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20000465.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEiNAME OF BUSINESS CITY ZIP JTIIEEPHONE NAME I -M I I PERMIT EXPIRES USE PERMIT ZoNkS- 12-- NUMBER SIJITEJAPI- ADDRESS PLAT NAME�SUBDIVISI.N NO LOT 10, LID NO, LID FE , , PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I'll Ap 0 W 1:11 0 Zll. U.. P.-I P., 0 EXISTING - PROPOSED- 0 IT 0 _7E7��� OF FIXTURES IEV E.LIESO YES 0 NO REMARKS ::::� OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE U, FIRE REVIEWED By DATE P TELEPHONE VARIANC OR CU SHORELINE OR ADS# INS�gTION I pl=. OBTE 3TATE LICENSE NUMBER CHECKED B C C]YES ONO I kt- REVIEW SIGN AREA HEIGHT SEEA COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED ROPERTY TA ACCOUNT PARD11 -C I E P I -_ -1 - _�70POSED LOT COVERAGE AEOUIRE SETBACKS (FT) SETBACKS (FT) NEW F66ENTIAL �k 4_'_ 1 C] PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UP SIDE FEAR ADDITION COMMERCIAL ci COMPL ANCE OR CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED Y DATE Co] REMODEL APARTMENT 0 SIGN REaD I PRO cl I-- C] REPAIR ci GRADING CYDS __ X FT) MARKS CD DEMOLISH TANK OTJR_ 0 CARAGE R=I.N�GVVALL RENEWAL El CARPORT A (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHEC EDBY TYPE 0 ONSTRUCTION C�� 0 O.PANk GROUP NUMBER NMBSR 0, I 111 ICA L SPECIAL INSPECTOR AREA OCCUPANT OF STORIES WELL NO UNITS I I AREAS NUMBER I REQUIRED C] YES LOAD I DESCRIBE WORK TO BE 0 REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO VALUATION FEE PLAN CHECK FEE HEAT SOURCE GIZING I LOT 5LO11 % BUILDING PLAN CHECK NO: rElTEl DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO to BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIPILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MAROUEES. ETC.) WILL REOUIRE SEPARATE PERMISSION. -M�!E 2URCHARGE P RNIIT APPLICATI �; 180 DAYS E PROVIDED ORK IS STARTED WITHIN I SO DAYS PERMIT LIMIT'. I YEAR. W ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION P LI CANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCeSORS END INSPECTION FEE �AP INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF N N LANDSCAPING 2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE I ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY NOT BE 5 FROM THE ISSUANCE OF TH S PERMIT. ISSUANCE 01 THIS PERMIT SHALL I PLAN CHECK DEPOSIT I. ANY ITYORDINANCE DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF C PROVISION' RECEIPT 0 NQRLIMiT IN ANY WAYTHECITY 'S ABILITY TO ENFORCE ANY ORDINANCE Ix TOTAL AM CUNT DUE 1� -7) THAT: HAVE READTHIS APPLICATION: lHATTHE INFORMATION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE GIVEN 15 CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT 01 7 THEOWNE I AGREE TO COMPLY WITH CITY AND SrATE LAWS REGUIUATING CONSTRUC R CALL o LL "'LOY" T ION AND IN D ING THE WORK AUTHORIZED THEREBY, NO FEES N WI BE RE ATING 0 o L T ­n p­-d-P FOR INSPECTION IN VtOLATI ON OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN E COMPENSATION INSURA D RCW 18.27. OFFICIALS S AA�� i;z IE SIGNED (425) (,.JATE� 771-0220 RE ASED81 AfltNTION EXT 333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAI_ 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 z 2 .11 0 m rn 0 . 0 80 c x rn rn 10 ca 0 -n In MITI 0 In Fn C a) c CA z z -4 co z 9 0 m FINAL FROJECT APPROVAL FORM TO: DATE: TsMMO TO: P7ERNU 2tr�DING DIVISION FROM: IRE DEPARTNIENT DATE G DIVISION DATE- -----ENG1NEERIN 13LANNING DIVISION DATE— PROJEC SITE ADDRESS- 46j���ADB# PERNHT #--Zg�O5 ______pATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTFD--Alil���" 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: --:!::�—Final approval ofthe described work ____2��Performance Bonds associated with the project may be released GRANT FINAL PROJECT APPROVAL _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED _____—JAELED FINAL INSPECTION - OUTSTANDING ISSUES I.. 2. 