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20030397.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS VAA9TZeL_t MAILING ADDRESS 987-LD - Z 37 5�3' 'PL- - '5 CITY ZIP TELEPHONE C— v M0 'AIDS (0- fa I C) - cao NAME ADDRESS CITY ZIP ITELEPHONE NAME ICBL# 0,ot-),sr,�t, I CrON ADDRESS CITY ZIP [TELE1 HONE qP03 (DI LAI-&-77S- -73-7--1 STATE LICENSE NUMBER EXPIRATION DATE I C 0_r5L5_114C_�F1 1(3 AM 2- A-22--c)(4 IN PROPERTY TAX ACCOUNT PARCEL NO. NEW RESIDENTIAL In PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING cyns FENCE ( X FT) DEMOLISH 0 TANK OTHER GARAGE CARPORT Fi RETAINING WALL — ROCKERY F RE SPRINKLER FIRE ALARM (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:,,- KV) [PERMIT EXPIRES - aZ21 USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS 9EL — ,3_4�10L, 5CA-) PLAT NAME/SUBDIVISION NO7] LOT NO, LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required street Use Permit Rect'd EXISTING — PROPOSED— inspection Required Sidewalk Requited El REQUIRED DEDICATION- FT underground wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I ] YES C3 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE a Z z 0 6 ENGINEERING REVIEWED BY DATE PURSUANT TO UPC 05.2 A.'s., owfill SSW - FIRE REVIEWED SYS HALL BE INSTALLED ON THE Lu cc LINE AS IT JENTERS TM BUILDING VARIANCE OR CU SHORELINE OR ADBI INSPECTION BOND REQ'D I POSTED 1$ 13YEs ONO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I I , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PRO ANF T(yCECUO 1! 1.3MOUR SIDE REAR A REGULATORVAPLVE(PRV) z PARKING SI OW 1110"ALW"NEAR DATE CL RECID I PROVIDED HE WtTER NIB SHMFF REMARKS t3 NUM13ER NUMBER OF CRITICAL 0 OF DWELLING AREAS STORIES C�_ I UNITS NUMBER DESCRIBE WORK TO BE DONE I CHECKEDBY jTYPEnf0PjTNhTM I CO i/E� I OCCUPANT A GROUP SPECIAL INSPECTION JAREA ULAWFANI REQUIRED [I YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD =1 In HEAT SOURCE :t::: GLAZING % I LOT SLOPE % PLAN CHECK NO: I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISODAYS PERMIT LIMM 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 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 LAB99,�GQDE OF THE STATE OF WASHINGTON RELATING TO WORKM5N"J-00MRENSATI99-MSUIIANCE AND RCW 18.27. DATE SIGNED Ls-o VALUATION $ 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 N CALL FOR INSPECTION A 1 %_T25) 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. OFFICIALS §4GNAT)ORE rTE ASED BY YTE A17ENTION 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 YELLON- 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 q 0 IT! =i =n- X M M 0 -40 0 C: � r. MM 0 -n n ITI ITI 0 0 0 M cl) 0:111 M 0 Z z 0) z 0 4 0 ITI FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: PIPASESION FIRE DEPARTMENT DATE ENGINEERING DIVISION DATE_Z4ZZQ_0 NXASE SIGN PLANNING DIVISION DATE- H.FASP SMN PROJECT SITE ADDRESS Z3 7 20 gS 61,5 9 Z ADB# INSPECTED g Xz 0-0. PERMIT # DESCRIPTION OF WORK TO BE INSPECTE I) W14- F(N A4, D. C7.) 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 PERFORMANCE BONDS and the granting of GRANT FINAL PROJECT APPROVAL GRAM PROJECT APPROVAL WITH CONDITIONS NOTED 0 Copy of CONDITIONS given to owner/contractor by inspector I . FAILED FINAL INSPECTION - OUTSTANDING ISSUES u 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:temp:bldg:fonnsIO/OI z 0 =i:-n M M 0 -10 0 C --I r. 3: M M Z c1n, 0 -n n M M 0 0 0 M C C/) 90) M 0 Z r- .qw M _q 3: z z 9 0 M 7,717, 77 '7, 7 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... F.