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20040563.pdfFDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWnp NAMEINAME OF RUSINESS -Wa? ot A/ IM MAILING ADDRESS Li z 41 CITY ZIP TELEPHONE -7 NAME 19L U LLI t: ADDRESS L110 CITY ZIP TELEPHONE NAME CBL rl �9 5 CITY ZIP STATE LICENSE NUMBER TELEPHONE EXPIRATION DATE I CHECKED BY PROPERTY TAX ACQOUNT PARCEL NO. 00 5-14Y9 L-021-20 _021-01 —03 NEW 17 RESIDENTIAL PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING rYDR FENCE ( x FT) DEMOLISH TANK OTHER GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUqINESS OR ACTIVITY) EXPLAIN: c/,;/, /'� /_ I PERMIT EXPIRES I 5 - SE PERMIT ZONE N U M B E R JOB ADDRESS ky ; SUITE/APT# 1� -/� jj� - f " 'WL PLAT NAME/SUBDIVISION NO. T NO/- LID NO LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I ESCP Approved 0 Fiw Permit Required 13 Street Use Permit Raqd Q EXISTING — PROPOSED In5pection floquirea 13 Sidewalk Required REQUIRED DEDICATION- F1 underground Wiring required [3 METER SIZE LINE SIZE NO, OF FIXTURES PRV REQUIRED YES NO z UJI REMARKS z z OWNERICONIRAC-IOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 6 z W ENGINEERING R FIRE REVIEWED BY VARIANCE OR CU SEPA REVIEW COMPLETE E)KT EXP I LOT COVERAGE ALLOWED PROPOS�� .)I` i %, "A((_(Aj� PARKING RE00 I PROWDED i NUMBER NUMBER OF CRITICAL OF DWELLING AREAS UNITS N U M B E R STORIES Z' I z T0,95- D �zbvve:- Mf7A,6 eZzap)rtz:�- 'Cl— /w)?q /Coe/ P7 717� 7TF74tF_V D EZ,-�� I DATE DATE Ld It I U- SHORELINE OR ADB# INSPECTION REC�p 0, OYES P�O BOND POSTED SIGN AREA HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) FRONk SIDE REAR / w; FRRNT a L/F�S�)E REAR f Iv� jl� 2 z I laq z LOT AREA a . �01 I J=NG REVIEWVD 13Y DATE Rod, /J,/ 5 IL REMARKS '.�4_A/ fV 5C'4AtKf ��,tr-ivw — O)C CHECKED BY I TYP RUCTION cOP 7 OCCUPANT GROUP /01 SPECIAL INSPECTION' OCCUPANT REQUIRED Ec Y JAREA LOAD REMARKS z PROGRESS INSPECTIONS PER UBC 108/171NAL INSPECTION REQ'D VALUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTJED DATE Plumbing Base Fee L:z_ I.-Lz � Mechanical THIS PERMIT AUTHORIZES ONLY TWE WORK NOTED. THIS PEIiMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC i Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. - Engr. Review W PERMIT APPLICATION: 160DAYS EL PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION �10 En 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review PlanChk.Deposit UJI IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF i 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECT LY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 11-11S PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.. Recording Fee Receipt # 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 APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL I his application is not a pannit 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 fecLipt is acknowledged in space provided OR COMPENSATION INSURANCE AND RCW 18,27. OFFICIALS SIGNATURE DATE in SIGNATURE OWNER OR AGENT)_, DATE SIGNED (425) L 0 C; LEA ED BY 771-0220 ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L I/A A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE- YrLLO�V INVPECTOd CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PiNK-OWNEH GOLD -ASSESSOR 09:03 PRESS HARD -YOU ARE MAKING 4 COPIES S z 0 1 0 M --I -n M C M 0 --i (-) 0 C: —i K 3: M M Z IC) --i C �x 55 0 -n nx > M M 055 0 r- 0 M C cl) K cf) M 0 Z X z Cn z 0 1 0 ITI N 11 RECEI'�rr JUN - 9 COU; Ma PERMIT COU oRl ve UT u -ry SETBACKS: 0k..d-�k-k5 PPOKIT �-q'xl' -v,7,, SIDE.,-.—., Ua REAR— Rq - OTHER—.. -11 T VE Y F U,� C.ITYP,,4-,OPY GEIGLE DESIGNS Wl;yr, 14106 — 55TH. AVE. W. JOB NICY UAIUNUS, WA q602(o TELE/FAX ('425) 787-251 1p C. 1 S) 11 June 16, 2004 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 Website: www.dedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering GARY HAAKENSON MAYOR z 0 A 0 M Fred and Pat Peterson 926 Olympic Ave Edmonds, WA 98020 FAX: 425-778-2907 (Mike Miller) RE: Vesting current plan review #04-217 under the current building codes Dear Fred and Pat Peterson: We are writing to remind you of the City adoption of the International Building Codes effective on July 1, 2004. With the code change -over fast approaching full permit and plan check fees are required before July 1, 2004 to vest your application under current codes. The amount to vest your application is $131.00. if the noted fees in the amount listed above are not received BEFORE July 1, 2004 your plans must be returned to you and any fees paid to date must be forfeited. If you have any questions please don't hesitate to contact the permit coordinator assigned to your project at 425-771-0220. Sincerely; Permit Coordinator Incorporated August 11, 1890 Sister City - Hekinan, Japan I. 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 ... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. z 0 1 0 M --I -n C M M 0 0 —40 0 C: M M z > z Cl) 0 _n n M ITI 0 0 0 M C cl) 9 C/) M 0 Z z z 0 1 0 ITI e Milton The illifials MT ar Tho"Vs011, a temporary contract illspector for the City-