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20000606.pdf[PERMIT EXPIRES -01 CITY OF EDMONDS USE 'ONE PERMIT NUMBER ZOO(006 CONSTRUCTION PERMIT APPLICATION ,�IITEIIPTI 'AODRESS 1 LIAIIINAMI'tOl BU e�S 7 F 10, . p_.;, _ _ aAAilxr efLu EES INGAODRfSS 7A' pp—d E3 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P , 'h R.�d '8 2Z,'z7 17 ZIP TELEPHONE b".., Pl­ —1— PROPOSED— 0. Rnacox' REQUIRED DEDICATION — ­h'.- FT 0 IE METEISIZE I LINE �7_� REOU111D —YES CJ NO ,RESS R MARKS OWNE—ONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE (1/w/v Cljr� ENGINEERING REVIEWEDIDATE ENGINE EFNG ADDRESS FIRE REVIEWED By DATE CITY zip ELEIHONE A VARIANCE OR OU SHORELINE OR ADS. INSPECTION D STATE LICENSE NUMBER EXPIRATION DATE CHECKED By PBo RE 'D OSTED (:]YES 0 NO SERA REVIEW SIGN AREA HEIGHT PAT/�)LACCOUNT PARC .FETE �ZEIMIT ALLOWED PROPOSED ALLOWED PROPOSED EX LOT COVERAGE REQUIRED SETBACKS PROPOSED S BACK$ (IFT, 0 NEW [El"RESMENTIAL C 0 PLUMBINGIMECH P L jMB' NO ME ALLOWED PROPOSED FRONT SIDE FEAWR FRONT IJR SIDE 110 E III/ POSED LLoW D o ADDITION 0 COMMERCIAL P LIANC I o COMPL ANCE OR C o M US CHANGE OF USE C H A N BE OF z LOT AREA PLANNING REVIEWED By DATE 0 REMODEL 0 APARTMENT 'ON SIGN S REQ'D I PROV DED REPAIR GRADING Cy.S 'NCE IF�NCE X IT) X 'T' REMARKS RE AR C] DEMOLISH 0 TANK HER OTHER GA AGET oR CARPOR RETAINING WALL cl OCKEFY E W 0";�_.EWAL P NE AL fTYPEOF USE. BUSINESS OR ACTIVITY) EXPLAIN AA"A Y T PE F C.' CHECKED By I FTYPE _0FCONST%lC`TIQN 12�1 oCoUP&/ GRou g I v NUMBER NUMBER OF D W LUNG C L CRITICAL ARIAS 1?;? I PECIAL INSPECTOR JAREA OCCUPAIN f S AFEI or STORIES NITS NU. BE', F SQUIRED LOAD P C] Yes DESCRIBE WORK TO BE DONE REMARKS Is PROGRESS INSPECTIONS PER UBC 108/Fl�,AL INSPECTION REO'Dj P CT" I lq'00-010F e -oIA VALUATION I FEE PLAN CHECK FEE SOURCE -AZ- I 7oTSLOPE BUILDING E7�� HECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO BE DONE . PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC B..ARN 'ELIFIES. SIDEWALKS, DRIVEWAYS MARQUEES. ETC.) WILL REQUIRE SEPARATE PER�ISSION. GRADING/FtLL 6CHARGE _5 PERMIT APPLICATION� 180 DAYS PERMIT LIMIT, I YEAR - ROVIDED WORK IS STARTED WITHIN 160 DAYS P SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES -APPLICANT. ON BEHALF F HIS OR HER SPOUSE HEIRS. ASSIGNS AN SU ES RS IN INTEREST, AGREES TO IND MNIWY DEFEND AND HOLD HARMLESS F. CITY F E E DMON DS WAsHINGI ON. IT 5 OF FICI ALS. EM PLOYE ES. AND AGE NT S FR I ANYAND ALL CLAIMS F OR DAMAGES OF WHAT EVE R NATU RE. ARISING DIRECEI Y NOIRE TLY FROM THE ISSUANCE OF HIS PERMIT ISSUANCE OF 1.15 PERMIT S.ALl NOT BE ,3 DEEMED 10 MODIFY. WAIVE OFREDUCE ANY REQUIREMENT OF ANY C" YORDINANCE - 0 NOR LIMIT IN ANY WAY THE CITY 5 ABILITY TO ENFORCE ANY ORDINANCE PROVISION .6 ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT ..F RECEIPT RECEIPT Bwo 1 A�4� I HEREB Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION GIVEN IS CORRECT. AN. THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT 01 THE OWNER I AGR I TO C s REGULATING CON15TRUC LY�IIT TY AND STATE LA L I Ty QM' T �n N. PERSON 11,11 BE EMPLOYED T IN W A , G R BY ON AND o" THE WORK o B IN VIOL HE LAE C E N o E S ATE 07F WASHINGTON RELATING TO PC WoRKy ATIC C�RA& AND R5" 2 S ON A NE __ RA T BIG ED APPLICATION APPROVAL This ppI­t­,, p­ij Nil �glld by lhe CALL Buil,bg CIh­l Dbp.ty: .