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20020989.pdf0 j DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNE"MEINAME OF BUSINESS f-i'ri cv-L��Malvfl MAILING ADDRESS SS CITY ZIP Z ITELEPHONE Fvlrm la"T W,+ 47-T- 774 -6S'401, NAMEP IV,r4,2 ADDRESS 6 e-. 1/ Ft-/zi4 A/e_ C!�� Zip TELEPHONE 0-- 11V6 6100; 1760­i�-,,741.r9uj-7 NAME C9LN - - - - - - . 1 ­-7110 — PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS,!�g( a PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.--J PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Ap' AW Permit R*..q."- EXISTING R@FrqSE P Street Use Permit Req'. Inspection Required 13 REQUIRED DEDICATION-11elt Sidewalk Required 13 underground Ir— Wiring required 0 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ADDRESS M 4/ �7 CITY ZIP TELEPHONE let .. - - I - ­ -1 - - 1. 1 EXPIRATION DATE I CHECKED BY ROPERTY TAX ACCOUNT PARCEL NO. A,P 9M7 e_1 j2 1,gl9i 0 NEW RESIDENTIAL 1:1 PLUMBING / MECH 0 ADDITION OMMERCIAL AC COMPLIANCE OR 1:3 CHANGE OF USE REMODEL [] MULTIFAMILY 1:1 SIGN 0 REPAIR [3 GRADING CYDS M FENCE L_J ( _ X_FT) DEMOLISH [3 TANK OTH12a�& x oGARAGE CARPORT I RETAININGWALL 0 ROCKERY FIRE SPRINKLER 1:3 FIRE ALARM (TYPE QF USE, BUSINESS OR ACTIVITY) EXPLAIN: NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS NUMBE DESCRIBE WCAK TO BE DONE AIF 0 %k1j, 4 HEAT SOURCE GLAZING % LOT SLOPE % PLAN C ET H VESTED DATE THIS PERMIT AlUTHORI=S ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMITAPPLICATION: ISO DAYS PERMIT UMIT! I YEAR * PROVIDED WORK 15 STARTED WITHIN 1180DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. (OWNER DATE SIGNED 'j,117W 1 /0 /2--z b L I ENGINEERING REVIEWED BY a z i z 1211, NEW F] R ED DATE U, M I JANCE OR ORELINE On I An INSPECTION BOND �: RECI POSTED 1$ 94,_ ONES ko SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED -ALLOWED PROPOSED , , NA LOT COVERAGE REQUIRED SETBACKS (FE): PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR /V&' I ,, :� - ffe, PARKING LOTAREA - PLANNING REVIEWED, 13Y DATE REO`O PROVIDED MCI I REMARKS 6&-A- rri-a W."'t ij#. A....j A.. 24 CHECKED BY ITYPE.OF CONSTRUCTION cons OCCUPANT 1!iiL V GROUP SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [3 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REGO VALUATION $ �6" , Description ...FEE Plan Check Building Permit j AIS Plumbing Mechanical Grading Engr. Review Engr. Inspection Description State Surcharge City Surcharge FEE Fire Review Plan Chk. Deposit Fire Inspection Receipt # 7 Landscapelnsp. Total Amt. Due Recording Fee Receipt # APPLICATION APPROVAL CALL This application Is not a permit until signed by the Building Olficial or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. d OF IGNAj9RE DATE (425) 771-0220 _�_AEL ED BY /DATE ATTENTION M13 3 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW.4SP/CTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 ITI om C Ma 0 -10 OC � r. ITI M 0 _n n M ITI a 0 o Fn C (j) ic (1) M 0 Z r- z 0) z 0 0 IT11 FINAL PROJECT APPROVAL FORM To: DATE: UMMO TO: OnINAT . �DINGDIVISION PM7 'rp FIRE DEPARTWNT DATE� 12- FROM: 17mr-ThMIPP Mr. nT%n4ZTnW 11 A TP PLANNING DIVISION DATE- FL&4k= SM PROM CT SITE- ADDRESS__t.,Z-," aa- c7 TED PERWT ADB# DATE HAPEC DESCRIPTION OF WORK TO BE INSPECTED A Zeld ins ection was conducted to determine final compliance with approved plans. Final approval p 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 ''p GRANT PROJECT APPROVAL WITH CONDITIONS NOTED "a Copy of CONDMONS given to owner/contractor by inspector FAELED FINAL INSPECTION - OUTSTANDING ISSUES a Copy of CORRECTION NOTICE given to owner/contractor by inspector 2. 0 RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si- ocaprvl.doc.l:tenip:bldg:formsIO/OI z 9 0 m :; 9 am C MO 0 80 C -4 r. MM MZ ,C) -1 C _Z 0 m M 0 5) 0 r- 0 m C 0) K 0) M 0 Z .q X -4 X z -i x 5 z 0 1 0 m FINAL PROJECT APPROVAL FORM z 0 m =i _9 m c M 0 0 c M M Z g) --I c 0 -fl m M a 0 0 M C M 0 Z z --I X V5 z 0 m 2. 