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20010685.pdfDATE RECEIVED I I �V PERMIT EXPIRES CITY OF EDMONDS USE PERM T ZONE NUMEIIER,"/-,�Jll/e CONSTRUCTION PERMIT APPLICATION E APT JOB SUITJJ:j�� ADDRESS Ow ER NAM"AME OF BUSINESS PIT NA..IEUMGIlISh.N NO LOT No LIDNO, MAILING ADDRESS LID FEE S d 0 0 a0031 MAP46' L�00,b blZ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Tp _ __ U. 00 CITY Zip TELEPHONE EXISTING — PROPOSED 0 A 0 go-z 4427 6-)3 aLill REQUIRED DEDICATION FT NAME METER SIZE LINE SIZE NO OF FIXTURES PRY 7 'RX p RV REOL I . , YES . NO ADDRESS REMARKS OWNEMONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE aurr. QAe say-w rp papwo- CITY ZIP ITELIPHONE "062 0t#WX--ofAC6. NAME Aw up-wauN Aurmu 4 -%AsA 6�e*s 5e/vGe_-lL cofv_sTfz4cTIoL,` ENGINEERING 11 ADDRESS 00 OX -) 3 0 'gellElEll -A 'CITY FIRE REVIEWED BY DATE Zip TELEP ONE STATE LICENSE NUMBER EXPIRATION IE CHECKED BY VAR Rcu SHORELINE OR ADEW N-1 INSPECTION RE BONO F�D E3YESQkN. PROPERTY TAX ACCOUNT qCEL NO. SERA REVIEW EXEMPT SIGN AREA ALLOWED PROPOSED �� HEIGHT ALLOWED PROPOSED -up I Y, — av I In' I LOT COVERAGE REQUIRED SETBACKS (PT) "T PROPOSED SUGACKS(�.) NEW �&J�I.ECH ALLOWED PROPOSED 'tI�o/n FRONT SIDE REAR UP SID E REAR FRONT R ADDITION o C OR ol k�sl to, 40 It 4 COMPLIANCE HANGE OF USE PARKIN LOT AREA PLANNING REVIEWED BY ATE Cil" REMODEL 0 SIGN D I P ROVIDED n It -1 I 0 REPAIR GRADING 1:1 CVDS ENCE 1:1 FT) C] DEMOLISH 0 TANK 0 OTHER .4"'A ET CARPOG R ETAK"NG WALL ER 0 RENEWAL . F (fYPE OF USE. BUSINESS OR ACTIVITY) EXPLAUN: NUMBER 0 CRITIC OF STORIES 21 DWELLING UNITS AREAS NUMBER oi- lol DESCRIBE WORK TO BE DONE r-o-wear 2. r-AIL c-AgroA.7' r -70 /-)o sf c>f /;O,-s c4l A/d- -W 0. CHECKEDBY JTYP��STRUCTION I C4F71 OCCUPANT GROUP REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO' F: VALUATION FEE Fl-ANCHECKFEE LOT SLO % T SLO GLAZING % PE SO LO! H T4A !DOATE BUILDING BUILDING �� I .5 I I 6 I I LAN CHEC - 1 PLUMBING ,Fy'. 4 _ 1� 2 MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO — BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU BUC GRADNOIFILL 2 0 WAYS' MARQUEES, ETC.) WILL REQUIRE OMAIN (CURBS. SIDEWALKS, DRIVE SEPARATE PERMISSION. STAI ESURCHARGE PERMIT APPLICATI .: 113t) BAYS DAYS 60 PERMIT LIMIT. I YEAR . PROVIDED WORK IS STARTED WITHIN 180 SEE BACK OF PINK PERMIT FOR MORE INFOR.AYION ENG. IN$PECT(ON FEE 160 ON BEHALF F HIES OR HER SPOUSE� HEIRS, ASSIGNS AND SUCCESORS ;APPLICANT. N INTEREST. AGREES TO IND MNIFY. DEFEND AND HOLD HARMLESS THh 11, 1 - LANDSCAPING a EDMON EMPLOYEES, AND AGENTS FROM ANY AND D5,WA HINGTON, $TSOFFICIALS. IF RE.ARISINGOIR TLYORINDIRECTLY FOR DAMAGES CF WHATEVER NATU EC INSPECTIOIJ FEE CE7 . ALL CLAIMS M FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PEAMIT,SNALL NOT BE PLAN CHECK DEPOSIT IR 7 17,-� 1 4101tr — I 0 DEEMEDT MODIFY. WAIVE OR REDUCE AN' REGUIREMENTOF ANY C Tl ORDINANCE 0 NOR LIMIT IN ANYWAY THE CITY S AWLITY TO ENFORCE ANY ORDINANCE FROVIS,- TOTAL AMOUNT DUE IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT HE INFORMATION APPI ICATION APPROVAL GIVEN IS CORRECT. AND THAT I A. THE OWNER. OR THE DULY AUTHORIZED AGENT OF CONSTRUC Th., 01-111111 h1t I F11111 llht llglld by Ihe THEOWNER I AGREE TO COMPLY WIT. CITY AND STATE LAWS REGULATING THEREBY. NO PERSON WILL BE EMPLOYED CALL d., on.