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20000719.pdf"1 DATE RECEIVED L02 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OIZR�Mlj �Ml; 1,UIINESS MAILINGADDRESS 7ee CITY ZIP I, JTEIE'1111 �f'4 NAME ADDRESS CITY NAME A ... ES. CITY ZIP TELEPH;NE [PERMIT EXPIRES us, PERMIT '4DO-71 I ZONE NIlMRER �DS )EIAIT, ADDRESS 7,:,- cf PLAT NAMEISUBDIVISION NO, 7LOTNO_ LIONO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApp,..l 10, EXISTING— PROPOSED— a E3 tOUDRAINAGE REQUIRED DEDICATION FT LINE SIZE NO. OF FIXTURES PRYREQl.11.RED Y. �'EMAZ'115—T-1-54 F.P.NSIBLE FOR EROSION CONTR FIRE REVIEWED By DATE _V_ VARIANCE 08 CU SHORELINE OR ADS# INSFItECIT BY H P DION eqaL2�� P EVIEW SIGN AREA HU.HT VT ALLOWED PROPOSE. ALLOWED PROPOSED EXP _'ON LOT COVERAGE REQUIRED SETBACKS ("T ) PROPOS 0 SETBACKS (FT) E W E] RESIDENTIAL 0 PLUMBING f IMECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UP SIDE REAR COMPLIANCE 08 2 ADDITION COMMERCIAL 0 CHANGE OF USE PLANNING REVIEWED By DATE PARKING REMODEL C] APARTMENT 0 SIGN RED L_V=D / t/ 1; _�=D REPAIR 0 GRADING CYDS X 2 0 FT, r4 L4j,4 _2. f4' HTU 6V- CA-P 04- DEMOLISH TANK o OTHER [3 CARAGE RETAININGWALL [3 RENEWAL &AT3 9-60 L-J CARPORT s _F_ *r US BUSINES S EXPLAIN SmrRuKY Oc (TYPE OF UITYI E CHECKED By TYPE OP.90N 'RCU PANT OUR rION jcO4'7j t- I r::r2q NUMBER N SPECIAL INSPECTOR locc, I LOAD OF STORIES U JAIIA REQUIRED 0 YES D S E CRIBEWORKTOBEDONWE pZheetol'o. 9, REMARKS 'Dj i PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO ,5UA,�L4 4 0 ; 14/1 r 14 IV J 4,/ 12L,,"' � (,( p i� f j 0. j�Fj4: CjFfV�:IZ, Or 12 1,Pl 375 " va VALUATION FEE U,N CHECK FEE HEAT SOURCE GLAZIN LOT SLOPE % BUILDING PLAN CHECK NO: rESTED DATE PLUMBING U�)_3 � MECH-ICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO P.UBL.0 BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCT.10",.,O,',THE LLFE U, E FAMN(31111-1 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, T, SEPARATE PERMISSION. URCHARGE PERMIT APPLICATION! 180 DAYS PERMIT LIMIT. I YEAR ' PROVIDED WORK IS STARTED WITHIN 180 DAYS 5NG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION �APPLICANT, ON BEHALF F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS AGREES T "FIND fiyNftHOLND.FAF.L SS THE CITY OF ENG. INSPECTION FEE LANDSCAPING N INTEREST. :NDIMNI.� TS OFF 'A!S� EIMPL. EA AGEWS FRO. ANY AND INSPECTION FEE OFWHA,EV,P NAI�Ulll AMBNG DIRECTILY.R INDIRECTLY I. N6E. S P' RMIT SHALL NOT BE PLAN CHECK DEPOSIT TH'SPEF.'T OF ANY CITY ORDINANCE PROVISION. 11 �_T REC5111 OR DINANCE TOTAL AMOUNT DUE By ACKNOWLEDGE THAT I HAVE THIS APPLJCATION� THAT THE INFORMATION APPLICATION APPROVAL ,HIRE READ GIVEN PRECT; A14D THAT I AM TH E qWNE'R6GATHEDUSRA lHQRlNZODAG�NTQF CONSTRUC ISICO T palm,t -,I ,g,ld by Iho h Y, 'T LAW EU 'IT L, THEOWN AGREE TO COMPLY WITH Cl WILL BE EMPtOYTED CALL F"I dllg 011,1.11 .1 hlVlll� DOP Ity: Ild F111 m d. ORK Y. NO PERSON ED TION! AN. IN DOING THE W AUTHOR" HEREB STATE OF WASHINGTON RELA7lNr 0 Ick— ld9ld �Plll P10-0d FOR INSPECTION IN VIOLATION OF THE LABOR CODE OF THE WORKMEN S COIIENIATIO INSURANCE AND RCW 18,2T OFFICIALS SIGN�ATVRE DATE SIGNATU ENT) ATE SIGNED RE JOWNER 0 (425) �b 0 1) 771 -0220 DATE RELEASED BY, ATTENTION EXT 333 7 0 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL I - YEI I OW - INSPECTOR CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR 5*8 z c m rn 0 0 80 c -1 C X m M Z --I -Z --I x C-0 0 _n -n rn m cl F) 0 r- 0 M C (A r' - fn 0 z z m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall...................... 0 Pier/Porch ................. Retainlrig Wall ........... Slab Insulation .......... -q -n 75, PLUMBING: M C= C) Underground ............. M __10 0 Rough -in ................... 0 a Commercial Final M M HEATING: C: Gas Test .................... Gas Piping ................. Equipment ... ........ ..... rn M Commercial Final EXTERIOR SHEATHING 0 C-) NAILING .......................... C 0); IT! 0: FRAMING ........................ z - FIRST FLOOR FRAMING... INSULATION ................... z Floor Insulation -4 Wall insulation ........... Ceiling Insulation SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. -7 _77-n I DATE RECEIVED %fly PER ITEXPIRES -B-7—oi— US PERMIT z oN ZU07 1$/ Zo E f) 11, CITY OF EDMONDS Cl g S- NUMBER CONSTRUCTION PERMIT APPLICATION SUITEIAPT. joa RES, ADD '7-3-, OWNER NAMlNAME,0F BUSINESS PLAT NAMEISUBDIVISION NO, PEAT -AME'.U.D V -K D No. r C, A 55s;� A' 144111 L. r J6 C FEE $ MAILING �DDRESs PUBLICRIG TOFWAYPEROFFICI t.D. iL t Ul. N R.kd ITY ZIP," C CITY TELEPHONE EXISTING — PROPOSED— 4iA rri. j Oct r 206 5,0 R B... I R E 11 (F;A.1'Al. 1. FT LINE SIZE NO. OF FIXTURES d RV FIEOUIRE"V' NAME YES C3 NO 13 REMARKS CONTROUD ADDRESS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE ,SION r I, IA(o NOINEERING E,_ E If DATE FIRE REVIEWED By CITY. ZIP TELEPHONE SHORELINE 08 ADEN INSPE.CTION "OND. VARIANCE OR CU RE STE STATE LICENSE NUMBER EXPIRATION YES (3NO SEPAREVIEW SIG AREA HEIGHT )MPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 41 mopurryZ, PARCEL NO. �%OqT (311.1 Ecx,p LOT COVERAGE REQUIRED SETBACKS IT PROPOSED SETBACKS (Fr.) SIDE REAR FRONT UR SIDE REAR IS RESIDENTIAL PLUMBING I MECH ALLOWED PIE, OSCO FRONT OP 00 COMPLIANCE OR 0 m ADDITION COMMERCIAL CHANGE OF USE t.- PARKING LOT AR A PLANNING REVIEWED BY 0 0 REMODEL APARTMENT 0 SIGN REG�:_�ROVIDED FT, X FT, LAP V og e LAP REPAIR E] GRADING CYDS V 019 m z -4 10 DEMOLISH C] TANK C] OTHER r3"c IL VI f4lL GARAGE C] RETAINING WALL C] RENEWAL ARPO IT ROCKERLY &YPEOFUS BUStNESSPRAC CHECKEDBY TYPEOF ONSTRUCTION ICODE I OCCUPANT -71 GROUP 0 _n T_ !�� NUMBER OF ............................... I` �DCUPANT SPECIAL INSPECTOR AREA LOAD REQUIRED YES m M ' o STORIES 0 JE.'. CO3 vi DESCRIBE WORK TO BE DONE q C PIA CC &0-1) SS INSPECTIONS PER UBC I MFINAL INSPECTION o Fn 5al?,964 A, 0 � W1 TH IV 14/ 0((Itl PiLl '4 cm c 03 1 :. m 0 q/ 111.4 P2 eo� cfVICA z 9 7 12 Z j$7,4 �6 )7 VALUATION FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE % BUILDING z 0 PLUMBING m PLAN CHECK NO: EGIEANICAL (D THIS PERMIT COVERS WORK TO T....PEFIMIT AUTP-.0,RIZES ONLY THE WORK NOTED, TH PUBLIC E.O.E.N ATE PROPERTY ONLY. ANY C.NST.UCTIO.N.-- IRECXUIRE GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ET )WILL SEPARATE PERMISSION. URCHARGE M. PERMIT APPLICATION: ISO DAYS PERMIT LIMIT. i YEAR . PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF Is CNt, IHER SPOUSE HEI.1.1�.Allllll AND IUCCEIRI IN INTEREST, AGREES To NDEM , E,. N HARMLESS THE CITY OF ENO. INSPECTION FEE LANDSCAPING 2 E MONDE, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND INDIRECTLY NSPECTION FEE ALLCLAIMSFORDAMAGESOFWHATEVER NATUFle.ARlSINGDIRECTLYOS HIS S PERMIT SHALL NOT BE FROM THE I SUANCE OF THIS PERMIT. LANCE OF 7`UOF PLAN CHECK DEPOSIT DEEMEDTO MODIFYWAIVE OR REDUCE ANY REOUIREMENT ANYC" ORDINANCE ORDINANCE PROVISION RECEIPT 0 NORLIMiTIN 'Y WAYTHECITY'SABILITY To ENFORCEANY TOTAL AMOUNT DUE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF A. . STATE RE ULKrING 0 ON ST AU C - CALL Thi—pplim.1— I, - I po,mil 01 .9ned by th, 10'hllffiOfDOPut,;..dF..��l.p.,d..�d NER, IIA E LyUT,.,TH.CTy LAWS -E N., 0 To COM' A . ZEDTHEREBYN PE IIOTW INR TH.OR. FISCH WILL BE EMPLOYED TO FOR INSPECTION Sulldtm�011ld ip, I. ..k...IOdg-d I" spaco pwovided. IN Vi6LATION OF THE LABOR CODE OF THE STATE Of WASHINGTON RELATING DATE WORKMEN'S COMPENSATION INSURANCE AND ROW 18.27.. OFFICIALS SIGNAT F_-ATUR. T�NERO E SIGNED (425) JZ - Woo IDAT 771-0220 I 'DATE R LEASED BY, EXT 333 . I ) L/ ATTENTION TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - PILE YELLOW- INSPECTOR ASSESSOR A FINAL GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - CATE OF OCCUPANCY HAS BEEN