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20030074.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS CITY ZIP I TELEPHONE AME ADDRESS CITY ZIP . I TELEPHONE E C�Ozw% ADDRESS CITY ZIP I TELEPHONE 1pr�_ I f L-r,— I UF�" I"IA—TlrN STATE LICENSE NUMBER DATE mQQffQ8&xm 'a-Ql PROPERTY TAX ACCOUNT PARCEL NO. Q-�� I 166 NEW RESIDENTIAL 0 PLUMBING / MECH 0 ADDITION COMMERCIAL o COMPLIANCE 08 CHANGE OF USE 0 REMODEL 0 APARTMENT 0 SIGN 0 REPAIR 0 GRADING CYDS 0 FENCE _X FT) 0 DEMOLISH 0 TANK rp o GARAGE CARPORT 0 RETAININGWALL 0 RENEWAL _EY ROCK L (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: w ku 1,24km AQ NUMBER OF NUMBER OF DWELLING A// CRITICAL AREAS Nlk STORIES e'�� UNITS NUMBER DESCRIBE WORK TO BE DONE HEAT SOURCE GLAZING % LOT SLOPE % if ALI^ VESTED DATE 9/pz� 11—*N I f I I/ PERMIT EXPIRES USE PERMIT ZONE 16 NUMEIERA091�vzz..] JOB SUITE/APT# RESS tr-if AVF EDMOIqD54 IIIL PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCIP Approved 0 AW Permit Required 0 Street Use Permit Req'd 0 EXISTING � PROPOSED inspection Required 0 SNowalk Required 0 REQUIRED DEDICATION— FT Underground Wiring required r*1 METER SIZE LINE SIZE NO. OF FIXTURES PPIV REQUIRED I I YES E3 No E3 z E w REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE a z us ENGINEERING PIEVIEWED/DATE FIRE REYIP&P By DATE Uj 0 2� cc M VARIANCE OR CU SHORELINE OR ADB# INSPECTION BON REO'D POSTED I YES [3 NO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED,... ALLOWED ROPOSED EXP I , LOT COVERAGE REQUIRED SMACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT , L/R SIDE REAR bY DATE PARKING LOT AREA PLANNING REVIEWED P REO'D I PROVIDED I I CHECKEDBY jTYPE9r-jf.O?rMUCTI1N Cninim OGG IAN T ,V 'N GRO P SPECIAL INSPECTOR JAREA OCCUPANT REQUIRED 0 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION PLAN CHECK, FEE BUILDING 01 irkmlm�_ VALUATION FEE rL.04114 10-Vw__ - MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE J SEPARATE PERMISSION. ;_ff �MCURGE PERMIT APPLICATION: 180 DAYS 7 W ..... PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS ;744ETE FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION —;;; WIE ION FEE "APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESO PIS L IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 3 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE 4x ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEIPT Z FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE 2CEE� 65. NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' MCEIPT TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPRO 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- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foos are paid. and IN VIOLATION OF THE LABO5_C,0DE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSA3�)Q INSLVANCE AND RCW 18,27. IAL AT DAT NATURE (OWt VR� A NT) DATE SIGNED (425) 05am Y 771-0220 TRELEBY 'I DATE ATTVNTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 1 ww, 771-022 T_ A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR 5198 a z a _j Y/ I 0 FINAL PROJECT APPROVAL FORM TO: — DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: _FIRE DEPARTNINT DATE ENGINEERING DIVISION DATE- -PLANNING DIVISION DATE—' nEASRSMN 711-f6 a Pap (-Z-6 PROJECT_.1(.,,_LMt y C t/v srrEADDREss_,23_Q_Z=_L 40 Q ­47 -Q0 2 DATE INSPECTED PERmrr #10—i— _�_ADB# DESCRIPTION OF WORK TO BE INSPECTED M�,ID oved p. ans. FInal'approval A. field Inspection was conducted to determine final compliance with appr no objections from the above signed Department to the release of denotis that there are PkMRMANCE BONDS and the granting of: GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED a Copy of CONDITIONS given to owner/contractor by inspector FAILED FINAL INSPECTION -,OUTSTANDING ISSUES Q Copy of CORRECTION NOTICE given to owner/contractor by inspector 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date____� Si ocaprvi.doc.l:temp:bldg:formsIO/OI z 9 0 M =i =5 M C M 0 80 C --I C 3: M M z 0­4 C 3: 0 -n n 4 3: M M a 0 0 C M 0 Z .1� X z ca z 9 0 M I two. �sf�"C-Jfo"' 4 1 MAP, It I L 4 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ......Owosso of@ 004 &*a 0. FOUNDATION. rd Footing 1 r.wall Pier/Porch % I I Retaining Wall Slab Insulation 1 r I . n . PLUMBING. (A a z s I I I - L, 1. 