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20030645.pdf= j DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS U SE ZONE E JOB ADDRESS PERMIT EXPIRES PERMIT NUMBER SUITEIAPT# �5 612 .:2.Z - Ale-1 / -6 /-7 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE S .013V' PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Street Use Permit Rect'd CITY ZIP TELEPHONE EXISTING — PROPOSED Inspection Aequi.red Sidewalk Requ r d E6'.)Inn nv/ I 75 &/ q0 REQUIRED DEDICATION— FT Undotground wiring required NAME METER SIZE LINE SIZE I OF FIXTURES I PRV REQUIRED YES 13 NO E3 ADDRESS CITY ZIP ITELEPHONE NAME CBL# W 0 ADDRESS 2�800 7101-tid CITY P�70 TELEPHONE — q7oc IZ6 & 7,9 2 STATE LICENSE NUMBER EXPIRATION DATE CHECKED By W14SW57S 9,7oocw PROPERTY TM ACCOUNT PARCEL NO. 1:1 NEW )!�,FIESIDENTIAL PLUMBING / MECH 1:1 ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE [3 REMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE X FT) 1:1 DEMOLISH E3 TANK OTHER GARAGE CARPORT [3 RETAINING WALL FIRE SPRINKLER ROCKERY FIRE ALARM (TYPE OF USE. BUSINg$4 OR ACTIVrIy) EXPLAIN: REMARKS OWNER/Cl ENGINEERING REVIEWED FIRE REVIEWED BY VARIANCE OR CU SEPA REVIEW COMPLETE EXEMPT EXP I 13 NUMBER NUMBER OF CRITICAL 0 S1OF DWELLING AREAS STORIES 1�7_ 1 UNITS NUMBER DESCRIBE WORK TO BE DONE I a--� n It I s ru r /,) a L eV 4 rr-� M A-V IVA 6 00 0 4T SOURCE GLAZING % LOT SLOPE % ez 15 1 1 CHECK NO: I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMITAPPLICATION: 160DAYS PERMIT LIMIT! I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS N INTEREST. AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT., AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN!S COMPENSATION INSURANCE AND RCW 18.27. LOT COVERAGE ALLOWED PROPOSED PARKING REO'D I PRC REMARKS CHECKED BY 17YPE DATE DATE SHORELINE OR ADB# I INSPECTION BOND LREO'D POSTED 11YES ONO 1$ SIGN AREA HEIGHT At LOWED - PROPOSED I ALLOWED . PROPOSED Lu M rL REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) FRONT SIDE REAR FRONT URSIDE REAR z pkAN1,Hjlg IM B or L vent connectors urij Eon �ue�fngappiiancer,.41x SPECIAL INSPECTION JAREA REQUIRED 0 YES OCCUPANT GROUP � OCCUPANT LOAD REMARKS I 'K, PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 9 VALUATION Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION (425)771-0220 APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and _ receipt Is acknowledged in space provided. F�l AL,1 SI N URE DLkTE WAB/ N E L DATV— ATTENTION EX 1 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 z 0 1 0 IT11 --I -n M C rn 0 -40 0 C 5! K ITI M z o -n n M ITI 0 0 0 M C cl) C (1) M 0 z z 0) z 0 4 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION% Footing........... .......... 'Wall ........................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Cormercial Final ...... HEATING: Gat Test .......... * .......... ng .................. Gas Pipi Equipment ................. Comme.rc.iqIjF.jna4..`,.­.'.' EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 0000, ;oo3 ovo&q6 . 00010sh J,)C) - fooz DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS LPERMIT EXPIRES 'USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS �je,l / �b L a V A:�� I'l, / /( 1­7 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS 4,16 � I .0 �, .3 1'!,/ LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Street use Permit Rsq'd F—ITY ZIP ITELEPHONE NAME ADDRESS CITY ZIP ITELEPHONE EXISTING — PROPOSED Inspection RequLred Sidewalk Required REQUIRED DEDICATION— FT underground 401,10 Wiring required .17. 1 WE SIZE NO OF FIXTURES PRV REQUIRED a YES 13 NO 13 z z REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE NAME CBLN WaL.(D (U)a51w(1k)1 :F/,mA ADDRESS 2_E3oo Thor4dy1_-&__" CITY ZIP TELEPHONE S lep '(44 le So 4o 7,8 2- � /00 STATE LICENSE NUMBER EXPIRATION DATE *24/(,/,O� '�p W74Sq1457,5 qqj06Cd 4"w PROPERTY TAX ACCOUNT PARCEL NO. NEW ��RESIDENTIAL PLUMBING I MECH ADDITION COMMERCIAL COMPLIANCE OR 13 CHANGE OF USE REMODEL E] MULTIFAMILY SIGN [3 REPAIR E3 GRADING CYDS FENCE X ( FT) DEMOLISH TANK OTHER GARAGE RETAINING WALL CARPORT ROCKERY FIRE SPRINKLER F RE ALARM CrYPE OF USE, BU OR ACTIVITY) EXPLAIN: NUMBER OF NUMBER OF DWELLING CRITICAL AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE jn4ail s lia c rl-� _,Z6-V V86eO _BLIP (Ro, Ono f I . f -A IlT* SOURCE GLAZING % LOT SLOPE % CHECK NO: VESTED DATE 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 LIMM 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 CLAJMS 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 ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' 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 THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHOnIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. BE ENGINEERING FIRE REVIEWED BY DATE W BE W ACCE"ED M. VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REO'D POSTED OYES 13NO $ SEPA REVIEW _I SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I I , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPCSED FRONT SIDE REAR FRONT UR SIDE REAR z rAnrrU____F —LOf AREA FP_L7N_NING REVIEWED BY ____ DJE I REQ't rtimlw 6r L vetit C01mectOrs CHECKED BY ITYP= I Cox — OCCUPANT q]z GROUP �z SPECIAL INSPECTION __rEA OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECIN�MFWU C 108/FINAL INSPECTION REG'D L - VALUATION $ Description FEE Description FEE Plan Check State Surchaarge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt N Landscapelnsp. Total Amt. Due Recording Fee Receipt N APPLICATION APPROVAL CALL This application Is not a permit until signed by the Building official or I;Islher Deputy: and Fees are paid, and FOR INSPECTIO14 receipt Is acknowledged In space provided. FF16ALSSI N URE DATE 771-0220 'RELEASED BY DATIE,/ 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 0 1 4/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 9 0 ITI M C M 0 ­10 0 C --I C X M Mz 0) 0 -n M M 055 0 0 Fn C cl) C (1) rn o Z r­ .AT X z ca z 0 1 0 M