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20010720.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OF BUSINESS 'Tuln icaw "A Vi�rA &4_W5 CITY TELEPHON�_— eb"v,J,-, 1, 11*1 �K Lisri 7— CITY ZIP ITELE111 NAME 0 I_ -I ), p I & SEC, a rl h IRES us PERMIT ZONE NUMBER240,1-0_72D JOB PTI _7:EIA ADDRESS PLAT NAMEISUBDIVISION NO, LOTHO LIU NO, LID FEE PUBLIC FIGHT OF WAY PER OFFICIAL STREET MAP E XISTING — PROPOSED - ....... 0 SW- R11.1 0 REQUIRED DEDICATION— FT — 0 OETERS11E LINE SIZE 11. 01 FIllURES PRV REQUIRED I YES 0 NO 0 R MARKS OWNErVCONTAACTOR RESPONSIBLE 'OR EROSION CONTROUDRAINAGE __jTEUElH.�E CITY IFP -18 lw-3 09�S/ OU SHORELINE .'I AD.- INSPECT[ N BOND CEh E MAT .6 &WAIN.Er OYRE 'D ES n NO POSTED SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPEW A7� OOZ �Tq ozs�900z_ I I C] NEW RESIDENTIAL C:l PLUMBING / MECH LOT COVERAGE LOT COVERAGE 'LOW PROPO ALLOWED PROPOSED REQUIRED SETACKS FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT U SIDE REAR C] ADDITION C] COMMERCIAL o COMPL NCE OR CHANGE OF USE PARKING RA KING LOT AR�G REVIEWED BY DATE C] REMODEL APARTMENT 0 SIGN REG 0 1 PROVIDED RE 0 PROVIDE' 0 FENCE REPAIR GRADING CYDS ( x — FT) MARKS S C] DEMOLISH 0 TANK 9' OTHIt, lqj__ kAED GARAGE r-1 RETAINING WALL 0 RENEWALALNUy" CARPORT ITYP;F SS OR ACTWIT11 EXPLAIN: — TRUCTION CCUPAk cq� GROUP NUMOR OF STORIES NUMBER OF _F_____TCRITICAL OWELL UNITS'No AREAS IN MEER A/if U SPECIAL INSPECTOR JAREA C, L I Sp .. REQUIRED YES OCCUPANT LOAD DESCRME.ORKTOREDONE REMARKS F. I .... PTIONIr PER UBC 108/FINAL INSPECTION REG' VALUATION FEE PLAN CHECK FEE HEAT SOURCE GL.AZING LOT SLOPE 1-I.BUILDHNG PLAN CHECK NO'O/,,,;* IVESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. AN CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. GRADING,PILL PE MIT APPLICATION; 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG REVIEW FEES -APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESDRS IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF ED ALS, EMPLOYEES. AND AGENTS FRO. ANY AND MONDS. WA HINGTON. ITS OFFIC' ALLCLAWS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE IS SUANCE OF THIS PERMIT. ISSUANCE OF THIS PER -IT SHALL NOT BE DEEMEDT MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OrAN CITYORD$NANCE o Y ENG, INSPECTION FEE IN LANDSCAP G INSPECTION FEE PLAN CHECK DEPOSIT A CEIPTL� I NOR LIMIT IN ANYWAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION TOTALAMOUNTOLE IR CEIP�)6.3,�I/ I I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL GIVEN I CORRECT.ANDTHAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF -A "o— S D CALL THEOWNER I AGREE TOCOMILY WITH CITY AND STATE LAWS REGULATING CONSTSUC d,, Off,-- h-11 DIV — F.—Il pl.d TION . AND IN D IND THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYE 0 RELATING TO N IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON FOR INSPECTIO WORKMEN S COMPENIAT12�,�URANCE AND RCW 18 27 OFF AL TUBE GAT SIGNED (425) 71GN0A1 �FE LOW I �V�&V AELEASEOrBy d4 fIDATIfl - /m,", AT'rENTION EXT 1333 1 jZ 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- ORIGINAL -FILE YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD -ASSESSOR 5`98 z 0 m a 8c m In 0 -n m M 0 r on c Fn co) z m INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Z' Wall......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: M Underground ............. Rough -In ................... ID Commercial Final HEATING: GasTest .................... Gas Piping ................. Equipment ................. —0 Commercial Final EXrERIOR SHEATHING NAILING .......................... FRAMING .