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20010621.pdfPERMIT EXPIRES US' P CITY OF EDMONDS ZONE '08 SUITEIAPT. CONSTRUCTION PERMIT APPLICATION ADDFESS PLAT NO LOT 10 LID NO, LID FEE 5 WILING ADDRESS PUBLIC RIGHT OF WAY PER OIIICI�L STREET MAP EXISTING — PROPOSED— P-q—d CITY REQUIRED DEDICATION— FT NAME METER SIZE LINE El;�'�OF FIXI�S P V REOUIRED I _ . I YEIS 0 NO 0 ADDRESS LL R -.AP. OWNERIGONIRACTOn RESPONSIBLE I.R IIPOEIG� CONTIOICRAWAGE TELEPHONE NAME k�l TANK Fil -MOVAL, OR CAP I 1- gP ENGINEERING REVIEWEDIDATE C ADDRESS 0 16rx 3112,R9 FIRE REVIEWED BY DATE CITY ZIP TELEPHONE c96fj-,!!;Ze?- 4' 7 VARIANCE OR CU SHORELINE OR ADB4 INSPECTION REDO EjYFs rlNO BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE R(- co c lew�r R I CHECKED By SEPA REVIEW COMPLETE I EXEMPT IiXp SIGN AREA ALIOWID I PROPOSED HEIGHT AL OWED 'Ropo... PROPERTY TAX ACCOUNT PARCEL NO. e5w /,v/ M0 0 C] NEW RESIDENTIAL 0 PLUMBING f MECH LDTCOVERAGE ALLOWED PROPOSED REQUIRED SETBACKS IFt) FRONT SIDE REAR PROPOSED SETBACKS (P-0 FRONT UPSIDE REAR 0 ADDITION C] COMMERCIAL COMPL ANCE OR CHANGE OF USE PARKING L.TAREA _rNING REVIMED By DATE F] REMODEL 0 APARTMENT SIGN RED D I PROVIDED 0 REPAIR C] GIAOING �YGE 0 'IENCE REMARKS DEMOLISH �TAN 0 . IHER G R G4 FOC F.2 WALL E3 RENEWAL C CA A RETAKIN ARP P (TYPE OF USE. BUSINESS OR ACTIV GRECKEDBY JTYPE��- oc IC CU- �Rou, I NUMBER 'o STFO R I E S OF lUllE'G DW LLIN UNITS C R ITICIL AR EAS NU NEER SP UA C] YES 0GE"A", R EEQC RLEIDN5PECTGR JARIA LOAD DESCRIBEWORK TO BE DONE W— , N, ,�4ttA eve, REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D Fill Al�? VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZIN. I LOT SLOPE % BUILDING PLAN CHECK NO: ­TED DATE PLUM51NG MECHANICAL THIS PERMIT AUTHOR IZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONST, RUCTION ON THE PuBU c DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS . MARQUEES. ETC.) WILL REQU ME SEPARATE PERMISSION. RA IN., rGRADINGfFILL ��FCHARGE PERMIT APPLICATION: NIB AS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES 'A 'APPLICANT. ON BEHALF OF HISOR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS AMLESS THE CITY OF N INTER: T. AGRE E­FY. DEFEND AND HOLD HARMLESS THE CITY OF I DAOND WASHINGTON. IT OFFICIALS. EMPLOYEES, ANDAGENTS FROM ANYAND ILLCLAIMS FOR DAMAGES 0 WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY R M THE ISSUANCE OF THI PERMIt ISSUANCE OF THIS PERMIT SHALL NDT BE o DEEMEDTo MODIFY, WAIVE OR �EDUC EANY REOUIREMENT OF ANY CITY ORDINANCE N ENFORCE ANY ORDINANCE PEQllllCN.. OR LIMIT INANYWAYTHE CITY SABILITITO IN.. INSPECTION FEE LANDSCAPING FINSPECTION FEE PLAN CHECK DEPCSIT TOT L U 0 N T DU TOTAL AMOUNT DUE RECEIPT IHERED Y ACKNOWLEDGE THAT I HAVE READ T�ISAPPUCATION. THAT THE INFORMATION GIVEN IS CCRRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THEO,NNEA $AGREE 70 COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC TION. AND IN DO NO THE WORK AUTHORIZED THEREBY. NO IERSONWILL BE EMPLOYED IN VOLAT 1 0 OF THE LABOR CODE OF THE STATE 01 WASHINGTON FELATING To CALL D I, F­ — F­ . . . ., A_�_ P _�. _,._ FOR INSPECTION WCPK.ENSC011F­AT­ INSURANCE AND RCW 1821 ll�l - (42,15) L=� rng Ll—j 1 .