20051000.pdfD AT E TERF C E I WED
CITY OF EDMONDS
C CONSTRUCTION PERMIT APPLICATION
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STATE LICENSE NUMBER EXPIRAI ION DATE CH KED BY
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PROPERTY W ACCOUNT PARCEL NO.
NEW RESIDENTIAL PLUMBING I MECH
E ADDITION .'aCOMMERCIAL sauftaiiiiar! OR
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00 REMODEL 1:1 MULTIFAMILY SIGN
GRADING FENCE
13 REPAIR 0 CYDS ( X FT.)
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GARAGE RETAINING WALL FIRE SPRINKLER
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PERMIT EXPIRES
PERMIT
NUMBER
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ADDRESS
PLAT NAMEISUBDIVISION NO.
LOT NO
LID NO,
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCPApptoved
RW Patina Required
street use Pernio Requited
EXISTING PROPOSED
Inspection Required
Stae�jlk Required
REQUIRED DEDICATION FT
Urioergrouild
Witing required
METER SIZE
LINE SIZE
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PRV REQUIRED
YESO NO
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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SIGN AREA
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ALLOWED PROPOSED
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ALLOWED
PROPOSED
STUDY
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REQUIRED SETBACKS (FT.j
PROPOSED SETBACKS (FT.)
FRONT SIDE REAR
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ALLOWED PROPOSED
FRONT SIDE REAR
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PARKING
LOT AR EA
P�ANNING REVIEWED BY DATE
REQ'D PROVIDED
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REMARKS
TYPE OF
SPECIAL INSPECTION
REQUIRED 13YES
rGIEOTE�H REP®RT
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STRUCTURAL DESIGN
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Descri ption
Plan Check
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VESTEU DATE
Building Permit
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PLAN CHECK NO,
Plumbing
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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
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SEPARATE PERMISSION.
Engr. Review
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PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC i9.00.005(A)(6)
Engr. Ifi?PV0>
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
SS GN S AND SUC CESSO
&APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
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RMLESS THE CITY
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE C TY
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EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
OF
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Fire Inspection
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR 114DIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT
TO MO DIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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BE
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DEEMED Y C P 0 ISIO
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.6
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Recording Fee
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
LY UT 0 IZ G T
RRECT- AND TH I AM THE OWNER, OR THE DULY AUTHORIZED AGENT
OF
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CODE OCCUPANT
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GROUP
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CONSULTANT OCCUPANT
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FEE Description
State Surcharge
1_204 City Surcharge
Base Fee
GIVEN 15 U GULATING CONSTRUC-
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS RE CALL
rION; 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 COMPENSATION INSURANCE AND RCW 18:27.
DATE NED
(425)
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771-0220
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Plan Chk. Deposit�;<Z,'�T
Receipt #
Total Amt. Due
Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/her Deputy, and Fees are paid. and
receipt isacknowledged in space pro% ided.
FICIjNLS SIGNA E DATE
S �' W A 1A
ATTENTION I if
R STRUCTURE UNTIL Lyj
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 0 OVAL OR A CERTI-
A FINAL INSPECTION HAS BEEN MADE AND APPIR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 if IBC110 I IRC110.
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
1) BY
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ORIGINAL - FILE YELUDW - INSPECTIL
PINK -OWNER GOLD - ASSESSOR
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driveway south extend: 294sf
ADA west park'g.: 234sf
A ZF_ east park'g.: 1333sf
entry sidwalk:
ON
Total: 1984sf
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new asphalt parking. 1 .
V-4 1/2" remove excess gravel
One hour wall: e- pl nt rass +
Brick veneer full
height. 24'.0" 31'-107/8"
IBC Table 7201(2)
Item# 1 -1. 1
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(similar to north w4
main build! ng.)
note: Existing Storage
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site Plan
Scale: 1 20 ft
L north 10/13/05
INSPEOTION.MU .
FINAL PROJECT APPROVAL FORM
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DATE:
MEMO TO- PERA41T COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
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ENGINEERING DIVISION DATE
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine compliance with -approved plans. Final approval
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denote' that there are no objections from the above signed Department to the release W
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PERFORMANCE BONDS and the granting of:
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FAILED FINAL INSPECTION OUTSTANDING ISSUES
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tcmp:b1dg:f6rnis:ocaprv1 3/25/04
HNAL PROJECT APPROVAL FORM
TO:
DATE:
N1 ENIQ TO: PER�7 BUILDING DIVISION
FROM: FIRE DEPARTNIENT DATE..__ �(3 (6c
ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE
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(fen otes that there are no objections rrom the above signed Department to lbe release of
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PERFORMANCE BONDS_and the granting of:
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GRANT FINAL PROJECT APPROVAL
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TAILED FINAL INSPECTION - OUTSTANDING ISSUES
Co'py�of CORRECTION NOTICE, given to owner/contractor by hipwor
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RE -INSPECTED OUTSTANDING. ISSUES - GRANT FINAL PROJECT, APPROVAL
Date Signature
IAemp:bIdg:fbmis:ocapn-I 3!25/04.