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20000271.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION DWNERNAMENAME OF BUSIN BE M A- ILING ADDRIESa -' q-'L- Av&- A CITI�gy""L �kL ZIP . ITELEPHONE TAME FP­ERMIT , /i, n EXPIRES _Z� 6SE PERMIT ZONE NUMBER 2-OOZ71 JOB ADDRE::�� ^A/19 5 1 SUITE/APTN PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. I LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP aos I... 1—a ast d EXISTING — PROPOSED— I Uc.d alfaaak ltsg-d REQUIRED DEDICATION— FT � ..­u. WId­­V.d METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED I YES C3 No 0 rzip ITELEPHONE NAME NAME ,, ;Z e /;- —<- E0 -7;- ENGINEERING REVIEWEDIDATE m ADDRESS 0 CITY 1�7 Z�,gj TELEPHONE IR C, Al SHORELINE OR A"' INSPEC 'ON NO STATE LICENSE NL;MBER TE LC fL �IAFIIANrtR OU IP..TE. C3 ES C3 N- 671QQ to) EPA SIGN AREA HEIGHT E IEW COMPLETEI EXEMPT :D PROPOSED ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL�NO. , I / 4 — t SKI` LOT COVERAGE PEOUIRED SETBACKS JFT PROPOSED SETBACKS (FT.I REAR S DE NT L PLUMBING I MECH .' ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE C] ADDITION IME I AL C MPLIANCE OR Co. PC CHANGE OF USE JA RKING P NNINGREVIEWEDBY DATE El' 0 REMODEL RT. IT 0 SIGN REO"A PROVI 0 C 0 REPAIR F NCE El GRADING CYDS 0 ( — - — - I DEMOLISH 0 TANK OTHE o GARAGE CARPORT RITAININGIAIALL,. RENEWAL GCXERY 0 Is -7— 1 p TYPE OF USE, BUSINESS O�ACTIVITY EXPLAIN: CHECKEDBY TYPE 00DONSTAUCT'ON COD, ..UIANk GROUP -71 M NUMBER NUMBEROF CRITICAL JAREA CCUPANT . OF I _a o STORIES DWELLING UNIT. AR NUMBER SPECIALINSPICTOR EQUIREO [3 YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC JOBIFINAL INSPECTION REG1 VALUATION I FEE PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE % BUILDING DATE ESTED DATE PLAN CHECK NO: PLUMBING LESTED JIM _ 1 3"�S MEC ANIC�L THIS PERMIT AUTHORIZES 'ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSUC GRADINGIFILL BE st 0 Z, S' E�l GE:.LKS, .11 IV' WAYS. MAP. UE a.. ETC., W, LL . ED U. E :I SEPARATE PERMISSION STATE SURCHARGE PERMIT APPLICATION: 100 DAYS I AR. PROVIDED WORK IS STARTED WITHIN 180 DAYS YE ENG. REVIEW FEES PERMIT LIMIT. SEE BACK OF PINK PERMIT FOR MORE INFORMATION cl�) OF Ft I 'A HIS OR HER SPOUSE. HEIRS, ASSIGNS ASNIDTHECCESDOS IN.EMN,1Y D HARMLE CIT F NOL' LANDSCAP NG INPP.LTEC�AEN�Ti.o�N.�'.'�A.LT. 4LO11END AND 2 EDMONDS. WASHINGTON�ITS OFF S. EIMPL. SEE. AN. AGENTS FROM ANY AND DAMAGE OFWHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY INSPECTION FEE RECEIPT 013 ALLCLAIMS FOR PRO THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE M PLAIN CHECK DEPOSIT DEE, To MODIFY, WAIVE OR REDU CE ANY REQUIREMENTOFANY CITY ORDINANC 'OTINANYWAYTHECITY'SABILIT ANY ORDINANCE PROVISION.' RECEIPT T ENFORCE NOR UMI Y 0 TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE plEAD THIS AppLICATIUOLNy. THAT THE INFORMATION APPLICATION APPROVAL GIVEN CORRECT. AND THAT I AM THE OWNER. On T G AUTHORIZED AGENT OF IS his application I. a., . P., In. THE OWNER. I AGREE TO COMPLY WITH CITY AN6 STATE LAWS REGULATING CONSTRUC' THEREBY. No PERSON WILL BE EMPLOYED CA LL 4", oflici., " las,n., D.Inly: and Falls — Pad and BuiIT ipt is Icknowlodgld In 'Pam PTovidodq TION; AND IN ODIN THE WORK AUTHORIZED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S COMPENSATION 12 IS *11, OFFICIA ION ��IANDRCW D (425) 771-0220 RELEASE ATTENfION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY ABU il-DING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. ORIGINAL - FILE 41ELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 spa FAX PINK - OWNER GOLD - ASSESSOR z 0 M 0 m C M 0 0 C M m A rn DO—) 0 0 C A z -4 rj) z 0 0 m J 7 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATIO Footing ...................... Wall .......................... Pier/Porch ................. z Retaining Wall ........... Stab insulation .......... PLUMBING: '4 Underground ............. co 0 rn Rough -In u OR I , ti, Commercial Final 0 C� HEATING: x M mz� Gas Test .. ................. > Gas Piping ................. Equipment ................. ji Commercial Final EXTERIOR SHEATHING M ITI 0 NAILING ..................... 0 rM 0 FRAMING ........... C (0 FIRST FLOOR FRAMING M 0; Z r- INSULATION ........... ;U Floor Insulation Wall,insulation Z: Ceiling Insulation co SHEETROCK NAILING SPECIAL INSPECTION M MISCELLANEOUS FINAL APPROVAL FOR Q0 OCCUPANCY .................. _7 — - --- - --------- PERMIT EXPIRES ZONE PERMIT CITY OF EDMONDS NUMBER SUlTVAPT. ADD 1 � *IV� le CONSTRUCTION PERMIT APPLICATION JOB RE ;;7 _39 DWNERNAME/NAME OF BUSINE S 4 / k/m PLAT NAME/SUBDIVISION NO. I LOT NO: LMN . _�AIUNG DFE5S m I ADDRESS 4' TEScp ... u 3: PUBLIC RIGHT OF WAY PER OFFICIAL STREET LVAI '"p, Fw P. nit R.qu id 0 . sne't th. 1.1.1 File d C - q L&rb­ 'L EXISTING— PROPOSED F.-nd D CITY ZIP TELEPHONE SM.— fln,nilid V . ..... 0 )A RE UIREDDEDICATtON_ IT P V REQUIRED NAME YS C3 NO 0 Is I ADOR SS R MARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP ITELEPHONE z NAME 0 4eO 7-kz_C,-7;-a1V REVIEWEDIDATE -/Vc— ENGINEERING t VADDRE.S C 1,7 0 CITY CITY �n INSPECTION BOND. RIANCE RCU ORELINS OR ADEN ECK D BY STATE LICENSE NUMBER DATE RE 'D POSTED M OYES (:]NO 0 L 16,_ - HEIGHT L c M SEPA EY19W SIGN AREA COMPLETE �XE PTi AIlOWED PROPOSED ALLOWED PROPOSED PARCEL NO. I . 0 0 8 PROPERTY TAX ACCOUNT ., , � , , :�_ , . W, 3 EXP c R4 m LOT COVERAGE' REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT URSIDE REAR RESIDENTIAL 0 PLUMBIN /M H A . LLOVVEO PROPOSED FRONT SIDE PEAR FRONT 10 PLIANOE 0 C MPLIANCEOR M COMMERCIAL ADDITION CHANGE OF USE AN G, 0, USH z c > PARKING LOT AREA PLANNING REVIEWED BY DATE SIGN RED REMODEI PARTMENT SIGN REO.D I PROVIDED 4 FENCE GRADING CYCS I REMARKS REPAIR FENCE I FT) RE. 0 -n OTHE [j DEMOLISH 0 TANK m m GARAGE RETAINING WALL RENEWAL CARPORT ROCK59Y z 0 r: 0 c ITYPE OF USE. BUSINESS ORACTIVITY) EXPILAIN: CC lANk CHEI 0 jTRUCTION GROUP I Ro' ITICAL S OCCU NT NUMBER NUMOE S WEL, OF ING AREAS F C LOAD. FE.IJIFED rn 0 Z r- STORIES UNITS NUMBER YES DESCRIBE WORK TO BE DONE REMARKS iE M PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REa�D 11 �-�_S77�(/ 101J 1'01"7 ed Z OiW Alced 5 z ­UATION FEE m PLAN CHECK FEE HEATSOUFFC� LOT SLOPE % BUILDING PLAN CHECK NO: VESTED D—ATIE P UMBING ECHANICAL THIS PERMIT AUTHO IZES ONLY T14E WORK NOTED, THIS PERMIT COVERS WORK TO R t: BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION:,,180 DAYS PERMIT LIMIT. I All- PROVIDED WORK STARTED WITHIN 100 DAYS YE ENG. REVIEW FEES SEE GAG K OF PINK PERMIT FOR MORE INFORMATION __ IS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ON BEHALF OF H ;APPLICANT. N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND INSPECTION FEE 1. AGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY ALL CLAIMS FOR DAM OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT ECEIPT 1612 1 FRO. THE ISSUANCE DEEM80 T MODIFY. WAIVE OR REDUCE ANY PEOUIREMENTOF ANY CITY ORDINANCE NOR LIMIT ION ANY WAY THE CITY'S ABILITY TO INPOIRCE ANY ORDINANCE PROVISION TOTAL AMOUNT DUE IR CEIPT ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL I HEREBY GIVEN I CORRECT, A D THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF This ppi,,t,­, ­ , poneit enlil signed bytill TH5OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL D,,Id,lg OVIC1.1 .,.his/her Deply: end Fee, ,, P id. end 0 WILL BE EMP DYED TI.N. ANDIIN DO NG THE WORK AUTHORIZED TH EEY.NOPERS N OF WASHINGTON RE ATING I BER L TO FOR INSPECTION _eipt is si,;k—ledged in sP.. P—le -d IN LAT ON OF THE LABOR CODE OF THE TAT VIC WORKMEN S COMPENSATION `PFANI�E AND RCW 113.27. P, (425) 1114�2 771-0220 FEIIAS lll� f DATE ATTENTION I f EXT 333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL BEEN MADE AND APPROVAL OR A CERTlFl- ORIGINAL FILE ---YtLLOW INSPECTOR A FINAL INSPECTION HAS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOL ASSESSOR RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS .................. �FOUNDATION: Feeling ...................... Wall .......................... Z), 0, .4 Pier/Porch ................. Wail Slab insulation C M PLUMSING� Underground ............. --40 0 C: Rough -In ............ M commercial Final cz� HEATING: Gas Test .................... W Gas Piping ................. n M .Equipment ................. 0 Commercial Final ----------- 0 can EXTERIOR SHEATHING kc 3; I C) ; , NAILING ........................ Z r—' FRAMING ........................ FIRST FLOOR FRAMING j INSULATION ................... z Floor Insulation Z. Wall Insulation Ceiling Insulation 0 rn SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS j FINAL APPROVAL FOR OCCUPANCY