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20000417.pdf1 0 i lkl"JItch, �- =EJFARi CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 111;�;7 M411INGADDRIII 9 3-4) &&..e^ 41ef tel!-�A7W CITY ZIP jT111PHON1 *h 9 -/Sv ADDRESS CITY ZIP ITEIEPHONE NAME W ADDRESS Ce.4 A4 g--_ CITY ZIP TELEPHONE C STATE LICENSE NUMBER EXPIRATION w, ......... PROPE Y TAX ACCOUNT PARCEL NO. 10 NEW RESIDENTIAL 0 PLUMBING / MICH ci COMPLIA eon 0 ADDITION COMMIRoAt. CHANGE OF U E 0 REMODEL 0 APARTMENT 0 SIGN [3 GRADING c3 F NCE 0 REPAIR CYDS I X _FT) 0 DEMOLISH C] TANK rA Mia—c E3 GARAGE RVTAININGWALL RENEWAL CARPORT ROOKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 0 NUMBER I I NUMBER I 1"IHCAL OF G AREAS DWELLIN C STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE #hh 24- '�scs 5;01ei A) e LEM [�E7RMIT EXPIRES #-_Llk' 7SE PERM T ZONE NMI'ER JOB ADDRESS PLAT NAMEISUDDIVIStON NO. OT NT �r LID NO LID FEE I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP R1111 EXISTING — PROPOSED— REOUIRM DEDICATION— FT TER SIZE LINE I'll IIO,O11IXTUPEr PRY REOUIRED I I YES 0 REMARKS ­­­­ RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED BY DATE 2- -2-d00 al -VARIANCE OR CU SHORELINE OR AGIN I — _s__ ____ SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED D(P I I _ , LOT COVERAGE REGUIRED SETBACKS IFT1 PROPOSED SETBACKS IFT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR PARKING I LOT AREA I PLANNING REVIEWED BY DATE CHECKSDSY OCCUPANT GROUP flu _--d SPECIAL INSPECTOR OCCUPANT : U I LOAD EOU'Seo AREA IL .IS RE7C] YES .0 E [REMARKS CTION SPOT 103 PAnf'RFSS INSPECTIONS PER UBC 108MIMAI VALUATION I FEE PLAN CHECK FEE I "Ot HEATSOURCE BUILDING PLAN CHECK NO: PLUMBING ECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURB% SIDEWALKS, DRIVEWAYS, MAROUEES, ETC.) WILL REQUIRE GRADINGIFILL :5 SEPARATE PERMISSION. STATE SURCHARGE I PE "MIT APPLICATIONZ 100 DAYS W ITHIN 180 DAYS 0 i? PERMIT LIMIT. I YEAR PROVIDED ORK IS STARTED SEE BACK Oi PINK PERMIWT FOR MORE INFORMATION &pefjkjj1;, v ;1 Do, 0 0 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE� HE RS,4SSIGNS AND SQCCESORS — — — — — — — )IwIt� IN NTIREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON. ITSOFFICIALS, EMPLOYEES, AID AGENTS IF.. ANY AND I"peem"T'Ev ALLCLAWS FOR DAMAGES OFWHATEVEFt NATURE. ARISING DIRECTLY OR INDIRECTLY THIS PERMIT, ISSUANCE OF THIS PERMIT $HALL NOT 8 E PLAN CHECK DEPOSIT RECEIPT// FROM THE ISSUANCE OF L EMED TO MODIFY, WAIVE OR REDUCE ANY REQUI REMENT OF ANY CITY ORDINANCE IS N 'S ABILITY TO ENFORCE ANY ORDINANCE PRO, OR LIMIT IN ANY WAYTHE CITY T:AL AVO�NT DUE s I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF Thil IPPI-1— 1. p.-it by Iha THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL B,itdilo Ottilial "I hi,AIar Doputy: a,d F­ ,, -d. ,,d TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO P EPSON WILL BE EMPLOYED WASHINGTON RELATING TO F R NSPECTIO ­pt i­,k ... todgld j, Paco plovid0d. IN VIOLATION OF THE LABOR COD[ OF THE STATE OF WORKM N'S OMPENSATIO S ANCE AND ROW 18.27. OFFICIAL AT DATE EktI 4 - DATE SIGNED (425) — z -/!7 0-b 771-0220 DBY ATTENTION EXT 333 IT IS UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTUREUNTIL BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 