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20000264.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS ZAAt-� _t2)f-r-F�ftRCNlC_M_ MAILING ADDRESS -I -I �a--3 CITY lIP ITELEIHOIE NAME = I PERMIT EXPIRES USE ERMIT ZONE NUMBER r- P 2002C4 lUITElllT' ADDRESS;72LI2,1 '-I-- .3r4 pla(Te'Lu FLAT NAMEISUBDIVIS$ON NO. I LOT NO, L LID 0. 5 D EES PUBLIC RIGHT OF WAY PER OF110AL STREET A' �11­ V1. d EXISTING - PROPOSED REQUIRED DEDICATION- FT HE SIZE I No OF FIXTURES METER SIZE I U IRV A Y'S C3 No 0 R MARKS OWNEHICONTRACTOR RESPONS18LE FOR EROSION CONTROUDRAINAGE 14tf I cOct), I nc, ENGINEERING REVIEWEOIDAT5 A Phinnc-4 �Jo ruk. FIRE REVIEWED By GAT E CITY ZIP 9 �6 GR-4s3lq _�fELEPHONE VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND POSTED STATE LICENSE NUMBER EXPIRATION OjATUE dl"1111D BY 4_:,ILC '21A 'C_jdSq' _C' 11FAREVIEW 'REO'D No ES SIGN AREA HEIGHT PROPERVjA PAZRCEL (�'CCO T'Y (�A _k) 00 (�'CCO T��_)� Exp A -.LOWED PROPOSED ALLOWED PROPOSED C] NEW OX'�E.I.ENTIAL [0] PLUMBING MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACK. III PROPOSED SETBACKS III FRONT DE REAR FRONT UP SIDE BEAR SI �o � ADDITION C MPLIANCE OR C3 COMMERCIAL CHANGE OF USE REVIEWED By DATE REMO DEL APARTMENT SIGN RED, PARKING D I PROWDED LOT ARIA PI.J,11ING C] FENCE 0 REPAIR Eii GRADING CYDS X FT) -REMARKS t - _ �TANK OTHER E] DEMOLISH �l oGARAGE C] RETA'lN,'N'G WALL 0 CARPORT R., RENEWAL 61 L CHICKEDly ONSTRUCT N Coo OCCUPA O� �t GROUP CRITICAL AREfAS j SPECIAL INSPI __Inf ANT OCCUP LOAD NUMBER REQUIRED C3 YES REMARKS P I ROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'I VALUATION I FEE PLAN CHECK FEE HEM LOT SLOPE % BUILD NO PLAN CHECK NO: IIESTED DATE PLUM ING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SDEW SEPARATE PERMISSION. GRADINGIFILL _­E URCHARGS PERMITAPPLICAT N: 180DAYS P ER I PERMIT LIMIT. 1 YEAR. PROVIDED WORK IS STARTED WITHIN IBOOAYS I I A Y :EA F SEE BACK OF PINK PERMIT FOR MORE INFORMATION .F ENG. REVIEW FEES A PLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS A PPL N INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF I I I I N EDMONDS. WASHINGTON. ITSOrFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY CLA MS F M GEB C FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMITIS. LL NOT BE 0 Y WA'V ANY REQUIREMENT OF ANY C TY ORDINANCE DEEMEOTO MODIFY. WAIVE OR REDUCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION, 0 Y W Y TH , ENO INSPECTION FEE LANDSCAP NO INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE RECEIPT RECEIPT I HERE Y ACKNOWLEDGE THAT I HAVF READ THIS APPLICATION! THAT THE INr RMATION GIVEN DIS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO G.Mll WITH CITY AND STATE LAWS REGULATING CONSTRUC TI.N; AND IN GO' NO THE WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING To WORKMEN S COMPENSATION INSURANCE AND RCW 16.27. OR AGE D2;7E�l APPLICATION APPROVAL CALL D I Ad F­ .1. 1p FOR INSPECTION (425) 771-0220 ATTENTION EXT 333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLO - INSPECTOR A FINAL INSPECTION HAS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX IINK-OWNER - GOLD -ASSESSOR �198 TO: DATE: MEMOTO: 0 TOR, BUILDING DIVISION FROM: ---YIRE.DEPARTMENTDAXE ENGINEERING DIVISION DATE PLANNING DIVISION DAT PROJEC SITE ADDRESS 07141( -7 5 PERMIT 2,6 4 ADBW--------DATE INSPECTED DESCRIPTION OF WORK,TO BE INSPECTED— ed ans. Final approval denotes that Afield inspection was conducted to determine compliance with approv pl there are no objections from the above signed Department to the granting of: --,��Final approval ofthe described work _Performance, Bo nds associated with the project may be released GRANT FINAL PROJECT APPROVAL GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED AILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp.'bldg:fOrms6/98 z 0 0 C M0 -4 0 0 0 -4 :r rn Mz 0-1 C —Z 0 -n n --I rn In U (n 0 r- 0 M C rj) 9 C/) M 0 Z r- z z 0 0 M RECORD OF INSPECTIONS 7 I PECTOR DATE APPROVED NS SETBACKS ..................... FOUNDATION: Footing _ ................. Wall.......................... Pier/Porch ................. R.I.Inl6g Wall z Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... M Commercial Final C M 00 HEATING: —10' 0 w_ Gas Test r; .................... M M Piping 10 Gas ................. Equipment ............. Commercial Final (j) 0 -n 7111 EXTERIOR SHEATHING NAILING .......................... rn FRAMING ........................ 0 15, 0 FIRST FLOOR FRAMING C: z co) INSULATION ................... M, 0� Floor Insulation 7 4 Wall Insulation ........... :0 Ceiling Insulation Z, SHEETROCK NAILING SPECIAL INSPECTION z M MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. z.6A P- ZONE P ERMIT CITY OF EDMONDS NUMBER I S11T111T lo_C,. wzl�j JOB CONSTRUCTION PERMIT APPLICA�TION ADDRESS;Z2Lq�Z OWNER NAMEINAME y )�A N) 29 ;-� R R CiA ] PI -AT NAME/SUBDIVISION NO. I LIT No. I 1,10 NO. LIG FEE S MAILING ADDRESS N t, PUBLIC RIGHT OF WAY PER OFFICIAL EXISTING — PROPOSED— REQUIRED DEDICATION— STREET MAP IT — ..... F� - F."t, SI­IUt­­9eqd ­pI.I , F­­ ht, 1.1.1- CITY ZIP ITILEP"IlE r— M ET PRV REOUIRED NAME YES E3 NO ADDRESS ht—RI-NTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY ZIP ITILEPHON1 +--i I L—Li I I L_" —1 ENGINEERING REV1EWED1DATE E N G INE E R IN I "I'— A Phinnt�-4 �Jor'Uk FIRE REVIEWED .1 DATE F E R EV E 'ED By ��e ggMtELEPHONE I S4� -SaH VARIANCE OR �U E U VARIAN R SHORELINE OR ADS# INSPECTION RED'. OYES ONO BOND IPOSTED I STATE LICENSE NUMBER ,,,,,;XPIRATION DATE CHECK2 BY rMj SERA REVIEW GMPLE' IT E COMPLETE EXEMf EX, XP SIGN AREA ALLOWED PROPOSED ------- HEIGHT ALLOWED PROPOSED PROPERT�A PARCEL �AC[6UNT -)o 0 0 0 NEW J�K.ESME.TIAL PUJ.EIN- I NIEC- '0 0 ADDITION COMMERCIAL o COMPLIANCE OR cl 'HANGE OF USE c 0 REMODEL E] APARTMENT C] SIGN FENCE REPAIR GRADING CYD5 cl X FT) 0 DEMOLISH U TANK o OTHER A K T� CARAGE [3 RETAIJaNING WALL 0 RENEWAL 0 GARP.RT , ly RIC LOT COVERAGE I P OF 0. 0 P OP ALLOWE C A OSED REQUIRED SETBACKS JFT) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UPSIDE REAR PARKING 'LOT AREA PINNING REVIEWED BY DATE RE I PROVIDED EMARIS (TYPE OF USE. BUSINESS OR A VVITY) EXPLIJ!�. TIN6 631 CHECKEDBY JTYPS� �GNSTRUCTON A, PZ:� NUMBER OF STORIES NUMBEROF I WELLING UNITS CRITICAL AREA S NUMBER SPECIAL INSPECTOR JAREA REQUIRE C3 YES OCCUPANT LOAD KT I REMARKS PAnC.RFSS INSPECTIONS PER UBC 108/FINAL INSPECTION REO' PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE % BUILDING .'s I PLAN CHECK NO: �VEETEO DATE PLUMBING MECHANICAL PIVALUATION IS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO A E ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Eo BE .. E P 'VATE P. GRADINGIFILL GO IN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE B,.EW' SEPARATE PERMISSION. .9� SURCHARGE P RMIT APPLICATION: Ule DAYS PER PER' E PERMIT LIMIT. I YEAR, PROVIDED WORK IS STARTED WITNIN 180 DAYS Y P E."'T L' I YEAR CNG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION C I ENO. INSPECTION FEE r::':'AR 'APPLICANT ON BEHALF OF OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS F FHI IN INTEREST. AGREES TO �NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF I YANG LANDSCAP�NG 2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM AN 1 0 IS I 1.0 AULCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE RECEIPT A M THE ISSUANCE OF THI ERMIT ISSUANCE OF THIS PERMIT SHALL NOT E 0 ' S P BE 1 0 PLAN CHECK DEPOSIT DEEMED MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC TO To 0 N R T IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROIISION,� 0 LIMIT I N Y W Y T. ORUMt TOTAL AMOUNT DUE RECEIPT ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION PLICATION APPROVAL I HEREBY GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT IF pjj,at,c­ hot a .-it uhtil �Iglld by the THE OWNER . I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL himft, D.'/ end F­ ... ... I—V D IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED TION: AN N RELATING TO WASHINGTO FOR I ft SP ECTION I k ... t,dg, 0 OFII�C LABOR CODE OF THE STATE OF IN ViCLATI N T NSATION RANCE AND RCW 18,27. INSU SI NA RE WORKMEIVS COM D:;� D:;� (425) 0 q1 e7 771 -0220 RELEASE I BY DATE ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTFI- . ORIGINAL FILE - YELLOW. INSPECIOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FA X PINK - OWNER - GOLD - ASSESSOR z P 0 rn c m 0 80 a m m c 0 _n E M!n C3 - 01 r_ rn c ca z --I z 0 :j 0 m