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20000013.pdfDATE RECEIVED ff FPESMITEXPIRES SE PERMIT U 2WO13 CITY OF EDMONDS ZONE - NUMBE R - ------- - ­—_ ON JOB pEEIAP 10 CONSTRUCTION PERMIT APPLICATI ADDRESS SO (��j OWNER NAME NAME 01 EUSI�BS 0 'P �W,7 A*USDIV"SR No. LOT N�5 ON ,A) IL ot V_ I- LID F I MAILINGADDRESS I i_ — ccp "" " PER OFFICIAL STREET MAP W, " 0 PAILI.NG.ADDIIES m 0 EXISTING PROPOSED CITY ZIP ONE CITY _JA "_C om'S -47,4631)11 REQUIRED DEDICATION FT REQUIRED _,ITELIP" URES PRV NAME lilt YESX NO 0 z NAME I Tye f Ni� REMARKS - U—U 'NERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE F�� 5 (AUDRtESS I V1 I S 114 Z_ t'C' TELETONE CITY ZIP I L4 cli< iq 90-0 owoll Ci< w . " �"" �." " I I L4 q9oo indalwvf, NAME 3 -4- (�7 At eu ­"oe_p_y I n. w 4; ENGINEERING WE 'E7e7;';­ ADDRESS 0 12 all FIRE REVIEWED By DATE CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPI ION DATE H s BY VARIANCE On CU SHORELINE OR ADEN INSPECTION BON ED (:IYREG 11 POST ES 240 TA 2v-mv-VTo 4MA SEPAREVIEW SIGN AREA HEIGHT AL OWED PROPOSED PROPERTY TAX ACCOUNT PAR EL NO. COMPLETE I EXEMPT ALLOWED I PROP05ED 'XF LOT COVERAGE REQUIRE SFTBACKS'FT) PROPOSED SETBACKS (PT.) %,RESIDENTIAL PLUMBING f MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT Up SIDE REA13 .7 COMPLIANCE OR "A - 1 15 _% Z5 7.51 Z7 f. o ADDITION COMMERCIAL CHANGE OF USE PARK qG LOT AREA PLANNING REVIEWED BY DATE 11 C] REMODEL 0 APARTMENT 0 SIGN RED, I 111OVIDED FENCE C] REPAIR X FT) A KS OTHER C3 DEMOLISH C3 0 GARAGE J C4 CARPORT FDTU�NIN- WA- RENEWAL CK Y [3 �2 _rTypE 01 USE, —.USINE.B OF ACTIVITY) EXPLAIN: HECKEDBY TYPEOF A CTION C E CHECKEDBY lzt NUMBER N OF CRITICAL OCU S ECIAL INSPECTOR PANT 1 6 AD AREAS , OF Z I G q/, 0 STO RE UIRED 0 YES C3 YES DESCRIBE WORK TO BE DONE gS REMARKS ROGRESS INSPECTIONS PER USIC 108/FINAL INSPECTION REO'D C-0 C MA4 VALUATION FEE PLAIN CHECK FEE LOT SL . E I H AT U E% BUILDING ��E PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES Oi4l.Y THE WORK NOTED WORKTO wo ANY C6NIHIRSUPERMITOCOVER BE DONE ON PRIVATE PROPERTY ONLY. T CTIO N THE PUBLIC MARQUEES, ETC.) WILL REQUIRE GRADINGIFILL a DOMAIN ICURBS. SIDEWALKS, DRIVEWAYS. :1 SEPARATE PERMISSION. STATE SURCHARGE PIE MIT APPLICATION: 1800AYS PERMIT LIMIT, I YEAR!PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW SEE BACK OF PINK PERMIT FOR MORE INFORMATION PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, A­GNS AND SUCCESORS 9NG, INSPECTION FEE ;A N it ER:1 AD E.E :'ND1.MNg EEtG A�NEDgH.LED=LESS THE CITY OF T T. R S 0 TS FROM ANY AND LANDSCAP NFEE . 