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20000319.pdfDATE RECEIVED CITY OF EDMONDS F CONSTRUCTION PERMIT APPLICATION 11 kolo I-') CITY ZIP �F-aAQI,]iD5 -fK- NAME ADDRESS CITY ZIP NAME '-L-- PERMIT EXPIRES /2'0/ ug, PERMIT ZON NUMBER 2-GOS-17 JOB SUITEIAPT# ADDRESS DQVc5-. PLA,T NAMEISUBDIVISION NO, I LOT NO* LID NO, LID '. P PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP R 1,, U.. P.- "WA EXISTING - PROPOSED REOUIREDDEDICATION- FT Y�P V 11011RED S 13 NO 0 REMARKS ENGINEERING END INEER'NQ DATE 0 E RE"'EIM.." FIRE REVIEWED BY FRI DATE CITY c HONE TELEPHONE k4 E DR." VARIANCE OR CU V G ARAN SHORELINE OR ADEPI OYES ONO BON' POSTED IRATio CAT STATE LICENSE NUMBER EXPIRATION DATE . t e=tf c CHE KED By 0 SEPA REVIEW COMPLETE I EXEMPT EXP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED -�ROPERTY TAX ACCOUNT PARCEL NO. NEW �_EE.I.ENTIAL, 0 FLU H M CH 0 PLUMBING NED LOTCOVERAGE LL LOT COVERAGE OW G PROPOSED ALLOWED PROPOSED REQUIRE SETBA KS FRONTO SIDE CREA'FRT PROPOSED SETBACKS FRONT R BE PEACE 3 U SI C3 ADDITION 0 REMODEL .. ' IANCE R o C MPLIANCE R C ANGE OF USE 0 SIGN PARKING PEO-D I PROVIDED LOTAIIA EVIEWED BY DATE 0 REPAIR 0 ClEADI.0 Cy.. 0 PENCE X FT) -FrEMARKS 0 DEMOLISH 0 TANK OTH GARAGE E3 CARPORT 0 RETAIN ING WALL ROCK ERY 0 RENEWAL 0 p (TYPE OF USE, BUSINESS OR ACTIVITY) EXPL�� NUMBER NUMBEROF CRITICA DWELL NG AREAS UNITS' 6 _- OSTF NUMBE DRIES HECKED By Y F CONSTRUCTION DE Occu sou SPECIAL INSPECTOR AREA OCCUPANT LOAD REQUIRED 0 YES DEMWB\Kffi� 4 1 _e "'MARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO' VALUATION FEE PLAN CHECK FEE HEAT SOURCE BUILDING PLAN CHECK NO: PLUMBI G ECHANICAL TH IS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO - t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL I DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE :1 SEPARATE PERMISSION. F. RCHAFG5 PERM TAPPLICATION: 1INIGAYS PERMIT LIMIT, I YEAR " PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG, INSPECTION FEE ON BGHAL F HIS OR HER SPOUSE, HEIRS� ASSIGNS AND SUCCESORS OF ;APPLICANT� �ND MNIFY, DEFEND AND HOLD HARMLESS THE CITY N INTEREST. AGREES TO TSOFFiCIALS, EMPLOYEES. AND AGENTS FROM ANY AMD LANDSCAPING INSPECTION FEE DEW ATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEIPT ; PERMIT SHALL NOT BE PLAN CHECK DEPOSIT ---L- OF ANY CITY ORDINANCE I- DRDINANCE PROVI510N,� TOTAL AMOUNT DUE RECEIPT ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION APPLICATION I HEREBY ol EN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT 01 TP` 'pp," TIV TH CITY AND STATE LAWS REGULATING CONSTRUC- IE OWNER, I AGREE TO COMPLY Wt ED CALL B,ij dlIgOth-1.1 TION, AND IN GOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOY, I L I o RE AT NG p- knowlodged-p... FOR INSPECTION IN VIOLATION OF THE LABOR CODE 0 THE STATE OF WASHINGTON WORKMEN