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20000173.pdfDATE RECE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OF BUSINESS 12 � 7Q e- MAILING ADDRE9-S- a I CITY IIP ITILIP111,11 TELEPHONE - - - - - - - PERMIT EXPIRES -CIIIFL US PERMIT '4U027d ZONE NUMBER SUITEfAPTN ADDRESS LJ � I LGI — PLAT NAMEISUBDIVISION NO. Ll I LID NO. LIO FEE S FIGHT .1 WAY PER OFFICIAL STREET MAP RW P_ ....... EXISTING — PROPOSED - I..P.... P. REQUIRED DEDICATION— FT Wlft,, — — — — T - T_17E OF _FIXTUR.� PRV REQUIRED METER SIZE YES 13 NO E3 REMARKS ­—.1111TIA—IR RESPONSIBLE FoFt EROSION CONTROUDRAINAGE L )r FIRE REVIEWED BY DATE ZIP 'TELEPH NI VARIANCE OR CU SHORELINE OR ADBN GION INERI'E'C� OYES ONO "ONDO &b ,TATE LICENSE NUMBER Mt I EXEMPT SIGN —AREA ALLOWED I PROPOSED HEIGHT ALLOWED I PROPOSED R&A f f&-O--7 Rj��XACCOUNTPA CE NO, r)o I emn ECOMPLETE XP —NEW REOUIREDSET CKS PROPOS OSETBACKS IFT) C] E.I.-TIAL. C] PLUMBING I MECH ALLOWED PROPOSED FRONT SIDBEA REA'VI FRONT IJRStDE REAR ADDITION C MPLIANCEOR CHANGE OF USE PARKING PLANNING REVIEWED By DATE E] REMODEL SIGN FEaD I PROV REPAIR GRADING F NCE CYDS (E_ X FT) _REMAHKb DEM:��S. OTHER R GARP CA ORT RTANK,N, ETA C] ING WALL R..6EF, 0 RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) -1— CHECKEDBY TYPBUOF CONSTRUCjTI.N OCCUPANT -U .R P CUP NUMBER NUMBER OF CRITICAL SPECIALINSPECTOR AREA OCCUPANT OF STORIES DWELLING UNITS AREAS NUMBER REQUIRED [3 YES LOAD DESCRIBE WORK TO BE DONE REMARKS Sp CT.. ..nrnFq.q 114SPECTIONS PER UBC 108.11FINAL INSPECTION REG PLAIN CHECK FEE ION CHECK F HEATSOURCE LA G " LOT SLOPE I LOT SLOPE % BUILDING PLUMBING PLAN CHECK NO: T—ED A ECHANICAL V OR KT RK No TED THIS PERMIT C. -FS W THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L' THE W R E TY ONLY ANY -o.-T .. T'-N ON THE PUBLIC BE DONE ON PRIVATE PROPERTY ON- ANY CONSTRUCTION ON THE PUBLIC -P - GRADINGIFILL onj MARQUEES. ETC.) WILL REQUIRE D OMAIN (CURBS, SIDEWALKS, VEWAYS RCHARGE SEPARATE PER MISSION. - PIS M' TAPPLICATION: 180DAYS Rp, R i G GAS PERMIT LIMIT: I YEAR, ROVIDED WORK IS STARTED WITHIN 16D DAYS R PERM " M T _ ENG. REVIEW FEES F 'INK PERMIT FOR MORE INFORMATION B - OF p I SEEBACK o P ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS - I S LF oFH ENG. INSPECTION FEE ;APPLICANT. I E FY, DEFEND AND HOLD HARMLESS THE CITY OF N - N IF �NDEM To 'N� N S To INTE EST, AGREE R I N I TE-E T A.. AND AND F�D' SAS LANDSCAPING C AN A N FROM AN C T..FF GIALS. EMPLOYEES, AND AGENTS FROM ANY N ITS ' A N IT o . E EDMONDS, WASHINGTON, . W T V R N ALL CLAIMEFORD ING DIRECTLYOR INDIRECTL. ._I. OF AmA5ESOF WHATEVER NATURE.ARIS S INSPECTION FEE Ri N I. P M T 'ESU . o THIS T E LL ESU NO T., BE FROM THE I$SUA CE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Y WAIVE C PROVISION. CE PFoV' SIGN UTYTo NF.FG Y Fo� MIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE NOR LIMI TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER, T HE DULY AUTHORIZED AGENT 01 REGULATING CONSTRU C. SOR THEOWNER. I AGREE TO COMPLY WITH CITY AND TAT E LAWS TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED RELATING To CALL FOR INSPECTION IN VIOLATION OF THE LA50R CODE OF HE STATE OF WASHINGTON WORKMEN oMPENSATION INSURANC No RCW 1B.21. SO AT'oN'NE a (425) SON 'CA 1 771-0220 EXT 333 ATTENTION IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 5198 VALUATION ORIGINAL FILE YELLOW - INSPECT PINK - OWNER GOLD - ASSESSOR z Rl M c rn 89 c � c m z (A 0 _n §c Fn LJ' z 0 :j 0 m FINAL PRO ECIAERROYALYMM TO: ___4p�L DATE: VprTop, BUILDING DIVISION NMMO TO: P C FIRE DEPARTMENT DATE — FROM: ENGINEERING DIVISION DATE— OLANNING DIVISION DATE — PROJECT — — — N�d2�_ SITEADDRESS PEMT#_����ADB#--------DATEINSPECTEID. DESCRIPTION OF WORKTO BE INSPECTED Q6 pj�AAA&, 5!; 1 o, 114-6 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 ___:t_Final approval of the described work ___,�_�Perfbrmance Bonds associated with the project may be released GRANT FINAL PROJECT APPROVAL __�GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED 1. FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. GRANT FINAL PROJECT APPROVAL RE -INSPECTED OUTSTANDING ISSUES ocaprvi.doc.l:temp:bldg:forms6/98 z 9 0 X C: M r" a ­4 0 0 0 C -4 M 3: M M z 10--1 C Z r- -4 0 -n n M M 065 0 r- 0 M C: co 9 U) M C.) z X z z M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall: ......................... Pier/Potch ................ Retainirig Wall ........... Slab Insulation .......... ------ PLUMBING: Underground 7 Rough -in ........... commercial Final; HEATING: Gas Test .................... Gas Piping ................. Equipment ................. commercial Final EXTERIOR SHEATHING NAILING.......................... �FRAMING . ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation .......... Wall Insulation Ceiling Insulation SHEETR06K NAILING SPECIAL INSPECTION MISCELLANEOUS .......... -------- FINAL APPROVAL FOR OCCUPANCY .................. a M 0 In C 0 ITI 0, 1 —10 0 r M M z r4 < in ITI 0 0 C*j C co) IT! 0 Z Qn� j, z! z M A --Y--l'� J �_C_, T�TO_D PERIVII E _-7-00178 USE PIERmiT 61TY OF EDMONDS ZONE NUMBER jos SUITE�APTN CONSTRUCTION PERMIT APPLICATION t ADDRESS I tp,'�V ( Lj ':�) 142 OWNER NAMEINAME OF BUSINESS GI. PILAT NAMEISUBDIVISIQN NO. LOT NO. tit) No. 711L_4" LID FEE S MAILING ADDRM�S P BLIG RIGHT OF WAY PER OFFICIAL STREET MAP pp-1 EXISTING — PROPOSED — 0 S". o 1-11.1.121.1111.1V 0 o CITY zip ITELEP"OlE REOUIRED DEDICATION— FT — um. METER SIZE LIKE SI�E FFIV FEOUIRED NAME I � YES CJ NO 0 ADDRESS _REMAFKS OWNERICONTRACTOR RESPO NSIBLE FOR EROSION CONTROUDRAINAGE lalml I'-- CITY zip ITELEPHONE - NAME TELEPHONE LICENSE NUMBER ll��ACCOUNT I PARCE NO. nnn 0 NEW RESIDENTIAL PLUMBING / NECH 0 ADDITION C] COMMERCIAL . C] C MPLIANIIOR CHANGE OF USE 0 REMODEL APARTMENT SIGN 0 REPAIR FENCE X FT) C] DEMOLISH TANK OTHER clGARAGE FIETAININGWALL 0 RENEWAL GAFP.PIT 'Y FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR ADBil INSPECTION R Q E 'D I PBOND OSTED r)YES 0 NO SERA REVIEW SIGN AREA HEIGHT - COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED -XP I I I LO COVERAGE REQUIRED SETBACKS (n.) PROPOSED SETBACKS(FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT JFISIDE REAR C EE PARKING LOT AREA I PLANNING REVIEWS. BY DATE REO'D I PROVIDED (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN CHECKEDBY JTYW.CON Tu—MBER NUMBERO' CRITICAL OF DWELLING ARE=AS SPECIIALEINSPECTOR JAOEA STORIES UNITS NUMBER REOU F 0 YES DESCRIBE WORK TO BE DOME UP-T G r* I a ... OCCUPANT LOAD UBC I 08/FINAL INSPECTI, VALUATION FEE PLAN CHECK HEAT soj;�� �G-ZING= LOT SLOPE I ;FEE IMECHANICAL PLAN CHECK NO: 111STED DATE PLUMBING CH 'C THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERM' r COVERS WORK TO BEDONEON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL 2 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MAROUEES. ETC.) WILL REGUIRE SEPARATE PERMISSION. i - 16(;W&`SrRICHARGE P "MIT APPLICATI N: 180 DAYS E RKIS PERMIT LIMIT. I YEAR o STARTED WITHIN 180 DAYS P I NG RE ' E_ ""S SEE BACK o�PROVIDEDW INK PERMIT FOR MORE INFORMATION rILNSPECTiON ENG. INSPECTION F55 A PPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HeIRS. ASSIGNS AND SUCCESORS IN NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF I C P LANDSCAPING EDMONDS, WASHINGTON. ITSOFFICIALS. EMPLOYEES, AND AGENTS FROM ANYAND FEE LYoRIN A LCILAIMSFORDA A OF WHATEVER NATURE, ARISING DIRECT DIRECTLY RELI'll, FIR M THE ISSUANCE OF T IS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE MENED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENTOFANYCIFYOROINANCE PLAN CHECK DEPOSIT SABLITYTO ENFORCE ANY ORDINANCE PRoVI$IoN 01 NOR LIMIT IN ANY WAY THE CITY G ETE/ TOTAL AMOUNT DUE 0 &5 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, ANDTHATI AM THE OWNER. ORTHIE DULY AUTHORIZED AGENTOF Till. THE OWNER. I AGREE TO COMPLY WIT. CITY AND STATE LAWS REGULATING CONSTRUC- CALL Bu,id,,, 11 1 D.P�11: ,,,d F ... ... ­d­d TION AND IN DOING THE WORK AUTHORIZE. THEREBY. NO PERSON WILL BE EMPLOYE. CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION I kll,$,d90d. ­,,. ol—d- IN VIOLATION OF THE LAB OR WORKMEN S COMPENSATION INSURANCI��hNID ROW 18.27. OFF 1 6 . N URE �ES"T/ . (425) 00 rNAa551*Wa_EI . 771-0220 771 R SED By DATE ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 —A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERI ORIGINAL -FILE YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. LIED SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR Z 0 co M MO 0 0 -4 C X M m c O.n -n m m 0"' 0 M C (1) c - 2:0 Z 3: Q) 0 rn