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20000236.pdf[PERMIT EXPIRES UdE CITY OF EDMONDS ZONE PERMIT r� NUMBER CONSTRUCTION PERMIT APPLICATION JAODBURESS IQ � �) & N-c-, UITVAPTN KERNAMENAME OF B SINE I'll -In rle PI -AT NAMEISUBDIVJSION NO. tLo—T NO�_ LONG. LID FEE $ -I- MAILING ADDRESS I Oro 91 I-S 60L TELEPHONE 41K_ PUBLIC RIG 4T OF WAY PER 0 FICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION— P 0 0 Z= 0 NAME NO.OIFIXTURIS PRV REQUIRED YES 0 NO ADDRESS REMARKS At ZE OWNERICONTRACTOR RESPONSIBLE FDA E130SION CONT.....Al CITY ZIP ITELIPHON1 ME ENGINEERING REVIEWEDIOATE ADDRESS FIRE REVIEWED BY DATE q-, Ma -7) I f ZIP TELEPHONE C UMBER E E CHECKEDBY VARIANCE OR CU SHORELINE OR ADBe IN ECT'ON SIP IT 0 Y E. . 7N BOND POSTED 71- PROPERTY TC JCYUNT PARCEL — q -&t3q _Np L C] PLUMBING t M 0 NEW ES ON SEPA AEVIE COMPLETE I X MPT EXP SIGN AREA AL HEIGHT ALLOWED PROPOSED LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (n) FRONT SIDE FEAR PROPOSED SETBACKS (FO FRONT UPSIDE REAR o COMPLIANCE IT C] AUDIT ON CWMERC AL CHANGE OF USE �AIAIDTEMENAT I LOT AREA PLANNING REVIEWED BY DATE 0 RE..DEL 0 0 SIGN REDD I PROVIDED FENCE 0 REPAIR cl X FT) REMAHK5 0 DEMOLISH TANK o OTHER ARAD 0 -CA.P.IEIT 0 -ETA,',-,-,,N-- RENEWAL ROC Y 0 CHECKED By YPE ON TRUCTION cOr --ci,-uu'pK_3 (TYPE OF USE. BUSINE OR ACTIVITY) EXPLAIN: CRITICALI? NUMBER MBEA OF CAREA I OF DWELLING It STORIES ITS NUMBER SPECIAL INSPECTOR AREA REQUIRED [3 YES OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D DESCRIBE WORK TO BE DONE 0 eal,17 VALUATION FEE PLAIN CHECK FEE HEAT SOURCE LOT SLOPE % BUILDING n Xp PLUMBING PLAN CHECK NO. ... IED DATE MECHANICAL ERMIT COVERS WORK TO T.I..PFRMIT AUTHORIZES ONLY THE WORK N OTEG T 5 PES' THE PUBLIC E GONE ON P IIAIE PROPERTY ON" A I C.NSTRIICTION U P', yr C.ON �, AR.UEE., , COMA (CUB.S. SRIEW IA �T )WILL RED IRE AlK i I "'IT PE F.,SEI.. EPA E GRADING(FILL 9MW URCHARGE PERMIT APPLICATION: ISO DAYS PERMIT LIMIM. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION PLICANT� ON BEHALF O'NDEM FY. DEFEND �N. .0 G HARMLESS THE CITY F ;A P F HIS OR ,, SPOUSE IEIRILASI�GNS AND EUCCIE.FS N INTEREST. AGREES TO , EMPLOYEES AGENTS FROM ANY AND E ONDS, WASHINGTON. TOFFCALS .FWHATEVEF N'TUREA �AND DIRECTLY ALLCLAWS MAGEE INGOIRECTLYORIN ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL N FROM THE FORDA OT BE CEANY REQUIREMENT OFAIIY CITY ORDINANCE DEEMED To MODIFYWAIVE OR PEOU Y 0 ENFORCE ANYORDMANCE PROVISION.- NOR LIMIT IN ANY WAYTHE CITY'S ABIUT T ENG, REVIEW FEES ENG. INSPECTION FEE LANDSCAPING IN SPECTION FEE CK DEPOSIT PLAN CHECK DEPOSIT RECEIPT RECEIPT TOTAL AMOUNT DUE 2—D I HEREBY ACKNOWLED I GE THAT � HAVTI�REOAD THI.S. APPLCATIUN; THAT THE INFORMATION GIVEN S 'T A. E W.E OR THE . LY AUTHORIZED AGENT OF AT uc T E LAWS AEGuLATINGcONsTR I CORFECTjAND THA' Y EMPLOYE THE WNE , I A.