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20010836.pdfOA� tiu_�- CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 1 ll _`iZ,45n 764- AL.<1 0 CIE fli C ZIP I TELEPHONE �1 nw,"v1, m - o/ / / �7 1 NAME I 116"A j�,JTILIPHONI c, I I I I PERMIT EXPIRES USE, P ERMT NUMBER IUITIIAIT. ADD '0' S F-E�25 T 51' Av-, L PIT NAMEISVEDIVISON NO I LOT NO 11010 LID FEE S PUBLIC RIGHT OF MY PER OFFICIAL STREET MAP �11 U.: ; EXISTING — PROPOSED— S..... REQUIAEDDEDICATIO.N— FT — I NO, 0 .ETC. SIZE I LINE SIZE I FIXTURES YEIRI RlllllEO SO NO 0 REMARKS OWNERICONTRACTOR IEIIONIIILE FOR EROSION CON THIJUDRAINAGE I J/47t ra �',Pdue67 ;24 //;Is 401WCE Pr ()Ad,l l4fll�,J AlAfx�l PW-1-16 a. ._�ilz ;il I �z ZIP 0 -- ITELEPHCNE -2-127 FIRE REVIEWED BY DATE -33LI V F CE APIANCE ON C. RORELINE OR A051 I INSPECTION INSPECTION. HE 0 R D YE 0 YES ' BOND BO GSND POST, T5�1 E�TATE LICEh ED Y S, P ; I W CO. LE C ��.LIPA 'E C I EXEMPT I SION AREA AIIQZ��OIED HEIGHT HEIGHT SEO ALLOWED P.'O_. At 6 74FIQ ACCCJNT PARCEL IN Z,3 - Do Do - 0 (p - L)-o 0 NEW C] RESIDENTIAL PLUMBING I MECH ADDITION COMMERCIAL COMPLIANCE OR cl CHANGE OF USE LOT COVERAGE _�IED ALLOWk7 RECUIRED SETBACKS FT) IXEAR IRO��7 PROPOSE. T A KS I_, FRONT FEAR FRONT 1. PAR INC LOTAREA INNING FIEVIEWEDS7 6ATE 0 REMODEL [3 'PARTMENT SIGN XF7SED lle�111_1111 mi� FENCE 0 REPAIR ro!m y.. 0 1 X FT) REMARKS --/ / q,meh 0 DEMOLI.N Li TAININ.WALL o GARAGE 'NEWAL CARPORT 13 El R 0 (TYPE OF USE, RUSIN PLA"use, PR ON - C OCCUPAITO C, GROUP C.ECKEDBY W�EO CONSTR bwwAiIE -;u-m' �E�RTFmmn OF I, STORIES OF CRITICAL DWELL N. A EAS UNITS NUMBER PECIALIN%PECrOR JAREA OCCUPAN� SPE REQUIREDX YES LOAD 1A DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D '�lonno ol GemA ?_b+'25 VAL-1- IAI FEE FIE LAN C FEE. PLAN CHECK FEE HEAAT�CE LOT SLOPE ;lATIll VHECK BUILDING U L DI NO PLAN CHECK NO.,o 1111TEI DATE _UME,NG PLUFAUING THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. AN' CONSTRU C"ON ON THE 0 U BUD DOMAIN (CURB$. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC) WILL REQUIRE SEPA4ATE PERMISSION. GRADINGIML PERMiTAPPLICATI N 180DAYS PERMIT LIMIT. I YEAR, PROVIDED WORK IS STARTED WITHIN 100 DAYS SEE BACK OF PINK PERMIT FOR ..RB INIIDR� E111, REVIEW FEES w-- ;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS N NTEREST. AGREES To �N.EMNIIY. DEFEND AND HOLD HARMLES1 TH%CNITYAR�F 2 EDMONDS. WASHINGTON, TS OFFICIALS EMPLOYEES. AND AGENT S" OV Y ALL C�IMS FOR DAMAGES OFWHATEVER NATURE. AIIIING DIRECTLY ON INDIRECTLY FROM THE ISSUANCE 01 THIS PERMIT ISSUANCE OF THIS PERMIT,SHP,'-L NOT BEE REDUCEAN RE—IREMENTOFANYCTY POINANCE Dl.EMloT=11WAIlEll IOVISICN,' N RL. WAYTHECITY 5 ABILITY TO ENFORCE ANY ORDINANCE -OVISION, END INSPECTION FEE ly pv fi.;QZlQ66WE LAN CHECK DEPOSIT IPT III TOTAL APAOUNT DUE I HEREBY ACKNOWLEDGE TH HAVE READ THIS APPLICATION. THAT THE N-IMATION AT: GIVEN 11 CORRECT, AND THAT AM 'HE OWNER, OR THE DULY AUTHORIZED ; -.ENT 01 THE OWNER, I AGREE TO C Ly WITH CITY AND STATE LAWS FEGUIL.ATING CC .,TRUC OMP TION. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE FlOlED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELAING TO WORKMEN S COMPENS INSURANCE AND RCW 18. 7. SZ�,E (CWg -� :K.E:2_� ::2 Lr, - ATTENTION " APPLICATION APPROVAL CALL C_": FOR INSPECTION (425) OFFICIAL ATU E 0 1 -0220 DATE 771 ILI Dly EXT1333 L ITIS UNLAWFULTO USEOR OCCUIYABUILDINGOR STRUCTURE UNTIL 771-0221 ORIGNAL - 'ILE ILLOW INSPECT09 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD, ASSESSOR 5`98 z 0 OM ma 0 --I C) 0 C m m z 10-1 0 IT M 0 p Fr C (A 0 TO z 0 i 0 m FINA I L PROJECT APPROVAL I ORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE - ENGINEERING DIVISIONDATE!