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20000853.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWPIR;A7 ;;E OF BUIZ MAILING ADDRESS //06, '?, 6� CITY ZIP ITELEPHONE ADDRESS CITY NAME &�Oil6o FP I ERMIT EXPIRES LEE ZONE PERMIT R6 -Iae4�) NUMBER 01--M�S3 JOB SUITEMPT* ADDRE7/e PLAT NAMEISUBDIVISION NO LOT NO. L NO, D FEE S ,�O PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ff W�;-Z-1,I EXISTING — PROPOSED REOUIREDDEDICATION— FT — METER SIZE LINE SIZE NO .1 FIXTURES PRY REQUIRED I YES 13 NO 13 REMARKS IWIPAI—TRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE It EME Do IS ADDRESS pnkrm"l U � 10112loo 'REVIEWED BY DATE CITY ZIP IT F.TAYTE TELEPHONE VARIANCE OR CU SHORELINE OR ADBN INSPECTION I BOND No POST" L��CENEE NUMBER AT STATE LICENSE NUMBER EXPIRATION DATE CHECKED By AS SERA REVIEW COMPLETE I EXEMPT _p SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED , PROPOSED 6 1 qj PROPERTY TAX ACCOUNT PARCEL NO. IV U_N. E A 0 PLUMBINGIMECH NEW >;&E.I.ENTIAl PL 'A NCE 0 I COMPUA CE OR 0 M 'C 0 ADDITION COMIMJERCIAL 13 CHANGE OF USE a E E H AN 0, UIR 3,GN C3 REMODEL APARTMENT 0 SIGN 'HE X FTI 0 REPAIR C] GRADING YDS _9(FE� X FTI THEIR DEMOLISH TANK c3 OTHER G ARAG RETAINING WALL RENEWAL APPOFEll ROCKERY 0 ENEwAL LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FTI FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT LJRSIDE REAR PARKING LOT REVO I PROVIDED R AREA P D E REM — TIVITY) EXPLAIN: C HE' C 'KED B;PE[: STRUCTION hl^ CCUPANT 10. FOUR NUMBER NUM I OF OF GW�,ETE'�LRN- STORIES TIDAL T' AREMA.0�.A�'2" -I rS B RE-C77 I; REQUIRED C] YES LQ�IIUPANT 1. __OEIBE DONE OESCR7jr REMA KS p R UBC 1081FINAL INSPECTION RED' INSPECTIONS PE VALUATION FEE PLAN CHECK FEE p GLAZING % LOT SLOPE % BUILDING _11d PLUMBING PLAN CHEC STED DATE - -PERM' MECHANICAL T THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 10 IS T AU'Ho R 'ZE S BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC BE DON N FUVATE P 'RDNG"'LL SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.1 WILL SCOUIRE C 5 - SIDE' DOMAIN (CURBS ..MAIN SEPARATE PERMISSION. STATE UF..AF.B PERMIT APPLICATION: 18D DAYS P WORK IS STARTED WITHIN 180 DAYS ENG�� v" F/0-yJ_ BAR PERMIT LIMtT. I YEAR � PROVIDED SEE BACK OF PINK PERMIT FOR MORE INI.R.ATK)N C cE Al""E'.AN.Ti.'AN.BEE"EAITI.'I OR HER SIIDUSE� EIFE. AElIDNE-D EUC SOPS ENG. INSPECTION FEE ;RUC N NTERES . AGREES To M,N,IIY, DEFEND AND HOLD HARMLESS THE CITY F I NT R S No FROM ANY AND A A D N.S . AS CIALS, EMPLOYEES, AND AGENTS I MoNDS,WA,"",T" T", DM W WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY ".E Fo E�o LLC". oRDA ACES ALL R DANA RE IFT ALL NOT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PER MIT SH BE M PLAN HECK DEPOSIT DEEMEO To MODIFY, WAIVE OR REDO E ANY REQUIREMENT OF ANY CITY ORDI ANCE EM . T MODIFY WAIV� - To ..I C TO ENFORCE ANY ORDINANCE PROVISION�' FECEI T IN AN' WAY THE CITY'S ABILITY 0 OR LIMIT I Y W Y NOR LIMI TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT HAV E READTHIS APPLICATION: THAT THE INFORMATION APPLICATION GIVEN IS CORRECT, AND THAT A THE OWNER. OR THE DULY AUTHORIZED AGENT OF � M h '� - � 1-11 �`Il-' -" �l I" 1. THE OWNER, I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL "_, , _,hll Dap,ty: 1,Id Flll 11, -d. Ild u"T TION. AND IN DO No THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED RELATING TO _o_ II_ FOR INSPECTION 1. p-d- IN VI.L.1 ON .'I THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN's VA SA I INSURANCE AND RCW 18.27. OFF N NED SIGN (425) _;Z _ 771-0220 By �IWI_6�2VATF X*ENTION EXT1333 F LEASE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW - INSPECTOR A FINAL INSPECTION HAS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD ASSESSOR z J rn .0 Ic rn zm 10-4 0 _rI n -4 m m m M 0 a A z -4 z .0 :4 0 m I 1044 1051 809 1062 827 1054 1061 1109.. 