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20010830.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ZP ITELEPHONE NAME CITY f ZIP ITI NAME = I PERMITEXPIRES us E — PERMIT ZONE NUMBER 2/v/—o JOB SUITEJAPTO ADDRESS 'Flomrwm _S�- PLAT NAMEISUBDIVISION NO. I LOT 10, L DEE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P' EXISTING — PROPOSED -- REQUIRED DEDICATION— ET — METER SIZE I LINE SI P REQUIRED YES 13 NO C3 REMARKS —BRICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE F U, 5,17N. —1) 1 K-w FIRE REVIEWED By DATE ATY ITELEPHONE 9 q 7- P3 q 7 VARIANCE OR CU SHORELINE OR AD 50 . INSPECTI N 0YEBOD NO ES OHEIGHT BO POSTED 4 DATE J03 I CH YOKE",\ (,0) - SERA REVIEW COM PLEtE I EXEMPT FXP SIGN AREA ALLOWED I PROPOSED ALLOWED P ROPOSED ROPERTY 1__� ACCOUNT F�L NO. t12- — 0-1) 00 NEW 14 RESIDENTIAL 0 PLUMBING / MECH 0 ADDITION OMMERCIAL 0 C MPLIANCE OR 0 C CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED AEOLI Mpi fIRRESENT lftp,-Ts­Ft-SI-DE­RsEA­R I F&Rs A KING mpgAt-r a K uIlw 0 REMODEL 0 APARTMENT 0 SIGN REG PA I PROVID7 0 IlNrE 0 REPAIR 0 EI CYD. X IEMANIE 0 DEMOLISH 5d TANK o OTHER oGARAGE 0 RJMETAINI��YG WALL 0 RENEWAL CARPORT F KE (TYPE OF USE. BUSINESS OR ACTIVITY) EXPI.AIN: 10EL kk CHECXEDBY ITYP B ON C PANT GROuuP 17.71 Oc �N CRITICAL A AREA U LAID - N=MBER PIEVAL""n-TOR REOUIRED 0 YES LIPANT AREA OCCO Lo� DESCRIBE WORK TO BE DONE REWRKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REG"] 2 VALUATION FEE PLAN CHECK FEE SOURCE GLAZING I LOT SLOPE % I I BUILDING — PLAN CHECK NO: -ETEDDATE PLUMBING M ECHANICAL THIS PERMIT AtORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TH E PUB LIC !FILL GRADINGIF MEWALKS. DRIVEWAYS. MARQUEES. ETC.) WILL REQUIRE DOMAIN (CURBS, SID M SEPARATE PERMISSION. ST &TrgURCHARGE PERMIT APPLICATION; VIDUAYS PERMIT LIMIT. I YEAR -PROVIDED WORK IS STARTED WITHIN i80DAYS ENG REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFOR ATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE ININTEIEIWT.AAGRIESOTO Dg.��l DEFEND AND HOLD HARMLESS THE LIII - :N ANYANO LANDSCAPING G .N.S IN N T. FF CIALS, EMPLOYEES. AND A ENTSFRO. ED . B . A F A AGE OFWHATEVEA NATURE. ARISING DIRECTLY OR INDIRECTLY LL CLAIM 5 ORD M INSPECTION FEE — T EAMIT SHALL NOT BE R THE ISSUANCE OF THIS PEIII . ISSUANCE OF THIS 0' PLAN CHECK DEPOSIT JRECIIPT F ANYCITY ORDINANC E 'T "Y I OR E ... ANY REQUIREMENT OR D ElE .. 'A VE , "S'ON' N ANY E , A Y TO ENFORCE ANY ORDNANCE PR NOR LIMIT 0 W Y T, "Ty� "LIT TOTAL AMOUNT DUE IR CEIPT I<Zl��gq I V/ I E.E.Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT T.E,NF RMATION APPLIcAlriON APPROVAL GIVEN IS CORRECT AND WSYRAUTHORIZEO AGENT OF OR THE t TH 0 AT I AM THE OWNED CONSTRUC- TI,,l b, THEOWNER I AGREE TOCOMILY WITH CITY AN TATELA EGUILATING S G IYED NO PERSON WILL BE EMPl_0,J CALL d�lg On. ­I P, h,­, Dop,ly: — F­ ,, p.,d TION AND IN DOING THE WORK AUTHORIZED THEFEBY� IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION ,,,.pt., ,k­I,dg0d I" 1P.P. P-4.d. WORKMEN S COMPENSATION INSURANCE AND RCW 18.27. OFF� �IA L IGN T��/ AT/ SIG E (0 E� O]�� D7;7;; /.r (425) If 771-0220 RELEASED BY I DffE A17ENTION EXT 1333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI- ORIGINAL FILE YELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR z .2. 0 a m i:� IT! 0 m 10 o .n m M M C) z z IT! FINAL PROJECT APPROVAL FORM . I I TO:_ DATE: MEMO TO: P BUILDING DIVISION FROM: FIRE DEPARTMENT DATE ENGINEERING DIVISION DATE - PLANNING DIVISION DATE PROJECT SITE ADDRESS- ADB# DATE INSPECTED PERMrr#---L----L- DESCRIPTION OF WORK TO BE INSPECTFD----0--5-'---O --- Q- A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above I signed Department to the granting Of: 2s-- Final approval ofthe described work GRAN� FINAL PROJECT APPROVAL ____GRANT PROJECT APPROVAL wrrH CONDITIONS NOTED ____YAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvi.doc.l:temp*.bldg:fOrMS6/98 z 9 0 M q9 65 � 0 M ca rn 0 80 C --i r. x M m ID z -4 0 -n - n M rn a 0 0 M C M r. 0) rn 0 z M z 0 z 2 0 M I RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: ............. IT! In m HEATING: GasTest .................... Gas Piping ................. Equipment................ Ccrnmercial Final U EXTERIOR SHEATHING NAILING.......................... FRAMING � ...................... F!RST FLOOR FRAMING INSULATION . ................... Floor Insulation Wall Insulation ........... Cn z Ceiling Insulation SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR. OCCUPANCY .................. Cr CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION CITY ZIP r))Apf� -0 IZ 92/12 5 ol PERMIT EXPIRES USE PERMIT ZONE 'MIER '05 IIITIAPT* ADDRESS I� PI -AT NAME/SUBDIVISION NO. I LOT NO, LID NO, LID FEE S WAY PER OFFICIAL STR E ET MAP ­­d 0 f R' = P.=`R`� . 8 EXISTING — PROPOSED — t�­ R­­ 0 S­ S­­ AEOUIRED DEDICATION— FT — W11 _1_7 YEPRV REGUIRED 0 8 E3 No C3 d ENGINEERING REVIEWEDOATE AlpFIRE REVIEWED BY DATE CITY zip TEL PHONE 7 r_/ If FTMIf3 Q,4,1-6117-R3l17 VARIANCE OR CU SHORELINE OR AGE. INSPECTION RE.-D E3NO .T I PBONEDC STATE LICENSE NUMBER EXPIRAMON DATE Fll_,"ES _0C lo,?V)pq 16,110 Z0.3 77) SERA REVIEW COMPLETE I EXEMPT EXP SIGN AREA ALLO WED , PROPOSED HEIGHT ALLOWED PROPOSED AICIUNTPA--.L--. 0 - PROPERTY — cW - " �5- Oo 0 NEW RESIDENTIAL 0 PLUMBING / MECH 0 LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) F NT Ro SIDE PROPOSED SETBACKS (Fr.) FRONT URSIDE REAR 0 AUDITION C] ONIMERCIAL o c PLIANCEOR CHANGE OF USE RE WRS��L J_ PARKING PkjlplftAtjKMM4`l I DATE A SIGN AEQ*D PR ( TAN IFILL. R$MOVAL, R CAP REPAIR 0 GRADING CYDS 0 'FENCE x _MANK5 DEMOLISH _-NK Ei OTHER RETAINING WALL 0 RENEWAL 0 GARA'.'�'T CARP (TYPE OF USt. BUSINESS OR ACTIVITY) 1)it rAIV k CHECKEDBY JTNP N G 'ROU JC7,71 OCCURANT,�� Q 1. OF G R cNu "'CAL AR EA. ME R -17 SPECIAL INSPE EGUIREDOCYTEoSR JAREA t:.E.E.U."..... OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS r TI.N� PER U.0 1081FINAL INSPECTION REG' c VALUATION FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE % BUILDING PLAN CHECK NO: IVISTEDDATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL 2 U M DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL RED IRE SEPARATE PERMISSION. 7__ STPEIEURCHARGE PE MiTAPPLICATKIN: 11111DAYS PERMIT LIMIT, I YEAR -PROVIDED WORK IS STARTED WITHIN 100 OAVS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMA3`10N -APPLICANT.ONBEHALF FHISORHER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG, INSPECTION FEE IN INTEREST AGREES TO NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF !TS LANDSCAPING .1 EDMONDS, %�ASHINGTON, OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND ALLCLAIMS FOR DAMAGES OFWMTEVER NATURE. ARISING DIRECTLYOA INDIRECTLY INSPECTION FEE CEIP ex FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT, SHALL NOT BE MEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY C TY ORDINANCE PROVISION. - PLAN CHECK DEPOSIT IR NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE MY ORDI NANCE TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE TH I HAVE READ THIS APPLICATION: THAT THE INFORMATIOh APPLICATION APPROVAL GIVEN IS COARECT.ANDTHATI AMTHE OWNER R HEDULY T, 012D AOENTIOF "dlFlll C. STRUC. THEOWNER. IAGREETOCO PLY WITH CITY AND SoTA7TE LAWS RAE I NO N NN. CALL B�.I­g Offi-I .1 h1a., D.P't'y:i Im PlId. Ild I TION; AND IN DOING THE WORK AU HORIZED THEREBY, NO PERSO WILL BE EMPLOYED IN VIOLATION OF THE BOR BE OF THE STATE OF WASHING ON RELATING TO LA COT FOR INSPECTION ..,pl I. ...-tcodg.d iI, p.. pr­d.d. WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27. OFFICI LQRE A7 SIGP&E (OtER 0 PNED (425) kL 7l'1Z716r 771!-022Cf RELEASEDBY I DATE ATTENTION EXT 1333 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. USC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR / "a - ,-. - . I 0 om c c m '0 0 -n m M OF; o Z 9 0 M