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20000987.pdf�l DATE RECEIVED I �,_/_oo ( I I PERMIT EXPIRES 1 - 1 S_ - ) U U S E PERMIT 200987 CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION AOGRESs 71 SUITE/APT OWNER NAMeINAME OF BUSINESS NO. LOT 10, LID NO* U )AZLI 4 11. NA!0.lSI=WISION I LID FEE S cpMl �,Q MAILING ADDRESS' ZIP 115LEPHONE 09/)-t, — 1 1 -7 If - �Wl)n I PER OFFICIAL STREET MAP EXISTNG_ PROPOSED— 10) REOUIREDDEDICATIO-- ;T PSV REQUIRED YES 0 No 11 k2-jol 'jp k k I FIRE REVIEWED By DATE ZIP TELEPHONE - '3 RCU V_ Z4110 - k+— jkOREUNE OR ADBI! INSPEC REG;'o, S ONO - 10 0. I .SNTB TATE LICENSE NUMBER EXPIRATION DATE 5101 CHECK D BY SERA REVIEW EXEMPT SIGN AREA ED PROPOSED ALLOWE HEIGHT ALLOWED PROPOSED FOPERTY _TAX ACCOUNT PARCEL NO. 4:5 4 QIL -000 r_s EXI I I'- I & - I I.- (i2/AESIDENTIAL PLUMBINGtMECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS IFT) FRONT SID HEAR PROPOS ED SETBACKS (FT.) FRONT UR SIDE REAR COMPLIANCE08 COMMERCIAL 3 5% NA IVA C] ADDITION CHANGE OF USE PARKING ARE PINNING REVIEWED BY DATE C] REMODEL APARTMENT SIGN REaD I PROVIDED f4t HEPAtR RA.'N. EYES eENCE X FT) E.A.- Ach- -IoMt- -A M4,- 5, M2 ,S 7_15' 6t 4oel 0 DEMOLISH 0 TANK o OTHER — b �MA t. Pr-W-Are. , A RENEWAL I AR C3 1,11.TAlNlNyG WALL (3 3 GARIGI'IT CHECKEDBY TYPS ION oy, OCCUPA GROUP k3 NUMBER NUMBER F 0 TIDAL _7 REA S J�N SPECI LINSPECTOR AREA "u,", LOAD F OTORIES VIA DWELLING UN ITS I U SER REQUA IREO 0 YES DESCRIBE WORK TO BE DONE REMARKS ..R0.rTInNS PER U�BC I 08/FINAL INSPECTION REO 0A_ 1IJUSt-1.V__ At in,-. nj-,� 4, ot a.-AfaVA A_Y,04A4jweA (;4 VALUATION I FEE PLAN CHECK FEE GLAZING % LOT SLOPE % BUILDING PLUMBING PLANICHECKNO: rlSTEO DATE MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGtFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION, STATE SURCHARGE 2 PERMIT APPLICATION: ISD DAYS IS STARTED WITHIN 180 DAYS E.��S 1 YE PERMIT LIMIT, AR 01; PROVIDED WORK SEE BACK PINK PERMIT FOR MORE INFORMATION AND SUCCESORS ;APPLICANT ON BCHALF OF HIS OR HER SPOUSE, HEIRS� ASSIGNS DEFEND AND HOLD HARMLESS THE CITY OF 'A N INTEREST. AGREES TO:NDEMNIFY. WASHINGTONS TSO'FIC'ALS, EMPLOYEES, AND A ENTS FROM ANY AND INSPECTION FEE 2 EDMONDS. OFWHATEV NATURE. ARISING DIRECTLY OR INDIRECTLY IF AGE CR ALL CLAWS FOR DAM S GAMIT $HALL NOT BE P DEPOSIT R5CEIPT 0 LANCE OF THI FROM THE ISSUANCE OF THIS PERMIT' ISS OU DEEMED TO MODIFY. WAIVE OR REDUCE ANY HE IREMENT OF ANY CITY ORDINANCE T= 'S ANY ORDINANCE PROVISION&m PLAN CHECK HE El'PT-1 NOR LIMIT IN ANY WAY THE CITY ABILITY TO ENFORCE T TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT: HAVE READ IRIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT 01 Th,, �ppl,,S � Z' THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL m,�W,�g 0 TION�ANDINO ING THE WORK AUTHORIZED THEREBY, No PENS NWILLBESMFLOYED 0 WASHINGTON RELATING TO OF 0 .. F OR INSPECTION ��I.dl.d r THE TE IN VIOLATION OF THE LABOR COXNG AND FCW I&Z' a OFFICIALS SIGNATURE AlE WORKMEN' EN5ATIONINSU 3 SIGN (0 ER AG T ATESIGNED (425) 771-0220 � CASE Y DATE EXT 333 � I r,&— I ?