20000871.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
CITY ZIP I TELEPHONE
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CITY ZIP
90
ROPERTY TAX AC CUNT PARCEL NO,
S?1�5 010 Iq 00 000-7
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0 NEW
RESIDENTIAL
P MBINGIMECH
0 ADDITION
n COMMERCIAL
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CHANGE OF USE
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DEMOLISH TANK
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LOT NO.
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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REQUIRED DEDICATION — FT
PRY FEOUIIED
YES 0 NO
REMARKS
—SIVCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
FIRE REVIEWED BY DATE
VARIANCE OR CU
SHORELINE OR ADBI
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POSTEE
YES 0 NO
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LOTAREA I PLANNING REVIEWED By DATE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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t: BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PU BLIC
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SEPARATE PEZISSION.
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STATE SURCHARGE
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PERMIT APPLICATION: 180 DAYS
R' R IT A P PL I C. .T'O.
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PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
END REVIEW FEE
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG, INSPECTION FEE
'APPLICANT ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO!NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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OEEMEDToMOQjFY� 'DU E ANY REQUIREMENT OF ANYCITY ORDINANCE
-E ". .1 WAIVEORRE
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NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
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TOTAL AMOUNT DUE
S RM I.
I Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APP ICATION
APPROVAL
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GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE ULy AUTHORIZED AGENT 01
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WASHINGTON RELATING TO
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IN VIOLATION 01 THE LAB. CO. HE STATE .1
IN A g ROW IS 27.
WORKMENKCOMPENSATO 'P4�;N
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OFFICIALS SIGNATURE DATE
SIGNATUR JOWNE
DATE
(425)
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771 -0220
�El EASE. BY DATE
EXT/333
IT IS UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAX
PINK - OWNER - COLE) - ASSESSOR
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MEMO TO: P7PTCINATOR, BUILDING DIVISION
FIRE DEPARTNIENT DATE
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ENGINEERING DIVISION DATE-
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PLANNING DIVISION DATE-
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DESCRIPTION OF WORK TO BE IM 'PECTED
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A field inspection was conducted to determine compliance with approved plans. Final approvaldenotes that
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there are no objections from the above signed Department to the granting
Final approval ofthe described work
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RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
ocaprvl.doc.l:temp�bldg:forms6/98
FAY, 206-935-2654 P. 3
Ocs.10 '00 7:13 OIL TANK LOCATION
OIL TANK LOCAMON SERVICE
An&ew Stoffel
PMB 124 # 6523 Caivornia Ave, SW4 Seattle, WA 981 3e-1 879
Office (206),935-3327 Fax (206) 935-2654
Job* AAATankServio
Address 105D9 a2gln Hood 12rive
Edmonds, Wa. 98020 Invoice # .5798
Lay of Tank Fast to We§
Tank Size 300 GAllons
Depth Below Surface ftx� 1-6 inches <3mund-0over
Amount of Liquid J&Ja2bo
Tank Diameter 38 Inghes
Amount of Fuel JL�k&W Amount of Water 0 Inches
Date of Location 10/0912000 By Andrew S=eI
ast end
Comments: Tank lays on the south side of the house, In the front yard. 2 Inch direct fill pipe over the e
of the tank. 1/4 inch vent pipe In the south wall of the house, Head of vent pipe wyjts brick wall Apx. 7 feet above
ground surface. Tank lays 20-30 feet from driveway access.
HOUSE 1171, V. P,.7
Door
23'
. ..........................
Sidewalk
wa
T, Dima Fill Pine
Tank
Driveway I
Every offort is Made to be at aedurate as p6$tlble when deteoting The urlddroedurld Obj&Ott, 860SUS6 Of
so MXI 1 0 sai(i
possible fluctuations caused by various soll,conditions and/or other metal objects In clo p mty f
objects and/or obstructions restrILtIng use of location equipment-, Andrew Stoffel D.8A, Oil Tank Location
Ser-ileet Mll socept no liability for misiakes, errors or omisslons made In this report.
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ................... —
wall................. -
Pier/Porch ...........
