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20000938.pdfOAT' RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWN� CNAVE7ME OF BrL e ) C R� -- MAILING ADDRESS q,o �3 "ola a e, A�v r CITY Z!, ITELEPHONE �1.?5 6 4LC2 -a/ -7 NAME �PERMITEXPIRES USE PERMIT ZONE !�oolzp _NUMBER Joe ADDRESS 1-2� A� SUITE/AFT� PI -AT NAMEISUBDIVISION NO. LOT NO LID NO, LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T.CPAp � ­ " Zu"d �1­1 U.. P.- R� d EXISTING — PROPOSED— 1.10- SI-11 R.qull.d REQUIRED DEDICATION— PT — U­g,­d WId­.q.l,.d P V REQUIRED YE. 0 NO IJ ADDRESS R E REMARKS I OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTAOUDRAINAGE 0 W CITY ZIP ITELEPHONE NAME 71211Y0 -IDI-141nalk�� N ENGINEERING E REVIEWEDIDATE ADDRESS IRE REVIEWED By F FT. DATE CITY TELEPHONE - 396 ;�v ID E'7 VARIANCE OR CU SHORELINE OR AOBN INSPECTION TE STATE LICENSE NUMBER T C111KED11 REG G J'BONO STE. oo� I SIGN AREA OYES ONO HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. SERA REVIEW COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED n, -amtj o6so I o -0, E X, XP -�TEOUIRED , , NEW Ig !RESIDENTIAL P.LUMB GCT�M:CH LO COVERAGE ALLOWED PROPOSED SETBACKS JIFE) FRONT SIDE REAR PROPOSED ET ACKS (FT.) FRONT USSIDE REAR C] ADDITION COMMERCIAL AN F PL�N 0 CHANGE OF USE �E7 P REVIEWED REMODEL 13 APARTMENT SIGN fBY �GATE� �NNING REPAIR [3 GRADING CYOS C] FENCE ( X FT) REMAHK5 C3 DEMOLISH 0 TANK c3 OTHER ciGARAGE r-j RETAINING WALL RENEWAL CARPORT ROOKERY (T`YPE OF USEEINESS OR ACTIVITY) EXPLAIN CHECKEDBY I CUP GROUPANT jlqEl I NUMBER OF 0 NUMBER F DWELLING RITIC L CH A EAS PECIALEIDN5PECTOR PANT LOAD .0 STORIES UNITS NUMBER JAIEA REOUIR 0 YES JOCCU DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSP FICTION REO'D 01 ff toi- ce, t1l c �E PAP 711A6 -fro, 1791�7-iie L? VALUATION FEE PLAN CHECK FEE HEAT SOURCE �:�=STEG LOT SLOPE I BUILDING t-�, PLAN CHECK NO: DATE 1". PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO — B DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL W DOE MAIN (CURBS, SIDEWALKS. DRIVE AYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. UI�) PERMIT APPLICATI N: 111. DAYS PERMIT LIMIT. I YEAR * PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES ENO. INSPECTION FEE -APPLICANT ON BEHALF 0 HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS IN INTERE T, AGREES NDEMNllY, DEFIND AND HOLD HARMLESS THE CITY UT- ANY AND LANDSCAPING ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM X ED ON &WASHINGTON. DIRECTLY OR INDIRECTLY ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE.ARISING, INSPECTION FEE - RECEIPT FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE Or THI PERMIT SIAALL NOT BE PLAN CHECK DEPOSIT DEOEMEDT MODIFYWAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 THE CITY'S ABI LITY TO ENFO RCE ANY ORDINANCE PROV ISION.' RECEIPT NOR LI MIT IN ANY WAY TOTAL AMOUNT DUE ou I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION� THAT THE INFORMATION APPLICATION APPROVAL GIVEN I CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF CITY AND STATE LAWS s REGULATING CONSTRUC CALL TT,I� 00-1- '� I., IT ­­1 TN" .­.d bV In. THE OWNER. I AGREE TO COMPLY WITH ll.�; AND THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE L"PLll 0 Eu,11,, 011.r.l., h,.1- D.T, ly: d F.—, P,,d. -d % :P IN DOING IN VIOLATION OF THE LABOR DE OF THE STATE OF WASHINGTON RE ATING TO Co FOR INSPECTION WORKMEN S COMPENSATION INSURANCE AND RCW 18,27. (425) ;;/o ]DATE SIGNED /// ...... I-w— By DATY ATTENTION 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- ORIGINAL FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD -ASSESSOR �198 z 0 m om ca m 0 80 c M m c —Z -4 o -n -4 'm" m 0 c: c M 0 Z z z .0 :j 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wait.......................... Pler/Porch ................. Retaining Wall ........... 