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20030167.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER ,�AME/NAME OF BUSINES A 1'ev MAILING ADD IESS i, , / z A/=r CITY ZIP TELEPHONE ��42-7'�- 1 zllie.ov-rev , q45- 55-3 1.2-V NAME ADDRESS CITY ZIP ITELEPHONE NAM CBL 0 F.,Y,e -'� V0'V 00 ADDRESS _p?,ent 11�_kii_jf CITY Zip TELEPHONE STATE UCENSE NUMBER EXPI TION ATE BU V0A,`k&--Z_14A0,6A16? <7.&_3(r9jA PROPERTY T4X ACr QOUNT PARCEL NO. fonclqlt 000016965�; NEW RESIDENTIAL PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR El CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE X ( FT) DEMOLISH TANK OTHER GARAGE CARPORT RETAINING WALL ROCKERY FIRE SPRINKLER F RE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: 0 NUMBER NUMBER OF CRIT1CAL a OF DWELLING AREAS 10, STORIES 4� UNITS '71 NUMBER DESCRWE WORK TO BE DONE h� I HEAT SOURCE GLAZING % I LOT SLOPE % PLAN CHECK NO: I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATION: 180 DAYS PERMIT ILIMIM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS 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 CITTS 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_Qf_1HE LABOR-MDE OF THE STATE OF WASHINGTON RELATING TO WORKfifftr--v.COMPEWATIONINSUFMNCE AND RCW 18.27. AGENT) DATE SIGNED 31k AC -7 0'. PERMIT EXPIRES L USE PERMIT ZONE �O NUMBER JOD ADDRESS sUITE/APT# 7 J <� PLAT NAME/SUBDIVISION NO. T LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APPFGVGd U RW Permit Roq :;ad street U80 Perm R&q'd EXISTING - PROPOSED impaction Required 13 Sidewalk Required 13 REQUIRED DEDICATION- FT ___r___T1NE Underground Wiring required 0 METER SIZE SIZE JNO. OF FIXTURES I PRV REQUIRED YES L3 NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE BY DATE z z 0 z FIRE REVIEWED BY DATE W W M VARIANCE OR CU SHORELINE OR ADB11 INSPECTION I BOND REO'D I POSTED Ir"zi 13, BEIRA REVIEW SIGN AREA HEIGH COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED , fv C_ , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR IVL Al L, I IV& z PARKING LOT AREA PLANNING REVIEWED BY z DATE REO'D PROVIDED I I AIC- REMARKS CHECKED BY OUCMAUCTION OCCUPANT ITYPE GROUP SPECIAL INSPECTION OCCUPANT JAREA REQUIRED [] YES LOAD REMARKS !me PROGRESS INSPECTIONS PER USC 1108/FINAL INSPECTION REO'D VALUATION $ C, Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Oumbing (11V Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION 1A ,1l,425) 771-0220 APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and Foos are paid, and receipt -is acknowledged in space provided. 0 IC S AT ATE RE AS r)*E AITENTION Off 1 33 6 1 1) ---� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL ILL_-j A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- f - 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 =1 M z 0 A 0 m -4 -n rn � am C MO 0 ­40 0 C M m z 0 n m M a 0 0 M C C/) C V) M 0 z I z z 0 4 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final ...... HEATING: GasTest .................... GasPiping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ MIR FIRST FLOOR FRAMING ... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... 'SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR jaA OCCUPANCY .................. DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER14AME/NAME OF BUSINESS ____ A 1,ene 1— 6: - - MAILING ADDRESS 0 AZI-1- CITY ZIP TELEPHONE Aj&,t'l q2S- :7 /2� NAME ADDRESS CITY ZIP ITELEPHONE PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS PLAT NAME/SU BDIVI SION NO. NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Street Use Permit Req'd EXISTING - PROPOSED-- inspection R8QUirod Sidevialk Required 13 REQUIRED DEDICATION- Fr Underground Wiring required 13 METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED F_�O. YESM NO [3 REMARKS z z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 11 NAME BL # -�— 6C;5?