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20000815.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NAMEINAME OF BUSINESS '7, n An ING ADDRESS CITY ELEPH Ni q��T4PH NAME ADDRESS CITY ZIP TELEPHON PERMIT EXPIRES PERMIT 'E IONS NUMBER JOB SUITE/APT$ ADDRESS FLAT N.E1111.DIVIIIIIM NO, LOINO LID NO. I LID FEE E PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI TESCPAPP-1 = � EXISTING - PROPOSED - P-1 d 1�_P__J_ ___7 REQUIRED DEDICATION- FT - OF " T ES N: PRV REQUIR D ::::E YES 0 NO REMARKS .N.MC.NTPACTOR RESPONSIBLE 10� EROSION ..NTRO.DRAIN�.E . OWNER"; T TOR RE ?"c' -izd io' Nwm rn '. - INES ENGINEERING ENG_ RENIEWEINOATE kDDRESS c' br FIRE REVIEWED By DATE HONE VARIANCE OR CU VARII SHORELINE OR ADS. INEIPEE.C�l ON I BOND POSTEC STATE LICENSE NUMBER EXPIRATIONT-] CKED By 4MECHALLOWED 0 OYES JNO r SERA REVIEW DO MPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWS D PROPOSED Ll�),f; F,�,C Q-7--4L-J -ROPERTY TAX ACCOUNT PARCEL NO. 41?.�j , -_7a, To-S S- 60d c9 EXP I OT COVERAGE L LOT REQUIRED SETBACKS (FT.) PROPOSED SETEACKS 11 9 NEW C] PLUMBING I LL.WE PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR 0 ADDITION c3 COMPL ANCE OR CHANGE OF USE I PAIKING--T-LOT AREA PLANNING REVIEWED By DATE 0 REMODEL M SIGN D I PROVIDED C3 REPAIR F NCE rl GRADING CYDS 0 1 0 DEMOLISH [54- TANK o OTHER o GARAGE C C] RETAININGWALL C] RENEWAL ARPORT �K�R HOC TIVITY) EXPLAIN: CHECKS "I DBY TYP CCU-NT A -Up NUMBER NUMBER OF .WELL NO ',,,,CAL A. EAS -461 LINSPECTOTR 'JAREA 0 OF STORIES U, IT. NUMBER 0 -. RPEEOCUIIRED YES DESCRIBE WORK TO BE DONE p, vl:T REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION RED' VALUATION I FEE PLAN CHECK FEE GLAZING % LOT SLOPE % BUILDIND PLAN CHECK NO: PLUMBING rE5111-1 MECHANICAL [T7._,�,t,jtT.KRR.S I).- THE WORK NOTED. THIS PERMIT COVERS WORK TO PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS' MARQUEES, ETC.) WILL REQUIRE :I SEPARATE PERMISSION, PERMIT APPLICATION: ISB DAYS A. PERMIT LIMIT. 1 YEAR . PROVIDED WORK IS STARTED WITHIN 100 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT, ON BEHALF F HIS OR HER SPOUSE, HEIRS� ASSIGNS AND SUCCESORS ENG. INSPECTION FEE IN INTEREST. AGREES :NOEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF NDSCAPING EDMONDS, WASHINGTON, TS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY NCE OF THIS PERMIT ' ISSUANCE OF THIS PERMIT SHALL NOT BE W PLAN CHECK DEPOSIT RECEIPT FY, WAIVE OR REDUCE ANY R"QUIREMENTOV ANYCITY ORDINANCE WAYTHECITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION, TOTAL AMOUNT DUE REC I DOE THAT: ITT HEAD THIS APPLICATION, THAT THE INI....I.N APPLICATION APPROVAL I HEREBY GIVEN TEAND THAT A. HE OWNER, OR THE DULY AUTHORIZE. AGENT OF B=L TN. P,I,� "o- P.HYt U�Ll.igP W I'. THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL E., ofj��j.$ �, h,�, D.p�ly: nd F - p d, ��d TION: AND IN 'ICING THE WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED OF WASHINGTON RELATING TO FOR INSPECTION P,,� .-wl.dg.d � �p ... ,d.d. IN VIOLATION OF THE LABOR CODE OF r//WTE WORKMEN'S COMPENSATION INsUR NOE A IS" 0 IAIS EKINATURI DATE !VX1 DATE SIGNED (425) J19/j/7 bo /0 // A 0 771"0220 g/ o RELEASED By PIATE A17ENTION EXT1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-FIL5 - YELLOW -INSPECTOR A FINAL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED. URIC SECTION 109 FAX PINK - OWNER - GOLD � ASSESSOR 5MB z 9 � __; 0 5i rn 0 80 c M z jo c 0 -n n M M a V5 : 0' 0 c 9 M 0 z ;a Z ca z 9 0 m FINAL PROJECT APPROVAL FORM TO: DATE: BUILDING DIVISION MEMO TO: PJEJ� rATO FROM: "IRE DEPARTNIENT DATE — ENGINEERING DIVISION DATE— z --------3LANNING DIVISION DATE— 0 PROJEC 0M Ma 0 SITEADDRESS— 80 —Zoo"S� AD PFRNHT # B#---------DATE IN SPECTED m DESCRIPTION OF WORK TO BE INSPECTED —()CT- c::2 > z CD A field inspection was conducted to determine compliance with approved plans. Final approval denotes that O"n -n there xre'n'bk objections from the above signed Department to the granting of: M M Final approval of the described work 065 P erformance Bonds associated with the project may be released 0 C: 'C' C M M 0 Z FINAL PROJECT APPROVAL z FINAL PROJECT APPROVAL WITH CONDITIONS NOTED -4 co z 0 _FAILED FINAL INSPECTION - OUTSTANDING ISSUES M 2. 