-OUNDATION: Fooling . ...................... Wall ................ ............ Rdtdirli ng Slab Insula tion PLUMBING: Underground ............. Rough -In ................... *Cbmme'rd[61 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 _j OCCUPANCY .................. v N-10 f�� EIVED "ULPERMIT �'2 EXPIRES CITY OF EDMONDS S E USE PERMIT 0 N E ZONE NUMBER CONSTRUCTION PERMIT APPLICATION 0 JOB SUITE/APT# B D D E S S ADDRESS P11 1�5to OWNER NAME/NAME OF BUSINESS A PLAT NAME/SUBDIVISION NO. P LA T N LOT NO. LID NO. MAILING ADDRESS LID FEE S <&uD - 4 R PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P U E IL I C TESCP Approved RW Permit Required Street Use Permit Reqd CITY ZIP TELEPHONE EXISTI NG EXISTING PROPOSED inspection Requirod Sidewalk Required I c-) t tj REQUIRED DEDICATION— Fr Undergrowd Wiring required 0 NAME METER SIZE LINE Sl!] NO. OF FIXTURES PRV REQUIRED YESM NO 13 ADDRESS M R S z REMARKS z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP ITELEPHONE NAME CBL N � � "') C ADDRESS 1,25CP t�.. W. 01:) 7LO Ali CITY ZIP j TELEPHONE t---( 9EP3 144& 77S-15-7-7 STATE LICENSE NUMBER EXPIRATION DATE I CHfif% (:�)OL57W—P K) �50 Z_ PROPERTY TAX ACCOUNT PARCEL NO. ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY IM SI&VI(M SHMWTE uj .4 WA 01 SHALL BE INSTALLED ON THI3_ VARIANCEORCLU\' r03T==W(1R=0jEWSFE91l116W BOND REQ'D POSTED [3YEs 13NO $ SEPA REVIEW SIGN AREA HEIGHT D COMPLETE . EXEMPT I ALLOWED , PROPOSED ALLOWED , PROPOSE NEW RESIDENTIAL PLUMBING / MECH GE LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) PROPOSEI )L T FRONT SIDE REAR: FRONT UR SIDE REAR 13 COMPLIANCE OR ADDITION COMMERCIAL El CHANGE OF USE S PURS 19 00 0 NT To ECDC 19. 0.020 z E PARKIAP DATE 1:1 REMODEL 0 MULTIFAMILY SIGN REQ'D I PROVI L:LBaEI L STALLED NEAR FENCE REPAIR 1:1 GRADING CYDS ( — X —FT) �rwv� REMARKS %xrA ik4M DEMOLISH 1:1 TANK 0 OTHER GARAGE [3 RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM OWE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY M N I COnJE OCCUPANTZ,3 ITYPE 1271W E.LITIO GRO NUMBER OF RITICAL UM NUMBER C —TDWELLING AREAS OF W SPECIAL INSPECTIO N OCCUPANT 17 STORIES N NUMBER U JAREA REQUIRED n YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESSOf CoiS,*W tM Iffffilil SPECTION REG-0 z L--47--j %c.LS 1 ;1 Wwqani VALUATION $ Description FEE Description FEE Plan Check ]City State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: 100DAYS 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, 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 Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION, Receipt # Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLIC ATION 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 OF THE STATE OF WASHINGTON REWING TO Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. IN VIOLATION OF THE LABP"(kDE WORKR�ENIS CCIMPENSAWN_INSUP�NCE AND RCW 18.27. 1� SIG URE GENT) DATE SIGNED (425) OFFICIALS !)IGNATORE T -v 2�� (OWNER '/ U. 'S. (-); 771- 22W , BY E RELEASED Z ATTE14TION bx 1 1 uJi 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 X CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER - COLD -ASSESSOR k\ 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING ft) z 0 M =,:9 M C M 0 -40 0 C M M Z E: :� (j) 0 _n n M M a V; 0 0 Fn C (j) M 0) Q 0 z 7-1 z CA z 0 M