-- h—, Dep,ly-d Foes af-ald-d TION, AND IN DO NG THE WORK AUTHORIZED " -LATING TO OF THE LABOR CODE OF THE STATE OF WASHINGTON RE .pl,kht,dg,dl FOR INSPECTION P P& N LAT ON I VIO I WORKMEN S COMPENSATION INSURANCE AND RCW IB 27 I DATE DATE SIGNED (425) [SIGNAT �WNER 2_5 -0 Ir I -ur-" -RELE7DB ATTENTION EXT 1333 A UILOING OR STRUCTURE UNTIL 1 IT IS UNLAWFUL TO USE OR OCCUPY 771-0221 A FINAL INSPECTION HAS SEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INS;ECYO'R X CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5ISS z 0 M c M 0 80 c ITIM 0 _n M M 0 0 o Fn C (j) C ca M 0 z z 0 d 0 ITI q FINAL PROJECT APPROVAL FORM TO:_ DATE: — MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE- 10 (L�esciqi— ENGINEERING DIVISION DATE—jq(Q �01 PLANNING DIVISION DATE— PROJEC SITEADDRESS pERMrr#_16ILafi6e,�'_ADi3#_______PATEINSPFCTED--!��10 �6 DESCRIPTION OF WORK TO BE INSPECTED JiNhb, 6MR2@1 (OWS)e=�J approval A field inspection was conducted to determine rmal compliance with approved plans. Final denotes that there are no objections from the above signed Department to the release of PERFORMANCE BONDS and the granting of: GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED a Copy of CONDITIONS given to owner/contractor by inspector fl FAILED FINAL INSPECTION - OUTSTANDING ISSUES u Copy of CORRECTION NOTICE given to owner/contractor by inspector 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign__, ocaprvl.doc.l:temp:bldg:formsIO/OI z 0 M M 0 -1 0 0 0 rn M z 10 -1 C -2 C', o -n n -4 M M 0 0 0 M M 0 Z X z z 0 i 0 M Mk MCI 10 0060 -70bbO 33OZ- j04 ICY 1DZ lot Asft4 4 ))(16 gupqtq too 41� too IT CAI- 9t------ C)cl.$,rjvc, A 9,1 M) 4.93 A V& + D&aK -ao-3 1,64% 9,2- 990 EjAftaVIDL 4-&4 0At6Z:lK6" 121 1 G*L't.,-3 do AaA&& cyo APPROVLb-kS NOTED I-1q - "K 00 BY ENGINURING xlvt�liv I A—erl� AF PROVED By PLAAMG 7 1 ADD �UTTEFISMOWNSPOUTS ND SPLASHBLOCKS Tr RECEIVE! fig NIE JUL 2 6 2001 0DELONAST SLRV'CESS cjTY OF EDMOND SIDE REAR —,;o OTHER'--Mat� HEIGHT-a.S-'- CITY COT M. :44 Ems 0 m rfi. P. n RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDAMON: OW pa,1r, Footing..................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Stab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final HEATING: GasTest .................... Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHIN G L o —0>-0 NAILING ................... FRAMING ........................ ;FIRST FLOOR FRAMING IV 4S-01 INSULATION ................... Floor Insulation Wall Insulation ........... Coiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... _�PNAL APPROVAL FOR CCUPANCY .. ............... mor- 015ts z 0 0 M -n M M M fn rn Fn C), z M P�RMIT FXPIRES CITY OF EDMONDS PERM T UM IN 8ER4,V e6 PERMIT APPLICATION Bull E/APT CONSTRUCTION ADDRESS 9VV_NEA :MENAME OF BUSMESS PLAT NAMEISUBDIVISION NO. L NO, LID NO T r A e__ LID FEE $ MAILING ADDRESS PUBLIC FIGHT OF WAY PER OFFICIAL STREET MAP F.W CP AP-0 0 P A-- S'.. J.. P.— n_ 00 3) IhA P4 6 V-Joo CITY ZIP EXISTING — PROPOSED 1—— 0 S ITILEPHONE I_6), 9 L4 I E 1) D s REOUIRED DEDICATION FT METER SIZE LINE SIZE V AxNAME YE ADDRESS . . . . . AE� REMARKS ROSION CONTROUDRANAGE OWI NEMONTRACTOR RESPONSIBLE FOR EF (ST. !