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20010840.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWN� NA;�NAM�F BUSINESS �fo MAILINGAIDDRESS qq CITY ZIP _�JTIL PHONE r zt.4- ) 7 II PERMIT EXPIRES USE ZONE PERM T L?SVJ NUMI'ER JOB S ITEIA— ADDRESS" 4 PI -AT NAMEISUBDIVISION NO LOT �,V LID LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP F.I. EXISTING — PROPOSED— 'F_ REOUIREDDEDICATION— FT — NO. 01 FIXTURES REQUIRED Y.IRV SO No E3 CITY ZIP ITELIPHOME NAME Te,A �"c ENGINEERING REVIEWEDIDATE ADDRESS FIRE REVIEWED BY DATE FIRE REVIEW — S-- U/ CITY ZIP TELEPHONE , kENllNER'NG V OR CU V 'AN. SHORE�RADBI INSPECTION b(YREO'D ES 0 NO I BOND IPOSTED E STATE LICENSE NUMBER I—— LIN DATE J-, A IWTd.. g4 CHECKEDBY OW'�2nlidd SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED P..j;� U ��ROC EOL NO. 0 NEW R SIDENTIAL PLUMBING I MIECH ED 0 ADDITION COMMERCIAL COMPLIANCE OR C ANGE OF USE C3 H 0 REMODEL 0 APARTMENT SIGN EN E C3 REPAIR GRADING CYDS FENCE X FT) E C3 DEMOLISH cl TANK IT. P, c3GARAGE r-1 RETAININGWALL 0 RENEWAL CARPORT COVE 0 ALL :LOIT�^IOSED REOUIR 1��SITIAOK,�IFTI FRONT SIDE R FR.0FN)TSEDSET%AtKS(FT) E REAR PARKING :go I FIR ;71 1��VIIEIBY S MARKS ix��, -:;I Mim sr ,Wk� a j OF ACTIVITY) YPE USE 5U T� CHE M 71 OCCUPANT C2) GROUP MB OF :�NU ER STORIES �INESSOR �EX RITIC CAREA S N UMBE A;�V� SPECIAL INSPECTOR' ]AREA E 0 YES OCACDUPANT Lo JREQUIRED DESCRIBE WORK TO BE DONE REMARKS ROGRESS INSPECTIONS PER USC I OWFINAL INSPECTION REO'D P p I VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % PLAN CHE LOT SLOPE '16 E�� TED --ATE BUILDING rLU F ..11N. 7 _L MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS' MARQUEES, ETC.1 WILL BECOME SEPARATE PERMISSION. 'T�URCHAAGE PERMIT APPLICATIOK:j 160 DAYS I DAYS 'I YEAR- PROVIDEDWOR SSTARTEDWITHIN 180DAYS PERMIT LIMIt "t N CNG. REVIEW FEES NI T o SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG, INSPECTION FEE E " I G N A N SUCCE-OR' 'APPLICANT. ON BEHALF - HIS ON HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS RM E THE CITY OF N INTE E T. AGRE I EMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LINp AoNG LAN oSC CENTS ROM ANY AND SHINGTON. I SOFFICtALS. EMPLOYEES.ANDAGEITSIFOIA ANYAND I ED ONG . WASHINGTON. I oRIN-IFEC'LY I. A FORDAMAGESOFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY RE-TLY' INS ECT N FE E ER IT 'HALL NOT - E x FLRL"M`THMESISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT E o �j P�N CHECK DEPOSIT 1110EIPT TY ORDINANCBE ANYC'TY ORDNANCE DEEMSDTO MODIFY. WAIVE 04 REDUCE ANY REOUIREMENT OF ANY Cl 0 NOR LIMIT IN ANY WAY THE CITY'$ ABILITY TO ENFORCE ANY 0 D' NANCE F--VSoN J�GENT TOTAL AMOUNT DUE To, H T. I , M _ OR A N A '. E 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE NFORMAT, 'ON AUTHORIZED APPLICATION APPROVAL - GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY 01 Th,s app IIX A va-t ­.1 ',­ by III T'N. ON STRU DULA C THEO NER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CDNSTRUC w BE EMPLOYED B M P OYE CALL B ­90fIlblIllh­llD,p,Iy andF­.I.P­­d W II IN THE WORK AUTHORIZED THEREBY. NO PERS ON WILL I Vi 1 0 To E T, G To N DLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO 1.1g.d. I— p—l".. FOR INSPECTION WORKMEN'S COYE&NSA71ON INSURANCE AND RCYY 18.27 7 1 ZIEZNATU DATE �'C'l LSNGNALRE --,*=R , NED 7-T-sE S,� (425) I 771-0220 -RELEASIE13.1 _p­ 1 k/lNEDL I UAT, 1' 1333 ATTENTION F_x IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771 -0221 1 '&k A FINAL CATE OF OCCUPANCY HAS 13EEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD -ASSESSOR ,18 Z 0 c: m 0 80 c m m z o -n n M m 0 0 0 M 0 M z z 0 0 m f-b it - FINAL PROJECT APPROVAL FORM TO: DATE:A�Z& MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE — ENGINEERING DIVISION DATE— �Z LANNING DIVISION DATF--���-9 :1 �—P PROJECT SYMADDRESS PERMIT ADB#________pATE INSPECTED — DESCRIPTION OF WORK TO BE INSPECTED — A field inspection was conducted to determine final compliance with approved plans. Final approval 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 Wrrrl CONDITIONS NOTED 0 Copy ofCONDMONS given to owner/contractorby fiWector FAILED FINAL INSPECTION - OUTSTANDING ISSUES U Copy of CORRECTION NOTICE given to owner/contractor by fiWector 2. 