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20030850.pdfIrl al/ - 1 -5 c ri, , DATE RECE11 CITY O� EDMONDS CONSTRUCTION PERMIT APPLICATION �ER NAMENAME OF B SINESS /_ "Or/A — C/"fl 0 t r V_ M�ILAIG —ADDRESS 1-C CITY 212-0 71P ]TELEPHONE �Sl t f () f > 51 NAME do' Y Al ADDRESS -3 ZIP ,L,wf S R:Y)r,=- f F P,+rf " S-C NAME -.9. V- 6 0 Z) IM ADDRESS 0 A/. r ZIP '5 t7r r), U )>Art 6-Ir 951, rh STATE LICENSE NUMBER e, e, cr 1 5)? 0 Vef E 4. Li NO I I t0-3 1 1 PERMIT EXPIRES USE PERMIT ZONE -I :L NUMBER,5?40� -4�� JOB suiTEnPT_#,, ADDRESS TELEPHONE 2_,e-6 9L N *11 IAI Cc, m q ?, I I 1-D TELEPHONE 2- .1 6 7? j� 3 44- 4V4-,9' EXPIRATIONDATE I CtfCKED,BY '16,-9 Irk., 1,9 XN EW RESIDENTIAL 1:1 ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH El TANK GARAGE RETAINING WALL CARPORT 1111111111=1311L I[TYPE OF USE. BUSINESS OR ACTIV" EXPLAIN: )Tf7_A)N& of FX157 NUMBER NUMBER OF OF t DWELLING STORI UNITS___ DESCRIB WORK TO BE DONE f1d, Raj.Lh A PO& r LA c E— tTB I L'o _j+ L- It To EFX f 5,7 ) N a_ 0 PLUMBING if MECH COMPLIANCE OR 13 CHANGE OF USE [3 SIGN [3 FENCE ( FT) 1:1 OTHER 0 FIRE SPRINKLER FIRE ALARM 10—As- e PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S 7ESCV AV PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RIM Parmit"R10.111VIled Sir at Use EXISTING - PROPOSED lns;:tlon Required Sidewalk Required 113 REQUIRED DEDICATION- FT Underground Wiringfequired E3 METER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED YES 0 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAG E Qr_r-m ijocn - '_I)VWAL� I ENGINEERING REVIEWED BY DATE 1),, , fa ( L16 eja-r � I /*— FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND REOV I POSTED 13YES 12WQ $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED , :X LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR / FRONT URSIDE REAR V Me le i �75 10 7,5 IV49 Z'AA 1 1526� PARKING 1"LOT REO*D I PROVIDED -2— 2_--t- I AREA WV14 PLANNING REVIEWED BY DATE F1771 07, F jr_T%Ui,,jpj0 wAll I no-i- --tv eKee e- er4 -..61 ext-po t"e— CP;p I ci -1 - PA tf CHECKED BY I TYPE OF CONS ILICTION MROUP NT L,�g CRITICAL Ife7-401-L OCcuPA rkl� AREAS Len W SPECIAL INSPECTION AREA OCCUPANT NUMBER I REQUIRED [] YES LOAD `v REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 4k &WAfy, VALUATION z W cc M Description FEE Description FEE Plan Check Building Permit State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Grading BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 1180DAYS PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection So SEE BACKOF PINK PERMIT FOR MORE INFORMATION ire Review Plan Chk. Deposit '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 Fire Inspection Receipt N ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Landscapelnsp. Total Amt. Due 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.' Recording Fee Receipt # APPLICATION APPROVAL 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. AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- I CALL This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Bull Fees are paid, and ding Official or his/her Deputy: and IN VIOLATION OF THE LABOaX.CWE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In.space provided. OFF1 AL TURE CM 4A�o ) WORKMEN'S COMPENSATpU4N"CE AND RCW 111.27. (425) Sl,qNATUR�E (OWNER OR�G�E�" " JDA;�714ED 7. . 'L-�2_ 771-0220 IRE SE BY DATE if ATTENTION Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 2 � 41� 4A I L= A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YF1 1 0 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 11 0 m -11 -n Vi � 0 M C M 0 -40 0 C � m m m 10 � —z ca 0 _n n Fn m 0 Vi 0 6 Fn C C/) C V) M 0 Z z z 0 1 5 m I APPROV D . Y PLANNING L-o-r LO-r APPROVED AS NOTED .,,jll BY ENGINEERING --1 T�. A t C, O-Ew�-T- �' W o --s . oo--- ?ez Z,Zo 4� C, r 14,;L, J ram-. ZZ, C. 1794rexTy. FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE ENGINEERING DIVISION DATEZf�-�� PLMSE SIGN L PLANNING DIVISION DATE PLMF SIGN PROJEC SITE ADDRESS 57- G4ze-) PERMIT _Za&_5- �W62 _ADB# DATE INSPECTED ,z —,Z 7- Igge DESCRIPTION OF WORK TO BE INSPECTED— A?z_&&,af a 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 PERFORMANCE BONDS and the granting of GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED u Copy of CONDITIONS given to owner/contractor by inspector I . FAILED FINAL INSPECTION - OUTSTANDING ISSUES u Copy of CORRECTION NOTICE given to owner/contractor by inspector I . 