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20000519.pdf-h DATE RECEIVED I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION EA NAME/NAME OF BUSINESS MAILING ADDRESS /a& 15 )0-1 EITI f'ZIP ATELEI..NB J, I e,- -j/ TELEPHONE --r /Z I --- I 2-,as PERMIT EXPIRES -/� USE PERMIT zuos[dt o 'ON' NUMBER_ JOB ITE AFT. A ADDRESS I t) (I t FLAT NAMEIS66DIVISION NO. LOT NO UDNQ. LID FEE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESr-A pp-d I P.1.11 A­1- - PROPOSED EQUIRED DEDICATION- FT - R RE U" g wlll�,I [1111�STING ETER SIZE M ME LINE SIZE NI OF MIXTURES PHY RECUIRED I YES 11 NO 0 RE. -.111111-A-R Flll.MStBLE FOR EROSION CONTROUDRAINAGE PL(AI)I In rj& REVIEWEDI 67`�� Z)A,�( �,L/j-f57 j-h��A ADDRESS ow 2al FIRE REVIEWED BY Po A DATE CITY ZIP TELEPHONE 6 (4/f/, tj ?"o- a VARI NCE OR CU SHORELINE OR ADB4 INSPEC 0 'D STATE LICENSE NUMBER PEOTION 'BO OSTED ES jj Y ONO I-,? $EPA REVIEW SIGN AREA EIGHT --- ... MPT ALLOWED PROPOSED ALLOWED PROPOSED 'i PRDPEC TAX ACCOUNT ROEL NO. i I I EXI LOT COVERAGE REQUIRED SETBACKS fFT.) PRQPOgPn SETBACKS (FT) NEW RESIDENTIAL fid PLUMBING I NEON ALL ED PROPOSED FRONT SIDE REAR FRONT UP SIDE REAR 0 ADDITION COMMERCIAL ED COMPLIANCE 0 R o CHANCE OF USE ;7AREA PLANNING REVIEWED By DATE REMODEL APARTMENT 0 SIGN REDO I PROVIDED GRADING F NOE K 0 REPAIR CYCS FT) REMARKS 0 OTHER 0 DEMOLISH 0 TANK oGARAGE RETAIN RENEWAL CARPORT FI WALL (TYPE OF , BUSINESS OR ACTIVITY) EXPILAIN: NECKED BY TYPE ON, C7E P, NUMBER SPECIAL INSPECTOR AREA AREA OF DWELLING I NUMBER - STORIES U.- REQUIRED 0 YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REQ oz-o VALUATION FEE PLAN CHECK FEE HEAT SOURCE GI-AZINU LOT SLOPE I BUILDING IV /I PLAN CHECK NO: STED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DAINION P.RIVATE PROPERTY ON- ANY CONSTRUCTION ON THE PUBLIC GRADINGtFILL N CDR SBEWALKS, DRIVEWAYS , MARQUEES. ETC.) WILL REQUI z SEPARATE PERMISSION, 45, PERMIT APPLICATION: IIIODAYS PERMIT LIMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN IODDAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHAL F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE ;APPLICANT, V �NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF w N INTEREST, AGREES ID AND LANDSCAPING 2 E MONDS. WASHINGTON. TS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY INDIRECTLY INSPECTION FEE OFWHATEVER NATURE, ARISING DIRECTLY ON 4 A SF DAMA E IS PERMIT SHALL NOT BE ��Ift ISSUANCE OF TH PLAN CHECK DEPOSIT REC LPT ��R _F IF THIS PERMIT OFANY CITY ORDINANCE ORDINANCE PROVISION. TAL AMOUNT DUE RECEIPT 1 HEREBY ACKNOWLEDGE THAT I HAVE THIRS THAT THE INF RIVATION APPLICATION APPROVAL READ APPTLIHCEATIUN GIVEN IS CORRECT. AND THAT I AM TI, E WNE R C � AUTHORIZED AGENT OF THE OWNER, I AGREE TO COMPLY WITH CITY AN6 STATE LAWS REGULATING CONSTRUC EMPLOYED CALL X ON.ANDIN ONG THE WORK AUTHORIZED THE B N PERSON WILL BE HE Y 0 RELATING TO WASHINGTON FOR INSPECTION IN VIOLATI ONOOF THE LABOR CODE OF THE STATE OF WORKMTN $COMPENSATION INSURANCE AND POW 113 2T 0 FI [A SIGNATU DATE roe DATE SIGNED (425) 6 SIGN 6 -2-6 -6le � OAT 1 771 -0220 RE EASED By- --- EXT 333 X fTENf MON IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 L- A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILER YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. LIBC SECTION 109 FAX PINK OWNE GOLD -ASSESSOR z 0 c IT! M 0 0 80 m m z ID -4 om ,n --4 x mm 0 FA 0 In Fn C ri) 9 co M 0 Z r- z z 9 0 m RECORD OF INSPECTIONS INSPE CTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... W8, I.......................... z Pier/Porch ................. Retainirig Wall ........... Slab Insulation .......... PLUMBING: 0 M C Underground M 00 Rough -in ................... C Commercial Final x r1l. z p HEATING: Gas Test .................... Gas Piping ................. 