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20020102.pdf,6� La ' CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME�A"E OF BUS1 EBB Bob Grpc.Tq MAILING AD HESS 9C)4 Sea Vista Pl,1CC CITY zip ITIELIEPHONE Edmonds 93020 14AME A.D. Shaoiro ADDRESS 120 West DaYtOn CITY -1 1 ... rdrl'o'nds 91,120 41147777-151A NAME Sri IiA. 4F I ADDRESS 3RJ3�rl�f3th. Stl.,;f4-iE.—�--�.,-�k,�,.t�f.--�,4'..--z,:-�.-- 7- PERMIT EXPIRES 5-2,'/ PERMIT �.NE NUMBER, -6k 2 jos 8UrMAPT# ADDAESS 435 5th Tkve. PLAT NAME/SUBDMSION N LID NO. LID FEE it PU... FIGHT .1 WAY PER OFFICIAL STREET MAP �V_ 7 7 EXISTING — PROPOSED� F A� REQ IRED DEDICATION— FT METER SIZE LNE SI�E NO. OF FIXTURES AV REQUIRED I I YES E3 No C3 REMARKS —FRI—TRACTOA All—SIBLE FOR EROSION CONTROUDRAINAGE ELEP�ONE 'ITY zip 3 18.2a ['3 STATE UCEN5E NUMBER T'� LINT PARCEL NO. 4342-123-037-00-06-000 Cff NEW RESIDENTIAL PLUMBING MECH 13 ADDITION COMMERCIAL C MPLI&NCE OR CHANGE OF USE REMODEL APARTMENT SIGN IENCI REPAIR 0 GRADING YDS , X FT) DEMOLISH [] TANK OTHER oGARAGE [3 RETAININO WALL CARPORT ROOKERY RENEWAL (TYPE OF USE, BUSINESS OR, ACTIVITY) EXPLAlN:. L )ffice , mousing, Parking NUMBER NUMBER OF FRITCAL OF DWELLING A EAS STORIES 4 UNITS NUMBER DESCRIBE WORK TO BE DONE 0 installation f ii e i.'rinkler System FIRE REVIEWED By DATE 1 (—(7— 02- VARIANCE OR CU ___jPD0 SHORELINE OR ADBP INSPECTION REO'D "D O.IED SEPA REVIEW ErIGN ARFA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED _XP I I , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED PAOPOSED FRONT SIDE REAR FRONT LIR SIDE AFAR I I - PARKING LOT AREA PLANNING REVIEWED BY DATE AEGrD I PROVIDED I IF REQUIRED E] YES UBC 108/FINAL INSPECTION REDD VALUATION $ FEE Description 1 FEE Plan Check HEAT SOURCE GI-hZING % LOT SLOPE Building VESTED DATE PLAN CHE2�_,// Plumbing Mechan'cal "IS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 1. t BE 1"I ON P1 PROPERTY 0111 ANY CONSTRUCTION ON THE PUBLIC Grading RecordingFe" HE DOMAIN JCURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) VVIU REQUIRE SEPARATE PERMISSION. Engr. Review City,SurCharge PUMn"PUCA"T'd": '66DAYS ' i PERMULIMITIVI!L&R-PROVID WORK IS STARTED WITHIN 1"DAYS SEE 0ACK OF PINK PEAMM FOR MORE INFORMATION Engr. Inspection State Surcharge 'APPLICANT, ON BEHALF 0 HIS OR HER SPOUSE, HE111, A11IGN1 AND SUCCE1011 Traffic Mitigation Plan Chk Deposit IN INTEREST. AGREES TO INUELIHII DEFEND AN. HOLD . LESS THE CITY OF EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS ROM ANY AND Fire Review )0 Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SMALL NOT BE DEEMED TO MOIIFY. WAIVE OR REDUCE ANY REQUIREMENT 01 ANY CITY ORDINANCE Fire inspection 1 10 TotaiAmountDuo 0 NOR LIMIT IN ANY WAY THE CITY'S AIRM TO ENFORCE ANY ORDINANCE PAOVISION.' Receipt Landscapoinsp. III I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPILICATION; THAT THE INiO RMATION, APPLI OVAI GIVEN M CORRECT, AND THAT I AM THE OWNER. OR THE DULY AjjTHOR[ZED AGENT OF THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL ...... tic I n . _t vrill Vg..d by th. N ITON; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED B.Bd .1.1 . D.P": d F=r. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION , IP11 WORKMEWS COMPENSATION INSURANCE AND RCW 18.27. UR E q SIGNATURE (OWNER 011�� 0 E SIGNED (425) GI - J-� -O;P, WOFFICN a 771-0220 .4ASED I MATO ATTENTION EXr 1333 ZIL—_46 L IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING QR STRUCTURE UNTIL 7710221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-RLE - YELLOW -INSPECTOR CATE OF OCCUPANCY 14AS BEEN GRANTED. UBC SECTION lot) FAX PINK -OWINER - GOLD`- ASSESSOR fla/01 Z 5i 0 M C M 0 0 C K M m 0 -n M M 1:3 Vj 0 0 C Z 0 4 0 M FINA_ PROJECT APPROVAL I _RM TO:- DATE:-, MEMO TO: PERMIT ORD. DIVISION FROM: FIRE DEPARTMENT DATE_.�--�' ENGINEERING DIVISION DATE — PLANNING DIVISION DATE— PROJECT__I�i�� SITE ADD RESS- 517/-55 PERma*_(�j 2— _ ADB#_____DATE INSPECTED-2- —I DESCRHqJ00N% WORK TO 13E INSPECTED__I_-�� A� Held inspection was conducted to determine final compliance with approved plans. Final approval I ase of denotes that there are no objections from the above signed Department to the re e pE )RMANCE BONDS and the granting of: GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED a Copy ofCONDITIONS given to owner/contractorby inspector FAILED FINAL INSPECTION - OUTSTANDING ISSUES C, Copy OfCORRECTION NOTICE given to owner/contractor by inspector 1. 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign____� ocapryl.doc.l:temp:bldg:fomisIO101 z 9 0 M M M 0 -4 0 0 0 C M M Z ,0-4 C: Z o -n M 055 0 r- 0 M C: (n C U) rn 0 Z r- M z 0 z 2 0 M I' RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ....................... FOUNDATION: Footing ...................... wail .......................... Pier/Porch .................. Retaining Wall ........... Slab Insulation PLUMBING: underground ............. Rough -in ................... Commercial Final HEATING: GasTest .................... ------------- Gas Piping ............ k Equipment .......... -------- Commercial Final EMRIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOORFRAMING IN SULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 7_7 IT 0 0 M M rn z: 0 C) M CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 11-IR NAM"AME 01 BUSINESS Bob Greqq MAKING ADDRESS 904 S.. Vi-t- Pl--- CITY zip ITELEPHONE mmonds 98020 NAM tj A.D. shapiro um . *I P. 1� il' J'X;-"; 77 -15 PA ?nds 9(80;,� stri tif 10 ADDRESS 3 -n, CITY 211, TELEPHONE -3 6 STATE LICENSE NUMBER PROPERTY TAX ACCOUNT :,4342-123-037-00-06-000 Ew RESIDENTIAL 13 PLUMBING 1 1Z - 1 `13 Cff ...... . r3 COMPLIANCE OR CHANGE OF USE 43 REMODEL E3 SIGN I NOE 13 REPAIR C3 GRADING CYDS 0 1 - x FT 13 DEmous" E3 TANK [3 OTHER 0 GARAGE 13 RETAINING WALL [3 RENEWAL U CARPORT 70"� JL_�, TYPE OF USE, A Ous n ... T', ffi(.e IT, NUMBER CRITICAL OF AREAS _STORIES 4 NUMBER DESCRIBE WORK TO SC DONE -7nstallation of ']Fi�e Prinkl.; ��.te PLAN I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WOR" - TWSPERUNTCOVERSWORKTO BE DONE ON PRIVATE PROPERTY OHM =NSTRUCTION ON THE PUBLIC DOMAIN JCURBS, SIDEWALKS, DRIVEWAYS, MAROUEES, ETC.) WU.IL REQUIRE SEPARATE PERMISSION. PmmrrAPPLN:ATKkL moxes PERMIT LIMIT, I YEAR - PROVIDED WORK 13 STARTED WITHIN ISO DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION -I— ON BEHALF . Nr OR E. �..E;RS AASIG.S -. UCCESDRS IN INTEREST, AGREES TO I E..". =E . to HARMLESS THE CITY 0 EDMONDS, WASHINGTON ITS OFFCIALS. ES AND AD C�FFIOM ANY AND EMPLOYE - di:NT ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE ARISING E YOH DIMQT� FROMTHEI"UMCEOFTHiSFERMIT. ISSUANCE OFTHIS PERMIT SHALL OTH DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CIWTY ORDINANCE I kjj PERMIT EXPIRES [Us PERMIT 202 __6110 Z ZONE NUMBER jo SUITIVAPTO A'I"D'ORESS PLAT NAM91SUBDIVISION N7 LOT NO LID NO. LID FEE S PUBUG RIGHT OF WAY PEN OFFICIAL STREET MAP EXIII TING — PROPOSED - REQUIRED DEDICATION— FT S— U. METER �� NO. OF FIXTLIRES PRY REQUIRED YES 0 NO C3 REMARKS OWNEFUCONTRACTCR RESPONSIBLE FOR EROSION CONTROLAIRAIN&GS ENGINEERING REVIEWE FIRE REVIEWED BY DATE O,e 1 —(7-02- VARIANCE OR ou SHOREUNE OR JUH1# C3YF.S INSPECTION REGro 13NO IPBOND Due Qd11IZA.R_E1%.MPT EXP "ON 1"_ ALLOWED PROPOSED .. EIGHT ALLOWED PROPOSED. LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (F") PROPOSED FRONT SIDE BEAR SETBACK" FRONT L[H SIDE REAP 51 REDD I PROVIDED PLANNING REVIEWED BY REMARKS &ECKED By VIE �FC ITRI �-01 iT C0* UPANT CC SPECIALIN SPECTOR JAREA REQUIRED [] YES ..0 A_ 1". A REMARKS Apan PROGRESS INSPECTIONS EER UBC 101111FINA W&JI111 Lill I IRW-- VALUATION $ FEE Description FEE Building Plumbing Mochanical Grading Recording Fee Ergr. Review, CitySurchargo Engr. inspection StateSurcharge TraMe Mitigation Plan Chk Deposit F Fire Review 0 Pt 0 _- _�R�Cei Total Amount Due NOR UNIT IN ANy WAY THE CrTYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. Land..ap. In al). PvAC I HERESY ACKNOWLEDGE THAT I HAVE READ THIS "PUCAnON: THAT THE INFORMATION- APPLICATION APPRc Ly AUTHORIZED AGENT OF GIVEN IS CORRECr. AND THAT I AM THE OWNER' oAATTe"E�DWS REGULATING CON THE OWNM I AGREE To Co FLY WITH CITY AND STRUC. M CALL I TN I n p.�t TO V, LOVED tK AUTHORIZED THEREfff. NO PERSON % U. BE EMP TION; AND IN DOING THE WOF RELATING TO IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON FOR INSPECTION �pdln.p.. WORKMERS COMPENSATION INSURANCE AND RCW 18.27. OFFIC UR E sKINATURE JOWN D SIGNED (425) 771-0220 R ASED BY D TE j ATTENTION EXT 1333 IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 L�' A FINAL INSPECT ON HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGLNAL-FILE . YELLOW- INSPECTOR GoLDr-ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 F" PINK -OWNER z 0 0 =i 5i M M 0 M ID M M 13 a; 0 0 Fn z 0 M