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date ocaprvl.doc.l:temp:bldg:formsIO/OI Sign, z 9 0 M 0 M C M0 0 -40 0 C --i K X M M z IC) -4 C 0 -n n i 3:9 M M 0 0 0 M C (J) 9 C/) Q 0 Z z z 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED -CAT SETBACKS ..................... �,tu FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation ......... PLUMBING: Underground ............. Rough -In ................... Commercial Final ...... HEATING: Gas Test .................... Gas Piping ................. Equipment .............. Commercial Final ....... . EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETRock NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR CIA OCCUPANCY .................. caso 20o 0 4�DATE PIECEIl— rin T .DATE PIECEQ�fi A GAI'le I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NAMEINAME OF qWSINESS %G,�DDRESS' ZIP,_ TELEPHONE NAME t)(7 P Al 5- ADDRESS 3 �.1'3 L C Ty ZIP k (� F TELEPHONE 9F P-'t t7 1-f 2- NAME _! �� - I z 6 0, P c; Ccv At 5 CBLN ADDRESS '? 6 .1 3 A/. CIT3 ZIP TELEPHONE PA17 k 2-,:V 7, 41- (�7 STATE LICENSE NUMBER EXPIRATION DATE HPCKED B / 1%� 16)c 'y' XNEW RESIDENTIAL 1:1 PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING , .YriS FENCE ( X FT) DEMOLISH TANK OTHER GARAGE CA,PORT RETAINING WALL F RE SPRINKLER FAN2=K 0 FIREALARM (TYPE OF USE. BUSINESS OR ACTIV" EXPLAIN: ff,E,7-A I N o F' 4Fx (571 N q'_ RA ily tN- NUMBER OF NUMBER OF DWELLING CRITICAL AREAS &n.— i 6 UNITS NUMBER -STORIES DESCR R 4-, j L r) R C— Lq <z F jfE— i tv Fc ffo C— f) C &,-�, 4 T6 R F-r/q I NI 7q N ,E)e 17,4 tq HEAT SOURCE I GLAZING % I LOT SLOPE % 03r, 1 1., ; - USE f ZONE JO ADBIRESS 01 -PERMIT EXPIRES PERMIT 'NUMBER SU�E/APT# f I I —1 1L - I—) PLAT NAME/SUBDIVISION NO, LOT NO. L D NO. L�D FEE $ TESCP APPFDV*d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Sir at Use Permit ReqiV EXISTING — PROPOSED 1-=tlon Required Sidewalk Required REQUIRED DEDICATION— FT Underground Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I i YES C3 NO 13 REMARKS OWNE CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE VV1111 It &mkf ENGINEERING REVIEWED BY DATE are FIRE REVIEWED BY DATE 0 z E z z Lu 01 lz VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REQ:R_,. POSTED I 13YES JWNQ S SEPA REVIEW SIGN AREA HEIG COMPLETE EXEMPT ALLOWE ALLOWED PROPOSED !;4;7 , =xr- LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR 10 A/a eho'"'a*C PARKING LOT AREA LPLANNING REVIEWED BY DATE REQ`D PROVIDED in -Ce-Tbocle- 4�e nO* -tv 4!5ce,- eof lblabo keem- -:7� Iq I CHECKED BY ITYPE OF CONSTJIUCTION 01LA;U741 W_,< Ifeer- WALL 'UROUP illi,Q� .SPrCIA6INFECTION,, REA OCCUPANT LOAD REQUIRED [j �YES REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D I = A..- AC -AP 1q0_/A0ft, M VALUATION Description FEE Description FEE Plan Check 1157 State Surcharge Building Permit City Surcharge PLAN CHECK NO: VESTED DATE 0 �,—,3(42, Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO h BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 2 R 3 DOMAIN (CURSS, SIDEWALKS. DRIVEWAYS. MARQUEES, FTC.) WILL REQUI E SEPARATE PERMISSION. Engr. Review PERMIT APPILICATION: ISO DAYS PERMIT LIMIT! I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection 5o SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review PlanChk.DepOSft IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF X 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 01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Receipt # 5&4z Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION AP PROVAL' 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-CQQE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Otticlal or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. WORKMEN'S COMPENSATP*04GUaNCE AND RCW 18.27. OFFICIAL TURE SIqNATURE (OWNER OR GE" DATE SiNED (425) /6A7 P 7 71-0220 I DATE IFIELEASE ATTENTION E)ff I 333 BY 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 k z 9 0 ITI M ma 0 0 C —1 C 3: M M Z IC) --I C _z cn 0 -n n M M 0 V; 0 0 C 0) M 0 z z CD z 0 1 0 M