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20030145.pdfDATE 131, PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBER ZtL.,y2—()j Ltt3_ JOB SUITEIAPT# CONSTRUCTION PERMIT APPLICATION ADDRESS 595 79 A W. iR NAMEMIAME OF BU1131NESS '2e MAILING ADDRESS e CITY '""m OAJDS 2 NAME ADDRESS CITY NAMrlp'4 ADDhESS CITY STATE LICENSE NUMBER ZIP ITELEPI­ ZIP ZIP I TELEPHONE NO. PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Ap 11w Psrmft=od lusat Use Permit Req'd EXIST:NG — PROPOSED Inspection Required Sidewalk Required REOU RED DEDICATION— FT Undsrground c773T Whing requhrad METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I YES 13 NO C] REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE CBL 0 CHECKED BY NEW �CFRIE SIDENTIAL —". MECH et ADDITION COMMERCIAL COMPLIANCE OR OF �<REMODEL MULTIFAMILY CHANGE USE 0 SIGN REPAIR GRADING CYDS [] FENCE FT) DEMOLISH TANK OTHER [3 GARAGE RETAINING WALL 0 FIRE SPRINKLER FIRE ALARM CARPORT ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITXL jM ---I NUMBER OF NUMBER OF DWELILING CRITICAL AREAS STORIES 4"" UNITS NUMBER DUCHISE WORK TO BE DONE 01 1A MJ&fJ4 LOT SLOPE % BY DATE FIRE REVIEWED BY DATE I Log: VARIANCE OR CU SHORELINEORADB11, INSPECTION BOND REO'D I I POSTED 13YEs 13NO $ SEPA REVIEW -SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOS ED ALLOWED PROPOSED EXP I I I , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR PARKING REO'D I PROVIDED I LOT AREA I PLANNING REV=6ED BY DATE 1116 I 40-111K, CHECKED BY TYPE OF CONSTR Cr#ON Ogk JC�f OCCUPANT GROUP _'� SPECIAL INSPECTION OCCUPANT REQUIRED JAREA LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1109/FINAL INSPECTION REaD 1AIA0 P1'4Aftf'0_ An JOU jln L Aoo 4.o AJ_ i e zo . -it^ 11,g 9 $ "Wo Description FEE Plan Check Building Permit Description FEE State Surcharge Al. SV City Surcharge _G" 44P PLAN CHECK NO��._&S VESTED DATE Plumbing 5V I Mechanical sp THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO !74P'W t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading DOMAIN (CURBS, SIDEWALKS, ORNMAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPILICATIOW. 180 DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION '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 Fire Inspection I Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE kNCE .064, NOR LlMrr IN ANY WAY THE Crr1rS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- -1 — — Recording Fee Receipt At I HERESY 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 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 histher Deputy: and Fees are paid, and IN VIOLATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN-�,�SATIOYINSUR*,�CE AND RCW 18.27. OFFICIA���E DATE SIG �rR�� DATE Sit WWNEIRI 7-;- �N;ED �;Mj 771 -0220 'fiE DATE rlzw ATTENTION M 13133 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 - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 4 0 am C ms Z-1 30 C m m 10 a 0 _1rl 5n! I M m C r. 9 M C) z i! Vi z 0 m CITY OF EDMONDS 121 5TH AVENUE NORTH -EDMONDS. WA98020 - (425) 771-OM -FAX (425) 771-mi Website: wwdedmondsma.us DEVELOPMENT SERVICES DEPARTMENT DI nnin 9 A"Urfin a Pnnineerinn C. 189", Q to to Janu ary 7, 2003 Alan Hardwick 20525 78th PI W Edmonds, WA 98026 Dear Mr. Hardwick, GARY HAAKENSON MAYOR This letter is to inform you that we s n d plans submitted with yo pe t till ee ur r1ni ew th and approve your remodel project at e above order to revi application in address. Please see the enclosed list of requirements needed to submit. If you have any questions, please feel free to call me at 425.771.0220 o eannine Graf, If we do not Building Official. Please submit all required materials by,�,( lete application by this date unfortunately I will have to turn this receive a comp enience that over to code enforcement for resolution. I am sorry for any inconv "d this may cause you but we must adhere to the same code standards for all to ensure fair and equal treatment of all citizens. Sincerely, Lara Palma Pr Development Services Division City of Edmonds 425.771-0220 ph 425.771.0221 f Incorporated August 11, 1890 Sistpr 0tu - HpkinAn Ipinan . % I - . , , .- , , '. .­! - , "Id?. -j*4 A RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... .......... . FOUNDATION: Footing .................... Wall..................... Pier/Porch ................. Retaining Wall. ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ......... .......... Commercial Final, ... HEATING: Test Gas . .................... %Gas Piping ................. Equipment ................. na ...... Commercial FI I' EXTERIOR SHEATHING NAILING......................... w FRAMING ... ............... ;.f. F S OR FRAMING...' IR T FLO INSULATIOA�� .................... .. Floor Insulation .. ......... I s Idtlon ........... Wall 4n u .,calling Insulation ....... SHEETROCK NAILING SPECIAL INSPECTION ... mi;�C.ELLANEOUS .......... FINAL.A PPROVALFOR OCCUPANCY ................... .......... I DATE RECEIVfD 101 PIRES asa,�J�/. Q I PERMIT EX USE PERMIT _7 ZONE -C11Y OF EDMONDS NUMBER JOB SUITE/APT# OW CONSTRUCTION PERMIT APPLICATION ADDRESS t:9.5 7 �? 10L ,4R NAMEINAME OF BUPINESS / L I i / /A /) X. / I .- , / PLAT NAMEISUBDIVISION NO. 0. LID NO. &_/t/ MAILING ADDRESS t196, CITY ZIP TELEPHONE LOMOA/40 S 170 , D/ NAME ADDRES.S CITY 41., ADD CITY STATE LICENSE NUMBER ZIP ITELEPHONE ZIP I TELEPHONE NO. NEW �CRESIDENTIAL ADDITION COMMERCIAL �CRIEMODEL ri MULTIFAMILY REI�AIR GRADING CYOS PEM.OLISH TANK 0 GARAGE RETAININGWALL 0 CARPORT ROCKERY UWE OF USE, BUSINESSOR ACTiV" NUMBER NUMBER OF OF 'STORIES DWELLING UNITS DfPCRIBE WORK TO BE DONE rzz:�7 - 11VA �* dz� r -y' I - I A < Lj — Ac. r­, P�f'v� &NA (Mf)At- HEAT SOURCE GLAZING % PLAN CHECK NO' THIS PERINSIT AIMAORMS ONW THE WORK N CBL 0 DATE I CHECKED BY tw_�� �Bl MECH COMPLIANCE OR CHANGE OF USE SIGN FENCE ( X FT) OTHER EF RE SPRINKLER ] FIRE ALARM I LID FEE $ PUBLIC I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TeSCP Approved RW Pamilt Required Street Use Peffnit Rocfd XISTI EXISTING — PROPOSED Inspecdon Required Sidewalk Required REQUIRED DEDICATION— FT OU E rREMARKS" Underground I vvmng reqw— ETER SIZE M M R T LINE SIZE NO. OF FIXTURES PRV REQUIRED 13 I YESE3 NO 13 9 M Z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE OW IC REVIEWED BY DATE FIRE REVIEWED BY DATE I 101"C' VARIANCE OR CU SHORELINE Oil ADB,1 INSPECTIO? ' D REO'D I I PBOOSNTED OyEs 13NO S SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ^W)NED PROPOSED ALLOWED PROPOSED :_XP , , , LOT COVERAbE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR BY DATE PARKING 1 LOT AREA PLANNING REVIEWED 06 REO'D I PROVIDED REMARKS CHECKED BY TYPE OF CONSTRYCTION Co �,.00CUPANT GROUP ry 2- CRITICAL j I ft - . 1/1-7%/ 4 AREAS SPECIAL INSPECTION JAREA OCCUPANT NUMBER REQUIRED YES," LOAD JA I A ki b" REMARKS t PRO63RII56 INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D R A 4_-r 4o f - dw, VALUAnON A in I 06scription ADATE FEE Description FEE Plan C State Surcharge LOT SLOPE % Building P , armit VESTED DhImininn Cit� Surcharge -!91. 00 I - I ' Mechanical OTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALICS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: ISO DAYS PERMIT LiMir I YEAR - PROVIDED WORK 16 STAMED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAW, 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 Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY C17Y ORDINANCE NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION., Recording Fee Receipt # 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 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 IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Foos are paid, and receipt Is acknowledged in space provided. WORKMENIS,�SATIOYINSU�CE AND RCW 18.27. A S "E DATE OFFICI LS S107 WNER,"R GE DATE S15NED 14-25) 1 "-. _*1 n _;;, �Ir 771-0220 tk fiv Z DATE PSED MENTION EXT * 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A'FINAIL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW- INSPECTOR 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 4 0 M M C M8 -40 0 C �17111 IT11 0 _n M M F, C ca IT! 0 z 0 IT!