-Z,, ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL IN S PECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ORIGINAL FILE YELLOW INSPECTOR PINK OWNER GOLD -ASSESSOR z 0 0 zo 0 m c mo 0 -q 0 .0 C Fn m z 0 -n m M 0 0 Fn M 0 z z z 0 m Filco Company Inc. Lic, # FU-COCIO80RU EXP. 10/10(o P.O. Box 31228 IFCI License-adw-13--o 3— Seattle WA 98103 City License#_, 206-547-8347 OB SrrE ADDRESS: &-akw'A 46ME OWNER: qIf;AIVF1? Ef%7-0 CXit - MW ADDMS, g.41n P- PHONE: �42 A�J-4 IJM MfA[,;V3.,1 wepla and Fill) U9 �—Y yuretbane oam. Pump & clean ow.30 gallon underground oil tank. Fill with StructUld Pot F cut off or remove vent and filler pipes and cap them permanently bet— grade. (pump Clean and Cap) Pump & clean one gallon underground oil tank. Cut off or remove vent and filter Pipes and cap them permanently below grade 0(p .emoaj) pump out one gallon underground oil MnIL Excavate and remove tank then back fill hole and dispose of tank in proper manner. Vj Sm m 0 C, m 0 M 0 ri C& 0 M I TO: — DATE: IVIEMO TO: P7EV IN Top, BUILDING DIVISION FROM: FIRE DE PARTNEENT DATE, ENGINEERING DIVISION DATE — PLANNING DIVISION DATE— PROJEC SITE ADDRESS- pERmrr#--L&—Q1-L�(,2- —ADB#-----DATEINsPEcTFI) DESCRIPTION OF WORK TO BE IRWNSPE L)5Tl- 86�60A,(-M A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the granting of: �Final approval of the described work iated with the project may be released Bonds assoc _,.�—GRANT FINAL �ROJECT APPROVAL ' osi) _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED ___--YAILED FINAL INSPECTION - OUTSTANDINdISSUES 1. 2. 3. _______jtE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:t��:bldg:forms6/98 z 0 1 0 ITI -4 0 0 0 C M M Z ,0-4 C: > o -n n I 3: M M M P z -4 z 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED .�SETB��IKS FOUNDATION: Footing ........... Wall .......................... PledPorch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... Commercial Final HEATING: GasTest .................... Gas Piping ................. EqUIPMOnt 4 commercial Final 0... EXTERIOR SHEATHING NAILING ............... ; .......... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. Z� 0 d. C) Rim Irn 0 M Z In rn jai Fn co ZL M DATE RECEIVEDe/, (� 7v CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER N MEINAME OF BUSINESS C III': ". "t-'n g::,<- T. -r,':!' W.4 72 MAILING ADDRESS ZIP P= ADDRESS & I / CITY ? �l ]TELEP ��'E NAME IC;l C CIT ZIP TftSPHON� ':�* 4 _)t a 1/6 V/, I 2o,(- ,�40 -Al 41 7 STATE LICE BE NUMBER ,51-t ra r / a E,� mh� 0 NEW 4 RESIDENTIAL 0 PLUMBING I MECH 0 AUDITION 0 COMMERCIAL o COMPLIANCE OR CHANGE OF USE 0 REMODEL 0 APARTMENT 