ORIGINAL -FILE A FINAL INSPECTION HAS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 1198 AFINAL PROJECIAPPRO-VAL FORM TO: -DATE- NMMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIR DEPARTNIENT DATE G DIVISION DATE— LANNING DIVISION DATE— PROJECT­jLl-&O—,�- SMADDRESS ser" PERMIT 2-0e qLZ --.ADB#—DATE INSPECTED - DESCRIPTION OF WORK TO BE INSPECTED,4DP­Aa����� A field inspection was conducted to determine compliance with approved plans. Final approval. denotes that there are no objections from the above signed Department to the granting of ,,zC­Final approval of the described work Performance Bonds associated with the project may be released _z��—GRANT FINAL PROJECT APPROVAL —GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED _-FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. ________RE -INSPECTED OUTSTANDING ISSUES. GRANT FINAL PROJECT APPROVAL ocaprv1.doc.1:".bldg:fbnns6/98 z 9 0 M 4"H U5 --i a M C M MO —10 0 0 C M M z J0 C 0 -n n M M 0 0 0 M CA M 0 z z --I X co z 0 1 0 M FINAL P OJECTAPPROVAL FORM TO: 11,46 DATE: MEMOTO: PE #C0 BUILDING DIVISION 7 17- /, ? 46 FROTM: _ FIRE DEPARTMENT DATE ENGINEERING DIVISION DATE — PLANNING DIVISION DATE — PROJECT SITE ADDRESS 9-go 0 1 -2- /1? /116 PERNMff # VID 10 INSPECTED DESCRIPTION OF WORK TO BE INSPECTED—&6-0 I-ao'j --Ae"ZL"— C2"Va— approved plans. Final approval denotes that A field inspection was conducted to determine compliance with there are no objections from the above signed Department to the granting of: Final approval ofthe described work GRANT FINAL PROJECT APPROVAL Z----GRANT PROJECT APPROVAL WITH CONDITIONS NOTED FAILED FINAL INSPECTION OUTSTANDING ISSUES 2. 3. RE_INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL ocaprvl,doc.l:temp:bldg:fonns6/98 z ,q:ii C M M0 0 80 a M M z -4 2 4 I.' 0 -n n M M ki V) 0 0 C 9 Cl) Q 0 z M z -1 3: 0) z 9 0 M RECORD OF INSPECTIONS ---- - ------- --_ - --- INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ............... will............... .......... Pier/Porch ................. Retainlrig Wall ........... Z� Stab Insulation .......... PLUMBING: 24 Underground ............. Rough -In .......... M M Commercial Final C', HEATING: Gas Test ................... . ntz� Gas Piping ................. z Z Equipment � ................ 0 -n Commercial Final EwrERIOR SHEATH14G ITI, NAILING ................... FRAMING _ ..................... 0 C FIRST FLOOR FRAMING_ rn 0, INSULATION ................ Floor Insulation Wall Insulation Z, Ceiling insulation SHEETROCK NAILING Z� SPECIAL INSPECTION 0 IR MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. AO A, /ou ATE RECEIVED 3 PERMIT EXPIRES ------------ IZT— P ZONE ERMT CITY OF EDMONDS c M,.R _lZ CONSTRUCTION PERMIT APPLICATION JOB CS TFJFPT. kA.D� ADDRESS (fTli "'B m MAILING ADDRESS :1.1 0 A,2get 11114� ltll�771 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 0 CITY ZIP T11 PHONE EXISTING — PROPOSED — 12 5 - Ob 'I 5-P _41 REQUIRED DEDICATION— PT PRV RECURRED NAME yes 0 No 0 REMARKS t: ADDRESS A OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDIRMNAGE CITY ZIP TELEPHONE NAME m 'I 7�i/-6,;5 /5�c ENGINEERNGG VIVE ra I E ADDRESS k C,;, �if 4—" lelol) FIRE REVIEWED S� DATE CITY Zjpq TELEPHONE -2- 