� ...................... FIRST FLOOR FRAMING... j INSULATION ................... Floor Insulation z Wall Insulation ........... Ceiling Insulation M SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 70el e.o� ERMIT EXPIRES ZONE CITY OF EDMONDS PERMIT NUMBER20vi-072-D TVAPT A ES 9 CONSTRUCTION PERMIT APPLICATION AODD YA NAMEINAME OF BUSINESS Szvi I PtlT NAME]SUBDIVISION NO. LOT NO, UDNO, LID FEE S I 5 MAIt4NG AD RIESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXIS ING— PROPOSED. REQUIREDDEDICATION— FT E3 U CITY TELEPHONE METER SIZE LINE SIZE NO.OFFIXTURSS PRY REQUIRED J NAME I I YES 0 NO 0 ADDRESS IF EMARKS OWNERICONTRACTOR RESPO NSIBLE FOR EROSION CONTROUDRAINAGE CITY 6E IS ZVIZ I rl 14wnotA z ENGINEERING REVIEWEDIDATE Ij 8 ADDRESS s6rvl CITY ZIP TELEPHONE AeoAT-04 VO S i I ZE 0 M rn 0 rn z .7 ,9,/, OAT;�r /6.IAN.EtA U SHORELINE OR ADD# INSPECTION R D EO'E E3YES 3NO I BOND IPOSTED _j___ TATE LICENS9 NUMBER ..E E.., A SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPE;A72704'q C] NEW PLUMBING I MECH C MPLIANCEOR 0 ADDITION CHANGE OF USE 0 REMODEL C] SIGN LOTCOVE ALLOWED PRO 0 SED I PROPOSED SETBACKS (FT.) FRONT A SIDE REAR k PARKING RED PROVIDED LOT AREA 1 PLANNING REVIEWED by DATE 0 GFAQ,.. 0 PENCE 0 REPAIR X PT) GY.S MARKS [3 DEMOLISH [3 TANK 5r OTH 11415 0 GARAG�ET RETAINVWALL RENEWALIIUMK-1" CARPO 0 ROOKIE 0 -n m R ?a 0 SS OR ACTIVITY1 �11LAIN: HECKEDBY JIYPE CTION CO STRU,� TA C CO PAN COD� OCCURAN ol.�R%P �j Num R OF 0 STORIES NUM8111OF OWELUN UNITS CRITICAL AR S NUMBER SPECIAL INSPECTOR RE nilinFn [3 JAR OCCUPA Lo LOAD _m DESCRIBE WORK TO 11 DONE REMA KS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D f%itf- ALAA4-N A ModiltAlACA vr^ z VALUATION FEE 2 0 PI -AN CHECK FEE m HEAT SOURCE GI-AZING% LOT SLOPE % B ILDING PLAN CHECK NO:() VESTED DATE PLUMBING THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO 111111 PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC GRADINGIFILL DOMAIN (CURDS. SIDEWALKS, DRIVE WAYS' MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STAW.SIjr4GHAItSr— RMIT APPLICATION: 181) DAYS PERMIT LIMIT. I XIE- PROVIDE.W.FK IS STARTED WITHIN 180 DAYS ENG.REViEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHAL OF HIS OR HER SPOUSE. HEIRS. AS I S SUC I'S ENG. INSPECTION FEE ;APPLICANT. R N INTEREST. AGREES TO INDEMNIFY. FE NO LD LE S THE IT OF Y AND LANDSCAPING EDMONDS. WASHINGTON. ITSOFFICIXLS.E PL IE ES, IN ENTS FIR . A AULCLAIMSFO AMAGESOFWHATEVE E.ARISI IRECTLY OR INDIRECTLY F THIS PERMIT SHALL NOT BE INSPECTION FEE RECEIPT/ FROM THE ISSUANCE OF THIS PERMIT. ISS N E DEEMEDTO MODIFY, WAIVE OR REDUCE Y E UIRE ENT F ANY CITY ORDINANCE PLAN CHECK DEPOSIT 0 NOR LIMIT IN ANYWAYT.ECITY SABILITY T ENF R EA.Y RDINANCE PROVISION� TOT�L AMOUNT DUE AECEIIYA.3:7 I R AT] N I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INIO MATION ATION APPROVAL GIVEN IS CORRECT. A D THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THEDWNER I AGREE NTO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- ; CALL This Ippl.100- Is - a p1 �ntil ��,ed by Ihl B.IdIN Oft-.1 .1 10- �ly: nd F... .1. 1.1d. -d TION AND IN I DOING THE WORK AUTHORIZED THEREBY. NO PE RSON WILL BE EMPLOYED IN VI&ATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN SCOMPENSAT2j��CEAN RCWIB.27� FOR INSPECTION (42:5) I I I -Ulr&W o .694—rovi"de PI,_l.d9 J, _;F 3AT RE 1., '(4 `SIGNjPE (OnrAGEN D ESIGNED 11 'ASE6BY I DATE AltENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 EXT 1333 771-0221 FAX 1 a6 YELLOW ORIGINAL -FILE -INSPECTOR PINK - OWNER - GOLD - ASSESSOR