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20000327.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWN AME OF BUSINESS 7� MAILING ADDRESS 6��) 9 3 CITY ZIP TELEPHONE Zip NAME P4, i ADDRESS d CITY FT.LEP.ONE ,5'�eJ_/,_. 11A 0 P_:� "on 1 5;�� -5,- -, o =o PERMIT EXPIRES 10 1 USE PERMIT 1200327 ZONE NUMBER IDS SUITEIAPTO ADDRESS PLAT NAMEISUBDIViSION NO. I LOT 11 LID NO* LID FEE PUBLIC EIGHT OPWAY PER OFFICIAL STREET MAP EXIII ING — PROPOSED— REOUIREDDEDICATION� FT METER SIZE I LINE Bill I NO.011IXTURES PIV "OU'R 0 YES 0 No 0 .111GNSE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED By DATE E3V -H' SERA REVIEW COMPLETE EXFM EXP I " SIGN AREA IN R G ALLOWED PROPOSED - HEIGHT ALLOWED PROPOSED I df A C�4WO d • NEW ->01EVOENTIAL 'g;j��PLUMSIANG'SA CH I OT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fl) R FRONT SIDE REAR PROPOSED SETBACKS (Ft) FRONT UPSIDE REAR • ADDITION 0 COMMERCIAL COMM REAL _ C, 0 CHANGE OF USE PARKING IT REA IT 11 LOT AR PLANNINGREWEVIEDBY DATE 0 REMODEL APARTMENT 0 SIGN SECT) I PROVIDED PEPAIR C:] GRADING CYDS 0 FENCE ( _ X FT) RE.AHIS DEMOLISH 0 TANK o OTHER oARAGE CARPORT - RETAINING WALL 1-1 ROOKERY RENEWAL (TYPE OF USE. BUSINESS OR ACIR IN: CHECKED SY_jTYPE OF CONS RUCTION OCCUPANT ICODE GROUP NUMBER NUMBEROF I DWELL NG CRITICA AREAS ECIAL INSPECTOR OCCUPANT AREA LOAD OF STORIES UNITS NUMBE R R SQUIRED C] YES DESCRIBE WORK TO BE DONE REMA KS OGRESS INSPECTIONS PER UBC 1081171NAL INSPECTION REO' VALUATION FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE I BUILDING PLAN CHECK NO: ,,STEOQ" PLUMBING MECHANICAL T _TIVS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC LKS, DRIVE S. MARQUEES, ETC.) WILL REQUIRE DOMAIN (CURBS, SIDEWA WEARMISSION. SEPARATE GRADINGiTILL SURCHARGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT: I YE Aft, PROVIDED WORK IS STARTED WITHIN 10 DAYS SEE BACK OF PINK PERMIT FDA MORE INFORMATION ENG. REVIEW FEES END. INSPECT ON FEE 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCGESORS IN INTEREST, AGREES TO:NDFMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF E EDMONDS. WASHINGTON, TS OFFICIALS. EMPLOYEES� AND AGENTS FROM ANY AND ALLCLMMSFORDA AGESOFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE AN REQUIREMENTOF ANY CITY ORDINANCE Ty NOR LIMIT IN ANYWAY THE CITYBABILITY 0 ENFORCE ANY ORDINANCE PAOIISION,� LANDSCAPING INSPECTION FEE PLAN CHECK DEPOEII TOTALAMOUNT UP R5cElll I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPTLIOEATI�OLN� THAT THEZ INFORMATION nPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE 0 11 1 ED A NT OF T __ I. _ . ., -il �,9 I,l - . OR G A THEIR Be . I P,�. oMPLYWITHIC WNI NG CONSTRUC CALL Cep.ty; I.d Foos aldo� Plid—d THE OWNER, I AGRE ITY AN6 STATE LAWS REGUI_AH 'Toc o 10MANDIN OINGTHE W RKAUTH RIZEDTH8RE8YN PERSON WILL BE EMPLOYED IN VIOLATION OF THE LA OR CODE OF THE 'TATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S COMPENSAIR N INSURANCE AND RCW HI.27 GERI L IGNATURS DATE SIGNATURE (OWNER OR ADEN D E SIGNED (425) 771-0220 EA EDBY ATE ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5196 z o A c m 0 m m Z 10 c c O"n n MITI 0 r, f 0 0 . (� H C CA M 0 71 ;a z cn z 0 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footlng Wall ........................ Pier/Porch ................. Z' Retaining Wall ........... i Slab insulation .......... n; PLUMBING: M Underground ............. C In 0 -40 Rough -in ................... 0 a Commercial Final M HEATING: > Gas Test .................... -4 Gas Piping ................. 0 In Equipment ................. Commercial Final M M EXTERIOR SHEATHING 0 NAILING .......................... a co FRAMING ............. 0; FIRST FLOOR FRAMING ;01 INSULATION ................... j Floor Insulation Wall Insulation ........... r Ceiling Insulation SHEETROCK NAILING 0. M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR 04::> OCCUPANCY .................. 