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20000241.pdfDATE RECEIVED Iz-v -130 PERMIT EXPIRES USE PERMIT 2009-Al CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITFJAPTN ADDRESS PL_- 1. . L�-) W OWNER NAMENAME OF BUSM PI -AT NAME/SUBDIVISION NO, I LOT NO, U�NO Ll FEE $ �J MAILING �DDRESS PUBLIC I 1 -11 RIGHT OF WAY PER OFFICIA STREET MAP M., U.: 0 ZIP EXISTING --- PROPOSED El TELEPHONE CITY 4 51:5'� REQUIRED DEDICATION -­ FT METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED NAME YES 13 NO 0 REMAR OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE (ADDRESS M�ej 0 C.L,' CITY 2, S NAME 've'v ENGINEERI REVIEWEDIDAft 3 w ADORE S 0 I 9!L FIRE REVIEWED By DATE z cIry ZIP TELEPHONE T STAT ENSE NUMBER INSPECZION PlINI VARIANCE OR CU SHORELINE OR ADD# REG RE. NO 13 YES No ­rz"C-p cr�'l 9 L_�T- co I _�S SEPA REVIEW SIGN AREA HEIGHT CO -1 C MPLETI IXEM ALLOWED PROPOSE ALLOWED PROPOSED AR EL NO. - / I/- PROPERTY TAX ACC2n X ra C'I -cot -cx - EX I cd P c 0 0 c LOT COVERAGE REO IRED'SSiBACKS (FT) PROPOSED, A.KU'Dl 0 PLUMBING I MECH ALLOWED PROPOSE F NT SIDE REAR FRONT E R NEW OR 7�; COMPLIANCE ADDITION CHANGE OF USE 0 3: rn mz PA LOTAREA I IN V)G r) ­4 0 REMODEL 0 SIGN REO'D ?!!� z GRADING FENCE X 0 REPAIR CYDS I - 0 THER DEMOLISH TANK CARAGE C] RETAIININY1 WALL 0 RENEWAL 'x" AR OFT tTYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: STRUCTION ICODE I OCCUPANT Cjjjj:�,Jj�ji JTYPEOFCON th GROUP 41- cl s ci:� m m I NUMBER NUMBER OF AD IT AL SAS I OCADUPANT SP: Lo 0 Fn III DWELLING i� OF N MBER UNITS R(q(OC EQU i"ED 0 YES I �W-sQ a (A STORIES DESCRIBE WORK TO BE DONE EMARKS 'D '4 R PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REO m m x Z -4 ED z VALUATION FEE 0 0 m PLAN CHECK FEE % HEAT SOURCE GLAZING % LOT SLOPE BUILDING DATE PLAN CHECK NO: PLUMBING MECHAN(CAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS. SIDFWA LKS, DRIVE AYS, MARQUEES, ETC.) WILL REQUIRE SEPARATEWPERMISSiON. STATE SURCHARGE PERMIT APPLICATION: 1.0 DAYS 4 P. PERMIT LIMIT: I YEAR, PROVIDED ORKISSTARTEDWIT HIN ISO DAYS SEE BACK OF PINK PERMIWT FOR MORE INFORMATION A�'N E CITY OF p,A,T,.,AN.BE"ALFllMS.RI­IlF sFPEON'.sE�,H,,E..L.A.',",N.sLE H REES TO INDEMNIFY. DEE ENG. INSPECTION FEE LANDSCAPING TER'S PLOYEES.ANDA OM ANYAND ,.ON6jiWASH.,NlTON TSW�IFIQALS' M GENTSFR AMA.E,Q R RECTLY OR INDIRECTLY ElULD". ATEVE NATURE, ARISING 01 INSPECTIONFEE RECE�IT SIC\ Al FOR % FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT V DEEMEDTOMODI Fy. WAIVE OR REDUCE ANY REQUIREMENT 01 ANY CITY ORDINANCE 'S ANY ORDINANCE PROIASION' AEC PT el OR LIMIT IN ANY WAY THE CITY ABILITY TO ENFORCE TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMAT'-ON AGENT F APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNENF6t OpATTHE OUSLYRAUTHDAIZEO WITH CIT GULATING CONSTRUC- Y A ST LAW E u"I'l �19�.d 1,Y C ALL Ild F.Gs a,o p1ld. Ild THE OWNER, I AGREE TO COMPLY T HEREBY, NO PERSON WILL BE EMPLOYED ION, AND IN DOING THE WORK AUTHORIZED T STATE OF WASHINGTON RELATING TO :Opdty: - - INSPECTION I.d 'P ­vidod. FOR I N VIOLATION OF THE LA60R CODE OF THE WORK�5nCO.