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20000387.pdfDATE NEC CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION m ADDRESS CITY ADD PERMIT EXPIRES lTjIlSZjCI30- USE PERMIT ZONE NUMBER JOB E ADDRESS '5��a PLAT NAMEISUBOWISKIN NO LOT NO, LI IN UO FEE S T111P AF11-1 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 EXISTING — PROPOSED 0 REOUISED DEDICATION— FT � wl== METER SIZE I LINE SIZE NO- 01 111TUAIS B, IEOUIRID YE's 0 No 0 4K FIRE REVIEWED By DATE CITY TELEPHONE 17 SHORELINE OR ADD. —7NSPECTION ON SO D _�;�lhk_ 1 E PIRATION VARIANCE OR CU PEO'D STED GET IL STATE LICENSE NUMBER CIYES ONO R& SEPA REVIEW SIGN AREA NF-1 ACO COMPLETE EXEMPT EXP ALLOWED PROPOSED ALLOWED PROPOSED *$<EBIDENTIAL LOT COVERAGE REQUIRED SETBACKS (M. PMoPoSE0 SETBACKS (M. FRONT URSIDE REAP [3 NEW 0 LUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR C3 ADDITION 0 COMMERCIAL ci C MPUANCE OR CHANGE OF USE PARKING LOT AREA I PLANNING REVIBALU by DATE 0 REMODEL C] APARTMENT 0 SIGN FEW) I PROVIDED 0 REPAIR 0 GRADING CYDS 0 (FENCE x FT) MARKS n DEMOLISH -.K 1�4 7� 0 A C3 RMNRING WALL 3 GCANAGFT R _0 14ENEWAL CHECKEDBY CUPANT GROUP :!S�F.0 �NST-CTIO' �O NUMBER NUMBER or I I CRMCA' AREAS SPECIAL INSPECTOR OCCUPANT or DWELLING UNITS t_'JC>_ NUMBER REQUIRED n YES JAIIA LOAD _'CR PLAN CHECK FEE HEAT SOURCE LOT SLOPE I BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L BE DONE ON PRIVATE 111OPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC RADING11ILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, FTC.) WILL REQUIRE STATE SURCHARGE SEPARATE PERMISSIOM PERMIT APPLICATION: 180 DAYS PERMIT LIMIT, 1 YEAR - PROVIDED WORK IS STARTED WI BIN I "' DAYS ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION �APPLICANT. ON BEHALF F HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS ;ND NIFY. DEFEND AND HOLD HARMLESS THE CITY OF IEST=.T.TNo EMFFICIA ANY AND 1'11�1.N.T�'.' LAND PING M " W TS L S. EMPLOYEES. AND A ENTS FROM OR INDIRECTLY INSPECTION FEE A LAIMSFORDA AGES OF WHATEVER NATURE, ARISING ON ECTLY THIS PERMIT SHALL NOT BE CHECK DEPOSIT THIS PERMIT. ISSUANCE Or OF ANY CITY ORDINANCE PLAN ORDINANCE PnoVISION,� TOTAL AMOUNT DUE N, THAT THE INFORMATION I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICEA'DULY AUTHORIZED AGENT OF GIVEN I S CORRECT; AND THAT I AM TH IECITYNAENH6 SoTRATTE LAWS REGULATING CONSTRUC- WITF CALL TIE OW I AGREE TO COMPLY N'R DING THE WO K AUTH RIZED THEREBY. No PERSON WILL BE EMPLOYED TION. AND IN o TO F -0 R INSPECTII M VIOLATION OF THE LABOR CODEooF THE STATE OF WASHINGTON RELATING NBUR WORKMEN S COMPENSATION 1. ANCE AND FICW 18.27.77]EI TE SIGN (425) T) 771-0220 EXT 333 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 CERTIFI CATE OF OCCUPANCY HAS BEEN GRANTED, LED SECTION 109 FAX PER UBC 108/FINAL INSPECTION VALUATION FEE 4�_C� 4-3 0o IPT IPT APPLICATION APPROVAL Thl, 1� — � P-11 "' by"" B,d, olf.c,a$ F, 1,�lh., Oly Ild F — pad. and ,, --wNdg,d �n R,.F. P—d.,L FFICIALS SIG E ATE TEASED By ORIG NAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR =i 51 m c m 8 0 -4 C .9 , ! ' rn mz ID 0 -n n M m 0 Fn 0) (0 0 X > Z z m FINAL P I ROJECT APPROVAL FORM TO: DATE: — MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FIRE DEPARTMENT DATE FROM: "A ENGINEERING DIVISION DATE- z 0 PLANNING DIVISION DATE- M PROJECT YS'r— Z 6i --4 M srrEADDREss PH 0 0 80 PERMIT ADB#_______---PATE INSPECTED--! mm M7 DESCRIPTION OF WORK TO BE INSPECTED-0--f'�� A field inspection was conducted to determine final compliance with approved plans. Final approval 0 -n denotes that th ere are no objections from the above signed Department to the release of n � PE tmANCE BONDS and the granting of: M M (0�+ld Cc S0?9,Pt-(,* 0, Om C (D GRANT FINAL PROJECT APPROVAL r (n T 0 z GRANT PROJECT APPROVAL WrIH CONDITIONS NOTED c3 Copy of CONDITIONS given to owner/contractor by inspector z 0 -q 0 M FAILED FINAL INSPECTION - OUTSTANDING ISSUES u Copy of CORRECTION NOTICE given to owner/contractor by inspector 1. 