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20000306.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS AA1pFgs,_-,u _�AIIEING ADDRESS 7-4 Wc5r P7331 ?I/. 71TY ZIP TELEPHONE lot PERMIT EXPIRES USE PERMIT 'ON, NUMBER TOB 111'Elli2 SUITEIAPt- LEGAL DESCRIPI .dL ION CHECK SUBDIVISION 111, LID NO PUBLI RiGHTOFWAYPEDOEFICIALSTREIT.Al ... P ­­­ 0 " R. p—, ,._ — ­.. - � cl EXISTING — REQUIRED DEDICATK)N_ ,­­­ A., �,I 0 PROPOSED R­:z 0 & L�rlv- _� _= , . NAME PEV HEOUIR' D YESO NO 0 ADDRESS REMARKS 0 a CRY ZIP TELEPHONE NAME /��/'/c a _Z�vc. ENGINEERING MEMO DATED REVIEWED By ADDRESS �q Rex 31 FIRE MEMO DATED REVI EWE D By CIT�F BY VARIANCE OR CU ADS. S14CRELINE N STATE LICENSE NUMBER All- c 0 c Ell-Ktu SEEA REVIEW COMPLETE EXEMPT E xP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED LEGAL DESCRIPT10N OF PROPERTY IINCLUDEALLEASE.E TS LOT COVERAGE ALLOWED PR DPOSED REQUIRED SETBACKS (FT) FRONT SIDE REAR PROPOSED ETDACKS fFT.) FRONT URSIDE REAR PROP;& U10 NO. LOT AREA PLANNING REVIEW BY DATE NEW PLUMBING I MECH REMARKS C MPLIANCE R C) ADDITION CHANGEOFUSE r C3 REMODEL C] SIGN FENCE REPAIR ....... CYOS D X FT) _ _ CHECKEDBY T'ON ITYPP09TW; ;Rlp 00 -7 .Npp, CRON DEMOLISH TANK ci OTHER ci GARAGE FETIKININGWALL RENEWAL CARPORT ROD EF 0 PEClAL INSPECTOR REQUIRED E] YES AREA OCCUPANT _O­ (TYPE OF USE, BUSINESS OR AC;�,TY) EXPA iL A I REMAR rS PROGRESS INSPECTIONS PER UBC 108 ;0 S 108 NUMBER OF NUM ER OF DWELLING ARE H.,n_ DESCRIBEWORK OBEDONE FINAL INSPECTION REQUIRED I VALUATION FEE PLAN CHECK FEE PEAT SOURCE GLAZING % LOT SLOPE % BUILDING PLUMBING PLAN CHECK NO: VESTED DATE MECHANICAL .IS P AUTHORIZES ONLY THE WORK H.TEG. THIS PERMIT COVERS WORK TO E 0. PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC E E=T DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS. MAROUEES,ETC.) WILL REQUIRE L SEPARATE PERMISSION. GRAD$NGfF!LL STATE SURCHARGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT'. I YEAR � PROVIDED WORK IS STARTED WITHIN ­ DAYS STORM DRAINAGE FEES 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AN. SUCCESORS IN.INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY F E MOND$. WASHINGTON. TS.FlICIALS. EMPLOYEES, AND AGENTS FROM ANY AND AULCILAIMSFORDA AGESOPWRATEVER NATURE. ARISING DIRECTLY OR NU�PECTLY M OF THIS PERMIT $HALL NOT BE FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE EDTO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT DEAN' CITY ORDINANCE NOR LIMIT IN ANYWAY THE CITY'S ABIILITYTO ENFORCE ANY ORDINANCE 1H.V I ON DEEM I I - ENG. INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE E I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. TIHAr INFORMATION GIVEN ISC.RFIECT.ANO THATI AM THE OWNER. ORTHE DULyAUIH­ , EDAGENTOF THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS EGULATING CONSTRUC TICK. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN S COMPENSArION INSURANCE AND ROW I Ell IIGNAIIN ATE SIGNED APPLICATION APPROVAL Th,l CALL P`t�,` I F­ 'PI, Y, FOR INSPECTION . ...... ` g, d (425) OFFI ALS. ION T I AT 771-0220 LEASED BY ATTENTION ------------- I r IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL IN S PECTION MADE AND APPROVAL OR A CERTIFI- ORIGINAL 'ILE YELLO' INSE11,MH HAS BEEN CATE OF OCCUPANCY HAS BEEN GRANTED. UGG SECTION 109 PINK OWNER GOLD ASSESIOR z c m MID 0 80 c M M Z Q -.4 z 0 A m m 00- 0 ) 0!; m 0 z z --I z m d 4. "., - , .4 iib�o-v�e Zo D�4-b�a b* 6d, A.� �'Rw 0 6id�d- eproject'njAy.,efeeas,,�,,-1 FINAL PROJECT APPROVAL FINAL PROJECT APPROVAL WITH CONDMONS NOTED _____-jGRANT I OUTSTANDING ISSUES FAILED FINAL INSPECTION I . 2. 3. ECTED OUTSTANDING ISSUES _ GRANT FINAL PROJECT APPROVAL -E-INSP oc.pr,l.doc.l:ternp:bldg:fonUS6/98 z 0 m MO 0 80 c m m z 0-1 c: — z A 0 -n n I mm 06) 0� 0 c: M, 9 co m Z z z 0 1 0 m SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... PledForch ................. Retaining Wall .......... Slab Insulation .......... 