�d F... .. P.1d. ..d FOR INSPECTION h sp..s phs,d�b� —7 RE (425) An III 771-0220 LAELEASED k,/ TIP EXT 333 TWIF U LNTO(JE OR OCCUPY A BUILDING OR STRUCTURE UNTIL IS ' A- HA =N A.E AND APPROVAL OR A CERTIFI BEE 771-0221 ORIGINAL -FILE YELLOW -INSPECTOR A F17AL INSPECTION 'S C r L C E OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ,.0 FAX PINK - OWNER GOLD - ASSESSOR 5,BB z c m ml 00 80 c M ITIZ '0­1 c I.— o -n n m M 0 0 0 c 20 7-4 ;u --I z --I to) z 0 m CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (4253 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering Date June 13, 2001 Applicant Joseph Schmidt and Elrora Hill Re: Building Permit: 200606 Site Address: 6908 170 St SW Expiration Date: 7-25-01 According to City Building Division records, the above referenced permit will expire on (the original building permit 990118, was renewed under building permit 990083). Ifthework is complete and ready for a final inspection, contact the City Building Inspector at 425-771-0220 x 1333 to schedule the required final inspection prior to expiration. If the work is not complete the permit must be renewed before expiration. Edmonds Community Development Code Section 19 . 00. 10 allows permits to be extended for a third year. The fees associated with this renewal are based on the number of remaining inspections. After the third year however, no additional renewals or extensions are allowed. There are (3) remaining required inspections for a total permit renewal fee of $140 You must either call for a final inspection or remit the renewal fees prior to the expiration date. Please note, if City records are incorrect please contact us immediately. Thank you, L\Temps\DST's\Mmter Lettem\Second Ren—l.doc 10/27/00 Incorporated August 11, 1890 Sister City - Hekinan, Japan =19 3; M IDI 0! 1; i C: L N FINAL PROXECT APPROVAL FORM TO:— DATE: - MEMO TO: pERmIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE- A�PoYIVIAA ENGINEERING DIVISION DATE*[a2-- PLANNING DIVISION DATE — PROJECT SITEADDRESS MOO NSPECT PERMIT g_ZjD 0 �O Il DESCRIPTION OF WORK TO BE INSPECTED—f—LA-8—i ------------ A field inspection was conducted to determine final compliance with approved plans. FInal approval. ctions from the above signed Department to the release of denotes that there are no obje PERFO WANCE BONDS and the granting of 1,--GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED 0 copy of CONDITIONS given to owner/contractor by inspector I FAILED FINAL INSPECTION - OUTSTANDING ISSUES (3 Copy of CORRECTION NOTICE given to owner/contractor by inspector 2. 3. RE-INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL Date. Sign--- ocaprvi.doc.l:temp:bldg:formsIO/OI z 9 0 Ui -4 a x C M rn 00 80 C M M Z -4 ca o -n n M M U Cf) 0 r- 0 M C 0) 9 C/) M 0 Z X -4 3: z -4 2; C/) z 0 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS FOUNDATION: Footing ............. :i Z; Wall .......................... 0 4; Pler/Porch ................. Retaining Wall ........... I 'n Stab Insulation .......... M 0 PLUMBING: IT! 0 Underground ............. d C Rough -in ................... M I Z, Commercial Final to z HEATING: x Gas Test I ........... -n Gas Piping ................. Equipment .................. In In 0 ra commercial Final 'k 0 Fn EXTERIOR SHEATHING NAILING Cl) r J) rn 0 .......................... IL FRAMING ........... ............. FIRST FLOOR FRAMING '77 Z INSULATION ................... Floor Ins ulation vu: Wall Insulation ........... Z� -04 Ceiling Insulation 0 ITI SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR VAS OCCUPANCY .................. L CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 7w _77 ZIP ITILIPHON' r ADDRESS [PERMIT EXPIRES