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20030358.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAMXF BUSINESS,? MAILING ADDRESS CITY NAME ADDRESS x CITY NAME n cf AD 7qi Cc 01 CITY J STATE LICENSE NI :0 1 PROPERTY TAX A( 76WAL ZIP TELEPHONE ZIP ITELEPHONE NO. NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOUSH TANK GARAGE RETAINING WALL CARPORT ROCKERY_ (TYPE OF USE. BUSINESS OR 6PZMDI� N. NUMBER NUMBEIR OF OF DWELL NG STORIES UNITS DESCRIBE WORIZ TO BE DONE 6--, ,2 — _.L -0 I CBL N IFA99A P 2"3 PERMIT EXPIRESW USE PERMIT ZONE NUMBER JOB ADDRESS Za k t110 -7 7 SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP YESCP Approved RW Pamn Required Street Use Permit Raq'd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT Underoround dn"'equirod 13 METER SIZE LINE SIZE NO. OF FIXTURE 7_r PRv REQUIRED I I YESE3 NO 13 — REMARKS — OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE REVIEWED BY - DATE FIRE REVIEWED BY DATE 1191 VARIANCE OR CUI SHORELINE OR ADB11 I INSPECTION I BOND REO'D POSTED OyEs 13NO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSED LOT C 'Pbrfi&*� KS (Fr. W-PLUMBING / MECH COMPLIANCE OR ALLOWED I ffieNT ein dR6jEV F gPO N T L/R SID REAR t f6m 2 � z El CHANGE OF USE SIGN PARKI G5 REO'D 11 OVIDED L I S DATE FENCE ( - X-FT) REMARKS OTHER SPRINKLER oFIRE FIRE ALARM CHECKED 13Y N OCCUPANT j5�� ITYP 2L1h1ION GR CRITICAL AREAS SPECIAL INSPECTIOTNAREA AgLz OCCUPANT NUMBER 90A_ REQUIRED YES LOAD C7A5* REMARKS ILI, PROGRESS INSPECTIONS PERJW 108/FINAL INSPECTION RECVD hlilc 2 '7 ("P 417 'y/ 42 , -% - f . 'jf, � 7 r z IrZ HEAT SOURCE GLAZING % LOT SLOPE % PLAN CH -OK NO., VESTED DATE THIS PERMIT ALITHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONL% ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS, DRM5WAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATION: 180DAYS PERMIT Liurr i YEAR - PROVIDED WORK IS STARTED WFTHIN 1130 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 NOR LIMIT IN ANY WAY THE CITYS ABIUTY TO ENFORCE ANY ORDINANCE PROVISION. - I HERESY 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 CrTY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLAT*N OF THE LABOR —OM OF THE STATE OF WASHINGTON RELATING TO WORKMEhG COMPENSAT)P!P"S RA�CE AND RCW 18.27. ----I �DATE SIGNED BIG RE QVR �r( E VALUATION $ Description FEE Descripltion FEE Plan Check State Surcharge Building Permit Ci Surcharge ty Plumbing 5'_1 3 0. Mechanical /V Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscape Insp. Total Amt. Due 97,0 Recording Fee Receipt # CALL FOR INSPECTION (425) 771-0220 APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. — �FLSAIGNVURE QfFFI &�� DA.TE., RELEASED BY LI/ f DATLf AITENTI" Off 1333 IT IS UNLAWFLJL 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 4 CITY OF EDM 121 5TH AVENUE NORTH e EDMONDS, WA DEVELOPMENT SERVICES DEPAI Planning * Building* Engineering May 13, 2003 An-dr Ashomi 24107 76th Ave W Edmonds, WA 98026 Re: Gas furnace replacement This letter is to inform you that the C regarding the replacement of a gas fu address. A building permit is requin furnaces. In order to obtain a permit application, give the City the name, a number and City business license Au Please see enclosed application and r the proper permits, double fees or $2, whichever is greater. We also need f furnace. If this is an erroneous comp permit, please inform the city IN WIR respond in writing or apply for your Thank you for your cooperation in Si ely, i r ng Department City of Edmonds 425.771.0220 p 425.771.0221 f Incorpo Sister I 43ARY HAAKENSON NDS MAYOR .0 e (425) 771-0220 - FAX (425) 771w=l Website: wwadedmondsma.us of Edmonds received a land use complaint form ace without first obtaining a permit at the above for installation, repair or replacement of gas ter the fact, you will need to fill out an tress, phone number, State Contractor's license )er of the contractor that installed the furnace. e that when work has started prior to obtaining additional penalty fee will be assessed BTU of the furnace and the location ofthe nt and you have not done any work without a ING and we will close out this case. Please -xmit by 5-23-03 to avoid any further action. matter. I August 11, 1890 - Heldnan. Janan A ' N, 3, (71 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED ce� SETBACKS ............ ............ FOUNDA71ON: "fb6ling ...................... Wall...... ........... ....... Pier/Porch ................. Retaining Wall ............ M Slab Insulation .......... PLUMBING: EK Underground.............. -InRough ................ 64 Commercial Final ....... HEATING: :Gas'.T. bst'; . . . ......... Gas, Piping ................. 00: uip nt ........ ; ...... E q me Commercil al,Final EXTERIOR SHEATHING M .,.---..NAILING .......................... C -FRAMING ......................... FIRST FLOOR FRAMING...,. INSULATION ..................... Floor Insulation ......... Wall Insulation ............ . Ceiling Insulation .* ...... SHEETROCK, NAILINGL ... SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR —OCCUPANCY ................ . -As a DATE RECEIVED PIRES PERMIT EX USE ZONE PERMIT CITY OF EDMONDS NUMBER JOB SUIIE/APT# CONSTRUCTION PERMIT APPLICATION ADDRESS NAME/NAMWF BUSINESS 07 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. is ADDRESS I LID FEE 7 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESCP A_P�Oved RW PonrA Required C2!�MF ,e4J,:�� Street Use Pemwit Reld CITY Z III TELEPHONE EXISTING — PROPOSED Inspect1cm Required Sid&"* Required ro _f Py Underground REQUIRED DEDICATION— FT Viftgrequired 13 NAME METER SIZEi� LINE SIZE NO..OF FIXTUR _=Asfl UIRED YES 13 1 NO 13 ADDRESS REMARKS; OWNER/COtiTFIACTOR"fiESPONSIBLE FOP ERP E -jlvlc 815.1*7 CITY ZIP TELEPHONE I ar—_ NAIE)n .10A Cat. N C i ADDRESS MAO STATE LICENSE NUMBER 2 &Lma-1 / PROPERTY TAX ACCOUNT PARC NEW RESIDENTIAL _kPLUMSING / MECH [3 ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE REMODEL MULTIFAMILY [:1 SIGN REPAIR L ------------------------ 0 GRADING CYDS FENCE 13 ( _ X_FT) DEMOLISH TANK OTHER GARAGE CARPORT [3 RETAJNINGWALL ROCKERY FIRE SPRINKLER FIRE ALARM WRE OF USE, BUSINESS OR j$=NUA N: ,—_::) �_ gr NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNIT NUMBER DESCRIBE WORIZ TO BE DONE HEAT SOURCE GLAZING LOT SLOPE PLAN CHEWelat Nov! `9. VESTED DATE THIS PERMIT AUrfHOR=S ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMMAPPLICATION3 180 DAYS PERMIT ILIMM I YEAR - PROVIDED WORK 18 STARTED WITHIN 160 DAYS SEE BACK OF PINK PERUrr FOR MORE INFORMATION 'APPILICANIT, ON BEHAL�bl` HIS OR HER SPOUSE. HEIPS, 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 MATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE 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.* hanom I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVIEN 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 AUTI$DRIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLAT)ON OF THEW001% OF THE STATE OF WASHINGTON RELATING TO S WORKME)" COMPENG S _NX AND RCW 18.27. SIGNA RE (qV DATE SIGNED 'y R I fEl ex'. � , / _1 , _00'p, zo 7" ATTF-NT1014 REVIEWED BY DATE FIRE REVIEWED BY DATE IC VARIANCE OR CU SHORELINEORADB11 I INSPECTION 1$ BOND REO'D POSTED 13YEs ONO, SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSED BY CHECKED BY ITYPWINMON C:3�p� OCCUPANT, OR 7 -r SPECIAL INSPECTION JAREA OCCUPANT REQUIRED LOAD REMARKS [PROGRqSS INSPECTIONS 108/FINAL INSPECTION REGIPD 06 j /1-K Ik /W ill,-r)IIA0.4 -/ 47') 1 a Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing 1, /�_y Mechanical //V Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fee Receipt # 91 CALL FOR INSPECTION fA'3 %42.5 771-0220 EXT 1333 APPLICATION APPROVAL This application Is not a permit until signed by the Building OfficW or his/her Deputy: and FD08 are paid, and receipt to acknowledged in space provided. 0 'ff4LAL DATE RELEASED BY 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 GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES z 0 m am C M 0 -10 C: m m 0 � CE 0) 0 _11111 n M m Fn MO X. 0 z z 0 1 0 m