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20000257.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION IER NAME/NAME OF BUSINESS 0 ri !7z"IN t+u" qq -*I ( D NAME NAM' I - AGO CITY STATE LICENSE NUMBER 151 V A A C DUN LQ Jo PE7RM71T�E:X:PIRES =/('CC F LIE PERMIT I-DOZ57 Z.NCC� NUMBER ADDRESS .:# SUITIJAPTI JOB �gb ILL4 q ( I _LQ_ FLAT NAMEJSUBDIViSION NO. LOT NO. LID NO. 11. FEE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP w P.- fl­­ EXISTING — PROPOSED — REQUIRED DEDICATION— PT METER SIZE UNE.SIlE NO, OF IIXTUIES PRV REOUIRED I I YES C3 No 0 I 2!ARNS.­TR­.MR RESPONSIBLE FOR EROSION CONTROLIORAINAGE FIRE REVIEWED By ONE y Lf ' VAIIIANCE OR C ION "T u to 1' " - .... FV,F. DATE NO 0 PLUMBINGIMECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fl�) FRONT SIDE HEAR PROPOSED SETBACKS (FT) FRONT URSIDE REAR o COMPLIANCEOR fALIDITION CHANGE OF USE 0 REMODEL t5j'SIGN PARKING REaD I PROVIDED LOT AREA EVIEWED 8 FENCE GRADING CyOG 0 X 0 REPAIR 0 X EM—S 0 DEMOLISH 0 TANK o OTHER o GARAGE 0 RETAININGWALL 0 RENEWAL CARPORT 5 (TYPE OF USE. SUSINE ACTIVIT I X IN: NT BER F DWE NUMBER NUM 0 KA OF LUNG STORIES CRITICAL AREAS NUMBER SPECIA REINSPECTOR REQUI m YES JAREA NT A. DESCRIBE WORK TO BE Got REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING TED DATE PLUMBING PLAN CHECK NO: IVES MECHANICAL S E AUTHOR SON THE WORKNOTED THISPERMITCOVER WORKTO THIS P RMIT IZE LY 0 Y CONSTRUCTION ON THE suc GRADINGiFILL EES.ETC.)WILI.Apu a E ONE ON PRIVATE. PROPERTY ONLY AN MAROU EQUIRE E 0 IV6WAYE D MAIN tCUPIES SIDEWALK , R 0 :1 SEPARATE PERMISSION SURCHARGE PERMIT APILICATI.N:, 181 DAYS PERMIT LIMIT. 1 YEAR � PROVIDED WORK IMS STA TED ITHIN 180 DAYS EVIEW FEES SEE BACK OF PINK PERMIT FOR ORE INFORMATION PPL'CAIMIT�,OANGG E HALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS END. INSPECTION FEE TO INDE.NIFY Ay�EEEOLNDE) LESS THE CITY F LNANpo�ICAP'NG IN,,TER R.ES � �LDEFEND TSIROM ANYAND __ T OFF` S, E.PL. A = I �T,.N FEE EDMONDS WASHINGTONSto$W DIRE A.AGE F HATEVER NITURE,ARISiNG CTLYORIND­-­R ALLCLAIMS FORD T ISS ANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DIPOIJIT OF HIS PERMIT U x FROM THE ISSUANCE - ANY FANYCtTYOAD]t 5 DEEMED TO MODIFY, WAIVE OR REDUCE REOUIREMENTO 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,* DUE I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION OWNER. OR THE DULY AUTHORIZED AGENT OF GIVEN IS CORRECT, AND THAT I AM THE THE OWNER. COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL IAGREETO a 0 TION IN DOING THE WORK AUTHORIZED THERE Y. N PERSON WILL BE EMPLOYED 'AND " WASHINGTON RELATING TO THE STAT OF FOR INSPECTION IN VIOLATION OF THE LABOR CODE OF WOAKME�LS COMANSATION INSURANCE AND PCW 18.27, E, (425) SIGNED rarAOGNT, 771-0220 _N EXT 333 Af F9FI 0 IT IS UNLAWFUL TO USE OR 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 LFFLIL;AnON APPRO, AL Ol,' ',MelDlplIY:A' ORIGINAL -FILE qELLOW- INSPECTOR PINK - OWNER GOLD - ASSESSOR FINAL PROJECT APPROVAL FORM TO: DATE-._. MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: DEPARTMENT DATE— z ERING DIVISION DATE- —ENG 0 M LANNINGDIVISIONDAIE—Mc- 0 M PROJECT—!E�� N� C M 0 -10 SITE ADDRES 1 �z 0 0 C PERMIT #__a:���AbB#—DATE INSPECTED M M z z DESCRIPTION OF WORk,TO BE IN �0 A field inspection was condlicteA to determine compliance with approved plans. Final approval denotes that -n there are no objections from the above signed Department to the granting of = M M ofthe described work 0 0 M —Z--==Final approval Bonds associated with the project may be released M 0 z � _Performance > FINAL PROJECT APPROVAL z __JKGRANT Q FINAL PROJECT APPROVAL WITH CONDITIONS NOTED C/) z _,RANT 0 0 M ______yAlLED FINAL INSpE&ON OUTSTANDING ISSUES 2. 3. -------RE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp-bldg:forms6/98 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACK$ ..................... FOUNDATION: Footing ...................... wall.................. Pier/Porch ............. z 0 Retainirig Wall .4 Stab Insulation .......... M PLUMBING: underground ............. 