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24106 76TH AVE W.pdf00 CITY OF EDMONDS ZONE CONSTRUCTION PERMIT APPLICATION JOB OWNER NAME NAME OF BUSINESS ADDRESS LEGAL DE MAILING ADDRESS Z U 3: / Im A `1� PERMIT NUMBER HECKI SUBDIV15ION NO 940060 - SkIlTE APT a 0 L_ -1 1 U fL_S:� I — PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 CITY ZIP TELEPHONE NUMBER RW Permit Required 0 EXISTING REQUIFIED DEDICATION Street Use Permit Req'd 0 A4 oAjrL PROPOSED Inspection Required 11 NAME Sidewalk Required 0 L Re, METER SIZE LINE SIZE NO OF FIXTURES PRV REQUIRED ADDRESS YES 0 NO 0 t: X �2_) p') Z REMARKS U CITY .1 ZIP TELEPHONE NUMBER Cr U) Z W NAME ADDRESS 0 ENGINEERING MEMO DATED REVIEWED B cr CITY ZIP TELEPHONE NUMBER FIRE MEMO DATED REVIEWED B Z 0 L) STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA SEPA REVIEW ADB NO ALLOWED I PROPOSED COMPLETE EXEMPT Legal Description of Property - include all easements /a Ne. ri-4, -� 6'/)/,nC4jCA-, 3,.LoM;LL Ca"lij Property I Tax Account o0o - o 0 1- C? i30-3 Parcel No. F-1 F-1 NEW RESIDENTIAL PLUMBING ADDITION COMMERCIAL MECHANICAL F7 REMODEL APT BLDG. El SIGN EIREPAIR 1:1 11 GRADING CYDS. WOODSTOVE INSERT El FENCE (_ x _FT) SWIM POOL HOT TUB/SPA EIDEMOLISH 1:1 GARAGE CARP E] RETAINING WALL/ ROCKERY 1:1 RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: RE Z7045/2— (n NUMBER NUMBER OF CRITICA uj 0 OF DWELLING AREAS co STORIES UNITS IN MBENRLq/� DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) VARIANCE OR CU SETBACKS — FEET FRONT SIDE SHORELINE# EXP I PLANNING REVIEW BY DATE I HEIGHT ILOT COVERAGE REAR E 'HECKED BY TYPE OF CONSTRUCTION COD q a/l/iL 5ECIAL INSPECTOR AREA REQUIRED REMARKS PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED PLAN CHECK FEE BUILDING HEArSOURCE 0/0 PLUMBING Plan Check No. MECHANICAL GRADINGIFILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewEilks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE successors in interest, agrees to indemnify. defend and hold harmless the City of Edmonds, Washington, its officials, employees. and agents from any and all claims for damages of cc < whatever nature. arising directly or indirectly from the issuance T of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT 0 _1 modify. waive or reduce any requirement of any city ordinance 0 nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." 'application; I hereby acknowledge that I have read thi; 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 tion Insuranffe and-BCW 18.2v io4SPECTiC% GNATURE LOVINER 11 AGEN-0 LIA T SIGNED DEPARTNAE.., CITY OF )vh EDMONDS CALL FOR ATTENTION INSPECTION 11' IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. OCCUPANT OCCUPANT LOAD E 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 S SIGNATUPE, OAT REN?ASED DATE RIGINAL — Fi-e YELLOW — Inspect( PINK — O.-.,%e, GOLD — Assess Q/ uj a: Z Z Z 0. 0 Z Em 9,9 TO: Permit Coordinator, Building Division FROM: FIRE DEPARTMENT ENGINEERING DIVISION PLANNING DIVISION OWNER &�577��61 ADDRESS Z-44C&2b PERMIT# 4�M�_25� ADB# INSPECTED ON A field inspection was conducted to determine compliance with approved plans. Final approval denotes there are no objections to the granting of: Occupancy for the building Performance Bonds may be released Maintenance Bonds may be released Landscaping is approved Other inspected PASSED FIRST INSPECTION - CONDITIONS NOTED 2. FAILED INSPECTION - OUTSTANDING REQUIREMENTS - RECALL FOR INSPECTION 2. 