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20000816.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNIFINAM11 AMIOIBUIIN 11 SGOTT C_)IlrMpl5IfflL_ MAILING ADDRESS z —710 Lw4,q 3�, 0 -JL4-r s McEl- ___7 TT rITI I P ELEPHONE ebMo"PS 118OX01 IJ2.S-775-14191 NAME ADDRESS CITY ZIP TELEPHONE NAME ' UAL�JT-j PLAA0q'31/V(7 j ADDRESS vw CITY ZIP TELEPHONE + -7 S EL TLATELICENSE IMSER DATE CHECKED BY Aj J PROPERTY TAX ACCOUNT SCEL NO, 2, 2202 0 NEW RESIDENTIAL PLUMBING/ M ON El COMPLIANCE OR 0 AUDIT N C] COMMERCIAL CHANGE OF USE 19 REMODEL rl APARTMENT c:l SIGN 0 IENCE 0 REPAIR 0 GRADING CYDS I _ X FT) 0 OTHER M DEMOLISH C3 TANK ARAD C] 0 oVtP.lelT -STAININo WALL RENEWAL '0 C En 0 CTIVITY) EXPILAIN: NUMBER ? NUM811NICF OF DWEL AREAS R c STORIES UNITS NUMSE DESCRIBE WORK TO BE DONE /v Lsj K % M%AL,-)V Mar 766� "[PERMIT EXPIRES PERMIT U" ZONE NUMBER 7oB SUITE�APT# ADDRESS WjL/VL_j_F ST --- PLAT NAMEISUBDIVISION N07 ro. Ll NO, LID FEE S TEllPlIpll PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REOUIREDDEDICATION— FT --7FT-E FnV REQUIRED YES 0 NO 0 FIRE REVIEWED By DATE BOND VARIANCE 08 CU SHORELINE OR ADB� INSPEC [ON REQlO POSTED 0 YES 0 NO SEP, REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED , PROPOSED EXP I I LOT COVERAGE pEOUjFtEDSlTSACKS(FT1 PROPOSED SETBACKS (FT ALLOWED PROPOSED FRONT SIDE REAR FRONT URSME REA, PARKING I L_ LOTAREA JPL NNINGRFVIEWEDBY DATE REC`0 I PROVIDED o ED By CHE K O'CONSTIUCTI N 00 OU n GR. UPA ;, — S'El ALINSlyT,-R A ��C�UPANT 7AR� YES REMARKS Dann.Rrq9 INSPECTIONS PER USC 1081FINAL INSPECTION PLAN CHECK FEE VALUATION FEE HEAT SOURCE GIJzING % LOT SLOPE % W. BUILDING VEBT�. DATE PLAN CHECK NO: LUMBING T THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO H 'ZS IT ALT OR BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION 8 ' o N P V A _P' PU`LK` TFE' GRADINGIFILL IOWNITHE 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS . MAROUEES, ETC� LL Re Ul E I C U R M BS SIDE' :1 SEPARATE PERMISSION. STATE SURCHARGE P R APPLICATION: 18D DAYS P E MP181OVIDED EAR' WORK IS STARTED WITHIN 18D DAYS PERMIT UMIT. I YEAR * ENG. REVIEW FEES - SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'AP C N SI NSA U ES RS E LFo' PLICANT, ONBEHALFo, N,�Sg,,,IHER r..H."'E ENG, INSPECTION FEE - ,pEo�,CE�NH.11.R.I�A IN INTEREST, AGREES To'NG , BE D R LESS E ITY F IN' T B To AN AN. LANDSCAPING DMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AN A ENTSFR I ED DS . A H No TON I ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE.ASISING IRE TLY In TLY A. INSPECTION FEE RECEIPT F H THE I.SUA S PERMIT. ISSUANCE OF THIS PERMIT $HALL HOT BE T. SSU C OF 1111 PLAN CHECK DEPOSIT T MODIFY WAIVE REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE DEEMED oMODIFYWAIVE on C G PROVISION.' ORDINANCE PROVISION. PT R IP NG�UMITINAN A ABILITY TO ENFORCE ANY Y W Y HE N. L , T YWAYTHECITY'$ T I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLICATION APPROVAL T, AND THAT I AM THE OWNER, OR THE DUL AUTHORIZED AGENT OF GIVEN IS CORREC Ly Thl, lPPiIc0tl- A pI, by IhO THE OWNER. I AGRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- ' B.�Idllg oti,1 , Deputy Ild I'll, - p. 0 PER ON WILL BE EMPLOYED TION; AND IN DOING T HE WORK AUTHORIZED THER BY, N S TO ,jpt,$ ackI.dg.d 11 IV- p-ld- F TION E IN VIOLATION OF THE LABOR CODE OF THE STAT,SOF WASHINGTON RELATING a DATE WORKMENB COMPENSATION INSURANCE AND RCW .27. ATE ED (425) FFICIAI-S SIGNATURE ERO SIGN RE (OWN GE� 771-0220 AV'LEASED By EXT 333 ENTION 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 - INSPECTOR ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK � OWNER - GOLD - 5198 z 0 M am m 0 80 c M M ID 0 -n -n m M 0 0 0 C Mica M 0 ;13 —4 z 0 z 9 0 m R Ev El, D 7 p, Al 13 N —ITY SERVICES CTR, D�y 0- FIDMONDS .115 -kabil, 4-- 4T A% lbou I Z_ 1.170 tC, IF Z4 0 XJG4Q&L- M: 1 5.o 0 0 S, M 0 mo� WVZWAy -,�40 0 ocj PER + cau r— W10 iAVE— E ex& M.O. 0 tb lZe 0 L lip- ol 0 o CR r. co m pi Z 44 Z, Z, �i 00 z oz. 00 0 M, 103.315 A HAY UlY - 4u_ �N IN IL-s :5 -TIO %4v _b��OkJbS, WA, op RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS .......... .......... FOUNDATION: Footing ...................... .......................... Z�Wall Pier/Porch ................. Retaining Wall ........... Stab insulation —1 -n PLUMBING: 3: In C underground ............. I'll q Rough -In ................... Commercial Final M Z: HEATING: 14� a 2—: Gas Test ............. 