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20050219.pdfDATE RECEIVED (;5, CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NAMEINAME OF BUSINESS I I CI . TY ZIP IT LEPHONE NAME ADDRESS CITY ZIP TELEPHONE NAME Ifix ADDRESS CITY ZIP TELEPHONE tl�14zz,14_1t-111'; Z21,_P& *.� - 'I) ��/ - - SYATtILtCENSE NUMBER ATE C HECKED BY -k 1_/ Me/ �ROPERTY TAX ACCOUNT PARCEL NO. �-7 17Z El NEW RESIDENTIAL COMMERCIAL I D ADDII'ION MIXED USE REMODEL E] MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE CARPORT RETAINING WALL ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPL IN. COMPLIANCE OR CHANGE OF USE SIGN mFENCE I X F1 OTHER FIRE SPRINKLER FIRE ALARM NUMBER NUMBER OF OF DWELLING UNITS STORIES nF';CRIBE WORK TO HE DONE PERMIT EXPIRES PERMIT 14UMBER Zu-11 -J-;� . Z' 1 ­7 C. C, JOB ADDRESS _,_7 0 SUITE/APTf$ PLAT NAME)SUBDIV I SION NO. LOT NO LID NO I LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TLSCPAppro�ed RW Perinit Requireil Street Use Permit Required EXISTING PROPOSED Inspection Reitutred SKlowalk RequtfeJ REQUIRED DEDICATION FT UnuotgrounrS Wirinq requ red METER SIZE LINE SIZE NO� OF FIXTURES PRV REQUIRED YES NO REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAIMAGE I ENGINEERING REVIEWED BY DATE 0 z uj z 0 z W FIRE(EVif wybBY t( DATE LL VAJANCE OR CU/ SHVILINE OR ADBO INSPECTION SEPA REO D COMPLFTED EXEMPT 0YES I I I CAP ZONE SIGN AREA HEIGHT WAIVER ALLOWED PROPOSED ALLOWED PROPOSED STUDY 13 1 1 LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR z z I I z PARKING I LOTAREA PLANNING REVIEWED BY DATE -3 REO'D I PROVIDED FT.) I REMARKS STRUCTION SPECIAL INSPECTION REQUIRED 13YES 1 1 k -2 -1 0C 4, Ulyy LZI I %/V I I M J If GEOTECH REPORT BY: STRUCT.URAL DESIGN BY: VALUATION $ Dan __AC /14-7-ALA rill, vit jLIVIC D4escrip i-on Plan Check HEAT SOURCE LOTSLOPE% VESTED DATE /7 Building Permit PLAN CHECK NO: Plumbing Mechanical 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 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION "cu IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUT14ORIZED AGENT OF CONSULTANT Ul THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL 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 FOR INSPECTION WORKMEN'S COMPENSAT?11-TURANCE AND RCW 18;27. SIGNAIUBE (OWNER OkA r) DATE SIGNED (425) �-AFI y 771-0220 FEE OCCUPANT GROUP � occu LOAD Description State Surcharge City Surcharge Base Fee FEE 0 1 1 z Plan Chk. Deposit Receipt # Total Anit. Due eel Receipt # 4�C�L3 �1. APPLICATION APPROVAL This appiwation is not a portnit until signed by the Building otticial or tusiher Deputy and Foesare paid. and receipt isacKnowledged in space provided SIGN URE DATE J�b)ATE RELEASED BY [:A 1. 1 aaa ATTENTION STRUCTURE UNTIL IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR L—Le _/4 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL �-_nt_E YFt LOW -INSPECTOR I, FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. PINK - 0 NER COLD - ASSESSOR 10104 PRESS HARD - YOU ARE MAKING 4 COPIES z 0 1 0 M =19i 0) 0 M C M 0 0 __10 0 C: M M z � F) o -n n _i x M M 0 6) 0 r, M 90) M Z X z co z 0 i 0 M 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 11 0 M