0 PLUMBING: Underground ............. Rough -in ................... 3: M C: Commercial Final 0 HEATING: C= Gas Test ........... Gas Piping ................. Z Equipment ................. > Commercial Final 0 -n EXTERIOR SHEATHING HAILING ........................... M M C) FRAMING ............. 0 Fn INSULATION ................... C: (a ITI Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION Z MISCELLANEOUS .......... IT FINAL APPROVAL FOR OCCUPANCY .................. 7 PERMIT EXPIRES PERMIT uOl 11 1 el CITY OF EDMONDS NUMBER PERMIT APPLICATION CONSTRUCTION ADDRESS OWNER NAMEINAME OF BUS NESS /9 _ _ZZ/ SU 'ON 110 LEGAL 6ESCRIPTION CHECK SUEW"ION NO� LID NO. A A nags r., q, MAILING ADDRESS 7-4 A' PUBUC RIGHT OF WAY PER OFFIC;; STREET MAP T Elpl:11'1.1,1�1�11.1,� Ell 0 t?_531 ZIP' ITY EXISTING - REQUIRED DEDICATION - o ITELEPHON' PROPOSED . I p. I P. . '"', A-- [3 .... N A"Ed NAME METER SIZE LINE SIZE NO. OF FIXTURES PW REQUIRED YES Cl .0 13 ADDRESS FMARKS CITY ZIP TELEPHONE NAME 151 z;4 f ENGINEERING MEM �-MVJIEWEDBY It ADDRESS FIRE MEMO DATED REVIEWED By z CITY ZIP TELEPHONE 0 d 1416 ee/4 VARIANCE OR CU AOBI SHORELINE 4 0 Ri . I.P ON DATE HEC E By SEP� REVIEW S17ON AREA HEIGH' PROPOSED A& /'Z A, COMPLETE ALLOWED PROPOSED ALLOWED EGAL DESCRI TION OF PROPERTY INCLUDE ALL EASEMENTS XP L=XEMPT 0 LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBA KS (FT.) m c ALLOWED PROPOSED PRO NT SIDE REAR FRONT UR SiCkG9 FEAR M 0 c pRopay NO, 00 trU LOT AREA PLANNING REVIEW BY DATE C51 M m z 0 NEW RESIDENTIAL 0 PLUMBING/ME H EMAPKS c -2 COMPLIANCE OR COMMERCIAL 13 C3 ADDITION 0 CHANGE OF USE REMODEL APARTMENT 0 SIGN 0 FENCE REPAIR 0 GRADING CYDS Cl X FT) CHECKEOBY s ON BE 0 CUPA T n OTHER ITYPEOFCO GRO P C] TANK C3 DEMOLISH 0 uCC PANT m M GARAGE RETAINING WALL RENEWAL CARPORT OCKRY SPECIAL INSPECTOR J,UREA REQUIRED C] YES LOAD -_ 11 rr(T,pE.I..�-..�INES�ORA.TIV�Ty�.XPIAIN: REMARKS PROGRESS INSPECTIONS PER UBC 108 g ir F NUMBER N 0 GHTICAI 2 UM G DWELLIN AREAS OF STORIES UNITS NUMBER DESCRIBE WO;�ZD�E _ _,�a , aAle j?a�j g4M A > ;4-1 A'k C" Z FINAL INSPECTION REQUIRED z 4�1 15L VALUATION FEE PLAN CHECK FEE z 0 HEATSO RCE GLAZING LOT SLOPE % BUILDING 0 m PLAN CffCK NO: VESTED 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 GRADINGIFILL DOMAIN (CURBS.SIDEWALKS. DRIVEWAYS MAlQUEES.ETC.)­l_ REQUIRE L SEPARATE PERWISSION. STATE SURCHARGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHI� 100 DAYS STORM DRAINAGE FEES END. INSPECTION FEE 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIBS. ASSIGNS AND SU CCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY Or EMPLOYEES. AND AGENTS FROM ANY AND m EDMONDS, WASHINGTONt, ITS OFFICIALS, FOR DAMAGES 01 WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY ALL CLAIMS FROM THE ISSUAN OF THIS PERMIT ISSU NCE OF THIS PERMIT SHALL NOT BE CE PEA C ECK DEPOSIT AN ANCE 0 DEEMEDTOMODIF Y HEQUIREmeN r OF ANY CITY ORDII Y. WAIVE OR REDUCE � NOR LIMIT IN ANYWAY THE CITY'S ABILIT TO ENFORCE ANY ORDINANCE PROVISION TOTAL AMOUNT DUE EDGE I HAT I HAVE READ THIS APPLICATION. THAT 1.1E NF.RNATK)N APPLICATION APPROVAL IHEREBYACKNOW GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF 'Ya"T THE 0 NEB. I AGREE TO COMPLY WITH CITY AND STATE LAWS REG LATING CONSTRUC- W BE EMPLOY c ALL d ffi..1­9 Off ION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL L WASHINGTON RE ATING TDO FOR INSPECTION �d rd'. pl-d- IN VIOLATION OF THE LABOR CODE OF THE STATE OF WORKMENSCOMPENSATI.NINSURANCE NDRCWIB21. AIESIGNED (425) OFF11 ALS IONAT fTl SIRNATUR OWNERORAGE 771-0220 DAiE LEASED BY ATTENTION USE OROCCUPY ABUILDING OR STRUCTURE UNTIL ITIS UNLAWFULTO S PECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI, ORIGINAL FILE YELLOW INSPEG101 ASSES11- A FINAL IN CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD