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20000562.pdftI� DATE RECEIVED I —_ CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NpN�E j F6 US � S S MAILING ADDRESS /Q,Pl CITY ZIP ITELEPHONG e^A�..� IW qRa�li I q,<o - 397- 9e 26 C ADDRES�p( ,,,.,ITILEI"* E ,.?Cf ZIP STATE LICENSE NUMBER CHECKEDBY )r PROPEj�VUNT PARCEL NO. 0 N.. RESIDENTIAL C] PLUMBING I MECH ADDITION COMMERCIAL COMPL ANCE OR CHANGE OF USE REMODEL APAnTMENT SIGN 0 REPAIR GRADING CYOS PENCE DEMOLISH I _ X ITI OTHER G CA'AGE AETAKJENIN� WALL RENEWAL CAAP.AT R" (TYPE OF USE. BUSINESS OR ACTIVITY) E IN: ER OF CRI L OF JES DWELLING AR A CA STO les UNITS NU DESCRIBE WORK TO BE DONE ayl� A�Le "?,Vd PERMIT EXPIRES -L4Y—QL USE 6,2- PERMIT A005, ZONE NUMBER '08 SUITEIAPTO ADDRESS wa. " / PI -AT NAMEISUBDiVISION NO. LOT NO- L I . FEE L�D PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T_P "I'll" A. P.-L "'u'. N EXISTING — PROPOSED— �11 U.. ` A�0 0 El REQUI RED DE DICATION It PRI REOUIlEO YES LJ NO A MARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONT UDRAINAGE ENGINEERING FIRE REVIEWED By DATE VANANCE OR CU SHORELINE OR ADB# INSPECTI N REDD I BOND POSTED E3VE5 n NO SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED Fxp I I LOT COVERAGE PEOUIRED SETBACK$ IT PROPOSED SETBACK$ (FT) ALLOWED PROPOSED FAONT SIDE REAR FRONT UP SIDE REAR PARKING L OT AREA I PLANNING REVIEWED BY DATE I On GOCCUPAITK:3 jT:j;K POUR Sl,�,MAL.I�NSPECTIDA J.-A OCCUPANI R! a', A 0 YES LOAD I � REMARKS 1� an —PI lNqPFOTIONS PER UBC 1081FINAL INSPECTION REO'D 9 VALUATION I FEE PLAN CHECK FEE HEATSOU8CE LOT SLOPE % BUILDING PLAN CHECK NO: JVE5TID OAT' PLUMBING MECHANICAL -FT—HIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS OAK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE GRADINGfFILL SEPARATE PERMISSION. URCHARGE PERMIT APPLICATI N: 180 DAYS PERMIT LIMIT. I YEAR- PROVIDED WORK 19 STARTED WITHIN 18D DAYS ENG. REVIEW FEES SEE BAC K OF PINK PERMIT FDA MORE INFORMATION n P PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS� ASSIGNS AND SUCCESORS ENG. INSPECTION FEE A ;A THE 0 — N ARMLESS INTEREST. AGREES TO :NDEMNIFY DEFEND AND HOLD H ANYAND LANDSCAPING E EGMQNDS. WASHINGTON, TSOrFICIALS, EMPLOYEES. AND AGENTS FROM ALLC�IMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY RECEIPT x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMEDTOMODIFY. WAIVEOR REDUCEANY REOUIREMENTOF ANY C ITY ORDINANCE ENFORCE ANY ORDINAN— RECEIPT NOR LIMIT INANYWAYTHECITY S ABILITYTO TOTAL AMOUNT DUE IHER58Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION GIVEN I CORRECTANDT AT LAM THE OWNER. OR THE DULY AUTHORIZED AGENT OF ".-hi .,,H E, THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- ED CALL B u,,,I`�','o h,, ,p,ly: :g F — P.1d, -d TIOW AND IN DO NG THE WORK AUTHORIZED THEREBY NO PERSON WILL BE EM LDYT I ATPING 0 WASHINGTON REL FOR INSPECTION d d p—,d.d ".Pt, —1, g, IN VIOLATION OF THE LABOR CODE OF THE STATE OF WORKMEN S COMPENSATION INSURANCE AND RCW 18.27. OFII S SIGNA ATE (425) 9 D E I f I _v&r_v RELEASED BY EXT 333 ATTENTION ITISUNLAWF LTO USE OR OCCUPY A BUILDING OR STRUC TURE UNTIL 771-0221 A FINAL NSPUCTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL PILE 1 YELLOW INSPECTOR CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD -ASSESSOR 5- z =i 9n m IT, o 0 —10 0 C rn mz cn 0 m m M 0 00 m fn C., ;u z 3: ch z m ]EINAL pgojFCT AI!PRONAL FORM TO:- -DATE:_ MEMO TO: pERmrr COORDINATOR, BUILDING DIVISION FROM: MDEPARTMENTDATE-2a�± ENGINEERING DIVISION DATE — DIVISION DATE PROJECT OjL,--,o SITE ADDRESS.— -7 -216 A-1 pEMT # _26.52��.ADB#—DATE INSPECTED-2J—t DESCRIPTION OF WORK TO BE INSPECTED—(� 4f f= C Ate A field inspection was I conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the granting of: _yinal approval of the described work Bonds associated with the project may be released 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 ocaprvl.doc.l;temp:bldg:fOrMS6/98 z M C M rn 0 -40 00 C —1 K X M M z 'D —i C Z cl) 0 -n n —1 M M 0 U5 0 -M C cli 9 U) M C.) Z 71 X z --I i Cl) z 0 4 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Fooling ............. . ....... wall .......................... PierlPorch ................. Z Retaining Wall 0 R, Slab Insulation .......... PLUMBING: Underground ............. 