0, 1 L Unde 'round 1`9 Lf It L', 0 1, 1 M k awl Rougholn I d ICommerclal Final HEATING 10 'd 1, c % I P L z Gas,Test Gas Piping I P Equipment I f I t I I toots t Commercial Finial I I EXTERIOR SHEATHING. rn NAILING Goes$*#* U G r. FRAMIN I Pr I; :r, FIRST FLO I P, OR FRAMING*, t so T.1 Wr I r I I , I L . INSULATION I k I r I P Floor Insulation 'L 11 f I I Wall Insulation t -!,I L d (A� Coiling Insulation *toots* 4 SHEETROCK NAILING see 0 M SPECIAL INSPECTION *00 1 4 0 1 L I I I P I 14 1 1 1 P MISCELLANEOUS 600008069$ t FOR FINAL APPROVAL I I 1 4 1 OCCUPANCY 904 I P 6 I DATE RECEIVED h CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OF BUSINESS r L,^vtnTjr I,, Rr",,TA( 12 ANT MAILING ADDRESS 23p2r5i I CITY 2jow)5 NAME ADDRESS CITY NAME I KLI ADDRESS I.Ifv" ZIP I TELEPHONE ZIP I TELEPHONE CITY ZIP TELEPHONE STATE LICENSE NUMBER E) PROPERTY TAX ACCOUNT PARCEL NO. NEW 0 RESIDENTIAL 0 A . ODITION COMMERCIAL 0 REMODEL 0 APARTMENT 0 REPAIR 0 GRADING CYDS 0 DEMOLISH 0 TANK o GARAGE. 0 RE.TAININGWALL z CARPORT R CKERY I-- (TCE OF USE, BUSINESS OR ACT I [3 34FNEVFM I NUMBER NUMBER OF OF: DWELLING co a o STORIE S UNI DESCRI13E WORK TO BE DONE U_ U r HEAT SOURCE G,LAZING % I — 0 PLUMBING / MECH El COMPLIANCE OR CHANGE OF USE 0 SIGN FENCE ( — X RENEWAL PERMIT EXPIRES USE PERMIT ZONE ja NUMBER"J,�V,?,�/ JOB SUITE/APT# 2=5 1=1 AVF_ ki =0 5, 1A dF PLAT NAM E/SUBDIVI SION NO. LOT NO. L16 NO. LID FEE $ TESCF Approved 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Par"'It Required 0 Street Use Permit Req'd C) EXISTING - PROPOSED Inspection Required 0 Sidewalk Required 0 REQUIRED DEDICATION- FT Underground Wiring required 0 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 cc uj REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z W ENGINEERING REVIEWED/DATE FIRE REVI BY DATE F I E R E V I Z' I /-02, 0 C VARIANCE OR CU V A '!A SHORELINE OR ADS# INSPECTION BOND REO'D POSTED m ;.7 E3 YES (:) NO SEPA REVIEW E AF P SIGN AREA HEIGHT . COMPLETE EXEMPT rEXPT ALLOWED PROPOSED PROPOS ALLOWED ED m OT COVERAGE T L Lo Co, REOUIfIJED SETBACKS (FT.) PROPOSED SETBACKS (FT.) REAR C LLOWED PROPOSED A LLOW FRONT, SIDE REAR FRONT UR SIDE m z — I 0 C . , PARKII P R ING LOT AREA PLANNING REVIEW, ED BY DA7 ­ REO'D PROVIDED FT) A S CHECKED BY C OCCUPA 1. 4a OL-1#7 ]7PED*OVTRUCTION GROUP CRITICAL AREAS SPECIAL INS�PECTOR JAREA CUPA NUMBER QUIR REQUIRED [3 YES j �VA tREMARKS > M S R P P 0 S, INAL INSPECTION ROGRES'S INSPECTIONS PER UBC 108fF m m C z 0 rv. IT! M, 0 0 Fnl C 1E0' 0 W1 MUM OEM I VV1111 Was L z VALUATION FEE PLAN CHECK FEE z LOT SLOPE % ZA WOW BUILDING IT! VESTED DATE PLUMBING PLAN CHECK NO: 0_5 MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. FIC RGE PERMIT APPLICATION: 1800 AYS� PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS VL FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION so— W,Nr_SVE461ON FEE APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS j ;N INTEREST. AGREES TO INDEMNIFY� DEFEND AND HOLD HARMLESS THE Cl I y ul- LANDSCAPING EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY - RECEIPT PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 90 FROM THE ISSUANCE OF THIS DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' RECEIPT TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Otfiftl or his/her Deputy: and Foos are paid. and TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged In space provided. IN VIOLATION OF THE LABO,%.GQDE WORKMEN'S COMPENSAOINSQPANCE AND,RCW 18.27. 0 T 'IE DATE ]:DAT�ESIGNED SIGNATURE (OW R Oij Al,�E T) 771-0220 '�ELE By DATE VNTION EXT 13133 ATT SE OR OCCUPY A BUILDING OR STRUCTURE UNTIL IT IS LTO U 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD -ASSESSOR 5198 __j X/