20051121.pdfDATE RECEIVED
FPERMIT EXPIRES Zt'-21-
PERMIT
CITY OF EDMONDS NUMBER
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CONSTRUCTION PERMIT APPLICATION JOB UITE/APTO
OWNER NAMMINIAME OF 13USINESS ADDRESS IV
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ADDITION, MIXED USE CHANGE OF USE - 1-5 1 l.- 5' - - 15 42L isl 3!,,T/ x ' An
PARKING LOTAREA PLANNING REVIEWED BY DATE
REMODEL MULTIFAMILY 13 SIGN REO'D I PROVIDED 1 1)(01,91
REPAIR 144- ajjl��IG FENCE
CYDS 1:1 ( x FT.) REMARKS
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Description
Plan Check
Building Permit
0SPlumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Grading
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
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PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
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OAPPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 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 SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Fire Review
Fire Inspection
Landscapeinsp.
Recording Fee
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
I
FEE Description FEE
71.�) State Surcharge
q-. City Surcharge
Base Fee
,7
& A .1
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'Sfflgft�SATION UR:ZE AND RCW 18:27. 0 1 1
NE OR T): DATE Slj�NED (425)
771.0220
Plan Chk. Deposit
Receipt #
Total Amt. Due -7 7
3
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 is acknowledged in space provided
FiqfALsSIGNATU " DAT
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ATTENTION EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L2
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC11110 I IRC1110.
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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LOT COVERAGE, PROLECT INFORMA ".zj htu� LGHT
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BUILDING LOT 11,616 SF;"'
PROPERTY ADDRESS.- 22809 96M PL w, EDMONDS, WA
OlWER.- REGAL HOMES LLC, 2JO6 119TH S7REET SW, E
PROPOSED SFR. 2,479SF 'ERETI. wA -98206ONTACT OLYMPIC VIEWB-' J9jR"?'
(21.3%) ATTN.- MARKO LIIAS, PRESIDENT 425-299-5038 LOT 5
-YGAL DESCRIP770N.- SECTON 36, TOWSHIP 2Z RANGE J. NE QUAR7EANATER /SEW ER DISTRICTC--', J9"-8-- D 3 9j q. 5'
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PREF�ARED BY -
DONNA L. BRESKE, P. E.
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6621 FOS7ER SLOUGH RD.
SNOHOMISlt WA 98290
425
PHONE. -334-9980
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GARAGE FF=J91 FAX. -J34- 7380
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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SETBACKS ......................
FOUNDATION:
Footing................ a .....
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Wall..........................
Pier/Porch ........ ........
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Retaining W all ........... 0
Slab Insulation .......... 0
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Gas Piping .................
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Commercial: Final .......
EXTERIOR SHEATHING M M
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FRAMING .......................
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INSULATION ....... ...........
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Floor Insulation .........
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Ceiling Insulation .......
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SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
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AmoutfWd $ Recelpt
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WaterMeterSize
Amount
DatePUrChaNd
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Amount Md $ --R=jpt
Date Usue,