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20010575.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ZIP �TELEPHONE ADDRESS FITT ZIP ITILEP"ONE PERMIT EXPIRES SE P USU E ERMIT ZONE ZC61—GS NUMBER I T'A-.-�RESS 2 11ITIAIT, Fl-AT NAMEISUBDIVISION NO FL LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TES —d P' "u"' PROPOSED� P.— �� d R., REQUIRED DEDICATION FT =1� JEXISTING_ METER SIZE LINE 5111 10. 01 IIXTUIES NO REQUIRED I s E3 NO 0 YEP REMARKS REM RKS ___ .. AT_ RE FOR, 1-1111111RACT11A RESPONSIBLE FOR EROSION CONTROUDRAINAGE NAME rENGINEERING E 6 E E 'No REVIEWED,DATE ADDRESS 0 PR D -EV"`_E--Y FIRE REVIEWED BY DATE FIRE 7 E _ ;7/7_E VARIANCE OR CU SHORELINE OR ADB4 INSPECTION BOND STAT NS NUMBp6 EXPIRATIG�N D E p CHECKED BY 1 gR REQ'D [3YES ONO POSTED 111 IN-`v SERA REVIEW COMPLETE I EXEMPT EXP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PIkIFERTY A lcqf 03-7 '0'0 000 717 0 C3 NEW ESIDENTIAIL E] PLUMBINGIMECH LOT COVERAGE LOT C RA-E ALLOWED PROPOSED RECUIRED SETBACKS (FT) FRONT SIDE REAR PROPOS D SETBACKS (Fr.) FRONT U SIDE REAR CoMPLIA CE R 0 ADDITION COMMERCIAL 0 HAN.E.IUSE c I I PARKING LOTAREA DATE 0 RENO DEL ARAWMENT SIGN Q D JPLAIININGIIIVIEWEDBY FENCE C3 REPAIR C] GRADING CYDS 0 X FT) ;RE �PROVIDID A OTHER _t/k DEMOLISH C3 TANK I -Mad C] GA"A.FT C:] 'R� �AKI N CARPG' EIRNG WALL FIENEWAL TWITY) EXPILAIN: CHECKED By N I "qll..CCUF..T FOUP NUMBER OF D STORIES UNUMBEROF DWELL NO NITS AH' I ICAL \� v, R N Un ALINSPECTO9 -JAREA SPECI C] YES I REQU R F7 JOCCU FAIN LOAD DESCRIBE WORK TO BE DONE I goo almoul _4H REMARKS PROGRESS INSPECTIONS PER USC JOWFINAL INSPECTION REG' zcm — q Co —fl n I/IA Oa I'A loq P) )')I- A - P VALUATION PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE % UILDING PLAN CHECK NO: ... IED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PA IVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUB LIC GRADING1111-1 DOMAIN CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. URCHARGE PERMIT APPLICATI H; HID DAYS PERMIT LIMIT'. I YEAR, PROVIDED WORK IS STARTED WITHIN 18D DAYS ENG. REVIEW FEES SEEBACK OF PINK PERMIT FOR MORE INFORMATION ENG, INSPECTION FEE ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGN"ND SUCCESORS ;APPLICANT. N NTEREST, AGREES TO INDEMNI DEFEND AND HOLD MARMLES� THE CITY OF I I ANYAND NDSCAPING EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS _,oM OF WHATEVER,NATURE. ARISING DIRECTLY 0 DIRECTLY ALLCI-AIMS FOR DAMAGES RIN 1NSPECTIONFEE RECEIPT c FROM THE ISSUANCE OF THIS PERMIT. SSUANCE OF THIS SH PLAN CHECK DEPOSIT FPERMIT Be E.E.T....�FI-IVE...�.U.EA.Y�..�l�E.ENT. ANYCITYALLNOTBE ORDINANCE NOR LIMIT 1. ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. TOTALAMOUNTDIJE RECE107 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT f.E INFORMATION APALI 19N,APPROVAL GIVEN IS CORRECT; D THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF Thl, P, -t �l s.9nod by III, appl_1"'n THE OWNE � I A MPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- BE EMPLOYED CALL Bu,l TION N 1, G WORK AUTHORIZED THEREBY. NO PERSON WILL OF WASHINGTON RELATING TO SPECTIO FOR IN N IN Vi LAT LABOR CODE OF THE STATE WOR E SATION INSURANCE AND RCW '827 SIGN ER GE.TI DATE SIGNED (425) 771-0220 ATTEffnON EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLOW INSPECTOR A FINAL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR ,,ffl z 0 m a m m 0 80 a m m 0 n _n m Ill 0 0 M 0, z m FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: ME DEPARTNIENT DATE - ENGINEERING DIVISION DATE !�tq to L PLANNING DIVISION DATE - PROJECT SITE ADDRESS 1"46 pERWT #_W ADB# INSPECTED DESCRIPTION OF WORK To BE INSPECTED A.fleld inspection was conducted to determine final compliance with approved Plans- Final approval denotes that there are no objections from the above signed Department to the release of B6NDS and the granting of PERFORMANCE B GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED a Copy of CONDITIONS given to owner/contractor by inspector FAILED FINAL INSPECTION - OUTSTANDING ISSUES u Copy of CORRECTION NOTICE given to owner/conftactor by inspector 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date_ Sip- ocaprvLdoe.L-tmw-.bldg'.fmmlOtOI z 0 0 !19 �n C: M M 0 --10 00 C --i K X M M Z ,0-4 z o -n n -4 x M M LJ 0 C") 0 C M, 9 CO) MO Z� z --I 2: C') z 0 4 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... wall.......................... PiertPorch ................. Retaining Wall ........... cy Slab Insulation .......... PLUMBING: co Underground ............. 