0A 0 Rough -in ............. m Commercial Final HEATING, M In Gas Test .................... C Gas Piping ................. 3: fV Equipment ............. 0 111 commercial Final -4 MM EXTERIOR SHEATHING a vi ja NAILING . .......................... 0 FRAMING � ........... ........... C IT101 FIRST FLOOR FRAMING INSULATION .............. Floor Insulation Z" 1! Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING z 01 SPECIAL INSPECTION I'D MISCELLANEOUS .......... FINAL APPROVAL FOR �vj OCCUPANCY ........... I m 7- ATE RECEIVI FpE__ I OC) RMIT EXPII��S_ CITY OF EDMONDS ... PERMIT I-OOZ57 �..EC NUMBER CONSTRUCTION PERMIT APPLICATION ILL/A q 6) 111TE11TI OWNER NAMEMAME OF BUSINESS ofl FLAT NAMEISUBDIVIII ION NO. JIOT NO. NO, L�D OFEES MAIL ��Zll ((D _7UllIC RIGHT OF WAY PER OFFICIAL STREET MAP T�w�p'­"� 0 0 1 TELEPHONE EXISTING — PROPOSED— =P­21� 00 0 1 REOUIREDDEDICATION� FT 0 METER SIZE LINE SIZE No. OF FIXTURES FRV REQUIRED I NAME 1 'r 0 NO 0 K I REMARKS OWNERICONTRACTOR FIESPONSIM E —ION ADDRESS CITY ZIP ITELEP"Ill 1-4w NAM 1 (1 K s W\c, ENGINEERING I AIDI) rno_ z FIRE REVIEWED BY DATE CITY ZIP TE�7(0 8 VARIANCE OR CU NE OR ADB# INS, :oj 0 NUMBER sSERA SIGN AREA Me—, P REVIEW COMPLETE EXEMPT Ajj; I PROPOSED ?ED AlXrD 'POP m LOT COVERAGE REQUIRED SETBACKSIFT.) PROPOSED SETBACKS (M. C= rN3aEW PLUMBING/MECH ALLOWED PROPOSED FRONT SIDE BEAR FRONT UPSIDE BEAR M 0 0 ADDITION C MPLIANCE On CHANGE OF USE PARKING LOT AREA EVIEV iDS j D c RECrD PROVIDE X m 0 REMODEL C5�`SIGN I m Z GRACING CYOG 0 FENCE X 0 REPAIR FT) REMARKS 10 DEMOLISH 0 TANK ED OTHER X GABAGE 0 RETAINING WALL C] RENEWAL 0 z CA 'PORT o 0 ACT�j[VITY) XP IN: T n (TYPE OF USE, BUSINE fA EO�TtTROION 'CUPA GC` CUP 12n ni m NUMBER NUMBER I CRITICAL AREAS SPECIAL INSPECTOR OCCUPANT LOAD OF STORIES DWELLIND NITS NUMBS JAIIA REQUIRE DYES 0 9 0 DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER USC 1 08/FINAL INSPECT ON REQ'D z 5 c M71 X z VALUATION FEE z PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING 0 m PLAN CHECK NO: 111STIO DATE MECHANICAL p THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS P ERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC RAMNGIFILL DOMAIN (CURBS, SID S ETC.) WILL REQUIRE EWALKS, DRIVEWAYS, MA QUEE , SEPARATE PERMISSIOM SURCHARGE RMIT APPLIC N: 100 DAYS ATIO PERMIT LIMIT'. I YEA,, � PROVIDED K SSTARTEDWITHIN 180nAYS WOR I ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOB MORE INFORMATION — UGANT. ON 0 HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE ;A N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF OFFICIALS, EMPLOYEES, AND AGENTS 'ROM A NYAND LANDSCAPING INSPECTION FEE EDMONDS, WASHINGTON, ITS ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE, AS ]SING DIRECTLY OR INOMECTLY RECEIPT/ 05 5 FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SMALL NOT BE CITY ORIN NANG PLAN CHECK DEPOSIT DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY TO ENFORCE ANY ORDINANCE PROVISION. RECEIPT 4 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATIOI,L THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT 01 T'll 11 1 ", , , - THEOWNEM I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL 81111.1:.11.1 d F­ ­ P-, TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED WASH, NGTON RELATING TO I I. �.k­l.dg.� -P­ Pl-vl­ FOR INSPECTION iNVIOL ON OF -THE LABOR CODE OF THE STATE OF ATI Y,NSATIONINSURANCE�ANDRCWIB.�27. WORKMENS COMP OFFI I S IrNATURE DATE 5 zrl 6D DATE sl G"ED (425) 771-0220 BE BY DATE EXT 333 V c/ Al ION IT IS UNLAWFUL TO USE OR OCCUPY A 13UILDING OR STRUCTURE UNTIL _h� 771-0221 1ELL04 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE INSPECTOR . ASSESSOR A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD FAX