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20010852.pdf'I DATE 'EC1111D PERMIT EXPIRES CITY OF EDMONDS "E PE M T ZONE M NR EIIER CONSTRUCTION PERMIT APPLICATION JOB SUITE�APT- - ADDRESS /,/ '5� 6,b "VIL- s W" ` w, 'A L� PIA,T NAME'SUDDIVI SION LOT No NFEOE .5 1 11 A L�00 S NRG 1 MAILINGADDRESS PUBLIC R?!�.T OF WAY PER OFFICIAL STREET MAP WP 0 .p C, Ty CITY ZIP PA EXISTING PROPOSED .. 4TILEI"ONE REQUIRED DEDICATION IT NA�kE2�=,SL METER SIZE LINE III No OF FIXTURES ERV REQUIRED If YES C3 No 0 Lj t: ADDRESS REMARKS �ONTRACIOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE OWNER�ONTRAC ZIP TELEPHONE NAME S: 1 ADDRESS ENGI REVIEWEDIDATE FIRE REVIEWED By DATE z VARIANCE OR CU SHORELINE OR ADD. INSPECTION BOND 5�fEUCENSE NUMBER E--ON DATE ,EG RE POSTED 4 E3YES 0 I —A (5r,- 6zo '?AA ,jCHECKE SIGN AREA HEIGHT PRO ERTY TAX A TPARCELNO SERA REVIEW COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED ?CO -7 S' 12 11DENTIAL EXP , LO COVERAGE nEGUIRID SETBACKS IFT-1 PROPOSED SETBACKS I'T .1 A LOWED PROPOSED FRONT SIDE FRONT LIRSID rn tR C MPLIANCE OR �. ;?o 33, 11 c: IT! C MMERCIAL C NGEOFUSE -6/5- PARKING REVIEWED BY DATE 0 APARTMENT LOT AREA D PROVIDED 0 REMODEL cl SIGN 4PILANNINI 7,� REPAIR S 'ENO' M DEMOLISH TANK 0 OTHER 0 10 C3 GARPOAT C3 RETAINING WALL RENEWAL 0 CANAGE F "ERY SINE11 OR ACTIVITY1 EIPLI p ITYPE OF USE. SU PLAIN: 0111KED11 TIO-- pDE OCCUPANT 0 -n C, ITYPIPFC GROUP NUMBER NUM ER OF iTICAL 0 B EAS OF DWELLING AR I CNRMBEo/-//;U s ECIAL INSPECTOR JAREA LOOCACILPANT REQUIRED rn STO DESCRIBE WORK TO BE DONE C3 YES m RENA KS 0 12 ROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D 5 0 a J-11 4 146 -Fee- 260) 90 - -e-LLd Aq �5 m 0 Ir 7,0 z -7 VALUATION FEE 6�9 .7 PLAN CHECK FEE &9D- SOURCE GaZING, % L0Z;L.0g%o/ BUILDING Iql ko gL;;L 16t z PL NCH �-TE ... E PLUMBING C�.7N 7AII m MECHANICAL HIS PERMIT AUTHORaES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO T s BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC REQUIRE GRADINGIFILL S DOMAIN (CURBS, SIDEWALKS, DRIVEWAY . MARQUEES, ETC.) WILL SERAFATE PERMISSION. STATE SURCHARGE PERMITAPPLICATI N 180DAYS ------7 PERMIT LIMIT. I YEAR . PROVIDED WORK IS STARTED WITHIN 180 DAYS 7.1 REVIEW�EEE� _SEE BACK OF PINK PERMIT FOR MORE INFORMATION EN.. INSPECTION FEE folg LICANT. ON BEHALF OF HIS OR HER SPOUSE. NEWS, .$SIGNS AND SUCCESO-S �App N I TEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY Ul Z EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND LNNDSCAP ING FEE LL FORDAMAGESOFWHATEVER NATURE. ARISING DIRECTIOR INDIRECTLY A CLAIMS _INSPECTION FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL 101 61 Y .�E.�DTO.0.111-IVEO.RE.�CE�.YR�..IRE.INTOFAN CITYORDINANCE PLAN C.EOK EmSff NOR LIMIT IN ANYWAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.� TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION VAL GIVEN IS CORRECT. AND THAT I A. THE OWNER, OR THE DULY AUTHORIZED AGENT 01 COIISTRUC- T 'l npl-cal 11 P-1-1 -.1 l.,ld by thl THEOWNER ]AGREE TOCOM" WITH CITY AND STATE LAWS REGULATING 7iON. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL d.�g Ofi,P.1 11 hl�lhll DIP11, — F, IN VIOLAT I THE LABOR COL OF THE STATE OF WASHINGTON RELATING To FOR INSPECTION aeknowledgod .� I_. ATION S N E AND ROW 10.27 - 0(oRKVENI;gM,Ej(S IN U A% S101Al DATE =SI ATUR ( NER AGZ!��_ 1.7.777 aClALS (425) _ �� /g/g>1 71 I-V�" RELEASED By -IE NTION I , TT'P -;5'N N EXT 1333 &Javil'a, I UNLAW UL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL LTO, 771-0221 I SF FINAL IN PECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL.RLE - YELLOW - INSPE6TOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD - ASSESSO,21 1� 5198 Fir 5tn�fst Q3 'HY955 Ist!" fji ----------- Q) .0 11j Lj. cu3) r---------- =Ff -A f=r c4ecl ZI H.Q'[ght Plan LEGAL DESCRIPTION A LOT COVERAGE CALCULATION - - - - - - - 2;;Z; - - - - - - - - - - - - - - - - C:, HEIGHT CALCULATION ,f;v cop)( -4 1 lob z I - - - - - - - - - - - - - - - - - - - - - - - io — — — — — — — — — — — — M I L < ------ eel igg .......... ---- --- k ol 1: KIN7 OWNERICONVRAC rOR IS RESPONSIBLf- APPROVED BY ENGINEERING FOR EROSIOA\CONTROLAND DAMAGe\\ r--iw, i'a \ \ \ - — - — - -- � --=:v --- - — - — - — - — ffqo L41ndd3\ gnu9AV L419 Date: ENTSME REQUIRIE A V 0711ifl. ME k AMP- r-F I r rz eg + vq 17 -Sc�> 7a e, 01- IN IL --------------------- I APPA6 FOOTING DRAW NOT To BE TIED ATO By NC DETENTION Date: mnu*pAw u%,,' w_ �n Z211 co 199: 0) co '2 3.1 1 ni ACCEPTABLE TIGHTLINE MATERIAL SOR 35 SCH 40 N_- 12 — - — - — - — Fir 5triset T. fUT IN Wrnj SP. 57C NOT 're P4) 2MI- CITY Uvr IL LEGAL DESCRIPTION �ALCU ---------- �C��VEAAOS CALCULATION ----------- ic 10 C FINAL PROJECT APPROVAL FORM TO: — DATE: BUILDINGDIVISION MEMO TO: PERMIT COORDINATOR, FROM: FIRE DEPARTMENT DATE — ENGINEERING DIVISION DATE_!�� PLANNING DIVISION DATE— PROJECT—_-6/nns SrTE ADDRESS PERMIT # _____DATE INSPE INSPE 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 WITH 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 0I 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:fonralO/01 z 0 C M MO -4 0 0 0 C rn M z J0 0 M x MM 0 Fn 0 r- 0 M C U) 9 (n M 0 Z 7' z __1 Cn z 0 i 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: GasTest ................. Gas Piping w Equipment ............ Commerclal,glnal'.� E)Cj ERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING... WS INSULATION .................. Floor Insulation Wall Insulation ........... Calling Insulatio SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. w 0 M MS 0, Oc M 0 0 n M M. C Z, M ECEIVED PIRES CITY OF EDMONDS PE MIT k6 NR.IR CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT. ADDRESS �5 t�IJNAME��r I PLATNAMEISUBDIVISION�- I _ 5- 2co LOTA.. LID NO. LID FEE S W, MAILING ADDRESS 5�1 - --r44 -s — PU BLIC R17.T OF WAY P ER OFFICIAL STREET MAP EXISTlN(G' PROPOSED- '�� e� REQUIRED DEDICATION FT P A,, wlp= �* . P.— R.� LK W_ VIL IIT�; ZIP TIE EPH011 Li L—Ce in, LINE SIZE I OF FIXTURES PAVAEOUIRID s 0 No C3 ADDRESS *Z 2� 4 1q,4( A,.,, 0 NAE72ONTRACTOR RESPONSIBLE FOR EROSIOMCONTROI-DRAINAGE F TH s:ubvIVIs'I)k. 