171 M O� Rough -in ................... 0, Commercial Final HEATING: RI Gas Test .................... z Gas Piping ..; ........... 0 -n Equipment ................. n Commercial Final 9M EXTERIOR SHEATHING co NAILING .......................... FRAMING C" 0. FIRST FLOOR FRAMING... INSULATION ............. Floor insulation Wall Insulation ........... Coiling insulation z 0 SHEETROCK NAILING -I SPECIAL INSPECTION M MISCELLANEOUS .......... FINAL APPROVAL FOR 13 OCCUPANCY .................. - T. PERMIT EXPIRES PERMIT ZC CITY OF EDMONDS NUMBER X31- lUITllTl CONSTRUCTION PERMIT APPLICATION 'AO5D RE SS -NlRNA7A.rUSWlSS C FLAT NAMEISUBDIVISION NO. LION . LID FEE $ 1. MAILINGADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P. -11 LE eolLl /J. f; St -I UT: P=`R`� d 8 , EXISTING - PROPOSED- P_ .. 0 Ojq,�OIL� (Z 4t�� ZIP �TELEPHONE 0 EQUEREDDIIDICATION� FT - w3:7Z-- a METER SIZE I LINE SZ�_�X�T.R.S FEW REQUIRED NAME F Fl YES C3 No 0 3 CITY TELEPHONE 10 (-;,q A , v "-,q , ( ENGINEERING REVIEWEDIDATE DIJ;RESS 60/5 0_ /,). H . / 0 FIRE REVIEWED BY DATE W,4zl.p 66 !/,�, VARIANCE OR DUE SHORELINE OR ADS. INSPECTION REDD 0 YES C3 NO I BOND POSTED TAli:: NS N r_ E., RAT 0 ; f ml CHECKEDBY 1 SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED - I — PERTN 74 14UNT PAR61. 1 0'0 0 63-7 0 NEW C] ADDITION C] REMODEL REPAIR DEMOLISH [D GARAGE CARPORT 0 PLUMBING I MECH 'OMPLUNC'O ci COMPLIANCE OR E CHANGE OF USE HANG, OF UIR SIGN SIGN FENCE GRADIN. CIDS 0 FENCE X 11 X FT, �THER 0 TANK OTHER _ W L RENEWAL 0 RETAINING WALL C] A LOT COVERAGE ALLOWED PROPOSED _LL[�LL REQUIRED SETBACKS -] FRONT SIDE RELFT PROPOSED SETBACKS 11) FRONT UPSIDE REAR I LOT PARKING LOT REC`O PROVID 0 AREA A EA I PLAW111111 REVIEW"' 11 DATE VUSt JA Qcw 'b Igo r +0 )� (TYPE OF PfrINESS OR ACTIVITY) EXPLAIN: C, EC PE ON I Co 0 CCUPANT ROLF NU E M B F TOR, ER 2- �-BEF` OF 'UM R 'U � OWE N IT. UNIT. I .AL CRITA 3 ARE R S ME NUI E AREA iCTOA__jAREA YES _____F0GCUPANT ILOAD DESCRIBE WORK TO BE DONE REMARKS PpGRE2S !!!SPECTIONS PER UBC 10afFINAL INSPECTION REG' _ _ro ", t- - 7 - c- n ri 21vv,% - a It n P_ - I /A/) zb c; r-9 VALUATION I FEE PLAN CHECK FEE _c HEAT SOURCE LOT SLOPE % BUILDING PLAN CHECK NO: 1115TED DATE P UMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC G ADINGfFILL DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. URCHARGE PER ITAPPLICATION 110DAY5 YEAR -MROVIDED WORK: IS STARTED PERMIT LIMIT, I WITHIN ISO DAYS ENO. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMAT10N *AIILICANT, ON BEHALF OF HIS OR HER SPOUSE, HlIFIl, ASSIGNS AND SUCCESORS ENO, INSPECTION FEE IN INTEREST. AGREES TO INDEMNIW�. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAP No EDMONDS. WASHINGTON� ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND ALLCILMMSFORDAMAGESO WHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY INSPECT10N FEE RECEIPT --------------- *r--- FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT SEE PLAN CHECK DEPOSIT I -m DEEMEDTO MOOIFY.WAIVEOR REDUCE ANY REQUIREMENT OF ANY CITYORDINAHC - - 0 NOR LIMIT IN ANY WAYTHE CITYSABILITYTO ENFORCE ANYORDINANCE PROVISION, TOTAL AMOUNT DUE RECEIPT Lo I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL E 0 THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF CORRECT 0 ?I'IVE RIA b, 11. I OWNER. 70 WITH CITY AND STATE LAWS REGULATING CONSTRUC. , CALL B,d -190 D,p,ty:,nd Foes ,.,�d 1 40 IN 0 AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED '. IN G W W.E.,FLY RELATING TO OF WASHINGTON A FOR INSPECTION p d.d k -P-oo 1 TI LAT OR CODE OF THE STATE I A AT, SATION INSURANCE AND RCW 18.27, 50�C. TI� KIN (425) SIG. E16 ER oj!�5,NT) ITS SI.Nr Qq 0 771-0220 EASED BY DATE EXT 1333 ATTENTION 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- ORGINAL-FILLE YEULOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR sma z 0 m 0 m c m 80 c 5! c I m c z 0 n "n mm 0 Fn 9 � I , 0 z m