_� rlz� )%,e I-)i % AJ 000 ENGINEERfDG REVIEtQED6B:YL&/ DATE ADDRESS FIRE REVIEWED BY DATE Lu cc CITY TELEPHONE rL 7.4 OZIP�0 / 14/7-v-- , K_ 1 0 STATE LICENSE NUMBER E) V 0 Ai k,6;& 14 P06 3RO UNT PVUO. 00/6 NEW RESIDENTIAL L�.j ADDITION E] COMMERCIAL [-] REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK oGARAGE RETAINING WALL CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: -r- 75-old-t NUMBER NUMBER OF OF DWELLING -2.qg* STORIES T11,1UNITS IF-0 V DE!2� BE DONE HEAT SOURCE GLAZING % PLAN CHECK NO: riON ATE VARIANCE OR CU SHORELINE 08 ADB# INSPECTION BOND Et 3 L,,PECKEI3-5VX qb�d. I 1__� I REO'D I 13YES 6116 POSTED $ ( u,� SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 1 0 , rV r— I EXP MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) PLUMBING / ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR COMPLIANCE OR A/C, /W_ z CHANGE OF USE SIGN PARKING REO'D PROVIDED LOT AREA I PLANNING REVIEWED BY DATE I A14- FENCE ( X FT) REMARKS No OTHER V V oFIRE SPRINKLER I F RE ALARM AREAS NUMBER Ll A) 6, LOT SLOPE % VESTED DATE CHECKED BY LPE CUIQRUCTION OCCUPANT GRO SPECIAL INSPJLTION AREA REQUIRED IM 9"MA OCCUPANT LOAD I REMARKS PROGR C 108/FINAL INSPECTION REO'D z VAWATION $ _�j j2d". Description FEE DescriptIon FEE Plan Check State Surcharge 4( Building Permit City Surcharge MupqSng (nLyj Mechanical THIS PERMIT AUTHORLZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: 180DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 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 Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTVI 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 CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' =Recceipt Recording Fee 0 1 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 Building Official or his/her Deputy: and Fees are paid, and IN VIO P14,015-1 ID OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION recelpt-Is acknowledged In space provided. �E ��B�O for TI �NCE AND RCW 18.27. 11 1A ));�EN'lv MPE A' rl INSUR F�FIC.I�A��§11 NAT G NMAT U IN [R`O�AGENT) Z., DATES NED 0 t425) %1 / e , �.G IeL .4 7 _6 1 -Arc ATTENTION Off 1333 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 YELL.6w - INSPECT04RM� I � CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSI 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GR E E N- A C C OLIN TING i z 0 4 0 M M M 0 -40 0 r � C M M jo � z 0 M M 0 0 0 M 0 z X z -4 X V5 z 0 1 0 M \%wo> 00 �%�wvo'o� b w 00 l� Ul An 1,10 L I TT7_Nl I IMAGE EVALUATION TEST TARGET (MT-2) APPLIED IMAGE 1653 E.MAIN STREET ROCHESTER, NY 14609 TEL C7163 482-0300 FAX C716) 288-S989 Precislon IIVL4GI=- Products & SerAces I k' Jolte I-T ll�e ' %0 ^,4 Cl 4 4 41 646 ON\\ 0 40%k 4-N, 00"PuNk 1NOTICE:-, IF, THE DOW MENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE et IT IS DUE:TO THE QUALITY OF THE DOCUMENT. co co (D C) co co 03 0 a, cb cb co le v v I cm clJ D (D 0 z 0 0 N C%j X LLI I-- z ca cb Cl C-i a =j 0 im E CERTIFICATE OF AUTHENTICITY 1, the undersigned, an employee of Micro Com Systems Ltd., do certify that the documents described on the guidesheet target are being filmed in accordance with the Washington State Standards for the production and use of microfilm. I also certify that the records contained on this roll of microfilm are true and correct copies of the originals. However, no judgement is made at the time of microfilming as to the validity, accuracy or legality of any document. FILMED THIS DAY OF O(T 0 f3 6-R 2006 q il SIGNATURE PRINTED NAME: -N Micro'Com Systems Ltd. GUIDESHEET TARGET CAMERA OPERATOR: 2 -,Y ROLL #: CAMERA REDUCTION: -5 I-N DATE: to//'/ o 6 FILM TYPE: kr,2,41� V Mi. MICROFILM INDEX START 1? 5 T -Stj 4-` END 9,2 0 1 2 4-4= 0. 1W, JOB IDENTIFICATION MICROFILMED FOR: CITY Of FDMO)U�5 106. �CPT, rn MICROFILMED AT: MICRO C-0/1-11 REMARKS FRAME COUNT: NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THANTHIS NOTICE, IT IS DUE TO THE QUALITY OF THE DOCUMENT.