��ATKIN INSURANCE ANDRCW 18,27. OFFICI SI URE DATE Slj��rAGENT) ATE SIGNED (425) 771-0220 IREL DA E ATTE �JT EXT 333 IN IT IS UN 0 USE OR OCCUPY A BUILDIL OR STRUCTURE UNTIL � N I �L' 771-0221 A FINAL INSPECT N HAS BEEN MADE AND APPROVAL OR A CERTIFI- 10 ORIGINAL FILE YELLOW 14SPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 G PINK -OWNER OLD -ASSESSOR FAX Site Plan -- d.11 5,,x7 e"o ralo j7,., 0 M ;i, a Thi 18 FIFSPONSIBLE FOR RMION CONTROL AND DFiAfNAQE o.. -CL C C), 0 c: L r MAR 2 4 20=W x rn M q 0 CCiTV CojVy ffit 1. a - 4v f M M 0 /z IN.S.9"Old PFOUIR z Or OPE T B:L THAN f4% Fn ENGINEERING APP,,3"AL AS NOTE By IT AND INSPECTION REQUIRED It ---------- -51:72-STV-1 Site Plan A ME IS or Z, 0; =J: 0' rn -n! 477,e' -r�rr e R 1 m 0. RfrcrzlvEo FEB 2 9 2000 ca I 0 PLAN-ING DEPT- .71 1 rnm SV 0 'AA. C) 4--", C: cat, "k, L) R (AL 1 �T, M 01 t4 Z1. co zr 0: In BY p _�AN�ING FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE —ENGINEERING DIVISION DATE — PLANNING DIVISION DATE PROJEC SITEADDRESS 246Z5 PERIVJIT __ADB#__-----DATE INSPECTED — DESCRIPTION OF WORK TO BE INSPECTED—�i���A9�(— 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 erformance Bonds associated with the project may be released ___GRANT FINAL PROJECT APPROVAL _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED FAILED FINAL INSPECTION -OUTSTANDING ISSUES 2. 3. ___U-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocapryl.doc.l:temp:bldg:fonns6/98 z C: rn M 00 C --I a: M Z '0­1 z -4 :z C) 0 -n M M 0 0 0 M C Cn C (1) Q 0 3: z —1 3: 0) z M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ..................... WalI .......................... z 0— Pier/Porch ................. I 0) Retaining Wall ........... Slab Insulation .......... PLUMBING: 0M. Underground ............. rn 0 0,� Ro.g1.In ................... C Commercial Final M HEATING: Gas Test .................... Gas Piping ................. o -n "n -4 Equipment ................. . rn m 'Commercial Final 0 EXTERIOR SHEATHING 0 0 NAILING .......................... %rvx c'), ITI 0. FRAMING _w4 z FIRST FLOOR FRAMING INSULATION ............. Z� Floor Insulation Wall Insulation ........... z Ceiling Insulation SHEETROCK NAILING rTI SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. PIRES E PERMIT USNE CITY OF EDMONDS Zo NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APTN ADDRESS -lo-2 L OWNER NAME/?,MME OF BUSINESS PI -AT NAME/SUBDIVISION NO. LOT NO, LION /l+ LIDICE S Aj M, MAILINGADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP W P., \-A- CITY ZI TELEPHONE EXISTING PROPOSED Z Rlq REQUIRED DEDICATION FT 'NAME PRV REQUIRED YES 0 NO 0 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE /L-S CITY ZIP III ITELEPHONE 7- _v___ ENGINEERI REVIEWEDIDATE ADDRESS 3 � m /� LNAME 9 1 FIRE REVIEWED By DATE CITY I E m 0 ��ELEPHONE __zo__k VARIANCE OR CU SHORELINE OR ADB# INSPE TiON RE a BOND STATE, ENSE NUMBER EXPIRATIONOI.