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20030528.pdfI I DATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS A41at4,i6L 01oys�7-, MAILING ADDRESS ,7 C 101 - CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP ITELEPIiONE [NERMIT UPIRES h T_ Z USE PERMIT Z ONE Z NUMBER U J JOB SUITE/APT# R 1tAODDRESS PLAT NAME/SUBDIVISION NO NO. LID NO. LID FEE S 7ESCP APP(Ov@d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW parrrJl Required Street Use Pennit Reqi'd EXISTING - PROPOSED inspection Required Sidewalk Required 13 REQUIRED DEDICATION- FT Underground Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 z REMARKS OWNEFIXONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE NAME 4141— Ic? ENGINEERING REVIEWED BY DATE 1 ADDRESS 9116 2,24 Fl E REVIEWED BY DATE W I CITY ZIP z010 TELEPHONE I zz 4 - _-3 VARIANCE OR CU SHORELINE OR ADBN V Qj> I Pr INSPECTION RE02Doo, 13YES 0�0 BOND POSTED 1$ - STATE LICENSE NUMBER EXPIRATION DATE SEPA REVIEW COMPLETE , EXEMPT EXP SIGN AREA ALLOWED PROPOSED 1% HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. 7 X—NEW 297-PLUMBING'Zo COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS o FENCE X FT) DEMOLISH TANK OTHER [3GARAGE RETAININGWALL o FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM LOT COVERAGE ALLOWED PROPOSED A44 ch REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT URSIDE REAR Awl, c A PARKING LOVAREA I PLANNING REVIEWED BY DATE 06 411310 /f 4A1 igwed 44 (TYPE OF USE, BUSINESS OR ACTN7M EXPLAIN: Q a �j be) ___7CRITICAL CHECKED BY ITYPEM 12M -GROUP OCCUPANT NUMBER OF STORIES NUMBER OF DWELLING UNITS AREAS NUMBER ... SPECIAL INSPECTION JAREA REQUIRED [] YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-0 c3 6�V 64 j21j?ZL5, Z ,,4Z, VALUATION Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge Plumbing PLAN CHECK NP VESTED DATE an — 4-= Mechanical 410 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO - BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading I -) WILL REQUIRE 3 DOMAIN (CURSS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC SEPARATE PERMISSION. Engr. Review a 5 PERMIT APPILJCATION: 180 DAYS L PERMIT LIMIT! 1 YEAR -PROVIDED WORK IS VrARTED WITHIN 1180DAYS 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 MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' E Recording Fee Receipt III 7, L_z_�J I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORREC-P 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 Building Official or his/her Deputy: and Fees are paid, and TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE 9TATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged In space provided. WORKMEN'S COMPENSATION INSURANCE A�^W 18.27. 1 GNATUPJ ATE S, DATE SIGNED (425) 715 03 771-0220 OAT RELEASED f DATEr ENTIOW EXT 1333 7 14 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - ILE - ELLOW -�INSPECTOFI CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OW --- - 0101 n - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 4 In M 0 -10 0 C: � x M 10 z 4 1 � 65 0 _n N n MITI a rA 0 o Fn H 0 z z 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall........................... Pier/Porch ................. Retaining Wall ........... .*ab.Insulation .1 ......... PLUMBING: Underground ............. Rough -In ................... Commercial Final - HEATING:.' Gas Test ............... I Gas Piping ...... .......... .4 Equipment ................ Ni� Commercial Final EXTERIOR SHEATHING NAILING: .......................... FRAMING ......................... FIRST FLOOR FRAMING... j: J INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. R 0, 0. M M M or 1c, M M lo z 0.n M M. Fn, z 0 0 M I DATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS Alllaf4r-L (2-oli-.577-s MAILING ADDRESS '? 7 0 ?-/z CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP ITELEPHONE )0 IT EXPIRES //Z USE RMIT ZONE PE NUMBER &�2 3 - JOB SUITE/APT# ADDRESS PLAT NAME/SUBDiVISION NO. LOT NO LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW P,:,=, Street Use Perntit Reqd EXISTING — PROPOSED InspecUo" Required Sidewalk Required REQUIRED DEDICATION— FT Underground Wiring required 13 METER SIZE LINE ;;;TTNO. OF FIXTURES PRV REQUIRED YES 13 NO 13 z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE, NAME M r-TAIsmrrds CBL# ENGINEERING REVIEWED BY DATE 11 ADDRESS 9//,/ - 2,24 FIRE REVIEWED BY DATE Lu Iz CITY ZIP M47- TELEPHONE _z4 4 -1-7 4;2. VARIANCE OR CUl I SHORELINE OR ADIM Al&,-t gr4Qb 113YES^O INSPECTION REOP.,00 BOND POSTED 1$ — STATE LICENSE NUMBER EXPIRATION MQA Lr v C 6 DATE C)19CKED BY SEPA REVIEW COMPLETE , EXEMPT EXP SIGN AREA ALLOWED PROPOSED � ' HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. AVEW B"RESIDENTIAL 0. ADDITION 0 COMMERCIAL 0 REMODEL MULTIFAMILY 0 REPAIR 0 GRADING CYDS 0 DEMOLISH 0 TA14K oGARAGE I RETAININGWALL CARPORT 0 ROCKERY A-PLUMBING'a COMPLIANCE OR 0 CHANGE OF USE 0 SIGN 0 FENCE X ( Fr) 0 OTHER FIRE SPRINKLER 0 FIRE ALARM LOT COVERAGE ALLOWED PROPOSED &ct chA)i REQUIRED SETBACKS (Fr.) FRONT SIDE REAR CIA— - PROPOSED SETBACKS (FTj FRONT L/RSIDE REAR I /Vo CA d414�w g PARKING L7AREA REO'D PROVIDED I PLANNING REVIEWED BY DATE 06 R (TYPE OF -USE. BUSINESS OR ACTIVITY)i EXPLAIN: L 10 0 Aj br-) CHECKED BY (!! �T OCCUP GROUPANT oe DUMBE NUMBER N R OF OF WELLING 4. STORIES UNITS DESCRIBE WORK TO BE DONE Lc XT&Ac�,r- g N)4)4 CRITICAL AREAS NUMBER as-r __ITYP:MO -OCCUPANT SPECIAL INSPECTION JAREA REQUIRED 0 S YE LOAD REMARKS INISPECTIONS PER UBC 1108/FINAL INSPECTION REaD .d.11V 31 -'VL-LA r__�Fl =)_S� Mrv:!�_; . /AAR elrah5�� //Y:n 14- VALUAnON -=L47- 411. ir Description FEE Description FEE Plan Check I State Surcharge I HEAT SOURCE GLAZING % FBuilding LOT SLOPE % Permit City Surcharge 5 PLAN CHEC VESTED DATE Plumbing L%.4 Mechanical THIS PERMrr AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 0 E DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading R DOMAIN (CURBS, SIDEWALKS, DRIVIEVAYS, MARQUEES, ETC.) WILL REQUI E 3 Engr. Review SEPARATE PERMISSION. 1 5 PEnMiTAPPUCATION: ISO DAYS L PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WrTHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review Plan Chk. Deposit 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFX 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 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* E Recording Fee Receipt # 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 CONSTRUC- CALL This application Is not a permit until signed by the Building official or his/her Deputy; and Foos are paid, and TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE E OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided. WORKMERS COMPENSATION INSgR8,NCE AN CW 18.27. FFICI GNA U 6ATE SIQUAW01WHOVVE OR AGENT) DATE SIGNED (42�5) I 771-0220 RELEA D Y DATE' 77TENTIO4 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 - tl!! I OW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - CMfb GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 d 0 M M M 0 ­110 C � r. M M o� z 0 _n '�'n 9 M 1171 065 0 0 C ic 0) M 0 z V) z 0 IT!