� I. COMPLY WITH CITY �N GTH B TION, AND IN DOING THE WpT 00RI�T., �ERE , NO PERSON WILL BE G. TATE 0, wA NGToN RELATING To IN VI LATIO" 01 THE LAI E WORKMEN S COM5q$AT)l SURANC. AN. ..W IS 0, EU SIGNATUR?rr 0 E S NED APPLICATION APPROVAL h' 11 "It I pjt unill signed by the CALL Be ildi I veell .�d. ..d _i I lodl.d le IF— provhf.d. FOR INSP TION OFF I LS SIG E DA A9 (42 2-2 771- ELEASED by E ATTEAfION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 EXT 333 771-0221 ORIGINAL - FILE - YELLOW INSPECTOR PINK - OWNER - GOLD � ASSESSOR FAX z m a m c ma 0 0 m O"n n In 0 0 Fn c 0 c'. � 11" T 0, z --i z 0, m FINAL PROJECT APPROVAL FO TO: DATE._ MEMO To: PERmrr COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE-_ z ENGINEERING DIVISION DATE — PLANNING DIVISION DATE. PROJECT, eV C M MO SITE ADDRESS-4(QC, I 0 80 C PERMT a:0 2...? —ADD#—DATE INSPECTED-�L--�-7-"" M M z '0 DESCRIPTION OF WORK TO BE INSPECTED A fleld 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: m M _Final approval of the described work 7�6 810- 0 0 Q M Law4(:141 9 co MO erformance Bonds associated with the project may be released Z� 7/-V64- 13 Y PS X il-((- co 0A1 M > z -GRANT FINAL PROJECT APPROVAL -4 cc —GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOT D R SCI c A-(, L�c z 0 ,2 Jt6-s Oe' 0 1. M —FAILED FIN AL INSPECTION - OUTSTANDING ISSUES -�� ""'( I . C4 66C 2. 3. ------:-RE-INSPECTED OUTSTANDING ISSUES - GRANT FINA�-I.PROJECT,APPROVAL ocaprvl.doc.l:temp:bldg:fonns6/98 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Feeling ...................... wall .. ........................ Pier/Porch ................. Retainlrig Wall ........... Slab Insulation .......... M PLUMBING: Underground ............. 0 M ITI Rough -in ................... 0, 0 C: Commercial Final t4 HEATING: M Gas Test --- C Gas Piping Equipment . ................. Commercial Final rn rn EXTERIOR SHEATHING col NAILING .......................... 0 C: FRAMING ........................ rn C." FIRST FLOOR FRAMING INSULATION ............. ;U Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING 0 SPECIAL INSPECT16N M MISCELLANEOUS .......... FINAL APPROVAL FOR C2:2 OCCUPANCY .................. — - ------------- RECEIVE. PERMIT EXPIAES -U CITY OF EDMONDS ZON PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION 'AOGRESS 0 2 NER NAMENAME OF SUSINET)'o I r PI-ATNAME/SUBDIVISIONNO, I — IOTNO 11 NO. LID FEE S Is M ILING ADORE 6U.N��RESS) PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED REQUIRED DEDICATION— FT APP-1 u F'. l 0 F—it A." 0 .laad a FA 'TY TELEPHONE 41K_ 77W 7w NAME METER SIZE I LINE SIZE NO.OFFIXTURES YSPAV REQUIRED SO NO 0 RI I z ADDRESS REMARKS z OWNESICON- EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE ME ENGINEER - ADDRESS Z FIRE REVIEWED By DATE CIT ZIP ZIRIE 0 