3. 4. OCCUPANCY APPROVAL DATE 17C4k FAILED FIRST INSPECTION DATE 'BY RE -INSPECTED - APPROVED DATE BY RE -INSPECTED - FAILED DATE BY RE -INSPECTED APPROVED DATE FEES RECEIPT# OCCAPRVL/TXTRECEP/October 13,,1993 I RECORD OF INSPECTIONS INSPECTOR DATEAPPROVED SETBACKS ................... FOUNDATION: Footing .................... Wall ....................... Pier/Porch ................ RetainingWall ............ Slab Insulation ............ PLUMBING: Underground ............. Rough -in ................. Commercial Final ........ HEATING: GasTest ................. Gas Piping ................ Equipment ................ Commercial Final ......... EXTERIOR S4ATHING NAILING .................... FRAMING .................... INSULATION: FloorInsulation .......... Wall Insulation ........... Ceiling Insulation ......... SHEETROCK NAILING ...... SPECIAL INSPECTION ...... RADON MONITOR AT SITE. FINAL APPROVAL FOR OCCUPANCY .......... Ae v I , T#Ac A IN, - b USE CITY OF EDMONDS ZONE PERMIT CONSTRUCTION PERMIT APPLICATION JOB NUMBER (__)WNER NAME NAME OF BUSINESS ADDRESS ;�e )UITE APT t-#, - "4 y, rot LJO er ih !n= LEGAL DESCRIPTION CHECK SUBDIVISION NO LID NO q: MAILING -ADORESS v -1 0 10b D b PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 - ClIv ZIP TELEPHONE NUMBER RW Permit Required 0 EXISTING REQUIRED DEDICATION ___ Street Use Permit Req'd 0 �7 yw ari CIS i'l �/ 0 —L 6 -) / — y �- -� 4 Inspection Required 0 NAME PROPOSED Sidewalk Required 0 METER SIZE L INE SIZE ,J'e,rLkL4 eLL NO OF FIXTURES PRV REQUIRED < t ADDRESS YES 0 NO 0 0 -W REMARKS M L) qI? Z A). o Fr CITY ZIP TELEPHONE NUMBER W < W Z not, 0 Z NAME v v4v� kork Oqr cc ADDRESS 0 1­- ENGINEERING MEMO DATED REVIEWED BY CC CITY ZIP NE NUMBER Z 0 FIRE MEMO DATED REVIEWED BY STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA SEPA REVIEW ADB NO Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT Z A] �OcAd C1 I-Abl, Alr, AL's SHORELINE N EXP cr VARIANCE OR CU PLANNING REVIEW BY DATE 301# SETBACKS — FEET HEI ERAGE Z U FRONT SIDE REAR Z REMARKS Ooo-oc o,3�-o3 NEW 1:1 RESIDENTIAL PLUMBING EIADDITION E] COMMERCIAL MECHANICAL APT BLDG. REMODEL SIGN GRADING FENCE CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT F, El 1:1 GR05Q — I REPAIR — CYDS 1— x _FT) z 42ML) I !%� f;91 . / It- L,L^i DEMOLISH WOODSTOVE SWIMPOOL SPECIAL INSPECTOR AREA INSERT OCCUPANT HOT TUB/SPA REOUIRED LOAD GARAGE RETAINING WALL/ El CARPORT ROCKERY RENEWAL REMARKS Z 0 (TYPE OF USE, BU SINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 Z leg R) M NUMBER NUMBER OF CRITICAL u 0 OF DWELLING AREAS 03 STORIES UNITS NUMBERqj DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) P_r.,ry,0V,e, C, f, FINAL INSPECTION REQUIRED slammm� VALUATION FEE PLAN CHECK FEE BUILDING HEAISOURCE GLAZING - el 0/0 A)uy-6 oLd o,-I,l PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY, GRADINGIFILL Any construction on the public domain (curbs, sidewplks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENO INSPECTION FEE successors in interest, agrees to indemnify. defend and hold harmless the City of Edmonds, Washington. its officials, 2 employees, and agents from any and all claims for damages of a: whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT 0 _11modil,, waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance provision.