0 SIGN 0 REPAIR 0 FACING C'.S 0 FENCE F_I OTHER 0 DEMOLISH )(—K o 0 CARA ' GARPORT 0 RETAININGWALL — ROOKERY 0 RENEWAL NUMBER 1111IR ­IICA 0 DWELLING UNITS AREAS NUMBER MIT AUTHORIZES ONLY THE W RK NOTED. THIS PERMIT COVERS WORK T THIS PER 0 V C BE DONE ON PRIVATE PROPERTY ONLY. AN CONSTRUCTION ON THE PUBLI GOMAIN (CURBS. SIDEWALKS. DRIVEWAYS ARQUEES. ETC.1 WILL REQUIRE, SEPARATE PEZISSION PERMIT APPLICATION: IBODAYS PERMIT LIMIT. I YEAR . PROVIDED WORK IS STARTED WITHIN 16D DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;APPLICANT. ON BEHAL OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESOR IN INTEREST. AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE Clly G I EDMONDS,WAIIII�I.ITOI TFS�.FF�.IAL�..MILOYEE�.�ND�.E�T�IROM ANYAN X VIER ATURE, ARISING DIRECTLY OR INDIRECTLY ALLCLA'M FORD GE,G HATE IN MIT. S UANCE OF THIS PERMIT SHALL NOT 8 FROM THE ISSUANCE OF THIS PER S 'EOUIREMENTOF ANY CITY ORDINANC DE'ME.T. GGIFyWA.E OF REDUCE Ahl� N -" 1 PERMiT EXPIRES i6�E P '50 PERMETpQ& NUME, 'OB SLI111AIT' ADDRESS A /,I" �?,' _ X_ PLATNAM�tBDIVIMNNO. LOTNO. LIDNO LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP '—w— u PIZ 1441 103 EXISTING — PROPOSED �— M. =1 l.=. RR-�' [03 Am UIRED DEDICATION— FT � wu="=. METER SIZE LINE SIZE NO.OFFIXTURES PRV REQUIRED U I I YES 13 NO 0 3 I REMARKS RESPONSIBLE FOR EROSION CONTROUDRAINAG9 OWNEFdCONTaLCTOR VIALMARSHAL-- FrK E _NT FOR 5 11 PRIE '70 'MOVAL OR CAP t I fftMoVo A K Fl L, ENGINEERING .... EDIDATE IF REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADO# INSPECTION REO'D IPSOND STED tFIRS 0 VES ONO SEPA REVIEW C COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED , PROPOSED P I EXP LOT COVERAGE REQUIRED SETBACK$ tFT) PROPOSED SETBACKS (Fr.) AIIOVIED PROPOSED FRONT SIDE FEAR FRONT URStDE REAR PARKING IR!Y DATE REDD IFIOV iDED k I Ks— CHECKEDBY FRUCTION 11C D OCCUPANT ITYPEr GROUP TOR OCCU T JAREA REQUIRED YES E] LOAD REMARKS PROGRESS INSPECTIONS PER UBC i0afFINAL INSPECTION REO'D VALUATION FEE PLAIN CHECK FEE MECHANICAL 0 GRADINGIFILL VrATE7SbRCHARGE ENO. REVIEW FEES s ENO. INSPECTION FEE I. LANDSCAPING 0 INSPECTION FEE CEIPT E E 0 NORUMLT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISIG, TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE OULY AUTHORIZED AGENT OF THE OWNER I AGRE E TOC MPLYWITHCITY ND STATE LAWS REGULATING CONSTRUC THEREBY. NO PERSON WILL BE EMPLOYED CALL TlON; AND IN DOING THE WORK AUTHORIZED IN VIOLATION OF THE LABOR CODE 0 THE STATE OF WASHINGTON RELATING TO FOR INSPECTH WORKMEN S CO:��IONI INSURANCEANDRCW 1&27� SjGNAT4PK'jftNE / (425) 771-0220 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- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX B."_0 0146.1 ol hi�.' .,d F­ .. F.W.. .�d _­t IF .�k­'.�pd.n p.. p—W.'! j I DATE ELEA$E GAT ORIGINAL -FILE yE,,GW mlPECTOR X PINK - OWNER GOLD - ASSESSOR 0 om ar m 0 J. m m 10 a om .n M M Fn_ 0 z 0 m