6fcO e 7 3 _4��7 _ INSPECTION BON z STATE LICENSE NUMBER EXPIRATION D FIANCE OR CU SHORELINE 08 ADBI REGO POSTED 0 OYES ONO 0 SE. REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROP"") SIP , , . LOT COVERAGE REQUIRED SETBACKS IFT,) PROPOSED SETBACKS I us -4 �NEW 0 PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAFFT 3: a ADDITION COMPLIANCE OR CHANGE OF USE m c M 0 C3 REMODEL SIGN PARKING REaD I PROVIDED, I LOT AREA PLANNING REVIEWED BY. 0 0 GRAD IN 0 REPAIR GRADING CYGS FENCE R EPA G CYG' X _FT) 'IWAL REMAR- WE In 0 TH D DEMOLISH n TANK O_ EM OL SH 0 TANK ID c AG G ET ARISE B AININ. WALL RENE 0 GAIRIP.IEIT R NING WALL RENEWAL T > IF C RMFC3 C r (TYPE OF USE. BUSINESS OR ACTIVITY) EXPILAIN: OCCUPA T CHECKED ly JTYPEOFC.N81 C� UCg kio�� G 0 P R U CIO 71) A�e_ V_ / -s) On IF NUMBER OF 0 F NUMSEROF DW ELL NG CRITICAL ARE S SPECIAL INSPECTOR CGI IFANT LOA �pq I F, S STORIES UNI TS N UMBER R JUIRED JAREA RED [] YES All K E N DESCRIBE WORK TO BE DONE SO .. E WOR TO. GO E I REMARKS m M a PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REWD 0 0 l7n s c-, 5�'teije I FXX' a co In 0 z 74 ... . . ....... . ... ;a VA FEE z -4 PLAIN CHECK FEE HEAT SOURCE GD 7214a LOT SLOPE LOTILOPE1 BUILDING 0, 00,00 rj) z PLAN C ECK NO: DATE PLUMBING IVESTED MECHANICAL m I K M.TC V W I THIS PERMIT AUTHORIZE5 ONLY THE WORK NOTE0* TH S PERMIT COVERS WORK TO 'o =1 BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURB$, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION, STATE SURCHARGE BE RMIT APPLICATI N: 180 DAYS DAYS 00 . ORK IS STARTED WITHIN 180 PERMIT LIMIT'. I YEAR PROVIDED W SEE BACK OF PINK PERMIT FOR MORE INFORMATION "HEIRS. WTOMODIFY, B, o 0.— ASSIGNS A ON BEHALF OF HIS OR HER SPOUSE, NO SUCCESORS ;APPLICANT� , INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY F 2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND ALLCILAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY ­­­­ ­ RECEP T FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED WAVE OR REDUCE ANY REQUIREMENT OF ANYCITY ORDINANCE PLAN CHECK DEPOSIT o NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION. � TOTALAMOUNTDUE R I � -s-0 o tHCREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN I CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZ D AGENT 0 F S RUr_ TO COMPLY WITH CITY AND STATE LAWS REGULATING CONST CALL 1-111i M I-1 I P­X I,dIl �lgd.d I'd THE OWNER. I AGREE TIOMANDIN DING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED U RELATING TO FOR INSPECTION dll9 OffiFIl 11 hil/hal D,puty: ,,d FIll 110 FIld. PIT , ... HX.lklmKd9od­P­v_d.F, IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'S COMPENSATIO�Opg!NCE �D RCW 18,11, OFFICIAL I AT DATE SIGNAT (OWN R (425) 771-0220 BE A By D6TE ATTENTION EXT 333 L IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-022, f A FINAL IN�PECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 W98 FAX PINK WNE GOLD - ASSESSOR 7 BIG C FFPJIVED �PERMIT EXPIRES CITY OF EDMONDS ZaNE PERMIT NUMBER 2-001:1 CONSTRUCTION PERMIT APPLICATION SYITEIAPT# S id (;ZlZlUlIN"s A �T&,) CC) V�()er PLAT NAMEISUBDIVISION NO. LOT NO* -v LID NO. FEE S MAILING ADDRESS I � OFFICIAL STREET MAP T'llpt 08. .... 0 C CITY �,p TELEPHONE EXISTING ... . 