20110215131215092.pdfSTATEMENT OF PLAN REVIEW SERVICES AGREEMENJ
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am the owner/agent for the owner, for a
building permit to constructs , i" ovements upon real property located at:
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in Edmonds, Washington. I acknowledge that, pursuant to terms of this agreement, the Building Permit
Application I have submitted will be accepted for review by the City concurrently with the review of any
necessary discretionary project permits or approvals required by the provisions of the Edmonds
Community Development Code. I also acknowledge that the City shall not accept an application for
building permit that is not complete as determined by the minimum submittal requirements published by
the City which I have read and understand. In signing this form, I acknowledge that I have submitted all
necessary documentation in order to make a complete application for a building permit. The City
determined that the discretionary application(s) for this project were deemed complete on _ (date).
I acknowledge that any plan review fees paid in connection with this application are solely for the
expenses and costs associated with review the plans as I have submitted them, and do not entitle me to
any right or claim to the issuance of a building pen -nit. In consideration for the consolidated review of the
building permit application concurrently with any required discretionary project permits or approvals, I
hereby acknowledge and agree to be bound by terms and conditions of this agreement as, set for herein.
1. The required discretionary project permits or approvals for this project currently include, but are not
limited to the following:
Architectural design review ........................................... Hearing date:
❑ Subdivision or short subdivision ................................... Hearing date:
[] Planned residential development ................................... Hearing date:
❑ Conditional use permit .....................
❑ Variance ...........................................
..................... Hearing date:
E] Critical areas determination or variance request.
❑ Other (specify)
........ . Hearing date:
........ Hearing date:
Hearing date:
I further understand that additional discretionary project permits or approvals may be determined
during the course of discretionary project review which may affect plan review timelines and plan
review fees paid for this building permit application.
2. Any building permit issued and approved for this project will be subject to any conditions or
restrictions imposed pursuant to the review and approval of any required discretionary project permits
or approvals. Such conditions or restrictions may require that the building plans I have submitted be
modified or amended to be consistent with such conditions or restrictions. I understand that additional
plan review fees will be required in the event that modifications or amendments to the plans
submitted are required by conditions or restrictions imposed pursuant to a final decision to issue or
grant any required discretionary project permits or approvals. In the event that modifications or
amendments are required, the owner shall be solely responsible for any and all costs which result
therefrom, including, but not limited to, additional full plan review fees. When additional plan review
fees are required, the fees shall be paid in full prior to the commencement of additional plan review
by the City.
3. No building permit will be approved or issued until such time as a final decision for all required
discretionary project pen -nits or approvals have been. issued or granted, including the expiration of all
appeal periods. A decision to issue or approve any required discretionary project permit or approval
shall not be considered final until the limitations period for any appeal has expired or until all
administrative and Superior Court appeals have been resolved. In the event that an appeal of a
discretionary project permit or approval results in new or additional conditions or restrictions which
require modifications or amendments to the building plans, such conditions and restrictions shall be
treated as if originally imposed in the issuance or granting of the discretionary permit or approval.
However, new full -plan review fees shall be required.
4. The building permit application shall expire 180 days after the building permit submittal regardless of
whether a final decision, including expiration of appeal periods, for all discretionary project permits
or approvals have been issued or granted. I understand that I may request a building permit
application extension for an additional 180 days, in writing, if filed before the expiration of the
original application. The City may grant only one extension. In the event that the building permit
application expires prior to a final decision on the issuance or approval of all required discretionary
permits or approvals; or if not request for an extension is submitted in writing prior the expiration of
the original application, then the application shall expire and a new application and new full -plan
review fees will be required.
5. In the event that any application for a required discretionary project permit or approval is withdrawn,
or if such permit or approval is denied either by the City or upon appeal, no portion of any plan
review fee shall be refunded by the City.
6. In the event that the building permit applicant initiates or requests amendments or modifications to
the building plans after plan review by an applicable City Department is complete, new full -plan
review fees will be required and shall be required to be paid in full prior to the commencement of
additional plan review by the City.
I certify that I have read and understand the terms and provisions of this agreement for plan review
services and agree to be bound by such.
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0790k�� of'Owner Date: ?'�22?-() 7
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Development Services Permit Coordinator Date:
statement of plan review sery agree.doc 2
01.17.2001