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20030524.pdfCITY OF EDIVION CONSTRUCTION PERMIT AP OWN N4ME/NAME OF BUSINESS 1/. If / ;A/,A.& A / MAILING ADDRESS 7 7/0 - �Z-43!!�,Pla at- S Iry CITY ZIP 0 ITELEPHONE t-.20[o' 9,?62 S13-3 NAME ho+ CLPP L; cj,.Le ADDRESS CITY ZIP I TELEPHONE NAME __jCBL,1 hioT oppUccL4 ADDRESS CITY \ )up I TELEPHONE STATE LICENSI%�MBER EXPIRATION DATE N�CKED BY ROPEM ,JAX ;'AONAW SP_ NEW 9 RESIDENTIAL [] PLUMBING if MECH ADDITION [3 COMMERCIAL E3 COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY El SIGN REPAIR GRADING FENCE CYDS ( X - Fr, E] DEMOLISH El TANK OTHER E:iGARAGE o RETAINING WALL E] FIRE SPRINKLER CARPORT ROCKERY F RE ALARM (TYPE OF USE. BUSINESS OR ACTIV" EXPLAIN: _ Roah, hobb),es SIPAeC NUMBER OF -7, NUMBER OF IDWELLING j CRITICAL I STORIES UNITS 11?/V If- A - - � A - DESCRIBE WORK TO BE DONE HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: I VESTED DATE :,/ � LI-1 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT LIMIT: 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 ABIL17Y TO ENFORCE ANY ORDINANCE PROVISION.* 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 VIOLAT ON OF TUE. LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN!S CQMPENShTION INSURANCE AND RCW 18.27. DATE RECEIV 7 USE DSZONE 3LICATION JOB ADDRESS C11- I D eir-,KYA I PLAT NAME/SUBDIVISION NO. L! ERMIT EXPIRES PERMIT NUMBER SUITE APT# ),(4_j2rd 1', � L)- -1 LOT NO. LID NO. LID FEE S IESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Rw Permit Required Street Use Permit Roq'd EXISTING - PROPOSED Inspection Required S kimalk Required REQUIRED DEDICATION- FT Un&rgrowd Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE 15 5 W cc rL VARIANCE OR CU SHORELINE OR ADB11 I INSPECTION REO'D 13YES ONO PBOND OSTED $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP , , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR z PARKING I LOT AREA PLANNING REVIEW ED BY DATE I REQ'D I PROVIDED REMARKS CHECKERT BY TYPE OF CONSTRUCTION 11 OCCUPANT -GROUP V_A/ SPECIAL INSPECTION OCCUPANT JAREA REQUIRED [:] YES 1//0 LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D SIGNAT (OWN , VRA.,EN]2 DATE SIGNED 106--c 63. 1 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 1171111TIM00 UAMr% VnH AD VALUATION $ g -�& Description FEE Description FEE Plan Check State Suicharge : rge Building Permit City Surcharge Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapeinsp. Total Amt. Due JC40 Recording Fee Receipt # APPLICATION APPROVAL CALL This application Is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt is acknowledged In space provided. OFFICIALS SIGNATURE DATE (AD ,425) 771-0220 � "'RE LEAS DATE EXT 1333 OR�GINAIL - FILE YELLOW - INSPECTOR P NK - OWNER GOLD - ASSESSOR C RAAVlklt'%- r- &%nD1CQ GREEN - ACCOUNTING t z 0 4 0 ITI M ma 0 —40 0 C: �c M M 0� _z CO) 0 -n A M M 0 0 0 Fn C V) C V) M 0 z X z z 0 q 0 M i- v &1`4 ing Official tor'tfii By order of the Build City of Edmonds I?, All Persoine- Are Ordered to AR& iVW .......... R 1! "V. 0-NC d Tu rsuant to: Section. 202( of the Uniform Building,,Qode the Building City. of Edmonds hereby orders all work to. STOP. at the site listed Address: For.. the following reason(s): AIJJkA,JAIA 'Posted this day of at am/pm Building C WA A 0�1 The failure resuming of work sion from the 8� or the rettioval' concealment -of punishable by fMe �'I F. z 0 i 0 M 0 M C M 0 0 -40 0 C: --j K M M M Z 10-1 -Z M C/) o -n n m > M M 0 0 0 M C C/) 9 C/) M 0 Z r- M z -4 M (n z 0 i 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final ...... HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... -7, FRAMING ........................ FIRST FLOOR FRAMING... S,—UT INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR �._ANO OCCUPANCY .................. - wo*A,2.fO al oo r rn DATE RECEIV CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS V, L. 9040(31V,4 MAILING ADDRESS -7 7/0 - ;�4 3 0 CITY ZIP TELEPHONE Ebl" 0"/)s 90.2 C) S 3 -3 - 16 NAME ADDRESS ZIP TELEPHONE NAME CBL# ----noT 'ADDRESS CITY \ NP I TELEPHONE 7-) PERMIT EXPIRES USE ZONE PERMIT NUMBER 0(�;zq � lu JOB ADDRESS D fj CUITEMPT 2 PLAT NAME/SUBDIVISION NO. LOT NO. L�D NO. L D FEE $ PUBLIC RIGHT OF EXISTING - 7ESCP Approved WAY PER OFFICIAL STREET MAP RW PUMA Required StMt Uss Permh Req'd PROPOSED InsPection Required Sidmalk Required REQUIRED DEDICATION- FT Underground 13 Wiring requIred 0 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES13 NO E3 _F 15 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE REVIEWED BY DATE FIRE REVIEWED BY DATE W W Ic STATE LICENSI�MBER XPIRATION DATE ILHECKED BY VARIANCE OR CU SHOREIINEORADBII I INSPECTION EO'D I BOND POSTED 13YEs' ONO is PROPERTY,j,AX ACCOL NT PARCEL NO. SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIG ALLOWED PROPOSED 'X EXP I I I LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT URSIDE REAR NEW ri ADDITION REMODEL RESIDENTIAL COMMERCIAL MULTIFAMILY PLUMBING / MECH COMPLIANCE OR CHANGE OF USE SIGN z 9 I I IL PARKING REQ`D PROVIDED LOT ARE PLANNING REVIEWED BY DATE I __ I REPAIR GRADING FENCE CYDS El ( _ X _ FT) REMARKS DEMOLISH TANK OTHER ri GARAGE 1771 RETAININGWALL FIRE SPRINKLER Ann k CARPO ROCKERY FIFIE ALARM III 11047p x PW (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: SPAIZE /RoOm fstwmj � hobbics CHECKEDBY ITYPEOFPO VVSTRUCTION Cel-j_ OCCUPANT GROUP NUMBER NUMBER OF CRITICAL _/V OF DWELLING A SPECIAL INSPECTION JAREA OCCUPANT STORIES UNITS 191vilin. Nffff R REQUIRED [3 YES LOAD DESCRIBE WORK TO BE DONE ad //0 1_�-,4 /,-- HEAT SOURCE PLAN CHECK NO: REMARKS I PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE0'0 VALUATION Descirlptlon Plan Check GLAZING % LOT SLOPE % Building Permit L ;7 ESTED DATE FEE DescrIptlon FEE State Surcharge City Surcharge :F Mechanical ,%A I &^_1 or I THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE Grading SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: 180DAYS Engr. Inspection PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAK ON BEHALF OF HIS OR HER SPOUSF, HEIRS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF Fire Inspection Receipt # EDMONDS, WASHINGTONj 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 MODIFX'WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due IPL NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS COARECT; 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 CALL This applIcation Is not a permit until signed by the Building Official or his/her Deputy: and Foos are paid, and IN VIOLATION OF THkLABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S �9MPENSIYION INSURANCE AND RCW 18.27. FOR INSPECTION receipt Is acknowledged In space provided. OFFICIALS SIGNATURE DATE _1� r (425) SIGNAT4d . (OWNIPI�R AQENU DATE SIGNED ;Id� 1 a�, 06 - C2 6 3 77.1 nfjol 40W 3;1_/S_0_3 ELEASI�D4t"� DATE ATTENTION M 1333 f., 1 1-1 � ,I cI 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 M z 0 4 0 M =i =n- ca � M M 0 0 C: ­4 r. 3: rn M z 0 -n n 0 0 Fn C cl) C CO) M 0 z z 0 I 0 M