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20000291.pdf.1 I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER �;:�N14F 7�7 Q4 I JEA- MAILING ADDRESS It,!; L E( 44 cv'y' T- CITY ZI TEI� �;E P Z� 7 � f. I P /-::"-0Imm.A 07 It, 7A '7�WP ADORES t " CITY 0 N 0441 Iz- R cl C k� : I a be h "i - OL w ��& 0 - 7 ­D_ F T LEP..HD � fLrf yc� 4 CLIO 1 RY7 & 'on44ex lIP 4,FA TE1114G!�. iu� —D ICENSE NUMBER ' E k.k IyN Pr po -mzr- (21 P, 'T., TY TAX UNT PARCEL NO. IN E _W 02'�RESIDENTIAL C��-MBING I M5CH 'DITION COMMERCIAL C MPLIANC OR cl COHANGE OF USE MODEL APARTMENT 0 SIGN SPAR GRADING GyCS 0 FENCE ( X FT) EMOLISH TANK [3 OTHER A AGE ETAININ. WALL ARt2RT rl RENEWAL F u-1,5PLAIN: . I_ RUStND. NU"IE OF 7-- 1 STORIES UNITS DESCRIBE WORK TO BE DONE PERM�IT �EXPIRES�� -E_ USE PERMIT �Z&0-2-9 I ZONE NUMBE SUITVAPTN IOB ADDRESS 3 PI -AT NAMEISUSCIVISION NO. Ll NO. LOT _1.0 FEE I TES—Ppl— PU BLIC RIGHT OF WAY PER OFFICIAL STREET MAP - I.- SI­111-- ld EXISTING — PFOPOSED� REQUIRED DEDICATION— FT � WJH­q—d --- �ETER �NG OF X,�URES PFV REQUIRED YES 13 NO 0 R MARKS —FAZONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE 08 ADD. SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED I PROPOSED ALLOWED I PROPOSED EXP I LOT COVERAGE REGUIRED SETBACKS (FT) PROPOS D SETBACK$ (FT,) ALLOWED PROPOSED PRO- SIDE REAR FRONT UP SIDE FEAR PARKING LOT AREA PLANNING REVIEWED By DATE REOD I PROVIDED SPECIAL INSPECTOR JAREA OGACDPANT REQUIRED C3 YES Lo REMARKS DRMr.Rrqq INSPECTIONS PER USC 108/FINAL INSPECTION REO'D 11 VALUATION I FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE BUILDING 5Z .. PLAN VHECK NO: VESTIO DATE PLUMBING 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 SEPARATE PERMISSiO GRADINGiFILL 1� URCHARGE PERMIT APPLICATION:, 180 DAYS PERMIT LIMIT.- I YEAR - PROVIDED WORK S STARTED WITHIN IBD DAYS SEE BAG K OF PINK PERMIT FOR MDRE INFORMATION C A 'CANT ON BE. OF HIS OR HER SPOUSE IRS. ASSIGNS AND SUCCE oRs AL' oF' p�LT'E'�AE'�T�.'AN.'.E�".'�L'TO INCE.Mll DEFEND XHE Yo D �NAP,I E F To N NO HOLD HARMLESS TH CITY AN EGMoNDS,,F.ASHDlNGllN "OFFICIALS. EMPLOYEE. E.TSY Ro AN CLAIM - OR AM . CTL o IR G'LY ALLGLA'. P A.E,G -S ANDIAGRE FIND E A F D A EDC FWHATEVER NATURE. ARI�ING L r FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL HOT BE 'SSU C. o �Fy AIVE REIDUCEAN FE.LIFE.ENT .1 ANY CITY ORDINANCE To M.-I Y DEEMED TO MODIFY. WAIVE OR NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. Y W Y THE, ENG, REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT CEIPT REG I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFDAMAIION GIVEN IS CORRECT: AND THAT t AM THE O—ER. OR THE DULY AUTHORIZED AGENT OF THE OWNER iAGREETOCO PLY WITH CITY AID STATENI.AWS REGULATING '-NST7L% IN Do NO THE WORK AUTHORIZED T.SFEGY. PERSON WILL BE EMPLOYE TION. AND E STATE OF WAS.,.. TIN. TO IN VIOLATION O'F THE LABOR CODE OF TH , TON FELA _�ORK. N'S COMPENSATION IN URANCE AND RCW 18.21, S17 a — DAqSlG[ED 'D NP T- IPPI-1— 11 —I'l"'b"' �,pld by th, Y: ld F— — P.1d. Ild --l.d,.d lb p.cb p—lb.d. TION OFFICI SIGNAT Y/;E/O (425) 771-0220 ELEASED By DATE A-F FENTION 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 FAX ORIGINAL FILE - YELLOW - INSPECTOR PINK - OWNER - GOLD - ASSESSOR z co c: rn M 800 c: -1 M M z 0�n MITI 0 @ 0 C In M C) z 3: > -4 ZC0 z m ........... RECORD OF INSPE&IONS INSPECTOR DATE APPROVED SETBACKS ................ FOUNDATION: Footlng ..................... wall ................. P[er/Porch R.6Inlrfg Wall .... ....... siiOns6lation vj PLUMBING: M. M 0 undirgiound, .......... 6 0 C�' m rn Zj Commerclat Final HEAT,, Zi Gas Test ............ 0 Gag Piping ............ -n a Equipment ................. M M. donirnerda'l Final 0 0 '"EXTE RIOR SHEATHING CO), NAILING ................... FRAMING ............. FIRST FLOOR FRAMING INSULATION .............. Z! Floor Insulation Wall Insulation z; Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION, MISCELLANEOUS .......... FINAL APPROVAL FOR. c) RECEIVED � .1) ERMIT EiPIRES, CITY OF EDMONDS U S E E PERMIT USNE '0 E ZO N P" z NUMBER 2MO-2_91 CONSTRUCTION PERMIT APPLICATION JOB SUITOAPT4 4 8 0 A R ADDRESS G BE ' OWNER �IA4F BV;T Q4 � -f BID NNO PI -AT NAMEISUBDIVISION NO. FLAT NAM"SUDV LOT NO. U.N.. LID FEE S MAILING A. BESS -SeA- i Atv-,,x P-C PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP PUBLIC RIGHT OF WAY PER 0 EXISTING — PROPOSED EXISTING — P POP, REIOUREOOEDICATION� FT RE.UI RED -E-'CAI�.N _ 0 I'l P­1 0 0 REGUIRED CITY ZIP JT1111" IE f&VU NAMEQ MET I ER SIZE EE LINE SIZE LINE E'Z I NO.OFFIXTURES P V YES 0 No 0 07, REMARKS REMARKS —P-SIBLE FOR EROSION CONTROUDRAIN- -_.E-'C-NTRA.TOR FEEPC ZIP JTEL�j� 071fo 7 � NAMI.� C& C;,Z_ ENGINEERING REVIEWEDIDATE ENGINEERING ADDRESS i io v','q z C) q I a m I c: a m I 0 0 c: FIRE REVIEWED By DATE CITY 4p ID Z'o g:ah 1)43 IT It VARIANCE OR CU d SHORELINE OR ADB� INSF OYE --- F STATE LICENSE NUMBER EXPIRATION 011 I � P, otl I, � SEPA REVIEW COMPLETE EXEMPT Xp SIGN AREA ALLOWED I PROPOSED ALLOWED _�EQUJReD HEIGHT , PROPOSED RCEI q PROPERTY TAX PtZ I C] NEW M/IRESIDENTIAL C;,lfflM6lNG MECH LO COVERAGE ALLOWED PROPOSED SETBACKS (FT.) PROPOSED FRONT SIDE REAR FRONT US ETBACKS(FT.) R SIDE REAR [DXDDITION C] COMMERCIAL cl COMPL ANCE OR CHANGE OF USE [a,R5MODEL C] APARTMENT C] SIGN 0 REPAIR ..A.ING CY.. C] FENCE X PT) C3 DEMOLISH TANK o OTHER GARAGE r-1 RETAININ El CARPORT R G WALL ROCKE Y C3 RENEWAL In IT! z 10 -4 C > -4 o -n rn m 001'a 0 m 5 C) Z 7-1 X PARKING LOT AREA PLANNING REVIEWED By DATE REGO PROVIDED R MARKS -S r2- (TYPE FUSE,�USI E SO ACTIVITY)IXPLAIN: Q-I I CHECKED By IT Y F TRUCTION & I 0 2;3 NL NUMBER NUMBER OF DWELUNO' ' G STORIES CRITICAL AREAS UMBER SPECIAILEIDNSPgCTOR JAR9A REQUIR 1:1 YES I OCUUPANI LOAD D,B,F,BE WORK To BE ONE REMARKS PROG EBB INSPECTIO NS PER UBC 108/FINAL INSPECTION REO'D Z co VALUATION FEE z PLAN CHECK FEE 0 m LOT SLOPE % HE�l BUILDING PLAN CHECK NO: IVESTEDDATE PLUMBING OCHAN;CAI_ THIS PERMIT AUTHORIZES ONLY THE W FIX NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY OOLY. AN CONSTRUCTION ON THE PUBLIC Y GRADING/FILL DOMAIN (CURBS. SIDEWALKS, VEWAYS ARQUEE% ETC.) WILL REQUIRE SEPARATE PERWISSION. URCHARG8 "ITAIII-IIAT! "I 11"Ayl PERNUTLIMIll YEAR- PROVIDED WORK IS STARTED WITHIN IBODAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFO ENG. INSPECTION FEE ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING III EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND A CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY ORIN ECTLY FLLOM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMiT,SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY C TV ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINA FECI TOTAL AMOUNT DUE S IC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL CATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AD ENT OF RUC. Thl I PPftntI.n 11 10t I pennit In III igned by tho THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONST CALL uny: nd F­ .1. P.W. nd TION: AND IN DOING TH E WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYE D 6,,ild,lg 011i . ci,l o, hnll,e� Dep In p­ p-ded. IN VIOLATION OF TH g LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION I k ..09,Id WORK!I� COM N TION INSURANCE AND RCW 18.27, OFFICI _//ATE RAG I I)AqSlr�ED (425) T/ — 1 -,9,) A 11Z "�2j' 771-0220 LEASED BY D.E ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDI NG OR STRUCTURE UNTIL A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 -.,,DNA, -FIL YELLO INSPECTOR CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX P,N,. OWN: COLD ASSESSOR RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ............ Wall_ ........... ............ Pier/po'cl . ........ ........ Retaining Wall ..... ..... Slab insulation .......... Z', PLUMBING: 0, Underground ............. Rough -In ................... ......... --I �n . ........... commercial Final x M f;2 M 0 HEATING: -1 0! GasTest ............ 0 0,� . . M Gas Piping ..... ........ ITI Z Equipment 7 z --I commercial Final 3: EXTERIOR SHEATHING NAILING.......................... FRAMING MT 0 INSULATION .......... ........ 0 M Floor Insulation k C0 C)� wall Insulation 7-11 §HEETROCK NAILING :57 P -1.:� z SPECIAL INSPECTION -4 MISCELLANEOUS . ..... . z C) d FINAL APPROVAL FOR 0 ITI OCCUPANCY .................. �q