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20031004.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS ,_Je4:� jAy-v > MAILING ADDRESS I e-) . - --7 CITY ZIP TEL PHONE Z""( 2.55 -.;,1 NAME ADDRESS CITY ZIP [TELEPHONE NAME ICBL# ADDRESS laxF STATE LICENSE NUMBER �l ION TIE BY 1��l I(Al � . 1114 EDP PROPERTY TAX ACCOUNT PARCEL NO LPERMIT EXPIRES USE" PERMIT ZONE NUMBER 2U963 - 06 JOB SUITE/APT# ADDRESS 0 L 'I\J 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 R*q'd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT Undwground Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 NO 13 Le f5 REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I REVIEWED BY DATE FIRE REVIEWED BY DATE "'5�3 //— 6—C VARIANCE OR CU SHORELINE OR ADB11 INSPECTION BOND RE POSTED 113YEs 1140 $ T SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 7.-703ZA4 - WZ.- VA.-;- W EXP NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE ALLOWED PROPOSEr, REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT L/RSIDE REAR ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE I z PARKING LOT AREA I PLANNING REVIEWED BY E REMODEL MULTIFAMILY SIGN RE if_P7 DED /,,,/ VF— 1;161� REPAIR GRADING CYDS FENCE ( x FT) REMARKS rl DEMOLISH TANK OTHER GARAGE RETAINING WALL 0 FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIWIVr"M LAIN: v4vv�zl'. CHECKED BY IDW STRUCTION CQQE OCCUPANT GROUP T�:'] NUMBER OF NUMBER OF DWELLING CRITICAL AREAS SPECIAL INSPECTION UPANT LOAD DRIES UNITS NUMBER REQUIRED 0 YES JAREA DVIBE WORK TO BE DONE —REMARKS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D nrw, I v u2.ve Ary WAX0 drE6n)WL, Alo*4Z A HEAT SOURCE I . GLAZING % I / CO'r SLOPE % PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORRES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMrrAPPUCATION: 160 DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE 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 CITYS ABILITY TO E14FORCE 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 OE�ZUE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S O"TION INSURANCE AND RCW 18.27. #=ERA AGENT) DATE SIGNED . mv I r!. ayiell $ el ..2 Description FEE Description 11-60 FEE Plan Check 01 1 State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt III D41 Landscapeinsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION (425) 771-0220 EXT 1333 APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or histher Deputy: and Fees are paid, and receipt Is acknowledged in space provided. CIA I DATE 7 RELEASED BY DAtE 'I UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINALC-f!�V YELLIDWANSP CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING i z 0 1 0 M M C MS 10 0 C 3� z M M 10 0 Irn M 8 ch 6 Fn Cr z z 0 4 0 M V, I - FINAL PROJECT APPROVAL FORM TO: T-1 A 'M - MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATEZ- 0-JIF PLEASESIGN ENGINEERING.D SION DATE PLEASE SIGN PLANNING DIVISI DATE PLEASE SIGN �PR T AIVCI+6 S "ADDRES ITE S PERMIT Q6-0 or--) C( —ADB# DATE INSPE CTED DESCRIPTION OF. WORK TO BE.INSPECTED 2-:2 A� field. inspection was conducted to determine. comp liance with i pproved plans. Fi al'. approval, den0tii that there are no objections from the above signed Department to the release . of PERFORMANCE BONDS and the granting of: '.GPIIA�NT FINAL PROJECT APPRO GRANT PROJECT APPROVAL WITH CONDITIONS NOTED 0 Copy of CONDITIONS given to owner/contractor by inspector FAILED FINAL INSPECTION OUTSTANDING ISSUES El Copy of CORRECTION NOTICE given to owner/contractor by inpector 2. 3. RE-rNSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature 1:temp:b1dg:fbrms:ocaprv1 3/25/04 I] z 9 M =i:ii V5 � OM C Ma 0 80 C M MZ 10-4 C —Z 0 -n n MM 0 —(n 0 0 Fn C (1) ch M 0 z z 9 0 M FINAL PROJECT APPROVAL FORM RECEIVED o 4 2005 3. RE -INSPECTED OUTSTANDING ISSUES - Date 11,3 f L Signature l:temp:bldg:fonns:ocaprvl 3/25/04 TO: OVAL k z 9 0 m :; :R OM c MO 0 80 c �c m MZ CA 0 n m m 0 0 0 M C cj) c (j) M 0 Z z --I M (j) z 9 0 m I hr RECORD OF INSPECTIONS INSPECTOR DATE APPROVED i ;L I SETBACKS ..................... j FOUNDATION: Footing...................... wall............ I ............. '/Porch . ................. Retaining Wall ............ Slab Insulation ........... PLUMBING:.,... m: Underground.............. c m �t4 Rough -in ...... .............. Comrnercial Final ...... HEATING:, Cc I � DATE RECEIVF.0 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS 1�kg &'V L,L C. MAILING ADDRESS CITY NAME ADDRESS CITY ZIP ELEPHONE ZIP TELEPHONE CBL # Ov 2(kol -a. CITY ZIP My ugffi STATE LICENSE NUMBER 17 PERMIT EXPIRES USE PERMIT ZONE NUMBER 'JOB SUITEIAPT# ADDRESS PLAT NAMEISUBDIVISION NO. LOT NO� LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPfnAP =ad MY Pe In EXISTING - PROPOSED Street Use Permit R#qV Inspection Required Sidevralk Required REQUIRED DEDICATION- FT underground a requ 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I YESE3 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE z TELEPVNE 0 iT 1. — - Ir '17 - IRK-/ 6- -1 V r T49111114 INSPECTION I 13OND 0 EX I ION ATE =BY 0 M 4-T 113 ES ZINO IS - POSTE ) Tq REO q 0'"' Y 9 PROPERTY TAX ACCOUNT PARCEL NO. 2-703N Q&=?_q(0-ftW SEPA n 1CVV COMPLETE , E:7 Q1UF1 fin HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED I - _I_. P I T 0 rn 0 NEW RESIDENTIAL 1:1 PLUMBING/MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) C M 8 COMPLIANCE OR ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR C) ADDITION COMMERCIAL 13 0 r CHANGE OF USE PARKING LOT AREA PI ANNING REMODEL MU111FAMILY [:1 SIGN REOD PROVIDED REVIEWED BY D WE M I REPAIR GRADING CYDS FENCE 1:1 r ( _ X_ FT) REMARKS z DEMOLISH TANK OTHER 11 GARAGE o RETAININGWALL CARPORT ROCKERY FIRE SPRINKLER FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: ­n rliv.Wkw4f &'JA.,kd P4w CHECKED BY F. CONSTRUCTION OCCUPANT !R NUMBER F NUMBER 01 OF WELLING _2TORIES UNITS DqfCRIBE WORK TO BE DONE CRITICAL AREAS R SPECIAL INSPECTION JAREA REQUIRED 0 YES GROUP OCCUPANT LOAD qRECtD In 8 6 o-(— ic4e,,4N, REMARKS 12 c r, b 1 104. 1 PgOGRESS INSPECTPNS PER UBC 108/FINAL INSPECTION M 361fil'Y10.1,01WAPOMA 1". FA I W 967177MI M Z PU hu^ - Iota vi! Auk, tA e. VALUATION �7 Q!ie $ el) Description FEE Description FEE ca z 0 0 I o*-va, A-r-m ii, i I AVCK7 141�5rrs I AlpV &)w Plan Check state Surcharge 1"50 1 HEAT SOLI RCE GLAZING % ,e, LOT SLOPE % Building Permit City Surcharge 2 A&I ^LA M VES D DATE R A_7 Plumbing A da vh IX r THIS PERMIT AUTHORIZES ONLY THE WO RK NOTED. THIS PERMIT COVERS WORK TO Mechanical BE DONE ON PEUVATE PROPEM ONLY. ANY CONSTRUCTION ON THE PUBLIC 1 Va CW 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, LURQUEES, ETC.) ILL RE IRE Grading SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: jeoDAYS L PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF Engr. Inspection PINK PERMIT FOR MORE INFORMATION *APPLICAf,IT ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST. AGREES TO INDEMNIFY. DEEEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER !1ATURE. ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # FROM THE ISSUANCE OF THIS PERMIT —IbSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY WAIVE OR Insp. REDUCE ANY REQUIREMENT10KANY CITY ORDINANCt­ NOR LIMIT IN ANIV, WAY THE CITYS ABILITY TO ENFORCEANY ORDINANCE PROVISION. - 4qggcape Total Amt. Due Wit !Y� Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION' THAT THE INFORM'ATION GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DU& AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL This appillcaltion Is not a permit until signed by the IN VIOLATIO E LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS ION INSURANCE AND RCW 18.27. FOR INSPECTION Building Olficial or his/her Dopqty: and Fees are paid. and receipt Is acknowledged In space provided. SIG AGE DATE SFNED OFFl I CIA IG A DATE 71,� 771-0220 -DA`rE RELEASED BY IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 41�4 " /Z A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. ORIGINAL�. �F YELLOW /INSPE&OR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GoLD-ASSESSOR 64/02 GREEN - ACCOUNTING PRESS HARD -YOU A��KTNG 5 COPIES L..