0 -�-AME 9)4 - 15)il R80UIRED DEDICATION FT PRY REQUIRED YES 0 NO 0 Al W. ADOIESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE j��AmEoiift It), Hi,)A ecL'T c� 1: U .F I I v; I V )I CA �FF� ENGINEERING 1-7 c, c D FIRE REVIEWED BY OATI FADORE,SS C 0 .7wov")d's qrz,pm) ENUMD:ER �1,5 -14 7HORI INSPE.CTION z STATE UC�ENSE LED BY VARIANCE OR CU INEORAO111 T C3YES ONO TED SIGN AREA 'PROPERTY TAX AC66UNT PARCEL NO. r­ Ili—, SEPA REVIEW COMP LETE I EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 2- RESIDENTIAL LUMBtNGJMECH LOTCOVERAGE' ALLOWED PROPOSED REQUIRED SETBACKS LFT) FRONT SIDC� REAR.� ED SETBACKS (FT.) PROPOS RSIDE REAR FRONT U 0 NEW c m C] ADDITION C MMEnCIAL O�, o COMPLIANCE OR CH .:. ANSE OF USE ED Sl DATE M 0 PARKING LOTAREA 0 8 i, (H REMO&EL .0 'APARTMENT. C3 SIGN REOT, PROVIDED 1-11INGREVIEW c: GRID I 0, REPAIR I o � F, FT) REMARKS A m z rl DEMOLISH c5R�'(JiHER � C) zi. oc I'A jo GARAGE RETAINING WALL, 0 RENEWAL 0 r OF USE� BUSINESSIT �CTIVITY) EXP IN: k,111�1)t(i she III CHECKED BY T PE OF CO F CoNs Ij�: 0 CUPAI GC ROU Ab I 0 'n "n �ot KUM ROF RITICAL AREA C OLOAl , I NUMBER OSTORIES I DWELL NG A REA$ SPECIAL INSPECTOR REQUIRED YES C m M UNITS NUMBER DE CRISE WORK TO BE DONECe� _4� In, U40+ V—V LV-4 CD REMARKS ROGRESS ECTIONS PER UBC 108/FINAL REQ'D a Vi 0 o q/ Ay 13ewX AcA /I R4 lyzi eve C co c co M 0 U) etao z haA X �l AT PC" ��yz'ML— FEE z LLCC U� OLill 100"C�Dtk��vetH PLAN CHECK FEE 0) LAD SOURCE G LOT SLOPE I BUILDING z HEAT 9 _j - PLAN CHECK NO: i PLUMBING 0 m (y � MECHANICAL .,..p UTHORIZEES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO ON "",AT PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSUC E=A GAAQWZM" DOMAIN (CURB% SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION, STATE SURCHARGE MIT APPLICATION: I.S -Ay- 0 PERMIT LIMM J'YEAPIE- PROVIDED W RK IS STARTED WITHIN 180 DAYS VI SEE SACK OF PINK PERMIT FOR MORE INFORMATION X-Ei'INSPECTION FEE 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HELPS. A SI- S AND SU ES S IN E ES INDEM FY� EFE D H LD . LESS THE ITY F T' E SWASHINGTON' LANDSCAPING I E PL Y E AN NTSFR M ANY AN EDINTE I BE M02 ITS OF I DIRE A DAMAGES FWH E RE, SIN CTLY OR INDIRECTLY SHALL NOT BE INSPECTION FEE RECEIPT IR. EtSSUANCE OF THIS PE I I UAN E I THIS PERMIT . T ITYORDIMANCE PLAN CHECK DE A ENT FANY BI YTYPE FUJARCEEANY ADINACCEPROVISIOW RECEIF TOTAL AMOUNT DUE I HERESY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION: THAT THE INF AMATION AGENT 01 A LICATION AP L GIVEN IS CORRECT, AND THAT I All THI.OWNER O,,,THE DU�Ly Ak.jTHCTtIlED THEOWNER. I AGREE TO COMPLY WITH IT, AN6 ST TE 'A. RE U, NG CONSTRUC� Th,a.PPltc.t—aaI-Pnl"tu!M In. CALL Sai'd,,g Ola,aa 11 hsllhll DOPaty: ad Fad, ,a oad. and TICK AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE LEMPLOYED CODE OF THE STATE OF WASHINGTON RE ATING TO -,apt I. akadaaladg-da, F,­ p—d.d. FOR INSPECTION IN VIOLATION OF THE LABOR WORKMEN'S COM ENSATION INSURANCE AND RGW 1&27. OFFICIALS SIGNATURE DATE (425) 4 E? 771-0220 DATE i EXT 333 - k�' ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INSPECTOR' FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFt- ORIGINAL - FILE YEL LOW A rATE OF OCCHPANCY HAS 13EEN GRANTED� UBC SECTION 109 FAX PtNK-OWNEP COLD,ASSEISOH