'F, S E.P'. E N�ON WA IN TON, D M G"O' C ALL DA A WHATEVER NAT RE 6IARIF�TNGSIRECTLY OR INDIRECTLY NOT BE INSP 5CTIOI!1G RECEIPT Vb E S PERMIT . SSUL . PERMIT SHALL M THE ISSUANC OF THI Y E CITYO DINANCE PLAN C ECK DEPOSIT AN T DINANCE PROVISION,' RECEIPT TOTAL AMOUNT DUE TH I S A FpTL THAT THE NF ...... APPLICATION APPROVAL I HEREBY ACKNOWLEDGE THAT I HAVE R E A 0 'CAT' LNY - THAT I AM THI e OWNER OR 'E DU AUTHORIZED AGENT OF Till, -I , po,,il until ing.1d by in, GIVEN IS CO RECT, AND ING CONITRUC THE OWNER. t AGREE To COMPLY WITH CITY AN6 STATE.LAWS R.,.G.ULAT CALL B.,Id,ng 0111-1 �' in-1 D—ly: nd F ... ... -d—d B PER W'LL.E EMPLOYED TION AND IN DOING THE WORK AUTHORIZED THERE Y' TO INSPECTION ­.jp­ �c­wk,dpdun op— pn­d.d. IN V16LATION OF THE LABOR CODE OF THE STATE 0 F WASHINGTON RELATING FOR 0 E WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. 1 DAT,E�JE (425) OFF1 IGN RE SIG E I HER R AG NT) tv 11 , 771-0220 Y DATE A ;­' RELEASE I — I , . EXT 333 A17E ION IT IS UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- VORIGINAL- FILE Y LLOW - INSPECTOR - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD z 0 3: c m m 0 , , 0 0 m M z c —Z cl) 0 -n n m M 0 0 c c co m 0 z z ri) z 0 m Tt)pol 5S MANADLt IN 2XOSr, SV4. V 21 mafn elev. 0 445.5 Alp. >, ki I Iq Aix Jl� OVA" Wk pq v MAY. pulw. 9v R E C E I V E r-) DEC 0 2 1999 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS APPROVED BY PLANNING OR c m a' m 0, -1 0 0 c m C MITI OCA 0 05 Z� it M 2063629417 P. 07 RealtY Exchange I,n -111 -00 04:5,9P W1110" PERMIT K EXPIRES: ISS 2 um): nds City Of Edmo J.D AVAILABLE TO THE INSPECTOR THIS CARD MUST BE POSTED ON SIT��,., SetbSCKS]Or zone O—er: Front: Rear: z Site AddremgLW-1 Let - Side: Height: 0 Variance 0: M Note. Inspections #1 FN 1.1, EE.1 �G Arr.M9D PRIOR . ............... . .... . .. ..... MI, 111111, 71�T] . ... . ....... M, (42 2�z-; - I -**,-,-",-,"* 771-0220 % 326 IL " R �.�; . ... . . .......... R)W Construction ............. ..... ............... . .................. . .......... . ... ....... . .. ... .......... 0 C= 42 SjTE/l)E.%lOLl'r1ON Pre-Der-litiOn Asbestos 'APC.A l",rnih .................... . S-,r Can . ............ . ....... ITI t:te.Z%Re,1Fin-1 ................................... . . ...... .... . ........... C b Lks ATION a. > d f. ... . ..... ... r,,.n alien Wall w . . ................... .... . ... ................. . ............... "03 . .. . . . . ....................... I .... . .. .......... Slah Ins.1suon ... .. ...... . ............... Girourid Ny!y� ........... . .. ...... . . ... . ..... ....... In ML V 94 P1.11NITUNG -It 4 IoLLAbeiz- R 1:7* -, , 1? -::.::: *."-, - . ........ . ...................... . .0 Tesill'it, 0 . . . ... ................ F,pipment .............. . ..... . . . ...... ... P -h 9 1 . ....... . . . ... ... ......... ............ 1061FRAMINU rior Sheathing jv . ....... ... .............. ...... ............ .... . .................... . .............. ............ . ............ . .... . ...... . . .. . ............ . ......... .............. ... . .... . ............ ....... ... .......... ...... .. .. .................................... - -- - ------- M9 SIMETROCK NAII, S�,t�S�mr# z 1111,1C WORKS . ... . ......... . ............ . . ..... ...... '1Z :42.)711-11235 . . ..... . ............... ........ . ................. . ...... ... . .... . . . ........ . ................... . 1. 0 Cross connection -Cunur,111 m ............. . . flydr,int ................... . ...... ..... .... ...... . ....... . #10 FIRE 1. e , -Tun SICIR ...... . ......... . .. 11425) 771-0215 v -' . .... . . . ................ . ......... ...... . . ..... . ... Eminguishers Addressing Visib FINAL PRO E T APPROVALS . . .............. ... ........... ... Engineering -e . ...... . ........ . . . ........ .... ...... .... ....... .... 4- FINAL OCCUPANCY APPROVAL BUILDING A -,uPlF:D-9EELUBC.1Q%_U� jWg�Q tiFRE9 AENAL-AREEML APPLICAD 71-0220 x 333.1,,.��e'I�DING INSPECTIONS Call (425) 7' Bk*,pU,d d., FINAL PROMCI APPROVAL -FORM TO:— DAIE: 2— MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: ___—YIRE DEPARTMENT DATE ENGINEERING DIVISION DATE44--- _____3LANNING DIVISION DATE — PROM SITEADDRESS PL k-ki PERMIT # ADB#__pATE 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: ______---Final approval of the described work Bonds associated with the project may be released 0 GRANT FINAL PROJECT APPROVAL _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED __�FAILED FINAL INSPECTION - OUTSTANDING ISSUES I 2. 3. RF-rNSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:forms6/98 z 9 0 M 0 C M mo 0 0 C M M Z > 0 -n n m M C) 0 0 M C (a 9 V) M 0 z ;0 --I a: z -4 i r J) z 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... ......................... Z' Pier/Porch ................. M Retaining Wall ........... -516 qvp eylP, 7" Slab Insulation .......... 14*1`0 PLUMBING: C) Underground ............. Rough -in C M 0 ................... Commercial Final p IT! M Z 10 HEATING: z Gas Test .................... CD 64,0r, $*&-J Gas Piping ................. 0 _n n La Equipment: ....... ......... AK r M M Commercial Flnel 17, EXTERIOR SHEATHING NAILING 0 C MCD .......................... FRAMING ........................ :�7 Q 0 d:? Z7 FIRST FLOOR FRAMING, INSULATION ................... ZI—P z Floor Insulation Wall Insulation ........... z Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS FINAL APPROVAL FOR OCCUPANCY .................. . t��Jv_- PERMIT EkARES - H CITY OF EDMONDS PERMIT NUMBER 200013 CONSTRUCTION PERMIT APPLICATION JOB ADDRESS .,T 61 PEVAP" OWNER NAMENAME OF BUSINESS -.Ne Pw'-VU-n­�Y-0 107 N�5 lIDNO.&�JZZvP&& C� LID FEE S MAILING ADDRESS PUBLIC IGHT OF WAY PER OFFICIA STREET MAP R EXISTING PPOPOSED� s�,­, U., P.­ A,dA./o 0 CITY ZIP 1011 0 CITY Ti L e,;ITELE !��,IAT-,- 74U a,= - 3 7 !