- TOTAL AMOUNT DUE I r:�� � 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 APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction: and in doing the work authoriz- AUTHOAiZES This application is not a permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa. WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance and RCW 18.27. INSPECTiC-, acknowledged in space provided. SIGNATURE OR AGE DATE SIGNED DEPARTO.IE'4' j4VdNER OFFJCIAL S SIGIllATUPE jTATE o CITY OF EDMONDS Awff CALL FOR DATE ATTENTION INSPECTION nLE� M_ IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR � I 11. 1. 1 . I I � I � ^ ^ I I M A L I ^ � � A � MITITL. ^� A �111� 771-0220 ORIGINAL — e YELLOVJ — Ins'pe PINK — 04rer GOLD — A57/ I-,-- _j CHAPTER 3. 102-87 k RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................... FOUNDATION: Footing .......... Wall ....................... Pier/Porch ...... % ......... RetainingWall ............ Slab Insulation ............ PLUMBING: Underground ............. Rough -In ................. CommercialFinal ........ HEATING: Gas Test ................. Gas Piping ................ Equipment ................ Commercial Final ......... EXTERIOR SH'EAT'HING NAILING .................... FRAMING .................... INSULATION: Floor Insulation .......... Wall Insulation ........... Ceiling Insulation ......... SHEETROCK NAILING ...... SPECIAL INSPECTION ...... RADON MONITOR AT SITE. FINAL APPROVAL FOR OCCUPANCY .......... "or III U r', CITY OF EDMONDS USE ZONE PERMIT 94��g NUMBER 940092-, CONSTRUCTION PERMIT APPLICATION OWNER NAME NAME OF BUSINESS jog S ITE ADDRESS -:7z- 1 —1 - 07 41�11 4 APT 11 a �a 4&� /1-0 cc 0 ic_LtrrJ A IS47-. r LEGAL DESCRIPTION CHECK BDIVISIO'i '40 LID NO W MAILING ADDRESS 1 Z 3 0 city- AV_e,,Vj, ZIP TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved (00 AW Permit 0 0 V)-o6)-7V-1 Required EXISTING ---- REQUIRED DEDICATION Street Use Permit 0 C- 8 Mj U101 2Z Req d Inspection Required X NAME PROPOSED Sidewalk Required 0 L I) L L_ METERSIZE LINEjjIZE NO OF: FIXTURES PRV REOuIRED a: uj L) W ADDRESS YE NO C1 4�v SX I- A). REMARKS Z CITY ZIP TELEPHONE NUMBER tj.ef, 6vie-eml OW uj e-,)(,i 4P- Cy P'/ cl 2-2 0 NAME expo Z W ADDRESS ENGINEERING MEMO DATED REVIEWED BY LO) I)OTI 11:57le,4 7-j 0A) &�IJ ee_;d o9-7-e7-V CITY ZIP TELEPHONE NUMBER //Z--f AV Z FIRE MEMO DATED REViewrD BY 0 W Lr STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA SEPA REVIEW AD N C U I L Legal Description of Property - include all easements ALLOWEDqjOPOSED COMPLETE 1EXEMPT 2 SHOAYLINE 5 V 12§ il d InAd I LA6 jirtt�.ALew S ae. EXP X 104- VARIA JZANrf�VIEW BY ATE L) Ec.c 4AAdS, L:tlss jp,_ L,2. ILO L�.ss I A C Lu SETBACKS - FEET HEIGHT, LOT OVER9GE Z te3 I AC- c Z �j Properly IF FRONT 446 SIDE &,-EAR� z Z _0 F03 I < Tax Account 4/7/ NtIVIANNZ, a. Parcel No. oa� 15L Lac; NEW NJ RESIDENTIAL PLUMBING 17-71 1:1 ADDITION 0 COMMERCIAL V_N] MECHANICAL r= REMODEL APT BLDG. SIGN GFIAQ!Mr. FENCE CHECKED BY TYPE OF CONSTRU ION M"E OCCUPANT REPAIR 3ej WS cyos El (_X_Fn GRO I -7i Z I ?1 4-,-3 WOODSTOVE SWIM POOL SPECIAL INSPECTOR AREA OCCUPANT DEMOLISH INSERT HOT TUB/SPA REQUIRED 1:1 P A LOAD GARAGE RETAINING WALL/ YES 14W CARP El ROCKERY D RENEWAL REMARKS Z 0 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 Z cc to 2 NUMBER NUMBER OF CRITICAL 0 OF DWELLING AREAS co STORIES I UNITS INL DESCRIBE WORK TO 13E DONE (ATTACH PLOT PLAN) FINAL INSPECTION REOUIRED VALUATION FEE PLAN CHECK FEE .711r�l I yeb< BUILDING HEAT SOURCE GI AZING GA-S I /Z/ PLUMBING Plan Check No. MECHANICAL _2L This Permit covers work (o be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewEklks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE 4.5 Permit Application: 180 Days STORM DRAINAGE FEE 50 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 �0 successors in interest, agrees to indemnify, defend and hold 'W1 harmless the City of Edmonds, Washington. its officials. _i r! employees, and agents from any and all claims for damages of a: < whatever nature, arising directly or indirectly from the issuance .T of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT L13 0 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 4-P 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 APPLICATION APPROVAL 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 T . his application is not a permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy: and fees are paid, and receipt is tion Insurance and RCW 18.27. iNSPECTfC.. acknowledged in space provided. -WEP 0 A N DATEStGNED DEPARTNIE'.- L� SIGPJAYUPE i JOATE CITY OF 0 J_­0 EDMONDS LEA, DATE ATTENTION CALL FOR INSPECTION Za-27-5W IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR r)RIGINA1 YELLOVJ - Inspector A f-IfElYlif I f� ATE ^C eit-r�i ictAmr�v W 6 CZ Art:" r_0 A KIT 9:r) I 1pr� 771 0220 J1 0&/, CHAPTER 3. PINK — O.-.-e, GOLD — A5ses5or 10247 0 p 9v .)P;/ C) 4'- ACAC- -jr-> 'AYC7' C71ZAC;L2. IMPIE,RVIOUS AREA.' TMA-f, fizOPOSGO ?431 6-r- F-K (15 TIAJC- 1-0 to ra S - F w5UNI art UT r 41- Are I' Ae AVS. W. PLO-r N 77 44 xz A,/-/, �' I i ov 15i TV eXV6- +u CaNc-w Lr� (q ---------- A P VF-��y PLAIVAIN COPY t A I — PA b p Ott. 9% 4POO1, ' 'I, I I " ; ;"" �- I Ile IL, 14F 1 Nor 'PIP" '110 EA 10 10 4 jo (6 - C40 d2* 'AVC kiz. 4 1 ACMJA%L. FOIL f-1:4x MA)CO "k"O AAJL*?& WT. 1 4 1 to ze-r L� ") 14, 10 4 1M?S1ZV1QUS,AZP,A* I — 10 TOrA.(. fixOPOsaO ?431 6.ra 0 1 L qq?b de 10 ell . . IT I I 51 r I!L"* It w 'me If It `11,k tit" kII I ; '01 4 00 Y� , . commajur TV 1"1402.6 C42-#Acew tc�: 4A NN 1 4 1 0,1 km ED fr tp-1 to 10 1 ej - .4 �jt t t L PLOT :4- C') MJen'N a � III � I -I P PPROVED I LI 47 STREET FILE ;. I t" I I I t I I I VED PLAIVIVI Cl #4 10 4 1M?S1ZV1QUS,AZP,A* I — 10 TOrA.(. fixOPOsaO ?431 6.ra 0 1 L qq?b de 10 ell . . IT I I 51 r I!L"* It w 'me If It `11,k tit" kII I ; '01 4 00 Y� , . commajur TV 1"1402.6 C42-#Acew tc�: 4A NN 1 4 1 0,1 km ED fr tp-1 to 10 1 ej - .4 �jt t t L PLOT :4- C') MJen'N a � III � I -I P PPROVED I LI 47 STREET FILE ;. I t" I I I t I I I VED PLAIVIVI Cl #4 I I,- - RECEI E Dn"Mi+ rnn"dinn+n" n"; I d4; n; iv; c i e% n .9 " FROM: DEPARTMENT SEP 19 1994 ENGINEERING DIVISION EDMONDS FIRE DE9L PLANNING DIVISION OWNER ADDRESS 2 -t 10 6- 7 11-v PERMIT# ADB# INSPECTED ON 9//9/9,/ A field inspection was conducted to determine compliance with approved plans. Final approval denotes there are no objections to the granting of: Occupancy for the building —Performance Bonds may be released Maintenance Bonds may be released Landscaping is app�oved _,$:::�'Other inspected 7-,2-J)C— 49A�40A41k6,�7— PASSED FIRST INSPECTION - CONDITIONS NOTED 2. FAILED INSPECTION - OUTSTANDING REQUIREMENTS RECALL FOR INSPECTION 2. 3. 4. OCCUPANCY APPROVAL DATE 1V BY FAILED FIRST INSPECTION DATE BY RE -INSPECTED - APPROVED DATE BY RE -INSPECTED - FAILED DATE BY RE -INSPECTED APPROVED DATE FEES RECEIPT# OCCAPRVL/TXTRECEP/October 13, 1993 EXEMTTION FROM CONTRACTOR REGISTRATION VERMCATION FORM The undersigned property owner or contractor has applied for a building permit from the City of Edmonds and claims that he/she/it are exempt from providing contractor registration in accordance with the provisions of RCW 18.27. The property owner, by their signature below hereby verifies to the City of Edmonds that: Value of work under $500.00. The aggregate contract price of labor and materials and all other items required for the project is less than $500.00 and is not part of a larger operation to be undertaken on the property. The person employed to do this work has not advertised nor otherwise put himself forward to the permittee to be a contractor or qualified to engage in the business of a contract. RCW 18.27.090(9). Work performed personally on own properiy. The undersigned verifies that all work done under this permit will be done by the permittee personally on his/her own property and that the improvements constructed on the property are not being undertaken with the intention and purpose of selling the improved property. El Commercial property exemption. The permittee is the owner of commercial property and the owner's own employees will perform all maintenance, repair and alteration work on the property. No work will be done by contract under the permit. RCW 18.27.090(13). El Licensed architect, engineerp electrician or plumber. All work performed under this permit will be performed by an architect, civil or professional engineer, licensed electrician or licensed plumber operating within the scope of his or her license. RCW 18.27.090(14). THE UNDERSIGNED PROPERTY OWNER HEREBY VERIFIES THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE INFORMATION PROVIDED ON THIS FORM IS FALSE, HE OR SHE UNDERSTANDS THAT THE BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED. DATED this day of 1991.41 PROPERTY OWNER/PERMITTEE WITNESS: RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ............ ; ...... FOUNDATION: Footing ..................... Wall ....................... Pier/Porch ................ RetainingWall ............ Slab Insulation ............ PLUMBING: Underground ............. Rough -In ............... Commercial Final ........ HEATING: Gas Test ................. Gas Piping ................ Equipment ................ Commercial Final ......... EXTERIOR SHEATHING NAILING .................... FRAMING ................... INSULATION: Floor Insulation .......... Wall Insulation ........... . ... ....... Ceiling Insulation ......... SHEETROCK NAILING ...... SPECIAL INSPECTION ...... RADON MONITOR AT SITE. FINAL APPROVAL FOR OCCUPANCY .........