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20000316.pdfDATE RECEIVED '-I I a I v--, I LPERMIT EXPIRES CITY OF EDMONDS U S E 0 NE 'ERME T R QQB 11, CONSTRUCTION PERMIT APPLICATION J' JAO'D N E S S A SUITE�APT' W "R A EIN�M�GF Uk�NE- OWNERZ�ZIM F BUSINESS,,,, c FLAT NAMEISUBDIVIStON No� r T NO: -L. NO LID .0. I _C ]VI NL I'D FEE S LID FEE S S My b- VV ev C RIGHT OF WAY PER OF RCIAL S' RE ET MAP PUBLIC R GHT OF WAY PER 011ICIAL STREET MAP L '—p -p"-.d TES : p 0 A_ A"_d 0 A, I C' :,'­d�qd 0 Is TIN _ P Ro 0 ED G P B EXISTING — PROPOSED - $,,. 1 ........ qd I__ A—_ El CITY E TELEPHONE F EdrnotYl,s ""'q"j2 22-12- U ED ON � I �Q'C.T' REQUIRED T IT — u..".u. u D —, D FRE SIZE LINE SIZE TER SIZE LINE SIZE NO. OF FIXTURES No OF FIXTURE. PFV REQUIRED PRV REQUIRED NAME NAME YES NO 0 YES cl NO 0 AD G Ss ADDRESS REMARKS OWNER/CONTRACT-- CONTROUDRAINAGE CITY ZIP CITY ZIP TELEPHONE TELEPHONE NAME ENGINEERING REVIEWEDIDATE ADDRESS FIRE REVIEWED By DATE CITY 0 STATE LICENSE NUMBER IW.EW RESIDENTIAL C] PLUMBING I MECH ADDITION 0 COMMERCIAL MML o COMPLIANCE OR CHANGE OF USE 0 REMODEL MENT C] APARTMENT 0 Fj SIGN 0 REPAIR 0 G81DIIG CYOS 0 FINCE ( X ITI C] DEMOLISH 0 TANK 9r'TA;npjjcn , oGARAGE CARP 0 RETAININGWALL 0 RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY� EXPLAIN: NU46ER OF [CAL REAS R '-ttr OF 2 DWELLING A ST."�' I UNITS NUMBE DESCRIBE WORK TO BE DONE L q/-v Twell1riq Uort- -s—ra, ___�EPA —REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I — I LOT COVERAGE REOUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR LAMNIIG RIIIE I -AREA P E WED R� --GATE .�. , R.'I.E. F FIECKEDBY 7YIR.lC-­HL1­N SPECIAL INSPECTOR A�Ft OCCUPANT REQUIRED [] YES LOAD 1081FINAL VALUATION I FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE B tLDING PLAN CHECK NO: ED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS W08K TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. I In s FICH�RGE PERMIT APPLICIT' N: lSo-AYS PERMIT LIMIT. 1 YEAR . PROVIDED WORK IS STARTED WITHIN 180 DAYS END REVIEW FE S SEE BACK OF PINK PERMIT FOR MORE INFORMATION F HIS OR HER SPOUSE. HEIRS, ASSIGNS AN a sucCESoRS ;AP PLICANT. ON BEHALF HARMLESS THE CITY OF DEFEND AND HOLD '121 ENG. INSPECTION FEE N E A�G E.ET.T.0 :NDEMNIPY. '.'.T='.'lT-A 8 ENTS FRO. ANY AND G IAIN TS OFFICIALS� EMPLOYEES, AND AD INSPECTION FEE ED TLYOR INDIRECTLY ALL CLAIMS FOR DAMAGES OF WHATEVER NAT URE. A�ISING DIREC BE — RECEIPT THS PEI IT. ISSUANCE OF THIS PERMIT SHALL NOT FROM M ANY CITY ORDINANCE IF—CE ANY REQUIREMENT OF ILAN CHECK DEPOSIT _;�F ROMANCE PROVISION.- RECEIPT c Vo DUE THAT I READ.T"'AppTLHCEAII�oL�Y.TIITTHIINI RMATION APPLICATION APPRUVAL I HEREBY ACKNOWLEDGE A�'E GIVEN IS CORRECT, ER OR G AUTHORIZED AGENT OF AND THAT I A HE . . T­ P� ­4 , THE OWN., I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUILATINO CONSTRUC, CALL 011 -1-1 ol h,lh., D ... ly: ,d F­ P.,d­d TION, AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED OF WASHINGTON RELATING 10 FOR INSPECTION id p'.' 'Md IN V �OLATIMN OF THE IABOR CODE OF THE STATE INSURANCE AND RCW 18.27, OFF CIAL5 SIGNA L) TE Wol KMENE COMPENSATION TESIGNED (425) 1 " SIGNATURE OWNE N T)) 20 - DAIE 771-0220 FIELEAS EXT 333 ATTENTION IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLIW,IMSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR 5.. z M mo 0 80 c -4 C X M M Z 10-4 c 0 _n mm 0 o cm co rn 0 Z z ;I f z 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall .......................... Z. Pier/Porch ................. Retainirig Wall ........... siaOnsulition .......... PLUMBING: 0M underground ............. 82 0 C:i Rough -In ................... -4 r. 1171 Commercial Final .41 HEATING: C z Gas Test .............. Gas Piping ................. -n 2) Equipment ................. IT! 171 41, Commercial Final 0 vi 0 0Fn EXTERIOR SHEATHING C w NAILING ...................... r (j) M 0 FRAMING ........................ Z, r A FIRST FLOOR FRAMING ;D' -4 INSULATION ................... Z Floor Insulation Wall Insulation ........... Ceiling Insulation z SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR V", OCCUPANCY .................. J. _7� 0 FPERMIT EXPIRES PERMIT ZONE NUMBER CITY OF EDMONDS JOB ITVAPT. CONSTRUCTION PERMIT APPLICATION ADDRESS -lu;i� OVVIIRNAMEINAME0 SS PI -AT NAMSISUBDIVISION NO. LOT NO, 110 NO, F7. LID FEE S M I C h M 0 SS PUBLICtIGHT OF WAY PER OFFICIAL STREET MAP F­ I U `� Yv EXISTING — PROPOSED- 'ond U_ REQUIRED DEDICATION— FT — =,... W", , Cb-lmoryls g q.- LINE SIZE NO. OF FIXTURES PRV REGUIREP Y y . . 0 0 ES 0 NO 0 CITY REMARKS o..­.­­­.lTl. —P—IBLE FOR EROSION CONTSOUDRAINAGE NAME ENGINEE NO i, LMIEWEDIDATE A ADDRESS FIRE REVIEWED By DATE CITY VARIANCE OR OU SHOReUNE OR ADB. INIPEC!ION STATE LICENSE NUMBER RED D P80oS'TED OY ; E]N. SERA REVIEW SIGN AREA HEIGHT EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED FRop,,-y TAX �"54..El_ NO. IC6,6000(a COMPLETE EXP REOUIRED SETBACKS (Fl) ED SETBACKS (FT.) LOT COVERAGE PROPOS BEAR RESIDENTIAL PLUMBINGIM H ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE C] ADDITION C MPLIANCE OR COMMERCIAL CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED 51 U­ C] REMODEL E] APARTMENT C:] SIGN D D REQ'D I PROVI E REPAIR FINCE GRADING cYDs 0 X -REMARKS 0 DEMOLISH TANK 'MoRrop 1(4 nLe- ci GARAGE z' C ARPO 0 RETANINYG WALL joC ER C3 RENEWAL T E R ACTIVITY) EXPLAIN GHECKEDDY C OCCU ANTk., IC P i, C I JI/ ResteLg4,z- IT GROUP M NUMBER' 2 N OF ­111CAL uqBERG N 'E P & SPECIALINSPECTOR CA.0 OF STORIES UWELL NITS Z'UNASIR JAI� REQUIR C] YES DESCRIBE WORK TO BE DONE REMARKS INSPECTIONS PER UBC 108/FINAL [Nspbull.. C/T fboS G RIESS VALUATION FEE PLAN CHECK FEE E GLAZING % LOT SLOPE I BUILDING DATE FLAN —CHECK NO. rESISD DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. '" S PERMIT COVERS WORK TD L BE DONE ON ""ATE PROPERTY .L, ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL 2 DOMAIN ICURBS, SIDE WALKS, DRIVEWAYS, MARQUEES, ETC.1 WILL REQUIRE SEPARATE PERMISSION. 1� SURCHARGE PERMIT APPLICATIONI� 180 DAYS PERMIT LIMIT.- I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS ENG. REVIEW FEES M SEE BACK OF PINK PERMIT FOR ORE INFORMATION HIS OR HER SPOUSE, HFIRS. A SSIGNS AND SUCCESORS CITY OF ENG, INSPECTION FEE ;A"PL"C�EISTilAI.Il�EILTF." N NT R S INDEMNIFY. DEFEND AND HOLD H ARMLESS THE ANY AND LANDSCAPINNGEE w EDMONDS. WASHINGTON Tl IFF� AE'. E.lL.YFES. AND AGENTS FROM INDIRECTLY INSPECTIO ALLCLAIMS FOR DAMAGE�CF WRA�E' NATURE. ARISING DIRECTLY OR NOT BE CE OF THIS PERMIT. ISSUANC 0 FROM THE ISSUAN F THIS PERMIT $HALL D, DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT 0 NOR LIMIT IN ANY WAY TH E CITY'S ABILITY TO E NFORCE ANY ORD NANG E PROVISION." THAT I HAVE READ THIS APPLICATION: THAT HEINFORMATION I HEREBY ACKNOWLEDGE GIVE" IS CORRECT. AND THAT I A. THE OWNER OR THE DULY AUTHORIZED AGENT OF THEOW'ER 'A.REET.O.�PLYW ITH CITY AND STATE LAWS REGULATING CONSTRUC CALL o,"F puty ,d Foo$ P", oll. ION: AND IN DOING THE WORK AUTHORIZED THEREBY. N PERSON WILL BE EMPLOYED RELATING TO FOR INSPECTIO IN ... tp— ... p,F d IN VIOLATION OF THE LABOR CODE OF THE STATE OF"WASHINGTON WORKMEN'S COMPENSATION INSURANCE AND ROW 18,27. TL lPICIALi'_SIGN IIIN;,, (425) SIG OD DATE 771-0220 RELE A!E211 EXT 333 ATTENTION. IT IS UNLAWFULTO USE OR'OCCUPY ABUILDIN G OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW INSPECTOR GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTEE). UBC SECTION 109 FAX PINK -OWNER t-- ---- ­­ -- ---- z m C: m ma 0 80 c: --I m x rn m C2 o -n rn m a 0 o c co M 0 ;o z 5� vi z m , M