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20010660.pdff 4 46 ?Bl d" 9 E D .. RECEIVED q110 10 PERMIT EXPIRES f— USE PERMIT CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ZONE RM1 . 5 NUMBER2-M1-LQL0L-) JOB SUITPAPTO ADDRESS 23326 Edmonds Way &-be? f_; 0 NER NAMEINAME OF BUSINESS Hasco PILAT NAMEISUBDIVISION NO. I LOT NO� L . ,�D N D EEE S MAILING ADDRESS 12625 4th Ave West, #200 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED - REQUIRED DEDICATION— FT P P .S,I,;.t U.. P.,., _-R.1-d 0 S.—II, 0 WII`� E3 CITY ZIP Everett, WA 98024 TELEPHONE 425-290-8499 NAME METER SIZE I LINE SIZE I 10.01FIXTURES PAV REQUIRED YES 13 No C3 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION C.NTROLIDRAINAGE —Approved per conditions for #2001- CITY ZIP TELEPHONE 0550 Edmonds Highlands NAME Cornerstone Roofing, Inc. ENGINEERING AEVIEWEDMATE ADDR SS 20611 Both-Evt Hwy, #152 FIRE REVIEWED BY DATE CITY ZIP Bothell 98012 — ITEL PHONE 425-485-0111 _F_ STATE LICENSE NUMBER EXPIRATION DATE CORNERIO11CM. 2/02 CHECKED BY VARMICE an CU SHORELINE OR ADS# Admin AP INSPECTI ON "YES (NNO D PSOTNED SERA REVIEW COMPLETE I EXEMPT IEXP SIGN AREA ALLOWED I PROPOSED EIGHT ALLOWED I PROPOSED PRO ER� TAX ACCOUNT PARCEL NO. 5553 001 003 00 NEW C3 RESIDENTIAL 0 PLUMBING / MECH C] ADDITION 0 COMMERCIAL [3 C MPLIANCE OR CHANGE OF USE D REMODEL FC] APARTMENT E] SIGN 0 REPAIR E] GRADING CYDS o (FENCE X FT) _ _ C] DEMOLISH E] TANK ffj OTHER reroof o GARAGE RETAINIPtO WALL RENEWAL CARPORT LOT C VERAGE ALLOW60 PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SMACKS (Fr.) FRONT URSIDE REAR PARKING REOD I PROVIDED LOT A E PLANNING REVIEWED BY ATi A. I 6 &gf2d�-- D as�phalt, approx. samel I -_ ROCK. color. (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: C.ECKEDSY JTI;� A�GNSJ T CODE 10 NT Apartment 97 GROW NUMBER NUMIEROF CRITICAL OF DW a STORIES 2 UMIELLIN AREAS A SPECIAL.1,NSPECTOR JAREA OCCUPANT T CO S 8 bldq NUMBE N/A R . UR I LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO' Remove shake roof, Install 40-year Edmonds Highlands - See permit 2001 composition. Already has a solid 0550 for planning waiver. deck. No structural. UATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING LOT SLOPE % BUILDING 32,400 574a, PLAN CHECK NO: IIESTIO DATE PLUMBING MECHANICAL THIS PERMIT AUTHO IZES 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. MARQUEES . ETC.) WILL REQUIRE SEPARATE PERMISSION. K) PE MITAPPLICATIM 18DDAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS N. "`E S NG. REVIEW FEES U SEE BACK OF PINK PERMIT FOR MORE INFORMATION I_"`W [-E =o�N 'APPLICANT, ON BEHAL OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS N NBP..T. F FE ENG. INSPECTION FEE G IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING LANDSCAPING I EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM YAND P -T INSPECTION FEE I NS E I NFE z RECTLY A LCLAIMS FOR DAMAGESOFINHATEVER NATURE. ARISING Di ORINDIRECTLY L �RECEIPT FROM THE ISSUANCE OF THIS PERMIT. SSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMEDT MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY C T, ORDINANCE N C' P'oV'Sj 0 NOR LIMIT IN ANYWAY THE CITY S ABILITY TO ENFORCE ANYORDINA 'o ' I— AEC TOTALAMOUNT DUE AT,"N I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL NT OF GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF TRUC THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CDNSTRUC. CALL TI,.1 o' ED TION AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOY ED d1lo Off,i 11 M11 D1P,IY ,d F — D14 IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN S COMPENSAT9>4NkURANCE AND ACW 1&� 7. OFFICIALS SIGN D TE SICNATURE10AINCADFVIGENT) SIGNED E G (425) //./0/ 1 f I _w� AtLEASEDBY ATTENTIO�r_,/_ EXT 1333 IT IS UNLAWFU�,�USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 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 5- z 0 0 0 M RIO 0 80 a MM o -n n M M 0 0 6 Fn M z 0 j 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SErBACKS ..................... FOUNDATION: -Fooling ........... 