1105 1114 fl� -to 14 Locprm-D 836 1108 Itl VO= C141: 1123 LIJ - 1115 VI"ff4T" 1125 %Ohq 1128 1136 125 1133 1134 1132 1131 IPA 1150 1140 1141 1143 '000 1 46. . Od 120L1153 1 15 1147 1154 157 l 819 829 M�� Zoni nd M, pg. o 41 oc� m z! 10 -t .m Mn, o 0 On 0 0 z ... .. .... . RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Fooling ...................... Wall .......................... z 0 Pier/Porch ................. =1 Retaining Wall ........... Slab Insulation PLUMBING! M C3 Underground ............. IT! 0� 0 Rough -In ................... 0 r Commercial Final 171 171 HEATING: GasTest .................... Gas Piping ................. 0, L.- Equipment ................. M M Commercial Final C3 Fn EXTERIOR SHEATHING C 0 NAILING.......................... FRAMING .............. FIRST FLOOR FRAMING... INSULATION ................... z Floor Insulation -4 3:. Wall Insulation ........... CA Z, Calling Insulation SHEETROCK NAILING M p SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 111o7 Iz-7 7 ZIP 17 FpERMIT EX�IRES CITY OF EDMONDS ICIIE PERMIT -Lot _/C9,9,:�) NUMBER 5. CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT# ADDRE7/z? tr 1014-- 5 OF BU�; oWp;;7 PLAT NAMEISUBDIVISION NO. LOT NO, LI NO. ;JJ� I LID FEE S MAILING ADDRESS PUBLIC RIGHT OF WAY PER OF FICIAL STREET MAP X, It A 10 CITY ZIP TELEPHONE EXISTING — PROPOSED Aryparsu, -27 REQUIRED DEDICATION FT wl'I.q.1 -& — AwAy,6!�; METER SIZE LINE SIZE NO, OF FIXTURES PRV REQUIRED NAME I I I YES C3 NO C3 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY NAME ENGINEERING REVIEWED/DAT 1611E 'ADDRESS z FlAE h6VIEWED By DATE IF CITY 0 0 VARIANCE OR CU SHORELINE OR ADEN INSPECTION STATE LICENSE NUMBER 1,13.N. REQ'D ETED XYES E3N ERTY TAX ACCOUNT PARCEL NO. SERA REVIEW COMPLETE SIGN AREA ALL WED PROPOSED HEIGHT ALLOWED PROPOSED m I , c EXP m 0 LOT COVERAGE REQUIRED sErSACKS 11) PROPOSED SETBACKS (FT.) REAR 0 NEW $&E.I.ENTIAL cl PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE c: CCMPLII NCE OR m ADDITION cl COMMERCIAL E3 CHANCE OF USE DATE m PARKING LOT AREA Io REMODEL APARTMENT cl SIGN 0. RE 0 1 PROVIDED I GRADING �< F RE.—S REPAIR CYDS , j" T) I DEMOLISH -TAN�K Vo OTHER 0 n GARAGE RETA.INVWALL� C] RENEWA' A o CARPORT FCC r ITYPE OF USE BUSINESS OR A CTIVITY) EXPLAIN: P. C"E Q:JNSTRUCTION .UFAN�e F.Up 12710 m m _3] a NUMBER NUMBEROF DWELLIN GH I CAL EA .3 AR SR2t eCIAjW&I5TOR JAREA MAN, LOAD 0 o OF C STORIES UNITS 0 14U BE Ir GLLlWPT3 YES a m fill DONE gs" S INSPECTIONS PER LIBC 108/FINAL INSPECTION REO'D F. M 0 Z, _�tp- �RrSS z -4 FEE z PLAN .1 0 HEAT SOU�CE GI -AZ % LOT SLOPE % PLAN CHECK& ESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WOR11NOTEWIMIS PERMIT COVERS WORK TO BE G ON' ON PRIVATE IR PERTY OL STRUCTION ON THE PUBLIC OLKS GRADINGIFILL (C . , AR, EEE, ETC.I WILL RE.UIRE DOMAIN UR.. ID AEEPA.R,,VEW ID W W R IS P STATE SURCHARGE PE MTAPPLIrATI..: 111l)-AYS PERMIT LIMIT. I YEARRPIR'OVIDED WORK IS STARTED WITHIN 180 DAYS ENO.P6 e", SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE ;APPLICANT. N NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF ANY AND I E MONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES AND AGENTS FROM M LCLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY ALD 'A Paz - FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SMALL NOT BE PLAN C HIECK DEPOSIT lHtCEIPT 0 DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE '0 TO EN FORCE ANY ORDINANCE PROVISION.' CEI 4:� OV NOR LIMIT IN ANY WAY TH E CITY'S ABILITY TOTAL AMOUNT DUE I H EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT TH E INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER OR THE DUSLY AUTH-TRIINZGED AGENT OF SE ELAW REGULA CONST, THE OWNER, I AGR TO COMPLY WITH CITY AND STAT UC CALL B,�jd,, Otl,c,al .1 hil/1,11 Dop,ty: r,d F — pald. TION: AND IN DOING THE WORK AUTHORIZED THE REBY. NO PE HSON WILL BE EMPLOYED WASHINGTON RELATING TO FOR INSPECTION ,.pt,l ..knD.11dq,d,,, p p,..,dod IN VIOLATION OF THE LABOR CODE OF THE STATE OF WORKMEN'=SATION INSURANCE AND RCW 16,27. (425) OFFICI N D E S17; JDATEIIGNED �Jp //9 - 2 771 -0220 R LEASE BY E ATTENTION EXT1333 I �,yl G OR STRUCTURE UNTIL TO USE OR OCCUPY A BUILDIN 771-0221 IT IS UNLAWFUL MADE AND APPROVAL OR A CERTIFI- 111111AL-IILE YELLOW -INSPECTOR A FINAL INSPECTION HAS BEEN rR CATE OF OCCUPANCY HAS rEN ANTE.. UBC SECTION 109 PINK OWNER GOLD -ASSES! SOR FAX