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20010917.pdfDATE 110"VT2 I �1' PERMIT EXPIRES_�� CITY OF EDMONDS �ONE PERM T "M.ER CONSTRUCTION PERMIT APPLICATION 1 ADDRESS 9 - MAIAJ I-F OMER tLOMENAME OF 8 Kv7,6 N Irg- L L D FLAT NAMEJSUBDRISION NO I LOT NO, Up NO. ID FEE I MAILING AtDRESS 0 q?_L1 -2 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING— PROPOS50— REQUIRED DEDICATION FT CITY fMETER SIZE LINE � FIMRES PRV REQUIRED NAME I �MOOF YEsE3 NO 13 13 'ADDRESS E ARKS WN CONTA LJORANAGE OMERICONI��� CITY ZIP -�fml(IR66 NAME 1- 44 6 LL,, 1� L A- ".1p 1711c- 1 ENGINEERING REVIEWEDIDATE ADDRESS E392q 21 It 5"" z 0 In FIRE RMEWED By DATE _-ee�__ / C_ 0- W ��"�TFIEP..NE C ITY Z1. j6tom'�Pf -7-714- S vmmcE OR cLt SHORELINE OR ADS# [3 INSPECTION YREOD ES [3 NO IF... D OSTED a -W LICENSE NUMBER TA c7� 2-9 K<:� ��LO I In C: 0 m 0 -4 0 0 C: I r m m SEPA REVIEW 4PT EXP SION AFEA ALLOWED PROPOSED HEIGHT ALLOWED , PROPOSED OUN ­ 7RIY TAX ACD W_ - co L _6NEW A SIDENWJTML 0 PLUMBING MECH n000MMERCIAL ci C MPLIANCE OR 0 ADDITION 0 CHANGE OF USE APARTMENT 0 SIGN 11 REMODEI 0 0 FENCE t X [3 REPAIR [3 GRADING CYDS _ X FT) 0 DEL40LISH TANK OTHER LOT COVERAGE ALLOWED PROPOSED REQUIRED SEMACKS IFT) PROPOSED FRONT SIDE REAR SETBACKS (Fr.) FRONT URSIDE REAR PAR JKI"G LOT REGD PROVIDED ARrA PLAHNINU H-L-1 11 DATE REMARKS 0 G 0 R ETAI ING WALL SOCKERY [3 RENEWAL (TYP BUSINESS OR ACTIVITY) I —LAIN: o -n CHECK ED By TYP'3 Co O11.1UPAIV­ OR up m M 0 0 0 Fn C: (J) m U) M 0 z NUMBER OF CRIT ICAL NUMBER D AREASS No OF A141— STORIES NUMBE DESCRIBE WORK TO BE DONE -f" '5TA L L -f-iyo I C_ IN IT.R AREJ P 1E TED REQUITL LN ED [3 YES S OCCUPANT LOAD REMARKS PROGRESS INSPECnONS PER USC 108/FINAL INSPECTION REG'D CO) Aj_LQAJ Plk(> P��N-s --r. W Pl-L W j>Ac IA/ _tIL_-> 14 P, '5_itOV VALUATION $ Description FEE Description FEE Plan Check z SOURCE G�No % LOT 11 OPE I Building 0 --I LT 0 P CHECK NO: VIIIED DATE Plumbing m Moche"I., T ff—R—ONIY-EWORKM--.-ISPMMIC(IVEIISWO�K 0 �AnPROPE�ONM�CoNSTRUCnONONTHEPUBUC Grading Recording Fee Doge. 'a. SIDEWALKS, DRIVEWAYS 141UIRGUEES.IETC-IMUREQUIRE SEPARATEPERMiSSION. Engr. Review City Surcharge PERMRAPPLICATION: VIDDAYS PERMIT LR�IrB I YEAR. PROVR)EC` WORKISST&FITE-VITTHIN INDAYS Engf. Inspection S 10 SLIrcharge SEE BACK OF PINK PERMIT FOR MORE INFORKATION Plan Chk Deposit —11oANT ON IEHAILF OFINHIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS To GEMNIFY. DEFEND AND HOLD HMMLE SS THE CITY OF Traffic Mitigation Receipt # IN INTEREST, AGREES EDMONDS. WMHINGTON� ITS OFFICIALS. EMPLOYEES, AND AGENTS MOM ANY AND Fire Review ALL CLAIMS FOR DAMAGES OF WHArEVER W URE, ARISING DIRECTLY OR INDIRECTLY MoM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Fire Inspection TotalAmount u DEEMED TO MODI"' WAIVE OR REDUCE My RECIUIREMEW