us,E PERMIT ,-0 NUMBER joB I PT ADDRESS 22,6 w PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. G! LE 1_ PUBLIC RIGHT .1. PER .111.ALBTFEET MAP cp ...... EXIS ING — PROPOSED R.q-1 REQUIRED DEDICATION— FT ME�TERR SIZE LINE SIZE NO. OF FIXTURES PRV REoUIRED YES 0 NO 0 tROMAR"DNTRA�CTOR RESPONSIBLE FOR EROSION CONTROUDRAWAGE FIRE REVIEWED By DATE CITY VARIANCE OR CU sH6REUNEORADBd INSPEC I N POSTED STATE LICENSE NUMBER DATE CHECKEDBY E3 RSEO-U3 — YE C SEPA REVI EW SIGN AREA C ,OMPLETE E XEMPT ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PR Z20 p 1 , LOT COVERAGE REQUIRE SETBACKS (I. PROPOSED SETBACKS NEW C] PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE RE(A"R ADDITION ��REISIID�INTIAL, C MPLIANCEOR Cl COANrE OF USE PARKING LOT AREA I PLANNING REVIEWED By DATE REMODEL APARTMENT 0 SIGN REDID PROVIDED 0 REPAIR GRADING CYDS FENCE ( — X PT� REMARKS DEMOLISH 0 TANK ci OTHER GARAGE J 13 A WALL C3 EfRENEWAL RETA'INING CARPORT .0 F USE, BUSIN SS 08 ACTIVITY) EXPLAIN: (TYPE OF —USE BUSINESS I C"ECIEDBI ITY11 -H OCCUP ROUP&/ 'U' NUMBER OF CRITICAL SPECIAL INSPECTOR O.A. C, WELL'.. F A EAS REQUIRED C] YES mo �T.RIEE r UNITS 'UMBER DESCRIBE WORK TO BE DONE REMARKS INS PER UBC 108/FINAL INSPECTION REO Joe je7. 00 v I v JAIA.4 �- AJ4A4,4Wl4A : YAAM4A-0`1 1 7-7; JA /y MCHECK HEAT SOURCE GI-AZIN= LOT SLOPE % PLAN NO: IS PERMIT AUTHORIZES ONLY T S MITCOVERSWORKTO THIS PERMIT AUTHORIZES ONLY THE; WORYK NN TH BE DONE ON PRIVATE PROPERT' OHL A YC�NTHTRUPCETRI ON ON THE PUBLIC E N I ATE PROPE' a 00 NE 0 P' V DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REOUIRE ES' EW It SEPARATE PERMISSIOM ALK' PERMIT APPLICATION: 100-AYS E. 'TA PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WIT14IN 180 DAYS F . PRO' SEE BACK OF PINK PERMIT FOR MORE INFORM4TION FIX K' LOTED ANTONBEHAL OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS L OF ;APUCC 'N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EF OF T IND AND AGENTS FROM A -AND I E.MONDS.WAEH`NGTON ITS OFFICIALS. EMPLOYEES, D SH' W E T-O' L CLAIMS FO MAGEjOFWHATEVE8 NATURE, ARISING DIRECTLY OR INDIRECTLY DAM .FW' RD AL R A FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE D D E .. T MODIFY W W ENT OF ANY CITY ORDINANCE EEMED To MODIFY, WAIVE OR REDUCE ANY REQUI REM PROVI SION.' .IT I NY W Y THE Y'S ABILITY TO ENFORCE ANY ORDINANCE ORLI T ANYvW THE CIT N NORL Mi I HERE Y ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION THAT THE INFORMATION GIVEN BS CORRECT, AND THAT AMT�EOWNIR.I)RTIIEOULYAUTHOIIZIOAGINTOI THE OWNE FIA R TE0WCMpLUVn Y AND STATE LAWS REGULATING CONSTRUC- -MPLOYEO � I I ON WILL BE I TH RKA 'R TLON: AND W DOGR T H FTOR)TT'D- E.YN.lE.S L T AT OF WASHINGTON RE ATING 0 E ES� IN VIOLAT1,0N o jE LABOR C MO E WOPXM5N E C ATION IN RAN AND R=Z7. �GE SON UR WNER RA N SON ED LE liki 2F.9&j VALUATION I FEE z M M 0 80 M m 10 o -n m M 0 0 a M 0 z Z z 0 F _�AN HECK FEE m BUILDING PLUMBING MEC ANICAL GRADINGIFILL grCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE RECEIPT PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNT DUE APPLICATION APPROVAL CALL Doi, no, a ­­ unl,l o,gn.d �l In. din IT, he, ),pudy: and Foe, a,. Pald. and FOR INSPECTION a.—.1.1g.d In ap­ pn—d- OFFI IALS SIG (425) 771-0220 OAT E 7 ATT TION EXT 33J i 11 :IS LAWFUUT IOR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INS 'NSP, ORIGINAL FILE YELLOW INSPECI.F A FI AL PECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI C Cy C � I q Q C E OF OCCUPAN HAS BEEN GRANTED. UBC SECTION 109 FAX r 0