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20000184.pdfDATE ED I :::?� CITY OF EDMONDS � CONSTRUCTION PERMIT APPLICATION CITY ZIP 4A �7fc,7 Ps-- _g ITILIP"ll ADDRESS Is CIT;�)_� USE PERMIT ZONE 61 —NUMBER IDS ESE ADDA PLAT NAMEISUBDIVISION NO. LOT NO. IIDN LID FEE $ TESCP�Id PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP W EXISTING — PROPOSED— REQUIR50DEDICATION— PT — UW.M.d Wjd.g,.q.1 _YEB- REQUIRED 0 NO 0 R EMARKS h OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I ADDRESS FIRE REVIEWED By DATE IF E T 0 4,dr _ '(7 TILIIHO NE VARIANCE OR CU SHORELINE OR ADS# qg_ g,6 INSPECTION PEO'D OYES 0'90 N PS -TE�D S STATE LICENSE NUMBER EXPIRATION DATE CHEF 0'r IV SERA REVIEW COMPLETE I EXEMPT EXPIWa/19 SIGN AREA ALLOWED I PROI.E G HEIGHT ALL WED I �1,1111EI 0 AUDITION t ESDENTIAIL PLUMS NG �IEM:E�CH . E A C MPIJANC C - PC CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED IVA REQUIREDSETBACKS FRONT SIDE FIEVR L3, 0 0 'KS (FT) PROPOSED ETBAC FRONT UPSIDE REAR IV/DIATE 0 REMODEL REPAIR 0 APARTMENT 0 SIGN FENCE GRADING CYDS cl X FT) . REMARKS DEMOLISH TANK oGARAGE CARPORT RETAINING WALL 0 RENEWAL ROOKERY r (TYPE OF USE. BUSIN CTIVITY) EXP�� Mo it CHECKEDBY jTllXWlT�R�jCq;?j.R 0 Ou. �Z8 NUMBER OF STCRIES NIGER OF NU LING DWEL UNITS C R I A S NU BE SPECIAL INSPECTOR C3 JAIIA REQUIRED YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC IONFINAL INSPECTION RED' rcom aft )&7- 70 1041AK VALUATION FEE PLAN CHECK FEE .00 HEAT SOURCE GLAZING % LOT SLOPE I U'L. IN rBI 12-15 9 Lo PLAN CHEM IVISTEO DATE PLUM ING PLUMBING MECHANICAL IZES 0 LY THE WORK NDTED. THIS PERMIT COVERS WORK TO THIS PERMIT AUTHO IZESO o H BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTI NONT EPUBLIC GRADINGIFILL U DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REG IRE SEPARATE PERMISSION, STATE SURCHARGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. I YEAR , PROVIDED WORK IS STARTED WITHIN 180 DAYS 6. Q-J SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND $UCCESORS IN INTEREST, AGREES TO ING EMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF FRO. ANY AND L )Iu 13.0 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY t S1EG;l.H FE. FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF TH 15 PERMIT SHALL NOT BE D EEMED T=FY. WAIVE OR REDUCE AN REQUIREMENT OF ANYCITY ORDINANCE 0 Y PLAN CHECK DEPOSIT L1,7 0 P LIMIT WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVI—N. No ml TOTAL AMOUNT DUE IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN I S CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF T �.l . p.,.,, Ial sip.� b, III. THEOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- PERSON WILL BE EMPLOYED CALL Bu"Isl , o,"_, IY II_s, D,p.ty: .d F pl,d. -d TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO 11 OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION t is Ilk—Ildg,d m p,,o d u W.W E OMPENSATION IN SO RANGE AND ROW 18.27. DATE OF �E DATE SIGNED (425) ,L19-ee 771-0220 AitEt4TIdN EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-"ld - YELLOW � INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD -ASSESSOR 5198 z 0 IT, m 00 8 0 c MITI z C2 0 -n -n MITI 0 0 c m ca ;13 z --I z m TO: —"— DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE ENGINEERING DIVISION DATE- ---- — -------- LANNING DIVISION DAIS —2) PROJECT — SITE ADDRESS-111, PERMIT DESCRIPTION OF WORK To BE INSPECTED--.:i�� that A field inspection was conducted to determine compliance with approved plans. Final approval denotes there are no objections from the above signed Department to the granting of: approval ofthe described work _Performance Bonds associated with the project may be released __�.—�GRANT FINAL PROJECT APPROVAL _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED ___yAILED FINAL INSPECTION - OUTSTANDING ISSUES 1. 2. 