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20000570.pdfDATE ... CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSI�ESS MI D �REi' J Z CITY ZIP TELEPHONE 'ITY ZIP ITELEP"OlE .ANIE'e�. ADDRESS [PERMIT EXPIRES &LEV.— US, PERMIT 2CC6M 'ONE ess< NUMBER SUITEIAPI. 'OB ADDRESS PLAT NAMVSUBDIVISION NO. LOT NO� 'S LID NO, LID FEES LID FEE PU BLIC RIGHT OF WAY PE R OFFICIAL STRE ET MAP F "P-.1ZI. EXtS ING — PROPOSED OFFOR REOUIRED09DICATION— IT — P.—N9R)CONTRACTOR METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIR I, YES 0 NO 0 REMARKS OUD. RESPONSIBLE EROSION CONTROUDRAINAGE z FIRE REVIEWED By DATE ATY ELEPHONE VARIANCE OR CU SHORELINE OR ADB� INSPECTION 0 YRE 0 O�T ES 0 NO ;TATE LICE —i ATION A' SEPAREVIEW COMPLETE EXE MPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED , PROPOSED ROPERtY TAX ACCOUNT PARCEL NO. j2C_(-)o C)-2� EXP I Flo,< LOTCOVERAGE REQUIRED SETBACKS IT REAR PROPOSED SETBACKS (FT) FRONT UPSIDE REAR I E.N 0 NEW ALLOWED PROPOSED FRONT SIDE 'OMPLIA CE OR C3 ADDITION CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED By DATE REMODEL SIGN 8EO'D I PROVIDED 0 GRADING FENCE Q<EPAIR CYDS 0 1 —X_FT) REMAHKb 0 ',gj�`TA-K o OTHER o GARAGE 0 RETAININGWALL RENEWAL CARPORT ..�RY 0 CR=AL CHECKEDBY IT NUMBER JA NUMBER �j.71. 1��PECT7iA LOAD OF DWELLING PEAS SEGUHRED C] YES OCCUPANT STORIES UNITS NUMBER A DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION c3 VALUATION I FEE PLANCHECKFEE LOT SLOPE I 0 HEAT SOURCE BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZE$ ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MI ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 1.� DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN i8D DAYS ENG REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORM ION ON BEHALF OF HIS OR HER SPOUSE. 1@11. AAFIDNs AND SUCCESORS ;APPLICANT. N INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMI ESS THE CITY OF LANDSCA G ­P ... 1— IT.I.IIICIALS.EMILOYEES, AND AGENTS FROM ANYAND INSPECTION FEE RE, Miw�ZMT'�' E RECEIPT DEPOSIT P F ANY CITY ORDINANCE RDINANCE PROVISION,' PLAN CHECK RE uki TOTAL AMOUNT DUE I HEREBY ACKNOW EDGE THAT: HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT 01 Th,l pplbal— , ­1 b ­­ ll,ld by th. THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC ED CALL B,11­9 011-clal .1 b— ..P.Ivl b, F_ I. 'AP. TION� AN D IN DOING THE WORK AUTHORIZED TH E REBY. NO IE RSON WILL BE EMPLOY OF WASHINGTON RELATING TO FOR INSPECTION .­pI I I .1k,.wi,dgld In space povided. IN VIOLATION OF THE LABOR CODE OF THE STATE "MPEN�P51QM2�,211AN�F AND FCW 1..�T' I FICIALS SIG�R jWG�RKM#ENS ORA - �9�ED (425) �L tAT'Ej rATE 771-0220 FI�EASFD BY 'DATt EXT 333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BU LDI NG OR STRUCTURE UNTIL 771-0221 INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW- INSPECTOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD -ASSESSOR 5198 z 0 c M M z 0 --1 c 2 0 n MITI 0 o C 9 ch M C-i -4 Z. z 9 0 m DATE: N[EM0 TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: _FIRE DFPARTI�MNT D ENGINEERING DIVISION DATE — PLANNING DIVISION DATE — PROJECT Atc, (�(&A41 Z 4-4 SITE ADDRESS 6 PERIM # INSPECTED-2::L DESCRIPTION OF WORK TO BE INSPECTED 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: X, inal approval of the described work rmance Bonds associated with the project may be released _—,Z,—GRANT FINAL PROJECT APPROVAL --GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED I _FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. ___RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.t:temp:bldg:forMS6/98 z 0 =j 0 0 C: M M 0 -4 0 0 0 C -19 X M rn z g) ­4 C 2 0 -n n rn rn C) 6-) 0,- 091 C 9 co rn o Z z Ch z 9 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACK$ ..................... FOUNDATION: Footing ...................... wall .......................... Pier/PoTch ................. Retainirig Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment .......... Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ... ....... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. -710 2AMS z 0 0 M. M C 0 M 0 80 C � C M M, z C > 0 n M M a ro 0, 0 IT C cn = Cn IT 2 2 IT L-7 PERMIT EXPIRES -Oy�Q� USE T CITY OF EDMONDS P.ERm.E, 2CCS7C) S CONSTRUCTION PERMIT APPLICATION JOB S ITEMPT. AODR5SS OWNERNAMEINAM101 PI -AT NAMEISUBDIVISION NO. LOT No, UDNO, LID FEE S MAILIN AD RES TESCP �W­d 0 PUBLIC RIGHT OF WAY PER 0111CMIL STREET MAP R.q.— 0 Pl— R.qd D R.q.1- 0 2- EXISTING — FFOPOSED� :117 TELIEPH. ii 0 RE.UIREDGE.ICATI-N— IT Q NAME' LINESIZE I NO.OFIIXTURES Y PRV REQUIRED ES 0 NO 0 NAME TELEPHONE ZIP I TELEPHONE ROPERTY TAX ACCOUNT ­Qht. NU. 427"41472-- 1 - (Q i-e- Q0 DZI 0 NEW C3 RES11 ENTIAL E3 LUMBING I ECH 0 ADDITION C] COMMERCIAL c3 C MPLIANCE OR CHANGE OF USE REMODEL C] APARTMENT SIGN ---�DING FENCE REPAIR Cyns I — X 0 DEMOLISH ",JNrTAN K OTHER GARAGE r-1 RETAININGWALt- RENEWAL CARPORT — ROOKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN. NUMBER NUM11ROF 11111CAL OF DWELLING AREAS -STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE RESPONSIBLE ENGINEERING w W Bill mm r-ww--- FIRE REVIEWED BY DATE v VARIANCE OR CU SHORELINE OR ADS# INSR.EOT�'E��aTED 0 YES ONO_ AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PRO1OSE0 EXP I i , LOT COVERAGE REOUIRED SETBACKS (FT.1 PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REA� z PARKING OTAP DATE REO'D I PROVIDED REMAH- 6up,r< SPEC:IALEIDNSPECTOR REGL R [:] yes JARS' CUPAMT 'L AD RENA KS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTI( I VAIUATK). I FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE 'A BUILDING Q. PLAN CHECK NO: STEDDATE PLUMBING ECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVER I WORK TO BE ONE . PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL A. (CLIFI.S. DRIVEWAY MARQUEES. ETC.) WILL REOUIRE SIDEWALKS, S' SEPARATE PERMISSION. STATE SURCHARGE E MIT APPLICATION: 10 DAYS P R PERMIT LIMIM I YEAR, PROVIDED WORK IS STARTED WITHIN 18D DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHAL OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS w ;APPLICANT , INTCRE ST, AGREES TO :NDEMNIFY, DEF NO AND HOLD HARMLESS THE CITY OF LANDSCA G EDMONDS. WASHINGTON. TS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE.ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE RECEIPT m a , FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT, SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF AN, C Ty FGIN�NCE PROVISION.' PLAN CHECK DEPOSIT R 0 NOR UM[ T IN ANY WAY THE MTY'!5 ABILITY TO E NIORCE ANY ORDNANCE TOTAL AMOUNT DUE TN, 's- 1 0 C) 1 IHERE YACKNOWLEDGETHAT�H E READ THIS APPLICATION: THAT THE INFORMATION a AV CATION PIPROVAL PL, ! GIVEN I S CORRECT. AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENTOF T�7­­`- - I. I THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC - LOYE CALL Bul ­ I 1"I, — 111, all lid, .�d 1HE Y. No P5ssq, WILL TION. AND,IN GONG THEWORK AUTHORIZED TH OF GT.N BI'LLEAMTPING To WAS) FOR INSPECTIO ld­p... pl"d.d N IN VIOLAT ON O'F THE LABOR CODE OF THE STATEo WORKMEN'S_�CIMPWATION INSURANCE AND FqW IB.27. �FICIALS SIGNATU ATE 6 OR AGEN� ATE S' E T, (425) I 771-0220 RE�EASED BY EXT 333 AltENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI 771-0221 HAS BEEN MADE AND APPROVAL OR A CERTIF ORIGINAL FILE YELLOW INSPECT R A FINAL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION,109 FAX PINK OWNER GOLD - ASSESSOR z 0 m rn 00 0 Oc rn m Z, 10-4 0 m m M a 05 0 c M 0 z V5 z 9 0