��h �01 PLANNING DIVISION DATE- PROJECT__� _T SITE ADDRESS___5 PERmrr # J_DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTED_IE_1� ppr A field inspection was conducted to determine final compliance with approved plans. Fins a ova 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 Wrm CONDITIONS NOTED u Copy of CONDITIONS given to owner/contractor by inspector 1. FAILED FINAL INSPECTION - OUTSTANDING ISSUES a 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:fomisIO/OI z 0 0 C: M rn C) -10 00 C M M Z 0-4 z o -n rn M U (A 0 r- 0 M C 0) 9 (D M 0 Z � .q;g X z __4 1 rJ) z 0 i 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS . . .................. FOUNDATION: Footing ...................... Wall.......................... PleT/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: underground ............. Rough -in ................... Commercial Final HEA-nNG: GasTest .................... Gas Piping . ................. EiiulpiWent Commercial Final EXTERIOR SHEATHING NAILING.......................... FRAMING........................ FIRST FLOOR FRAMING... o INSULATION ................... Floor Insulation Wadi Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ................. azo o t - 0 op. -:Sop 6 / 0 M C M -4 C) 0 C] M C p Am 0 rn R r. . 9 a Fit, Z 171 DATE r IE(a Fp—Ddiff EXPIRES A PERMIT m Bc 'M CITY OF EDMONDS N IIER J(y I - CONSTRUCTION PERMIT APPLICATION joB <� SUlIFjAFTa ADDRESS OWNER Nir PLAT NAMEISUBDIVISION NO. LOT NO, I'D NO- ��F BUSINESS C IV EE S MAILINGADDRESS IE CIA— . 13 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP �_Waa 4- /—)X- 0 EXISTING — PROPOSED— Cl� ZIP ..-.s A—— JTEIEPHDNE REOUIREDDEDICATION— I — ==asd 13 _ ( —1 NO. OF FIXTUR NAME METER SIZE LINE SIZE ES PRV REQUIRED R MARKS ADDRESS OWNERCONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE —lw-1 S 12 11,24,012 R� YE C3 NO C3 C— lp DO fflMzl�� cj� ,;�,,rELEPHOl4 ix -A 14LI &da eustlol; - AwAi*Al 71 *16 NAME !�k=c k-Au- lip? trS - MAYM-L-4 ft-V00 al=6 - ENGINEERING REVIMIDIDATE f ADDR s 10. Lol FIRE REVIEWED By DATE Y k�n, TE PHO 6 10 RCU SHORELINECRADIM AM-0/_7cl c 14-0 16D f SIGN AREA vWWATONTPARCE'"oh;�1 -001-06 ALLOWS GEED C3 NEW C] RESIDENTIAL PLUMBING/MECH LOT COVERAGE ALL REQUIRfl) SETBACKS (FT.) PI FR REAR F C] ADDITION COMMERCIAL COMPLIANCE OR CHANGEOFUSE N�T �SIDE I )TARFA [] REMODEL 7RTMENT SIGN IP(ANNINGREVIEWE [3 REPAI�R CYDS El I NCE X FT) [03 DEMOLISH K OT 136 e o rr 0 GARAGE CARPORT R ETAINING WALL Y 0 RENEWAL L U..-A \<kll CRITICAL U..EROF AR W 'ELLUIS S T. NUMBER D LUN WORK TO BE DONE PER UBC 1081FINAL VALUATION PLAN CHECK FEE GLAD % LOT SLOPE I BVILDING VESTED DATE I—cl 25� r.-e THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRNDINGIFILL L'I OMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WIL EQUIRE SEPARATE PERMISSION. — STATE SURCHARGE PERMITAPPLICATI 18D DAYS oN:I PERMIT LIMIT. I YEAR - PROVIDED WORK S STARTED WITHIN IlD DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE FHI OR HER SPOUSE. HEMS. ASSIGNS AND SUCCESORS 'APPLICANT. ON BEHALF oINDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF IN INTEREST, AGREES TO EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND 4&N= .74.,!; 2 ALLCLAIMSFORDAMAGESOFWKATEVER NATURE. ARISING DIRECTLY ORINDIRECTLY _JRECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT ?15.n DEEMEDTO MODIFY. WAIVE OR REDUCE ANY REOUIRENIENTOF ANY CITYORDINANC5 PROVISION.- OR LIMITINANYWAYTHE CITY S ABILITY TO ENFORCE ANYORMNANCE A CIT I TOTAL AMOUNT DUE In I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFOAMATI N App, 'CAT-ONAWROVAL GIVEN IS CORAECr. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF CONSTRUC- Mae, ps I THE OWNER. I AGREE TOO PLY WITH CITY AND STATE LAWS REGULATING o W ORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL TIu"T ,ng" .6,1 , Insilw Doe,ly: and Fees are e., and o, TION; AND IN DOING THE IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO F OR INSPECTION .,pl 1� —n-Iodg.dis, Pa. gn—d.d, WORKMEN'SCOMPENS E AND RCW 18.27. OFFICIALS ATU DATE E (425) _W172- - -;Y _ 771-0220 gm� DBY DATE ATtENT16N F-XT1333 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 LLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD -ASSESSOR z m mll 'o 02 m IS 0 _n n 9 I m m III 0 0 rn z 0 0 m