14 Wall rplertpoich Retaining Wall ........... Stab Insulation .......... PLUMBING: Underground ............. Roug h-In ................... Commercial Final HEATING: V� Gas Test ................ !.— Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. NO- 9A 16A OK N g . off! . d DATE A1.EI11D PERMIT EXPIRES ME PERMIT / CITY OF EDMONDS NUMBER2-X)' btoO_ CONSTRUCTION PERMIT APPLICATION JOB SUIIEI�11- ADDRESS 23326 Edmonds daU 4;5w-) E_�� OWNER NAME/NAME OF BUSINESS PLAT NAMEJSUBDIVISION NO LOT NO L�D N Hasco L 0 FEE S 1. MAILINGADDRESS d 12625 4th Ave West, 1200 P BLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 EXISTING — PAOPOSED� CIT ZIP TELEPHONE REQUIRED DEDICATION— FT A—. Ellwadt, 4A 98024 425-290-3499 =� PAY EOUIRED NAME (ES 0 NO 0 K ADDRESS A MAN S OWNMO Approved per conditioris f 2.r #2001- CITY ZIP TELEPHONE 0550 Edmonds Highlands NAME Cornerstone Roofing, Inc ENGINEERING E iDATE ADDR SS C, 20611 B.th-Evt fl.y, 0152 FIRE REVIEWdWVjVjt_ I JELf DATE z CITY TEL PHONE jobN r .0 Bothell 98012 425-485-0111 4: 1 . t. VARIANCE OR CU SHORELINE OR ADD. INSPECTION 6 NO PGRTFD 71 STATE LICENSE NUMBER q DATE - CHECKEDBY Adm n AP i OYRE..&N6 CORNER1011CM 2102 SIGN AREA HEIGHT SERA REVIEW COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED PRoPEATNTAXACCOUN PARCEL NO. , 5 5 3 (), 003 00 LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Ft.) SIDE REAR M C rn 0 0 [3 NEW REG14ENTIAL 13 CO] LUMBING I MECH ALL ED PROPOSED o' FRONT SIDE REAR FRONT ILIA 0 E] ADDITION 0 COMMERCIAL C MPLIANCE OR CHANGE OF USE DATE C PARKING LOT, PROVIDED M M [3 REMODEL APARTMENT SIGN FENCE REPAIR x FT) Em DEMOLISH [3 TANK OTHER 0 rero f 1 -Wood shake to asphaltr approx. same. GARAGE RETAINING WALL 0 CARPORT 13 RoCKERY_ 0 RENEWAL color. 0 -n -n (,,pE OF USE. BUSINESS OR ACTIV17) EXPLAIN: CHECKEDBY s OCCUPANT A pastment ITYPEOVON _ re roWK A.Up� 1CODE I 7 M M NUMBER MBER G DWELLINo F CRITICAL AREAS SPECIAL INSPECTOR JAREA I LOA U NT 0 OF 2 STORIES U.— 8 blda S A '411 NUMBE REQUIRED C] YES 0 DESCRIBE WORK TO BE DONE REMARKS !INSPECTION C: rj) K Ca PROGRESS INSPECTIONS PER UBC 1081FINAL REQ'D E M C) Remove shake roof, install 40-year t 001_ 'er.i7 Edmonds Highlands - see permit.2001- composition. Already has a solid 0550 for waiver. ;D planning deck. No structural. z VALUATION FEE z PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING 32 400 5762. M PLAN CHECK NO: rESTED DATE PL MBING MECHANICAL o THIS PERMIT AUTHORIZES ONLY THE W RK NOTED. THIS PERMIT COVERS WORK TO TION BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUC ONTHEPUBLIC GRADINGIFILL U DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS' MARQUEES, ETC.) WILL BEG IRE SEPARATE PERMISSION. L STATE SURCHARGE PERMIT APPLICATION! Isoms PERMIT LIMIT: 1 . PROVIDED WORK IS STARTED WITHIN 18D DAYS ENG. REVIEW FEES SEE B.VR PINK PERMIT FOR MORE INFORMATION B S SUC -A ESO S PLICA K: HIS OR H US HEIRkASSIGN ML TH ITY ENG. INSPECTION FEE OINDEMN, NO NO IN NT R T E F 2' E CI�NDS WAS INGTON. ITS OFFICIALS., EMPLOYEES. A A N A E AULCLAIMS FOR DAMAGES oFWKATEVER,NATURE. ARISING D11 ECT R N THE ISSUANCE OF THIS PERMIT. SSUANCE OF THIS PERMIT HALL NOT E PLAN CHECK DEP�S,T` RECEIPT FA M DEoEMED OMODI CE ANY REQUIREMENT OFANY CI YORDINA E FY, WAIVE OR REDD NOR LIMIT IN ANY WAYTHECITY'SABI LITY TO ENFORCE ANY ORDINAN TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATI N APPLICATION APPROVAL GIVEN IS CORRECT AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF T EOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- Thl�,pplicMion 1, .1 A PS"11 UVIa d4g�ifdby III. CALL TH ;AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED ION RELATING TO OR INSPECTION , N VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'S COMPENS=AANCE AND RCW 1B 7. (425) SIGNATURE (OWNER 0 DATE SIGNED 1 771-0220 EXT 1 333 AFFENTIO IT IS UNLAWFLIPTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 X A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK . OWNER - GOLD - ASSESSOR FAX