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20040378.pdfFDATE —RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS J,,7 f, / MAILING ADDFfESS CITY ZIP TELEPHONE zEa__ I qr /` F- NAME tu t: ADDRESS x U cc CITY ZIP I TELEPHONE NAME CBL# ADDRESS CITY--- ZIP TELEPHONE STATE LICENSE NUMBER PROPERTY TAX ACCOUNT PARCEL NO. EXPIRATION ATE r1E NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL �trMULTIFAMILY *-S5-P—AIR GRADING CYDS El DEMOLISH TANK EGARAGE I o RETAININGWALL CARPORT ROCKERY (TYPE OF USE, BUSINESS ORjACTIVITY) EXPLAIN: .1 uj NUMBER NUMBER OF OF DWELLING2 o STORIES z, UNITS 7 DESCRIBE WORK TO BE DONE 7�cicc_e,e ze 121>Xe A), HEAT SOURCE PLAN CHECK NO: GLAZING % PLUMBING / MECH COMPLIANCE OR CHANGE OF USE SIGN FENCE ( X FT) OTHER FIRE SPRINKLER FIRE ALARM PERMIT EXPIRES !LfE±=- USE PERMIT ZONE NUMBER JOB ADDRESS -7 L�,fa45-�� N- (5T- AM E S PLAT NAMEISUBDIVISION NO LOT NO. L A T LID NO. LID FEE TESCF App'o 13 1 HT C PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP C rEXISTING RW p,,,,,t 13,qp,ed Use permit Req-d [3 - Street inspection fi,quinid E3 X S T PROPOSED Sidewalk Horjuj,od 13 REQUIRE[) DEDICATION— FT U u,d,,ground 13 R S I 7E ETER SIZE M M E LINE SIZE NO. OF FIXTURES pRV REQUIRED YES NO REMARKS OWNER/CONrRACTOR RESPONSIBLE FOR EROSION CONTROL /DRAINAGE ENGINEERING REVIEWED BY FIRE REVIEWED BY DATE DATE cc uj z z W W VARIANCE OR cu SHORE�INF On ADB# I INSPECTION BOND POSTED REOe'D OYES ho SEPA REVIEW COMPLET EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED :X P LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR z I z PARKING LOT AREA _[;P�LLA N�1,,NG REVIEWED BY D E [L REO'D 1----4 I PROVIDED --- / 7N " A 41NA1_j,,y7// - " 41, /rj REMARKS CHECKED BY 1=1'RICTION cp 7 OCCUPANTe GROUP CRITICAL AREAS NUMBER SPECIAL INSPECTION JAREA REQUIRED C] YES OCCUPANT LOAD REMARKS z PROGRESS INSPECTIONS PER UBC JOB/FINAL INSPECTION REQ 'D I in 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: 180 DAYS PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON 13EHALF 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 DIRECrtY 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." VALUATION $ J..ilKli 17 Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION I E I NFORMAT ION GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AAGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING T14E WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMP:==NCE AND RCW 18.27. SIGNATURE (OWNER DATE SIGNED CALL FOR INSPECTION (425) 771-0220 FEE Description FEE State Surcharge 5C 1_� City Surcharge Cie — Base Fee Plan Chk. Deposit Receipt # Total Amt. Due Receipt # 1 2--4 1 APPLICATION APPROVAL This application is not a perinit until signed by the Building official or his/her Deputy: and Fees are paia, and receipt is acknowledged in space providLd. I -, If/ RELEASED ATTENT.19N I/ Wk I I jjj L T ITISUNL�/W,FUL OUSE 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 1x z 0 i 0 M --i -n M M 0 ­10 0 C: M M Z IC) —1 C —Z x W 0 _n M M 0 0 0 M ce) M 0 Z z z 0 1 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 ................. 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 .................. The initials wr are Milt011 Thotilps011, a temporary coiltract inspector for tile CitY. z 0 0 1711 —11 -n Cn -j M rn 0 0 M rn M z C —Z co o -n n -1 M ITIM 0 0 0 rn Cn Cn Q 0 Z 71 3: z 3: z 0 1 0 IT!