Retaining Wall ...........
z
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in ............... t—
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Commercial Final
1 -j 0
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HEATING:
Gas Test .......... w
ITI fnt��
Gas Piping .................
Equipment
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Commercial Final
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EXTERIOR SHEATHING
NAILING ......................
0 rw
FRAMING ........................
0
0 Fn
C:
FIRST FLOOR FRAMING
0
INSULATION
r
Floor Insulation
Wall Insulation
Ceiling Insulation
3:
SHEETROCK NAILING
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1 TDATERECEIVED
PERMIT EXOIRES
CITY OF EDMONDS
PERMIT 0eU_')t7
US'S 12SB NUMBER
JOB SUITFJAPT#
APPLICATION TADDRESS
CONSTRUCTION PERMIT
I o
OWNER NAMEINAME OF BUSINESS
PLAT NAMEISUBDIVISION NO.
LOT NO.
LID NO.
JACK 4 CARDLA) CAWIA)AH40A
I
LID FEE $
MAILINGADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED—
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CITY ZIP
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NAME
METER SIZE
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PR� REQUIRED
YES 0 NO 0
IS
ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
____ZIP
CITY ITELEPHONE
NAME
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6
I CHECKE..Y
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COMPLETE I EXEMPT
EXP
BIG. AREA
ALLOWED I PROPOSED
HEIGHT
ALLOWED , PROPOSED
PROPERTY TAX AD OUNT PARCEL NO,
/:5 oo q oo z 000-7
0 NEW 0 RESIDENTIAL 0 PLUMBING I MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT�)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT UPSIDE REAR
vs -4
0 ADDITION 0 COMMERCIAL o COMPLIA CE OR
CHANGE OF USE
0 REMODEL C3 APARTMENT SIGN
0
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0
0
—PARKING
REaD I PROVIDE
LOT A�711G
REIIEVED BY DATE
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DNS RUCTION
GROUP
CODE O.CUPA]�
NUMBER
0 F
STORIES
NUMIEROF
DWELLING
UNITS
CRITICAL
AREAS F o_�l _7_20
NUMBS
SPEC
A SODALEINSPECTOR JAREA
C3 YES I
I OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PR GRESS INSPECTIONS PER UBC 1081 INSPECTION REO'D
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VALUATION
FEE
PLAN CHECK FEE
HEAT SOURCE LOT SLOPE % BUILDING A-1 Ifa z
PLAN CHECK NO. VE5 SO DATE PLUMBING
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MECHANICAL m
THIS PERMIT AUTHORI ZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
SLID GRADiNGIFILL
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUB
m DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REG IRE
m SEPARATE PERMISSION.
t: — STATE SURCHARGE
PERMIT APPUCATI N: 100 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'AP LICANT, ON BEHA F . HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG, INSPECTION FEE
IN NTEREST. AGREES TO IN EMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING
ED'MONDS, WASHINGT N, IT OFFICIALS, EMPLOYEES� AND AGENTS FROM ANY AND INSPECTION FEE
0 'IT RECEIPT
ALLCLAIMSFOR DAMAGESOFWHATEVER NATURE.AHISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT I
DEEMEOTOMODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVIS10tv RED
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI= THAT THE INFORMATION APPLICATION APr AL
GIVEN IS COAREC M AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
Thisapplicali, i"'I'l
H LY WITH CITY AND STATE LAWS REGULATING CONSTRUC F.. I,.
T E OWNER. I AGREE TO COMP CALL I ,l hislh.,
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Suildmg Olti'm
IN VIOLATION OF THE LABOR D ' THE STATE OF WASHINGTON RELATING TO FOR INSPECTION oP1 is ack,iodgld Vi SpIll pIllided.
Co�
WORKMEN'S COMPENSATION IZI, D FICW 1.21. OFFICIALS SIGNATURE DATE
rATU DATE S17., (425) ry,—� oo�_-k --'Y,,- no—
J / 771-02.210 RELEASED By DATE
NTI 14' EXT/333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
CT 771-0221 ORK31NAL-FILE - YELLOW —SPECTOR
A FINAL, INSPE ION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
�F OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX -INK � OWNER - GOLD - ASSESSOR