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20030571.pdfRECEIVED PE RMIT EXPIRES :7 Lcdl ,_DATE t) ____T CITY OF EDMONDS IF ZONE PERMIT NUMBERCftl CONSTRUCTION PERMIT APPLICATION JOB '5 SUITEIAPT# ADDRESS , �_j � OWNER NAME/NAME OF BUSINESS L VAv AP1,4 PLAT NAME/SUBDIVISION NO. LOT NO. L�D NO. MAILING ADDRESS L D F z .91-al . W TIESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Bw Permit Required CITY ZIP TELEPHONE Street Ilse Pannit Roq'd EXISTING - PROPOSED Inspection Required Sidewalk Required 13 Ei[llsmoads va-tr-6,vei -os-ill REQUIRED DEDICATION- FT underground Wiring required E3 NAME T METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 0 YES 13 NO 13 F P1114 t"V RESS REMARKS z z 57- t7 OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE L �;'Q CITY ZIP TELEPHONE -6-1441 K*_� jgp- eV_\ncV_s A,? --ea. AVAW"Ow 11 ',2.�;- - 7q_§"- � wsp�e-�--fioms NAAE CBL# r_9R1zTt1j,9d 0gfz&:Aoir'j rzD.n Nitli-il,_ IE 0 ADDRESS ENGINEERING REVIEWED BY DATE -�- U��=&L tli4i,&_3 fs-4 /0 F_ FIRE REVIEWED BY DATE CITY ZIP TELEPHONE 0 V6 I STATE UCENSE NUMBER EXPIRATION DATE C VARIANCE OR CU SHORELINE OR ADB11 INSPECTION BOND RECjD POSTED I.." LkA F411' 1 1 I'ZI I e 13YES jM0 $ SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEM13T ALLOWED PROPOSED ALLOWED PROPOSED qk_ 3 3 Cq L, cli2a l9r)Q I , , EXP NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE QkQI1RED SETBACKS (FT.) PROPOSED SETBACKS (FT.) COMPLIANCE OR ALLOWED PROPOSE R INT REAR SIDE REAR FRONT Lit SIDE C 0, 1 1 A d z N/A ADDITION COMMERCIAL CHANGE OF USE �§u 9 L 15 3f,(0 Q 3 REMODEL MULTIFAMILY SIGN PARKING LOT AREA NG REVIEWED BY DA REOD 0 , 9L j 200:�J> GI VPP&IDED icnV�t, FENCE 1:1 REPAIR 0 G2%b CYDS ( _ _ FT) - Aekd' - REMARX2—' DEMOLISH 13 TANK OTHER 2!� KME— a2 14q9.Q'T-Q af�_(O- Lz%41F� ;?t-r- smiEz - EUQrjr.T- q1r_ WJ51.42 z o GARAGE o RETAINING WALL FIRE SPRINKLER CARPORT - - -ROCKERY FIRE ALARM W, r-a-CAP. 1-1 f-4Q_ C)i= To Liki E (TYPE OF USE. BUSINESS OR ACTIVn Y�EX LAI CODE OCCUPA'1�':Z rc CHECKED BY I TYPE OF C9NSTRU9;rION GROUP it 0 NUMBER N ITICAL OF D LING AREAS I L V IV SPECIAL INSPECTION JAREA OCCUPANT 0 0 STORIES I S NUMBER REQUIRED )k/ LOAD YES RVA DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC I GOMINAL INSPECTION REG'D 2 FA kwin A iv &fh2l S*wilItl h�A- 4/ kA VALUATION $ -I.—I 1" 1-3 V1 Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Meet 9 n Building Permit City Surcharge 15_"'1 PLAN CHECK NO, VESTED DATE '7 o (;/ Plumbing , (,-17) Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 2 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. - Engr. Review PERMIT APPLICATION: ISODAYS CL PERMIT Ulli I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION L/L/ - "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit '311-11 -10 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 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapainsp. Total Amt. Due NOR LIMIT IN ANY WAY THE C17YS 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 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 Building Official or his/her Deputy: and Foos are paid, and IN VIOLATION q"HE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt 15 acknowledged in space provided. WOFIKMEN'S?)MPLIVSATION INSURANCE AND RCW 18.27. OFFIC!8U SIGNATURE DATE SIGNATURi; VrE R AGE DATE s IONED IA25) %-TK- �71(3� -7�1�'Zty�S 771-0220 RE 'V W'BY /brTE 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 - INSPECTG(R 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 M =i 9 55 � 0M C M 0 80 C :29 M z ID (j) 0 n