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20030278.pdf04/02 PRESS HARD -YOU ARE MAKING 5 COPIES DATE RECEIVED 1 1PERMIT EXPIRES UQ CITY OF ED70NDS ZO CONSTRUCTION PERMIT APPLICATION JO AD OWNER NAME/NAME OF BUSINESS 111*-"-�4- LU 1z —Z"414141 MAILING ADDRESS z P 0 CITY ZIP VCVe,vr,-i41 E. P H 0 N E E rTE.1 NAME 13)—Furq—us� 0eS,'eI,,%.-z1;,e­J,, ADDRESS R 0 CITY ZIP TELEPHONE I NAME E Cc 0 ADDRESS 15 1011a F ICITY ZIP T H, 0 N E 0 f-J4, jft-204- FELEP _3 -3/4-6z4f STATE LICENSE NUMBER EXPIRATION DATE LZP%Cloe tqqoou PROPERTY TAX ACCOUNT PARCEL NO. 0c) 100 RESIDENTIAL PLUM13ING MECH Cg'-NEW Qff A ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL 0 MULTIFAMILY SIGN GRADING FENIC REPAIR CYDS ( _W" & Fn F DEMOLISH TANK OTHER Ei GARAGE RETAINING WALL FIRE SPRINKLER ITROCKERY z CARPORT FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY]i EXPLAIN: NUMBER NUMBER OF CRITICAL 0 OF DWELLING I AREAS 'I OM STORIES UNITS /- NUMBER0- DESCRIBE WORK TO BE DONE —T ""Y Slae- 44,tf 1,,'A k 1144 1 zac r- MI/Y 4L zin i U HEAT SOURCE GLAZING % LOT SLOPE % ECK NO: _/ � T� VESTED DATE --- - 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 SEPARATE PERMISSION. PERMIT APPLICATION: 180DAYS CL PERMIT UMIT 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 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION., x I HERE13Y 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 CONSTRLIC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN!S COMPENSATIO��NCE AND RCW 16,27. WNER ORA ENT) DATE SIGNED 1 3-/7-r-3 C PERMIT Z NE MOVIES NUMBER 13 SUITEIAPT# DRES! PLAT NAM E/SU BDIVI SION NO. LOT NO. L�D NO. L D FEES UBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APP(oved RW Permit Requ:r0d Street Use Pa mt Roq'd XISTING — PROPOSED InspoctionRoquirad 13 Sidewalk Required 13 REQUIRED DEDICATION— FT Underground Wiringroquired E3 METER SIZE LINE SIZE NO. OF FIXTURES REQUIRED YEPSRIV 13 39 NO 5 EMARKS z z WNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ('"k\ t--.Nk I REVIEWED BY , DATE RE REVIEWED BY DATE% 1 11" /ARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND REO'D POSTED 13�Es ONOIS SEPA REVIEW SIGN AREA7 HEIGHT OMPLETE , EXEMPT ALLOWED , PROPOSED ALLOWE� , PRIPIYED I" - 4 LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) .LOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR z PARKING LOT AREA PLANNING REVIEWED BY DATE EQ'D I PROVIDED :312-ZM EMARKS 1 .4 , —. i s- HECKED BY ePE O)FVVRC _OCCUPANT GROUP ,PEC�IAL INSPECTION JAREA OCCUPANT 1EQUIRED E3 YES LOAD EMARKS z 110GRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D 9 iALUATION Description FEE Description FEE )Ian Check State Surcharge 3uilding Permit City Surcharge 3lumbing Oechanical 3rading =ngr. Review =ngr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fe Receipt # CALL FOR INSPECTIO 1A9 APPLICATION APPROVAL 5 ap % lion is not a permit until signed by the B I�d)Olfpic tialor his/her Deputy: and Foes are paid, and 7B ceipt Is acknowto in space provided. ATURE D/AT I I I -wiallau � RE BY ATTENTION EXT 1333 4SPEC/TOR '4ELLLOW�SPE40r IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR41GINAL F1 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWqEU-,e GOLD - ASSESSOR GREEN - ACCOUNTING z 0 q 0 M M C M 0 -40 0 �c ITI IT! z 0 In M M 065 0 0 C 9 0) Q 0 Z .I� X z 5� 0) z 0 0 IT! FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE, ENGINEERING DIVISION DATE_!Pj� PLANNING DIVISION DATE--.:-- PROJE SITE ADDRESS yj_ PERMIT# ouo-3­62na ADB#--------PATEiNspEcTED—L2LqJo3— DESCRIPTION OF WORK TO BE INS A field inspection was conducted to determine final compliance with approved plans. Final approval, denotes that -there are no objections from the above signed Department to the release of P ERFORMANCE BONDS and the granting of: �_GRANT FINAL PROJECT APPROVAL GRAM PROJECT APPROVAL WITH CONDM- ONS NOM a. Copy of CONDMONS given to owner/contractor by inspector I . FAHM FINAL INSPECTION - OUTSTANDING ISSUES a Copy of CORRECTION NOTICE given to owner/contractor by inspector I . 