OF ANY CITY ORDINANCE - NOR UMff IN ANrY WAY THE CITYS ABR11rY TO ENFORCE ANY ORDINANCE PROVISION. Landscapelnsp. Recelpt# A 11 7;ii;�WLEDGE THAT HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT AM THE OMER. OR THE DUVf AUTHORIZED AGENT OF � TN..PP1I.L­I1r­p­ THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC, WILL BE EMPLOYED CALL D B.ild.g Offl,I&I or �klsfl.00 TIGN; AND IN DOING THE IN RK AUTHORIZED THEREBY. NO PERSON CODE OF THE STATE OF WASHINGTON RELATING TO � FOR INSPECTION ­Ip"­ n Q21Pv-P0,1.d IN VIOLATION OF THE LABOR WoRKMENS COMPENSATI RM 11127. OFFICIAL RE DATE (425) I - (OWN DATE SIGNED ��/u =L /7--13 01 , DATE 771-0220 RE EA ;Q AWENTION EXT 1333 08 STRUCTURE UNTIL IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. oRIGINAL-FILE YEUL0w-INsPECToR HAS BEEN GRANTED. UBC SECTION 109 FAX PINK-OWNrR GOLD -ASSESSOR CATE OF OCCUPANCY Iclo, 1 VE Li 0 z w L� ..... .......... an" C* I nn nr% LOT 13 �7, 20" F -)VED k6.. M AWrbfgNT dc LOT 14 KfLAGWIP MAW z qSq. aLtle c&LL.. 206- ALK LINE EX. C.B. RIM = 351.24 -j ST REET EYL-fLB- RTT�-- 350.59 FINAL . PROJECT APPROVAL FORM TO: — DATE: M[EMO TO: PERX[IT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE-�:L--:- ENGINEERING DIVISION DATE — PLANNING DIVISION DATE— pRoi-EcTo t- 6 f Z toil, Z�Ae!-- S In ADDRE S PERMIT #2,_a�-�L_ADB#______pATE INSPECTED-���� DESCRIPTION OF WORK TO BE INSPECTE —L-e6 7-4A,4--P 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 PERFO E BONDS and the granting of: GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WIT11 CONDITIONS NOTED u Copy ofCONDITIONS given to owner/contrautorby 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— Sigo— ocaprvl.doc.l:tenip:bldg:foTM910/01 z 0 i 0 C= M M 0 0 MM z jo 0 -n -1 M M C: M M z 0 71 > z z 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS'.. ................... FOUNDATION: 0o6tingi . ...................... .......... -------- Pier/Porch ................. Retaining Wall .......... Step Insuialtion .......... PLUMBING: nderground .............. Rough -In ................... Commercial Final HEATING: Gas Test ................... Gas Piping .................. Equipment .......... Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ............... FIRST FLOOR FRAMING INSULATION ................... . Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ............... M M 0 Z: 0 M .7 Q�ATE "Ec"72 PERM T I CITY OF EDMONDS ZONE NU.SlER J_ffi CONSTRUCTION PERMIT APPLICATION Joe ADDRESS -7 sumI O= OF BUSINESS PLAT NMUSUBDMS10N NO. f LOT NO* U 10 UDnE$ IJAJUHa ABORESS I? Z' L) PUBLIC RIGHT OF WAY PER OFFICIAL. STREET NAP A. C Try ZIP PHONE EXIST�RNQ— PROPOSED — gT>,,,Wo5 ITIL 4q z ir -7 -7 q - W'34 RED U EDDEDICATION— -I 17— NAME NET` EASIZE LINESUtE NO. OF FI)TURES PRV "E.Z. I ESE3 No AOM88 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUI)RAul-GE 1, ITELEPHONE 8 c9l 2 z it- ,,, .5w MAE REVIEWED By Full —I // DATE - 1. M Try ZIP E TELEPHONE 4: r 760ZL L -7-7LJ- E3 VATILANCE OR Cb SHORELINE OR ADB# SHORELINE 0 INSPECTION REDID C3YES E3NO Do TOOSTNE LWOW NUM13111 T A LLenrel* I C2� 22 6!�� (A� 0M SEPA REMEW COMPLETE EXEMPT SIGN AREA SIGN AS ALLOWED PROPOSED ALLOWED P, HEIGHT ALLOWED PROPOSED P"Ofternr TAX Accom NO -z i-I U IYD EXP , SHIGNITIAL E3 PLUMBING I MECH NEW 'L VIEW10BY LOT COVERAGE LOWE, OP AL PR GREG REG IRED SETBACKS (FT) U'RED SETT D, FROM SIDE REAR PROPOSED SETBACKS TPT) MONT LIASIDE REAR 13 ADDITION COUPLLANCE OR HANG USE 13 co"U"S"'A" CHIME OF USE PARKING A LOT A PLANNING REVIEWED BY E 13 REMODEL BIG Cl APARTMENT SIGN AEOD PROVIDED 0 R~ 'ENCI 0 On$ IU!MAAsS [)I rEirrh E3 DEMOLISH R 0 OTHER )i�_ 3 — L L; I Cl J n =*T MTA...'13 ' 0 RENMAL 3 CHECY10 BY TYPI SPECIAL IkSbPECTOF CAM OF �UNO REQUIRED0 YES I B" OF O"Ciii" wow to a Doa L L E�RKS iiii. 'ISS PROGIR INSI '2 0 '-A L LnA) r'lko tsIirVsE -t­^AXII \,V- k ?t PC IAJ _rw> �-P _--_f0VF- VALUATION $ Dericirl tion 7EE Plan Check GIAZING LOT SLOPE Building PLAN Cli 060; wen. DATE Plumbing Mechanical C"" THE "'BUR "O"B"S . To NWW=U= GO 'n" Pu"UC Z:= Grading . Mrr ) viti.L. REQUIRE vs, FIESSESSIOUL Eng'. Review ... "VI — VIUMT. MBOVIGIED WORK It $YAMD Engr. inspection US RUX OF POST pamm FOR MGM MWONMT*" S-C,-- gm AND succesoks Traffic Mitigation IN INTIRSEST. AQUI TO LNIDEMNIFY. DEFEND AND HOLD KAIULFS3 THE CITf OF E-Aa—ENTS FRID. AN`V AND =CTLY Fire Review ALI, CLIUMBI FO US 11 *4ATEVER NATURE, ARISING DIAJI OR MIDE, THE "UAWA OF The "Pisr ISSUANCE OF INS PERt&r SHALL NOT BE Fife Inspection DEEMED TO MODIFY, VI Oft IMOUDE ANY REQUIREMENT OF ATR` CITY ORDINANCE Noll LIMIT W ANY WAY Mtl CnY8 ABILITY 10 ENFORCE ANY ORM*kaQW=A PACIAW ON.- Landscrapainsp.. I KAREN ACKNOWLEDGE THAT � HAVE READ THIS APP, iCATION, THAT THE INFORMATION , GSIEN a COMXCT. AND THAT AM THE aNMFL OR THE GULY AUTHOPILZED AGENT OF THIS OWNER. I AMU TO COMPLY WITH CITY AND STATE LAM REGULATING CONSTI CALL TIOK AM IN DOWD THE WORK ^MiMnD TITI,,gy. NO PERSON 1� BE EMPLOYED IN VIOLATION OF THE LABOR CODE Of THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WOFAUAE" COUPE AM ACW 15,17. OF DATE "a $!=(OWNFA AGENT) NED (425) 1-3-C-11 -0220 771 HE Ar%NTioN 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- CATE OF OCCUPANCY HAS BEEN GRANTED. UBG SECTION 109 FAX INSPECTION Recording Fee City Surcharge stal. Sur.h.,go _�I;m hk D.10-11 Receipt III Total Amount Du� e Receipt # IPPLICATION APPROVAL appiims�n is na a Penh � sig,—I by th, om� .1 hisil's, D.P�y; .0 As- VIURE ORRIINAL.R. YELLOW -INSPECTOR PINK.OWIJER GOLD-SSESSOIl -.- — ------ ------- z 0 C= IT 0 C ITT FIR 5' C 0 X m m 0 0 k DO ITT 0 ca z 0 M