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20000421.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OW 7PF;ZESS C? 727k ,'a If MAILING ADDRESS PERMIT EXPIRES 9 USE PERMIT 700,f24 ZONE NUMBER N' P N UM M 8 T ER JOB SUITFdAPTO ADDRESS �� L N. FEET MAP PLAT NAMEISUBDIVISION NO. I LOT No- UO NO - LID FEE $ TESIP APP.1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED REQUIRED DEDICATION— FT METE. SIZE UNE SIZE No OF XTUREE PRV REQUIRED YE. 0 No 0 REMARKS BE ADDRESS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINA IF I CITY ZIP TELEPHONE NAME Igee, �Q I w;, 0 )e) ENGINEERING DATE ADDRESS 0 64,1 kfv'W(t& kol'(011r V" I FIRE REVIEWED BY DATE CITY zip JTELEIHON� ()ILIAC e N VARIANCE OR ou sH68ELtNE OR ADB9 INSPECTION E POSTED STATE LICENSE NUMBER OYES 0 SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED FIDEL NO.. I 10.. EXP D SETBACKS(-) LOT COVERAGE qU1.1TED SETIAC15 IF11 PROPOS NEW 0 RESIDENTIAL rl PLUMBING I MECH ALLOWED PROPOSED no ISE FEAR FRONT URSIDE REAR n COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE NJIN REVIEWED Big REMODEL 0 APARTMENT SIGN 0 FENOE 0 REPAIR 0 GRADING CYDS I — X FT, REMARKS C3 DEMOLISH 0 TANK o OTHER A AGE ETAINING -1 0 RENEWAL C Eny AR --T 2996 0 r ITYPE OF LEE, BUSINESS CHECKEDBY TYPEOFCONSTRU PA P 'k IS NUMBER UMBEROP OF WELLING 0 STORIES NIT. CRITICAL AREAS SP HE NUM PANT DESCRIBE WORK TO BE DONE RKS REM PROGRESS INSPECTION$ PER UBC 108/FINAL INSPECTION REQ I !��w�j Y_ 4,1" 7b le slh-v c), <-k-r-_4- NPLAN PLAN CHECK FEE HEAT SOURCE GLAZING PE% LOT SLOPE I BUILDING VESTED 6A7F. PLUMBING MECHANICAL CHECK NO: q THIS PERMIT AUTHORIZES ONLY THE WORK NOT D. THIS PERMIT COVERS WORK TO — Be DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL a DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS . MARQUEES, ETC.) WILL REQUIRE 3 t: SEPARATE PEA�ISSION. STATE SURCHARGE PERMIT APPLICATION: 18D DAYS PERMIT LIMIT.- I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENS-REVK4,PE� SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'AP L NT, E AL HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS I I E ES , NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF FROM ANY AND LANDSCAPING No . ASHI T N. TS OFFICIALS. EMPLOYEES. AND AGENTS ALL I SF R A ES F HATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE ,,j X PH THEISSUAN E FTHISPERMIT. ISSUANCEOFTHIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT S D E T DIFY, AIVE F1 EDUCE ANY REQUIREMENT OF ANYCITY ORDINANCE PROVISION' 0 N F Li ITINANY AY THE CITY'SAB;LITY TO ENFORCE ANY ORDINANCE TOTAL AMOUNT DUE HAVE RIAOTR, AppTICATUM� THAT THE INIO MATI.N 'H`HE'yACH"-_L5`N`.ET.-A 'NE on . AUTHURZ ED AGENT OF GIVEN IS C.,FEIT A ALI THE 01 , A FEE TO PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL THE OWNE , I TION; AND,IN DOING TH ORKA HORIZED THEREBY, NO PERSON WILL BE EMPLOYED RELATING TO FOR INSPECTII IN VI L ON OF THE L IBOR 0 E OF THE STATE OF WA HINGTON won S CoyIENS N SU ANCE A 0 RCW 18,27. SIGN ' U E ORA NT) (425) JED�. 771-0220 EXT 333 TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- A FINAL HAS BEEN GRANTED. UBC SECTION 109 FAX CATE OF OCCUPANCY VALUATION I FEE AP �J�A_TI04_A�PPFICIVAL Thi. Ippticab- I' "I U p,UUU Until lignld by In.0 Building OUi,i.1 .1 In-.1 D.;Uily: nd F U, d. nd UUF,qU 1, acknM-g.d in p p1n, d- OFFICIALS SIGNATURE r ,� / D�TE ORIGINAL . FILE - YELLOW - INSPECTOR PINK - OWNER - GOLD - ASSESSOR z 01 5 M am a 0 m 0 io OC m m 0 c 0 -n 'n M m 0 0 M C ca Z. z m " E FINAL PA CT AP AL F TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE — ENGINEERING DIVISION DATE- 1—M 'ffIAL, L,0� ION DATE --- 6 --- �L2W JLANNING DIVIS PROJECT—,�iL &1L au( SITE ADDRESS. PERNHT ---ADB.—AY�—DATEINSPECTED-----------------�— DESCRIPTION OF WORK TO BE INSPECTED-:S�� 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 ---A—�Final approval of the described work —��—Perfbrmance Bonds associated with the project may be released __-&GRANT FINAL PROJECT APPROVAL —GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED I FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. ____RE-INSpECTED OUTsTANDI�TG ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:fonns6/98 z :; 9 CM MO 0 80 C -4 K X M M z 0-4 z o -n M M a 0 0 C m W MO Z X z --i CD z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS .......... .......... FOUNDATION: Footing...................... Wall....................... Pier/Porch .. ............... z! Retaining Wall ........... M, Slab Insulation .......... PLUMBING: _4, 3: M Underground ............. C: M 001 Rough -in ................... —to Commercial Final R11 In, HEATING: to Gas Test ................ Gas Piping ................. 0 Equipment .................. �CornraerCial Final M In EXTERIOR SHEATHING 0 V) 0 NAILING ........... .............. 0 FRAMING ........................ Cl) TO FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation Wall Insulation Coiling Insulation SHEETROCK NAILING SPECIAL INSPECTION 0 K MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ............ . ..... ...... 'CC) PERMIT EXPIR us PERMIT 20 CITY OF EDMONDS ZONE NUMBER JOB CONSTRUCTION PERMIT APPLICATION ADDRESS SdITVAPT# c_ b F7ESS PI -AT NAMSISUBDIVISION NO. LOT NO, LID 00* UD FEE S MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STIIE�T MAI IE bl 0 P., 0 Kz �i 6—r 0 �ZPTILEPHONE PROPOSED REOUIREDDEOICATJON� FT � cl 0 S-1 .11 0 U.ftsd fto CITY J 7-L 15-1 P V REQUIRED NAME METER SIZE I LINE SIZE No. OF FIXTURES YES 0 No 0 ADDRESS REMARKS NERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY 014E NAME NAME NGINEERING eli ADDRESS e I DATE IF FIRE REVIEWED By z G, ELEPHONE CITY ZIP 'Y 0 VARIANCE OR CU SHORELIN E OR ADB# INSPECTION ak OYRE No ES 60" D POSTED — , 15150% PIC C STATE LICENSE NU12ER REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALL. D PROPOSED EXP M 0 M RESIDEN TAL CH �C] LOT 'IV"" ALLOW ED REQUIRED SETBACKS Ill FRONT SIDE REAR POSED SETBACKS (FT.) PRO REAR� FRONT LIR SIDE NEW [3 C NE SO COMMERGI L 2 rl AUDITION C.A?4.� OF U�E � I I ".. � 11 1 — 1 0 8 , , I LOTAREA DATE PARKING E RE!�j PROW'. D 1��IIN m IT! REMODEL APAPTM�NT SIGN , GRADING 0, FENCE [3 REPAIR /Cycs ( 11 X FT) REMARKS t] I-- c3 OTHER DFMO�ISH C3 TANK 6RAGE. CARPORT PETAIININI3 "'ILL rl R.G iRENEWAL 0 -n _n 3� A rn 0 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: CHE CKED BY TYPE PC TiON GAO �;G CODE NUMBER NUMBER OF DWELLING CRITICAL AN ;i 7 C,R PE.IALIN.3 EA fAF 'AD LO OF c STORIES UNITS R NUEMASSER , REQUIRED C] YES . 'RE, '. I 0 C: 0) DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D c ca 0 ;a z e w cl) VALUATION FEE PLAN CHECK FEE z HEAT SOURCE LOT SLOPE I BUILDING j m PLAN CHECK NO: 9(l PLUMBING THIS PERMIT AUTHORIZEES ONLY THE WORK NOTED. THIS PERMIT COVERS WORKTO L B. DONE 0. PRVA, PROPERTY ONLY. ANY CONSTRUCTION ON THE.PUSLIC GRADINGIFILL 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS ES. -..) WILL.E.U111. .,I0...0 :I SEPARATE PEFtWtS IE STATE SURCHARGE PERMIT APPLICATION:'18B DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEMS. ASSI S u E S so LESS T E ITY F DEFEND AND HOLD H ANDSCAPING IN INTEREST, AGREES TO INDEMNIFY. EDMONDS. WASHINGTON, ITS OFFICIALS. IMILOYIIS� AN D E T F ANYAND DIRE TLY I NIPIOTION Ill I e N ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE.ARISING I TLY RI 0 THIS PERMIT, ISSUANCE 01 THIS PERMIT SHALL NOT BE IF PLAN CHECK DEPOSIT 1111M THE ISSUANCE DEEMED MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITYOFOINANCE To To M. ANY ORDINANCE PROVISION." _. _ _0 RECEIPT/,!;4 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE TOTAL AMOI JNT DUE I HERE B ACKNOW EDGE THAT: HAVE REA THISA THAT THE I.N.IORMATION APPLIC An AP ROVAL OpTNE,,�ONY I y RECT. AND THAT AM THE OWN I G AUTH.RZ AGENT OF GIVEN CC EF6 _ 1, 01 polmll o,,jil s,gl.o by Ih. THEOVINER.R E OMPLYWITHC;TYA STATE LAWS REGULATING CONSTRUC I ACRE Y, N 0 PERSON WILL BE EMPLOYED Iob PN: :pd Foos a,o Plid. ,d CALL Vp.,!: Is,- I). so � nqPd.,L HTEOW ORIZE TION: AND IN DOING T 0 L NG,1�0ML; IMPT11 LAIORKIAbQ E OF THE STATE OF WASHINGTON RE ATING TO FOR INSPECTION W F ;I CC N.ATIONI SU ANCEANDRCW18.27. OFFICIALS SIG�NATUR E D E 5 ____6 DATE$ ED (425) � u3 OW7ERORAO iu p S T Ll �2 20, RELEASED OkTE 1-022 _;g, I Z=� �'7 3 �X�T,33 /00 AIT�NTION' .. ....... . TO USE 08 OCCUPY A BUILDING OR STRUCTUREUNTIL 77'1 -0221 ITIS UNLAWFUL HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGiNAL-FiLE - YELLOW INSPECTOR A FINAL INSPECTION BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR CATE OF OCCUPANCY HAS Sm ---