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20050003.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 0 W R N M /NhME ^r a' MAIL G ADPDgRESS too C ZIP TELEPHONE NAMC ADDRESS CITY ZIP I TELEPHONE NAM 4 CBL# VM-re (?UY0611,116 AUY.HESS "_tS' TW -S-f S, C ­4116 CITY JJELEPH (0 , 0 74:� I)INJE M O)q me �3 I NV-06)-1_ STATE LICENSE NUMBER EXPIRATION DATE Wo[�eTT03`__�C�T 1­2q-osd PROPERTY TAX ACCOUNT PARCEL NO. j -�N q_2) 1) n( 00 NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR El GRADING CYDS DEMOLISH TANK o GARAGE RETAINING WALL z CARPORT ROCKERY MPE OF USE, WMESS OR ACTIVI, "M RE U-kwlnr M NUM13ER NUMBER OF 0 OF DWELLING M 3 ol STORIES UNITS I �DESCRIBE WORK TO BE DONE &L Ild HEAT SOURCE GLAZING % KI PLUMB MECH '—CT—P -'9 M LIANCE OR CHANGE OF USE SIGN FENCE I X FT) OTHER FIRE SPRINKLER FIRE ALARM PERMIT EXPIRES USE ZONE PERMIT NUMBER JOB ADDRESS 7 z1vi SUITO PLAT NAME/SUBDIVISION NO. LOT NO. LID NO LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved [3 RW Permit Required Q EXISTING — PROPOSED Street Use Permit Roq'd [3 inspection Required El Sidewalk Required [3 REQUIRED DEDICATION— FT Underground Wiring(equired E3 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I / 2- --;Z- YES14 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE NEERING FIRE REVIEWED BY VARIANCE OR CU SEPA REVIEW COMPLETE EXEMPT EXP I LOT COVERAGE ALLOWED PROPOSED DATE 117AIDI SHORELINE OR ADBI I INSPECTION I BOND REO'D POSTED E]YES ONO IS SIGN AREA HEIGHT ALLOWED . PROPOSED I ALLOWED . PROPOSED (3 Z Ir Lu Lu Tr REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT) FRONT SIDE REAR FRONT UR SIDE REAR z PARKING I LOT AREA rLANNING REVIEWED BY DATE REQ'D I PROVIDED 111141TERMI 0 CHECKED BY ITYU I -T, I F CONSTRUCTION w-. GROU PANT O,,U P i� I I p z CRITICAL AREAS NUMBER ],PROGRESS SPECIAL INSPECTION REQUIRED [:] YE JAREA OCCUPANT LOAD REMARKS INSPECTIONS PER UBC 108/IBC109/IRC109 FINAL INSPECTION REO'D LOT SLOPE % PLAN CHECK NO: In i VESTED DATE k-� THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 I= SEPARATE PERMISSION. it uj PERMIT APPLICATION: 180 DAYS EL PERMIT LIMIT! I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION U) '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 NAT URE, ARISING DIREC TLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 1 HIS PERMIT SHALL NOT 13E DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - 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 1APOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COM PEN fATAAKqU RANCE AND RCW 18.27. ATURE (OWNER,rN DATE SIGNED VALUATION Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee CALL FOR INSPECTION (425) 771-0220 EXT 1333 FEE Description State Surcharge City Surcharge 1.7n Base Fee Ei FEE Plan Chk. Deposit Receipt # Total Amt. Due Receipt # &� VY' APPLICATION APPROVAI 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 `1 :EICIALS-SIGNATURE DATE It -IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OF OCCLI- PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES 13Y FILE -JELLOW - INSPECTC INER GOLD -ASSESSOR I z 0 1 0 M --I -n 0 M C M 0 0 -40 0 C: M M z ,C) -i C: �X (1) 0 MITI 0 0 0 M U) U) M 0 17- X z __4 3: U) z 0 1 0 M N RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... z 0 Slab Insulation .......... 0, M PLUMBING: Underground ............. —4 0 Rough -In ................... rn C M Commercial Final ...... 0 0 C: HEATING: —1 X M M z Gas Test .................... ID —4 Gas Piping ................. C z —4 Equipment ................. C/) Commercial Final ....... 0 -n EXTERIOR SHEATHING rn M NAILING .......................... 0 Cn 0 FRAMING ........................ 0 M C Cn FIRST FLOOR FRAMING... Cn M 0 Z INSULATION ................... Floor Insulation ......... Wall Insulatioh ........... z Ceiling Insulation ....... Cn SHEETROCK NAILING ... z 0 SPECIAL INSPECTION ... 0 ITI MISCELLANEOUS .......... FINAL APPROVAL FOR rvu C> OCCUPANCY .................. 5 tv ezvS1*/