3. _RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:fonns6/98 4.1 'NOTICt. IFTHEVOCUMENT IN THIS FRAME IS LESS C, IL it I E QUAUTY OF THE DOCUMENT. S DUE TOTH Qij RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACK$ ..................... FOUNDATION: Footing...................... wall ........................ Pier/Porch ................ Retaining Wall -4: Stab Insulation .......... PLUMBING: Undergroun d � ............ M, C Rough -in ................... M ZA, -4 0 Commercial Final 0 HEATING: M, mz Gas Test ................... to C > Z, Gas Piping r Equipment ........... Commercial Final EXTERIOR SHEATHING M M NAILING ......................... 0 I C FRAMING ........................ 00 FIRST FLOOR FRAMING INSULATION ............. Floor Insulation z Wall Insulation Calling Insulation SHEETROCK NAILING z 0 SPECIAL INSPECTION a D., MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 'Q-"FPERMIT EXPIRES CITY OF EDMONDS PERMIT ZONE NUMBER APPLICATION JOB SUITEIAPTN CONSTRUCTION PERMIT ADDRESS OWNER NAMEINAME OF BUSINESS PLAT NAMEhSUBDIVISlON NO. _OlsNO_ LIO NO, c w MAILING ADDRESS LID FEE S T—PAR,—e me PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P_, 8 ZIP TELEPHONE EXISTING — PROPOSED— -=he� A-- Slith,sk Rhulld 0 a REQUIRED DEDICATION— FT — tus —.0 NAME tt.WE�AE..ONTIlACTOR MET' A SIZE I LINE Sl�� PRV REQUIRED YES 0 NO 13 ADDRESS REMARKS RESPONSIBLE FOR EROSION C.NTF...FAI.AGE Bw ipgm -e. K,2?tfn"j 0) FIRE REVI.E..Y DATE T�_ CITY LE'HO �F ROPERTY TAX ACCOUNT PARCEL NO. __�- 5- <OC)dg 0 NEW C9 RESIDENTIAL CO3 PL ..IN. I NIECH 0 ADDITION COMMERCIAL ED C MPLIANCEOR CHANGE OF USE 0 REMODEL [3 APARTMENT 0 SIGN 0 REPAIR GRAIINI CYDS p C, 0 IS— X — FT) r] DEMOLISH (5g- TANK m OTHER- 0 G"IAGE CAFP.FT RETAININGWALL F.�FFY 0 _RENEWAL (TYPE OF USE, BUSINNAC IVITY) EXPLAIN: _ </ /'>--,O -77 MUMBER NUMBER F 'AL CRITIC OF STORIES DW LUNG UNITS P"S =A NUMBS DESCRIBE WORK TO BE DONE VARIANCE OR CU SHORELINE OR AOB# INSPECTION - - OYSE 'D I POSTEC ES ONO $EPA REVIEW SIGN AREA HEIGHT COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED I PROP,0SED .XP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE FEAR FRONT UPSIDE REAR PARKING - --- I LOT AREA I PLANNING FEW ED By DATE JCHEOIEDBY jTy��ION ODE I OCCUPANT 122 GROUP 51 SPECIAL NnCTOIJ 'JAREA ""U"'A"" RECURED S L.A. REMA KS PRIFIBRIESS INSPECTIONS PER UBC 108/FINAL INSPECTION REJ., �q PLAN CHECK FEE % LOT SLOPE %1* 'P BUILDING PLAN CHECK NO: rISTED DATE PLUMBING MECHANICAL JWORKTO THIS PERMIT AUTHORIZES ONLY THE WORK NOT D. THIS PERMIT COVERS I: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC GRADINGIFILL 2 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION* PERMITAPPUCATION: ISODAYS PERMIT LIMIT-. I YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. RIVIEW FEES SEE BACK OF PINK PERMIT FDA MORE INFORMATION -APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HE] RS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE IN NTEREST, AGREES To �NOEMNHFY, DEFEND AND HOLD HARMLESS THE CITY OF I" LANDSCAPING 2 EDMONEM WASHINGTON, T OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND S - ALLCLAIMSFOR DAYAGESOFWHATEVER NATURE, ARISING DIRECTLYOP INDIRECTLY INSPECTION FEE x FROM TH5ISSUA OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NO r BE NCS PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' TOTAL AMOUNT DU E I HEREBY ACKNOVILEDO�E THAT I HAVE RFA0 THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THEOWNER. I AORBS TO COMPLY WITH CITYAND STATE LAWS REGULATING CONSTRUC. CALL TIONANDIND IN THEVAORKC. T--F'-;�k�ERESY. NO PERSON WILL BE EMPLOYED U 0 G ..'I T IN VtOLAT ON OF THE DS OF E OF WASHINGTON RELATING TO FOR INSPECTII , W WORKMEWS COMPENSAT102AIlCE A W 11,11, 314�. (425) /1 /00 771-0220 ATTENTION EXT1333 IT I S U NLAWFUL TO U SE 0 R OCCUPY A BUILDI NG OR STRUCTU R E U NTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX VALUATION I FEE APPLICATION APPROVAL This appleidm. is IM I hultl Isul sighed by IhO Suildmg Otfid,l ol higibl, Deputy: Ild Fees .. phu. he uhh,ipt is Ilk—Ild9ld ih Pa., pi-ded4 5FICIALS SIGNATURE DATE ELEASED By PIATE INSPECTOR E. GOLD. A�SESSOF