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20010722.pdf_7� CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME TELEPHONE ADDRESS LICENSE NUMBER [PERMIT �Z EXPIRES USE PERMIT 2-- ZONE NUMBER 2001—e)72 SUITEIAPT' ADDRESS 406% \1 r— PILAT NAMEISUBDIVISION NO LOT No LID NO, I I'. FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 Rw "Plu— 0 EXISTING — PROPOSED-- 0 13 0 RE UIFEDDEDUATION__ FT METER SIZE LINE SIZ= PRV REQUIRED I YES Cl NO 0 OZ uRt.'_ —1; .7 _ljLE IqIII 1-SIIUV _LLul!.'. AGE 0 CiIV C6dp. ECDC 19.30.020 (C) PURSUANT TO ECDC 19.30.020 QQ;I;;kw W, wq FIRE BEVIS DATE ,ATIAZL 13E INSTALLED NEAR THE WATFR SHUTOFF VARIANCE OR CU SHORELINE OR ADB# INSPECTION I 'BOND REQQ OSTEC C3YES [3No SERA REVIEW SIGN AREA HEIGHT COMPLETE I EXEMPT ALLOWED , PROPOSED ALLOWED I FRI "P_ LOT COVERAGE REQUIRED SETBACK$ (FT) PROPOSED MASKS .-PLIANCE OR ��CHI OF USE 0 REMODEL 0 APARTMENT Cl SIGN PENCE REPAIR GRADING CYDS X C] X I E] DEMOLISH Cl TANK OTHER GARAGE M RETAINING WALL C] RENEWAL CARPORT — ROOKERY ,TYPE 11 llEejl,,JPVl ACTIVITYI EXPLAIN _ ALLOWED PROPOSES FRONT SIDI REAR FRONT 11SID1 FEAR PARKING LOT AREA PLANNING REVIEWED By DATE W_ Ur L, V11:111. connettors equil ed Ual fat! in .--henied spaces. OCCUPANT CHECKGOBY 7YPE��V -7 Roup Z13 OF STORIES NU"lE101 I SWELUN. UNITS CRITICAL CRITIC L AREAS = 0 14 NUMS S UMSER SPEl�U,AlEIN.PEGT-R ED R JAREA OCCUPANT R C3 YES LOAD DESCRIBE WORK TO BE DONE REMARKS ROG ESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'D PURSUANT TO UPC 605.2 4 WATER SF_*Vjf!t $no I UFF If SHALL BE INSTALLED ON TRF INE AN I I E'NTERS THE 13 UILDING VALUATION FEE PLAN CH— FEE ��CE LOT SLOPE 'BUILDING PLAN CHECK NO: 111STEO 11TEE P - LUMBING MECHANICAL -70, THIS PERMIT AUTHO RIZE� ONLY THE W..K NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROIERTIONLI. A. CONSTRUCTION ON THE PUBLIC GRAOINGIFILL ;L E.1 SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE DOMAIN (CURB" U SEPARATE PERMISSION. 2— PERMIT APPLICATION: 180 DAYS STATE SURCHARGE PERMIT LIMIT. I YEA. . PROVIDED WORK,S STARTEDINITHIN 16DDAYS !�2 SEE BACK OF INK PER.IT FOR MORE ).FORMATION ENG, INSPECTION FEE 'APPLICANT, ON BEHALF OF H S OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS N NTEREST. AGREES TO INDEMNIFY. DEFEND AN. "OLD HARMLESS THE CITY OF I I LANDSCAPING 2 EDMONDS, WASHINGTON. ITSOFlICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE $ A L CLAIMS FOR DAMAGES OF WHAT VER NATURE. ARISING DIRECTLY OR INDIRECTLY L 7E�CEIPT I FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE I. DEEMED TO MODIFY. WAIVE OR REDU E ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPosi r NOR I' MIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PFOVI510N�' I 71 70E. P T _77f, TOTAL AMOUNT DUE 1037 IHERE6Y ACKNOWLEDGE THAT I HAVE FEAR T. I I A 1PLICATI.N. THAT TH E IN FORMATION APPLICATION APPROVAL GIVEN I S CORRECT. AND THAT I AMTIHEOWIEF�.RTHE DULY AUTHO.IZEDA.ENT 01 CONSTRUC T THEOWNER I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING THEREBY. NO PERSON WILL BE CALL ,_ o,,Fu,y — F- TION AND IN DOING THE WORK AUTHORIZED LEMPLOYED IN VIOLATION OF THE LA50R CODE OF THE STATE 01 WASHINGTON RE ATING TO FOR INSPECTION 111PI —1-11VOld �� IT— Pl.,,dld, WORKMENSCOMPENS��RANCE AND RCW 18 7 ATE 1341 (425) WGNA... kr�� 1� L 6 771-0220 _oR,E,L!AS;_ED By DIE ATTEKtION EXT 1333 IT IS UNLAWFULTO 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 z �n rn C m 8 § C � A m z 01 n m � m CC 0 z 2 0 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footin ................ wall.......................... Pier/Parch ................. Retaining Wall ........... Slab insulation .......... V. PLUMBING: Underground ............. nI Rough -In ................... Commercial Final HEATING: Gas Test -CII-01 —Z ............ Gas Piping ................. Equipment ................. M Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ........... . ... FIRST FLOOR FRAMING...' INSULATION ................... Floor Insulation Wall Insulation ........... Z Coiling Insulation 01 SHEETROCK NAILING M: SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ............ Lr, - C20140 I 111c CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION Lu J6--z:54 sFmAUNq.AodLREsst 1 ?11 �,-. j, ctQr-&,, cVrZ�i-,Lj-Ll3F4 I �xo 10 1 PERMIT EXPIRES -3469L us PERMIT ZONE NUMBER IDS ADDRESS r PLAT NAME/SUBDIVISION NO. LOT No, LID NO, I LID FEE 6 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXIST NO — PROPOSED— REOUIREDDEDICATION— FT — ETER SIZE I LINE SIZE I NO.OFFIXTUAES PW SQUIRED IISE C3 wO MARKS 111—TRACTOn RESPONSIBLE FOR ER.M.N OUNTROUDRAINAGE M RE CITY ZIP ITILIPHONE N 7N C ADDRESS 12 r-� TELIP HE STATE LICENSE NUMBER EXPI DA 'T X ACC ESMENTIAL PLUMBING MECH AL 0" 0 DO M R I ci C MPLIANCEOR AUDIT OMMERCIAL CHANGEOPUSE nOAPAATMENT REMODEL 0 SIGN I REPAIR 0 GRADING CYGS 0 PENCE X FTI) I X C] DEMOLISH TANK 0 OTHER ci CGARAG RETAINING WALL 0 RENEWAL ARPORT 0 ROOKERY— 0 —OF USE S RACTIVITY)EX IN: (TYPE cl NUMBER NUMBER OF CRITICAL IS OF STORIES DWELL NO UNITS AREAS NUMBER A DESCRIBE WORK TO BE DONE RI LOT SLOPE % paN'CHECK NO: 10 DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOT D. THIS PERMIT COVERS WORK TO BE DONS ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN ICURSS, SIDEWALKS. DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE SEPARATE PERWISSION. PERMIT APPLICATION: 190 DAYS 9 PERMIT LIMIT. I YEAR PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK 0; PINK PERMIT FOR MORE INFORMATION_ 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD RMLESS THE Cl FROM ANY AND EDMONDS,IASHIIITON TFSWIIFI.IALS. EMPLOYEE.. AND AGENTS A FOR.A.AGEjG HATEVER NATURE. ARISING OIRECTLYOR INDI ECTLY ALLCLA'. HALL NOT BE IS ' ` OF THIS PERMIT I x F THE LANCE F TH ERMT 'SUANC ROM I'S 0 U -'...0 ..E.TOFANY.'Tyo R. NANC� 0 W 1 . I To 0", A VE FIRE C. DEEMS MO I . Y OR.'. 0 'O'U'BT,lANYW Y " E 'S ASIUTITOENFO.CEAN AN. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION CORRECT. AND THAT I AM THE OWNER. OR THE M)LY AUTHORIZED AGENTOF GIVEN IS THE OWNER, I AGREETOCOMP WITKCITYANOSTATENLOAWS I-ATING CONSTRUC- TION: AND IN DOING THE WORK AUTHORIZED THEREBY. PE=WIL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN*SCOMPENS�T AND RCW 27. _�RANCE I REVIEWED BY DATE SERA REVIEW SIGN AREA El— MPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED I PROPOSED LOT COVERAGE REQUIRED SETBACKS (Fl) 1R.POISEDISSISACKI(FT) OWED PROPOSED FRONT SIDE REAR FRONT UR DE REAR PARKING I UOTAREA TIANNINGREVIEWEDBY DATE 3D I PROVIDED ECKEDBY JTYPE��NS _;WN ECIALINSPECTOR JAHEA OUIRED [3 YES MAKE IOGRESS INSPECTIONS PER UBC IOWFINAL INSPECTIC VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENG. INSPECTION FEE LANDSCAPING PLAN CHECK DEPOSIT ,LAMOUNTOUE CALL FOR INSPECTR (425) 771-0220 I EX I 1333 ATTEWION 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 Sao WFFIAL SIGNATUII�- 4V __�h d� ELEASE. ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR z 9 0 m