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20010610.pdf] DATE = CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 1 CITY 111.0 JTE� PERMIT EXPIRES USE PERMIT ZONE t2,- j AH."urcL4.40 ` su-I&AFT- Is U FLAT NAMEiSUBDIVISI-N NO 11 LOT NO. U -0 LID FEE S TESC:P Z d PUBLIC FIGHT OF WAY PER OFFICIAL STREET MAP l p T: R-"R�d S".. d EXISTING — PAOPOSE.� V_ REQUIRED DEDICATION— FT .0 1 METER SIZE LINE SIZE NO. OF F TURES PAV REQUIRED 7, UPS Y Y S. .0 ES 0 NO 0 CITY 11, TELIPHOJ 17', NAME DATE ENGINEERING ADDRESS DATE FIRE REVIEWED By CITY ZIP TELEPHONE Z VARIANCE OR CU SHORELINE OR ADB# INSPE ION BOND REO'D POSTED STATE LICENSE NUMBER N DATE CHECKED BY OYES ONO 1 0 SERA REVIEW SIG AREA HEIGHT E ALLOWED PROPOSED XENIPT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. C OMP'ETE 74 =6 SI p p RESIDENTIAL Lu MBING I MECH %I S LOT COVERAGE REOUIRED SETBACKS I") PROPOSED ETIBACKS ALLOWED PROPOSED FRONT BID- REAR FRONT UPSIDE REAR 9 0 m r_ 0 NEW C MPLIANCE OR Cl ADDITION COMMERCIAL 0 COHANGE OF USE Z PLANNING REVIEWED By DATE 13 m 0 0 REMODEL C] APARTMENT C3 SIGN REO D C] FENCE 0 REPAIR GRADING CYDS X FT) m 10 DEMOLISH C3 TANK OTHER z t I ETAININ. WALL 0 RENEWAL GARAGE 1, , 5 CAFP-R !Zro_F�_�_E%LSINES; � CHECXED BY ITYPI CTION �CCUPA4T Ro., 0 -n NUMBER BIER F NUML AD OF . OWE LINO m M STO- 0 3 co DESCRIBE WORK TO BE DONE MARKS 'D RE 9 PER UBC 1081FINAL INSPECTION REQ 0 Fn PROGRESS INSPECTIONS - C M 0 p CHECK FEE cft LOT SLOPE 1. z HEAT IOURCE GL�ZIN`A 0 m PLAN CHECK ONLY THE WORK NOTED. THIS I THIS PERMIT AUTHORIZES Ru. ONLY. ANY CONST DE DONE ON PRIVATE P ROPERTY OMAiN (CURBS, SIDEWALKS, DRIVEWAY MARQUEES. ETC.) WILL REQUIRE STATE SURCHARGE L IT DAS PERMIT APPLICATION: FIT I YEAR - PROVIDED WORK IS SIA E. WITHIN 180 DAYS ENO, REVIEW FEES PERMIT UMin SEE BACK OF PINK PERMIT FOR MORE INFORMATION - HIS OR HER SPOUSE. HEIRS. A AND SUCCESORS, ON BEHALF..O G�Sal NIS ESS THE CITY OF ENG. INSPECTION FEE LANDSCAP NO ;APPLICANT. N S PL YEES. N A ENTSFRO. ANYAND ',N,T, E, RDE�ST. FEE ;TSO'FF INSPECTION FEE I AAG , W SHIN �T.N. V ECTLY OR IND RECTLY ED ATE RE, ISI IR ISPERM SHALLNOTB, CLAtMSFORDAMAGESOFWH IT E RECEIPT PLAN CHECK DEPOSIT I I A LL E U N I FT FROM THE ISSUANCE OF THIS PER I E E T FANY C TYORDINAN E DU R 1 DEEMEDT AVEOR y RDINANCE PROVISION.' 0 MOO'Zy B" ' F W E E THIC'Ty�`E` RECEI TOTAL AMOUNT DUE 0 NORUMITINANYW APPR L HERE ACKNOWLEDGE THAT' HAVE FEADTHSAppUCA,,.oLNy, THAT THE INFORMATION ay THE G AUTHORIZED AGENT OF AP ICATION d 1,1 ,E OWN. OR HA AM - W- Tonuc. DT T 0"" ' IVEN ... RE AN THE G ws mEGuwiLN.GECCNs 'S '� E L C' H CITY A' T CAL F — P, d L TIIE OW E4 A ET , IN mPL , . Y I N.p RE - 0 'L R D THEREBTY EPSON ItON. WORK AUTH. IIE TO FOR INSP ECTION AN. IN N . NO _ EC, CTON RELATING T Te . WASHN, IN VI L-0 , , HE LABOR CODE 0 F THE S A F 0 CIALS §IGNATUR WORKMEN S COMPENSATION INSURANCE AND RCW 18.27, (425) SIGNATURE IJX "ATE SIGNED 0 DATE (1, 771-022 EDDY EXT 1333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - 'ILE PINK - OWNER GOLD - ASSESSOR A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ,`SB OWNERS, CRYSTAL LANN G 720 DRIFTWOOD LANE EDMONDS 99D2 425 _ 744-1893 N,: 1327 - 033 - OM - OW9 LEGAL! COM SE CORNER GOVT LOT 4 TN N ALG E LN GOVT LOT 4 FOR 138.6 THN N 71'49- 39W W7.23-TOTPB CUNT N7X'49�39�14%0' THN S IS' 10' 21W 7934'THN SELY 149.'THEN LOT -I" z N IS' 10� ZIE 79.M. TO TPB. SEC 13 27 03 (3) WOPY OF PHQffm: RTMOVE TWO ?ICTERIOR WALLS (ONE ABOVE THE OTHER) SPAN WHIINEWDEAMS. NO LOT CHANGES, USE CHANGES, GLAZING CMANGM ALL INTERIOR WORIL zont BUILT: 1972 79.94' . 149.0'- IIA9&sQyr EXISTING FOOTPRINT: RESIDENCE: 1948 SO FF Arr GARAGEt 484 SQ FY DECK 390 SO FT 23.4% 27N SO III HEIGHT CALCS, NIA HEATING FIA GAS (NO GLAZING CHANGES) v 0 ? ITF, FL.4"Ll C A L.F-: I-- -z C, (b L-o-r LOT 13 RECEIVED IPITY copy JUN 18 2001 PERMIT 00UNTER N, RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... wall .......................... . Pier/Porch ................. Retaining Wall Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final HEATING: Gas Test ........... Gas Piping ........... Equipment 7..d Commercial Final EXTERIOR SHEATHING NAILING ................... C) U —0 FRAMING ........................ FIRST FLOOR FRAMING INSULATION .................... Floor Insulation Wall Insulation ........... Ceiling Insulation SIHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. A60 140 0 6 (0 1/ 0 M. ME -4 C), �or M A z 0 M M I St I Z M CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAM �"IAIESS , _ C TAL L-AONi J(F'4-� c MAILINGADDRESS I LA�JF— CITY ZIP TELEPHONE NAM kF,1�51W HA�J*ONI CITY NAME C ADDRESS S 0 [PERMIT EXPIRES USE ZONE PERMIT 'UM EIE97��-4,6129 ADORES PLAT NAM&SUBDIVISION NO. I L-N.. LIb NO. I LID FEE S —�. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Ti . I, In P.—00 EXISTING — PROPOSED— s'—U.- a 0 REOUIRED DEDICATION — REMARKS —.1-11— RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRE REVlEWEDBY DATE EV'lWlDl R A Y FI E CITY ZIP TELEPHONE 'PHO R U VARIANCE OR CU VA R ANC'o C SHOREUNEORADB* SNORUNE 0" INSPECTION C RE '_D . es MG r3y BOND 1POSTED RA STATE LICENSE NUMBER EXPIRATION DATE CHEQXhQ UY COMPLETE I EXEMPT EXP K SIGN AREA SIGN AREA G R ALLOWED I PROP SID HEIGHT ALLOWED , PROPO 10 PIOPE=RCELNO. PLUMBING I MECH E] NEW RESIDENTIAL L I I E LOT COVERAGE ALLOWED � PROPOSED ET REOUIRED SETBACKS III FRONT SIDE REAR T S, PROPOSED SETBACKS (FT) FRONT LIFISIDE FEAR COMPLIANCE OR 0 ADDITION 0 COMMERCIAL 0 COA"GE OF USE REMODEL 0 SIGN [] APARTMENT 0 A z PARKING REG D I PROVIDED LOTAREA 1PLANMNGREII—Illy DAT—E PLA N�' , E CE FENCE REPAIR GRADING CYDS _X _FT) MA K DEMOLISH C] TANK ci OTHER 0 DAM E RETAKININO WALL RENEWAL CAAPGFIT RX ER 0 (TYPE OF USE, BUSINESS OR IN ACTIVITY*po, CHECKED BY ]::PE Typ CTION C;r T UPANI C GROUP ------ -7U;;,ER OF STORIES Z WELL NO NUBEg G�F UNITS I � CRITICAL EAS AR R NU MBE PECIAL �ill ...... 1 1 REQUIRED C] YES ARE OCCUPANT LOAD --6ESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 10WINAL INSPECTION REO'D E 3. U AGL 5 M.A. I m 1, -no- I noA I rvAu 106 - —FROALM VALUATION PLAN CHECK FEE HEAT 1OURCE LOT SLOPF % BUILDING IVESTED DATE PLAN CHEM.',p PLUMBING NZ ECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFiLL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MAROUEES, ETC.) WILL REOUIRE SEPARATE PERMISSION. STATE SURCHARGE PE MIT APPLICATI : 150 DAYS TEE p RK IS STARTED WITHIN 180 DAYS PERMIT LIMIT'. I YEAR" ROVIDEDWOo SEE BACK OF PINK PEnNIIT FOR MORE INFOR ATiON ENG, REVIEW FEES N INSPECTIONFEE C LICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS SSIGNSAN SVC ESORS ;AP N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF ANYAND ANYA D L"D'CA'.PI G ED MONDE. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM A LCLAINIS FOR DAMAGES OF WHATEVER "TURE.ARtSINGDIR TIC N�PEC". FEE RECEIPT FROM THE ISSUANCE OF TH S PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT o DEEMEDTo MODIFY.WAIVE OR REDUCE ANY REOUIREMENT FANYCITYORDINA CE 0 NOR LIMIT IN ANYWAY THE CITY S ABILITY TO ENFORCE ANYORDINANCE PROVISION.' TOTAL AMOUNT DUE sEc IP ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION AP CATION APPROVAL I HEREBY GIVEN I RRECT. AND T AT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF SCo H Th�l appi-tio— .t . 111 "p.. by— THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL Bu,ldmg Offl-I X hl�.� D.PutY: II,,d F — P.,d. TION. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE E D LEMP INVI LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE AT'LOY NG TO FOR INSPECTI i. woRKMEN S COMPENSATION INSURANCE AND RCW 18,27. 1' 0 CIA SEIGNATUR ol SIGNATURE DATE SIGNED (425) Lj 771-0220 ED BY DATE EXT 1333 5�21J ATTENTION TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW ANSPEC101 A FINAL INSPECTION HAS BEEN CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR W96 Z 0 0 m m 0 0 r m m 0 _n .n in rn ri 7 0 0 r ri) m z m