M M a 0 0 IT! C 0) C (1) M 0 Z .A� M z co z 0 M ovra2. wfmlea OIL vi 3�4�r OWNER/CONTRACTO'R' ISRIESPONSIBLe- F n 09, EROSION CONTROL AND DAMAGE �os f5�v r ADD GUTTERS/DOWNSPOUTS AND SPLASHBLOCKS CITY, COPY (A I 0(l - 2 APPROVED AS NOTED BY ENGINEERING Date: APPROVED 13Y PLANNINO RSCEIVED JUL 10 2003 PERMIT COUNTERk' K 10 -Z M M o! Z' 0, I 44 C. 1 sc)13 CITY OF EDMONDS 1215TH AVENUE NORTH -EDMONDS, WA98020 - (425) 771-0220 *FAX (425) 771-Mi Website: wwdedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning e Building - Engineering November 7,,2003 Attn: Michael Van Pelt 8421 238th St SW Edmonds, WA 98020 Building Permit: 2003-0571 Site Address: 8421 238th St SW Expiration Date: 7/31/04 Dear Michael- Van Pelt: GARY HAAKENSON MAYOR The purpose of this letter is to inform you that the last remaining inspection on your project is a final inspection(s). The final inspection(s) determines that there are no outstanding life-sa&ty issues and approval allows the City to close your permit file. The City considers the final inspection to be one of the most important inspections conducted on a project. In order to grant final approval the following must be complete: smoke detectors, house numbers, guardrails, handrails, self -close doors between garage and residence, egress from sleeping rooms, safi* glazing, weather-stripping, any Engineering department requirements etc. Of course not all of these things may specifically apply to your project but it does give you an idea about the kinds of things that must be complete as well as some items that do not need to be installed such as: paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from the date of issuance. If you will need more time to complete the work permits can be renewed ptior to expiration for one half fees. If the permit expires without a final approval granted by the Building Inspector, full fees are required in order to renew the permit. This can be very costly to you and we strongly encourage you to check your permit expiration date and call for the required final inspection(s). Note: If more than one department is required to final your project, this is noted on your Job Card. Please feel free to contact me at 425-771-0220 if you have any questions. Sincerely, � r7yZ:', Permit Coordinator Incorporated August 11, 1890 Sister City - Hekinan, Japan FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE MASS SMN 4&&,Q L —ENGINEERING DIVISION DATE HXASE SHM PLANNING DIVISION DATE nam SIGN PROJEC 7— SITE ADDRESS PERMIT # 20QS- Q-T 7 [_ADB#________PATE INSPECTED eor DESCRIPTION OF WORK TO BE INSPEC N C4 je A, L. 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 PERFQ_ BONDS and the granting of .xv-,-GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED a Copy of CONDITIONS given to owner/contractor by inspector FAILED FINAL INSPECTION - OUTSTANDING ISSUES c3 Copy of CORRECTION NOTICE given to owner/contractor by inspector 1. 2. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:temp:bldg:fonnslO/01 z 0 M =i =6 M C M0 0 0 M M Z 10 C 0 -n n M M 055 0 r- 0 M C Cn K 0) Q 0 Z .'T X --i X z C0 z 0 1 0 M (00) RECORD OF INSPECTIONS INSPECTOR DATE APPROVED Ms SETBACKS ..................... FOUNDATION: Footing ...................... MIS Wall.......................... Pier/Porch ................. Retaining Wall . ........... Insulation .......... N/yASlab PLUMBING: Underground ............. Rough -in ................... Commercial Final ...... HEATING: GasTest .................... Gas Piping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING 9-f wi NAILING .......................... z FRAMING........