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20000576.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNE�N�NAME;F BUSINESS MAILINGADD EBB ), -2 �2 ;7 CITY ZIP FTE_lil--�- 7,� PERMIT EXPIRES USE PERMIT 2r `r_7 ZONE NUMBER �- "05 JOB S T ADDRESS 0 C)--72-7 7 7. P P = PLAT NAMEiSUBOIVISION NO, III N . LID FEE S P BLIC RIGHT OF WAY PER OFFICIAL STREET MAO EXISTING — PROPOSED REOUIREOOEDICATION� FT — V—g—w NO.01111TURIS PR' FE-LIPM YES 0 NO 0 MARKS .. .... 1-1-1—F.OSIONCONTROUDRAINAGE --- OW CITY zip ITIL111111 111m14 A ENGINEERING REVIEWED/DATE 0 FIRE REVIEWED By DATE CITY ZIP C 9g-3 TELEPHONE OR ADB4 INSPEC E.N�D. STATE LICENSE NUMBER CHECKEDBY VARIANCE OR CU SHORELINE RED 0 Y HEIGHT ST SEPAREVIEW SIGN AREA PROPOSED ALLOWED PROPOSED R bL.L. PR2=' COMPLETE EXEMPT ALLOWED , eo letloo EXP NEW RESIDENTIAL PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS ('.I FRONT SIDE REAR PROPOSED SETBACKS (7.) FRONT UR SIDE REAR ADDITION COMMERCIAL COMPLIANCE OR 0 OF USE C 3 CHANGE PARKING L07 AREA . ....... DATE 0 REMODEL E] APARTMENT C] SIGN REO.D I PROVIDED CM REPAIR 0 GRAOINO CYDS 0 X FT) REMAHK5 DEMOLISH C] TANK ci OTHER 13 GARAGE C] RETAINING WALL C3 RENEWAL CARPORT (Ty SE,SUSIN SSOR A 1, 1 yj Ex IN CHECKEDBY JT7� ION CODE Gc.�rpz_ - NUMBER NUMBEROF OF ELLING DWT, CRITICAL ARFASR SPECIAL INSPECTOR REDD IFED UP�Nff JAIIA L.A. STOR LIN JES NUMBS c] YES DESC ISE WORK TO BE DONE C, 44, �-g REMARKS pFinno—q lNqPFCTIONS PER UBC 108/FINAL INSPECTION REQ !!!;!�!UZE GLAZING I LOT SLOPE % I CHECK NO: VESTED DATE I THORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC 2 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MAROUEES, ETC.) WILL REQUIRE �l SEPARATE PERMISSION. PERMIT APPLICATION: ISODAYS PERMIT LIMIT: 1 AR. ROVIDEDWORK STARTED WITHIN ISO DAYS YE , IS SEE BACK OF PINK PERMIT FOR ORE INFORMATION APPUCAlTjlAN.El." All OF HIS OR HER SPOUSE. HEIRS. ASSiGNS AND SUCCESOPS THE CITY OF I INTER. 0 E. TO,HGE.NIFY, DEFEND AND HOLD HAF.IESS THE CITY OF N AGENTSFROM NYAND ED MONDE, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM m WH E ATURE. ARISING DIRECTLYOR INDIRECTLY ALLCLAIMSFORDAMAGES05 ATZV R N NOT BE m FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL q DEEMEDTO MODIFY.WAIVEOR REDUCE ANY REQU$REMENTOFANY CITYORDINANCE 5 NORLIMIT IN ANYWAYTHE CITY-SABILITYTO ENFORCE ANYORDINANCE PROVISION" I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFOR.ATION GIVEN I RRECT. AND THAT I AM THE OWNEK OR THE DUSLYRAUTHOTRIINZIED AGETT OF S Co 'U THE OWNS I AGREE TO COMPLY WITH Cl Y AND STAT E LAW EGULA GONE ' E`� PERSON WILL BE EMPLOY C THE WORK AUTHORIZI TION: AND IN DING EOTHEREBY, NO CODE OF THE STATE OF WASHINGTON RELATING TO 11 SIGNED —/ � -,"'o VALUATION I FEE -AN CHECK FEE WILDING LUMBING ECHANICAL iRADINGIFILL jTATE SURCHARGE :NG. REVIEW FEES PLAIN CHECK OE111IT I RE TOTAL AMOUNT DUE AFPLICATION APPROtL Thl� 1pf-cat '� �d a ,' 1 �,g Id by thl CALL 8111d,19 OIj,l 11 -1h1l DOPUtY -d F .1b 0-, �0 FOR INSPECTION 111.1pt i� �p... `__d. FICIALS SION T DATE (425) kR5 , "" _1, I 't� 1 C, 771-0220 AN RE ABED By ,�ffENTION USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL r-A "000 /r IS UNLAWFUL �l 771-0221 A FINAL 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 $196 z rn 0 rn c: m __IO 00 c m m z jo c m m 0 0 c: M 0 Z z rA z 9 0 m ........ . .. RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall................... z Pier/Porch ................. Retainlrfg Wall ........... M Slab Insulation .......... PLUMBING: Om - Underground ............. C 171 Rough -in ................... C Commercial Final A M HEATING: C ;F Gas Test .................... (D Gas Piping ........... 7 0 .71 Equipment ................. —4 M 11111 Commercial Final EXTERIOR SHEATHING 0— Fil NAILING .; ....................... C FRAMING ........................ rn 0 Z FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation p. Wall Insulation ........... Ceiling Insulation Z SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 245,35A wuw DATE R17011L,�L 0 PERMIT EXPIRES us PERMIT 29E�sllbkl CITY OF EDMONDS ZOl5 � ST NUMBER CONSTRUCTION PERMIT APPLICATION JOB 11JI11PTI ADDRESS -72-7 77- P/-_u I OWNI13JAEINAME;;SINE� PLAT NAMEISUBDIVISiON NO, LOT 11, LID FEE $ 1. MAILING ADDRESS -7.2 -7 TE—ICIAPPI-1 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP W D 0 0 .2o ZIP TELEPHONE EXISTING — PROPOSED-- .1.1 d 0 CITY REQUIRED DEDICATION— FT — W11111.d NAME METER SIZE I LINE SIZE 10, OF FIXTURES PAV REQUIRED YES 0 NO IJ REMARKS ADDRESS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUCRAINAGE CITY ::ME ENGINEERING VVIU66116UGATE o 46//,20/44 Ael,�F /V,9 By DATE ZIP TELEPH ONE FIRE REVIEWED z Dd(�-3 0/- AOB9 INSPEC�DION D VARIANCE OR CU SHORELINE OR 1POOPTE. M NSE NUMBER E-H-ONDA- ?vzoie ciFf wy Y/--lam OYRE FE No SIGN AREA HEIGHT II=n SERA REVIEW ALLOWED PROPOSED ALLOWED PROPOSED q PROPERTY TAX AD OUNT ACEL NO. Od5f /4/ 2 6-9 00 W COMPLETE I EXEMPT EXP I -j 3: M RESIDENTIAL PLUMBING I MSCH RECUIRED SETBACKS (FT) PROPOSEDSET OVF�RAGE UP SIOACKS (FT I LOT ROPOSED FRONT SIDE REAR REAR I ALLOWED' FRONT DE c: ma 0 C] NEW 0 C MPLIANCE OR I 0 AUDIT ON L 0 CHANGE OF USE I LOTAREA DATE c: REMODEL C3 SIGN PARKING �PI-ANNINGHEVI—by REDD I PROVIDED m m m z 0 IRADING CYOS 0 PENCE REPAIR X F,) RIMAH- r- -4 0 DEMOLISH TANK o OTHER EGARAGE RETAMINGWALL RENEWAL I.A.P.- TY) EXPLAIN ..... 0 -n JTY US E.:SI �11V V CHECKED By GROUP JT7�CONST UC ION m NUMBER CRITICAL AREAS IPICIALINSPICTOI 1111A OCCUPANT LOAD 0 OF NUMBER STORIES EQUIRED[]YES 0 o Fn DES! �7 I �q �WT�B%V REMARKS SS INSPECTIONS PER ECTION REO'D g9 PROGRE c ,�LE WlMa IJIAA�e A M 0 I r HIT SOURCE GLAIING % LOT SLOPE % PLAN CHECK NO: EBT1. DATE THIS PERMIT AUTHCRaES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUMON ON THE PUBLIC REOUIRE (CURBS, SIDEWALKS, DRIVE AYS. MAROUEES, ETC.) WILL SEPAR t: PE MIT APPLICATION: 18G DAYS PERMIT LIMIT, 1 YE AR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION kDOMAIN 'APPLICANT. ON BEHALF F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND S.CCESORS IN I.I.T.ERESTAAGRE.ETS.TO :NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF AN FROM Y AND zi ED TSOFFICIAL.S� EMPLOYEES, AND AGENTS GS., SHIN N, DIRECTO -- — - -- SOP WHATEVER NATURE. ARISING — 3 PERMIT SHALL NOT BE OF ANY CITY ORDINANCE PROVISION.' ORDINANCE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION GIVEN IS CORRECT. All THAT I AM THE OWNER. OR THE DULY ALI..RIZIE. AGENT 01 - CONSTRUC THEOWNER. IA.PIEETO C LY WITH CITY AND STATE LAWS REGULATING oMp P THEREBY. NO PERSON WILL BE EM LOYED TION, AND IN DOING THE WORK AUTHORIZED THE LABOR CODE Or THE STATE OF WASHINGTON RELATING TO IN VIOLATION OF WORK�EN'S COMPENSATION INSURANCE AND ROW 1 B.27, SI ATU E TO DATE SIG ED z IT! VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENG. REVIEW FEES CA ING INSPECTION FEE PLAN CHECK DEPOSIT TDTALAMOUNT DUE APPI ICATION A TII�. pp1j,.— 1.1 . P-1 CALL 'U'Id, 'g� 0111-1 - - - �- ; ��; FOR INSPECTION jp� , R -I 9�d In -F— F—Rf.�, SIGNAT(RE CA11 (425) �ICIALS 771-0220 REqASED By X ENTION/ r- A 11 ap" 771-0221. —LLOW-INSPECTOR /IT IS UNLAWFUL- TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-FIL5 YE CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR