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20030267.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OrNER NAMEMAME OF BUSINESS A-(4 ll., MAILINR ADDRESS PV g_- CITY ZIP TELEPHONE NAME ADDRESS PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS 0 r,� ;L jDL, Is CA) PLAT NAME/SUBDIVISION NO. I LOT NO. I LID NO. P LIC RIG14T 0 WAY PU OFFICIAl, STREET MAP I B connectors W Per it R stroat umle P uIrod It Roq*d E� e or L vent TVI P 0 - FfP "Allicr app lifffl Inspe n e Uirod Ired V 13 R1 ,on u CIE ER ATON M — ^�o V. r. n r d Wiring requirf E3 M TER SIZE LINE SIZE., NO. OF FIXTURES PRV QUIRED s NO 13 7- ACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 0 15 E _/1 - - - , CITY ZIP TELEPHONE NAME OJ I CBL 0 1fi ADDRESS 12:4-p- CITY ZIP TELEPHONE q4f,-ocl 1 q)s-zl q_ o (I STATE LICENSE NUMBER EXPIRATION.DATE I/<q=WpBY1 gfjMr&x0!�, -Z x yn;-0 ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE Lu cc M BOND POSTED t PROPERTY TAX ACCOUNT PARCEL NO. 00-4�_S_ C?/a01164W_0 i E:] NEW RESIDENTIAL 1:1 ADDITION COMMERCIAL OREMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE RETAINING WALL CARPORT ROCKERY (TYPE OF USE, BUSIN OR ACTIVITY) EXPLAIN: NUMBER NUMBER OF OF DWELLING L STORIES UNITS DESCRIBE WORK TO BE DONE RP-,C1LA-ejP_- %_r� " , z,u / &M-A " F-Z4 a r\,A 19 O"PLUMBING I MECH COMPLIANCE OR CHANGE OF USE SIGN FENCE ( x FT) OTHER F RE SPRINKLER FIRE ALARM PROPOSED LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR Le z PARKING t*0DTjKjMj 4"jG MUOEP at DATE REC`0 I PRb ISORVED 9.1Y CITY INSPECTOR REMARKS AEORA1111TO 01.111,11 1 IlInT BE AC CHECKED BY�] TYPE, �OWS RfTION _ j 'I CRITICAL w AREAS SPECIAL INSPECTION JAREA NUMBER REQUIRED [] YES REMARKS PROGRESS INSPECTIONS PER UBC OCCUPANT GROUP OCCUPANT LOAD INSPECTION REO'D VALUATION P 6 f Yn d (2- U --Z 2 L S 4 6 M & L W_1,66-Z $ Description FEE Description FEE Plan Check State Surcharge CE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical 2-0. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO - t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading a :1 DOMAIN (CURSS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPUCATICH: 180DAYS CL 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 2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # IALL CLAJMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due 9 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 N 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 Building official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR_QQDE OF THE STATE OF WASHINGTON RELATING TO - FOR INSPECTION receipt Is acknowledged In space provided. WORJMEN�S COMPENSAT ��CE AND RCW 18.27. U OFFACIAG DATE SIG WNER 0 GENT) URE (0 Ift Ll-,� DATE SIG�ED (425) (f 96 ;k bFd"1-4 771 -0220 - f DANE RELEASED BY ION Off 1333 VEN I IT I UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL T I I NAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGIVL.FILE YEL�CVV-INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER COLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 ITI M M 0 0 C � r. ITI M z 10-4 �z a � 4 Cl) 0 -n n -4 x M M 0 C-0 0 r- 0 ITI C CO) 9 CO) M 0 z X z 0) z 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. Retaining Wall Si.ab Insulation .......... PLUMBING, Underground ........... . Rough -In ............... `17 Comm'erclil Final'.'..,:;... HEATING:_; Gas Test ................. Gas Piping ................ Equipment................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR 1 OCCUPANCY .................. t FDATE RECEIVED PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBER JOB SUITEIAPT# CONSTRUCTION PERMIT APPLICATION ADDRESS 0 q P L 's uj NER NAME/NAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. OPA(.4L, i in rcc & MAILINq ADDRESS TESrP App" P'o W P*'m PUS FffAYdjRjffF�hfT.6jffikt zuolp it Reivq ed ors Streetu'Meepe, Roq'd EXIS IN U CITY ZIP ITELEPHONE in I ir REQ IRED EDICj%jlgp,.�� (�de,ground g coquired E3 it P NAME M R SIZE LIN ISIZE NO. OF FIXTURES PRV RE UIRED YES 13 NO E3 Z ADDRESS REMARKS A OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 43 17 16 CITY NAMt: PJ F-tv&A(, tc ADDRESS D-02- hkPQ CITY ZIP TELEPHONE CBL ZIP TELEPHONE STATE LICENSE NUMBER Expli -f 11� (A-' LIS -1�2J 9-1 3ROPERTY TAX ACCOUNT PARCEL NO. 0 ck'�_17 L41 C? q D-I (.0- NEW RESIDENTIAL ADDITR84- COMMERCIAL OREMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK 0 GARAGE o RETAININGWALL CARPORT ROCKERY CrYPIE OF USE, BUSINEEM OR ACTIVITY) EXPLAIN: ISF-R. NUMBER EN "ER OF M UM U 0 OF DWELLING W STORIES UNIT DESCRIBE WORK TO BE DONE f—,.aa A V,kq -4 f? A I-) xrro DATE FIRE W Obtain Electrical Pe from VAI [A FEW 'ON IS BOND Y SUR& L !!�tfffir'D POSTED OYES ONO $EPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED EXP LOT COVERACNNG FirbElf C BED SETBACKS (Fr.) LUMBING if MECH ALLOWED PC URS,DE REAR 13 COMPLIANCE OR Mjp CHANGE OF USE a No PARKING IMMU SIGN REO'D I PROVIDEID BE oFENCE ( — X—FT) REMARKS OTHER F RE SPRINKLER FIRE ALARM CHECKED BY ITYPE 0 STHLIGHUN " M CRITICAL M AREAS SPECIAL INSPECTION JAREA NUMBER _A/4— REQUIRED [] YES REMARKS dPROGRESS INSPECTIONS PER UBC I 9 Z DATE I ; OCCUPANT GROUP OCCUPANT LOAD 0 z NAL INSPECTIOIN REO'D i � al V $ F_ Description FEE Description FEE Plan Check State Surcharge 0 CE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Irw>1- If)U - Mechanical Z02 - THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PFRUITAPPILICATION: 180 DAYS IL PERMIT LIMM 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. A13REES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY 01 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAJMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITYS ABILfTY TO ENFORCE ANY ORDINANCE PROVISION.* pl/yz =1 Recording Fee Receipt N 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAI 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 LABO_krALDE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided, Won EN" COMPENSAT1qfRMR)\NCE AND RCW 18.27. )FF]CIA - III DATE C ff CIA 0,�'�IiGN SIG?KURE (OWNER ORVGENT) DATE SIG�El) 1425) % . 771-0220 '4*M24 RELEASED BY t D&E A' ENTION E)Cr 1333 I I UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL IT '�_.YINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIG14X'L' FILE - YEL�OW - IN'S'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 ff.1111M1111 0 z 9 0 M M rn 0 0 C 4 C x rn M Z 10--I C co o -n T1 M M 0 0 0 C Ca C V) rn 0 Z X --i 3: z z 0 11 0 M