0 Equipment In ................. Commercial Final M M 0 EXTEMOR SHEATHING OR NAILING .......................... C FRAMING ........................ rn 0 Z r FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Z Wall Insulation ........... Ceiling Insulation z SHEETROCK NAILING 0 M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. C,,j�ccA wor ATE RECEIVED CT 01 PE RMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE rS 9 NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS -- — fU TEIAPTI () � / OWNERNA EINAME. PILAT NAMEISIJBDIVISION NO. LO NO. LID NO. LID FEE S MAILING ADDRESS t/, ke A) PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7p_­d D s".., P.— R.q I -d CITY EXISTING — PROPOSED— 1 P IECOIRI�ODEDIC4TION— IT TS. ZE LINE SIZE i NO.OFFIXTURES PRY ReOUIHEO ADDRESS CITY E� NAME nro&I ENGINEERIN Lyoq I T4ELEPH.NE C"Yoriwoo-b 9 "Pt, 0,5- 1 STATE L CENSE NUMBER ­­-, DATE I CHECKED BY Do Viv_T Pn ocm 1-2-0/ 1 00, ROPECTA ACCO TPARCE NO, - (bg­ Im EVV RESIDENTIAL 5Wd LUMBINGIMECH [3 A061TION C] COMMERCIAL o COMPL ANCE OR CHANGE OF USE C] FIEMOD�L APARTMENT 0 SIGN C3 REPAIR C] GRADING CY., 0 FENCE I . ITI 0 DEMOLISH C] TANK n OTHER o GARAGE I­1 RETAINING WALL CARPORT F,CKBR 0 RENEWAL OR ACTIVITY) EXPI-AIN: JTYPE O!�7 �,7SS NU E RITICAL .'M8 ELL NG AREAS ST I OR BE I UMI TS NUMBER DESCRIBE WORK TO BE DONE FIRE REVIEWED BY YES 0 NO (3 EROSION CONTROUDRAINAGE DATE VARIANCE OR CU SHORELINE OR ADBIf INSPEC 'ON OND RED -STE. OYES CIN. 1p' SEPA REVIEW SIGN AREA HEIGHT COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED , PROPOSED .XP LOT COVERAGE 7EQUIRED SETBACKS (".) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR 'ARK'% I.TA.EA jP-NNIN.REVIEWED.Y DATE REC'. I PROVIDED I CHECKED By I I I LOAD t An S EM� Won ZRFqq UMAPrCTIONS PER UBC 108/FINAL INSPECTION REQ'Dj VALUATION FEE PLAN CHECK FEE GLAZING % LOT SLOPE % BUILDIN ;. G, PLAN CHECK NO: IVEST11 OAT' PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN tCURBS, SIDEWALKS, DRIVEWAYS' MARQUEES. ETC.) WILL RE.IJI.E SEPARATE PERMISSION. S RCHARGE P MITAPPLICATION: 18DDAYS ER W PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED ITHIN 10 DAYS ENG. REVIEW FEES SEE BACK 0 OR MORE INFORMATION ON BEHALF OF HIS OR HE A SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE ;APPLICANT. N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING E MONDS� WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM,A,NY AND D LYORIN RECTLY ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECT INSPECTION FEE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT I DEEMED TO MODIFY, WAIVE OR REDUCEANY REQUIREMENTOIANY C TY ORDINANCE NORLIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANYORDMANCE PROVIS10- TOTAL AMOUNT DUE RECEIPT aN I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFOF.ATIoN APPLICATION APPROvAL GIVEN IS CORRECT, AID THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF luMillIg-dbyth, THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUI-ATING CONSTRuc. CALL ui,�g "_ll g,puiy: �d F­ ,, ­d. TION; AND,IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED OF THE STATE OF WASHINGTON RELATINGTO FOR INSPECTION -,Pt i, ,k,,wi,dgGd m 8pac. pl.vldod. IN VIOLATON OF THE LABOR C Dt WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFIAA SIG�A_TUFT DATE IIGIIZ o (425) �71 771-0220--� Rffr-EASEDBY-- DATE' ATTENtION EXT 333 ITIS UNLAWFULTOUSEOR OCCUPY A BUILDING OR STRUCTUREUNTIL 771-0221 A FINAL INSPECTION HAS 13EEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - 'ILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR z a m c: m --1 0 0 0 x rn M z 0-4 � I c —Z (6) 0 -n _:� m m 0 M 0 z z z 0 1 0 m