-> -� ri L AEOUIRED DEDICATION FT IJETFR SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES A NO (NAME ADDRESS! SU)n Ejo ri L4Z REMARKS pr' P FOR EROSION CONTROUDRAINAGir--, CITY dTELE fW171 "I" 14 lj< -qC70D A 3-3-S4 tr�/ 'N, z ENGINEERING REVIEWEDIDATE kh FIRE REVIEWS DATE CITY ZIP TELEPHONE EC ION IND . I PB VARIANCE OR CU ­HELIMMD& —T 'P §T.Bl EDT R B 7E 0 GKO I I SEE HEIGHT N SEPA REVIEW S COMPIETE EXEMPT AlL.O.E PROPOSED ALLOWED PROPOSED EX P 25' 12-19' =i :a m It= rn 0 0 --1 0 0 M m STATE LICENSE NZUMiER EXP A ION DATE (14 A I I CHECKED BY Ul PROPERTY TAX ACCOUNT PA RCEL NO. PLUMBINJ/Mic E] C MPUANCE 0 tA HANDS OF USE LCTCOVSRAGE ALLOWED PROPOSED cz 2_7 REOUIRED SETBACKS (Fr.) FRONT SIDE REAR 15 PROPOSED SETBACKS (FT) FRONT UPSIDE REAR 2-S PARKING LOT AREA PLANNING FEVIEWEDBY REMODEL SIGN FENCE C:] REPAIR 0 CY. X FT) RE PROVIDED I 10 c > 17, ARKS C] DEMOLISH 0 OTHER RETAI.I., WALL 0 RENEWAL A-.E .CK.F, AR OR :., . 8 0 -n 3: 9 m M vi 0, 0 M C. M 0 Z r- 0 rd WA) fzt CHECKEDBY ITYPEoF�TkCTION CUFA� 2- OGC JC5 �Up NUMBER NU BE ' F , G 1, ) , 0, -Z 'o STO Es U CRITICAL A SAS NUMBER SPECIAL INSPECTOR REQUIRED C3 YES PANT 15T hp flow" I -, I I I III." gill DESCRIBE WORK TO BE DONE RE.A US UBC 1081FINAL INSPECTION REO'D PROGRESS INSPECTIONS PER C T Nift'i H hIAi I JWJL��� uArl 10AQ - -hut, DIAI(, pezi z --I VALUATION FEE z G ijAZ G. OT SLOPE PLAN CHECK FEE BUILDING 9 0 m BING PLAN CHECK NO: 111STS' I'll MECHANICAL _FTHIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I E PROPER Y ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL OON M BE �IIDEWALIUE, DRIVE AYS, MARQUEES, ETC.) ILL RE IRE GMAN I�16A�W, WAYS' SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 190 DAYS Is o PERMIT LIMIT. I YEAR ' PROVIDED WORK IS STARTED WITHIN IS. DAYS SEE BACK OF PINK PERMIT FOR MORE MrORMATION ENG. REVIEW FEES 'APPLICANT. ON BEHALF 0 HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE IN INTEREST, AGREES TO DEFEND AND HOLD HARMLESS THE CITY OF ' LANDSCAPING ;NDEMNIFY. EDMONDS, WASHINGTON, TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING 0 IRECTLY OR INDIRECTLY B ISSUANCE 01 THIS PERMIT SHALLKOT E PLAN CHECK DEPOSIT REC Jb FFE­ ­,­...lF 11 I.LS OF ANY CITY ORDINANCE ORDINANCE PROVISION.- HE IIT L I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROYAL GIVEN IS CORRECT AND THAT I AM THE OWNER. OR THE DULY AUTHORIZE. AGENT 01 .0, by THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC EMPLOYED CALL �V 'd _6 TIOMA�DINDOM THE WORK AU11HORIZED THEREBY. NO PERSON WILL BE GTHE OF WASHINGTON RELATING TO KI FOR INSPECTION IN VIOLAT iON OF LABOR CODE OF THE STATE RCW 18.27� GNA E 0 E WORKMEN'S COMPENSATION INSURANCE AND (425) OFF! S,:::CtVFI AGENT) EJO EEL 2ESIG 771-0220 RELEA E DATE A—TTE NVION EXT 333 0 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRI JCTURE UNTIL 771-0221 A F1 NAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE Y ULOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR