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20030327.pdfDATE RECEIVED _�// CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS 9712 228 P1 SW CITY ZIP TELEPHONE Edmonds 98( 1425-774-8692 NAME ADDRESS CITY ZIP ITELEPHONE NAME ICBLN M ADDRESS 0 12601 132 Ave NE CITY ZIP TELEPHONE 0 I Kirkland 9, 1425-814-3124 STATE LICENSE NUMBER EXPIRATION DATE I CHEGME'MW PROPERTY TAX ACCOUNT PARCEL NO. NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE RETAINING WALL CARPORT ROCKERY (FYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN* NUMBER/ OF NUMBER OF DWELLING STORIES UNITS DESCRIBE WORK TO BE DONE PERMIT EXPIRES USE PERMIT ZONE Z-7 NUMBER JOB SUITE/APT# ADDRESS 9712 221B P1 SW PLAT NAME/SUBDI77�7 LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TIESCP Approved RW Permit ad Requ:,' Street Use Parm 1, d EXISTING - PROPOSED Inspection Required 13 Sidewalk Required REQUIRED DEDICATION- FT Unda(ground Wiring required cl METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES [3 NO 13 REMARKS z z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 11 ENGINEER' d WMiPlill of wnether the water Witem is open or closed, expansion tanke . I m FIRE REV M&Weu on E111 hot water tanks pereTE Ul cc City Code. ECDC 19,30,020 (c) I M VARIANCE OR CU nbLi __4ND S REC S TED 1E3YES 187NOts SEPA REVIEW SIGN AREA HEIGHT COMPL E EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED EXP I B _7 LOT OYSIRAVE ED -b-h-TUMUK-b- - OPOSED SETS PLUMBING I rVIECH LLOW ALLOWE COMPLIANCE OR CHANGE OF USE SIGN PA REaD FENCE PREMAREKS ( _ X _ FT) OTHER F RE SPRINKLER FIRE ALARM 11MC MAI T ANNING REVIEWED BY DATE I PIL CHECKED BY ITYPE 0 ST U ff) OCCUPANT CRITICAL op I GROUP :Ie3 AREAS SPECIAL INSPECTION JAREA CCUPANT NUMBER AO- REQUIRED [:] YE LOAD ii-L-_r hpattzr REMARKS a z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ-D g 15 100 btu's I all yx.__0. NO AMA ) !�zrrz:' Fl. El VALUATION $ Description 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 AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPILICATION: ISO DAYS 9L PERMIT UMIT. 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 91 DEEMED,TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due 0 NOR LIM T IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* x 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 Bulldlng Official or his/her Deputy: and Fees are paid, and IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided. WORKMEN!S COMPENSATIO��URANCE AND RCW 18.27. OFFICIALS SIGNATVRE SIGNATURE (OWNE OR DATE SIGNED (425) T NP1114: 771 -0220 RELEASED BY fiATE/ ATTENTION EXT 1333 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 - 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 z 0 1 0 m =i:fi 55 � am C mo 0 -40 0 C --I C X M m 10 z 0 _n n I m m 0 0 0 M C 0) C CO) M 0 z z -4 3: ra z 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 .................... 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 .................. �R OD 3 OV 05;? 7 v/ A' RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OF BUSINESS T,,ucy __;3odj1_.V MAILING ADDRESS 9712 228 P1 S�1 CITY ZIP TELEPHONE Edmonds 93020 1425--774-3692 NAME ADDRESS CITY ZIP TELEPHONE "Nor NAME IbBL# F As t �Ia ter, �-je_a L,,-,r CC AI5DRtn"_'- 0 8 12601 132 Ave 'NE CITY ZIP TELEPHONE Xirkland 93034 425-814-3124 STATE LICENSE NUMBER EXPIRATION DATE I CHE 1.0 [PERMIT EXPIRES USE PERMIT ZONE NUMBER Z 03 JOB SUITE/APT# ADDRESS 9712 228 01 G'�J PLAT NAMOSUBDIVISION NO. LOT NO, LID NO. LID FEE $ TESCP 'loved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP R , Requ ,�, Per: Street Use perm:tedeq'd EXISTING — PROPOSED inspection Required SIdewalk RequIrad REQUIRED DEDICATION— FT Underground .L,,n0,,qu,r,d E3 METER SIZE NO. OF FIXTURES PRV REQUIRED om LYES`13 NO 13 REMARKS z OWNER/Ctj I Ra 0 1 NMI BIT319re"llew FIRE REVIEWED BY DATE I W-M VARIANCE OR Cu OR ADB# INSPECTION ---- ,_..�SHOFIELINE O�R, _qNO PASTWHC152DF 2-11 P ho P PROPERTY TAX ACCOUNT PARCEL NO. COM I =U1 r WIT =tuieVI-, r 19M, b N 00536 00000500 tEXP NEW RESIDENTIAL PLUMBING/ MECH LotD ALLOW 4MM SRbkCKS (F E]. ADDITION 0 COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE PARKING LOT AREA PLANNING RM REMODEL MULTIFAMILY El SIGN REQ'D PROVIDED GRADING 0 REPAIR CYDS FENCE x FT) REMARKS 0 DEMOLISH TANK OTHER 0 GARAGE o RETAINING WALL CARPORT___ ROCKERY F RE SPRINKLER 0 FIRE ALARM -4, R IT P JN' (TYPIE.QF.USE,:'BUSlNES$� ORAPTIV _PLA CHECKED BY JTYPEIZCONSTRUCTION.�,,, C L NUMBER OF NUMBER OF DWELLING RITICAL AREAS NUMBER SPECIAL INSPECTION Inn— REQUIRED STORIES UNIT 0 YES DESCRIBE WORK TO BE DONE ter REMARKS ga-, water I PROGRESS INSPFCTUjN96!jR PBC I.Qm AA nnn -1. �1,411- 1 — — - - . M Ok) 67 rY—*rL—=, HEAT SOURCE GLAZING % LOT SLOPE % ECK NO VESTED DATE t: 3 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, ET : C.) V41LL REQUIR I E CL PERMIT APPLICATION: 160DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 01 APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO INDEMNIFX 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 CITYS 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 OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELAT;NG TO WORKMEN'S COMPENSATIO 'p�pRRANCE AND RCW 18.27. SIGNATURE (OWNE 0 DATE SIGNED .A kL6— MUNI ..L4" wur., n.�n. z BY DATE I OCCUPANT /�y ,, IIAGROUP :�z OCCUPANT LOAD JALUATION $ Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit ,Fire Inspection,, Receipt # Landscapeinsp. Total Amt. Due Recording Fee Receipt # q "7 q APPLICATION APPROVAL CALL This application is not a permit until signed by the Building Official or his/her Deputy: and Foos Oro paid, and FOR INSPECTION receipt Is acknowledged In space provided. OFFICIALS SIGNATYRE DATE IA95) T �5,16KII Vwl� 771-0220 BY PATq ATTENTION r.A 1 -11 1313 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL ND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOQ A FINAL INSPECTION HAS BEEN MADE A PINK - OWNER GOLD - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 GREEN-ACCOUNTI! 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES 0 In .1 1 4 z 0 A 0 M t =P-n M M 0 —10 0 C: -4 C 3: M M z 0 -n n M M 0 0 0 M 0) M 0 Z .q� X 5 z 0) z 0 1 5 M