Loading...
20000308.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION [PERMIT EXPIRES :!iLo U" Z.4 PERMIT 200308 NUMBER joB SUfTElAPTft ADDRESS � o1c, PV(-:, PLAT NAMEISUBDIVJSION NO. IOT�O I 0 FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI T-1 A111— P­ R.0- EXISTING — PROPOSED -- REQUIRED DEDICATION— V "Ou'llo R MARKS �p y so No 0 AOD� IS WNE CITY ZIP TELEPHONE A E ENGINEERING S-1--DATE ADDRESS FIRE FIEVMWED.Y DATE ZIP TELEPH NE BOND VARIANCE 08 CU SHFR—ELINE OR ADS# INSPECTION REDO POSTED NUMBIll EXPI A I N E CH C D Y 0 YES rINO T�IOINSE ljoll $EPA REVIEW COMPLETE EXEMPT "ON AREA HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED 07 i i I EXP -_ LOT COVERAGE REQUIRED SETBACKS PROPOSED SETBACKS (FT.) NEW FIEW.E�TML �...IEA:CH ALL OWED PROPOSED FRONT SIDE REA(V FRONT URSIDE REAR 0 ADDITION 0 COMMERCIAL ��.L]J.. CHANGE OF USE ---- T-LOT ______j PLANNING REVIEW EDBY DATE AREA [] REMODEL C] APARTMENT E] SIGN REDD I PROVIDED E] REPAIR 0 GRADING Y., 0 (F'NCE X FT) _FE.AlS 0 DEMOLISH C] TAN� o OTHER GE J 0 Gl�AARF.FIT 0 RITAK11,11NY0 WILL... C] RENEINAL 0 OR ACTIVITY) EXPILAIN: 'USE. E OCCUPAP (TYPE OF BUSINESS CHECKED BY TYPE 0 STRUCTI N c GROUP NUMBER NUMBER Or CRIT11 AL SPECIAL INSPECTOR AREA OCCUPANT OF STORIES 'ELLING UNITS AREAS UMBE R REQUIRED C] YES LOAD Tr REMARKS P IONS PER UBC 1081FINAL INSPECTION RECl' A A �r - I Oip( 1��RE.SS"­ , lz� - L_ V, . i A VALUATION FEE LAN CHECK FEE LOT SLOPE % BUILDING VESTED DATE PLUMBING MECHANICAL PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO — t E DONE ON PRIVATE PROPERTY ONLt ANY CONSTRUCTION ON THE PUBLIC GRADING�FILL 2 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC) WILL REQUIRE SEPARATE PERMISSION, STATE SURCHARGE E-MITAPPLIC-1 11: 1100-S PEpMll..111YEA. - P"OV'D ED WORK IS STARTED WITHIN 180 DAYS ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION APPLICANT, ON BEHALF OF HIS OR HER SPOUSE� HEIRS, ASSIGNS A SUCCESO S HAR LE THE tTY F ENG INSPECTION FEE S TO iND IFY, DEFEND AND HOLD N INTEREST, AGREE OM NYA 1. AND AGE T F� ;7�� OMOND$.WA MNGTONSITS'O�PRCIALS, EMPLOYEES, , - OF WH EVER NATURE.AHISINGSIRECT.LYORIN HE Ly LLC�UMSFORDA­GE REC IPT FROM THE ISSUANCE OF THIS PERMIT. ISSUA N 0 TH PER IT S�ALL NOT BE PLAN CHECK DEPOSIT 0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY R QUIREMENT OF ANY CITY ORDINANCE PROVISION,' REC NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE TOTAL AMOUNT 0 �HEREDY ACKNOWLEDGE THAT$ HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL GIVEN I RAECT, AND T AT I AM THE OWNER, OR THE DULY AUTHORIZE. AGENT OF S Co ".Pl Th's IPPI-t- . P.IF�l �v WITH CITY AND STATE LAW - THE OWNER I AGREE TO Co S REGULATING CONSTRUC EMPLOYED CALL .0' B111-9 