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20030374.pdfrl LPERMITEXPIRES DATE RECEIVED �7 USE PERMIT CITY OF EDMONDS ZONE NUMBER JOB SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADDRES�� la�lw, -xx OWNER NAME/NAME OF BUSINESS _�g3p, Ell,_61—YIV Aj 64 7 2 re 1 )__ PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE S 7TESCP Ap PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP MY Parmit"Ir=ed 41W Roq'd Street Use Parrnit CITY ZIP ITELEPHONE EXISTING - PROPOSED Inspection Requked 13 Sidewalk Required 13 REQUIRED DEDICATION- FT UndeWound 9jr0.20 I o?61j-,5W— ?7/ � Wiring roquLm _56/mOO& NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO 13 z z ADDRESS REMARKS z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE Al 1h CITY I tip TELEPHONE FIHE MARSHAL MU�q-:f NAME C BE I'MESENT FOR "ANKwit orumix, AI-C-- ENGINEERING REVIEWED BY' Ill-INIUVA OH W cc ADDFASS Slo qLr FIRE REVIEWED By DATE Lu Irc. CITY PHONE IP TELE 03 ;0`6 -8307 ze z I VARIANCE OR CU SHORELINEORAD111 INSPECTION BOND ATION CKED B O'D POS STATE LICENSE NUMBER EXPIR ATE RE TED 13YEs [3NO1$ 3 M, CO C (6 evRv o I61116L HEIGHT BEIRA REVIEW SIGN AREA P COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP , I LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) NEW RESIDENTIAL PLUMBING MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE z PARK LOT AREA PLANNING REVIEWED BY DATE ING REMODEL [3 muLnFAmiLY SIGN RECYD PROVIDED CL [3 FENCE REPAIR GRADING X CYDS FT) REMARKS OTHER DEMOLISH TANK EGARAGE RETAINING WALL 0 F RE SPRINKLER 3 FIRE ALARM CARPORT ROCKERY (TYPE OF USE, BUSINESS OR CHECKED BY TYPE QDNSTRUCTkN OCCUPA 1 0 7 CRITICAL TAREA NUMBER NUMBER OF SPECIAL INSPECTION OF DWELLING AREAS OCCUPANT LOAD Q STORIES UNITS NUMBER REQUIRED [:] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC IGO/FINAL INSPECTION REG-D wzw 30, -elpra7t 7ANK —Lbts-e ?7-f/1W_S C y 7a'(flr- ItOAT WA, of L&x, i eep az�,_,Y. VALUATION V Description FEE Description FEE Plan Check State Surcharge HEAT SOIURC�� GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORGMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review 5 PERMIT APPLICATION: 180 DAYS 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 x EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt III ALL CLAIMS 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 21 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION .. Recording Fee Receipt # I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION I%OVAL,-" APPLICATION APP 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 "clat or TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Sul his/her Deputy: and Nos are paid, and In space provided. elpt Is acknowledfjod IN VIOLATION OF THE LAS Do F THE STATE OF WASHINGTON RELATING TO FOR INSPECTION �Mr WORKMEN3,00M�ENS INS NC AND RCW 18.27. S ATURE 5ZjDATE L SI (OWN R AGE DATE Slawl5i (425) 71 e��T 1 r% e^_ 11 Q"7 771-0220 TALSED -�57 BY DATE" Y ATTEi�fION 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 5 z 0 M M rn ..40 0 C: M M 10 O"n n rn M r_j) 0 0 z z 0 0 M FWALPROJECT APPROVAL FORM TO: OUTSTANDING ISSUES FAILED FINAL INSPECTION Q Copy of CORRECTION NOTICE given to owner/contractor by inspector 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL D I ate Sigq_ ocaprvLdoc.l:wmp:bldg:fbm10/01 z 0 m =i 9 OM C MO 0 80 m MZ JE) 0 m M 0 V5 0 0 Fn C (j) C (1) M 0 z M z Cl) z 0 m I RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ... ................. :.FOUNDATION: ..................... . Z ................. 0,! Pier/Porch ................ ........... Retaining Wall Slab Insulation .......... PLUMBING: rn: P� M Underground ............. . . .. ...... ................... Rougti-in M Commercial Final zt HEATING:. -Gas Test .................... Gas Piping ........... Equipment ................... -------------- fn Commercial Final . ........ EXTERIOR SHEATHING NAILING .......................... FRAMING........................ FIRST FLOOR FRAMING ... ---------- 'INSULATION ................... Floor Insulation ... Wall Insulation ............. z do Ceiling Insulation ....... p M SHEETROCK NAILING ... SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. L ego I VATE RECEIVED FPERMIT EXPIRES CITY OF ED ONDS USE PERMIT ZONE NUMBERZ00:37D:��_ CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT # 1�4r ADDRESS OWNER NAMEINAME OF BUSINESS 2 , tw. ITZ Y* && nW PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. 7 MAILING ADDRESS LID FEE S 1�eyl' A VP, W TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW ParrNt RoWked ITY ZIP TELEPHONE Street Use Permit Asqd EXISTING - PROPOSED Inspection Recitk"Id I � 2. Sidewalk nequired REQUIRED DEDICATION- FT UndsrWot-d i;Zg L71 required 13 NAME METER SIZE LINE Slii� NO. OF FIXTURES PRV REQUIRED ,j YES13 No 13 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY zip TELEPHONE FIRE MARSHAL NAME CBL MUST BE PRESENT FOK fv 41 F1 /e / ENGINEERING WKyritt, —nE,PA,%—jVA,L,_Un_M1Wr_ L,�-n Ic ADDRESS 91 Qlo FIRE REVIEWED BY DATE Lu CITY S-Li I ZIP TELEPHONE -ea-me C� If r/ I cc rL � VARIANCE OR Cu SHORELINEORAD110 I INSPECTION BOND STATE LICENSE NUMBER EXP14TION PATE CKED REQ'D POSTED I C 16 e-0 all 6/0 M27, 13YEs 13NO $ PR SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I , , NEW RESIDENTIAL PLUMBING / MECH 0 LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SET13ACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE RW COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE REMODEL MULTIFAMILY SIGN PARKING LOT AREA PLANNING REVIEWED BY DATE REQ`D PROVIDED GRADING FENCE REPAIR CYDS X Fri REMARKS DEMOLISH TANK OTHER 3 GARAGE RETAININGWALL F R SPRINKLER CARPORT ROCKERY FIREE ALARM UWE OF USE, BUSINESS OR A�Z CHECKE�PE 0 NSTRU N OCCUPAM, -GROUPXZ:::� NUMBER NUMBER OF CRITICAL rAF OF WELLING AREAS STORIES UNITS NUMBER 1 SPECIAL INSPECMTION REA OCCUPANT REQUIRED LOAD [3 YES DESCRIBE WORK TO BE DONE REMARKS palfipev 7 �w 30, t Roe,' PROGRESS INSPECTIONS PER UBC 1013/FINAL INSPECTION REaD od' 01/44 fA i - Riivc e s7-11poi co7L,�r(,x',* 014' wfea jq&d VALUATION Eli rA-,O 7fVln $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE T_=iiNG % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing 4. Mephanicill THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CUMS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPIUCATION: 180 DAYS PERMIT IUMIT: I YEAR - PROVIDED WORK 18 STARTED WITHIN ISO DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION I 'APPLICANT. ON BEIIALF OF HIS Ola 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 CLAJMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANICE OF THIS PERMIT, ISSUANCE OF THIS PERMITSHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY C17Y ORDINANCE NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt III I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVALo-'s" 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. This application Is not a permit until signed by the CALL TION; AND IN DOING THE WORK-AffTHORIZED THEREBY, NO PERSON WILL BE EMPUDYED BuIldingkOlficial or his/her Deputy: and Fees we paid, and IN VIOLATION OF THE 4-01DI-W THE STATE OF WASHINGTON RELATING TO FOR INSPECTION /n-raFolpt 13 acknowtodgV In space provided. WORKMEN3AM�E-N� 4SURANCe�AND RCW 18.27. L IS ATURE DATE R AGE sl (OWN D:m e (425) -577, XASED �,7 1z _T_ 771 -0220 By ASED BY DATE UN 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 04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING