20040329.pdfa
DATE RECEIVED
IL 7ERMIT EXPIRES LL
USE PERMIT
CITY OF EDMONDS ZONE NUMBER
JOB SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS
OWNER NAME/NAME OF BUSINESS i 1 18600 Sound View Pi -
MAILING ADDRESS
18600 Sound View Place
CITY ZIP I TELEPHONE
Edmonds 98020 425-774-4840
NAME
W
t ADDRESS
CITY ZIP TELEPHONE
NAME
CBL
ADDRESS
12601 132 Ave NE
CITY ZIP TELEPHONE
Kirkland 98034 1425 814-3124
STATE LICENSE NUMBER EXPIRATION DATE CH�rll(M, by
'FASTWHCO52DF 2-16-( &1
PROPERTY TAX ACCOUNT PARCEL NO
1:1 NEW
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
DEMOLISH
TANK
GARAGE
RETAINING WALL
CARPORT
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY),EXP N'.
7)1
NUMBER
NUMBER OF
OF
DWELLING
STORIES
UNITS
DESCRIBE WORK TO BE DONE
6 il I 4�'
HEAT SOURCE I GLAZING %
PLAN CHECK NO:
X[D PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( x FT,
OTHER
FIRE SPRINKLER
FIRE ALARM
PLAT NAME/SUBDIVISION NO. LOT NO LID NO
LID FEE $
PUBLI rfff�1)7F )wBY Ur' _%0tEWAPiTt0e ;7_SCP -APPI.Y.d
HW Permit �nqijv
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REMARKS
OWNER/CC
ENGINEER11
YES 0 NO 13
1464
required on
all kjs &Pr
City Code. ECDC 19.30.020 (C)
FIRE REVIEWED BY
DATE
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VARIANCE I I
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BOND
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POSTED
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SEPA REVIEW
L 1
-1 SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
EXP
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I
I
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/R SIDE REAR
z
PARKING
LOT AREA
I PLANNING R9VI Y DATE
REO'D
I PROVIDEDUnLtj�,
To UPC
REMARKS __A_WA1rA% %, __ i
ON Tlil�-_
01T
CHECKED BY I TYP7EOF CO CTION coo
NST1,1I OCCUPANT
GROUP
CRITICAL
AREAS SPECIAL INSPECTION AREA OCCUPANT
NUMBER _N_A� REQUIRED C] YES LOAD
0
heater in REMARKS z
PROGRESS INSPECTIONS PER UBC 1 08/FINAL INSPECTION REQ'D E,i
is
hi-11 Iq M
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 PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: IBODAYS
PERMIT LIMIT 1 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 DIREC MY OR INDIRFC1 IN
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 I IEREBY ACKNOWLEDGE THAT I I IAVE READ THIS APPLICATION; T1 IAT T1 IE 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 LAE�011,�CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27.
I
SIGNATURE (OWNER qR 4GENT) DATE SIGNED
I
FEE Description FEE
State Surcharge
city Surcharge
Base Fee
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt P
APPLICATION APPROVAL
This application is not a permit until signed by the
Building 011icial or hisitier Deputy. and Fees are paid, and
receipt is acknowledged in space provided
OFFICIAI S SIGNATURE DA1 E
Ive, - —1 /,-/1/4 , =j 771-02ZU I RFI,�FD BY DATE
c:v-r _11 r3f2fl
Al t 11U
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09iO3 PRESS HARD -YOU ARE MAKING 4 COPIES
VALUATION
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapeinsp.
Recording Fee
CALL
FOR INSPECTION
(425)
0111GINAL FILE YELLOW - INSPECTOR
PINK - OWNER Got-[) - ASSESSOR
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RECORD OF INSPECTIONS
DATE APPROVED
INSPECTOR
SETBACK� .........................
FOUNDATION:
Footing ......................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
Plf6I6B'ING-
Undei*g`r6und,-..%...,.
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping ...............
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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