�me C-0. CITY ZIP ITELEPHONE NAME AW 4 _%ASsA 510C*S cotvsTA4 cTop;.�) ENGINEERING /�F1I11Dll a ADDRESS a ox FIRE REVIEWED By DATE CITY zip TELEI I'll INSPECTION BOND. STATE LICENSE NUMBER EXPIRATION DATE SHORELINE OR ADEIN VAP<�OR CU AB_gf STE� N.-I N z w _ YFR NO _!4 - W�_v �"F 211xglow SERA REVIEW HEIGHT 0 PROPERTY TAX ACCOUNTPARGEL NO. COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 9,D1 I m 00 50j>-7 0000 3302 X >l. - A SIDENT1AL Ng;j>.CH LOT COVERAGE .1 REQUIRED SETBACKS pROPOSEGSETBACKS (FT) w ALLOWED PROPOSED, FRONT SIDE REA(V FRONT A SIDE REAR . I , I I 0 MPLIANCEOR in I lol lo' 40, 1 ah-G om COMMERCIAL CHANGE OF USE o — DATE ...... I P ING REVIEWE 0 a a PARKING OT ED Al 0 APARTMENT SIGN �AREA R;l GO PROVID 5 ........... 0 C3 GRADING FENCE 0 REPAIR CYDS X FT) KA � rn m E] DEMOLISH C] TANK OTHER IN z -q GARAGE RETAINING WALL AENE�iAl_ CARPO IN QXEAY C] 2 IS P PEOFUSETBUSINES EXPILAIN: Occu CHEMED BY TYP 6 C NSTRUCTION PAN .p "Of) 77A /- AD P I G U 77 1 NUMBER NUMB OF DW ER CRT ELLING AREAS ARIA OCCUPAN LOAD o"n r � OF , A C) I ? o' STORIES I NUMBE REOUIRED YES DESCRIBE WORK TO BE DONE co"ve'ur 2- r- A e-A a O-OfL T S �70 d GRXS m A'RM G JESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REGT m M 0 0 c: ep.Iased R" I I oll q4 mo -1,P&V7, r7n% US4 `LL 'Ll FEE PLAN CHECK FE5�, HE�TW�CE GLAZING % LOT SLOPE % �BUILDING 49 N 0 VESTED DATE PLAN CHECK NO: PLUMBING :j Q/_ &.4-7 THIS PERMIT COVERS WOAKTO MECHANICAL THIS PERMIT AUTHOnIZEB ONLY I.E WORK NOTED, BE ..... PAVAT PROPERTY ONLY. ANY CONSTRUCTION ON,THE PUBLIC ETC.) W L, RE.Ul.. GRADNGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS' MARQUEES, SEPARATE PERMISSION. STATE SURCHARGE PERMITAPPLICATI N: 180DAYS PERMIT LIMIl I YEAR - PROVIDED WORK IS STARTED WITHIN 11. DAYS INFORMATION ENG. REVIEW FEES SEE BACK Of PINK FERMIT FOR MORE ENG. J 'APPLICANT ON BEHALF OF HIS OR HER SPOUSE. NEIRS. ASSIGNS AND SUCOESOAS IN INTEREST, AGREES TO:NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING EDMONDS. WASHINGTON. TS OFFICIALS. EMPLOYEES, AND 'AGE NTS FROM ANY AND INSPECTION FEE A LCLAIMSFORDA GESOFWHATEVER NATURE, AFUSINODIR CTLYOR INDIRECTLY NOT BE RECEIP RO. THE ISSUANCE OF THIS PERMIT. ISSUANCE OF TH S PERMIT,SHALL F Y Y DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUIREMENT OF AN C T ORDINANCE IN ANYWAY THE CITY'S ABIUTYTO ENFORCE ANY ORDINANCE PROVISION.' PLAN CHECK DE OSIT 0, NOR LIMIT TOTAL AMOUNT C I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE,NFORMAT,ON GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATIONIAP�R* AL Ii, � Th—PPI-1— 1—il - '. THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- THEREBY, NO PERSON WILL BE EMPLOYED C�LL 8.,g on D.ply � F.. TION; AND IN DOING THE WORK AD HORIZED BOA CO, OF THE STATE OF WASHINGTON RELATING TO OF THE LA DE INSPECTION FOR ....... 1 2 IN VIOLATION WORKMENSC��ATIONINSUPAN EANDFICY118.27. FlI �;� NZA, _rDA7TSI.NE. —(425) 'T; � I I m� va Z 771-0220 RELE)ED BY GAYE ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN A.E AND APPROVAL OR A CERTIFI- ...... CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 5`98 FAX PINK - OWNER COLD ASSESSOR J