3. RE-INSPECTFD OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign, OcaP"I.dGc.l:tenip:bldg:formsIO/O1 z 9 0 C: M rn 0 -10 00 C -4 C 2: M M z 0-4 �-. z F- --4 0 -n n -4 M M 0 Vi 0 0 Fn C (1) 90) M 0 z z -4 z 0 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACkS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... commercial Final HEATING: Test.................... --Gas.PIpIng .......... Equipment ................. mmen�lal Final C.� EXTERIOR SHEATHING NAILING .......................... FRAMING ............... FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR L ZI/ OCCUPANCY .................. 0 0 M C IT, 6. m m I D Of"n M 0 C) ITI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWN�ERNAM,�AM�FS E MAILING ADDRESS cl V Z111 \,17ELSPHONE 7-1.. qia,� — e ,1­F 7 PERMIT EXPIRES PERMIT NUMBER SUlTVAPT# EISUBDIVISION NO. LOT N3r LID No I LID FEE $ 3HTOFWAYPE OFFICIAL STREET MAP T­PAppnn.1 ., 0o PROPOSED— fnn=PR=':R.1 DEDICATION— FT u L WiE W NAME T-A FEW NESRI.G EDMATE ADDRESS FIRE REVIEWED By DATE CITY- E S al ITE CLEPHON BOND DATE CHECKED BY Vl�.1111 CU IHOR'<�R A0111 INSPECTION FiEO'D POST50 STATE LICENSE NUMBER C3 No i4jfj./)7 y 2 BEIRA REVIEW SIGN AREA 19—YES HEIGHT COMPLETE EX�PT ALLOWED AILOWED PROP 1 0 exp I 70POI10 'LOT COVE1,19E RIQUIFIIDSETB III PFI.POS-SErB4KSIFT) RESIDENTIAL 0 PLUMBING I MECH ALLOWED ^OP0 S"D 'P.HT ,.Efp FEAR CON MERCIAL Ei C MPLIANCE OR CHANGE OF USE r :;,��UE C APARTMENT C] SIGN RL PARKING D PA 1 JG REVIEWED BY DOTE I Z' I 14*' ;ENCE FT) p" GRADING F C' X CYDS X FT) 0 DEMI�LISH cl TANK, 0 RETAI 0 GARAGE NINO WALL C] RENEWAL IE ARPORT ItERY WE I PE OF USE, SPIESS OR ACTIVITY) EXPI.AIN: TV CHECKED BY T WYK C�7 OCCUPANT .7 GF1 U P R j NUM ER OF C%IT�ICAL AR B SP CI AREA OCCU PANI ME IN OF STORIES DW LLING UNITS NUMB E;Vl7q EEOCIiAlEiNISPECTOR' UiR On OU R R [:] YES LOAE� DESCRIQE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER U.C,16WOINAL INSPECTION REO'D VALUATION FEE PLAN CHECK FEE HEAT SOURCE i GLAZING % LOT SLOPE % BUILDING PLAN CHEM' IVESTID DATE PLUMBING 7 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 GFUIDINGIFILL Ut DOMAIN (CURBS. SIDEWALSKESPAORRITVEEWAY , MARQUEES. ETC.) WILL REQUIRE PERSlISSION. -MMT-SURCHARGE PERMITAPPLICATI N: IUD DAYS PERMIT LIMIT: I YEAR, PROVIDED ORK IS STARTED WITHIN 180 DAYS W ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENO. INSPECTION FEE 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS FOR DAWGE or WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY INSPECTION FEE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT SE PLAN CHECK DEPOSIT DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN E 0 NOR LIMIT IN ANY WAY TH E CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. TOTAL AMOUNT DUE I HE REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF Tin. ppil,nn.— not . ",,it until signed by h, THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS FIEGULATI�G CONSTRUC WILL BE EMPLOYED CALL I S��I­g Ojj�.I.l r nn.ft,., CUP.,; Ind F... .. p1ld. Ind TION, AND,IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON CODE OF THE STATE OF WASHINGTON RELATING To FOR INSPECTION p—PI I. .1.bwl.dl.d n.pUbU P—id.d. I N VOLAT ON OF THE LABOR WORKMEN S CO T 11 SURANCE AND RCW 18.27, �fRSA 10 oi,�tcijLs SIGNATILIRE DATE SIGNED 0- 'I A�GAT;E (425) ' A 771-02Zd RELEASED BY DATE I EXT 13;33 ATTENTION 41)1441 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN WIDE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE- YELLOW - INSPE6TOR' CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR 548 0 Fn (4 c ED 0 z m