRINKLER AiRWITS SHALL NOT no FIRE ALARM __ CHECKED BY N TRUCTION 1 coor. OCCUPANT ITYPE P-77 GROUP �P_ CRITICAL - 4: - -, AREAS SPECIAL INSPECTION OCCUPANT NUMBE R 411 JAREA REQUIRED [] YES LOAD R REMARKS PROGRESS INSPECTIONS PER UBC F 108/FINAL INSPECTION REGID 7 ? VALUATION Description FEE Description FEE Plan Check State Surcharge LOT SLOPE % VESTED DATE Building Permit Plumbing City Surcharge Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Iz a BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERM17APPILICATION: 1180DAYS CL PERMIT UMrP 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 a EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY 9 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 Landscape Insp. Total Amt. Due 0 NOR LIMIT 114 ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # 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 CONSTRLIC- CALL This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees Oro paid, and IN I THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN' ENSATION INSURANCE AND - OPFI/I LS SIG�AT�IRE DATE SIG 0 DATE SI ED ('425) 771-0220 G-1/00 TELCASECrOY ENTION Off 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 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... Commercial Final ...... HEATING: GasTest .................... Gas Piping .............. Equipment................. Commercial Final ........ EXTERIOR SHEATHING NAILING .......................... FRAMING ......................... '�;FIRST FLOOR FRAMING... iNSULAT16N...'.e .............. Insulation ,Floor ......... �te- Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. AIM w-H ARL( 40 4WAv I �V -n CV. 0.� 0. M