S COMPENSATION INSURANCE AND RCW 18 27 - OFFICIALS SIG ORE ATE L OR AGE TI DATE I ED (425) rg�EIOWNER 771-0220 I�LE BEY EXT 333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 L-- A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. ORIGINAL - FILE - YELLOW - INSPECTOR HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR CATE OF OCCUPANCY z T 0 M c 0 l� 1110 80 c m z JO -4 1 . c - 0 -n m M 0 0 a U) C U) m 0 z z m ! M Al, FORM TO: DATE. — MEMO TO: P75ATORBUILDINGDMSION 'FROM: : FIRE. FROM: DEPARTWEEINT D _ENGINEERING DIVISION DATE — PLANNING DIVISION DATE — PROSE srrEADDkEss- AAtiPi) p 4_�06) ADB#_______DATE INSPECTED EPMT DESCRJpTIoN OF WORK TO BE IRWNSPEC re—�,d ed an at A field inspection was conducted to detennine compliance with approv pl, s. Final approval denotes th there are no objections from the above signed Department to the granting of _Final approval of the described work _Performance Bonds associated with the project may be released OJECT APPROVAL _GRANT FINAL PP _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED —FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL Fg- C 0 0, F, ocaprvi.doc.l:temp:bldg:fonus6/98 z 9 0 M 0 M C a M 0 80 C 3� C M M z 0 -n M M 0 FA 0 o Fn C (n r. U) M 0 z 0) z 9 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ............ FOUNDATION: Footing ...................... wall ............. Z Pier/Porch ................. 0 Retainlrig Wall ........... m Slab Insulation .......... PLUMBING: am Underground ............. a M Rough -in ................... 0 0 C Commercial Final M m HEATING: 10 C: — Gas Test .................... > -4 Gas Piping Equipment ................. Commercial Final m EXTERIOR SHEATHING r M NAILING .......................... C: (1); FRAMING ................ FIRST FL60R FRAMING... M 0 z INSULATION .................. -4 Floor Insulation Wall Insulation ........... Ceiling Insulation Z, O� SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY . . ............... do &00000' `7 RECEIVED 2__0 ER�IT EX�IRES 164 �(E) �t2 Fp PERMIT ZONE S_z, , I CITY OF EDMONDS _NUMBER CONSTRUCTION PERMIT APPLICATION joB SUITEIAPT. EMAME PLAT NAMEISUBDIV*1 LID NO. LID FEE $ MAILINGADDRESS .d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP m()o 11211% d E EXISTING � PROPOSED— o CITY TELEPHONE ID S-)g o FE.UIFF.DE.I.ATK)N_ IT Al� PRV REOUIRED NAME Y.. 0 No 0 K W 1: ADDRESS REMARKS E.CoNIRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE N CITY zip NAME t LM C L ENGINEERING REVIEWEDIDATE _C> I RUE� TELEPHONE 0 r- ZZ, all V( NEW W RESIDENTIAL 0 PLUfIKIM. I -ECH 0 ADDITION 0 COMMERCIAL COMPLIANCE OR CHANGE OF USE 0 REMODEL 0 APARTMENT 0 SIGN [3 REPAIR, F NCE 13 1 _ X _ FTI DEMO LIEN 0 TANK 12 O� C3 GARAGE CARPORT 0 RITAININGWALL Fj RENEWAL FIRE REVIEWED By VARIANCE OR CU SHORELINE OR ADO# INSPECTION REDD I BONO POSTED