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date— Sign_— ocaprvl.doc.l:tenip:bldg:fomislOtOI RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall . ......... . .............. Pler/PorCh ............... Retainlrig Wall ........... Slab Insulation .......... ..... It PLUMBING: am underground ............. C,: a Rough -in ................... Commercial Final m HEATING: to C Gas Test ............... Gas Piping ........... Equipment ................. Final 3:9 m m Commercial EXTERIOR SHEATHING NAILING _ ........................ FRAMING ........................ FIRST FLOOR FRAMING Im INSULATION Floor insulation Wall I nsu lation Ceiling Insulation Z 0" SHEETROCK NAILING In SPECIAL INSPECTION MISCELLANEOUS FINAL APPROVAL FOR OCCUPANCY .................. PERMITEXPIRES 5 js 110 PERMIT 2 Z84 U NUMB CITY OF EDMONDS tER CUITCIA JOB CUITC.IT. CON8TRUCTION PERMIT APPLICATION ADDRESS LOWN R NAMEINAME OF BUSIN FLAT NAME/SUBDIVISION NO. LOT No. LID NO. __�O_f �=-h &L BAO�-& UG,EC, MAIUNGADDRCSS 0 q9lj PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP i- 0 CITY '96 TELEPHONE EXISTING — PROPOSED— 0 REQUIRED DEDICATION —FT PRV REQUIRED MCI SIZC--------7 LINE No. OF FIXTURES NAME YES 0 No 0 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSI OSION CONTROUDRAINAGE A CITY Us TELEPHONE NAME IN r IC ENGINEERING REVIEWEDIDATE ZIP 'IC73 L 0 NEW 0,RESiDENTIAL 0 PLUMBING I MECH 0 ADDITION 0 COMMERCIAL 0 COMPLIANCE OR CHANGE OF USE 0 REMODEL 0 APARTMENT 0 SIGN 0 REPAIR 0 IINCE X _ FT) 0 DEMOLISH 0 TANK 0 OTHER clGARAGE CARPORT r-1 RETAININGWALL — ..-FITY 0 RENEWAL aim FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR ADS. INSPECTI ON B RED, . POSTED I OYEs ONO --TEPA "TREVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED axp I I LOT COVERAGE REQUIRED SETBACKS (M. PROPOSED SSTBACKS BFT ALLOWED PROPOSED FRONT SIDE REAR FRONT �R SIDE REAR' 0 m 0 m 0 PARKING LOT AREA PLANNING REVIEWED BY DATE REG'o PROVIDED 0 I c M REMARKS j CH'CK'o By CHECKED By ;ygf�,E CONSTRUCTION CDCUPA T oCCUPA GROUP NT GROUP 0 M -n AL,NC E�T. IALINSP I E A INS E TOR 'PEC, c L AREA OCCUPANI 6o`C- . R RED C RED Y� .Un YE� C YES LOAD 0 o REMARKS D PROG 7s PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D M C: 0) m VALUATION FEE z -4 i NY PLAIN CHECK FEE 3: HEAT SOURCE LOT SLOPE I BUILDING z PLAN C VESTED DATE PLUMBING 0 MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO 0 BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIoN,oN THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC I WILL REQUIRE SEPARATE PERMISSIOW STATE SURCHARGE m PERMIT APPLICATI 0 : 18D DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 181) DAYS ENG, REVIEW PECS SEE BACK OF PINK PERMIT FOR MORE 114FORMATION �A PLICANT. ON BEHALF OF HIS 08 HkR SPOUSE, HEIRS, ASSIGNS A S Es R INP DEFEND AND HOLE) HARMLESS THE ITY F CLAZN5C�APN. 2 EGINT'REST, AGREES TO INDEMNIFY, EMPLOYEES, AND AGENTS FR ANY AN MONDE, WASHIN ITSOFFICIALS, INSPECTION FEE LAIMsFORDAMAGE OFWHATEVER NATURE. ARISING DIRECTLY IT DIRECTLY ALL C GToN IN FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT REQUIREMENT OF ANYCITY ORDINANCE c) RECEIPT is DEEMED TO MODIFY, WAIVE OR REDUCE A T= N OR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. RE�E E I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCATtOhL THAT THE INFORMATION AGE14T OF APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNEIT OR THE DULY AUTHORIZED THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- $.,I Thupp'l�c-ow is not . nnnit bnol sn,�.b by .CALL !no I, sI.,hi.,b.1O.pujy:sbdF.� slp-lb TION; AND IN DO NG THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED THE STATE OF WASHINGTON RELATING TO 1, Ilkbmiedged in sp.be P—Idedd IFOR INSPECTION IN VIOLATION OP THE LABOR CODE OF WORSMEN'S COMPENSERANCE AND R W 1827, DA��7 _ SIGN 1 5 DATE (425) 771-02,20 IIR�LEASED By ATTENTION UNTIL EXT 3 3: IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771-0 V�' - INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI GRANTEM LIBC SECTION 109 ORIGINAL - FILE YELLOW PINK - OWNER GOLD - ASSESSOR FA CATE OF OCCUPANCY HAS BEEN