- UNLAWFULTOUSEOR CCUIYA.UILOINGOR STRUCTUREUNTIL 771-0221 ITIS INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW- INSPECTOR A FINAL HAS BEEN GRANTED. UBC SECTION 109 FAX PINK�OWNER GOLD -ASSESSOR CATE OF OCCUPANCY Z m ma 0 80 a m m z ,0-4 o"n m M 01- c m c Ca 4 r- > -4 3: z 9 0 m FINAL PROJECT APPROYAL FO TO- DATE: — MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE — ENGINEERING DIVISION DATE-2YZ� DIVISION DATE— PROJEC SITEADDRESS— PERMIT —?,67 ADB#_--------DATE INSPECTED V15,X Z DESCRIPTION OF WORK TO BE INSPECTED '9 compliance with approved plans. Final approval denotes that A field inspection was conducted to determine there are no objections from the above signed Department to the granting of: __,)�_—Final approval of the described work --yerformance Bonds associated with the project may be released __,e_GRANT FINAL PROJECT APPROVAL _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED I _--YAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL oraprvl.doc.l:temp:bldg:fonns6/98 z M rn 0 0 80 -4 x M M z K) --I C —Z 0 " -4 x Arn 0 0 0 C M, C CD rn 0 -4 z z 2 0 M wTv Air PYInWVT APPROVAL FORM �e. TO: DATE -AL-C�l MEmO TO: pERMirr cooRDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE — ENGINEERING DIVISION DATE— PLANNINGDIVISIONDATE, 311�01 PROJECT SITE ADDRES ADB# —V DATEINSPECTED---.:f PERMIT 9 1=20 0� DESCRIPTION OF WORK TO BE INSPECTED — pl!�Fta compliance a:pp�2ved plafis. Fifial app denotes that A field inspection was conducted to determine granting of there are no objections from the above signed Department to the val of the de.,ibed,..k ___jl_FinaIpp. __L_GRANT FINAL PROJECT APPROVAL PROJECT APPROVAL WITH CONDITIONS NOTED FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. ,E_INSFECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL waPrvwoc.i:temP.bldg:fb-6/98 z 9 0 M =Pii C M M 00 0 3: M M z g) C 0 -n n M M 0 0 0 M 0 Z z z 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Feeling ...................... ?�j Wall .......................... Pier/Porch ................. Retamirig Wall ........... zz Slab Insulation PLUM13ING: M Underground Rough -in ................... M, C commercial Final i T, 0� 0 C HEATING: Gas Test ................. TR ITI z Gas Piping ............. > Equipment ................. 3: Commercial Final EXTERIOR SHEATHING 0 -n -n NAILING ................ ITIM FRAMING ........... 0 0 In FIRST FLOOR FRAMING C 0) ITI INSULATION ................... z Floor Insulation 50� Wall Insulation ........... z Coiling Insulation SHEETROCK NAILING Z� SPECIAL INSPECTION 0 TR MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. lo: [PERMIT EXPIRES 1- 1 'S CITY 0 FEDIVIONDS USE PERMIT ZONE (NUMBER CONSTRUCTION PERMIT APPLICATION ADDRESS WK4 Ala r -5r; ;T;X- OWNER NAMEINAME OF DUBIN FLAT NAMEISUBEIVISION No� LOT NO, LtD NO. LID FEE S AILING �AODRESS M AILING ADDRESS C I - " �f , I -qJBLjC RIGHT OF WAY PER OFFICIAL STREET MAP SW F I U.. P-ft A"V 0 4-4s �XISTING— s"p-I.s.'Vis. CITY ZIF 7ELSPHONE PROPOSED— Siss_ 0 ED IPEODEDICARON� FT NAM METE' SIZE LINE SIZE NO. OF FIXTURES yipw REQUIR D So NO 0 ADDRESS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE MuEF tz-) CITY )�7 us A N NAME " ENGINEERING TE ADDRESS �1�lEr FIRE REVIEWED BY DATE wy ZIP I ILEPHONE z D, C(\ C(� )b-4sr-l- 6 VARIANCE OR CU SHORELINE OR ADBF INSPECTION BOND. - STATE LIC ENUMBER ENS �,ICKEIII R aD E er ES 0 NO �STED _ SIGN AREA HEIGHT SEPAREVIEW OMPLETE EXEMPT ALLOWE PROPOSED ALI OWED PRO OSED PROPERTY TAX ACC�dUNTFRARCEL NO. I , E Xp . ..... X LOT COVERAGE REQUIRED SETBACKS (FT.) SIDE BEAR K PROPOSED SZTB4C S OFT-) FRONT URSIDE BEAR 0 m Q/NEW PLUMBINGIMECH ALLOWED PROPOSED FRONT c: ma 0 ADDITION C] COMPLIANCEOR 4 5% /VA IVA 0 8 0 CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE A. c: 0 REMODEL SIGN REG D I PROVIDED 7 ja4(- , 1 1 15-0 2!4� 2141 11 A reENCE 0 REPAIR X ITI FE-1- T. —st I-,,' M OTHER Acb- 0 DEMOLISH 0 TANK 0 4,15' 6trA 6W 9- GARAGE 0 RE.TAININGWALL 0 RENEWAL 0 iT % CARPORT F C (TV RE 0 F US E 0 XU�IyO ��,��XPLAIN C.ECKSDBY JTYIE)��W& ION _10 C#17 G GOUIA��3 "CUP 0 -n "n NUMBER OF OSTO NUMBEROF OWEL CRITICAL AREAS SPECIAL INSPECTOR JAIIA R SOURED "U", LOAD 10 MITI F. R IS. A , �LING U NUMBER(,��', C] YES to) 55 TO BE DONE DESCRIBE WORK REMARKS PROGRESS INSPECTIONS PER USC 108/FINAL INSPECT ON REWD o Ae r cf) M 0 z VALUATION FEE FEE -5, co PLAN CHECK z LOT SLOPE % BUILDING 80 0 PLAWCHECKNO: PLUM ING m e�234 MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GR�DINGIFILL DOMAIN 'CURBS, WAYS, MARQUEES, ETC.1 WILL REQUIRE 3 WDEWALKS, DRIVE SEPARATE PERMISSION, STATE SURCHARGE YE PERMIT APPLICATION; 180 DAYS AS PROVIDED VWRK IS STARTED WITHIN 180 DAYS E y 00 A, PERMIT UMIM I SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCES.RS ARMLESSTHECfTY OF '.TN A 0 -Zt� IN INTERESt AGREE :TN�OIMN'l�"Y�DIFeNIL).AYN�D�HOLD AS il� OFF S .P S.AND'A ENTSFRO. ANYAND ED NGT MONDS. W �NS=TAI=E R CTLYOAiM---- ALLCLAIMS FOR'D MArE�ci, WHATEVER N ATURE, ARISING DID E OF THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT BE PLAN CHECK DEPOSIT Ao FROM THE ISSUANCE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITYORDINANCE ANY ROMAND11-1--1 OM --'WAY 0 RE CU-1 I �011 LIMIT IN ANY THE CITY'S ABILITY TO ENFORCE TOTAL AMOUNT DUE $HEREBY ACKNOWLEDGE TH HAVE READ THIS APPLICATION, THAT THE INFORMATION C f�� "Y' III APPLICATION APPROVAL GIVEN IS CORRECT. AND THAATT AM THE OWNER� OR THE DULY AUTHORIZED AGENT OF : AND STATE LAWS REGULATING CONSTRU.- CALL This ppI,.V,,, is A, A palfft unjil,ig-d �y th, Bu TTHE OWNER " U�IT.IRCITY ,N .1AIRE'EFTOWC-�-IEL MPLOYED ION,ANO F.. E A TH "ED THERE Y, NO PERS N WILL BE C T B OF WASWONGTON RELATING TO COOP OF HE STATE F.jpI is F—I.dpd m.pasepm-ed+ FOR INSPECTION I W DILATION OF THE LABOR N E C WORKMEN>COM�ENSATIONINSL�AN ANDRCW113.27� OFFICIALS SIGNATURE DAT� SIGNED (425) 771-0220 E SE Y DATE AtTt-NTION EXT 333 -2 -j TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNL.AWFUL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR A FINAL . GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR CAI E OF OCCUPANCY HAS BEEN