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20030480.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS �er_ MAILING ADDRESS Ct _" a5i-"' "� -i AW CITY ZIP TELEPHONE r5ayojr�:' C 1(2 ce) 05 3 NAME ADDRESS CITY ZIP ITELEPHONE NAME A , A ADDRESS ft o I B& 6f -S e CITY ZIP 0 6tx) Wh STATE LICENSE NUMBER AUAM 14r'113-7 �JO PROP'nETY T AC PARCEL NO. ul 0 I Cal. it it TELEPHONE 1-696 -.1a) -0-18 EXPIRATION DATE f NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK 1 GARAGE :1 CARPORT RETAINING WALL 0 ROCKERY (rYPE OF USE, BUSINESS OR ACTIV" EXP7N rV'L4V0'Cg_ V'A'01�e_ . r- A NUMBER NUMBER OF OF DWELLING STORIES U DESCRIBE WORK TO BE DONE 7v CAr_�- f;yz^tA-r-� .1 1 le HEAT SOURCE GLAZING % &AS PLAN CHECK NO: PERMIT EXPIRES 316 3 � I --z- ' -4-- -- - AE PERMIT & ZONE NUMBER //,� JOB SUITE/APT# ADDRESS Oat. PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ 7ESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Street Use Permit Roq'd EXISTING - PROPOSED Inspection Required 113 Sidewalk Requited 13 REQUIRED DEDICATION- FT Underground Wiring required 13 METE R SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED NO 13 T - L - REMA K0111it: JD ()r ju vent co z )nn z OWN EROSIOMMIL/DRAINAGE - __ - __ --' _ .."Ag-upp Ij T I UniiIimted SDflrmj�Q_ ITA40 Q1r -v 9m ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE I 'UrIc OR ADS# I INSPECTION 1 3 BOND EXP I I I LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT) MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR COMPLIANCE OR CHANGE OF USE r. A Q ID1:"rr!or a&LM Xp LOT COVERI LLOWED P R, ' sAE BE PARKING Eq L 5� *)AMR E 'Pb(Nd1ftK1VI1 W DATE SIGN REO'D PROVID RVE BY CITY INSPECTOR FENCE R ( — X — Fn kREMARKS AFFIIJ "ITS ZSHIAWE NOT OTHER BE ACCEP I ED oFIRE SPRINKLER F RE ALARM CRITICAL AREAS NUMBER &�j LOT SLOPE % VESTED DATE CHECKED BY ITY7M N C;p7_ OCCUPANT 14t-2., GROUP SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [] YE LOAD REMARKS z PROGRESS INSPECTIONS PER UBC 1 08/1171NAL INSPECTIOLN REO'D -flAilliAl) 41111111A .114L*7 .41AAnisAl-AlilArltilleL,I,,(iD .1 112 Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge L7. Plumbing 777- 30. Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading =21 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Engr. Review I= SEPARATE PERMISSION. PERMIT APPLICATION: 111100AYS Engr. Inspection n PERMIT UMM 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 Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF a EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY Landscapelnsp. Total Amt. Due FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 01 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION., Recording Fee Receipt # II I HEREBY 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 CONSTFILIC- CALL This application is not a permit until signed by the 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 VIOLAT!ON OF THE LABU CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided. WORKMEN S COMPENSAPC�;"NCE AND RCW 10.27. OFFICIALS FAGNATJRE D SIGNATURE (OWNER ORkAJENT) DATE SIGNED (Quy ;;7 771-0220 T3Y "7 RELEASEFO DATE ATTENTION 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 I h z 0 1 0 IT OM C M 0 0 -40 0 C 3! r. M M 10 � 9z -4 x o -n n I 3: M M C) Vi 0 r- 0 M C cl) C V) IM 0 Z z CO) z 0 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall ....................... Pier/Porch .................. Retaining Wall ........... Slab Insulation .......... PLU1MB(NG: pncker(jround ............... ;Rou-In ................ Qf Commercial Final ....... HEATING: f3as Test .................... e3 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 .................. E DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS -J'A,,3 vin 5 A MAILING ADDRESS CITY ZIP TELEPHONE V"'a - A, C 053 - OSII NAME ADDRESS CITY ZIP ITELEPHONE NAME A L., A ADDRESS C '�Cqo tv CITY ZIP 5 �_y I WPS STATE LICENSE NUMBER A"ArAH:C167�JO PROPERTY TAX -ACCOUNT PARCEL NO.. CBL # :rtj (_ TELEPHONE 1-666-.1Li)-eq6 EXPIRATION DATE 6boloq I 0D I KW NEW RESIDENTIAL ADDITION COMMERCIAL rl REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE RETAINING WALL 13 CARPORT ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLJVN' 1�a- h 4� CM CALOILA-LDAA.0�1*17 1A NUMBER NUMBER OF OF DWELLING 21ORIES._1 UNITS_ DESCRIBE WORK TO BE DONE =I- 4A PERMIT EXPIRES ZZ ' e�q 7 z__ USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS -41 PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP AP 'a RW P8fM1tPR.V1V116d Street Use Permit Req'd EXISTING - PROPOSED InapecUon Required C3 0 REQUI 0709---- FT E3 METE S1W I lz b?PtWx1_EF" PRV DEQ RED r" red on fu -himungn PP1'aMqe8j n 13 3 R7, REMAR S eated spai -_ 'I.,? z z OWNER ONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE Obtain Electrical Permit frm FIRE R AVAMe Labor T IndUStrieS DAT i- - lac: VARIANCE OR CU SEPA REV COMPLETE am n6fbena r Uu0cul LOT COVERM 0-P LUMBING / MECH ALLOW R R COMPLIANCE OR CHANGE OF USE PARKING SIGN REO'D I PROVIDED I oFENCE ( FT) REMARKS OTHER F RE SPRINKLER FIRE ALARM SHORELINE OR ADIII I INSPECTION I BOND REO'D POSTED E3YEs ONO S PROPOSED 011100SED SETBACKS (Fr.) IONT LIR SIDE REAR z BY DATE IL CHECKED BY 1=72N OCCUPANT/ CRITICAL 177 1 C '�5 AREAS SPECIAL INSPECTION IAREA OCCUPANT REQUIRED 0 YES LOAD :_PLAC�fv,% r.-j r REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D Is) I 'LAI I I A 11 411 11 ill A 11.1 f2 IAVIA n A fA I- A /' A ilI. it JZ_LnAfH_n I f I IL-r(LU14-51, V _Q_ VAh a G I aw"', menim, w Pam i5o - it in( (Iva 06W &A-4V Description FEE 6esCription FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing < _71 Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN JCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 160 DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAK 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 Landscapeinsp. Total Amt. Due DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CI1YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION., Recording Fee Receipt # YLY2 I HERE13Y 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 IN VIOLATION OF THE LABQfl CODE OF THE STATE OF WASHINGTON RELATING TO Building ofticial or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPENS NCE AND RCW 18.27. OFFICIAL GNAT RE DATE SIGNATURE (OWNER ORtAfENT) DATE SIGNED (425) 771-0220 —RE—LEAS9616i ' 1 DATE " ) ATTENTION 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 GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES t z 0 4 0 M -n fn C M 0 -10 0 C: � C IT! M z 10--i C _z o -n n MITI a 0 0 rn C (j) C Coll M 0 Z z 0) z 0 4 0 M