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20030909.pdfDATE RECEIVED, 3 PERMIT EXPIRES 1�f CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION USE PERMIT ZONE NUMBER JOB SUITEIAPT# ADDRESSer/�� OWNER NAMEINAME hin Vid OF BUSINqS$ &rK PLAT NAMEISUBDIVI 0. nU r1ner3;Lt4U7 T NO. LID NO. LID FEE $ LING ADDRESS I cn PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION— FT TESCP APproved RW Permit R r d Street Use PeqnU:1 R.1-11 Inspection Required [3 S awalk Required 13 U'ndderground E3 mring req— CITY TELEPHONE i— P. 15_dFwods NAME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 j ADDRESS z REMARKS z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP I- TELEPHONE AME ,a r Cr CBL# 14S ENGINEERING REVIEWED BY DATE low 1047'hasw FIRE REVIEWED BY DATE lu -CITY A ZIP —1 TELEPHONE L ' U s""' ' I I I I 5CE�SE NUMBER EXPIRATI N DATE QHECKE Y .71 t0a )4 I NCE OR CU SHORELINE OR ADBI I INSPECTION REO'D 13YES )%0 BOND POSTED $ - SEPA REVIEW UUMVILLit: , EXEMPT EXP SIGN AREA ALLOWED PROPOSED 1- I I HEIGHT PROPOSED ;;5 I Z_ ERTY TAX AC L NO. 40UNT PARC R NEW RESIDENTIAL PLUMBING / MECH COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED P ell REQUIRED SETBACKS (FT.) FRONT SIDE REAke PROPOSED SETBACKS (FT) FRONT URSIDE REAR z tZ z 11-7/ PARKING RECI'D I PRqVIDED LOT AREA PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY El SIGN GRADING ED FENCE X REPAIR El CYDS FT) DEMOLISH TANK OTHER 15PK GARAGE RETAINING WALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (TIYPE OF USE, BUSINESS OR ACTIV" EXPLAIN' .ej) I tj P e'M If O'L r—I ) CHECKED BY ITYPE CONSTRUCTION '7_ OCCUPANT GROUP NUMBER OF o2 NUMBER OF DWELLING UNITS CRITICAL LX-I/ AREAS NUMBER SPECIAL INSPECTION REQUIRED [] YES � I AREA OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS z NPHUUMM001 SPECTIONS PERJIBC 108/FINAL INSPECTION REG'1011 a_ L50 Air 17� ISIA 2—'V ) �:? ) VALUAMON $ 1 ALOW 1,41 5— 1/0 11.0 Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building P .1 ermit City Surcharge PLAN CHECK N0�0,� VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISODAYS 116 PERMIT LIMIT! I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit C�X C/ 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 2 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 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Fire Inspection Receipt # /7 44 7x L L.0 Landscapelnsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION APPtICZTION 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. I HERE13Y 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 OFFICIALS SIGNATURE DATE M C:.;.-) V / / Z& WORKMENT COMPENSATION INSURANCE AND RCW 18.27. (425) AdON URE (OWNER OR DATE SIGNED JL). -1" 771-0220 EXT 1333 0 C RELEASE BY ATE rLEY ATTENTION IT IS UNLAWFULTO USE OR OCCUPT A DUILLANU On a Inu A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR NAL LE Y LLOW-fNSPECTC - Y LLC CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 Pini'FNIER - TGOLD-ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING V k z 0 M :; =n- 3: M M 0 0 C:: � M M M z 0 _n n M M 10 C-1) 0 r- 0 M 0) Q 0 Z 7-1 z z 0 1 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final ...... HEATING: GasTest .................... 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 64 OCCUPANCY .................. OC6. eq V/ f DATE RECEIVED mom CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS ha Vi d AV4Aj))- K MAILING ADDRESS 3 CITY TELEPHONE I-- I �_(Woju/s qaz'p�;lo NAME ADDRESS CITY ZIP I TELEPHONE "017 r�) ZIP — I TELEPHONE CBL N LICENSE NUMBER �xp"FIAJIUNIJAIL I qHECKEDl b, I �, i2i TAX ACCOUNT PARC91. NO. PERMIT EXPIRES USE PERMIT ZONE - 4t-1 NUMBER JOB SUITEIAPT# ADDRESS(T rPLAT NAME'SU'D'V'S'9N NO. LID NO. �:b 1.1 rj I �OT NO. LID FEE $ TESCP ApproVed PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Partnil Required Street Use Permit Roq 'd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT Underground Wiringrequifed METER SIZE LINE SIZE _[ 0. OF FIXTURES PRV REQUIRED YEs13 NO C3 9 REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE NEW RESIDENTIAL 13 PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE REMODEL 0 MULTIFAMILY 1:1 SIGN E] REPAIR GRADING FENCE CYDS ( Fr) X DEMOLISH TANK OTHER btr �S GARAGE RETAINING WALL El o FIRE SPRINKLER F RE ALARM CARPORT ROCKERY (kYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN' 1. 11 ei NUMBER fNUMBER OF CRITICAL OF DWELLING AREAS STORIES Co UNITS U NUMBER DESCRIBE WORK TO BE DONE WA� HEAT SOURCE I GLAZING % LOT SLOPE % PLAN CHECK NO�) VESTED DATE THIS PERM IT AUTHORIZES ONLY THE WORK NOTED. THIS PERM IT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURaS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE 1) IERW"ION. PERMIT APPLICATION: ISO DAYS PERMIT YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS *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 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 NOR LIMIT IN ANY WAY THE CITY'S 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 VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. d1GkNjtURE (OWN R OR DATE SIGNED E �KNT) " ' / 4 1 'f 1. . /V I t) �__- DATE FIRE REVIEWED BY DATE W cc I M VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND REO'D POSTED 1$ E3YES,,WO — SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWE PROPOSED _XP , LOT COVERAGE REQUIRED SETBACKS PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE FRONT URSIDE REAR 35X. "0 he, '-.2 5 2.,= AIIA 1'712 "Iltl ',10A ZE PARKING LOT AREA PLANNING REVIEWED BY DATE RECI'D I PRqVIDED RVRK� "We-4- k k-e -Lei b,2 e k- M erlt-7 e-- CHECKEDBY TYPE OJV CONSTRUCTION CODE OCCUPANT Mz GROUP SPECIAL INSPECTION JAREA REQUIRED [] YES LOAD REMARKS z PROGRESS INSPECTIONS PER -UBC 108/FINAL INSPECTION REO'D Lag --x"-4h & rou P r1a /I t4l J, $ Descilption FEE Description FEE Plan Check rm�) State Suircharge F Building Permit City Surcharge Plumbing 619L'17 Mechanical Grading Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due -/ 7- /,P Recording Fee Receipt III ,/F `7 APPLICATION APPROVAL CALL This application is not a permit until signed by the Building Official or his/her Deputy: and Foos ari paid, and FOR INSPECTION receipt Is acknowledged in space provided. OFFICIALS SIGNATURE DATE (425) 771"022,20 RELEASED 13Y DATE ATTENTION E)Cr 1333 / / I i I /"J�Vl /! 1";7ol, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 1; / if, 41 __j. I 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 I GREEN ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES t z 0 0 IT! --I -n M C M 0 0 C � C ITI ITI z JE) -i C V) 0 -n n M ITI 0-0) 0 r- 0 ITI C 0) C Q) ITI 0 Z X z z 0 IT!