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20000789.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINSSS (AaAc bov, I ov,,J- i;�IUNO ADDRESS SiU3 ISBA,, ST 50 CITY ZIP I? ?_ 6 ITEI PHONE o Tr 1 3 G 6 NAME ADDRESS 'sm (9 1) vt" .1i W CITY ......... NAME CITY zip I TELEPHONE ROPERTY TAX ACCOUNT PARDIL N.. 421114 -oOo-c9(,-0300 E3 NEW RESIDENTIAL PLUMBING I MECH ADDITION COMMERCIAL COMPLANCEOR CHANGE OF USE F.DEL 0 APARTMENT SIGN C] REPAIR GRADING CYDS FENCE ( _ X _ FT) 0 DEMOLISH F1 TANK OTHER C] GAFAG' CARPORT RETAINFING WALL ROCK ly C3 RENEWAL TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: "Uw NUMBER NUMBER OF AL! 'A� OF STORIES DWELLING UNITS R' NuMAAQ-il DESCRIBE WORK TO BE DONE C 0,C.Aml+ 288 so 13 HE URCE ��QT SLOPE % PLAN CHECK NO: r15TED DATE T.%PE.MIT AUTHORIZES ONLY THE WORK NOTED. TH16 PERMIT COVERS WORK 10 t: E DONE ON PE,VA, PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE m SEPARATE PERMISSION. PERMIT APPLICATION; ISOIDAYS YE R P A K'S STARTED WITHIN ISO DAYS PERMITLIMiT.-I A " ROVIDED WO SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS. WASHINGTON, ITSOFFIC LS,EMPLOYEES�ANDA ENTSPROM ANYAN. A AMAGES OFWHATil4 ER NATURE. ARISING Din ECTLY OR INDIRECTLY LL CLAIMS FOR D S P FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THI OPER. T SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCEANY REQUIREMENT ANY CITY ORDINANCE NOR LIMIT INANY WAYTHECITY'SABILITYTO ENFORCE ANYORDINANCE PROVISION. - PERMIT EXPIRES 'E INE PERmm,ET, ,q,007Jq 'B SUITE—T6 DDRES5/,�,j PLAT NAMEISURDIVISON NO. LOT NO, L L�D N D FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP v U.. P—H R.ld EXISTING — PROPOSED — REQUIRED DEDICATION— FT ME7ERSIZE I LINE SIZE I NO, OF FIXTURES Y.PPVRlQUlFll N REMARK$ DWN51VCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING I I FIRE REVIEWED By DATE v r VARIANCE OR CU SHORELINE OR ADO# $NSPEGT�0- 'I I PBOO�NTDD OYRE ES 0 NO ___�E,A �SEVIEW EIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOW" PROPOSED EXP I I , LOT COVERAGE REQUIRSOSETBACKS(ET) PROPOSED SETBACKS IT ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR PARKING 7— T LOT 'AREAP-H.W. �R�VI-EO BY DATE R�O. I PE-V DEC I CHECKEDBY jf�?06K ' OCCUPANIp W.ST— GROUP AL INSPECTOR REQUIRED C] YES JAREA REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D Rspe,c,t-5 7- ba2W 7t' VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGfFILL ENG. F6/lEW FEES ENG, INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNT DUE I ` 4EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION OR THE DULY AUTHORIZED AGENT OF G IVEN 1 5 CORRECT. AND THAT I AM THE OWNER, THE OWN I AGREE TOCOMpy WITH ITIANIEISTATE LAM REGULATING CONSTRUC - E' CALL TI.N;AN.IN INGT LMPLOYE . E,.FKAUTN.F"E.,H 'ESY' NO PERSON WILL BE E TO OF WASHINGTON REATING 0 FOR INSPECTII IN VIOLATION OF THE LABOR CODE OF THE STATE WOROJEN'S COME 5NSAT RANCE AND FICW 16.27. — — — — — — — — — __7t IGNED e s-7--00 (425) 0 — 771-0220 ATTENTION EXT1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX S)SS Thl� ppI,cat.o .ij ..I,[ �.,ld by lhl olo', �, N, D.P.w — F... .d. ..d I, cknowl�d,Pd 1� .. pl—dod. 111.N.11RE DATE ORIGINAL PILE - YELLOW. INSPECTOR PINK - OWNER - GOLD - ASSESSOR z 9 - i 0 a m c a rn 0 80 c m m z 10-1 0 TI rn m 0 0 0 c 0 Z 7-1 z --I x V) z 0 m .... ..... .. RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... wall.......................... Pier/Porch ................. Retaining wall ........... Slab insulation .......... :PLUMBING: Underground ............. ........... ..... . M Rough -in ................... M 0 0 Commercial Final M HEATING: ITI Gas Test ................ C Gas Piping ................. Equipment ................. -n Commercial Final x IT, M EXTERIOR SHEATHING 0 vi 0 11 NAILING .......................... 0 Fn FRAMING........................ ------ C co FIRST FLOOR FRAMING... -1 r INSULATION ................... Floor insulation Wall Insulation ........... ------ -4 X Calling Insulation 5- Z, SHEETROCK NAILING SPECIAL INSPECTION 0 M MISCELLANEOUS ........... FINAL APPROVAL FOR OCCUPANCY ...... ....... —ERM"IT Fp EXP"IRES CITY OF EDMONDS U .... IN 0,// NUMBER CONSTRUCTION PERMIT APPLICATION JOB,E, 7p SUITFJAFT# ADD OWNEF�'rNA� OF BUSINESS Vk PLAT NAME/SUBDIVISION NO. LOT NO, L I L�DN DFEES MAILING ADDRESS ISSAA, e.T 50 PUBLIC FIGHT .1 WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED— F. P;--" 83 5t,..IU.. P Reel c o a ..... . I., D CITY PHONE ITIL REQUIRED DEDICATION —IT o 9. NAME METER SIZE I LINE SIZE NO, 01 FIXTURES PRV RE PUIRED YEs6- No 13 a -ADDRESS t: F 1) WIL\1 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CDNTROUDRAINAGE oRy ZIP JTILEPHINI NAME 0\,j kA E., ENGINEERING JADDRESS al r z FIRE REVIEWED By DATE CITY zip TELEPHONE VARIANCE OR CU SHORELINE OR ADBN INSPECTI RED GoN 0 YES IlBoo, OSTED STATE LICENSE NUMBER EXPIRATION D ATE CHECKED BY 0 3: a M M 0 0 0 c: C xM M z c: > 3: SEPA REVIEW COMPLETE EXEMPT Exp I SIGN AREA ALLOWED PROPOSED I HEIGHT ALLOWED I PROPOSED — PROPERTY TAX ACCOUNT PARCEL NO. W1 000 - cog(�_ 0 0 0 rL -Z C3 NEW RESIDENTIAL PLUMBING I MECIA MA..iTION COMMERCIAL COMPLIANCE OR cl CHANGE OF USE 0 REMODEL APARTMENT SIGN REPAIR 0 GRADING CYDS C1 FENCE X FT) DEMOLISH 1:1 TANK OTHER LOT COVERAGE ALLOWED PROPOSED REQUIRED SMACKS (FT.) FRONT SIDE REAR I PROPOSED ETBACKSPT. FRONT US I SIDE REAR 'FKNG LOTARE I PLANNING REVIEWED By DATE KING LO A PROVIDE,) FEQ1D PROVIDED ; 7EMARK Q va� - L] SA�R�A ET 0 RETANING WALL CA GR FoG ER RENEWAL 5 0 n -i X M M 0 C w DO M 0 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 'Res 1"A'_ A t _ o c C, ECKEDBY ITYP OFCONSTRUCTION c" CIUPAITe. R Up NUMBER OF ST." NUMBER OF D WE LIN LL No T1 T c*41we c�4 A. L N U�W�Aqa j SPECIAL INSPECTOR S REQUIRED n YES OCCUPANT LOAD _STDRIES E DESCRIBEWORKTO BE DONE 285 �� REMARKS PROGRESS INSPECTIONS PER UBC, 11081FINAL INSPECTION REO'D 71 'OeAA-0 1 5 IA s I-: 11Wl 100i S� 1) R,,,,,vvt z z VALUATION FEE PLAN CHECK FEE GLAZIN LOT SLOPE % 0 HEAT SOURCE BUILDING W. rn PLAN CHECK NO: IIESTED DATE 1UU.BII,iG MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION DN THE PU BLIC GRADINGIFILL 2 DOMAIN (CURBS' SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION, HARGE YEPE MIT APPLICATION:B80 DAYS PERMIT LIMIT. 1 ARR PROVIDED WORK STARTED WITHIN 180 DAYS ENG. F671EW FE�S SEE BACKoF FINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE IPPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCGESORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING MONDE, WASHINGTo E�ITS OFFICIALS. EMPLOYEES, AND AGENTS FRoMD ANYAND 2 ED N INSPECTION FEE - A LCLAIMSFORDAMAG OFWHATEVER NATURE. ARISING DIRECTLYOR IN RECTLY L x F RLDNOT BE PLAN CHECK DEPOSIT IIIECEIFT ROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMITITHat. INANCE 0 GE , DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUI REMENT OF ANY CITY ORDINAN 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY QRDI NANG E PROVISION RECEIPT OTAL AMOUNT DUE A661061 1 IHEREBY ACKNOWLEDGE THAT I HAVE READ THI S APPLICATION; THAT TH E INFORMATION APPLI ATION APPROVAL GIVEN IS CORRECT. AND THAT I Am THE OWNER. OR THE OULY AUTHOR ZED AGENT OF y the ,,Id,,g Oil all, hi—, D,p,ty:and Fee— el —a THE OWNER 'A.FEEToCGMPLy WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL B . TINa ppli.im— P.1.11 U.111 ligIld ap, TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED a IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION tocepi is acknewlodg de, spael w-ded. WORKMEN'S COMPENSATION I PANCE AND RCW 18.27. fCIALS SIGNATURE DATE DATE SIrNEO (425) 1011�214v --2 -0co) 771-022-0 RECEASED ENT DATt A17ENTION EXT1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW -INSPEGTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD -ASSESS, IF