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20010619.pdfDATE RECEIVED Building C CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 0", R NAMEMAME OF BUSINESS H. A. S. C. 0. MAIL NO ADDRESS 12625 4th Ave West, #200 0 i - CITY ZIP TELEPHONE Everett 98204 425-290-8499 NAME 0 Trilogy Groupf Inc. I- ADDRESS 114 Second Ave, #106 CITY ZIP 98 0 1 TELEPHONE Edmonds 02 425-778-2807 NAME Cornerstone Roofing, Inc ADDRESS 20611 Both-Evt Hwy, #152 CITY ZIP 1 TELEPHONE Bothell 0 425-485-0111 STATE LICENSE NUMBER EXPIRATJ04 CORNERI011CM 2/ C] NEW RESIDENTIAL PLUMBING I MECH C] ADDIT C3 COMMERCIAL COMPLIANCE OR 13 CHANGE OF USE REMODEL APARTMENT 0 SIGN REPAIR GRACING CY.S FENCE 11 , X FT) C] DEMOLISH 0 TANK OTHER c GARAGE r-1 RETAINING WALL CARPORT R-KER RENEWAL ITYPE OF USE. BUSINESS OR ACTIVITY) EXPI-Aft rt A a men DER 7.UF F OF DWELL ---E7 BldT- 1.. 87 -`T-AL �-EAEN TORIES 2 U N'T. GIECpL�E WORK To BE DONE Remove existing shake roof and instE has a solid deck. No structural changes. PERMIT EXPIREi2a, ZONE PERMIT ;ZV-6&1e NUMBER JOB SUITEJAPT, A., PILAT NAMEISUBDIVISION NO LID NO f LID FEE S PUBLIC I 131T 01 WAY PER OFFICIAL STREET MAE T-E'F' XISTtNG — PROPOSED- —.. REQUIRED DEDICATION— FT — SIZE 1 1111111, 1 NI-OIRIXIUIES P I REQUIRED YES 0 No 0 RESPONSIBLE FOR EROSION FIRE REVIEWED BY DATE VARIANCE 09 CU SHORELINE 08 ADBI NSP2CTIO1 RE C I "O'DE OSTE OYES ONO SERA REVIEW SIGN AREA HEIGHT COMPLETE EK111T A-.-- PROPOSED ALLOWED PROPOSED I , LO COVERAGE REOUIAEOSETBACKS(E-E) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE FBAR t FRONT URSIDE REAR PARKING LOTAREA DATE RED D I PROVIDED I IPINNINGREVIgEDBY ICHECKEDBY JTY;501CC�TUC�LRN GF�IU7'y I —.—F- " YES I [R.E.A.KS 'DI , ROGRESS INSPECTIONS PER UBC 108/FINA INSPECTIONFIEQ IIL _ - - - — - I PI -AN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE BUILDING loc. PLAN CHE��. 11ES11D DATE PLUMBING CHANICAL THIS PERMIT AUTHONIZES ONLYTHE WORK NOTED. THIS PERMIT COVERS WORK TO , E DONE 0 PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN jCURBS. SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. s TAT E s J R c . A F G E PE MIT AIPLI.ATION� I �0 DAYS PERMIT 1.1— 1 AR; PROVIDED WORK IS STARTED WITHIN 1.0 DAYS YE ENG, REVIEW FEES SEE EIAC K 0 PINK PERMIT FOR MORE INFORMATION ENG INSPECTION FEE 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND succE�ons IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS. WASHINGTON ITSOIIICIAL$. EMPLOYEES. AND AGENTS FROM ANYAND FOR DAMAGES OF WHATEVER ATUEE.ARISING - AULCLAIMS "'ECTLYOR INDIRECTI-Y INSPECTION FEE —RECEIPT I FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS FERMITISHALL NOT BE PLAN CHECK DEPOSIT DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENT 0 ANYCTYORDINANC E NOR LIMIT IN ANYWAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION TOTAL AMOUNT DUE CEIIT I HEREBY ACKNOWLEDGE THAT: HAVE REA THISAPPLICATION THATTHEINFORMATION APPLICATION APPROVAL GIVEN I S CORRECT. AND THAI AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF AND STATE LAWS REGULATING CONSTRUC CALL THEoWNIR I AGREE To COMPLY WITH CITY AUTHORIZED THEREBY NO PERSON VYLLDE EMPLOYED -I, oIi.P.I P, D.FLY .,,F! FVVI — P- TI.N A 1) DING THE WORK L THE LABOR CODE OF THE STAIL OF WASHINGTON RE ATING TO FOR INSPECTION Vp- llk—I.Ig.— PF— 1--d NV,oNDIN LATION OF WORKMENS COMPENSATION INSURANCE AND RCW IS 27 OF DATE StGNAIUIE OWNER OR fEN) SIG14ED (425) LIAL11,111"ATRE 8/27/01 771 -0220 CIE ATTENTION EXT 1333 IT IS UNLAWFUL T06�®R OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFi- ORIGINAL PILE - YELLOW "'SPECTOR CATE OF OCCUPANCY HAS 13EEN GRANTEE). USC SECTION 1 09 FAX PINK OWNER - GOLD -ASSESSOR 1,�B Z M 0M co ITIC, 80 C �c MITI C o,n n M T 0 0 Fn Co K 1:10 - ITI 0 z (n z 0 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED �SETBACKS ................ F06NOATION: Footing ................. Wall Pier/Parch P16taining Wal Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... Commercial Final HEATING: Gas Test ..................... Gas Pipi n g Equipment................. Commercial Final EXTERIOR SHEATHING _N AILING .......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR Clip OCCUPANCY .................. M c N I � I 0 C, Ir., !� 1 M ITI 10 5:0 ofn ITIM IT, C r. Iwo 0 z 9 1 1171 RECEIVED B,atl'dfhg C CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNERN MENAME OF BUSINESS H.A.S.C.0. C MAILINGADDRESS 12625 4th Ave West, #200 CITY ZIP ITELEPHONE Everett 98204 1425-290-8499 NAME Trilogy Gro p, Inc. ADDRESS 114 Second Ave, #106 CITY —711 TELEPHONE Edmonds 98020 1 425-778-2807 NAME Cornerstone Roofing, Inc ADDRESS 20611 Both-Evt Hwy, #152 CITY ZIP 98 11 1 TELEPHO E 8 Bothell 0 425-485-0111 STATE LICENSE NUMBER EX7ATIO 0 24g[ CORNERIOIICM 2 PERMIT EXPIRES US' PERMIT ZONE 'UMIER;V�/_ 10&j JOB Al. A PLAT NA.E1SU.DI L NO. .�. FEE $ P BLIC RIGHT OF WAY PER OFFICIAL STREET MAP U P.— R-1. EXISTING — PROPOSED — REQUIRED DEDICATION— FT METERSIZE I LINE SIZE .1 FIXTURES PRV REQUIRED YES 0 NO 0 [:] NEW 15IDENTI: POLUIVIINO I MECH 0 ADDITION 1� .MERC C UPLIANCE OR CHANGE OF USE C] REMODEL SIGN 0 REPAIR 0 GRADING CY.E FENCE Fr) F1 DEMOLISH 0 TANK OTHER C, F GARAGE REIAI...'..WALL RENEWAL C] 0 CARPORT ED. Y (TYPE OF USE. BUSINESS OR ACIIVIM EXPIA,W: .Apartmen NUMBER . OF 2 I N 0 FITICAL N STORIES L DESCRIBE WORK TO BE DONE Remove existing shake roof and insta FOR FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR ADB4 INSPECTION RE 'D I BOND POSTEC C3YES C3NO SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED P.11P11E1 �Xp I I , LOT COVERAGE REQUIRED SErBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJASIDE FEAR PARKING LOTAREA OWE REDD I PROVIDED I JPLANNINGREVIEWEDBY 011 ICHECKEDOY ITYP, 9— 1 1-271 IpIC—I'Al _1� ;011 EQU RED EC S 11REA OCCUPANT LOAD � I I Illreac, new 40-year composition. Ilread ctural has a solid deck. No structural changes. VALUATION FEE PLAN CHECK FEE HEAT SOURCE O1.AZING LOT SLOPE % BUILDING PLAN CHECK NO: IVESTED DATE PLUM81NG MECHANICAL ............ . THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO BEDONEON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TNE PUBLIC DOM M AIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. — GRADINGIFILL STATE SURCHARGE PERMIT APPLICATIONt 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES S APP A NGJC�NALFOOF No OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS 4 1 LC NTi 0 4MNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EST N NTE ES A :NO T 0 ADEN FF ANYAND E NO A TS OFFICIALS, EMPLOYEES. AND AGE I OMO S.W - S I GTO . NTSFROM m I 'LY F DIRE �FE ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE,ARIStNG CTLYORINDIRECTLY 2 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE FANYCITY ORDINANCE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENTOF ANYCITY ORDINANCE NORUMITINANY NY ORDINANCE PROVISION.- WAY NE CITY S ABILITY TO ENFORCE ANY I SPECT'.N FEE E INSPECTION FEE �APN' LANDSCAPING I P C".N FEE INSPECTION FEE PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNT DUE in TOT L AMOUNT DUE CEIPT i HEREBY ACKNOWLEDr E THAT: HAVE READ THIS APPLICATI ON; THAT THE INFORMATI GIVEN S CORRECT, AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE 0 NER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. ION; NO IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Z IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING 10 N CALL FOR INSPECTIO N APPLICATION APPROYAL 8uijTN..PPIi.I Zg 0`6.1 ' h,�. O.puty:.I,dF..p.dd ..'PI 1, llkl=ged in 1p� P�I&d. 'A O']�Ls s"NAT RE 0 WORKMEN S COMPENSATION INSURANCE ANDRCW 18.27. (425) 771 -0220 SIGNATURE (OWNER OR IFEN11 ':;� E SiGNED 8/27/01 RELEASE68q ' bATE ATTENTION //'�/ , r-Al Joao IT IS UNLAWFULToUist OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 1 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 z 49 6; � I , M In 00 q 0 1C M 0 0 M M a 0 6 Fn a cl) C CIO M 0 Z z 0 0 M