0 Slab Insulatlon .......... PLUMBING: Underground ............. IV rn C: 0 Rough -in ................... 0 tU Commercial Final M HEATING: Z Im Gas Test ............ Gas Piping ................. 0 Equipment A rn Commercial Final 0 EXTERIOR SHEATHING 0 0 NAILING .......................... a FRAMING ........................ 0 FIRST FLOOR FRAMING INSULATION ................... Floor Insulation z wall Insulation ........... Ceiling Insulation z SHEETROCK NAILING 0 SPECIAL INSPECTION M MISCELLANEOUS .......... F14AL APPROVAL FOR OCCUPANCY .................. CHECKED By TYPE CON! iTRunlo. PA T GROU CT OCOU P N SPECIAL INSPE-OR AREA OCCUPANT LOAD REOUIRED C] YES A.. PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D S -e Al.. A V "A 2 -7 A F.-I RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ING ADDRESS ZIP IT11EPHONE A 4L .2 -'a.) -7 _�2 [PERMITE�XPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT, A ... SEE PI -AT NAMEISUBDIVISION NO. LOT NO- N D FEE ,�D PUBLIC RIGHT Or WAY PER OFFICIAL STREET MAP se- — P-h F." EXIS ING — PROPOSED REOUI RED DEDICATION FT PRV REQUIRED I YES C3 No 13 REMARKS ADDRESS WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY NAM'?R m 4 ENGINEERING REVIEWEDIDATE ADDRESS 109 50 1A FIRE REVIEWED BY DATE CITY SV&w/e 4719 TELEPHONE -70 6 — 0.�36 VARIANCE OR CU SHORELINE OR ADS. INSPECTION 1_3 YRE... IS C3 NO BOND POSTED STATE LICENS NUMBER EXPIRATION DATE CHEO'll 11 SERA REVIEW COMPLETE I 11IMPT EXP SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED , PROPOSED ,OUNT PARCEL K., PR03 cc L) 77— PLU.. NO I MEG" C] ADDITION COMPLIANCE OR CHANGE OF USE REMODEL SIGN E] REPAIR 0 GRADING GYQS C] PENCE ITI C] DEMOLISH 1-1 TANK ci OTHER GA AD o8 E RETAINING WALL RIIE—WAL RPORT LOT COVERAGE ALI..WED PROPOSED REOU14ED SETBACKS IFT.1 FRONT SIDE REAR PROPOSED SETBACKS I FRONT URSIDE REARI I PARKING LOT AREA rNNINGIIVIEWED BY DATE REO'D I PROVIDED REMARKS I i !CTQn F. I L; Li r (TYPEOFUSE INESS OR ACTIVITY) EX —IN: CHECI(EDlY -y E STRUCtTIO ITY' N PANT IFIOU jCqEl I OCCU P _WNIBER OF NUMIEROF DW�LLING CRITICAL A EAS NUMBER tJhA TO R AREA LOOCACOUPANT STORIES UNI S DESCRIBE WORK TO BE DONE �RREMARKS PROGRESS INSPECTIONS PER �BC 108/FINAL INSPECTION IVATi-IE -591le 1// C 6 7,le fe �)/P6' 'o lal) PLAN CHECK FEE ULD'No HEAT SOURCE LOT SLOPE % PLUMBING rMECHANICAL PLAN CHECK NO: IVESTEO DATE THIS PERMIT AUTHORIZES ON THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIO N ON THE PUBLIC FANN.,F_ qRADINGIFILL DOMAIN (CURBS, SIDEWALKS. DRIVE S, MARQUEES, ETC., WILL REQUIRE SEPARATEWAYRMISSION. PI MITAPPLICATION: 11111-5 PERMIT LIMIl I YEAR - PROVIDED WORK IS STARTED WITH'. I.. DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;A PLICANT.ONBEHAL 0 HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS P THE CITY OF ENG, INSPECTION FEE N INTER ST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS EDMONDS.WASHIN TON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND ALLCILAIMS Fo 11 DA AGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY LANDSCAPING INSPECTION FEE FROM THE ISSUA CE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINAN E 3 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' TOTAL AMOUNT DUE I HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUI-ATING CONSTRUC- TION; AND,IN DO NO THE WORK AUTHORIZED THE REBY, NO FE RSON WILL BE EMPLOYED CALL r IN VICLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING 10 0 TI, FOR INSPECTII WORKMEN'S COMPENSATION INSURANCE AND RCW IB.27. BIG LIFE OWNER o DATE SIGNED (425) C.) —0220 7 1_0 0 71 ATTENTION EXT 333 ITIS UNLAVVPULTO USE OR OCCUPYA. BUILDING OR STRUCTURE UNTIL 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 "T APP icAmON APPROVAL Thil pplh�h­s not a polmh ­11 sig.ed by the BORdi.9 Olhdel th Deputy: hd Fee. — bed. hd """o V oq.d h P.. P—ld.d. -FIGIA VIG.A ATl It _/o 0 00 ORIGINAL FILE YELLOW - INSPECTOR PINK -OWNER GOLD -ASSESSOR Z 0 m m 0 m 0 80 c 5� m m m z 10 0 -n m Ill 0 o Fn C cn c (1) 1 1 TO X z -4 X V) z 0 0 m 7- ------- elly. TIE RECEIVED -DO =OFPERMIT EXPIRES CITY OF EDMONDS �ONE 9"s-s PERMIT 20CS?Se CONSTRUCTION PERMIT APPLICATION JOB ION -NUMBER SUITEiAPTN ADDRESS io o -i --? S' - 4,-- L�)_ OWNER NAMUNAME OF BUSINESS 1t14 4 7741,4�4—' PLAT NAMEISUDDIVISION NO. I LOT 110, U NO - LID FEE $ MAIUNGADOR BE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP W, ­­d E3 P­1111111d 0 A 3b,145 EXISTING - PROPOSED U.. P_ AKd 0 CITY ZIP 11ELEP..N!E REOUIREDDEDICATION- -,,,E FT 0 NAME �ETER R MARKS RRV REQUIRED YES 0 NO 13 ADDRESS CITY ZIP ITEU11HONE,._ NAME Novice'/ ADDRESS CITY ZIP LysfAaladl "/,4 ELE'"I STATE LICENSE NUMBER )V/; 0 v /1'L/ ri-e) 3 3 4) 0 EXPIRATION DATE 51(.)l KEDBY 1 PROPERTY TAX ACCOUNT PARCEL NO. 00 0 NEW PLUMBING I MECH AUDITION Ei C MPLIANCE OR CHANGE OF USE REMODEL SIG. REPAIR GRACING CYOS C] FENCE ( X FT) DEMOLISH 0 TANK 0a'ER C] GARAGE RETAINING WALL CARPORT Rnr.KFRY RENEWAL DWELLING PEAS STORIES UNITS NUMBER DESCRIBE WORK TO BE ..N!_'� L/ 31 I-F OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED By DATE VARIANCEORCU SHORELINE OR ADS# INSPECTION REO'D I BOND POSTEC [3YES (3 No I SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I I , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (M. ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR PARKING LOT AREA I PLANNING REVIEWED By DATE REDD I PROVIDED I CHECKEDBY ITYP SPECIAL INISPECTOF REQUIRED [:] YES REMARKS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D LA 1J. I VALUATION FEE PLAN CHECK FEE GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO: 11EST11 DATE PLUMBI G MECHANICAL THIS PERMIT AUTHORIZES ONLY THE W.R. NOTED. THIS PERMIT COVERS WORK TO �j BE 00 N PRIVATE PROPERTY ONLY. ANY I...ST...10. ON THE PUBLIC RAD11.'FILL .OMAI�1(0 2 CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 10D DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSP50TION FEE 'AP LICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS P HARMLESS THE CITY OF Na I IN NTEREST. AGREES TO NDEMNIFY. DEFEND AND HOLD I" EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND A IbISP.11Q�ON FEE ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE, ARISING DIR,_1 ­ ­.­ ­L R CEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMCDT MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 A ISION� PLAN CHECK DEPOSIT . NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE 0 TOTAL AMOUNT DUE 2, I HEREBY ACKNOWLEDGE THAT I HAVE R�AO THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF Thil IPP11-1- I' "I I .,I uIIII.Iolld by 1h, THE OWNER. I REE To COMPLY WIT. CITY AND STATE LAWS REGULATING CONSTRUC AG CALL Bu,Id 1. IVI, D.Ppu,y: ..� F... .1. I.id. P TION; AND IN DOING THE WORK AUTHORIZED THEREBY, No PERSON WILL BE EM LOYED OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION IN VIOLATION OF THE LABOR CODE WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. F ILS IGNAW�,, DATE qT) (425) - . I - I A AC;) -A 1") 771-0220 Ell �DEI DATE ATTENTION EXT1333 J/1 1 1-1 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 CATE OF OCCLI'ANO Y HAS BEEN GRANTED. UBC SECTION 109 FAX IINK-OWNE. GOLD-ASSESSO. 5198 z 0 Ri 0 m c mo 0 80 a m m ca 0 'T1 m M 0 o -m C a) 7-1 ;a -4 z z 9 0 m