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20020515.pdf1111 RECEIVED 5 Hl 4- dll r CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NER NAMEfi OF BUSINESS 1 6(G I ac IiNG ADDRi FY ZIP .. �l fV\ �J' Ac' V�p f "A i t "IR ADDRESS CITY �C 'll _f Aj C 1111EI�' 5 q u CITY ZIP [TELl STATE LICENSE NUMBER TE CHECKED By PROPERTY TAX AC OUNT PAR I (f-Z -)7a - b-,!, -7 NEW 0 RESIDENTIAL 0 PLUMBING / MECH AcOmoN XCOMMERCIA L 0 C MILIANCEOR CHANGE OF USE REMODEL 0 MULTIFAMILY SIGN REPAIR [3 GRACING FENCE CYOS ( X FI) DEMOLISH TANK OTHER 0 CARPORT E'TAINING WALL FiRESMINKIL 8 R F ROCKERY RE ALARM (TYPE OF USE, BUSINESS 122 OR ACTN�l EIPLAI / '� NU 'ER 0 SF RIES TO 4)�Ll I . I D ELLING UNITS - I CRITICAL AREAS NUMBER I DESCRIBE WORK TOBE DONE "'Ill PERMIT EXPIRES USE PERMIT ZONE A(11 NUMBER Izo7-DaLT-1� Joe -z I'h SUITEJAPT# ADDRESS q NI,� Y� L/ -c- FLAT HANEISUBDI'VISION NO, LOT NO LID NO. I LID FEE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED — REQUIRED DEDICATION— FT OF 11-UIEI PRV REQUIRED es (3 No E3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTHULIU-1-- FIRE REVIEWED By DATE VARIANCE On CU 11PEC1IO BOND RED 11 POSTED DYES 13NO S __1 N A'- EIGHT " "A COMPLETE , EXEMPT �Xp SEPA REVIEW ALLOWED PROPOSED ALLOWED I PROPOSED BY LO COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) R ALLOWED PROPOSED FRONT SIDE HEAR FRONT LJR SIDE R�R IT PARKING LOT AREA PLANNING REVIEWED By DATE REGO I PROVIDED Q:O_ SPECIAL INSPECTION JAREA 0 CUPA REQUIRED C] YES LOAD REMARKS DDrIMPI IPJqPFCTIONS PER UBC 1081FINAL INSPECTION Fi Description FEE Desc _�Ipflon FEE !an Check BiGe Surcharge HEAT SOURCE I LAZI IN 13 LOT SLOPE Building Permit CItY Surcharge __10 ESTED DATE VE Mechanical THIS PERMIT AUTHOR:%S ONLY VIE WORK NOTED. THIS PERMIT COVERS WORKTO BE .. E ON MIN PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAUN (CURBS. SIDENVALKS, DRIV MARQUEES, i WILL REQUIRE EW SWAYS 3 SEPARATEPERM;Sslom. El Revia,, N ii PERMIT APPILICATIO : IN DAYS R —:::: MIT ." Yl - PROVIDED WORK IS STARTED WITHIN 10 DAYS PERMIT UMhr I Y P I Engr. Inspection SEE BACK OF PINK PERM" FOR MORE INFORMATION K F P' Fire Review plan Chk. Deposit ON BEHALF OF HIS OR HER SPOUSE. HEIRS�ASSIGNS AND SUCCESORS HALF OF . ;APPLICANT. I. INTEREST AGREES 70 INDEMNIFY DEFEND AND NO 0 HARMLESS THE CITY OF N [WE - 70 li OFFICIALS. EMPLOYEES. AND AGENTS MOM ANY AND Fire Inspection RECEIPT It ON ITS EDMOND., WASHINGTON. ITS BIT ALL CLAIMS FOR DAMAGES OF WHATEVER "TUBE, ARISING DIRECTLY OR INDIRECTLY 0 NOT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL 0 CITY O.DIN" CB: Landscalpel�sp Total Annt Due EEMED TO i WANE OR REDUCE ANY REQUIREMENT OF MY D E . To i W VE OR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDIN"ClE PRWISIOK 1 .0. LIMIT I . A Y 'N C' Receipt III I KERE"' ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION; THAT THE INFORMATION APP ICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF 1i i `­I­W evd Oy i THE OWNE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. BE EMPLOYED CALL B'ilTni IX., Dill 011 O`Py: d F... .. i . E VOW AND'N1 DOING THE WORK AUTHORIZED Th REBY, NO PERSON WILL OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION 'i Is in sp­ jx�ded, IN VIOLATI ON OF THE LABOR CODE WORKMMS COMPENSATIO INSURANCE AND RON 18 27� OF I I TE SIGNATIURE (07 OR ATE SIGNED -L (425) �167j�2 - 7 1') k 771-0220 nil YEASED BY DATE ATTENTION EXT 1333 1 4USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL k� IT IS UNLAWFUL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINI YEILLOWASI OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 'INK -OWNER GOLD -ASS SSOR CATE OF 00li U A 0 rk V^11 I A 0= RA A LeIR1171 C 1"I"NOICC GREEN ACCOUil G4102 - z 0 :d _' 0 m m mi 00 80 m IT Be 0 m -n m IT 9 to o '-'F n C 0 z m FINAL PROJECT APP&OVAL FORM TO: DATE: MEMO TO: "*00 17 GDIVISION ;P' FROM: El, FIRE DEPARTM FNT DATE—f- i--/ 14 1 25 ENGINEERING DIVISION DATE — PLANNING DIVISION DATE — PROJECT -7 fjlt�- /h, SITE ADDRESS--�Z-2( ADB# INSPECTED--� ____--PATF DESCRIPTION OF WORK TO BE INSPECTED----L n al compliance with approved plans. Mal approval A field Inspection was conducted to determi e fin denotes that there skre 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 c3 Copy of CONDITIONS given to owner/contractor by inspector FAILED FINAL INSPECTION - OUTSTANDING ISSUES a Copy ofCORRECnON NOTICE given to owner/contractorby inspector 2. 3. RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date— Sigo— ocaprvLdoc.l:t=p:bldg:formsIO/OI z 9 0 M C rn -q 0 00 C -4 g 3: rn M Z 0 -n n --i M9 m rn 065 0 r- 0 M C (A K Ca rn 0 Z -4 x z z 0 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall .................... PledPorch ................. Retaining Wall Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final HEATING: GasTest ............ . ...... Gas Piping .......... Equipment ................. Conunerelal Final EXTERIOR SHEATHING NAILING .......................... :FRAMING ........................ -FIRST FLOOIR FRAMING... INSULknow ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. Z 0 I m 0.n m m r Z m fi DATE REC6VEO RMITEXPIRES PFPE US' E R MIETR CITY OF EDMONDS Z..E N UMB _? - 43 I —La—i— JOB EBB SUITEJAPT# ADDR q3j CONSTRUCTION PERMIT APPLICATION OWNER NAMEft"E OF BUSINESS M 6(6 -, or Dev�_to,pmvi� LL(—. PLAT NAMEISUBDIVISION NO. I UCT NO, U NO. LID FEE S 15 MAILING AOCRESFJ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP x, "a PRO E an PRO OSED— CT[Y ITIELEPHKINE,� REQUIRED DEDICATION— F7 13 LINE .1. NO. OF FKMRES PRV SOURED NAME 1 YES 0 No E3 z ADORES REMARKS OWNEFUCCINTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAIMM3E t cm ZI! -1 -t- CB&53 ENGINEERING REVIEWEDBY DATE IJV C ADDRES� z Au FIRE REVIEWED By DATE [Ire FINE 'P M CISVARIANCEORCU RELINEORADEM INSPECTION BOND STATE LICENSE NUMBER (3, RE.-D POSTED SHO I ES 13NO $ REA Iis"`HT $EPA REVIEW SION AFROPOSED ALLOWED , PR.POBED �ROPERTY TAX ACCOUNT PARCEL NO. COMPLETE , EXEMPT ALL %Vs. EXP M LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSE13 SETBACKS (FT) 0 NEW 0 RESIDENTIAL [3 P MBINGIMS"N ALLOWED P�OPOEED FRONT SIDE REAR FRONT L11SIOE REAR COMPULANCE0 ADDITION MERCLAL 0 CHANGEOFUSE XCOM DATE M 0 REMODEL E3 muLnKAwy 1:1 LU R [3 REPAIR [3 GRADING CYDS 0 x_Fr) REMARKS DEMOLISH TANK E] _jER 0 PC RETAININGWALL SPRINKLER ROCKE FIR _n RT Ry FIRE ALARM PA J�ZF )��IlYJC04 OCCU, _7 'ROU J�k' ITYPE OF USE, BUSINEI EKP��40� �HECKED By m T Q C ITICAL OCCUPAW FR AREAS SPECLALINSPECTK)N JAREA LOAD NUMBER REQUIRED 0 YES (j) DESCRIBE WORKTOSE DONE (1) REMARKS 'nON REGO PROGRESS INSPECTIONS PER LIBC 108/FINAL INSPECTION REGO 4 41-6 VALUATION filud Doscription FEE Description FEE z Ran ChecX State Su, GLAZING % LOT SLOPE % Building Permit City Surcharge 5 PLAN CHECK NO, VESTED DATE Plumbing Mechanical THIS PERMIT AUTHOR121M ONLY THE WORK NOTEM THIS PERMIT COVERS WORK TO I: SE DONE ON PRIVATE PROPIERTY CHLX ANY CONSTRUCTION ON THs PUBLIC Grading ES, ETC.) WILL REQUIRE DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUE SEPARATEPMURSSION. Engr. Revian PER ITAPPLJOATION: ISOMYS ...... PERMIT UMM I nm " PROVIDEDW RKIS"ARTEDW1TION INDAYS Engr. Inspection am BACK OF PINK PEWIT MR MORE INFORMATION -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIM. ASSIGNS AND SUCCESORS Fire Review 150,— PlanChk.Deposit IN INTEREST, AGREES To INDEMNIFI. DEFEND MO 110 HARMLESS THE CITY OF — Receipt III Lo EDMONDS, WASHINGTON, IT$ OFFICIALS, EMPLOYEES. AND I.$ ..- ANY AND Fire Inspection ALL CLAIMS Es OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE 1=0 E OF THIS PERM9. ISSUANCE OF THIS PERMIT SHALL NOT B Landscapoinsp. Total Amt. Due EEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE N LIMIT IN ANY WAY THE CITYS ABILITY To N . Recording Fee Receipt N OOR ENFORCE ANY ORDINANCE PROARSIO IHEREBy ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPUi;AI ION APPROVAL GWEN IS CORRECT, AND THAT I AM THE OWNER. OR TH DULY AUTHOFUZEo AGENT OF -.Wn 1, p—it unill slgn� tq THE OWNE I AGREE TO COMPIN WITH CITY AND STATE LAWS REGULATING CONSTAUC_ CALL '."TN..ppIk , F�d. ro RI THEREBY. NO PERS N WILL BE EMPLOYED dg OftW u �ftr D "d �as — F�d. N; AND DOING THE WORK AUTHORIZED ­Ipt � �­I4pwft:a�ce p�de& 0 F IOR INSPECTION IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKUMS COMPENSATION INSURANCE AND RCW H1.27. OF NATU SIG NNCT 08t�� (425) _THE (01 A4 0 R EASED BY A 771-022 DATE ATrtNTION EXT 1333 1 IT IS UNLAWFUL TiU�SE OR OCCUFY�A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR _11NMAL-FILE - YELLOW-1 SPE&OR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER -- 00 D-ASSESSOR PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING 4 41-6 VALUATION filud Doscription FEE Description FEE z Ran ChecX State Su, GLAZING % LOT SLOPE % Building Permit City Surcharge 5 PLAN CHECK NO, VESTED DATE Plumbing Mechanical THIS PERMIT AUTHOR121M ONLY THE WORK NOTEM THIS PERMIT COVERS WORK TO I: SE DONE ON PRIVATE PROPIERTY CHLX ANY CONSTRUCTION ON THs PUBLIC Grading ES, ETC.) WILL REQUIRE DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUE SEPARATEPMURSSION. Engr. Revian PER ITAPPLJOATION: ISOMYS ...... PERMIT UMM I nm " PROVIDEDW RKIS"ARTEDW1TION INDAYS Engr. Inspection am BACK OF PINK PEWIT MR MORE INFORMATION -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIM. ASSIGNS AND SUCCESORS Fire Review 150,— PlanChk.Deposit IN INTEREST, AGREES To INDEMNIFI. DEFEND MO 110 HARMLESS THE CITY OF — Receipt III Lo EDMONDS, WASHINGTON, IT$ OFFICIALS, EMPLOYEES. AND I.$ ..- ANY AND Fire Inspection ALL CLAIMS Es OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE 1=0 E OF THIS PERM9. ISSUANCE OF THIS PERMIT SHALL NOT B Landscapoinsp. Total Amt. Due EEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE N LIMIT IN ANY WAY THE CITYS ABILITY To N . Recording Fee Receipt N OOR ENFORCE ANY ORDINANCE PROARSIO IHEREBy ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPUi;AI ION APPROVAL GWEN IS CORRECT, AND THAT I AM THE OWNER. OR TH DULY AUTHOFUZEo AGENT OF -.Wn 1, p—it unill slgn� tq THE OWNE I AGREE TO COMPIN WITH CITY AND STATE LAWS REGULATING CONSTAUC_ CALL '."TN..ppIk , F�d. ro RI THEREBY. NO PERS N WILL BE EMPLOYED dg OftW u �ftr D "d �as — F�d. N; AND DOING THE WORK AUTHORIZED ­Ipt � �­I4pwft:a�ce p�de& 0 F IOR INSPECTION IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKUMS COMPENSATION INSURANCE AND RCW H1.27. OF NATU SIG NNCT 08t�� (425) _THE (01 A4 0 R EASED BY A 771-022 DATE ATrtNTION EXT 1333 1 IT IS UNLAWFUL TiU�SE OR OCCUFY�A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR _11NMAL-FILE - YELLOW-1 SPE&OR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER -- 00 D-ASSESSOR PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING