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20030728.pdfI DATE RECEIVED q/j r LPER MIT EXPIRES CITY OF EDMONDS UtE PERMIT ZONE NUMBER 1,(jZ) 7,12F CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS ) OWNER NAMEINAME OF BUSINJSS Chr I'S S PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS a6G 3 1 P LID FEE S TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Street Use Permit Roq'd CITY TELEPHONE ZIP 07 2- a .V 312 EXISTING - PROPOSED Inspection Required Sidewalk Required R E 0 U I R jZMD 01 WAT VM1 01.2 9 raq 13 _312- NAME M EUT E %Mzel, W. d9mmedto PRV RJEQU ED JRI; ing2p nN 13 req red- on fu -burn amain z ADDRESS REMAR Una tea s Ile 99AWRAINAGE OWNE ON A OR RESPO!LIBARUERNOISCION CITY ZIP TELEPHONE I Regafliless 01 wnoial tile. - __n tan are NAME B L VW-,3 �3 Af,D k 4? (�ff 4 )(00fn� 1hc MI 0f IS UP -nn p1l ot water tanks per q, DATE ADDRESS 1-i ENGIN 4 cwljl 0ae, ICE)c 19.1,0-020 (C) 5tor 14L,-VU 14ollow Rot FIRE REVIEWED BY DATE ZIP TELEPHONE 3D C(Uq Z, q15 Z32, , M BOND STATE LICENSE NUMBER EXPIRATION DtTE VARIANCE OR CU SHORELINE OR ADBN INSPECTION POSTED I JEBY a 13 NO IGHT PROPE ACCO PARCEL NO. X CO LI§ EXE T ALLO#ED, PaOPOSE11 ALLOW D PROPOSED c. ustrie s rl ift Sr 66)600 SC7 0 e or EXP 2 NEW RESIDENTIAL PLUMBING MECH REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE NP QAS PIPE TEST AIWST U.- z PARKING REMODEL MULTIFAMILY SIGN REO`D PROVID I I WCA FENCE REPAIR GRADING CYDS X FM REMARKS AERD111VIIS SHAI BE ACCERTE-0 DEMOLISH TANK [3 OTHER oGARAGE o RETAINING WALL o FIRE SPRINKLER CARPORT ROCKERY FIREALARM less! (TYPE OF USE, BUSINESS OR OCCUPANT CHECKED BY ITYP= GROUP /,� :� NUMBER NUMBER OF CRITICAL OF DWELLING AREAS OCCUPANT SPECIAL INSPECTION JAREA LOAD STORIES UNITS NUMBER REQUIRED [3 YES DESCRIBE WORI�TCI B9 DONA coa REMARKS 424 ect 0 5 rA PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REGV -75 000 BT kk U'vN r 4 -4 va E50 ZA.5 -8-ru�, ZAn awetqe- vALuAnON $ F_ (�DtIS, (M LUJ-5 kkt' Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: 180 DAYS IL PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS 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 FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # ALL CLAIMS FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' _0T z Recording Fee Receipt # Lq F) 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 T ONj0AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED I Building Official or his/her Deputy: and Fees are paid. and IN A ION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO V L T FOR INSPECTION receipt Is acknoyAodged In space provided. WORKMENS COMPENSATI?NINSURANCE AND RCW 10.27. OFFICIALS SIGN�TURE DA)E (OWNER 0 DATE SLEINED ta25) html C Ct 77%10220 I. '34/\_ Lo7_— f aTE UL RELEASED 13Y I ATTENTI N Off 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 r I . .4 l: I P to too ONS RECORD OF INSPECTI INSPECTOR DATE APPROVED I.SETBACKS 4 P I I FOUNDATION: r Footing t 1 4 1 Wall Vr Pier/P6rch I.'� I I Retaining Wall SIAb%Ih$1Jlatfbn ONO It P It 4 4:, L tUMBJNG* -'PL I I I It I tit: . I I . I t - I t 1 1 4 1 t P 4 '�tt' b I PL d ri Undergrou 0*9 k I P P I It j ONO l IX v . d I k 01 k Rough"I n 11 1. I I ,, , ll� P I L P . — d I. I 6 w I., Ir I it 't, let 4 to a q 4 1 IN It 4 !Commercial Final. I P fr ep I It A t '.'j 4 At I P . . I l e It t;, HEATING14 it. I Ill. I I d P t ONO* I .. I I I ll I III, Q . .1 1. 1 twom, ,I,, P I. 0 1 it to"9 as Test 4 to 'o�* 661186666 0 1 4 1 1 P, I I d Gas Piping a a 0 0 9 a 0 9 a 6 0 a a 0 0 a I 'V I L t I I l d 4 1 d I d I Equipment t . . P r, I P k I 'j 4 tl I I, P I I Militia C 0 k mmer6 al Fin 7t If 4 I It I P r EXTERIOR SHEATHING I I L I' re 1 5 s 1 3 NAILING me &46409 0 0 It 4 a 0 0 a 0 0 0 a a 0 a a d C) I- P I 4 1 1 P j I Ippose 0 to a *09 0 0 4 0 0 0 0 a 0 a FRAMING d l I d let t k It r' 'lot IFRAMINGtoo PI ll It P, FIRST:FLOOR Pt It I l k r it t P I It P INSULATION a 41 a 0 0 4 It 0 0 9 a 2 v 0 0 9 0 t lt - t,. i . I t I . l I I I I l , I, , I ir le: I lt 0 1, Floor Insulation r'. r+ L. It wall Insulation Ceiling Insulation I P I I L I I I I . t I . ) j I I — d I 'P '�t 'p. let SHEETROCK NAILING too ell SPECIAL INSPECTION too d . t P I P l MISCELLANEOUS. 4*0RIP98446 Still. PROVALFOR I FINAL AP OCCUPANCY It lot, t� It it klP P k It let, k L 't r r 1, t I I - a DATE RECEIVED DATE RECE [PERMIT EXPIRES E PERMIT ZONE e7 C17Y OF EDMONDS NUMBER JOB CONSTRUCTION PERMIT APPLICATION ADDRESS 2 OWNER NAMEINAME OF BUSI SS SUITFJAPT# hV. I S PLAT NAMEISUBDI`VISION NO. LOT NO. LID NO. MAILINqADDRESS -dFFICIAL—STREET MAP *f%V.& LID FEE Ill RW pw stmm Requirod Pomk n?d ZIP " TWPIH q6 V 10 2 NAME ADDRESS CITY ZIP EARK-2 —UF AfRaM41)""' — RaquIted r Wed 6d 672- q_312- Wking 0 JR ME �&.Es P REQUIRED REMARKS - NO 13. NAME BL# Af oVd4�je V) _ � JhC ADDRESS P � 5*qfs- �(!�Vp� ?jY I ZIP TELEPHONE 2 Y"wook qUqZ, lq-1(3 Z32, STATE LICENSE NUMBER EXPIRATION OtTE PROPEM PARCEL NO. i6c)000 NEW RESIDENTIAL PLUMBING/MEC'H COMPLIANCE OR ADDITION COMMERCIAL ri CHANGE OF USE REMODEL MULTIFAMILY [3. SIGN 0 'REPAIR GRADING 0 FENCE CYDS X. FT) -DEMOLISH TANK OTHER [3 1 GARAGE - RETAINING WALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR A ..NU MBEP NUMBER OF CRITICAL DWELLING AREAS ST_ RIES UNIT$ NUMBER A-hof DESCRI BE WCENTO DONS, C&jea !a0c; '7 �ffl ,50oo 4- 6 ?T(A- Z S M jot til loud emansion tawm a DATE all hot w�ter tanks per FIRE R ED- SAWTE NJ MR I cc V;ARIANCE OR CU SHORELINE OR A0B# INSPECTION BOND R E �07'D POSTED 113 �ES - , - I ... 1".. M; SIGNgZ,,j, JMMfLHEIGHT F. ffXEM PR I C - M921111-ALLIbutEa OPOSED :k- .. PARKING REQ`D 101 REMARKS CHECKED BY ITYPE N M7 SPECIAL INSPECTION REA REQUIRED [3YES REMARKS PROGRESS INSPECTIONS PER UBC VALUATION IVI $ L Description FEE Plan Check I . 1� SETBACKS (FT) R SIDE REAR DATE'-' ILI .1 OCC PANT up GROU OCCUPANT LOAD INSPECTION REaD Description FEE State Surcharge HEAT SOURCE GLAZING % I LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing 30 Mechanical THIS PERMIT AUTHORIZES OWX THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLX AM CONSTRUCTION ON THE PUBLIC 2 Grading 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION. 1180 DAYS PERMIT IUMM I VEAR - PROVIDED WORK 19 STAFITED WTTHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR UORE 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 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due a 21 NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Ebj Recording Fee Receipt# I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECr AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OWNIEFL 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 OMcIW or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAodged In space prowided. WORKMEN$ COMPENSATI%WWALRANCE AND RCW 18.27. OFFICIAL GI#TURE DA (�40 DATES NED 1A9 025) 811 '11 7 -710 _q 771 -0220 RELEASEED BY E I ATTENTION Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI- 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 9 0 M =i 9 ai � M M -4 § 0 C: � C M M 0 "n n � 3� 1C M M 0_0 0 6 Fa M C) z Q) z 0 0 M