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20040435.pdfa [DATE RECEIVE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAMF nF RIIRINFSS __jjq AV Ix Lu MAILING ADDRE S z 3. kk 0 A- V e- 7_Ty_�� ZIP I TELEPHONE J1�2� 0 N 1'?6 24 +2� - 4�, -70 It NAME F_ L) UJ ADDRESS CITY NAME ADDRESS CITY ZIP I TELEPHONE N kf 46-,IeF�_7 �- q t5;-T— ZIP STATE LICENSE NUMBER �/'( 61E;IP V, ( C_11 PROPERTY TAX ACCOUNT PARCEL NO CBL TELEPHONE 2 7 (-z. EXPIR�TPN DATE kr1rc RED 4 1:1 NEW RESIDENTIAL E] ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE RETAINING WALL z CARPORT ROCKERY [T_YPE O��SE, BUSINESS OR ACTIVITY) EXPLAIN: M NUMBER NUMBER OF a to OF DWELLING 0 STORIES UNITS % A I HEAT SOURCE I GLAZING % PLAN CHECK NO: 1:1 PLUMBING/MECH COMPLIANCE OR CHANGE OF USE SIGN FENCE ( X FO M OTHER US E ZONE JOB ADDRESS PLAT NAME/SUBDIVISION NO, IPERMITEXPIRES LZJ L/ ( it, l( -1 PERMIT �`117 i, j NUMBER tl( C' All SUITF/APT# LOT NO, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING - PROPOSED LID NO. LID FEE $ 1 ESCP Approved 13 RW Po(nnit Required E3 9ttool Use Permit Floct'd E3 Inspection Required 13 n idewalk oqu REQUIRED DEDICATION- FT Undeiground Wieng required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 11 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAIN lef ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE ul ir I M VARIANCE OR CU HORELINEORADBI INSPECTION BOND REO'D I I POSTED OYES ONO S SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I I LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT QRSIDE REAR z z z PARKING I LOT AREA PLANNING REVIEWED BY DATE I REQ'D I PROVIDED REMA3KS FIRE SPRINKLER FIRE ALARM CHECKED BY 'TYPE. CIP r7WON COP OCCUPAR GROUP 104�� SPECIAL INSPECTION JAREA OCCUPANT C FV LOAD FA N REQUIRED [:] YES REMARKS 0 z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D a IM VALUATION 11,4k -, I - - /V It , 2 �We_j LOT SLOPE % VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Lu PERMIT APPLICATION: 180 DAYS CL PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION (n 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESO S tn R ul IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF _j 2 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 01 NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- x 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 WORKMEN'S COMPENSATION IMSURANCE AND RCW 18,27. TURE (OWNER OR GENT) ) y ED _7 1?71T,1,//Ir,2 eoAjor7 DATE SIGN, - 0 Lj Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapeinsp. Recording Fee CALL FOR INSPECTION (425) 771-0220 FEE Description FEE State Surcharge City Surcharge Base Fee Plan Chk. Deposit Receipt # Total Amt. Due 5, �7 '? Receipt # , / . , I APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged in space provided. OFFICLALS41GNATURE DATE ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES ORIGINAL - FILE) YELLOW - INSPECTOR PINK -OWNER GOLD -ASSESSOR z 0 1 0 ITI -1 -n 0 M C M 0 0 0 0 C: M M z 3: 0 ­71 T1 __4 x M M 0 5) 0 r, 0 M C: cf) F. co M 0 Z :4 X --I 3: z __I :E 5 z 0 I 0 M DATE RECEIVED PERMIT EXPIRES lEi �Ili USE PERMIT ZONE CITY OF EDMONDS NUMBER JOB SUITE/AFIT# CONSTRUCTION PERMIT APPLICATION I ADDRESS I I/ .,� , 1 1! 1 OWNERNAME N F BU5INESS BJ1 L:_ MXILINd ADDRESS Al z- o �2 A— I/ F:.::* CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP TELEPHONE L: PLAT NAME/SUB LOT NO. LID NO. LID FEE S TLSCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Street U%o Permit Rect'd EXIST114C - PROPOSED inspection Required Sidewalk Required REQUIRED DEDICATION- FT Underground Ming required METER SIZE LINE SIZE NO, OF FIXTURES I PRV REQUIRED I YES 0 NO 1:1 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE A4116-A xva-v 4�ifxlm (5 Z cc LLI z z G z Lu 144"All"PW 7?5 6f"2-AC1 NAME CBL Ot 4T r— -rx�) t-� Z]f ENGINEERING REVIEWED BY DATE cc ADDRESS 0 A% U FIRE REVIEt; DATE LU cc CITY ZIP TELEPHONE 0 cf-. OMFLL I LU z Iq,� _x3 1201-20 7 re__ VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND STATE LICENSE NUMBER EXPIRA�19N DATE �,CHtCkED BY REO'D POSTED EIYES ONO s SEPA REVIEW SIGN AREA HEIGHT _j ACCOUNT PARCEL NO. COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED PROPERTY TAX W EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) NEW RESIDENTIAL PLUMBING MEC14 ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR z ADDITION COMMERCIAL COMPLIANCE OR 2 CHANGE OF USE z PARKING LOT AREA I PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REO'D I PROVIDED REPAIR GRADING CYDS FENCE X FT) REM S7 0 ARK ; -1/124 L-4.1PAIr DEMOLISH TANK OTHER GARAGE RETAINING WALL FIRE SPRINKLER z CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKEDBY ITYPEOFCONST CTON CODE­7 OCCU AN� - I GROUP y 60/V41V P - / U) 1 1 V14- tu NUMBER NUMBER OF C RITICAL SPEC' JAREA OCCUPANT R 0 OF DWELLING FA EAS SPECIAL IN NON M UNITS U MBER REQUIRED [] Y 0 STORIES I I N LOAD DESCRIBE WORk TO 13E DONE REMARKS z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 73 Yr �r M aki, o - -5 -7 Ve, VALUATION Air/ $ V lov/ ziavl Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit city Surcharge HECK NO: VESTED DATE Plumbing Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS LU PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION V) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit M IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # 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 MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." '9 Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLI ATION 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 CONSTRUC- 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 011icial or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATIO�tjkNSURANCE AND RCW 10.27. OFFICIALS_SIGNATURE DATE, SIGNATURE (OWNER OR A . GENT) DAT; SIGNED (425) Al -BY DATE If'; 771-0220 RiELEASI�13 Z ATTENTION EXT 1333 14 i ­7 - f / IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL j 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-OWNEFI GOLD -ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES z 0 1 0 M ­4 -n in- 0 M C M 0 0 C) 0 C: M M Z C) —4 C 0 -n n M M 0 0 0 M 00 irn 0 z W z 0 i 0 M s W. 0, RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... 0 M PLUMBING: Underground ............. Rough -in ................... M C rn 0 Commercial Final ...... 0 0 HEATING: -4 3: rn Gas Test .................... M Z C _Z Gas Piping ................. > Equipment ................. 0 -n Commercial Final ....... EXTERIOR SHEATHING MM NAILING.......................... _V) 0 FRAMING ........................ 0 ITI C CD FIRST FLOOR FRAMING... Cn IT! 0 Z INSULATION ................... -A X Floor Insulation ......... __,I 3: Wall Insulation ........... > z Ceiling Insulation ....... SHEETROCK NAILING ... z 0 SPECIAL INSPECTION ... --I ITI MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. Low