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20030794.pdfM DATE RECEIVED/ 4�9 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NAME/NAME OF BUSINESS I ING ADDRESS �11 A CITY lzoma/vctl NAME ADDRESS CITY ZIP ZIP ITELEPHONE Cat. V— f V I I %—W %J6" —1_ %—I �_" V # I - Zr_7P�,f_f j -0 ADDRESS CJ CITY ZIP TELEPHONE I V Sin_4f&_ 47,45rri STATE LICENSE NUMBER I E ' WZA-_5H1C-5T71(0e:> PROPERTY T ACC g., P4RCEL NO, Q� Jon [j NEW 13 RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYD 0 DEMOLISH TANK Ei GARAGE CARPORT RETAININGWALL ROCKERY OWE -OF USE, BUSINESS 0A.610TIVITY11 EXPLAIN: NUMBER C OF ING STORIES UNITS DESCRIBE WORK TO BE DONE W GLAZING % CHECK NO: W, PLUMBING / MECH COMPLIANCE OR CHANCE OF USE 13 SIGN FENCE S ( X_ FT) OTHER FIRE SPRINKLER FIRE ALARM CRITICAL N1, AREAS NUMBER LOT SLOPE % VESTED DATE I PERMIT EXPIRES -- I � - 7 USE ZONE PERMIT NUMBER �� 6v JOB ADDRESS L4 SUITE/APT# <5+-. PLAT NAME/SUBDIVISION NO. LOT NO. L�D NO. L D FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appr0v*d RW Permit Required Permit Ract'd EXISTING — PROPOSED Insp6ttlarlRequired Sidewalk Required REQUIRED DEDICATION— FT undattrourid YMng required METER SIZE LINE SIZE NO, OF FIXTURES PRV REQUIRED YES13 NO 13 25 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE DATE FIRE REVIEWED BY DATE I 'Ir VARIANCE OR CILI SHORELINEORADEIN I INSPECTION I BOND REO'D POSTED DYES 13NO $ SEPA REVIEW SIGN AREA I HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED ALLOWED , PROPOSED LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (M-) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR PARKING LOT AREA I PLANNING REVIEWED BY DATE REQ`D rPwPfl*kWfi6_'!. I I 11s open of closed, expansion tanks are I I required on all hot water tanks per I C19 Code. ECDC 19.30.020 (d t::� I CHECKED BY ITYPE SPECIAL INSPECTION REQUIRED [j YES REMARKS 2 PROGR WSFGG�� FINAL INSPECTION REG-D Type B Or L vent conneetirtra vitiusx-vu *n wei-ourning appivanew III VALU UN $ _x,=M U 815-1.7 Description FEE Description FEE Plan Check State Surcharge Permit City Surcharge ZLBuilding Plumbing Mechanical THIS PERMIT AUTHORUES ONLY THE WORK NOTED. THIS PERMIT COVERS WORKTO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 3 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: 160 DAYS PERMIT LIMM I YEAR - PROVIDED WORK 18 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 Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, AFUSING 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 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- 21 Recording Fee Receipt # -1 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 OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Otlicial or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space Provided. WORKMEN'S COMPENSATION INEURANCE AND RCW 18.27. OFFI S SIGNAT R DATE IlIz9N — 81 i (OWN SIGNED IA95) 4 YE" JDATE 771-0220 ;4 RELEASED BY' DAfE ATTENTION W 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 , .71 �11' M C M _1 § 0 C E� z ITI z 0 _n 32 "IT, 0 Fn C9 M z 0 M CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 121 5th Avenue North, Edmonds, WA 98020 (425) 771-0220 TO C"RRECT VIOLATION Location of Violation (Addres Main Street dmonds, WA 98020 Issued To: Panagg NatWhaisan. CoMorate President of Patthana. Corpontion Address Of Person This Order Is Issued To: 417 Main Street Edmonds. WA 98020 Code Section Violated:. Uniform Plumbing Code Sections103.5. Description of Violation: Installation of a gas hot water tank without obtachfing a final imection.. Corrective Action Required: The business owner obtained a pluinbing Ronit to change out an ector verf d an. existing P—as to gm hot water tank. On October 20, 2003 the City Building h1W --Qnne ingSggon and noted five items to be corrected co attached). The business owner was given 30 d—aiM to make the corrections and recall for ingMtion. As of this date no inspecti on has been called for, The MqUiNd corrective action is to make the necessaa corrections and recall r ineggfion. Correction is Required no later than: 5:00RM—ftime) ate) If correction is not made by the date and time specified in the Order, a Notice of Civil Violation shall be issued. The Notice of Civil Violation shall assess fines Of $100.00 Ber day, or portion of a day, during which the violation continues. Date Posted: Date Mailed: December 16, 2003 Date Served Issuing Party Jeannine L. Graf Title Building official Signature r-7 12 0, C' , A I Z;: 0 M., —. I � —1 . 1. — 4 0 I loplItil else -1,4 art I wit 0e. 1 111- 1 % eI"�aWat pi� W. "e it 0 OtTew, air I srml -fOAatW-W1 It rat -eT,,ATt liftsee, tetwijl4, I" `I JITM`4" I" lit 4 0 ."!a P el t it RECORD OF INSPECTIONS 1 4 1 1 INSPECTOR DATE APPROVED 1 4 1 1 4 it Lit I SETS IbACKS I FOUNDATIONS q r tt it. it It I #I I z tea I nga 06904 0*9404 so tr WallPOSTS 4 a 0 a 9 a 4 6 a 6 *1 a 6 f 6 4 0 4 k It Pier/Porch a 4 f 0 0 a S a 0 0 9 A a 6 6 a I It It "I P. I It I I I Retaining Wall f 7P Sun I r IT I k. ... Slab nsulation I (A t 0 1 1:. tr, I PLUMBING@ it i I I L I I 11 1 k M4 underground OWNS t T if I . 4 1 1 1 4, o'et I I� �f -tt Savages a a a *sees 0 'It I t, Roughatin it IY, It t 10 Commercial al - Fin &Oise* a t , r 0 It Z H TING@ ',w I I it it I is I "I 'I I I I' It I I A I w I I I I I I , I I I I I I t . . � t I I t, . I I . -, I I I I It I t; a ITest i I ...I I I I t I s I ..I, I It 1 0 1 1 1 1 1 1 -1 1 1 4 1 1 1 1 I t., it I , 11 1 1 , I I I L. I , I I I I I t Gas Piping 10 a a 0 a 0 & a a 9 0 a 6 a 6 I I I, 1 1. , t P, I I I I I II, + I I I I I r, I I I I I I I ' : I' ' I " It I -t te�t'tl; I I at at III A ... I I I I r I I r I I I I I I It I I L I I I It I I I P ' I I 7-j .1 1+ Equipment 0 0 a a 0 $$ease I r I 't I I 1 4 1. 1 1 1 1 1 me I 'r %I'. I I I. I I I I, It, I I I r I ,I I I 1 4 Nt l,j I' V)10, I t It" I I 'Commercial-Fina ITS $I+ I I I EXISERIOR SHEATHING 'Ilk w, 4'" .41 It let NAILING I iia,b WA, *-9 Its It, It' t PI is 4v414 -.9 j4 I ;.1 1 T F till It k rf. I :FRAMING, two P 4 1 1 4 "IF I. I e I I P IFIV FLOOR F got MAKONG6 It I It L 1 .1 J.tv to It L, 1 4 1 I� I JI I I I I It I L I+ I it, ' i a I I JOWL !PT, a f So I I I I I I t I ago I I I I " e I N LAT t I t I I Is t I I I I I I I It l It f I I IS t I it L I I +P I I I I I 6 1 it rr t, I I I I t. Floor Insulation .':I I L Z Wall Insulationr I L r I I I I L I I I I k 1 SUNNI Ceiling Insulation, Saw 0 mr+1 It It 4 L 469 'k '1 4 SHEETROCK NAILING SPECIAL INSPECTION ago P I P I I I * I I I 'L� It I+ I I I I I OEM it MISCELLANEOUS OEM FINAL APPROVAL FOR Page u OCCUPANCY eow"? I�k It I I It I V IT I ell L t !IIATE RECEIVED�4 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS Th A- ReyhiurA MAILING ADDRESS gri W" �'N CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP TELEPHONE NA14E CBLN C-1 cl ADDRESS c'j ZIP 'TELEPHONE ?J12- �17, STATE LICENSE NUMBER Pi MON DATE [ MCI jt1je�jq-71c& jlo5o 1.kjA 172' PR ACC P4RCEL NO. *3 co ho NEW RESIDENTIAL PLUMBING I MECH X, ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE REMODEL MULTIFAMILY [:] SIGN RERMR GRADING CYOS o FENCE X ( FT) DEMOLISH TANK OTHER oGARAGE CARPORT RETAINING WALL 13 ROCKERY FIRE SPRINKLER [3 FIRE ALARM OWE USE. BUSINESS.0 LAIN:--_--____. "CTI[ViTY). EXP NUMBER UM E OF NWEBLIJRNG CRITICAL I OF STORIES AREAS NUMBER DESCRIBE WORK TO BE DONE t CHECK NO: I VESTED DATE .4 V - W, PERIMIT EXPIRES _FP USE PERMIT ZONE NUMBER cg&g— 07AI/ J013 SUrrE/APT# ADDRESS Lill MA(" 5+- PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Ap= RW P.,." ed Sno We Pwmh RoWd EXISTING - PROPOSED Irapection Required Sidewalh Requirod REQUIRED DEDICATION- FT UndwWMM Wking rocluked METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 N REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 5V Wils"' - DATE ACCEPTED FIRE REVIEWED BY DATE 1 1! M VARIANCE OR CU SHORELINEORADEW INSPECTION BOND REO'D I POSTED I 13YEs 13NO $ SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED, HEIGHT ALLOWED PROPOSED EXP I , , LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT L/R SIDE REAR RECaf AR A'2TMNMIi�ffNWDqWeM 4 FWqMCq Closed, lexpansion tanks arell ATE im� CHECKED BY ITYPE OP07S RUCTION CODE-- OCCUPANT GROUP.' SPECIAL INSPECTION JARE OCCUPANT REQUIRED [:] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REM W ..... I IN VALUAI I $/If , at!t. t spaces. UMC 815.1.7 1 t Description FEE FEE Plan Check [Description State Surcharge Building Permit City Surcharge Plumbing Mechanical THIS PERMrr AUTHORIZES OMY THE WORK NOTED. THIS PEIRMrF COVERS WORK TO t: BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 2 DOMN (CURBS, SIDEWAM, DRIVEWAYS, MAMUEFS, 0C.) WILL REQU IRE SEPARATE PERMISSION. Engr. Review PERMITTAPPLICA,now, 180 DAYS IL PERUIT ILIMM 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 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 MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." 0 Recording Fee 1 Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; 'THAT THE INFORMATION APPUCATION APPROVAII GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CRY AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a pornIll until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building 011ficial or his/her Depte.-and Fees are paid, and receipt Is acknowledged In Apace provided. WORKMENS COMPENSATIOSN!.N RANCE ,§,U AND RCW 18.27. DATE OF S SIGNATYR9 81 DATE SIGNED (425 22 7 il - 0 RELEASED BY I ATWNTInN EXT 1 33 e IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAIL - 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 - A6COLINTING z 0 0 M 0) M 0 C r M M4 0 MIT! Fn C MO z 0 M