3. RE-INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL Date Si ocaprvi.doc.l:temp:bldg:forimIO/OI q 1�r­ I RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... I., .................... Pier/Porch ................ Z. O� Retaining Wall ........... ok Slab insulation ........... PLUMBING: Underground .... ........ C Rough -in ................... M Commercial Final ...... 0 HEATING: GasTest .................... C �dai Piping ........... ...... 0 -n rn Equipent . ................... commercial Final OP ....... MR EXTERIOR SHEATHING W NAILING . ..................... Fn FRAMING ..................... r !M vf ��`(:'FIRST-FLOOR FRAMING... INSULATION . ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... Z' 01 SHEETROCK NAILING ... SPECIAL INSPECTION ... M MISCELLANEOUS .......... FINAL APPROVAL FOR TS OCCUPANCY .................. Ay: PATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNE:ff,VME/NAME OF BUSINESS MAILING ADDRESS 4-dynjt�4 ( CITY ZIP TELEPHONE W /+ 4Z _7 -6140, -F&IrnoWr ozo 74 NAMEp /110�0 ADDRESS FTrj4 Ale CI ZIP TELEPHONE S;��40_ N q?104- 176&-604-IM-7 _hAME rcBL _# ZIP TELEPHONE 'EXPI . A NEW 0 RESIDENTIAL ADDIMIN OMMERCIAL AC REMODEL MULTIFAMILY REPAIOC' GRADING CYDS DEM06SH TANK GARAGE o RETAINING WALL CARPORT ROCKERY (TWME 9F USE. BUSINESS OR ACTIV" EXPLAIN: NUMBER OF STORIES NUMBER OF.. DWELLING' N/V UNITS" TO BE DONE .rf' [PERMIT EXPIRES L2�41 USE PERMIT ZONE '2e�� NUMBER C� JOB ADDRESS 12 SUITE/APT# _,6�4_q PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.-4 LID'MrV— PUBLIC RIGHT OF WN? PER OFFICIAL STREET MAP TESCP Approved RW Permit Required EXISTING PR� S E Street Use Permit Req-d Inspection Required Required �D REQUIRED DEDICATION— VVSldews* Underground Wiring required 13 METER SIZE LINE SIZE 77 0. OF FIXTURES PRV REQUIRED 1 YES13 NO C3 3 REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED BY Lu i4 " /' -� / 6A­,-9 I ?_ t (d lo z__ VJAIANICE OR ItU ORELINEORADB11 I INSPECTION RECI'D 13YES EKO POSTED 1$ BOND TIONDATE-1 CtWCKEDBY SEPA REVIEW COMPLETE EXEMPT EXP) 2 SIGN AREA ALLOWED 1,PROPOSED IVA HEIGHT ALLOWED , PROPOAD N4. PLUMBING/MECH COMPLIANCE OR 13 CHANGE OF USE SIGN FENCE X Fr) OTH!&�:�o FIRE SPRINKLER FIRE ALARM LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT URSIDE REAR z tic PARKING REQ`D PROVIDED ly (, I I LOT AREA PLANNING REVIEWED BY DATE I REMARKS 6*A- 3-e& W.hg.% Id*t-v-- )to,,eA Aw. - 24 _151 ) A"� %0 1 a d4b�, 2- 3L 2AbL CHECKEDBY TYPE=,QF CONSTRUCTION OCCUPANT GROUP CRITICAL AREAS MUM PIPWIA0112 SPECIAL INSPECTION JAREA REQUIRED [] YES OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG $ Description FEE Description Plan Check State Surcharge 9 1161'6 FEE HEAT SOURCE GLAZNG % I LOT SLOPE % Building Permit INS City Surcharge 6?w PLAN C�EZO- VESTED DATE Plumbing 40 Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Grading 1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 DOMAIN JCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. L_ — -_ I . I PERMIT A4L�&106�14D4s-. 1116 PERMIT UMrP 1 YEAR - PROVIDEdWORK IS sTARTEDi WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION �Engi% Review Engr. Inspection 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTUY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Fire Inspection Receipt # A97,y Landscapelnsp. I Total Amt. Due d15.5de NOR UMIT IN ANY WAY -THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- zi Recording Fee. Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO CALL FOR INSPECTION APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and recolpt Is acknowledged In space provided. WORKMEWS COMPENSATION INSURANCE AND RCW 18.27. (425) 771-0220 EXT 1333 OFFICI�COIGNAJVRE DATE K11 &,.2 _/ SIGNATO DATE I NED AS `hELE ED BY /DATE Alft4ETION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - 4SPR/CTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSI 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING k z 9 0 M :q:fi ai � M M 0 —10 0 r :� x Fn- M z (j) 0 _n n Irn M 0 6i 0 0 Fn C ca K V) Q 0 z X z z 0 1 0 M