C3 YES ONO SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED �x I — — I I - LOT COVERAGE REOUIRED SETBACKS (FT.) PSOPOSED,SETBACKS(",) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR PARKING I LOTAREA I PLANNING REVIEWED By DATE RED D I Pllll�&l AL_ X'. BY ;;;-By 'Y' UM ER F IA6 I IALIN P�; I IT' -T NUMBER OF YES OF 'WELL No �A lEA ��Vj) RE.UH10 UNITS UMSE _ ;f; YES PLAN CHECK FEE PLAN CHECK FEE HEAT SOURCE GLAZING L. I I BUILDING BUILDING PLAN CHECK NO: PLUMBING PLUMBING FA�A M H N, MECHANICAL E RK NOT THIS PERMIT COVERS WORK TO THI$,PERMIT AUTHORIZESP ON Y THE Wo ED a A R Y NLY ANY CONSTRUCTION ON THE PUBLIC PE a DONE ON PRIVAT G` T o OF I .... GRAD$NGIFILL A N 'L D XS DRIVEWAYS, MARQUEES, ETC) WIL L FEQuIRe DOMAIN IoUREIS � BI EWAL 'ABATE ... . ......... BE P PERMISSION L ACHARGE CHARGE PERMIT ' LN` `"oN "o PE IIHTAPFLICAT.O.:�'...-. A P A oAYBO A. o W' THIN 'EAPPROVIDED WORK IS STARTED WITHIN 180 DAYS AR R V E WORK IS STARTE LIMIT 'Y' P o " PERMIT LIMII I ... MIT ENG. REVIEW FEES A IT FOR Mo.. N'.R AT'. SEE BACK OF PINK PERMIT FOR MORE INFORMATION N SEE BACK P' - PE No INSPECTION FEE E 11 F 1.1�S . R R E R B lUS E, H El RS. A SStG N S AN D S UCC E BOB S E L R R SPO BE HEIRS AE.'.N- A 'CANT o - HA ' F IS 'I — ;AFPLI�C�AEN�T�CAJ.BEHALFT Fy SPEND AN N I BREST ACRE T --F MN G . OLD -AFM' N NT R ES .. MNIFY, DEFEND AND HOLD HARMLESS THE CITY OF N ANY AND 7ANDSCAPING 2 % * ENTS FROM I. A S E. oYEES AN. AGEN L EDMONDS, WASHINGTON� ITSWFFlTCE$VLES- N"FLGE.EEl, AN, ' E NOS AG.,NG ON ITS OF, T $ VE IATU - N RICTLYORINDIRECTLI G 11 RISING G, F"C E A DA DF RA N AT N A i I DIG ALLCLAIMSFOR GAM ES FWHA - N INSPECTION FEE U N C THIS PER E I.EU N MAGESTHiSPERMIT- ISSUANCE OF THIS EFMIT,SH BE F ISSU ROM THE A PLAN CHECK DEPOSIT ED EANYF.UllE.INT.PFANY TYALLNOT U. ED E ENT OF AN ORDINANCE DEEMEDTO M E Mo." , WAIVE RR oD'FWY�yWTAHIVEECoITRy�SEADBUICLIETY 0 TO ENFORCE ANY ORDINAC C I NY WAY TH. CITY S O'LITY To E NC. NORUMITINANY R IT N TOTAL AMOUNT DUE T L THAT THE INFORMATION IHERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE FOR ATION E GIVEN" OWNER, OR THE DULY AUTHORIZED AD NT OF IS Col R ECTi HATP'LY. T'ECI T C THI.WNER. IAGR 0- WITH Y AND STATE LAWS REGULATING CONSTRUC- A TNO CT CALL . TION: AND ll� DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL 85 EMILO"Er STATE OF WASHINGTON To THE RELATING 0 FOR INSPECTII IN V10LATION OF THE LARD Ft CODE OF WORKMEN'S COMPENSATION INSURANCE AND RCW 18 27- (425) IA E (OWNER ORAG]T��7;1:" I _0 771-0220 LA I J,1 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFk CATE OF OCCUPANCY HAS BEEN GRANTED. LED SECTION 109 FAX 11081FINAL VALUATION I FEE :EIPT I m APPLICATION APPROVAL Tlil "It"" by t. ORIGINAL - FILE YELLOW - INSPECTOR PINK � OWNER GOLD - ASSESSOR 0 4 , : 0 pi IT, -0 80 —i mm m ca o -n 'n �2 � , ;l I m M 0 0 m X z m