'cl ZIP ONE z A .1 0 m INGIIEIIIN�_ REVIEWED[DATE It 11101 Z ADDRESS FIRE REVIEWED BY DATE TELEPHONE VARIANCE OR CQ 9 HORELINE OR ADBO INSPECTION ES C3YRE��O IPBOND OSTED m , I m 0 0 0 m 10 -PA-f-E —LICENiE NUMBER EXPIRATION CHECKED SEPA REVIEW MPLb7E E SIGN AREA �OWEO =PROPOSED HEIaHT '�;71D ALLO 1;� PROPEI TAX A ?,111T PARCEL No, RESIDENTIAL j PLUMBING I E.. Co ADDITION 0 Co PLIANCEOR 0 COMMERCIAL CHA GE OF USE 0 REMODEL A C] SIGN E] PARTMENT FENCE 0 REPAIR CYDS ID I — x FT) LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS III FRONT SIDE ET. C E PROPOSED S A K III FRONT UR SID -15-; PARKING LOT A81EA�P!_AMNING REVIEWED BY ;EjKZ�� DATE I�L54'9 MARKS :;toe, C] DEMOLISH C3 TANK C] OTHER 0 GA AMK'FLY C] c3Mal RETAINiNGWALL RENEWAL CARPORT 0 T 0 0 c _ 'j5 5' ITYP: U IINE S OR ACTIV17'Y) EXPI-AM: JTYPEq�, _Y;D�?) OCCU CHECKED By q�N Pl� GROUP OC Sp CIALIN PECTOR ARE CUPANT 1p FEE YES AD rlF NU� R OF STORIES -UM ER 0 WEBLLIN.;g UNITS CRITICA AREAS N UMBEO/ I BE DONE REMALK REIT'D PRO, RES�SPECTION`S PER UBC 1081FINAL INSPECTION REQ -Pei ila�Alia 20T L2�E441/a I, 91W(VLA-L_M�(M . lEr- Al IU21 L -9'7.0 f LU I FEE 0 m G ZING I Loj "Og PLAN CHECK FEE BUILDING -':2. �v -7 E5 PLUMBING PLAN CHEN IVE57ED DATE MECHANICAL '12 THIS PERMIT AUTHORIZES OIL' THE WORK NOTEDNT,411 PERMIT COVERS WORK To BEDONE ON P. AT, P 'ERTY ONLY_ ANY Co 'TRUCTION ON THE PUBUC D OMAIN (C R S.E no WAYS MARQUEES,, ETC.) WILL REQUIRE B . I AlK. SEPARATE PER.'S. . B., M.INQ'Fll_L /SIC,/ lqt? STATE SURCHARGE PERMIT APPLICATION: 180 DAYS 0 DAYS 1. PERMITUMM" YEAR - PROVIDED WORK IS STARTED WITHIN is SEE BACK OF PINK PERMIT FOR MORE INFORMATION G. REVIEW FEES 7 ENO. INSPECTION FEE -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN NTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE L.Il — I� EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS IF.. ANY AND Y ALLC-I.I;FQROAM-EEOFWHATEVER NAT.RE.ARIS'N.DIFl CTLYOR INDIRECTLY I, T ROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE E ANY REQUIREMENT OF ANYCITY ORDIHANCE QEEMEOT MODIFY, WAIVE OR REDUC El ENFORCE ANY ORDINAN I 0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO CE LANDSCAPING I ILNSPECTION FEE PLAN CHECK DE OSIT RECEI TOTAL AMOUNT DUE To, CEI a --0 I HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORR T. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF ECL THEOWNEA. I AGREE TO COMPLY WIT. CITY AND STATE LAWS REGULATING CONSTRUC TION. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILLBE EMPLOYE D IN VIOLATI ' LABOR COVEOF THE STATE OF WASHINGTON RE ATING TO N..KMENW. ATMNIN-UjA_NGEAN- -CW 1-Z' APPLICATION APPROVAL CALL ,l ... — PlId. -d "k,.P P... pl—d.d. FOR INSPECTION SIGNATgE ti, DATE OFPCIALS (4.25) 771-0220 DATE I R 11 AG ATE 77 EXT 1333 �El -TTfENTION w�,ATE ttA UNLAWFULTO USE 08 OCCUPYABUILDING 08 STRUCTUREUNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109, 771-0221 1 "INS , PEC ORIGINAL -FILE - YELLOW- 'TOR FAX PINK -OWNER - GOLD -ASSESSOR Ss