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20031001.pdf0 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS tU USE Z ZONE o J013 J0 ADDRE'SS MAILING ADDRESS Cl' I (107 2.226 st -S L,--j CITY ZIP TELEPHONE -F.0—mol'A (--)s CIA 6;t 6 1 CUS-- I NAME ADDRESS CITY ZIP I TELEPHONE PLAT NAME/SUBDIVISION NO. PERMIT EXPIRES PERMIT NUMBE LOT NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING - PROPOSED REQUIRED DEDICATION- FT METER SIZE LINE SIZE NO. OF FIXTURES SUITE/APT# LID NO. LID FEE $ I ESCP Approved RW Permit Required Street Use Permit Req'd InspecUon Required Sidmalk Required Undergromd Wiring required PRV REQUIRED YES 13 NO 13 REMARKS OWNER/CONTRAC7OR RESPONSIBLE FOR EROSION CONTROWDRAINAGE NAME k3% 430)m6t F A-%T P76/7 �7 71, ENGINEERING REVIEWED BY DATE ADDRESS —&?Aa C) 0 C M 0 FIRE REVIEWED BY DATE W cc 0 CITY ZIP Hv/v� L 41cl TELEPHONE 1 qz-s--) VARIANCE OR CU SHORELINE OR ADBI1 INSPECTION REO'D OYES ONO BOND POSTED $ STATE LICENSE NUMBER EXPIRATION PATE 94CKED BY SEPA REVIEW COMPLETE I EXEMPT EXP SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED , PROPOSED zi PROPERTY TAX ACCOUNT PARCEL NO. �2a LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT URSIDE REAR NEW RESIDENTIAL PLUMBING / MECH COMPLIANCE 08 ADDITION COMMERCIAL CHANGE OF USE PARKING REO'D I PROVIDED LOT AREA PLANNING REVIEWED BY DATE 1:1 REMODEL El MULTIFAMILY El SIGN REPAIR GRADING FENCE CYDS X FT) REMARKS DEMOLISH TANK OTHER z k rc ElGARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF US . NESS OR ACTIVITY) EXPLAIN: xrmz IdN6Z2 CHECKED BY ITYPE Of COl`jSTRMCTl N OCCUPANT GROUP AP-": to NUMBER ' OF STORIESt-)rk I NUMBER OF DWELLING UNITS CRITICAL AREAS NUMBER SPECIAL INSPECTION REQUIRED [] YES ] AREA -�7 OCCUPANI LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REO'D z 113 M& VALUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge_ PLAN CHECK NO: VESTED DATE Plumbing Base Fee THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Lu PERMITAPPILICATION: 180 DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Grading Engr. Review Engr. Inspection /9 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 2 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 Fire Inspection LandscapeInsp. Receipt # Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - I = Recording Fee I Receipt # j I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DU& AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL This application is not a permit until signed by the Building Official 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 acknowledged in space provided. WORKMEN'S COMPENSATIO ,�PNG�IRANCE AND RCW 16,27. sl OW E 0 GE T) DATE SI NED Q0 1 (425) 1 771-0220 -L JA OVFIVI/jL4 SIGN k R DATE 19 j � el'� A// I V/� z , �;I'/ RYLE fliBY' 16ATE 6 ATTENfION E)ff 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES z 0 4 0 M =i 9 3: M rn 0 —40 0 C -4 C X M M Z fj) 0 `TI n M M 0 0 0 rn C (j) C V) M 0 Z X z -4 3: 55 z 0 IT! FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE PLWE SIGN HAA110'3 b4 ENGINEERING DIVISION DATE. 41 PLEASESIGN PLANNING DIVISION DATE PLEASE SIGN PROJEC SITE ADDRESS q 16 Je713'0 11W3 PERMIT # -ADB# DATE INSPECTED -- DESCRIPTION OF WORK TO BE INSPECTED vk/�' A field inspection was conducted to determine 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 El Copy of CONDITIONS given to owner/contractor by inspector FAILED FINAL INSPECTION - OUTSTANDING ISSUES 0 Copy of CORRECTION NOTICE given to owner/contractor by inpector I . 