3: Gas Piping ................. 0 'n Equipment ................ mT Commercial Final oFn EXTER OR SHEATHING C cs)l NAILING .......................... FOAMING ................. FIRST FLOOR FRAMING INSULATION ............. Z� Floor Insulation Wall Insulation ........... z Ceiling Insulation SHEETROCK NAILING SPECIAL. INSPECTION MISCELLANEOUS FINAL APPROVAL FO R OCCUPANCY .............. I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATIOI, K3 ADDRESS -7/() L46LNL-17 S ZIP TEt CITY zip NAME PERMIT EXPIRES USE J�ONE PERMIT NUMBER J JOB OB SUITE/APTOI ADC, ADDRESS -7/0 ujl9L,/viA7 ��T FLA FLAT NAMUSUBDIVISION NO� I LOT NO, LID NO* LID FEE $ I—App-d 0 PUS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP M-P-ft R- 0 0 E." EXIS ING — PROPOSED- P 7 5-4 I'd I REWIRED DEDICATION— FT — 0 ADDRESS /vw CITY IOP c S Ll'y+ TUF cl b TELEPHONE -LQ (. - -7 b 5 --7 (.7 f, STATE LICENSE NUMBER EXPIRATION DATE 6�JML_je�K jbi /�/V 2 PROPERTY TAX ACCOUNT RCEL NO, PLUMBING I MECH 0 ADDITION Ej COMPLIA CE OR CHANGE OF USE REMODEL 0 SIGN 0 REPAIR GRADING CYDS 0 ("No' ITI 0 DEMOLISH TANK 0 OTHER oGARAGE C] R N'ING WALL 0 RENEWAL CARPORT "ME CTIVITY1 EXPLAIN: F. NUMBER U .F.' H,CAL OF ? STORIES - -L IN. =NMITS' AS AS _NUMBER DESCRIBE WORK TO BE DONE /v , Kmc',,e-, llv METER SIZE LINE size Pfj� REQUIRED I YES 0 _NO 0 IEMARKS 3WNERICONTRACTOFI RESPONSIBLE FOR EROSION CONTROUDRAINAGE S-1—DOATE z j 6E REVIEWED BY DATE IT! VARIANCE OR CU SHORELINE OR ADB# =I 9i SEPA REVIEW SIGN AREA HEIGHT EXEMPT ALLOWED FIT POSED ALLOWED PROPOSED m .XP I c M 0 0 LOT COVERAGE REQUIRED SETBACKS FT) PROPOSED SETBACKS (FT. ALL ED PROPOSED FRONT SIDE SEAR FRONT DE REAR c m Fj: PARKING LOTAREA DATE PEGG I PROVIDED jPLANNINGREIQ-EQ- c: REMARK5 0 -n m rn CHECKED S Y TYaq OF CONSTqL �T!O� ocouPAR .. Up VIP m�� 0 0 ml S ALINSP CTO AREA OCCUPANT P CIAL'N�ECTORW -7 1 REQUIRED [] YES LOAD U c C, , , - REMARKS A1,11ASPECTION REO'D PROGRESS IN,7PECT ONS'PER VEIG-iIO 3. p ;u z IQ z VALUATION FEE 9 PLAN CHECK FEE 0 LOT SLOPE I BUILDING m (a PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC OMAIN (CURBS. SIDEWALKS, DRIVE 8, MAROUEES,-ETC.) WILL REQUIRE GRADINGIFILL D WAY GAD'�G"`L SEPARATE PERMISSIOW STATE EU.CHAF.E PERMIT.AP D 't WIT 0 DAYS PERMIT LIMIT, I YEAR V, PUq=NkV'STAl�l'f . RIN '- DAYS AL REVIEW FEES F. IDED SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENO. INSPECTION FEE APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS N INTE EST. AGREES TO I :NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING EDMO NBS, WASHINGTON TS OFFICIALS� EMPLOYEES. AND AGENTS FROM ANY AND ALLC 'I'S FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEIPT ', OF THIS PERMIT ISSUANCE 01 THIS FER IT EH ALL NOT FROM THE "SLAN, M -CE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN E PROVISION.' PLAN CHECK DEPOSIT CID 0 NOR LIMIT IN ANYWAYTHE CITYS ABILITY TO ENFORCE ANY ORDINANCE TOTAL AMOUNT DUE fIPT, L) I HEREBY ACKNOWLEDGE THAT I HAVE SEA. THIS APPLICATION: THAT THE INF RMATION APPLICATION APPROVAL GIVEN I CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF S G CONSTRU% THE OWNES, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATIN G CONSTRUC CALL Sum mpl�. I h Di ..d F- .. p�id. nd TION AND IN DING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYE D OF WASHINGTorq'iRELATiN FOR INSPECTION �t I, cknowI.dgFd,,, �p.. plolid- IN VIOLATION OF THE LABOR CODE OF THE STATE AND RCW H1.27, DATE WOFKMENS COMPENSATION INSURANCE -- - I DATE SIGNED SIGNATURE (OWNER O!MGENT� (425) FFICIALS SIGNATURE Il J, k,�a 1 rD-t o 771-0220 F�'LEASEO BY DATE -AfTENtION EXT 333 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, O.-NAL FILE - YELLOW - WSI-TOR ASSESSOR �ATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK - O.NER - GOLD - 4