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20000822A.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION �I) 0 ") J Loi e, ITELEPHONE 111/ - V, , 01 /V NAME �,I� WiJe— Feiner - ADDRESS PERMIT EXPIRES M i PERMIT INEJ�S_ NUMBER SUITEIAPT. PLAT NAMEISUBDIVEION NO, I LOT NO LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION— FT IRV REQUIRED YES 0 No REMARKS AFSPONSIBLE FOR EROSION CONTROLIURAINAGE �ITY 10 ZIP 'v TELEPHONE FIRE REVIEWED BY VARIANCE OR CU SHORELINE OR ADB# jN—SPECTION OYRE NO E E2 I BOND I.LTED ,TATELICERS NUMBER CIT�j EXPIRATION — L CHECKED BY Im 9)5" - SERA REVIEW COMPLETE I EXEMPT EXP — SIGN AREA ALLOWED I PROPOSED — -_ HM.HT ALLOWED PROPOSED &I I ROPETTY TAX ACCOUNT PARCE [&2_7 0-3a 0 NEW C3 ADDITION C3 REMODEL REPAIR DEMOLISH 0 PLUMBING t MECH o COMPLIA CE OR CHANGE OF USE 0 SIGN E GRADING CYCS X FT) c 0 TANK o OTHER NEWAL LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.' FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT. UPSIDE REAR F90F0F,1=_D CO- F-Ocyf FkFt`ICF— F CA RAD e- OF,USE. BUSINESS OR ACTIVITY) EIPLAIN: fTYPE -71 q- J_ CHECKFDBY jTYPEj0L,�ON!TRUGTIONI �O 0 CUPANT gC P r ROL H U YES STORIES �N'TS NUMBER DESCRIBE WORK TO BE DONE REMA KS PROGRESS INSPECTIONS PER UBC 108/FINAL AleW) I A A Alr" '. 1.)D(4_ VALUATION I FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE I BUILDING PLAN ECK N 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 REQUIRE GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL :I SEPARATE PERMISSION. STATE SURCHARGE PER ]ON: 180 DAYS 180 DAYS PERMIT LIMIT: I YEAR �RK IS STARTED WITHIN SEE BACK OF PINK PERMIT FOR MORE INFORMATION �APPLI ANT. N BEHAL F HIS OR HER SPOUSE. HEIRS� ASSIGNS AND SUCC5SORS OF I :NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY IN 1, T REST, AGREES TO AND AGENTS FROM ANY AND LANG�I.ANN. FEE 2 TS OFFICIALS. EMPLOYEES, INSP5CTION RVEIPT PLAN CHECK DEPOSIT 0 PIPLICATION APPROVAL IH Gil T T11 P='_ IN wo s ATURE DATE SIGNATURE TI ATE IIGN� 425 1 -na �=" 771-0220 ELEASEJ-81 EXT1333 TI(* IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INSPECTOR INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI, ORIGINAL - 'ILE YELLOW - AS ESSOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD 5198 Z 9 -, 0 a m a i , 0 0 m m 0 _n n -4 m m 0 r I I 0 0 C w c V) 20 z z 9 0 m -Tke �mee- hoc, a ck 4 4D 4 - r) middle, o4 �ew-e opJ �fflll's is At e, a In itl I'lel, �v�- 'Pit -kf 111's o It f A �t e 4� Lh Y) w 1, Teo iiij- p 0 I's I RECEIV90 FINAL PROJECT APPROVAL TO:- En� DEC i DWIS1014 DATE: EI4GINFERING MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: IRE DEPARTMENT DATE— jL —ENGINEERING DIVISION DATE-1�0�ff� z LANNING DIVISION DATE— < 55 PROJECT S�A-Q—r'� am SITE ADDRESS- m 0 0 PERMIT #_a215 ADB#_DATE INSPECTED— m DESCRIPTION OF WORK TO BE INSPECT z A field inspection was conducted to determine compliance with approved plans, Final approval denotes that 0 -n -n there are no objections from the above signed Department to the granting of: �—Final approval of the described work m M co 0- 0 m L--Yerformance Bonds associated with the project may b e released 9 co M 0 Z GRANT FINAL PROJECT APPROVAL > z —GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED co z 0 0 m ---YAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. _RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL ocaprvl.doc.]:temp:bldg:forms6/98 RECORD OF INSPECTIONS It INSPECTOR DATE APPROVED BE TBACKS ..................... FOUNDATION: Footing ...................... wall... ..................... Pier/Porch ............ Retainlrig Wall ........... Stab Insulation .......... PLUMBING: Underground Rough -in ................... Commercial Final HEATING: Gas Test ........... Gas Piping ................ Equipment ................. f Commercial Final EXTERIOR SHEATHING NAILING ............ ............. FRAMING ........... FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation .......... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS FINAL APPROVAL FOR yv\ OCCUPANCY ............. [PERMIT EXPIRES USE _70 PERMIT Z�Cj-,JN:� Z.KE-PS_ CITY OF EDMONDS N -2, NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRES4Z OWNER NAMEINAME�T;INEI PLAT NAMEISUBDIVISION NO, LOT NO, 11 110, Myl y LID FEE S -1 MAILING ADOPqSS r I ao f- PUBLIC RIGHT OF WAY PER 0111CIALSTFEET MAP EXISTING — PROPOSED- REQUIRED DEDICATION_ FT CPAPP—d 0 P.— M 0 0 0 CITY TELEPHONE NAME METES SIZE I LINE SIZE NO- 01 FIXTURES PRV REQUIRED YES 0 No 0 ADDRESS 4", REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE PC �- au 5 oc fi-�Fo 621z IV R7e.- CITY Zill LEAON NAME ENGINEERING 'f i ?. i -) cy y v o5r-:C� n 6) z 0 M c m 0 m m z jo --i ADDRESS FIRE REVIEWED BY DATE CITY qj;3 TELEPHONE VARIANCE OR CU SHORELINE OR ADS# N YRE ES NO ES F!osN I TS. STATE L CEMS NUMB P 1 9)30 IT\] U) f o I q 9 SERA REVIEW COMPLETE EXEMPT P. tX SIGN AREA ALLOWED PROPOSED ....... ....... HEIGHT ALLOWED PROPO ED PROPERTY TAX ACCOUNT PARCEL NO. 0 NEW RESIDENTIAL 0 PLUMBING I MECH COMPLIANCE OR 'ON 0 COMMERCIAL HANGE OF USE ADDIT C 0 REMODEL C] APARTMENT 0 SIGN REPAIR IT) LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS �FT.j FRONT SIDE REAR _ _ _ I ED SETBACKS (FT.) PROPOS LiS SIDE REAR FRONT _ — — PA KING LOT �.f I P101I.E. =T'D 11-71DI AS DATE t ROPOSSO CO- E-Ocrr r-IF-WGP- C] DEMOLISH 0 TANK 'T ejRADp- 0 GAFAGE, NO ILL RENEWAL CAPO R 0 g. 0 -n n III rn 0 In Fn a cn 0 YPEO USE.BUSINES 0 ACTIVITY) E: (TYPE 0 _ u e ) I CHECKED By ITYPE STRUCTION OCC PANT GROUP _ NUMB R NUMBER III, CRITICAL OF AREAS R HUMES o STORIES SPECIAL INSPECTOR AREA QCCUPANT Y LOAD REQUIRED C] ES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108IFINAL INSPECTION REO'D nev) wr/ ke-led M 0 z + IV41C ry ID be- s') ".-D. e . ..... e bhsW sk,q6 VALUATION FEE PJLANL�IECKFEE z HEAT SOURCE LOT SLOPE % BUILDING 0 9 D DATE P MBING 0 PLAN ECK N MECHA ICAL TE THIS PERMIT COVERS WORK TO THIS PERMIT AUTHORIZES ONILNETHE WORI NNOY STRUCTIONONTHEPU LIC Of 0 PRIVATE PROP STY ONL . A C06N ORP� IN BE ON'ON 2 D SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE :1 OMAIN (CURDS. SEPARATE PERMISSION - STATE SURCHARGE PERMIT APPLICATION; 180 DAYS z- PERMIT LIMIT'. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS 410 SEE SACK OF PINK PERMIT FOR MORE INFORMATION ALF 01 HIS OR HER SPOUSE, HEIR& A SIGNS AND SUCCESORS ;Ap LICANT N IMNIFY, DEFEID AND I ANDICA I'D N IPNT�FEE joAG`.ZES TO :NO HOLD'HARMLIS1 THE CITY 01 A IINDT N 'S OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND TNSPECTION FEE . S F WHATEVER NATURE� ARISING DIRECTLY OR INDIRECTLY ".M."'SEW PERM T SHALL NOT BE PLAN CHECK DEPOSIT RffT -7 44S BD ALLCLAIM F R MAOE I F ANYCITY ORDINANCE POINANCE PROVISION.' TOTAL AMOUNT DUE RE EIP I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICEATION, THAT THE INFORMATION APPLICATIO PPROV'AL ECTj'A'NOT R T OULY AUTHORIZED AGENT OF pi � ., � -.I, �a,.',w i,, GIVE' IS COP C. PERSON Idi,g 0, 1,,, HATA. THE OWNER - LATING CONSTRUC- C , "'o, ,, O-Pu'y: "d F P THECAYNES, I A ;..pLy WITH CITY AN6 STATE LAWS Fl.0 ALL U�i Th. IF TIOM: AND lj� DOING THE WORK ALITHOPIZED THERE BY. NO WILL BE EMPLOYED I i� nkf.,Ig�d m F Pi.d. IN VIOLATION OF THE LABOR DO E THE STATE OF WASHINGTON RELATING TO FOR INSPECTION DATE WORKMEWS COMPENSATION INSURANCE AND RCW 18.27. OFFI IALS ATURE NTI (425) 771-0220 EASED By 0 E ENTI(* IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 0 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- SIGINAL-FILE LLOW INSPECTOJ� CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER L - ASSESSOR 5,9.