0 'M . rn Rough -in ................... 0 0 0 Commercial Final C rn rn HEATING: Gas Test ................ . .. Gas Piping ................. Equipment .............. -n Commercial Final rn m EXTERIOR SHEATHING C3 — fj) 0 NAILING .......................... 0 IT j; FRAMING ........................ ITI FIRST FLOOR FRAMING z I INSULATION ................... Floor Insulation Z. Wall Insulation ........... Ceiling Insulation z SHEETROCK NAILING 0 SPECIAL INSPECTION M MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. Uri CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 111EII)q E USINESS i 7 �all, d A cm, MAH-INGADDRESS IQpl CITY ZIP IT I"""' NAME PERMIT EXPIRES I Z - Ll USE PERMIT ZONE NUMBER 010S62- JOB S ITE/APT# ADDRESS PLAT NAMEiSUBDIVISION NO-1 LID I'D- LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSE' REOUIREDDEUICATION� FT 1,I d IFIV RIOUIRED yes 13 NO 13 FOR EROSION CONTROUDRAINAGE ICITY ZIP JTILEPHO- N AME NAME IC, CIP 1,9.41,1 'Co - T, C - ENGINEERING vviv E W �� E A ESS DOR m ADDRESS 0 7 3 0111 FIRE REVIEWED By DATE CITY ZIP ITILEPHONC IT gila-4 FH—OSELINE INSPECTION 0 1AIIANID1 OR U OR ADSN DOND 'D STE STATE LICENSE NUMBER MD By OYRE ES E] NO cor -OR _0 SIGN AREA HEIGHT a'? SERA REVIEW COMPLETE EXEMPT ALLOW ED PROPOSED ALLOWED PROPOSED PROPERTY T UNT PARCEL NU. EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FF.) TU`L C] NEW PIESIDE�TIAL RES'DiN-�AL] C3 PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UP SIDE REAR CONINE ADDITION COMMERCIAL COMPLIA CE OR CHANGE OF USE PA KING LOT AREA PLANNING REVIEWED BY DATE REMODEL APARTMENT E3 SIGN REQ'D PROVIDED FENCE REPAIR GRADING CYDS ( — X FT) EMA-S DEMOLISH TANK OTHER ARAGE cl RETAINING WALL GCAPP.FtT R C"RY 0 RENEWAL YPE OF USE. BUSINESS OR ACTIVITY) E IN: Ty �C_ CHECKED By T�YPECONSTIUCTIIN _'lUlANT GROUP A21 K_ NUMBER NUMBERO ITICAL S PF ,ALN. T.R AREA OF DWELLING STORIES UNITS AREA S NUMBER REQUIRED F YES a YES JI.A. DESCRIBE WORK TO BE DONE 3m REMA FSS INSPECTIONS PER UBC 108tFINAL INSPECTION REO I lyil 7-Aluk aPi I VALUATION I FEE PLAN CHECK FEE .EATS..R.E GLAZING LOT SLO�E % BLILOING n. 7-LAN CHrCK NO: 11EST11 PLUMBI G MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL 2 DOMAIN (CURBS. SID LKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. -j� URCHARGE PE MIT APPLICATION: 18G DAYS PERMIT LIMIT: I YEAFIRPROVIDED WORK IS STARTED WITHIN 180CAYS ENG. REVIEW FES$ SEE BACK OF PINK PERMIT Pon MORE INFORMATION ON SEPAL P HIS OR HER SPOUSE, HEIRS. ASISIGNS AND SUCCESCIRS F o ENE. INSPECTION FEE ;�PPUCANT. N INTEREST. AGREES To DEFEND AMD HOLD HARMLESS THE CITY OF LANDSCAPING �NDEMNIF`Y, TS OFFICIALS, EMPLOYEES, AND A ENTSIH I EDMONDS, WASHINGTON OM ANY AND INSPECTION FEE ALLCLAIMS FORDAMAGE � OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY IPT FROM THE ISSUANCE OF THIS P ERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT I` DEEMEDT MODIFY. WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE ANY ORDINANCE PROVISION.' RECEIPT 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY T 0 ENFORCE To TAL AMOUNT DUE I ;EAD THIS APPLICATION: THAT THE IMF RMATI.N APPLICATION APPROVAL I HEREBY ACKNOWLEDGE THAT I H Ho ED AGENT OF GIVEN I AVE S CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUT RIZ Thil IPPI-110- 1� ��[ � 1-11 1,,b[ l-ed by iba s LC THE OWNER. I AGREE To COMPLY WITH CITY AND STATE R�E.GNULATILNG CON TI - CALL 111 1,11/hel Dep,ty: , d F aro P.id. -d B,,Idilg Offi—I 11 1,11/hel DIPITY: 8 IAAWS D THERESYN PER WL BE EMPLOYED F'Z TION; AND IN DING T E WORK AUTH ED TO FOR INSPECTION I d Id m p p—d- OF THE STATE OF WASHINGTON RE IN VIOLATION OF THE LABOR CODE ATING WORKMEN'S COMPENSATION INSURANCE AND ROW 18.27. " A RE & o:y;,E, (425) OR I-Ue4� FELEAS�D.Y DOE h)k 1 J3 ATTENTION TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI- ORIGIN AL. FILE YELLOW INSPECTOR GOLD - ASSESSOR A FINAL HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER CATE OF OCCUPANCY 5198 z 0 ri 51 m c ma 0 80 c -4 x in mz 0 -n n --I m M 0 ED 0 c Ca _— w -1 rn �0 ;13 -4 z rn z m