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20000406.pdf~ DATE RECEIVED 'L PERMIT EXPIRES 1"-�=� CITY OF EDMONDS us' PERMIT ZONE _ 2... NUMBER 2-o.o. 6 CONSTRUCTION PERMIT APPLICATION JOB SUITE/APIN ADDRESS -�" - OWNER NAME/NAME OF BUSINESS V [, V C`� FUL- (jL PLAT NAMEISUBOIVISION NO, OTN LID NO. LID FEE S w MAILING ADDRESS bn I tC *av 'o ✓-% PUBLIC FIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED REOUIREDDEDICATION FT IF— pD a nux Aeq a D w ^ CITY ZIP rt r�u,tdS �6G'Z V/ TELEPHONE Iti-v°°° G/.9 / V NAME MEIER SIZE I LINE SIZE NO, OF FIXTURES PRV REQUIRED O YES ❑ NO 1- ADDRESS - REMARKS i OWNER/CONTRACTORFOR EROSION CONTROUDRAINAGE Z a CITY ZTELEPHONE IP /RREESPONSILEE /"� v �O NAME ENGINEERING REVIEWED/DATE o ADDRESS FIRE REVIEWED BY DATE i CITY ZIP O TELEPHONE Q VARIANCE OR CU SHORELINE OR ADBN INSPECTION REO'O AYES ONO BOND POSTED STATE LICENSE NUMBER EXPIRATION GATE CHECKED BV SERA REVIEW COMPLETE ( EXEMPT EXP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PflOPOSEO q PROPERTY TAX ACCOUNT PARCEL NO. w /ffR - a - txay - odd7 w-� ❑ NEW J RESIDENTIAL ❑ PLUMBINGIMECH LOT COVERAGE ALLOWED PROPOSED REQUIREDSETHACKS(PT.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT URSIDE REAR C ❑ ADDITION �❑ COMMERCIAL ❑ CHANGE OFUSE ❑ REMODEL ❑ APARTMENT ❑ SIGN PARKING REO'D PROVIDED LOT AREA PLANNING REVIEWED BY DATE ❑ REPAIR ❑ GRADING ❑ FENCE _ CYDS XFT) REMARKS © DEMOLISH ❑ TANK ❑ OTHER GARAGET ❑ RETAI.0 ORNING WALL ❑ RENEWAL F (TYPEOFUSE.BUSI SS OR ACTIVITY) EXPIAIN: - CHECKED BY EOF CONSTRUCTION C E OCCUP T GROu w NUMBER O OF / O STORIES NUMBER OF DWELLING UNITS CRITICAL AREAS NUMBER SPECIAL INSPECTOR AREA- o0A0 PANT REQUIRED ❑ YES DESCRIBE WORK TO BE DONE _ REMARKS PRocRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D o VALUATION ' FEE PLAN CHECK FEE MEAT SOURCE GLAZING % LOT SLOPE % BUILDING i PLAN CHECK 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 GRADINGTILL E DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. f .gTAiB SURCHARGE I.�J PERMIT APPLICATION: 100 DAYS PERMIT LIMIT: t YEAR, PROVIDED WORK ISSTARTED WITHIN 180 DAYS EKG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MOREREINFORMATION M ENG, INSPECTION FEE '^ 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS w IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF - LANDSCAPING ---••-•----- EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND CLAIMSFOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY NFEE INSPECTION _ RECEI PT q s FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY'$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION' RECEIPT TOTAL AMOUNT DUE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT 1 AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL unlit slgnatl by lno Tms aill-I.,Nn THEOWNER.IAGREE THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED lnalapprmrl Building 011ipa, or M1is/har : antl Faos partl, antl TION; AND IN DOING IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION dgld 1 I'd racaipl is acknowlodged in spaw provitlnd. WORKMEN'S COMPENSATION INSURANCE AND RCW 16.27. /�C OFFI LS GNA DATE SIGNAT R (OWNER RAGE`N DATE SIGNED cD-AT _ -�� - C�V /(425) �t ��o2GQ ff .,(„ RELEASED BY ATTENTION EXT 333 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- ORIGINAL -FILE YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD -ASSESSOR 5198 N.W. i/#, SEC. 18, TWN. 27 N., R. 4 E.. W.M. 7 r oe SCALE I' 50 4 ``> yt//Gi4 j S 88'15120° ir k/ 1 LOT /9b ooL sy8o 1 0. '50. oa SF 7b.9B LOT 2- 1 / 23008 SF / l HOME O J LOT 3 I M J PJ�>,Ma / . w 12000 SF I I JBAR. ,rt I p / /+OG SET SK. LI! ± �EE 7.L(Y10.G i 83 3 8 2 , ` 103.04 / ZdM/NG - ,�/Z ,�jcvaao /Mlle's SNORT PLAJ k FOR 'syY JEFFERY CA 8 Ef8�54Ea; �� �i100S� PL s.14473 .LAND SURVE sNr�ny 7',vw li- t E R C � rn OR i rYz Y} m° c-Z Fmm 00 ,� i t` j Z. 1 o rn 7 i [: �n S� J RECORD OF INSPECTIONS t) } _ INSPECTOR DATE APPROVED SETBACKS ..................... �.. - ... FOUNDATION: ` .. _. .Wall ...... ......... y Pier/Porch ........ Z O . Retaining Wall m ' Slab Insulation ......... k PLUMBING:vi -4 '. - Underground — I C,n Rough-in ............... m 1 .: C n C v:- Commercial Final ...... .. . .HEATING: ,. m� ._ .. { s Gas. Test C Z S'P !: Gas Piping ................. Equipment ....... O 11 i i Commercial .._ 111 rmai Final .. - EXTERIOR SHEATHING �' C, N O 1 NAILING ... Fn , FRAMING ........................ .; CfA. (p mZ O j: FIRST FLOOR FRAMING... INSULATION ' Floor Insulation ... � Wail Insulation ........... - - Ceiling insulation .... ... Z SHEETROCK NAILING O.. SPECIAL INSPECTION ... i m MISCELLANEOUS .......... s-� I FINAL APPROVAL FOR i OCCUPANCY .................. Pop !IP� ' ' 2cA!5. 'PERMIT EAPiRE8 fl i PERMIT- (:ITY'OF EDMOIVDS ZONE _ NUMEER ZQ'{i _ UITE/APTN CONSTRUCTION PERMIT aACPPLICATION ADDRESS -tj I t ' U I L I` •OWNER NAMEMAME OF BUSINESS LL jJ�- JIXV Yt i{�' YX fN PLAT NAME/SUBDIVISION NCL OT N LID NO. LID FEES - .... s MAILING ADDRESS `% FJ iC g _ r/ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP r PAppmee p K. wul. Requbea p SUeel Uve Pormtt Repa p j 0 v� CITY ZIP TELEPHONE•'T EXISTING PROPOSED ne eakn Requbea ❑ stluweik Rgquuea p �v(NRv� -/S �[� I1�/. /l REQUIRED DEDICATION FT wlnnp eequwaa %/J•DZ/A L// 7 G V 7 / METER SIZE LINE SIZE NO.OF FIXTURES PRV REQUIRED O NAME YES ❑ NO O CITY - ZIP I TELEPHONE TAX ACCOUNT t-a-C�t/-apo7 ❑ NEW RESIDENTIAL ❑ PLUMBING /MECH ❑ AUDITION ❑ COMMERCIAL ❑ CHANGE OF USE ❑ REMODEL ❑ APARTMENT ❑ SIGN ❑ REPAIR ❑ GPADING CYOS ❑ FENCE X — FT) a' DEMOLISH ❑ TANK','. ❑, OTHER GARAGE RETAININGWALL ❑ RO KF V ❑ RENEWAL IF (TYPEOFUSEBUUSI SS OR ACTIVITY) EXPLAIN NUMBER NUMBER OF CRITICAL tiL' I OF ` DWELLING AREAS o STORIES UNITS NUMBER t DESCRIBE WORK TO BE DONE v REMARKS OWN,EEWCONTRACTOR/RESPONSIBLE FOR EROSION CONTROUDRAINAGE z _ ^ ENGINEERING REVIEWEDIDATE FIRE REVIEWED BY DATE _ .0 m .. VARIANCE OR CU SHORELINE OR ADS. INSRPIO ECTN EQ'D BOND POSTED. OYES ENO - SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I S EXP Q m m 0 LOT COVERAGE REOUIREO SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR i z O C a PARKING LOTAREA PLANNING REVIEWED BY DATE REO'D PROVIDED m z D Z REMARKS n , CHECKED BY EOF CONSTRUCTION C E OCCUP T /7 GROU -�L� m m Q vri SPECIAL INSPECTOR AREA OCCUPANT LOAD REQUIRED ❑ YES 0 (R', I, c REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REWD c _ m �' m r / s (n VALUATION FEE .�.. Z: O PLAN CHECK fEE � HEAT SOURCE GIAZiNG % TOT SLOPE Ye' �' DUILDING A m PLAN CHECK NO: VESTED DATE _ PLU G .. M IWA4t THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO - F SEDONEONPRIVATEPROPERTYONLY. ANY CONSTRUCTION ON THE PUBLIC MARQUEES, ETC.) WILL REQUIRE GRADING! IL-,erZ'Jt r, ? DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, L SEPARATE PERMISSION. qyy _ gpA;B SURCHARGE � coLV , PER MIIOVIOE CATION: STARTED WITHIN 100 DAYS PERMIT LIMIT: i YEAR -PROVIDED WORK STARTS ENG. REVIEW FEES 1 M SEE BACK OF PINK PERMIT FOR MORE INFORMATION O y -APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS DEFEND AND HOLD HARMLESS THE CITY OF ENO INSPECTION FEE _ u+ IN INTEREST, AGREES TO INDEMNIFY, EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE ALLCLAIMS FOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY RECEIPT I. FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 0 DEEMED TO MODIFY, WAIVEOR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE TO ENFORCE ANY ORDINANCE PROVISION' RECEIPT `---14-5 i NORUMITINANYWAYTHECITY'S ABILITY TOTAL AMOUNT DUE J • IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This app11-1- Is no] a P-1- until signotl by Iho THE OWNER. 1AGREETO COMPLY WITH CITYAND STATE LAWS REGULATING CONSTRUC- CALL Building 0]Ii ,,h ,h., D.,y and Fops ara paid,.nJ TION; AND IN GOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED OF WASHINGTON RELATING TO FOR INSPECTION racuipl is ncknowlodgotl in space prawd,d, - IN VIOLATION OF THE LABOR COO£ OF THE STATE WORKMEN'S COMPENSATION INSURANCE AND ROW 10,27, OFF] LS GNFTURE DATE - DATE SIGNED (425) ,' �•� S SIGNAT R (OWNER RAGE /7 �Jy OAt / / -022 J RELEASED BY EXT 333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771 _0221 INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW. "INK GOLD. ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 I FAX - OWNER � �' 5p8 ii}��l'. f-/1 lv f� 1