Loading...
20000266.pdfDATE AECEIVE� CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION I cl(04 F-ILA-M 6LA�j I CITY ZIP I TELEPHONE IW(j = PERMIT EXPIRES USE PERMIT ZONE 2002-66 NUMBER JOB _W ,;UITEIAPT� ADDRESS9t _I �C7q FLAT NAMEISUBDIVISION NO. LOT NO, LIDN I LIDF E$ P BLIC RIGHT OF WAY PER OFFICIAL STREET MAP �I,­ ­ P.— ft� d EXISTING — PROPOSED— P­11.1 ft� d REOUIREDDEDICATION— FT — VM.1g_d METER SIZE LINE 1111 NO, 01 FIXTURES PRV REQUIRED I 1 YES 0 NO A MARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ICITY zip JTELEIHOME NAME OIL,. -RL_r o co - i ENGINEERING REVIEWEDIDATE ENGINEER N' I =21 ADDRESS FIRE REV EW"C-Y FIRE REVIEWED BY DATE C T k 0 k-1 'G STATE LICENSE NUMBER EXPIRATION DATE VARIANCE OR CU SHORELINE OR ADBN V F INSPF TION jP.ONDC FE. G ETE "ono 6 1 t3YES []NO HEIGHT PROP�Y TAX �AICCO T PARCE�O SERA REVIEW SIGN AREA ALLOWED PROPOSED ALLOWED PROPOSED o M LOT COVERAGE REQUIRED SETBACKS (17.) T PROPOSED SETBACKS (FT.) 11 NEW fia-...I.ENTIAL 0 PLUMBING I MECH ALL NOED ROPOSED FRONT SIDE REAR PF P FRONT URSIDE REAR ADDITION COMMERCIAL cl COMP IANCE OR 0 11 CHANGE OF USE I I AREI PLANNING REVIEWED BY DATE 0 REMODEL C] APARTMENT Cl SIGN REO'D I PROVIDED BRA o FENCE 0 REPAIR 0 DING CYDS X FT) REMARKS C3 DEMOLISH ;"'TAW C] OTHER A'AGE -1 ING WALL C3 GcARP.FT r RETAIN RENEWAL Z ROCKERY 0 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN CHECKEDBY ITYPE =. ANK UP F. P NUMBER NUMBER OF CRITICAL _1�4CCUIANT SPEC] SPECTOR G or OWELLIN AREAS STORIES UNITS 'UMBER UALIN JAREA RED [RED C] YES IREMA AD DEIC C P&T 41 _J'My KS lj(lj PRnrRFSS INSPECTIONS PER UBC 1081FINAL INSPECTION RECIT F_ VALUATION FEE fPLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE I BUILDING PLAN CHECK NO: ...... -" MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK To BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL REGUIRE SEPARATE PERMISSION. URCHARGE PERMIT APPLICATION:, 100 DAYS J Y. PERMIT LIMIT, I AR- PROVIDED WORK S STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'AP LICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ENG INSPECTION FEE IN PTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 5 EDMONDS, WA HINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND 5 CTLY ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRE INSPECTION FEE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED M MODIFY, WAIVE OR REDUC ANY REOUIREMENTOF ANYCITY ORDINANCE NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. TOTAL AMOUNT DUE REC J5 3D I L I HEREBY ACKNOWLEDGE THAT I HAVE READ, THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN 15 CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF w- U'w �'I]­ THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL I,, C—ty 3.d F111 1. Pald. a�d TION� AND IN DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE EMPLOYED OF WASHINGTON RELATING TO I — . , m .­..I'dg'd I. P'­ FOR INSPECTION IN VIOLATION OF THI LABOR CODE OF THE STATE WORKMEN'S COMPENSATION INSURANCE AND RCW 18.21. L IGNATUU OAT SIGNAT (OWNER OR AGEN (425) " / il . t 771-0220 IF RELE BED By ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL I NSPECTION BEEN MADE AND APPROVAL 08 A CERTIFI- ORIGINAL PILE YELLOW INSPECTOR HAS CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR �199 z 0 3: mo 0 0 m M Z 0 -n m M 0 0 0 m A z z V) z 9 0 m M To =111 3 TO:— DATE:- TO: P7ERMIE!, rATOR, BUILDING DIVISION FIRE DEPARTMENT DATE _VENGINEERING DIVISION DATE PLANNING DIVISION DATE— PROJECT--Z �6' SITE ADDRESS. -71 INSPECTED— PERIV11T F WORK TO BE INSPECTED — DESCRIPTION 0 was conducted to determine compliance with approved plans. Final approval denotes that. A field inspection to the granting of: there are no objections from the above signed Department ribed work ____r_Final approval of the desr ___-Yerformance Bonds associated with the project may be released GRANT FINAL PROJECT APPROVAL —GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED 1. _______�FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:te�p:bldg;forms6/98 z 4 9 �i -1 0 M C M M a 0 80 C M M Z '0-4 C —Z 0 -n M rn 0 5) 0 C.) C M 0) 9 U) M 0 z r— .'T X z (n z 0 i 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ............... Wall ....................... Pier/Porch ................. Retainirig Wall M Slab Insulation .......... PLUMBING: Underground ............. M, M Rough -in ............... Commercial final . ...... M M HEATING: Gas Test Gas Piping ................. Equipment ................. IMC Commercial Final M, 0(ft EXTERIOR SHEATHING 0 6 R NAILING ........................... C FRAMING ........................ rn 0 FIRST FLOOR FRAMING INSULATION , ................. Floor Insulation z 1. Wall Insulation ........... :C Ceiling Insulation Z. SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 'ATE RECEIVED 70 11 0 PERMIT EXPIRES I I CITY OF EDMONDS USE PERMIT ZONE NUMBER :200266 q PL , �5SUITIVAIT. UJ CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS &RHUP— KA PLAT NAMEISUBDIVISION NO. LOT NO. NO. L�D C—"-4 I FEE S MAILING ADDRESS 5(02::g Z' PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED — TE— All-. RW P-1 ftq.1- Sf­lU..P­RR.ld ZIP TELEPHONE REQUIRED DEDICATIO IT Wiftg NAME FMETE�RSIZE�U.E SIZE NO. OF FIXTURES PAV REQUIRED YES 0 NO 0 ADDRESS REMARKS M—RiCONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY ZIP I TELEPHONi NAME -R(f, o cc) QL, ADDRESS —Dw I FIRE REVIEWED By DATE CITY ZIP IELEP"O 1 -acrrll 'q I STATE LICENSE NUMB R I EXPIRATION DATE VARIANCE OR GO SHORELINE OR ACBN INSP—EC71ON PEG �D STE[ fqL=lmg�p_cA c3YES ONO I SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALL.-ED PROPOSED PROPERTY TAX ACCOUNT PAH­ NO. E.P I I I NEW PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED sErsAcxs (FT. FRONT UPSIDE REAR ADDITION 0 COMMERCIAL o COMPLIANO OR CHANGE OF USE 3 REVIEWED By DATE 0 REMODEL C] APARTMENT SIGN 0 REPAIR 0 GRADING CYOS ENCE X FT) REMA DEMOLISH Q/AfIK OTHER o GARAGE CARPORT 'ETAINING WALL RENEWAL 0 R.G E. C3 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: ' DI5dofAIA 1-JEB-0 W1 01 L 7?N Ql� C.ECKEDEI ITYPE N ZION I OCCUPANJ�� ISROLP NUMBER OF STORIES NIM EROF OW LLING UNITS CRITICAL AREAAS NU SPECIALEINSPECTOR P JARFA REQUI E] YES OCCUPANT LOAD DEPOP �j e�j TC TEMA PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ' PLAN CHECK FEE HEAT SOURCE GI-AlING BUILDING PLAN CHECK NO: STED DATE PLUMBING MECHANICAL I HIS PEOMIT AUTIO IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL OMAIN jCURBS. SIDEWALKS. DRIVEWAYS . MAROUEES. ETC.) WILL RLOUIRE NURCHARG9 SEPARATE PERMISSION. PERM T APPLICATION: l8DDAYs A, PERMIT LIMIT,'l YEAR - PROVIDED WORIK 11 STARTED WITHIN "10-1 ENG , REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS E�G. INSPECTION FEE ;APPLICANT, CITY OF 13 N NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THEANY LANDSCAP NO AND EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM DI ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY ORIN RECTLY INSPECTION FEE RECEIPi B x FROM THE ISSUANCE OF THIS PERMT. ISSUANCE OF THIS PERMIT SHALL NOT : PLAN CHECK DEPOSIT D ANY CITY GADINANC EEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF '0 NOR LIMIT IN ANY WAY THE CtTY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION CEIPI TOTALAMOUNTDUE IR IHERE Y 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 T EDWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL TION AND IN DOING THE WORK AUTHORIZ ED THEREBY, NO PERSON WILL BE EMPLOYED B. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27. OFF SIGN;TUe, lOWNER 01 ADEN (425) 771-0220 E� ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 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 .ICATION APPROVAL ,,,­ ­ , po­1 -,I �19­ by 11. :,,., h,,lbe, DIP.ty: ;d Ples "I P.1d. -d ­1­dgldl�q —PlIlldfid, i I�TU51E , // � / /DATy .D BY ORIGINAL - FILE YELLOW INSPECTO� PINK -OWNER GOLD ASSESSOR _w z 0 In =6 vi M M 0 0 C M In 0 -n n -.4 m IT, 0 o C co) M 0 z X z z 9 0 m