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20000007.pdfDATERECEIYED I .Lb CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION EITY IT111POONE V7 NAME TSLEPHONE FPERMIT EXPIRES us PERMIT 200007 ZONE NUMBER ADDRESS PLAT NAMEISUBDIVIStON NO. v LOT NO, I'D NO UO FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7r5—CP4p­d Yl 0 EXIST NO — PROPOSED — 0 REQUIRED DEDICATION_ FT 7;7,7= PRI REQUIRID YES 0 NO 0 I REMARKS FEE—SISLE FOR EROSION CONTROUDRAINAGE m L�1&0 I /VIII— ENGINEERING FIRE REVIEWED BY DATE gADD�RESS CITY ZIP TELEPHONE VARIANCE OR CU SHORELINE OR ADSN INSP LIC STATE �ENSS NIJMG�Ell EX7.0�DATE..j T14 co 2 ZW CHECKEDBY SEPA REVIEW SIGN AREA ALLOWED PROPOSED — HEIGHT ALLOWED PROPOSED /L .3' PROPER�a ACCO T PARCEL NO. -7 mn-oh-0*0­ NEW 0 PLUMBING I MECH ADDITION o COMPLIANCEOR CHANGE OF USE REMODEL 0 SIGN REPAIR CIDS 0 (FENCE X FTI LO COVERAGE ALLOWED PROPOSED NA 7EQUIRED SETBACKS'FT.) FPONT SIDE REAR AIA 1 PROPOSED SETBACKS (FT.) FRONT UPSIDE BEAR 0 o PARKING RECT) PR REVIEWED BY DATE A S C] DEMOLISH o OTHER re,6. 1 6, 0 P. o GARAGE RETAIINING WALL CARPORT F GO R (TYPE OF USE. BUSINESS OR ACTWOITY EXP N CHECKED BY I(?,, �Ilj N C OCCUPANT(?2 I ROUP NUMBER OF STORIES NUMB OF CRITIC L DWELING AHEASA q,?qci " ­ NUMBER ECIAL INSPECTOR' AREA REQUIRED E] YES OCCUPANT LOAD DESCRIBE RKTO BE DONE REMARKS P OGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ VALUATION FEE PLAN CHECK FEE HEA J)rCE I A�)W I LOT SLOPE I BUILDING PLANtHECK 2?!l IVESIEI ATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED* THIS PERMIT COVERS WORK TO BE G.E N PRIVATE PROP ERTY ONLY. ANY CONSTRUCTION ON THE PLI SLI C MAROUEES. ETC.1 WILL SEQUIRE GAA INGIPILL DOMAIN (CUR . SIDEWALKS. DRIVEWAY S, 3 SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATIO m 180 DAYS PERMIT LIMIT. I YEAR P WORK IS STARTED WITHIN 180DAYS ENG. REVIEW FE DI;PROVIOED SEEBACK INK PERMIT FOR MORE INFORMATION 'APPLICANT ON BEHALF OF HIS OR HER SPOUSE R S ENO. INSPECTIO ,NHDEIHROSLIASHSAIGNSASNSDTSHUECCESO IN INTEREST AGREES TO INDEMNIFY. DEFEND AMLE CITY OF S FROM "IN' EMPLOYE. GIIAG T ANIANG EDMONDljl T N INDIRECTLY INSPECTION FEE FIEN E�ITSWO.1111E""Ll IN "'M , �R.�.AG OF AT , AT I. AP��A ECTLY OR A LLO THIS PERMIT. ISSUANCE OF THIS PERMIT,SHALL NOT Be PLAN CHECK DEPOSIT FROM THE ISSUANCE OF OFEMEDT MODIFY, WAIVE OR REDUCE ANY REGUIREMENT OF ANYC TY ORDINANCE ANY ORDINANCE PROVISION., RECEIPT NOR LIMIT ION ANYWAY THE CITY'S ABILITY TO ENFORCE TOTAL ALOUNIT iLa2-0-- " —D AppLTICEATIO.Y. THAT THE INFORMAVON APPLICATION APPROVAL I HERE Y ACKNOWI DGE THAT I HAVE pIEOAWDTHjS ­E�8 IS COPPECI A D THAT I AM THE NE . 0, 'LL A ... RIZED AGENT OF T�,, 1pli­.­ �.t . .—I -ld .�p.� "y I" THE OWNER, I AGRL F TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CAL B.,ift, OIL-1 .1 O.p.'Y: .�d F... .. P�Id. ld TION, AND IN DOING HE WORK AUTHORIZED THEREBY. NO PEAS NWILLBEEMPLOYEO RELATING TO d d m .c. p—id.d. FOR INSPE TION lkn..­'.d M �P­ PI IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHIONGTON WORKMEN S COMPENSATION AND RCW 18.27. OFFIC L IGNA 11 p DATE SIGNED (425) /c, ­u­q7 771-0220 R LEA ED Y E A17ENTION EXT 333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL I NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW . INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR �G8 z 0 -4 m M 0 c M M z z 0 -n n m M o;; I rm I c co) M 0 Z r- z z 0 0 m -,VICES GIR CITY COPY )k Nor —io --A-m C, 00 cli E L.0 CV 9 cn Gv IeA Mid 0� o =iw In m m Fn C:: ri) M 0. RECEIVED FINAL PROJECT APPROVAL FORM APR 6 - 2000 TO: -DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: IRE DEPARTMENT DATE. ----ENGINEERING DIVISION DATE-4-11 .. ......... . .. .. ............ . PLANNING DIVISION DATE — PROJECT SITE ADDRESS — PERMIT ----ADB#------DATE INSPECTED — DESCRIPTION OF WORK TO BE INSPECT A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the granting of: inal approval of the described work erformance Bonds associated with the project may be released _GRANT FINAL PROJECT APPROVAL —GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED `1000 FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. ____--RE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvi.doc.l:temp:bldg:forms6/98 z 9 0 M �n Uj -4 D x C m in a --1 0 0 0 C -4 K M: M M Z C) --I C Z C') 0 -n M m 0 U; 0 0 F; C: (0 9 Cn M C) Z r- X z co z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall.................... z Pier/Porch ............ o: Retalnirig Wall ........... Stab insulation .......... PLUMBING: —4 XM Underground ............. M Cl 0 —016 Rough -in ................... . C Commercial Final M M HEATINGz r Gas Test ............ Gas Piping ............ (j) Equipment ................. 0 -n 'n commercial Final A rn EXTERIOR SHEATHING, 0 r, 0a NAILING .......................... C M FOAMING ........................ ITI 0 F, FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation z Wall Insulation ........... Ceiling Insulation z SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... V L FOR FINAL APPRO A OCCUPANCY .................. ------- ,I X&TE RECEtED - PERMIT EXPMES- - PERMIT 200-007 7 CITY OF EDMONDS ZONE Rs 2- NUMBER CONSTRUCTION PERMIT APPLICATION JOE ADDRESS 5 IZ6 Tj� IIW;7;IN/A7 F BUSINESS Ao PI LOT NO. LID NO. IIAJA-,Q -A LID FEE S mT MAILING ADDRESS q1_3 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP �ESC PARP-b 7� W P., R.q.k.d 1*11, CITY ZIP EXISTING PROPOS ED- 1" 0 %I �?i6 JTELEPH.NE REOUIRED DEDICATION- FT - A,'. 'oedl METER SIZE N�O. OF lIXTURES V REQUIRED NAME I $0 NO 11 YEP ADDRESS A MARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAWAGE z -c-F ZIP ]TELEPHONE NAME ENGINEERING REVIEWEDIUATE ADDRESS FIRE OEVIEWEOIC TE z 0 CITY Z ZIP 0 PHONE F-REQ-13 0 )WAl1ViVP > 2 _,lEH_0_A9I_INr0_A XD-B# - I SPErTION BOND m STATE LICENSE NUMBER E N DATE CHECKEDRY POSTED Cool SIGN AREA YES 0 [3 YES elNO HEIGHT PROPERTY,�X AC GUN RCEL NO. SERA REVIEW COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED wmync) -0/1 I c bi EXP FT m NEW 0 PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED REOUHR ED SETBACKS PT I FRONT I RFAn SOE SIDE P' po DSETBACKS` =BED �'FTFI'I'ON UR SIDE REAR T L 0 0 ADDITION HMPLIANCE OR o Co C ANGE OF USE NA m PARKING LOT AREA PLANNING REVIEWED BY DATE m rn REMODEL C] SIGN REQ'D I PROVIDED I FENCE REPAIR XGRADI El FT) ;;gZ� CYDS ( X REMARKS DEMOLISH TANK ED 0 I., IA -4-L— co) ciGARAGE RETAININY3 WALL RENE L _lj CARPORT ROCKE cl No &4,� I L.�_ J_ "I C3 0 -n -n (TYPE OF USE, BUSINESS OR ACTIVITY) EXPI-AIN: __ f 1AA CHECKEDB y ROLF -1: Rifff JrMJOCIUPANT m m N NUMBER Ume OF OF DWEI IVG CRITICAL AREAS S I'E'ClAlEl�NS P ECT. R JAREA RE UP 'R�NT 01111NT LOAD 0 -. i 'o STORIES F. YES - C 0) DESCRIBE RK TO 69 DONE REMARKS Ell 9 ca TO. OGRESS INSPECT IONS PER UBC 108/FINAL INSPECTION REQ'D M 0 !W%2 Z z -I VALUATION FEE V) z PLAN CHECK FEE 9 0 NO LOT SLOPE I BUILD NO m PLANCHECK N ' PLUMBING , I r MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE 180.AYS DAYS YEPERMITAPPLIC�TION: PERMIT LIMIT: I All - PROVIDED ORK IS STARTED WITHIN 100 SEE SAC K OF PINK PERMIWT FOR MORE INFORMATION ENG. REVIEW FEES ENG. INSPECTION FEE 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FRO. ANY AND ALLCI-AIMSFOR DAMAGES OF WHATEVER NATURE. ARISING DIRE_-- ­ ­_ PERMIT ALL NOT BE OF TMS SHORD INSPECTION FEE 1--1 mW + I Wa-0 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE DEEMEDTO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY Cl TY INANC E PLAIN CHECK DEPOSIT 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROV ISION�' A EIPT TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AN. THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF Thil IPPI11111- 11 "1 - P11-11 ­ I �,glld by thl THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTHUC CALL Build,, Olk,al 11 hislhll D,.ty: ald'Flol 11, P.1d. a�d TION; AND IN DDING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED THE STATE OF WASHINGTON RE LATING TO d9ld-p-p-bod. FOR INSPECTION IN VIOLATION OF THE LABOR CODE OF WORKMEN'S COMPENSATO NCBAND R W 113.27. OIFIC� L NAT, RE ATO DATE SIGNED ,,,I (425) t �q) 771-0220 rE ELEAIED ATTENTION EXT 333 V IT IS UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW IN'SPECTOR A FINAL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR