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20000082.pdfDATE RECEIVED � �4 IRES CITY OF EDMONDS USE ZONE PERMIT NUMBER 1-00'1582- CONSTRUCTION PERMIT APPLICATION ER JOB SUITEIAPT# ADDRESS PL__ OWNER NAME�NAME 01 BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. L70 NO S 4- LID FEE $ t5 MAILING ADDRESS AVE /V PUBLIC HIGHT OF WAY PER OFFICIAL STREET MAP 1� P.lul: 11:11�11N'.'. M be.. — 'A'A"r EXISTING "I— PROPOSE.— 'S'W'P"`k'RRqk.d^W- 0 CITY ZIP TELEPHONE '10"L 5 75 ::y REQUIRED DEDICATION— PT e- NAME METER SIZE I LINE SIZE NO. OF FI.T FEE IF' UIRED YES NO 0 Al ADDRESS REMARKS NSIBLE FOR EROS 2�,CoNLlI2UDFAlNAGE AF5 OWNERICONTRACTOR RESP. 141 A10 IIP TILEPH NI CITY K)oC'qj"j JCL'f 1 4,2 00 AME /fi--W lox", ol_� DDRESS EN GIN7 -2 FEW ID T E CITY TELEPHONE 0 FIRE REVIEWED By DATE a NUMBER EXP R I DATE CH CK VARIANCE OR CU SHORELINE OR ADBN INSPEC RED' "ON STATE LICENSE 0 SEPA REVIEW 1! H 3 SIGN AREA ER T PROPERTY TAX ACCOUNT PARCEL N.. I COMPLETE EXEMPT ALLOWED PROPOSED ALLOW ED PROPO EX I-M.M. I MEr. LOT COVERAGE REQUIRED SET C. PROPOSED SETBACKS ALLOWED PROPOSED FRONT SIDEARE H FRONT UPSIDE FEAR G MPLIANCE OR '1�;- //,-//o 0" AUDIT CHANGE OF USE RK LOT ARE, NNlrIEWEl I REMODEL SIGN E3 RKW' 8 DID all"'. I 7 FENCE X REPAIR X FT) RE —lb DEMOLISH TANK o OTHER f GARAGE RETAINiNGWALL 0 1114EWAL CARPO T r (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAI ?PEOFCONS, OCCUPANT FOUP GROUP CC!k7,T > !��L.A. NUMBER =OF PECIALINSIE'TOR Z P w OCCUPANT OC2 OF G TO IES S R 11H.- TO BE DONE REQUIRED E] YES UATION I FEE PIN CHECK FEE HEAT SOURCE GLAZING % LOT SIL FEY, BUILDING s _Z C) .-z I -- PLAN CHECK NO: VESTED DA E PLUMBING MECH NICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRU CTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 1111 DAYS PERMiTLIMIT.1 YEAR. PROVIDED WORK IS STARTED WITHIN 180DAYS ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG, INSPECTION FEE ;APPLICANT. ON BEHALF .1 HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUC CESORS ESS THE CITY .1 F, 4LOIIENDAND�.H AARMI I, INTEREST. AGREES TO :NOE.MN'CFY EDMONDS NGTON, ITS E, EMPL. DENTS FROM ANY AND - WAST AULCLAI-SFOF DA AGES .1 WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY ISSUANCE OF THIS PERMIT SHALL NOT BE RECElP PLAN CHECK DEPOSIT t FROM THE ISSUANCE OF THIS PERMIT. WAIVE OR REDUCE AN REQUIREMENT OF ANY CITY ORDINANCE DEEMED TO MODIFY. CITY S A01LITY TO ENFORCE ANY ORDINANCE PROVISION RE EIPT I NOR LIMIT IN ANYWAYTHE .1 TOTAL AMOUNT DUE I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INF RMATION APPLICATION APPROVAL GIVENB IS CORRECT, A D THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF Thil , pe-t .t,l S,ghed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUI-ATING CONSTRUC - CALL 80,11.9 Olh.ial , li, D.p,,ty: Ild 5011'.Idopda It. and TION: AND IN DOING THE WORK AUTHORIZED THERE Byi NO PERSON WILL BE EMPLOYED RELATING TO FOR INSPECTION .kl.dg.d,h P P" IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27� FF f L NAT -SIG ER OR AGENT) (425) [I-EStNED 17 �7 771-0220 RELEA ED Y A I . . EXT 333 ATTE006/ IT ISUNLAWfVLTO USE OR OCCUPY A BUILDING OR STRUCTUREUNTIL 771-0221 INSOLt-CTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YE CIA INSPECTOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK -OWNER COLD ASSESSOR �198 z 0 4 V5 -4 c: m M 0 0 80 m rn 10 � I I C: '2 -4 C43 0 -n n -4 M C, 0 0 M c Ci) M 0 Z z --i x z 0 i 0 IT! R5CF-JVF�D :, I DFC 21 DEVELCOkPTMyEgfl PLAN 2325A/3 mainfKw@3M67 0 4 m 00 810 m m Or- 0, -n rn M A 0 0 o Fn'. c V) AW71,fl NA .1.610�:. al Z. mol 14f 301-11) Project Review Cheddist P,,jetName: Project Address: 0 Underground Wiring Required Hydraulics Permit Plat/Subdivision Requirements Street Dedications Easements - Public/Private Engineering Storm Drain Review Feel Engineering 2.2 Inspection Fee Drainage Plan (On -site) Setback - Storm Drain Line Open Ditch - Existing Culvert Required Culvert Size Shoulder Drainage/Shale Open Runoff Catch Basin Required Driveway Slope & Vehicle Access Sidewalk Required Curb & Gutter Required curb Cut for Driveway Required street Paving Required Right -of -Way Construction Permit Required Bond Required for Public Improvements FEMA Map Check/Water Table Side Sewer Availability Calculate Sewer Fee ifNo LIDO Water Meter Size water Meter Charge Required Hydrant Required Street Cut Miscellaneous — X n- R E, PUBLIC PlanCheck#: Receipt Date: �TD f. e- a- r- r AID VA21 2/127/95 RW Permit # Date Issued Receipt# ss Permit# Date Issued Receipt # Meter Size '31(le" Paid$ Date Receipt# z 0 C M M a I i -4 0 0 0 C rn rn z 0 -n I PH M 0 0C fA z z 9 M RECEIVED FiNAL MJECI APPROVAL FORM JUL 2 0 2000 TO:142�-- ENGINEERING -DATE: lsEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE — _ENGINEERING DIVISION DATE—N*4-=r)- -------YLANNING DIVISION DATE — PROJECT S V ITE ADDRESS PERMIT #--M —ADB#__----.))ATE INSPECTED — DESCRIPTION OF WORK TO BE INSPECT A field inspection was conducted to determine compliance with approved plans. Final approv al, denotes that there are no objections from the above signed Department to the granting of: -------- Final approval of the described work _Performance Bonds associated with the project may be released ____�—GRANT FINAL PROJECT APPROVAL —GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. __---_RE-INSPFCTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:forms6/98 z 0 0 C M M 0 0 80 M M 0 z 0 -n M M 05 0 0 C: M, r U) M 0 Z z Cn z M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ....................... ..... ... FOUNDATION: Footing ...................... Wall.......................... Pler/Porch .................. Retainirig Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in .................. HEATING� Gas Test ........... 1,16 Gas Piping .............. Equipment ................. Commercial Final EXTERIOR SHEATHING e 7f MAILING .......................... FRAMING........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation /CD' Calling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR MS OCCUPANCY .................. z 0 0 IT! -4 _n M 0 80, M "T, C: 0 -n -n pa -4 3: fi M M, a 0 o Fn C CA Cot M 0 > z Z, 0 M IF )PERMIT EXPIRES CITY OF EDMONDS USE P RMIT ZONE NEMBER '10C)D82 CONSTRUCTION PERMIT APPLICATION Joe SUITEIAPTA k-r' ADDRESS —N, NAMEINAME OF BUSINESS NAMPSUBDIVISION N LID NO FPI ()IL Qte'� -rA(C -AT LID FEE S e, MAILING ADDRESS ?" hoe) AV f IV PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP A,, ."U:P:_',%�, 'CITY ZIP TELEPHONE EXISTING _E" PROPOSED— V"Al r 3 Z 5 Z5 REQUIRED DEDICATION— FT NAME LINE SIZE NO. DyXT DRIES P RED P W'QUZ 5 YES ADDRESS /4 AI'9 /A\/ f 00f REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTRO�LDRAINAGE WS 7 CITY ZIP CELEPIONE �JOOQI "'i cef -i �o 1415,115 -�t-joo 'NAME im ENGINEER]. ADDRESS FIRE REVIEWED 2c CITY ZIP TELEPHONE .: I VVIVIFU I CUDATE VARIANCE bR.CU. SHORELINE OR ADB4 INSP STATE LICENSE NUMBER �5 BY t ;MIL�n e"-o Ll vv,4 &I — SERA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT CoMp ALLOWED PROPOSED ALLOWED Al PLUMBtNGIMECH -I EX EXP LOT COVERAGE ALLOWED P ROPOSED REQUIRED SETBACK B(II FRONT SIDE REAR PROPOSED BETRACIS IFT) FRONT UP SIDE R A C OMPLIANGE OR 2?:2 X 7b 'Z�C 6,110 ADDITION 0 CHANGEOFUSE REI� 0 REMODEL 0 SIGN FENCE X 0 REPAIR 0 FT) -REMARKS E] DEMOLISH 0 TANK OTHER AFA-E $(-CA.P.RT C3 RE�TA.ININD WALL ENJEWAL 0_ 0 p (TYPE OF USE� BUSINESS OR T . ... 1�j CHECKED By CHECKED BY CCURANT TYPE OF CS PC �U� Up IrG __6 NUMBER OF IEI 11L NUM EROF CRITICAL AS 5 ASI WELL NO AREAS S ECA INS -TOR ECAL NSPECTOR P L /_NV 10 ll$F LGAC�DPANT TORIES S B'O. N TO NUMBER U I UHI E E :D REQUIRED o YES a S DESCRIBE %��O BE DONE = �E S 1:qq INqPFr.TI0NS PER UBC 1081FINAL INSPECTI R 1, VALUATION VALUATION FEE /00/ ILAN CHECK FEE 74,j&fr HEAT SOURCE L]2�PE BUILDING 71IN PLANCHECKNO: IISTIII DATE PLUMBING 240 I MECHANICAL VtN.PECTI.NFEF_ W THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO VATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC t: BE DONE ON PRI P.. I. GRAD!NIGIFILL Ilb(2 DOMAIN (CURBS, SIFEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE I SEPARATE PERMISSION. STATE SURCHARGE PER MIT APPLICATI N: 180 DAYS YS PERMIT LIMIT. I YEAR - ROVIDED WORK IS STARTED WITHIN 18001AYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENE. REVIEW FEES SUCC SotS % LICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCE_SOAS ENG. INSPECTION FEE N ;AP N INTEREST, AGREES TO INDEMNIF Y. DEFEND AND HOLD HARMLESS THE CITY 05 IS EDMONDS. WASHINGTON, ITSOFFICIALS, EMPLOYEES� AND AGENTS FROM ANY AND ALLCLAIMS FOR DAMAGESOF WHATEVER NATURE.ARISING DIR CTLYOR INDIRECTLY 15S ANC OF THIS PERMIT SHALL NOT BE UEQUE CHECK DEPOSIT RECEI PTI.,-Is ROM THE ISSUANCE OF THIS PERMIT. t F R IREMENTOF ANY CITYQADINA C E DEEMED TO MODIFY. WAIVE OR REDUCE ANY PLAN -0 —CEIPT 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' TOTAL AMOUNT DUE R El MaY I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT AND THAI I AM THE OWNER. OR THE DULY AUTHORIZED AGENT 01 I THEOWNER IAGRE E TO COMPLY WITH CITY AND STATE LAWS REGULATING CONS' nuC CALL Bulldl�a Offictal .1 hl-11 DOP.ty: I F ... ... d. 6 TION. AND IN DOING THE WORK AUTH RIZED THEREBY. NO PERSON VAL BEEMPLOYED STATE OF WASHINGTON L RE AT,NG TO MI Pd .-ph. m ... X-0,1, FOR INSPECTION IN VIOLATION OF THE LABOR CODEooF THE WORKMEN'S CC MPENSATI ON INSURA NC E AND RCW 18.21. — OFFICIAL 11 TU AT, (425) 1A)co I �AGENT) 771-0220 RE AS LE ATTENflo.N EXT 333 IT IS UNLAWFHL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPVCTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ORIGINAL FILE - YELLOW - INSPECTOR PINK - OWNER - GOLD - ASSESSOR 5198 z m mo 0 80 c --j m m M M Z 0--i c > cl) o -n rn m 13- ol'o 0 c Im 'o ;u --I z -1 m z 0 4 0 m