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20030189.pdf1=1 DATE RECEIVED o li? USE CITY OF FDMONDS ZONE JOB CONSTRUCTION PERMIT APPLICATION ADDRESS NAME/NAME OF BUSINESS I PERMIT EXPIRES PERMIT NUMBER SUITE/APT# _)�Vl I W- L PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S MAILING ADDRESS 04 L/ (r 1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TIES to RW c@Fr:4PR4V11.d D iald-ce SiZZ- EXISTING — PROPOSED Street Use Peffnit ReWd Inspection Required Sidewalk Required [3 CITY TELEPHON r;z1M&1dj zazim� 4z.'r-7715-.Z-7_1j d REQUIRED DEDICATION— FT 1 Underground NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE CBLUa&e--#x4a_1 ENGINEERING REVIEWED BY DATE ADDRESS MW FIRE REVIEWED BY DATE W CIjY IP TELEP NE -7 VARIANCE OR CU SHORELINE OR ADB# INSPECTION REQ'D 13YEs ONO BOND POSTED $ STATE LICENSE NUMBER EXPIRAT19N DATE X4WeK1EW8y_ SEPA REVIEW COMPLETE EXP EXEMPT SIGN AREA ALLOWED PROPOSED I HEIGHT ALLOWED PROPOSED -, gi PROPERTY TAX ACCOUNT PARCEL No. NEW RESIDENTIAL 1:1 PLUMBING I MECH COMPLIANCE OR ADDITION COMMERCIAL 1:1 CHANGE OF USE LOT COVERAGE ALLOWED PROPOSEP / Yl A'h REQUIRED SETBACKS (Fr.) FRONT SIDE REAR KI Qo' cz�'G' ROPO D SETBA K FR R SID III 4 b ITAMING REaD L;0. T AREA � OV I PLWING REVI ED BY D 06 REMODEL SIGN MULTIFAMILY 13 REPAIR GRADING CYDS [3 FENCE X FT) REMAR CA OTHER DEMOLISH 0 TANK 1:1 oGARAGE I RETAININGWALL FIRE SPRINKLER CARPORT 1:1 ROCKERY FIPE ALARM (TYPE.PF USE, BUSINESS OR ACTIVrM EXPLAIN: -1<67A-1 L 11 D A 52KL6�101V CHECKED BY TYPE OF,.Qg7TUCTION OCCUPANT/ -GROU12 NUMBER OF STORIES -2- NUMBER OF DWELUNG UNITS CRITICAL A N SPECIAL INSPECTION REQUIRED [] YES AREA -;,740 sowr OCCUPANT LOAD DESCRIBE WORK TO BE DONE r V)SrA4J UA REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D _L�-,, tar- V ';77/1 I 1um*_L_%e_ VALUATIO * N Irm $ M, AV6 11 a-M- Description FEE Description FEE JAI AeST—!j MML Plan Check state surcharge jcz H;V�SOUPCE GLAZING LOT SLOPE % f)A 1�_ Building Permit city surcharge PLAN CHECK NO- VESTED DATE n:),SVC) %--L,7L Plumbing - Mechanical THIS PERMIT AUTHORRIES 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, E TC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180DAYS Grading Engr. Review PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Depos 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 Fire Inspection Receipt # _7 - 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 Landscapeinsp. Total Amt. Due A2 d. 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee Receipt # Zj 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 WO THORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE 0 OF THE STATE OF WASHINGTON RELATING TO APPLICATION APPROVAL CALL This application Is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. S WORKMEN'S COMPENS INS CE AND RCW 18.27. OFFI SIGNA)TRE (OWNER �AGE/ DATE SIGNED IA95) nNnT) %781� 7- 7 REIT 71 -0220 ATTENTION Off 1333 sl UBE DATE A0 6//� 9ATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGIN4L - FILE YELLOW 711NS�PECTOR 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 :1 FR M M 0 C) 0 C= IT! M 10 z O"n M M 0 0 En- 0 rl X z z 0 M 0 ... .......... - ---------- "T'1AN_'_ t NOTICE -:NOTICE: IN THIS FRAME i6i: iSS' d IF THE DOCUME14T IT IS DUE TO THE QUALITY OF THE DOCUMENT. 1 V ICA *I-/ ICA �f V V 'OWW JO Z PA wrX='TVAfajo lq),�11 Tolo '51 Iq 110-IOZ 111:m wdw)51jv.% # Xmi 6."PVALV) jo jpj 1;9m pw �,j re.1 jol - :wpdijxap FLVJ -Ail %a" I gzcowz (49OZ) VIA W�wz (9oz):Fj 00 00 610�Lo ZK� - # PJOJ)V; zo-lzzz:ON,9/Vd 1 66196 VM 9^ WA $WAL20) WM " AM OZOQ6 vm T"I ZOM/01.11vi hodw) MW5 VPP5 - Wa '15 -6TW W 101111'i A4 la 5j2wm W105 9ma5 v n 4q re Lumilm "Wo i L_ bftq olf + W > C-4 Now cl%j 0 WC', C.) W ac Lu (L Z ZN Np L Ai_ — — 110-1bg 1104,1� \%vwl%9)0w ........... Ili Ruz JWdDN A 00.01"d 9-. �z 09011 I'M Avmm VP ---I . C.) 'u- I I - - !bi .1, 110-1c zn,4 - I 41-11Z o - cc CL a. 1< Lu 0 Lu 0 01 Lu CL L-01 ZE c� - S , RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing................. Wall', ................. ........ Z% Pier/Porch ................. Retaining Will ........... M Slab Insulation .......... PLUMBING: ff Ell: Underground.............. M Rough -in .................... 0 r! Commercial Final M ....... HEATING:--:' c > ';Gas Test ............ . G -Piping ................. a: s Equipment ..... ............. M M Commercial -Final ........ EXTERIOR SHEATHING NAILING .............. ; ........ FRAMING ........................ . IT! 0: FIRSTfLOOR FRAMING... INSULATION .... ....... Floor Insulation * ......... Wall Insulation ........... z Ceiling Insulation ....... SAEETROCK NAILING ... M SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR o3 OCCUPANCY .................. 400w"Ilwc"I�rw ILI RECE _DATE ECEIVED It 0z LPERMIT EXPIRES USE PERMIT ZONE CITY OF EDMONDS NUMBER JOB SUITEIAPT# CONSTRUCTION PERMIT APPLICATION ADDRESS 0 NAMEINAME OF BUSINESS 1�0 I y-_qVjaz2j-ii,/ SLA 4 L PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. 5 LID FEE $ MAILING ADDRESS 9�q PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION— FT TESCP Approved RW PerrrAt Requ!.re'do, Street use Perm 'd inspection Required Sidewalk Required underground 13 CITY TELEPHONE z z NAME METER SIZE LINE SIZE N 0. OF FIXTURES PRV REQUIRED YES 0 NO C3 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE NAIK, CBL a ENGINEERING REV[ DATE ADDRESS ar—Am GYMN &r., REVIEWED BY DATE Lu W rL _C:�d _ygymFIRE 'IP TELEP NE 2 VARIANCE OR CU SHORELINE OR ADBff INSPECTION REO'D 0YEs ONO BOND POSTED $ STATE LICENSE NUMBER EXPIRATI17N DATE I 1��- =i2,C1Q5L)M -31(4 PWECKE9-8Y_ (OV, SERA REVIEW COMPLETE EXEMPT EXP SIIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. 41 ?4Z 0 6 /1 �o NEW RESIDENTIAL 0 PLUMBING / MECH COMPLIANCE OR ADDITION COMMERCIAL 0 CHANGE OF USE 1 ULTIFAMILY REMODEL E] M 0 SIGN GRADING [3 FENCE X REFAIR CYDS FT) DEMOU SH TANK OTHER LOT COVERXGE ALLOWED PROPOS6D " �) a REQUIRED SETBACKS (Fr.) "OUT SIDE REAR PROPOqgQ SETBACKS (FT) FRONWrdR SID R 13 OT REQ`D-V[kjb Cn4 _�WED a G REVIEWED BY DA-it PLrm, lit-4,"On n () I J A. GARAGE RETAININGWALL F RE SPRINKLER CARPORT 13 ROCKERY FIRE ALARM _9F USE, 0 (TYPf USINESS OR ACTIVITY) EXPLAIN: I OcLes ofy CHECKED BY TYPE OF CO LICTION OCCUPANTR G I k3 NUMBER NUMBER OF CRITICAL OF - DWELLING AREAS STORIES UNITS _.MBE SPECIAL INSPECTION JAREA REQUIRED [] YES 4 -e-, 4 o OCCUPANT LOAD DESCRIBE WORK TO BE DONE. nS7 )v a REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REG-D, AV -ndr VALUATION Description FEE Description FEE A A&)-r-A1 Awl= Plan Check State surcharge CE GLAZING:% f LO/ SL9PE % Building Permit City Surcharge Plumbing pLAN CHECK NO- VESTED DATE S(_A) Mechanical h THIS PERMIT AUTHORIZES'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 Grading t: SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: ISODAYS PERMIT LIMM 1 YEAR -PROVIDED WORK IS STAFITED WITHIN 1180DAYS Engr. Inspection SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION 'ApPLICAk ON'BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND". SUCbESORS Fire Review Plan Chk. Depostt, IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF 3 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # IZA 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 CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' x Recording Fee Receipt III I HEREBY ACKNOWLEDGE TKAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLIC ATION 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 LASM—U-0-ft OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or histher Deputy: and Fees are paid, and receipt Is acknowledged in space provided. WORKMEN'S COMPEN9POITINF."12 AND RCW 18.27. OFFIC)AIA StFUDE DATE SIGNA3VRE (OWNER QP AGENT) DATE SIGNED y Y4 Tz, 771-0220 REjr, 9ATE ATTENTION EXT 1333 ) IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL ,(,2 .. 'L 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 04/02 PRESS. HARD, - YOUARE MAKI NG..5.COPI GREEN- , ACCOUNTING ES.. z 0 M M C: M 0 -40 0 C 31 C M 1711 z 1171 � :� co o -n n M M 0 0 0 Fn C (j) C 0) M 0 Z r- .qw X z 9 0 M