3. ___RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:fonns6/98 z m (z m --10 00 M M Z 1[) --1 C o -n :E m M 0 0 0 M CD M 0 z X z z 0 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Fooling ...................... wall .............. ........... Pier/Porch ................. Retaining Wall ........... Slab insulation .......... PLUMBING; Underground ............. Rough -in ................... j Commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ....................... FIRST FLOOR FRAMING INSULATION ................. Floor insulation Wall Insulation . ........... Calling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR IrC70 OCCUPANCY .................. ..... a M. C M 0 —4 C) 0 Mz ,0-1 0 'Mn;0 i M M to 0 0 C Q C) Z —1 z M DATE RECEIVED EXOIRES PERMIT ... PERMIT ZONE CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION 'A'DOREEI. UITCIAPT# L3 /Il 0 NAM AMEOIBU�l 2ES, PILAT NAMCISUBDIVISION NO LOT NO, LID NO, LID L, 0 D FEE S LID FEE S IN 0 MAILING ADDRESS MA ?a IA L T M P PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW P—', pz:".� 0 R,d 0 0 7�EETA EXISTING POSED — PRO kN CITY ZIP ITELEPHO t_ _/ 1 �k E _ T F REQUIRE. DEDICATION FT — [11, 0. 01 FIXTURES N 00 1 P V REQUIRED R NA 0 YES 0 NO 0 YE _C ADDRESS REMARKS F 1C. EROSION CONTROUDRAINAGE IT Z;IP T;EL�EIPHONE L :A /74 ��IIS71CV,'11:711 I O'No ser kv FIRE REVIEWED BY DATE 7/;// fn�/ TELEI �Z2 r IN$PECTIO XP_ E STATE LICENSE NUMBER IRATIOl CAT, F`CHEqXEDBY 66-1 V RIANC5 OR CU SHORELINE OR ADS� 1 /4,g6 - gg- 821 Y _E -2 — REVIEW SIGN AREA SERA COMPLETE EXEMPT ALLOWED PROPOS 0 A 5XPI. I PLUMBING I NIECH LOTCO�ERAGE REQUIRED SliTBACKS (Fr.) ALLOWED PR POSED FRO T SIDE REAR PROPOSED ETnACKS (FT.) FRONT UPSIDE REAR 0 M: FIT. I ALL ml ci C MPLIANGEOR IVA 1 , . 0 — /V/q 1. [3 AUDITION CHANGE OF USE PARKING LOT AREA PLANNING REVIEW TO BY DATE REMODEL APARTMENT 0 0 SIGN REO'D 1 PROVIDED II Z2& �,-o]S& GRADING CYDS ci F_ -- REPAIR ( x _.FT) REMARKS —_ DEMOLISH TANK &0�%Ir5 0 GARAGE RETAtNIMYG WALL RENEWAL CARPORT ROD ER 0 5r JYPEOFUSE�BUSIN 0 ACTIVITY� EXPLAIN TYPE F IE IIN OR' ACTIVITY' E 0 U 'OU ((3 CH5CKEDBY ITYP50STFUCTION C OCCU PA I ORO I NUMBER - _.ER OF p MBER OF D_EL"N-G C ELLING CR LB S CAqT ARIE SPECIAL INSPECTOR OCCUPANT LOAD OF o STORIES UNITS N Er U RED IRED C3 YES JARSA DESCRIBE WORK TO BE DONE REMARKS PECTION REQ'D DURIm5b INbe.1 I I.— PER UBC 108/FINAL INS — VALUATION I FEE P CHECK FEE HEAT SOURCE GLAZING LOT SLOPE I _�ANI LOINS BUJ_ PLAN CH!M VESTEDDATE PLUMBING 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 9 ALKS, DRIVE S, MARQUEES, ETC.1 WILL REQUIRE DOMAIN (CURBS, SIDEW WAY SEPARATE PERMISSION. — STATE SURCHARGE PERMIT APPLICATION: 1.0 DAYS PERMIT LIMIT. I YEAR , PROVIDED WORK IS STARTED WIT HIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS IE CITY OF THE CITY OF IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS AND AGENTS FROM ANYAND I EDMONOS.WASHINGTDN. ITS OFFICIALS, EMPLOYEES. ALL CLAIMS FOR DAMAGES or WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEI FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 0 DEEMEDTOMODIFY WAIVEOR REDUCE ANY REQUIREMENT OF ANY CITY I.INANCE '0 V�� ANY ORDINANCE PROVISION.' Rcc IPT NOR LIMIT IN ANY THE CITYS ABILITY TO ENFORCE TOTAL AMOUNT DUE Sb THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF - ., . .—I .."I �iz �l - THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL B u 1 Si %, a,,�.,:.-n, I I P u ly: :P.d Fl. 11, P.-d—d TION AND N DO NG TH wo K AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED WAS HINGTON RELATING TO FOR INSPECTION )acopfovidedF IN VIOLATION OF THE LASO CODE OF THE STATE OF W09K N S�CoMPENSATION INSURANCE AND RCW 18 27. ..IF I ION IRE DATE 1 DATE SIGNED (425). q -2 L-�6-C SIG TUFE(oWNERO G T) L; 771-0220 RELEASE Y DATE I EXT 333 5- Ic ATTE IdN TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 - 11 IS UNLAWFUL AND APPROVAL OR A CERTIFI- llI.INAL-\FILI! Y5LLOW-INSPECTQR A FINAL INSPECTION HAS BEEN MADE CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5mS z Fn -4 c m 00 '10 0, m MI z om -4 In M 0 0 o c: 9 co M 0 Z z 9 0 m