�� L --r CHHUKLUUY 0 YES A -NO SERA R GO, PLETE IEM SIGN AREA ALLOWED PROPOSED ALLOWED PROPOSED PROPERTY TAX ACC�L N Is zjoi EXF I RESIDENTIAL LUMBING I MECH LOT GO\ FRAG A LOWED PROPOSE Fl) FRONT SIDE REAR E(FT) PROPOSED SETBACKS FRONT R A' Is NEW �.3rl ADDITION COMMERCIAL o C MPLIANCEOPI CHANGE OF USE 0 VIEWED BY PARKI LOT AR P INd I) E REMODEL APARTMENT SIGN REO'D FENCE 0 REPAIR GRADING CYDS C3 X FT) REMARKS DEMOLISH E] OTHER TANK A, ARAN C] RETAINING WALL C] RENEWAL 1 WAFIORT ROCK'Ry CHECKED BY ITYPE OF CONSTI NVId 60DE OCCUPANT Ck A GROUP a�a ih NUMBER F 'AREAS INSP 'POUIREO CTOR ARE J,OCACUPANT OF c STORIES OWILLING HUN"IT'S" Fq&atq.. FEECIAL 0 YES IL D Lo DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'Dl 5 VALUATION FEE PLAN CHECK FEE HEAT BOURG GLAZING % LOT SLOPE I BUILDING In PLAN CHECK NO: IVEST11 DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO ..... 0. PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSILIC GRAOINGIFILL A. .U.S., SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE !Z SEPARATE PERMISSION. STATE SURCFA�tGll 2 PERMIT APPLICATION: ISODAYS HIDDAYS KI PERMIT LIMIT: I YEAR � PROVIDED WOR SSTARTEOWITHlN SEE BACK OF PINK PERMIT FOR ..RE INFORMATION -AP LICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS P ENG, INSPECTION FEE IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS, THE CITY F L ANDSCAPING 2 EDMONDS. WASHINGTON, ITSOFFICIALS. EMPLOYEES. AND AGENTS F OM ANYAND M DIR�CTLYO ALL CLAIMS FOR DAMAGES OFINHATEVER NATURE, ARISING RINDIR.— FROM THE ISSUANCE OF THIS PERMIT. SSUANCE OF THIS PERMIT SHALL NOT BE INSPECTION FEE PLAN CHECK DEPOSIT RECEIPT '3 I DEE.EDT MODIFY, WAIVE OR REDUCE ANY REQUIRE.ENT.F ANY CITY R.I.ICE 0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - RECEIPT TOT OUNT DUE "yo I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION NITL APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT 01 II's. - I- , .,I , p,,,,t .t�l s,glld by the THE OWNER. I AD WITH CITY AND STATE LAWS REGULATING CONSTRUG FEE TO COMPLY PERSON WILL BE EMPLOYED CALL a,,�nl,I`ll MIMI, Dep.ty: ,d Fees are pald� TION; AND IN G THE WORK AUTHORIZED THEREBY. NO 001 N WASHI L T THE LABOR CODE OF THE STATE OF NGTON RE ATING 0 nk­Iodg-d,- -D-0 prov,dod. FOR INSPECTION I IN VIOLATION OF WORKN�EXSfOMPENSATION INSURANCE AND RCW HI.27. OFVICI 10 URE q SI RE GIN IT AGENT) D ESIGNED (425) _,)/ZDATE ko A ;10-) 771-0220 RELC S T N EXT 333 IS UN F INSPECTION 'G 08 ST?UCTURE UNTIL TO USE OR OCCUPY A BUiLDIN 771-0221 p HAS BEEN MADE AND APPROVA� OR A CERTIFI- ORIGINAL -FILL YELLOW -INSPECTOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECT�ON 109 FAX PINK - OWNER - GOLD - ASSESSOR Z $ _t 0 C= rn mo 0 80 a -4 K X M rn z 10-1 � 2 r, -4 0 -n n In m a 0 0 rn 0 Z r- z -4 rj) z 0 d 0 m