911041.pdfAPPLICATIONCITY OF EDMONDS
CONSTRUCTION PERMIT
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ADDRESS
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STATE LICENSE NUMBER
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSED
REMARKS
ENGINEERING MEMO DATED
METER SIZE
7LEP ONE NUhhMBER
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f SIGN AREA
easements
ALLOWED � PROPOSED
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Tax Account Parcel No./3 2 20 : J� LJ_O /
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ADD/ALTER COMMERCIAL
El REPAIR APT. BLDG,
GRADING
DEMOLISH El CYOS.
CARPORT
REMODEL GARAGE
❑ WOOD STOVE RETAINING WALL/
INSERT ROCKERY
TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
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DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
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LJ PLUMBING
n� MECHANICAL
LJ SIGN
❑FENCE
( x_FT)
SWIM
POOL
RENEWAL
VARIANCE OR CU
SETBACKS — FEET
FRONT SIDE
TESCP Approved ❑
RW Permit Required ❑
Street Use Permit Req'd ❑
Inspection Required ❑
Sidewalk Required ❑ I c7
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REVIEW BY
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SEPA REVIEW I ADB NO.
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PLANNING REVIEW BY I DATE
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SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUP // LOAD
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REMARKS
PROGRESS INSPECTIONS PER UEC 305
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PLAN CHECK FEE
BUILDING
PLUMBING
Plan Check No. MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: 1 Year - Provided Work is Started Within 180 Days .
"Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE
u, successors in interest, agrees to indemnify, defend and hold
w harmless the City of Edmonds, Washington, its officials, /
x a:employees, and agents from any and all claims for damages of
= whatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT
0 of this permit. Issuance of this permit shall not be 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 TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly ATTENTION
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and in doing the work authoriz- AUTHORIZES
ed thereby, no person will be employed in violation of the Labor ONLY THE
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED
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ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102•e7
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
CALL FOR
INSPECTION
771-3202
53
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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.
OFFICIAL!$ SIGNpTU
DATE
/ G _
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor / �
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CITY OF EDMONDS
LARRY S. NAUGHTEN
MAYOR
250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202
COMMUNITY SERVICES: PETER E. HAHN
Public Works • Planning • Parks and Recreation • Engineering DIRECTOR
89
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September 143 1990
Rod Kean
18910 Olympic View Drive
Edmonds, Washington 98020
RE: Permit #890798 Remodel
According to building division records the subject permit is due to
expire on October 27, 1990. If then tactrk 1theobuildingmpletndivisiond ray fat
final occupancy inspection please c or a
771.3202 to schedule for an appointment.
If the work is not finished and more time is
he expirationcomplete
project; the permit must be renewed prior to needed
new application form is required andtao eca111foreinspection of $53.00wsla be
charged* Failure to renew the perm
violation of Section 303 of the Uniform Building Code and subject to
penalties as outlined in Chapter 19 of the. Edmonds Community
Development Code.
Please contact the building division prior to the permit expiration
date at 771-3202 with regard to your intentions.
Thank you,
Jeannine L. Graf
Permit Coordinator
• Incorporated August 11, 1890 •
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CITYCITYOF EDMONDS LARRY S. NAUGMAYO
I LJ 1 i MAYOR
250 • 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771.3202
PETER E. HAHN
COMMUNITY SERVICES: DiRecroa
Public Works • Planning • Parks and Recreation • Engineering
18 9 p - 19
LETTER OF TRANSMITTAL
Date:
Project: !t i �/tetr l Qe " Plan review number:
Address:
1479/0 �1 yMPI e
Transmitting: Plans & Calcs Soils Report — Other
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For your information:
Comments: �y�. �� + /-�y
As requested by your office: ' eVW1,
For structural plan review: 0u`Q�
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For no plan review: ��, �� U,o
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For Washington State Energy Code review: nay 'e� l�
For Northwest Energy Code review:
For Fire Code review:
J
Note attached comments:
For Corrections and resubmittal:
/Z1/1 ll
Building Division 4eW
Respond to letter in writing:
*016�al
Resubmit 2 revised plans: City
Send directly to City Building Division:
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CITY OF EDMONDS <E[
7 t, LAURA M. HALL rt;'
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des MAYOR,
250 - 5TH AVE. N. EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT,: d
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December 7, 1992
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Rod & Vivian Kean
18910 Olympic View Drive
Edmonds, WA 9.8020
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RE: Permit ##911041
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According to building division records the subject permit is due to
expire on December 182 1992• If the work is complete and ready fora
final inspection please contact the Building Inspector in the Building rlfl.�r;
Division (771-0220) to schedule for an appointment. �x\3rixY;
° S d,t ltiyt,.
If the work is not finished and more time is needed to complete the
project, the permit must be renewed prior to the expiration date. A r si;sr
new application form is required and a renewal fee of 1/2 the original
permit fee will be charged. Failure to renew the permit or call for
inspection is a violation of Section 303 of the Uniform Building Code`
and subject to penalties as outlined in Chapter 19 of the Edmonds N+rel
Y
Community Development Code.
fay 1
cti��tt
Please contact the building division PRIOR to the permit expiration 'rrt';:,
date at 771-0220 with regard to your intentions. }'i` `,
Thank you, �z
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Sharon F. Nolan A a
Permit Coordinator
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D AVAWSPECYIOMS .
INSPECTOR DATE APPROVED„
SETBACKS ............ �,
FOUNDATION:
Footing
Wall.........
Pier/Porch .'.. 1 0 6 a a
Retaining Wall......:...
PLUMBING:
.• .�. ...�.. . . . .. . . . . • `4
Underground f �"
Rough -in .... "
CF.............:.....
HEATING:
GasTest ...............
Gas Piping ......... .
Equipment ......:...::.
CF....................
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FRAMING ..... t?'
SHEETROCK NAILING. r,
SPECIAL INSPECTION ... L"'