2wM 3 70 r DATE RECEIVED PERMIT &PIREir 0 USE PERMIT CITY OF EDMONDS ZONE NUMBER -200327 JOB SUITEIAPTN U MONDS ZON BE E [PERMIT EXPIREir JOB CONSTRUCTION PERMIT APPLICATION ADDRESS OW14ER NAMENAME OF BUSINESS PLAT NAMEISUBOIVISION NO, LOT NO, LI NO. LtD FEE S HT OF WAY PER OFFCI PROPOSED B DEDICATION MAILINGADDRESS U. C BIG 0. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP S., 9 3 qo,4,,,2, Al IS 1 0 CITY ZIP TELEP ONE EXISTING — PROPOSED— 0 REQUIRED DEDICATION— FT LIN SIZE MIMETER SIZE I LIME SIZE I NO.OFFIXTURES PRV REQUIRED NAME YES 0 NO 0 / V/� �w &/ ADDRESS CITY STATE LICENSE NUMBER UNIT P, ACGoUN op""" TAX-" 7- 0 NEI WRESIDENTIAL ME 11 0 C] ADDITION COMMERCIAL C. L..EOB CHANGE OF USE Ej REMODE L C] APARTMENT SIGN 1CREPAIR GRADING CYGS F NCE (E_ X ITI [] DEMOLISH TANK OTHER 6ARA.G'EIT WALL 0 C3 RENEWAL Cj— oA 'p ER',.TAKII�I�INYG �N(TYPE OF USE� BUSINESS OR Y UMBER �ACTI NUMBER OF � CRITICAL OF T.�'�NITS BE I DWELL G �AIREAS NUMBER DESCRIBE WORK TO BE DONE _h 'EMARKS NTRO_RANAGE RESPONSIBLE FOR EROSION CONTROUDRAINAGE Ro"ON Co OWNERICONTRACTOR NG'NEEHM. JOATE FIRE REVIEWED By DATE z VARIANCE 08 CU B# SHORELINE OR ADBI H RELINEORAD S 0 Sp TIC N I INSP BON"D POST RE 0 RI 0 YEf 0 N 0 SEPAREVIEW COMPLETE EXEMPT SIGN ARIA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED EXP "NEOO ;;S0 LOT COVERAGE REQUIRED SETBACKS (Fr.) 111. -EST 17, 'S IT ALLOWED PROPOSED FRONT SIDE REAR G FRONT REI E BEAR , I, m Rl 0 , ---------- PARKING LOT AREA PLANNING REVIEWED By DATE p NN'N. CRY REO'D I PROVIDED 0 0 C m REMARK. m C2 9-4 CHECKED BY ECK By H ED TYPE OF NSTRUCTION Occup ICOD, I OCCUPANT PAIT GROUP GROU 0 -n SPECIALINSPE T 8 AREA IN S E S' P-C T OCCUPANT LOAD REQUAL B-U R IRED C3 yES 67 fn In REMARKS CT, PROGRESS INSPECTION15 PER USC 108/FINAL INSPECTION REO'D 0 0, Fn A o' z VALUATION FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE % a ILDING z I — VESTED DATE P UMBING PLAN CHECK NO: MECHANICAL ONLY THE WORK NOTED, THIS PERMIT COVERS WORK 10 m '��IIA','.g'R,Ag�S PROPERTY ONLY ANY CONSTRUCTION ON THE PU LIC GRAINNGIFILL ON V ETC.) WILL REQUIRE DOMAIN LKS, DRIVE S. MARQUEES, 3 (CURBS'SIDEWA SEPAnATEWPEAFYIMISSIONI lz SURCHARGE 2 PERMIT APPLICATION: 180 DAYS PERMIT LIMIT, I YEA WITHIN 180 DAYS ENS, REVIEW FEES R*PFjOVIDEQW RKISSTARTED SEE BACK OF PINK PERMIT FOR MORE INFORMATION 0 ON BEHALF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESOFIS THE CITY OF ENG. INSPECTION ;APPLICANT, NiNTEREST. 'F �LDEFENO AN HOLD HARMLESS AGREES TO :NDENNI'1'�Y DE. .FGENTSFROM ANYAND TS S' E.PLO . A LANDSCAPIN INSPECTION FEE 2 EDMONDS, WASHINGTON, I ALLCILAIMS FOR DAMAGESOFWHATEVER NATURE, ARI.SING DIRECTLYOR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE 0 THIS PERMIT SHALL NOT BE ORDINANC I! PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY TO ENFORCE ANY ORDINANCE PROVISION. RE E�' NOR UNIT IN ANY WAY THE CITY'S ABILITY TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION .111 LiCATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWN OR THE DULY AUTHORIZED AGENT OF LAWS REGULATING 1: ONSTRUC- CALL T wd Foos a,o p1ld, .,d OW I " A'N"D' CITY THE Ell IAGRIITOCOMPLY H,� STATE ED THEREBY, NO PERSON WILL BE EMPLOY ED di j,,NI 11 hillhOr o,puty: d-d. N '�G.'N.THEW.RKA,�,'T 11ON; A D OR LATI CODE OF THE STATE OF WASHINGTON RE NG TO FOR INSPECT ION IN VIOLATION OF THE LABOR COMPENSATION INSURANCE AND RCW 18.27. OFFI AL SI N TUBE D E WORKMEN'S r SjGNATjRE (OWNER On AGENT) ATE SIGNED (425) _"q-ocJ 771-0220 ATE EA 4 BY EXT 333 ATTENTION IS UNLAWFULTO USEOR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 IT INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR - ASSESSOR A FINAL BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD CATE OF OCCUPANCY HAS ------- — ------