3. _RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:fonns6/98 z 0 C: M ma --1 0 0 0 C M M z 0-4 z -1 :11 C) o -n n m M C' 0 0 M C U) 9 C/) M Z z co z 0 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch Retaining Wall ........... a M k Slab Insulation .......... rn PLUMBING: _j Underground ............. M Z, Rough -I . .............. ... k Commercial Final > --I HEATING: Gas Test .................... -n Gas Piping M M v) Equipment ......... . ....... 0 0 Fn Commercial Final C= (4, IR 0: EXTERIOR SHEATHING NAILING .......................... z FRAMING ........................ FIRST FLOOR FRAMING z INSULATION ................... Floor insulation Z Wall Insulation ........... Ceiling Insulation 0� IR SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. j210,10 q L 5- DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEJNAME OF BUSINESS 754 MAILING ADDRESS — CITY TELEPHONE 0 M W A N 'L ER NAMIINAME OF IUSIN �S ING ADORES OWNER NAM"NAME OF BUSINESS MAILING ADORES CITY ZIP TEUEFH-� r _ MNAME ADDRESS ZIP TEL CITY ZIP TELEPHONE NAIVE TELEPHONE jTo—PERTY TAX ACCOUNT PARCEL NO. 0'7a---7 — ot -6 , - C] NEW RESIDENTIAL 0 PLUMBINGIMSCK ADDITION COMMERCIAL 0 5riFFINCE COMPLIANCE OR CHANGE OF USE REMODEL m APARTMENT SIGN C3 REPAIR o GRADING CYIDS 0 , _ X FT) [3 DEMOLISH ,,W TANK m jag ARAGE RETAINING WALL 0 C GAFl.FT B90SERY --------- RENEWAL 7'PE OF USE, BUSINESS OR ACTIVITY) EK—IN: --y2 CRT'OAL AREA -FV-'E- -T -U .ESORME WORX�T� BE 0 Fp­ERR7W1dXPiRES 74 �6' USE 'ONEX PERMIT NUMBER EiAPTN Joesull ADDRESS PLA,T NAMDSU BDIVISION NO. No LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP IES-111— ' _ 1 P.. R.q—d I EXISTING — PROPOSED-- To RE.UIREDDEDICATION— FT U_ .,.0 METER SIZE LINE SIZE NO. .1 FIXTURES PRV RECI-F% PAV E NO YES NO Y FACTOR RESPONSIBLE FOR EROSION CONTROUDSAINAGS FIRE REVIEWED By DATE VARIANCE OR CU CT' SHORELINE OR ADEN IN T.ION S P' I REG"D I BOND IPOSTED _ YEE SEPA R EVI IE SIG AREA HEIGHT LL WED PROPOSED OWED PROPOSED ALLOWED -MPLETE EXEMPT C COM � AL E E XP V R OV LOT C E AGE 0 R REQUIRED SETBACKS (FT.) PROPOSED SETBACK$ (FT.) EEL ALLOWED PROPOSED FRONT " FEAR FRONT I FEAR FRONT L/R SIDE SID PARKING LOT AREA PLANNING REV15WEO By DATE REDID I PROVIDED CHECK50BY ITYFEPIF�J;--�-- SPECIAL NnCTOR REQUIRED Y S IAREA REMARKS _l—Qq INRIPlICTIONS PER UBC VALUATION I FEE ILA, CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE % BUILDING PLAN CHECK NO: 1—STED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORYK NOTED S PERMIT COVERS WORKTO ON THE PUBLIC BE DONE ON PRIVATE PROPERTY ONL . ANY C6N;HFUCTION SIDEWALKS, DRIVE MAAGUEES, ETC�) WILL REQUIRE GRADMGIRILI- -)I-, DOMAIN (CURBS. :I SEPARATEWAYS' PERMISSION. t: S&JURCHARGE L 2 RMIT APPLICATION; ISO DAYS PE WORK SSTA TED WITHIN ISO DAYS I ENG. REVIEW FEES R PERMIT LIMIT. I YEA ' PROVIDED SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;AFPLIE�A�'.T�Q�'.GEHALI IF HIS NIFYER E','.�UgE gl��&IDSDGNS AND I CCE OR S TO IN, E. DE N HARMLESS THE CITY OF ENG. INSPECTION FEE ANDSCAPING .T P ES . N ' ALS,'MPLOy EllEANDAGEOT11110M ANY AND WASHINGTON ITS OF INSPECTION FEE EDMONDS. RINDIFECTLY V "RE AR, 'No, RECTLY OR INDIRECTLY AULCI-AIMSFORDA-A-`�OFW-ATE EF NAT THIS PERMIT SHALL NOT BE . PLAN CHECK DEPOSIT RICE IPT .T ISSUANCE FROM THE ISSUANCE OF THIS PER 'E Y RE.U'FE.ENT OF ANY CITY ORDINA CE , WA E.R�EDU. AN DEEMEOTOMODI T 0. Y. Y T 'V CITY S G"'TYTO E N FORCE AN PROVISION' Y., NOR LIMITo'N.ANYI A E A 01NANCE PROVISION' TOTAL AMOUNT DUE RECEIPT U I HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLICATION APPROVAL t HEREBY ACKNOWLEDGE THAT GIVEN CID ARECT: AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF T- .,ic.,.­ -,I �19— by - F.- — 6 A STA L S REGULATING CONSTRUC THE OW ER AGREE TOCOMPL'W"HQITy E 11 EMPLOYED CALL _I dllO 011,,,.l 11 Dep.ly: a,,d P.',— W TNID-ESTY NO PERSO WILL TION: AND IN DOING THE CFKAUTH..I�ED NGT.N RELAIING TO WASHI ­,,pt i� .knmi,dg,d,. p­ plovld. FOR INSPECTION IN VIOLATION OF THE LABOR CODE 05 THE STATESOF CE AND RCW 1 27 71FTCIAL (425) SIGNATURE If If I -ue4%J RF�lASEDBY EXT 333 I A-MNTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 - YELLOW - INSPECTOR FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE OWNER - GOLD - ASSESSOR A BEEN GRANTED. UBC SECTION 109 FAX PINK - CATE OF OCCUPANCY HAS z 9 -1 0 m 0 80 c: -4 m = rn M z ja -1 o -n n -1 m m a 0 0 z -4 z —1 m z 9 0 m