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... W all Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR 0? OCCUPANCY .................. c DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS tq I *a I CITY ZIP TEL PHONE Ef)micwds NAME /so/ ADDRESS 1_�-a "-/ CITY ZIP TELEPHONE 4�4NIYW oow� 1_41.2,:� - 7os-- V, N A CAI: ICBLN ADDRESS 1-g-610 CITY SN 0 11100," S ZIP 6M TELEPHONE 7 "� - 3S_ -S4Sq STATE LICENSE NUMBER EXPIRATION DATE LK A F4 au&)) I k?_ lljzljo�_. PROPERTY TAX ACCOUNT PARCEL NO. L46 33 - (no 9 - a oaad NEW RESIDENTIAL 1:1 PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE REMODEL 13 MULTIFAMILY 0 SIGN I- REPAIR G2D FENCE CYDS 1:1 X FT) DEMOLISH TANK OTHER GARAGE CARPORT RETAININGWALL F RE SPRINKLER ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVIT)p WL��. j,,2 NUMBER NU ER ' OF CRITICAL V MB " OF DWELL NG AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE r- zj2x PERMIT EXPIRE S UTE PERMIT ZONE _��71 NUMBER4,0,5 JOB ADDRESS SUITE/APT# 7--40 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TIESCP Approved Rw Permit Required E3 1 Street Use Pannh Roq'd 11 EXISTING __ PROPOSED Inspection Required E3 Sidewalk Required [3 REQUIRED DEDICATION— FT — Underground Wiring required 0 METER SIZE LINE SIZE _T�6- OF FIXTURES PRV REQUIRED YESM NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE z ��*q 4b We Vj (DALJL� _fML ENGINEERING REVIEWED BY ff LLn"aL DAT E I FIRE REVIEWED BY DATE Lu VARIANCE 0 ��/ I SHORELINE OR ADBI INSPECTION REC&O BOND POSTED I OYES $ SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED , , EXP LOT COVERAGE ED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSEDO, SIDE REAR ri FRONT L/VSIDE REAR 44 4 Z PARKING LOT AREA Pj&NI4ING REVIEWED BY R E O'D e- C: rtl` IDED FP nr-.- -- VY) t-jco u; I 7�i \14 - T--:M CA -1. 1-11-4 If- ;4S k Oa To J-4. ?eW.LVq1 CHECKED BY ]TYPE OF.C9NSTRUrTION CoglE . OCCUPA V_/V 47-77- GRO )k3 SPECIAL INSPECTION JAREA OCCUPANT REQUIRED 0 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 4/ $ 2-c-11 Description FEE Description FEE rge inrcha 1-169 - Plan Check state Surcharge 37�_O HEAT SOURCE GLAZING % LOT SLOPE % Building Permit Iq City Sur charge PLAN CHEIL;K mlz,. a N/ �ESTED DATE Plumbing L.-I Mechanical THIS PERUTT AUTHORIZES ONLY THE WORK NOTED. THIS PERMrr COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONMUCTION ON THE PUBLIC Grading 2 3 DOMAIN (CURBS, SIDEWALKS, ORMEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review PERMI[TAPPLICATION: 180 DAYS CL PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection 100. 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 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 THIS SHALL NOT BE -total FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF PERMIT Landscapelnsp. A I. Due 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANYYRDINANCE PROVISION.' Recording Fee Receipt N 1 - 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 OF4HE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt IS acknowledged In space provided. WORKMEN'S P)5VPqSATION INSURANCE AND RCW 18.27. OFFIqj&�IG NATURE DATE SIGNATUR tyeER AGE D ATE SIGNED (425) kv 771-0220 Y /DATE RELeA ATTENTION:31� U�ktl- JO EXT 1333 �N h IT IS UNLAWFUL TO USE OR OCCUPY OR STRUCTURE UNTIL �L/4_ A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YEI I ON - INSPECTQ(R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING t z 0 M =n- 0) M C M 0 0 C ITI M Z 0 -n ITIM 06 0 r_ 0 M C ch M V) M 0 Z z z 0 IT1