m m c m 0 M M IARIINII OR CU SHORELINE OR ADBa jASPECTION REQ-0 OYES ONO I BONI) 1 IPOSTED] I UMBER E jls�_ IJ SERA REVIEWIMPT I COMPLETE I IXE EXP —SiGNAREA ALLOWED PROPOSED I HEIGHT ALLOWED , PR -77z PUNT PARCEL NO, PROPERTY T r q0 NEW ;�_REEKDENTIAL PLUMBING MECH ADDITION COMPL NCEOR CHAN EOFUSE REMODEL SIGN LOT COVERAGE ALLOWED PROPOSED REQUIRE DSETBACKS(FT) FRONT SIDE REAR PROPOSED SETBACKS (Fn FRONT UR SIDE REAR PAR _r______T_P�NNING REVIEWED By DATE KING LOT AREA "EaD I PROVIDED 0 F REPAIR C] GRADING Y.. INGE X ITI 0 DEMOLISH TANK 3: I.ARIG RAG' ING WALL A El M O.AFl..T E] RETAIN RENEWAL F..ERY 0 -n -n m m 00 0 r: co 90) M 0 or �JYPEOFUSE TIViTY)EXPLAIN: 9: BUS2� OR AC I k E IU GROG w NUMBER %OF STORIES NUM'EROF DWELLING UNITS CRITIC AREAS R C? NUMBER vi JARIA I OUUIIAN' SPECIAL INSPECTOR LOAD EDO REQUIR YES DESCRIBE WORK TO BE DONE REMARKS ON Rpom! PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECT' iL z VALUATION FEE PLAN CHECK FEE z HEAT SOURCE GI-AZINU LOT SLOPE I BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORKANNOYTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. CONSTRUCTION ON THE PUBLIC GRADINGIFILL a DOMAIN (CURBS. SIDEWALK% DRIVEWAYS, MARQUEES, ETC�) WILL REQUIRE :I SEPARATE PERMISSION. tAD giIiiBIB URCHARGE PERMIT APPLICATION: loo DAYS 11.01 180 DAYS PERMIT LIMIT. 14YEAO� PROVIDED V`OAK IS STARTED WITHIN 180 DAYS ENG, REVIEW FEES SEES CK PINK PERMIT FOR MORE INFORMATION ; 'APPLICANT. ON BEHALF 0 ENS. INSPECTION FEE a, A PLICANT. ON BEHALF 0 HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS N INTEREST AGREES To INDEMNIFY, DEFEND AN. HOLD HARMLESS THE CITY OF LANDSCAPING ...NDE. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE A CLaIMSFOR A AGES OF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY REG IPT FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THI ERMIT SHALL NOT BE PLAN CHECK DEPOSIT as S D EMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMEN T OF ANY CITY OROINANC E TO 0.' NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVMION� REC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION A PR VAL GIVEN IS CORRECT.AND THAT I AM THE OWNER, OR THE DU Ly AUTHORIZED AGENT OF T '111.1a dIal THE OWNER. I AGREE TO COMPLY WIT. CITY AND STATE LAWS REGULATING CONSTRUC- Bu Idi I salsh's I., O.,ul,: -d F .. ... a.ad..,FI TION. AND IN DOING THE ING HERE Y. . 0 WILL BE EMPLOYED a --ladg,da, spa,, Pd,d. IN vi N .1 THE LV STATB OFO PEASNN TION CLAT'O �r.GE OF THE E .'N FFIATIN. TO e DATE BU WO,KMENS COM�EAISAT IURANCE AND RCIV 18,11, FF I LS SIG 1 —11 6NID (425) B NATURZVAE E )gko 771-0220 RELEASED By ;PYOE I AtTEWION EXT 333 ------------------------- IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 ORIGINAL - FILE YELLOW - INSPECTOR A FINAL. INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5�8