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20030194.pdfI —DATE RECEIVED L __7b PER MIT EXPIRES CITY OF EDMONDS USE PERMIT 2 3 _4 ZONE w NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS 21109 77 Pl W #26 OWNER NAME/NAME OF BUSINESS PLAT NAME/SUBDIVISION NO77 LOT NO. LID NO. Pat/Barry Conger MAILING ADDRESS LID FEE $ 1301 S 9th St TESCP APPI-led PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW ". Req.k. ReWd CITY ZIP TELEPHONE Street Use Permit EXISTING — PROPOSED inspection Required Sidewalk Required Renton 98055 425-226-1959 REQUIRED DEDICATION— FT Underwvjnd winng requIred NAME METER SIZE LINE S�� FIXTURES PRV REQUIRED YES 13 NO 13 z ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE U CITY ZIP ONE NAME CBLN reiplifrPA nn Fast Water Heater JE umlmtedspam& UIAC 815.1L ADDRESS 12601 132 Ave NE FIRE REVIEWED BY DATE CITY ZIP TELEPHONE M Kirkland 98034 425-814-3124 STATE LICENSE NUMBER EXPIRATION DATE CHECKEV VARIANCE OR CU SHORELINE OR ADS# INSPECTION BOND REO'D POSTED 13YEs 13NO FASTMC052DF 216-05 SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. 7E EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 00835864102600 EXP , , , E] NEW RESIDENTIAL PLUMBING MECH LOT CC "AQL.� Vi"jR JETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED 1014T --slut: 11lt:Atl_— rrtvl.,- REAR COMPLIANCE OR SO Of Whether the 'water system z ADDITION COMMERCIAL CHANGE OF USE . -1, a `LdY 0M REMODEL ULTIFAMILY SIGN )<M *nKS PARKIi d- AFkV N NOE REQ'D I F IM d on all hot water tanks per n 8=A 11 hol GRADING FENCE REPAIR CYDS _X_Fn REMARKS ve Is %97 - 30 VO. VO 42 V0 (C) L= OTHER DEMOLISH 0 TANK GARAGE RETAININGWALL F RE SPRINKLER FIRE ALARM CARPORT ROCKERY I[TYPE OF USE, BUSINESS N: CHECKED BY P9,PQNSTRIJf)r,1ON OCCUPANT ITYPE GR NUMBER NUMBER OF CRITICAL OF DWELLING AREAS SPECIAL INSPECTION OCCUPANT STORIES It UNITS NUMBER j4,jPj< JAREA LOAD REQUIRED [3 YE DESCRIBE WORK'TO BE DONE gem=/; lacp. g= water heat REMARKS PROGRESS INSPECTIONS PER UBC 1108/fINAL INSPECTION REO'D in garage on stand46,000 btu 5 VALUAnON $449.00 DescdpUon FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORRES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading DOMAIN (CuRi3s, SIDEWALK% onivEwAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPUCATION: ISODAYS PERMIT UMrr 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 DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due 2 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # 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 his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LA80firGODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt In acknowledged In space provided. WORKMEN'S COMPENSAT19f1AqRANCE AND RCW 18.27. OFFICIALS AIGNATVAE DW SIGNATURE (OWNER 0 ENT) DATE SIGNED 1425) 1 771-0220 RELEASED BY DATe ATTENTION EXT 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 - 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 .... ........ Footing....................... Wall..... : ..................... Pier/Porch ................. Retaining Wall ... ....... a nsu lation . ..... C), M PLUMBING: M; Undergroun., Roug dorm"'ercial FM6 ...... HEATING: - Gis*Te6t .................. 0 M Gas Pip Ing ................. 'Equipmen Commercial Final ........ 0 EXTERIOR SHEATHING NAILING .......................... 7 'n .......... . .... ............ DATE RECEIVED PERMIT EXPIRES CITY OF EDMONDS USE PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS 21109 77 P1 Tl�l 026 OWNER NAME"E OF BUSINESS Pat/i3arry Con(7er PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. I MAILING ADDRESS LID FEE S 1301 S 9th St PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP YESCIR Approved AW ftmdt Required 1100 CITY ZIP TELEPHONE Strom 11.0 Permit EXISTING — PROPOSED Inspecilort Required Sidewak Required Renton 98055 425-226-1959 REQUIRED DEDICATION— FT Underground witirig required NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES C1 NO 13 z— ADDRESS REMARK OXW%FXAE44N,&LEVMtRGDDP49Q$MRAINAGE z OWNERA V-�A 21-Iii-ral rkri 11%vall N � — I &A liar, ukokpaAaas%zo AU CITY ZIP TELEPHONE FMME t-7f7, 77 if C800- 1-i-V Past Water Heater NGINEERING REVIEWED BY DATE ADDRESS 12601 132 ALve NE FIRE REVIEWED BY DATE CITY ZIP ELEPHONE Cr Kirkland 98034 25-814-3124 VARIANCE OR CUI SHORELINE OR ADB# INjSPECTION BOND STATE LICENSE NUMBER EXPIRATION Dj REO'D 'D nm Po� POSTED I FA-STWH005=V' 216-05 PROPERTY TAX ACCOUNT PARCEL NO. SE COMPL I. h&WjfWAr. 0 !E1" WWA FIOPOSED R 00835864102600 7 �xp )n ta an EXP NEW RESIDENTIAL PLUMBING / MECH LOT %'" tri-I ALLOWE C40006 1". 01 fffi LL eRONT LUIR S E REM .1 :: COMPLIANCE OR El ADDITION 13 COMMERCIAL CHANGE OF USE 2 z REMODEL ULTIFAMILY SIGN ) <M PARKING AREA LANNING REVIEWED BY DATE LOT IF RECID PROVIDED L_ ____j o FENCE REPAIR GRADING CYDS ( X I I '[ REMARKS DEMOLISH TANK [3 OTHER GARAGE RETAINING WALL 0 F RE SPRINKLER FIRE ALARM CARPORT ROCKERY Oft rA EXPVL N N*_Y1 -e CHECKED BY TYPEgICONSTRUaWN OCCUPANT GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS SPECIAL INSPECTION JARE OCCUPANT STORIES UNITS NUMBER REQUIRED [] YES LOAD DESCRIBE WORK'TO BE DONE Rammhrmiace ctas water heater REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REGeD in garage on stand46,900 btu's L VALUATION UNW1. C-1 tm[ $449.00 W maw [ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing 9EE Mechanical THIS PERMIT AUTHORGMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANV CONSTRUCTION ON THE PUBLIC Grading :3 DOMAIN (CURB% SIDEWALXS, DRIVEWAYS, MAR W1 LIL PEQUIRE N. %W-117 A t! 'A - Engr. Review pEnMrrAPPUCATION: 1180DAYS PERMIT LIMM I YEAR - PROVIDED WORK 15 STARTED WITHIN 1110 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFOrIMATION -APPLICAK ON BEK4.LF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WARM OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due 2 NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPRWAL GIVEN IS COFMCT, 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- This application Its not a permit until signed by the 'CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building 011ficial or W0ei Deputy: and Fees are paid, and IN VIOLATION OF THE LA00 ODE OF.,THE STATE OF WASHINGTON RELATING TO FOR INSPECTION -receipt 13 acknowledged In space provided. WORKMENS COMPENW !g 6 RANCE AND RCW 18.27. OFFICIALS SIGNATYRE D�TE SIGNATURE (OWNER 0 ENT) OAT SIGNED IA05) %-we- ']EzEax 771 -02'20 DATff RELEA6hLrB_y' ATTENTION EXT 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 YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR G4/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING .......... z 0 4 0 M "4 1% V5 � a M C M -is 0 C I C M M z 0 n MITI a 5i 0 6 Fn C (A M 0 Cn z 0 M