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20030409.pdfDATE RECEIVED 10 ��' [PERMIT EXPIRES I zj/W CITY OF 9DMONDS UdE PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB 15r SUITE/APT# ADDRESS 4 .54 oldel)t OWNER NAMEINAME OF BUSINES PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. V N 6 f _AlLk�orcc�_ LID FEE S MAILING ADDRESS NIW— PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION— FT I ESCP Approved RW Permit Required Street Use Portnit Flect'd inspection Required Sidewalk R.quired Underground Wiring required E3 CITY ZIP -�5KWL,, e-18 1.%4 - FELEPHONE NAME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 E ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE NAME Ime& CEIL ENGINEERING REVIEWED BY DATE ADDRESS W 0 U FIRE REVIEWED BY DATE cc M 'TY ZIP cg;a' TELEPHONE - /) ()o - 75?,:; 1 VARIANCE OR CU SHORELINE OR ADEN AD�,114 lj(- INSPECTION [3Y REQ'D ES ;& BONO POSTED $ !I Z21 STATE LICENSE NUMBER EXPIRATIO ATE SEPA REVIEW COMPLETE, E XEMPT EXP SIGN AREA D PROPOSED ALLOW,,E. HEIGHT ALLOWED PR OPOSED PROPERTY TAX ACCOUNT PARCEL NO. 1j -o 60� 7C9 la OCI p ",,516 0 NEW RESIDENTIAL PLUMBING if MECH COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT URSIDE REAR PARKING REO'D I PROVIDED ___r__ LOT AREA PLANNING REVIEWED BY DAT� �xrbk,,(", 6 k-3 REMODEL MULTIFAMILY SIGN [3 GRADING E] FENCE EM REPAIR CYDS ( X_ Fr) -_ REMARKS DEMOLISH 13 TANK El OTHER GARAGE RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITYl EXPLAIN: NA-94- VAlen 175 CHECKED BY I TYPE CON�TRUCT ON CO 0��j OCCUPANT GROUP rz NUMBER OF STORIES NUMBER OF DWELLING UNITS CRITICAL AREAS NUMBER SPECIAL INSPECTION ARrEA REQUIRED [:] YES —OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D C�* 1*—C—Y,7 ak s)' VALUATION $ c6u it D 0 0 Description FEE Description FEE Plan Check <r? D 0 lCity State Surcharge 44-59. HEAT SOURCE GLAZING % LOT SLOPE % Building Permit Surcharge PLAN CHECK NO: VESTED DATE Plumbing 85. o , � - - "_�_ I I Mechanical THIS PERMrT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading Al DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 2 49s t: SEPARATE PERMISSION. a Engr. Review 15 PERMIT APPLICATION: 180 DAYS r umir 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 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # IALL 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 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." X1 Recording Fee Receipt # 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 APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- Th s application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Buildinij Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPEN- ',PTI NCE AND RCW 18.27. %00tA OFFICIALS SIGNATURE D E SIGN RE R DA�2TESI NED (425) Jo'5 �" A, I (_ / �m' D L = �d�' 5 771-0220 RELEASEDBYb,, A NTION Off 1333 IT UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 'T ,'ji A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-'L OR�GINAL IL)E- YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PNK NER - GOLD -ASSESSOR k - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES LIA k z 9 0 m 1. =i:H ro � am C ma 0 0 0 C � r. m mz g:) 4 C _z 0 n m M 0 65 0 0 Fn C to C 0) M 0 Z r- .I� X z 0) z 0 I 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... 40 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 0- OCCUPANCY .................. ,rhe initials RSR are Rick S. Roberts, a temporary contract inspector for the City. I ; 'DATE RECEIVED 20z EXPIRES I CITY OF EDMONDS USIE PERMIT ZONE NUMBER' JOB SUITE/APT# ADDRESS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. V Lij. od I 1-5 LID FEE S MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appro"d RW Permit Require" Street Use Permit Raq'd V i2l EXISTING — PROPOSED inspection Required 13 Sidewalk Required 13 CITY ZIP TELEPHONE REQUIRED DEDICATION— Fr Underground Wiring required 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 7 0 I YESM NO 113 _v E x 0 ADDRESS 11-4—a REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE z CITY ZIP ITELEPHONE A NAOIE CBL ENGINEERING REVIEWED BY DATE ADDRESS lz 0 REVIEWED BY DATE Lu Ir WY ZIP boa, e- 1A TqEpHdhl� -712 fl�)Olg3- 11 1 VARIANNCIE 07R 4C7� SHORELINE OR ADB# &y4lV( INSPECTION REO'D BOND POSTED -1 STATE LICENSE NUMBER EXPIRATIONIAT Bx ffiobV) (m, YES &0 $ eg Oq q Ek' REVi EW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. l;.Co 7-31 S,:,t1!k COMPLETE EXO��T ALLOWED PROPOSED ALLOWED PROPOSED XP 1:1 NEW 13 RESIDENTIAL 13 PLUMBING / MECH ILOT-COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT UR SIDE REAR COMPLIANCE OR 0 ADDITION COMMERCIAL 01-.CHANGE OF USE z PARKING LOT REQ`D I PROVIDED AREA PLANNING REVIEWED BY DAT% LAALL ZC9 1:1 REMODEL MULTIFAMILY 1116 1 REPAIR GRADING FENCE 4 CYDS 0 ( X FT) REMARKS 1:1 DEMOLISH TANK OTHER Z GARAGE o RETAINING WALL FIRE SPRINKLER L_J CARPORT ROCKERY FIRE ALARM UWE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED B Y TYPE OP CONSTRUCTION LGR UP-) T912 V SPECIAL INSPECTION JAReA OC._�ANT AD NUMBER NUMBER OF RITICAL OF AREAS DWELLING CUMBER �j STORIES UNITS REQUIRED [:] YES DESCRIBE WORK TO BE DONE - ,KS 10,113RESS INSPECTIONS PER UBC 108/FINAL INSPECTION E. U C) 011 (s i odk. s TION VALUA 000 Description FEE Description FEE n Check StateSurcharge D Q HEAT SOURCE GLAZIN1 LOT SLOPE % 1", Permit 040. City Surcharge 45 VESTED DATE Plumbing PLAN CHECK NO. 131 �)_ I I Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPEFM ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. R I PERMITAPAA 111d16_VAye PERMIT ILIMM I YEAR - PROVIDED WORK 15 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 PlanGhk. Deposit IN INTEREST, AGREES TO INDEMNIFY- DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fir nspection e'( ReSpip ALL CLAJMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE - Landscapelnsp. Total � t. 13EEMED 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.' Recording Fee Receipt # I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICA.110N; THAT THE INFORMATION APPLICATION A PR L GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE Vi;JLY 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 AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPEN CE AND RCW 18.27. E OFFICIALS SIGNATURE D T SIGWURE R K DATE NED (425) o U I 7S1, 771-0220 RELEASED BY DATE A174WtION EXT 1333 -oit IT;IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTIOWHAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE 'It- YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK-OW,NER)- GOLD -ASSESSOR GRE64 - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES - t z 9 0 M -1 -n ra � Q M C M 0 80 C M ITI Z IC) C o -n n M M a 0 0 M C M 0 Z z z 0 ITI