2. 3. RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date— Si ocaprvl.doc.l:tmM.bldg:fo=slO/01 z 0 M =i 9 'M M0 0 -10 0 C __19 3: M M z 10-1 C 0 -n n -4 x M M 0 0 0 M a C/) K C/) M 0 Z r- .iT ;0 --I 3: z z 0 i 0 M '__1\ t RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... Commercial 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 OCCUPANCY .................. 7;Vl 00111111011 Iwo A IiDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEtNAME OF BUSINESS k 1A /,f MAILING ADDRESS / 1,26 CITY ZIP TELEPHONE vV WA- 10 -;-, 3 NAME 9U rtr U 1� 0 e 'S LA //k r- —toy< 14 ADDRESS CITY ZIP TELEPHONE 7 6 NAME CB N Lki q ADDRESS I Ct to 19 a ,,^ ?"It I I - PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. L D NO. ;241 L�D FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APPFOVOU my Permit Required Stroat Use Permit Req'd EXISTING — PROPOSED inspection Required [3 Sidewalk Required [3 REQUIRED DEDICATION— FT undorgrowd Wiring required METER SIZE LIN�'� NO. OF FIXTURES PFIV REQUIRED ES C3 NO 13 9 REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE I&Jr:rma-, krniin: C7) -4:rl Ow, ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE CITY ZIP TELEPHONE rL E've -H E�JA. I -5/,� — 6-7c ( VARIANCE OR CU I SHORELINEORADB# I L jDkES INSPECTION REO'D ONO BOND 1$ POSTED STATE LICENSE NUMBER EXPIRATION DATE LrKC,oc IggOog L C SEPA REVIEW COMPLETE EXEMPT FIGN WAREA - ALLOWED PROPOSED HEIGHT ALLOWEk PRIP7ED PROPERTY TAX ACCOUNT PARCEL NO. 00/0o/os EXP , , , [IrNEW RESIDENTIAL 0 PLUM13ING / MECH COMPLIANCE OR ADDITION COMMERCIAL 0 CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT LJRSIDE REAR 0 3 z PARKING RECID I PROVIDED LOT AREA I PLANNING REVIEWED BY DATE 512 7Ji REMODEL MULTIFAMILY SIGN GRADING o FENCV,, CYDS ii , 'V Fr) 0 REPAI R 13 ( 0,111/ x REMARKS e DEMOLISH TANK [:I OTHER e—, GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY F RE ALARM OWE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: aw Q_Ittaoye CHECKED BY TYPE OCCUPANT GROUP NUMBER OF" STORIES NUMBER OF DWELLING UNITS CRITICAL AREAS P UMBE N '0. SPECIAL INSPECTION JAREA, REQUIRED [] YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE ljf:)�IeA ) REMARKS z GRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-D Tr:n el*,,. 1"A P, L, &4 4 —A VALUATION Plan HEAT SOURCE GLAZING % LOT SLOPE % Bdii'dfng Permit Plumbing PLAN CHECK NO: VESTED DATE Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Grading 1= 32 CL BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISO DAYS PERMIT UMM I YEAR " PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Review Engr. Inspection Fire Review 2 IALL 9 0 zi '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 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 CI1YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION., Fire Inspection Landscapeinsp. Recording Fee I HERE13Y 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 OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO CALL FOR INSPECTR WORKMEN'S COMPENSATI��NCE AND RCW 18.27. 1 1A9 111-25) — SIGNATURE (OWNER OR DATE SIGNED VAkEN"T) 771-0220 FEE Description FEE city Plan Chk. Deposit Receipt # Total Amt. Due Receipt # APPLICATION APPROWLL Xs application is not a permit until signed by the �§ Official or his/her Deputy: and Fees are paid, and ilecolot Is acknowloiddeA in space provldo,i. /,� 1. -, � ATTENTION t:A I I jjj '1—" / L 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 - I SPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER--' GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING BY z 0 11 0 M 9 M C M 0 -40 0 C �c . M 171 10 C z E: 0 -n n M ITI a V5 0 6 Fn C C111) C C111) M 0 z 711 z 0) z 0 M