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20050172.pdfFOATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEtNAME OF BUSINESS /;:7,7 MAILING ADDRESS I - - / -7 �-h CITY ZIP TELEPHONE or" 046lo-7 NAME CBL# PERMIT EXPIRES PERMIT NUMBER JOB SUITE�APTII ADDRESS -7 0 (o -7*" W PLAT NAMEISUBDIVISION NO, I LOT NO. LID NO LID FEE $ PU13LIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApprovz�cl 13 RW Permit Required C3 Street use Pernid Requited 13 EXISTING PROPOSED Inspection Requited 13 Sidobalk Required C3 REQUIRED DEDICATION FT Undelground Waing Mquiled 13 METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED 0 YES 13 NO C1 z rx Lid W z RESPONS113LE FOR EROSION CONTROL/DRAINAGE CD z iw EUGINEERING REVIEWED BY DATE ADDRESS F IRE REVIEWED BY DATE W CITY ZIP TELEPHONE 540) VARIANCE OR Cu SHORELINEoFt ADB# INSPECTION SEPA STATE LICENSE NUMBER EXPIRATION DATE CHECa.QBY RECID 01 COMPLETED EXEMPT dqt4lo 1,& g 113YES 1314 1 ,4 , &Z-1 I CA$1 ZONE SIGN AREA HE16HT PROPERTY TAX ACCOUNT PARCEL NO. WAIVER 13 ALLOWED I PROPOSED ALLOWED I PROPOSED sm� 0001qj00b IDOL STUDY E3 I L LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) NEW RESIDENTIA PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT, L/RSIDE REAR z ADDITION COMMERCIAL COMPLIANCE OR EMIXED USE CHANGE OF USE D PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REO'D I PROVIDED VIEPAGRADING FENCE IR CYDS El ( X FT.) REMARKS DEMOLISH TANK OTHER GARAG[f o RETAINING WALL FIRE SPRINKLER, CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EX�P�Al�� TYPE OF CTION cobE OCCUPAN GROUP F� L NUMBER OF OF DWELLING SPEC IALYN SPECTION ONSULTANT OCCUPANT STORIES UNITS LOAD NUMBER REQUIRED 13YES DESCRIBE WORK TO BE DONE REMARKS z '01V GEOTECH REPORT BY: 0a STRUCTURAL DESIGN BY: VALUATION $ 176 1 L� �5' J Description FEE Description FEE Le Plan Check State Surcharge HEAT SOURCE LOTSLOPE% VESTED DATE Building Permit City Surcharge PLAN CHECK NOr 7 Plumbing Base Fee Mechanical 7 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC Grading DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND H&D HARMLESS THE CITY OF EDIMONDS, 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 Z:2 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- w6 # -1-1 04 Recording Fee I q. ts r.:, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT T14E INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Official or his/her Deputy: and Fees are paid, and TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO �ERSON WILL BE EMPLOYED receipt is acknowledged in space provided. IN VIOLATION O�, THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION- WORKM ANSAT NCE AND RCW 18:27. DATE SIGNE OF I A S SIGNAT E DATE SIG�N�U,j' (0�41EROtGENT) - (425) Jay 771 n22(l 7,,, A 4r:n I I DATEX 74)h ATTENTION t:,& 1. 1 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERT11- FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 I IRC110. 10104 PRESS HARD - YOU ARE MAKING 4 COPIES j11 MAL - I I ILE - YELLOW -INSPECTOR 0 PIK - 0 _) 1 NER - GOLD - ASSES R V z 0 0 M -n M C M 0 0 0 C M M Z g:) 11 C _z 0 -n n --I x M M a 0 0 M C cl) rb Cn M 0 Z X z -4 X (1) z 0 0 171 I NOTIC E: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OFTHE DOCUMENT. I FDATE �RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER N��E/NAME OF BUSINESS 42014-7 s- e MAILING ADDRESS CITY ZIP TELEPHONE 6 r_1 0/0 1 1--� NAME TELE _1_7 PERMIT NUMBER JOB ADDRESS -7 02 PERMIT EXPIRES C,) 7 (o 7 'e" - SUITEIAPT# PLAT NAMEISUBDIVI SION NO, LOT NO. LID NO. I ILID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appro�ed [3 RW Parni.1 Required Strout Use Poraid Required 13 EXISTING PROPOSED Inspection Required [3 Sidewalk Required 0 REQUIRED DEDICATION FT Undeigfound [3 Witin.i required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO 1:1 REMARKS M OWAER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z -TH-] z A-OA14 E I EERING REVIEWED BY DATE a: ADDRESS 0 U R iI FIRE REVIEWED BY DATE w z CITY ZIP TELEPHONE of 0 IL INSPECTION 1 SEPA STATE LICENSERUMBER EXPIRAYION DATE CHECV-LLBY VARIANCE OR. CU SHORELINE ORADBI REQ'D COMPLETED t4 13YES ONO CA# ZONE SIGN AREA HEIGHT PROPERTYTAXACCO NTPARCELNO. 1,)o 13 ALLOWED PROPOSED ALLOWED I PROPOSED WAIVER LLI _j -7 obb 10 W2 STUDY 13 NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) El ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMMERCIAL COMPLIANCE OR ADDITION 2 MIXE . D USE CHANGE OF USE -PLANNING REV PARKING LOTAREA IEWED BY DATE REMODEL MULTIFAMILY SIGN REO'D I PROVIDED E R GRADING FENCE PAI 1:1 CYDS El ( X FT.) REMARKS DEMOLISH TANK OTHER GARAGEf RETAINING WALL FIRE SPRINKLER z CARPORT ROCKERY FIREALARM 1,_ (TYPE OF USE. BUSINESS OR ACTIVITY) EXP All 9: TYPE 0 jTRUCTION CODE OCCUPANT U GROUP (n ry-2-�, I w NUMBER NUMBEROF a OF DWELLING SPEC IALYNS9ECTION CONSULTANT OCCUPANT 130 LOAD 0 STORIES UNITS REQUIRED 13YES DESCRIBE WORK TO BE DONE REMARKS z GEoTECH REPORT BY: STRUCTURAL DESIGN BY: —LUATION $ I Z-, & FEE P. M, VnA: 0, Description FEE Description I � — Plan Check State Surcharge 5 HEAT SOURCE LOT SLOPE% VESTED DATE Building Permit City Surcharge PLAN CHECK NOV-)f— Plumbing Base Fee 1(07 �H_ (1-06 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 0 Mechanical I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading SEPARATE PERMISSION. Engr Review PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) U.1 06 PERMIT LIMIT. SEE ECDC 19.00.005(A)(6) Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 01 Fire Review Plan Chk. Deposit (A 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS uj IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF _j e�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 01 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due 0 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 APPLICATION APPROVAL GIVEN IS CORRECT: AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC_ CALL Building Official or his/her Deputy: and Foes are paid. and TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED receipt is acknowledged in space provided. IN VIOLATION O�,, THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION-1-1s, WORKM F)ENSAT�1��RANCE AND RCW 18:27. AT, E DATE SIGN U low ER 0 GENT)- DATE SIGNE (425) OF I A S SIGN Y 771-0220 &REbED Y DAT AfTENTION EXT. 1333 1 N�v IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORI, UINAL.- 'ILEE - YELLOW INSPECTOR K GOLD - ASSES FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. P N 'TR 10104 PRESS HARD - YOU ARE MAKING 4 COPIES V z 0 A 0 M --I -n M C M 0 -40 0 C M M Z 10-1 C Cn 0 -n -n M M 0 0 0 C 5 r_ M 9 Cn Cn M Z 0 ;U -4 3: z co z 0 1 0 IT! NOT ICE:, IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. Lift RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. z 0 Retaining Wall ............ Slab Insulation .......... PLUMBING: 719 Underground ............. r a -so C -Fes* 0 M C -in .... Rough ............... -143 PST- ma -40 L4 rA4 'r u C.� 0 0 C Commercial Final .4nT's- 24.. INS M HEATING: M z Gas Test .................... z --I Gas Piping ................. Equipment ................. 0 -rl Commercial Final, M M EXTERIOR SHEATHING YV)S 1-7-0- 0 NAILING .......................... --- 0 M C 0) - FRAMING........................ K Cn M 0 FIRST FLOOR FRAMING... z 2-,? - t6 INSULATION .................... 2- > Floor Insulation ......... Wall Insulation IY7 z ........... Ceiling Insulation ........ z SHEETROCK NAILING ... 0 SPECIAL INSPECTION ... 0 M MISCELLANEOUS .......... FINAL APPROVAL FOR OA-5) OCCUPANCY .................. jS 57. 7Z v000 The fnitials MT are Milton Thonipson, a temporary contract f Ilispectoi or the City.