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature 1:temp:b1dg:fbnns:ocaprv1 3/25/04 z 0 :q =n- C M M 0 0 -10 0 C M M Z C C/) 0 -n n 4 M M a 5) 0 r- 0 M C C/) r. 0) Q 0 Z z z 0 i 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall .......................... z Pier/Porch ................. Retaining Wall ........... M Slab Insulation .......... PLUMBING: 0 M Underground ............. M a —10 Rough -in ................... 0 0 Commercial Final ...... M IT! HEATING: 0 GasTest .................... Gas Piping ................. O"n -n Equipment ................. M M Commercial Final ....... EXTERIOR SHEATHING o Fn NAILING .......................... C 0) CO) M 0: FRAMING ........................ FIRST FLOOR FRAMING... ANSULATION .................. z Floor Insulation ......... Wall Insulation ........... CA Ceiling Insulation ....... z SHEETROCK NAILING ... 0 M SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVALf-eW 'GoetmMy .................. riv-7 che.-q DATE RECEIVED CITY OF EDIVI ONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS E7C- I KiC L MAILING ADDRESS C? 10 -1 o L -,j UITY zip TELEPHONE C q (I 0�4 C)7�, III A 1011 NAME ADDRESS CITY ZIP ITELEPHONE NAME _&2(p 14o %Tsc CITY ZIP I TELEPHONE __S�o �iw/v, LS iP.-I 9x2eld (-fz �-- STATE LICENSE NUMBER EXPIRATION P I I ) Mb r ZD P ) 0/&) PROPERTY TAX ACCOUNT PARCEL NO CBL SL'o (-) T -CHECKED BY USE ZONE JOB ADDRESS' I PERMIT EXPIRES PERMIT NILIMBER-40//41 I wza ow"Imme SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Street Use Permit Req'd EXISTING — PROPOSED Inspection Required 13 SideviaA Required 13 REQUIRED DEDICATION— FT Underground Wiring required 0 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO 13 REMARKS z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE _�q - . 1 —1 1 — - . — A - FIRE REVIEWED BY DATE DATE Lu It VARIANCE OR CU SHORELINE 08 ADB# INSPECTION -BOND REQ'D POSTED [:IYES ONO 1$ SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLO I AIIOWED . PROPOSED NEW RESIDENTIAL PLUMBING / MECH 19 LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT QRSIDE REAR 'M COMPLIANCE OR 0 ADDITION COMMERCIAL CHANGE OF USE I I z PARKING REO'D I PROVIDED LOT AREA PLANNING REVIEWED BY DATE 1:1 REMODEL MULTIFAMILY SIGN GRADING FENCE 1:1 REPAIR E] CYDS ( X_ FT) REMARKS E] DEMOLISH TANK OTHER [3 GARAGE RETAINING WALL o FIRE SPRINKLER 13 CARPORT ROCKERY F RE ALARM (ME OF USE. BUSINESS OR ACTW" EXPLAIN: L CHECKED BY OCCUPANT J,2 ]TYPE JCOI) GROUP A�l _j NUMBER OF NUMBER OF DWELLING CRITICAL AREAS SPECIAL INSPECTION OCCUPANT UNITS NUMBER REQUIRED ]AREA LOAD .11A I DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-0 VALUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLbPE % Building Permit 4/7— city surcharge PLAN CHECK NO: VESTED DATE Plumbing Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading a TC.) WILL REQUIRE DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, E SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: ISO DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection 611 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 CLAJMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' zi Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION AP )ROVAL GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPI.Y 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 Official or his/her Deputy: and Fees are paid, and IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN!S COMPENSATION INS�RANICE AND RCW 18.27. 041 S SIGNATLIFIV DATE si I W_ POP/AGE" DATE St NED (425) V, /E 1.2 M /6 771-0220 RELE�Slfb(BY jPUA It: Armffiom 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 - YELLON- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES ------ ----- -­ 4 z 0 q 0 ITI M M 0 0 —10 0 C: � M M M ca 0 n MITI 0 5) 0 0 Fn C Cj) C V) Q 0 z 71 z z 0 1 0 M