20040860.pdfDATE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAM EINAM E OF 13USINESS
MAILING ADDRESS
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NAME
ADDRESS
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ZIP ITELEPHONE
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ADDRESS
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CITY ZIP I TFLEPH
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STATE LICENSE NUMBER EXP11 ION DATE Y
PROPERTY TAX ACCOUNT PARCEL NO.
K:4 40 60-
NEW
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
REPAIR
GRADING CYDS
DEMOLISH
TANK
GARAGE
CARPORT
El
RETAINING WALL
FLOCKERY
(TYPE OF USE. BUSINESS OR ACTIVITY),,EXPL
NUMBER NUMBER OF
OF DWELLING
STORIES UNITS
DESCRIBE WORK TO BE DONE
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HEAT SOURCE GLAZING %
PLAN CHECK NO: .-,/ / -
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( x Fri
OTHER
FIRE SPRINKLER
FIRE ALARM
CRITICAL
AREAS
NUMBER
PERMIT EXPIRES 16 �j
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PERMIT
ZONE NUMBER
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PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
IESCP Approved
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AL STREET MAP
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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Fjw permit Required
Street Use permit Sori'd
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EXISTING � PROPOSED
inspection Required
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Sidewalk Required
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REQUIRED DEDICATION� FT
Underground
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METER SIZE
OF FIXTURE S PFIV REQUIRED
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REMARKS �AGEL
OWNER/CONTRACroR RESPONSIBLE FOR EROSION CONTROODRAINAGE
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ENGINEERING REVIEWED BY DATE
DATE W
FIRE REVIEWED BY
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VARIANCE OR CU_ SHORELINE OR ADB# INSPECTION BOND
R E O'D POSTED
CIYES OND IS
SEPA REVIEW SIGN AREA HEIGHT
GUMIJLh I t: EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
EXP LOT COVERAGE REQUIRED BACKS (Fr.) PROPOSED SETBACKS (FT)
FRONT L/R SIDE REAR
ALLOWED PROPOSED FRONT SIDE REAR z
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. . . ... ..... . ... .... ... . ED BY DATE 5 1
PAS11111113 LOT AREA PLANNING REVIEW 91.
REO'D I PROVIDED I
REMARKS
CHECKED BY TYPE OF GO STRUCTION _I 9��AN�T
STRUCTION
TYPE F GO
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ANT
OCCUPANT
SPECIAL INSPECTION AREA LOAD
REQUIRED C] YES I
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IF 10
PROGRESS INSPECTIONS PER UBC 108 if IBC109 I IRC109 FINAL INSPECTION REO'D F3
M A A I A A 5M
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 100 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 INDEMNIFNi 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 DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHAIL NOT HE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABIL-11Y 10 ENFORCE ANY ORDINANCE PROVISION'
I HEREBY ACKNOWLEDGE THAT I iiAVE READ THIS APPLICATION. TIIAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUrIIORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY W11111 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 COMPENSApom;ju,
.5,URANCE AND RCW IB 27.
DATE SIGNED
(OWNE�'O I
Description
Plan Check
Building Permit
plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp-
Recording Fee
FEE
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CALL
FOR INSPECTION
(425)
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ENTI N
STRUCTURE UNTILAFINAL
ITIS NLAWFULTO USE OR OCCUPY A BUILDING OR
VALOR A CERTIFICATE OF OCCU- iiGINAL E YELLOW /INSPV/CTC
INSPECTION HAS BEEN MADE AND APPRO PINK - OWNER GOLD - ASSESSOR
FANCY HAS BEEN GRANTED. UBC109/113C110/1RC110.
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
Description I
EW FEE
State Surcharge
City Surcharge
B B s e
ase Fee
Plan Chk. Deposit I I, -
EqRecReceipt #
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otal Amt. Du
c ipt it
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APPLICATION APPROVAL
I his application is not a permit until signed by the
Building ollicial or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
OFF1 IAL N AT JLO DATE
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89 . III PL. W. GALLEON PHASE TWO
A CONDOMINIUM IN SECTION 31jT27N.jR.4E.'1W.M.
SNOHOMISH COUNTY, WASHINGTON
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Do' . !.1' 300.00'
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SHEET I OF 3 SHEETS
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% CERTIFICATE
.4 LAND SURvEVOR,q
% \0 0 1 hereby certify that this Plot Of "Galleon, Phase Twd'. a Condo -
`se mint um, Is bojed upon an Actual survey of the Property herein
set ........... 05 q6 described. that the courses and distances are shown Correctly
P"el ..0
thereon and th
a monuments are set upon the ground as shown and
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L&L that I have fu Y complied with the provisions of the applicable
sthtutes and that the Plan accurately depicts the layout,
...... *% numbers, dimensions and location of the apartment$ for Phase
Two as built.
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Joy* WMId
% e 0 Professional Land Surveyor, Carl. No. 4561
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BASIS OF BEARINGS *% % ........
ASSUMED oo/
'o',00000"0000" 0'.. ..e.
SCALE 1"- 40' . .........
LEGEND Zrad. Mae - Mt Col; ..... .. 1. . LAND BURVEYOR'S VERIPICATION
P.C. I 11111"C!,314. 184.-.3i.411 STATE OF WASHINGTON)
C.A.- Common Armcs % COUNTY OF
L.C.A. - Limiltil Common Area -6. 1. being first an path duly sworn. state that I m a Registered
0 S41 if0ft ON -11h COP na. 4561 -6 Professional Land Surveyor sIgnInq the a have cortIfIcats, that I have
2 0 examined thes I plans and su mey map, and believe the certificate to
be a true statement.
DATUM M. L.L.W. a 0.00 luli: 1:',01ddV1.ZtwA. an, �Lnd Sur�..r
47 0 �tlflcmte No. 4561 �;Vor .
BENCHMARK -11 z Ce
A" In AnAister, Hydrant 2 lost South 011-W&RIPTIom Raid, Middleton & Associates, Inc.
and 6 feet Wall Of S.W. Comer of Lot 5, 9 0 % it
Galleon Building 'A". Else. a 449.82 Hanburys Sound View Tracts'. e1ccardIng to th*.**-
Plat thereof recorded In Vol inner 7 of pi page 20, A
NOTE : Buildi" dimensions shown, am Snohomish County, Washington, .%M records of.
IhI2 plan are exterior. EXCEPT Edmords Nlglw&y; Subscribed and sworn to before me this 14 day of
ALSO, EXCEPT that Portion daadeld*to the state o?*Wa3hl $am
for SA-104 by dead recarded.dIde
r Auditor Nota a for the State at
Subject to Basements Of :r $-Pile No. 22J9877. 4�OUA%1411 Art
"ord. WashIngton. reilding at "Mandr
V7 RNA at
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall..........................
Pier/Porch .................
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Retaining Wall ...........
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Slab Insulation ..........
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PLUMBING:
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Underground .............
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Rough -In ................... .
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Commercial Final ......
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HEATING:
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Gas Test ....................
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Gas Piping .................
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Equipment .................
0 -n
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Commercial Final .......
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x
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EXTERIOR SHEATHING
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NAILING ..........................
0
0 M
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FRAMING ........................
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FIRST FLOOR FRAMING ...
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INSULATION ...................
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Floor Insulation .........
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Wall Insulation ...........
Ceiling Insulation .......
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SHEETROCK NAILING ...
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL A PPROVAL FOR
en —
OCCUPANCY ..................
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, 'Ire miltoll
'I'lle initials Nl r ,
,r,l0Illj)s0Il, ,, tclliporary contract
illspectol, rol, tile city.