Loading...
20000027.pdf— =0c) Ilk PERMITEXPIRES USE PERMIT 200,077 CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS SUITE/APT# OWNER NAMEINAME E Ea�'M' '-ta-0 PI -AT NAMEISUBDIVISION NO. LOT N 0 LID NO. I LID IS. -MAILINGADDR�Ss PUBLIC RIGHT OF WAY PER 011UlAl STREET MAP "I 0 t)I+cc, P. .9­1­ 0 CITY 0 EXISTING — PROPOSED— REOUIRED DEDICATION— FT 0 9 METER SIZE LINE SIZE NO, 01 FIXTURES PIV REQUIRED NAME I YES 13 NO 0 tulA ADDRESS REMARKS ROSION CONTROUDRAINAGE OWNERICONTRACTOR RESPONSIBLE FOR E CITY ZIP TELEPHONE NAME ENGINEERING .01DATE ADDRESS FIRE RSVIEWED By DATE CITY TELEPHO qlmz,p DATE CH KED5Y VARIANCE OR CU SHORELINE OR ADB� INSPECTION BOND STATE LICENSE NUMBER OYREO'D 1POSTED1 ES C] NO SEPA REVIEW SIGN AREA COMPLETE EXEMPT ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPER��44OUNT PARUEL __k o o oq I PLUMB 0 'M CH ES'DENTIAL E )ONEW \PYE.I.ENTiAL PLUIA. NO I VEC- 7UE LOT COVERAGE REGUIRED SETBACKS (FT,) LOT ALLOWED P REAR LLOW ROPOSED FRONT SIDE A E PROPOSED S TRACKS (FT.) FRONT JR"SIDE REAR AN.- F ci C MPLIANCE OR C-MPL�E OF C] -OM MEP-IAL CHAN. C3 AUDITION C] COMMERCIAL CHANGE OF USE PA' OT AREA 51 DATE TM T I. REMODEL APARTMENT 0 SIGN tEXP 7N_,,NGRVl-lp R I PROVIDED REG D REPAIR GRADING ,S 0 IINCE ITI EMARKS F F F OTHER DEMOLISH 0 TANK GARAGE 0 BETAKiNiRNYG WALL . CARPORT 0 joC 0 RENEWAL 'S r (TYPE OF USE, SUSIN SS R ACTIVITY) EXPI-AIN: o CHECKED By Ty PE OF CON TRUC1101 NUMBER NUMBERO CUITICAL R R A EA sP, ....... PECIA' I OF DWELLING I ­­ N M.E F__ RE.uIR ED YES STORIES D EscRIBE woR To BE DONE I MARKS t PIE OGRESS INSPECTIONS P ER f JJD 2CLD16 C PLAN CHECK FEE HE SOURCE GLAZING % LOT S�� % BUILDING PLUMBING PLAN CHECK NO: VESTED DAT!,,.� MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO H BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON,T EPUBLIC GBADINGIFILL E , DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS , MARGUEES. ETC) IN LL R Q IRE STAl E SURCHARGE SEPARATE PERMISSION. PERMIT APPLICATI N: 180 DAYS PERMIT LIMIT' I YEAR - RoVIDED WORK IS STARTED WITHIN 180 DAYS P ENG. REVIEW PEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ON BEHALF F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE IN INTEREST. AGREES TO :NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF FROM ANY AND LANDSCAPING EDMONDS,WASHINGTOR TS OFFICIALS, EMPLOYEES. AND AGENTS OR INDIRECTLY OFWHATEVEA NATURE, ARISING DIRECTLY THIS I PERMIT $HALL NOT BE PLAN CHECK DEPOSIT OFANY 17YORDINANCE ORDINANCE PROVISION,' TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION NT OF 8 THE DULY AUTHORIZED AGENT OF GIVEN 11 CORRECT. AID THAT I A. THE OWNER . _ 'TING CON TRUC. Y STATE LAWS FEGU STRU ATNHDEREOY, CALL THE 0 . ITH OIT W�EF 'AGF.T.C.MLYW NO PERSON WILL BE EMPLOYEC� TIO.. AND IN DOING THE WORK AUTHORIZEDE IN VIOLATION OF THE LABOR CODE OF A STATE OF WASHING1 ON RELATING TO FOR INSPECT'll WORKMEN$ COMPENSATION INSURANCE AND RCW 18.27. OAT lIGNATURI OWNER 01 AGEnLq'aK Z�17 (425) �CL' 0_;� 771-0220 . EXT333 ATTEWTION IT IS UNLAWFULTO USE OR OCCUPY ASUiLDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ��B OCCUPANT GROUP (L roccuPANT ILOAD INSPECTION RE VALUATIONA ZIEE sc) A-1 PI APPLI TIO A04ROIL Thl, pPlicall— � .-1 011 .,g­ by "' Bu'ld,g OjjK,.I D,p,ty: -d F­ — p­. sPaCO providod4 FJCIALS SIGNATURE DATE LASED BY�i3A� ORIGINAL -FILE YELLOW INSPECTOR PINK - OWNER GOLD - ASSESSOR J 5 d a m a 0 f I , m 0 0 c rn M z c 2 c -4 ca o"n n M M 0 0 Fn C cl) TO ;o z z m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: 'Footing ........... wall .......................... Pier/Porch ................. z Retaiplrig Wall ........... Slab Insulation .......... PLUMBING: Undergroupri ....... . M C: Hough -in ITI Commercial Ffnal 0 HEATING: M rn jo-4 Gas Test .................... Z Gas Piping .................. Equipment ........... n ZU Commercial Final M M EXTERIOR SHEATHING C) NAILING .......................... o Fn FRAMING........................ ITI 0i FIRST FLOOR FRAMING Z f 71 INSULATION ............... Floor Insulation z Wall Insulation ........... Ceiling Insulation Z SHEFTROCK NAILING SPECIAL INSPECTION R! MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .............. A', RECEIVED CID PERMIT EXPIRES us PERMIT ZONE 2040027 CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITEI�P!Tl ADDRESS Q OWNER NAMEINAME OF BUSINESS JJ L6y(,n H-K FLAT NAMEISUBDIVISION NO. LOT N 0 LID NO. MAILING ADDRESS LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STRE ET MAP TESCP App..' CITY Z%,p T(* (up- I ?-"- EXISTING - PROPOSED DEDICATION- FT 0 0 NAME - METER SIZE LINE SIZE NO. OF FIXTURES FRV REQUIRED YES 0 NO 0 4A 1. ADDRESS RKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUORAINAGE CITY zip ITILEPHONS NAME AAll tTcn &OF-2-K-0 E INEEnNG 1. cv, AT ADDRESS i r AA.0 z v)8 w4u LLD FIRE REVIEWED BY DATE 0 CITt Z IS 0 STATqE LICENSE NUMBER -RAII-DATE VARIANCE OR CU SHORELINE OR ADSO INSPECTION RE 'D BOND POSTED I E 50-114 0_� I CJYES ONO UDASO $EPA REVIEW SIGN AREA HEIGHT PROPER CUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED m 0 0 (D t "),L41-1 0 - EXP I I , C 00 �WE�I.ENTIAL 'ja, PLUMBING I EC- LOT COVER GE ALLOWED PROPOSED REQUIRED SETBACKS 4FT. FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT UR SIDE FEAR U M 0, 'ON C] COMMERCIAL o COMPLIANCE OR C ANGE OF USE m m z PARKIN. LOT AREA PLANNING REVIEWED BY DATE 0 REMODEL 0 APARTMENT SIGN REQ.D PROVIDED I z 0 GRADING ENCE REPAIR, IT), REMARKS > C3 DEMOLISH C3 TANK 0 OTHER 0 CARAGE RENEWAL ED PETAt 11 GWALL ARPORT C] RQQXEAY -1, (TYPE OF US MACTIVMtEXPLAIN: CHECKED BY ITYPE OF CONSTRUCTION Coi. I CCUPANT ROUP m M M NUMBER UMBER OF D SPECIAL INSPECTOR OCCUPANT 0 'm OF �ELUWO 0 JAIEA REOUIRED [] YES LOAD 0,:: SECONE VA REMARKS A. 0 D076 Y_ PROGRESS INSPECTIONS PER UBC 10alFINAL INSPECTION REO'D 'm A— f IQ fm� 0 z ty --I Bi! VALUATION FEE z 0 PLAN CHECK FEE d 0 GI-AZING I LOT S��P BUILDING 171 PLAN CHECK NO: PLUMBING MECHANICAL p THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPIERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC GMADINGIFILL DOMAIN JCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE n SIMIATE I SURDIHARGE C DAY. PE MIT APPLICATION: 180 Ap XTATE PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED W' H'N '00 DAYS ENG. REVIEW FEES SEE SACK OF PINK PERMIT FOR MORE INFORMfION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIG NS AND SUCCESORS ENO. INSPECTION FEE IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLE SSTHECITY F O'CA L= 2 EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FRO. ANYAND ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE, ARISING DIRECTLY _IN El FROM THE ISSUANCE OF HIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCEANY R'OUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT C NOR LIMIT INANYWAYTHECITY-SABILITYTO ENFORCE ANYORDINANCE PROVISION.- CEIPT TOTALA..UNl DUE IR IHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICAT ON APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER ORTHEDULYAU6 TI ETTU01 TF 4C V V �TFU THE OWNER, I AGREE TO COMPLY WITH CITY AN6 STATE LAWS AEG LICATZPCONS R C CALL T C 'LOY ION;ANDIN DING THE WORK AUTHORIZED THEREBY. NO PERSON WILOSE EMPLOYED1 .d I ... ... -d-d IN VIOLATION OF THE LABOR CODE 01 THE STATE OF VVASHINGT.NieRELAT�NG TO FOR INSPECTION a P P, WORKMEN'S COMPENSATION INSURANCE AND RCW 16.21. J425) 011 ICIA,LSSIGI URI DATE T" , -) , �,Ll � I-Iz- SIGNATURE (OWNER ORAGE FIQ_c,� AT GNEO) o Ctl 0- - 17tid 771-0220 RIEIEA�EGS DATE ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION AAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLOW INSPECTOR CATE OF OCCUPANCYIHAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD -ASSESSOR 51�8