011,.,,l A, ­­ D F RON: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE RELATING 70 OR INSPECTION ­,pl � �,­F­dqq IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON D E WORKMENS C H � INSURANCE AND RCW 18.21 OFFICIALS S111 RE jo (425) 771-0220 ELEASED B ATE EXT 333 USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFULTO INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� ORIGINAL - FILE - YELLOW INSPECTOR A FINAL BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD, ASSESSOR CATE OF OCCUPANCY HAS 5�. z m M, 0 80 c 0 _n _n m m 0 0 o C ri) C , , - M 0 z 7q ;a z z 0 m 0 IZ) PERMIT EXPIRES E PERMIT CITY OF EDMONDS ZON NUMBER 2mos JOB SUITEtAPT# ADDRESS CONSTRUCTION PERMIT APPLICATION I's 1 1" 0 jr NAME CITY ZIP ADDRESS T PARCEL NO. 0019 /)1).? W RESIDENTIAL I.LUIV. IN":�..Ec"H 0 AO.ITION COMMERCIAL MPL�l A 0 CHANGE OF USE 0 REMODEL APARTMENT C3 SIGN 0 REPAIR RA.IN. C,CS E3 IENCE I . FT) 0 DEMOUSH C3 TANK 0 OTHER 0 GAFAOE CARPORT E] FIMYN.IENGWALL B iy_ 0 RENEWAL .1 USE, BUSINESS OR ACTIVITY) EXI�IN: DWELL NO UNITS PI.AT NAMEISUBDIVISION NO. LOT NO. LID NO. LI. FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED — A '—h REQUIRED DEDICATION— FT YES 13 NO —REQUIRED REMARKS —PRI-NTRACTOR RESPONSIBLE FOR EROSION CONTSOUORAINAGE FIRE REVIEWED By DATE VARIANCE 08 CU SHORELINE OR AOB# INSPECTION REDO I PBOND OSTED OYES ONO 7EPAREVIEW SIGN AREA PROPOSED HEIGHT ALLOWED PROPOSED COMPLETE EXEMPT ALLGNIG _Xp I I , LOTCOVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR PARKING TLILTAi7EA �I-NNIN.REVI-EDEII DATE REDID I PROVIDE. CH KEDS _5 7 F;0 C'AL'�Ses �TOR JA13EA LOAD REQUIRED C] YES RENA RE R ........ F`l_TInmA PER USC JoSIFINAL INSPECTION REO D 0 ob 2 F -Oc'_� G PLAN CHECK FEE PCs BUILDING PLUMBING PLAN CHECK NO: ECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC, GRADINGIFILL M I: DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEE% ETC.) WILL REQUIR SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 18o DAYS P I PERMIT LIMIT I YEAR ROViDED WORK S STARTED WITHIN HID DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE APPUCANT� ON SEI ALF 0 HIS OR 111. SPOUSE, HEIRS. ASSIGNS AND SUCCESORS HE CITY 01 ;NPpUQ�A�N.T,0AN.BRALF0 T AGREES TO INDEMNIFYIDEENG AND HOLD T �Ts FIFES . TS F OM ANY AND B ES ANG=LESSR ;i E DMONDS.WASHING N,ITSOFFICIA , EMPLOYE � DIRECTLYOR INDIRECTLY �����,M,�=.D.Ah.A,AGESOPWRATEVER NATURE,ARISING A OF THIS PERMIT SHALL NOT BE CHECK DEPOSIT OF THIS PERMIT. ISSUANCE OF ANY Cil Y ORDINANCE PLAN ORDINANCE PROVISION.- TOTAL AMOUNT DUE HAVE REA. THIS APPLICATION; THAT THE INFORMATION OF ,,,_..y "YEN " CUPPED AT AM THE OWNER, OR THE DULY AUTHORIZED AGENT 'T A PLY WITH CITY AND STATE LAWS REGULATING CONSTPUC, CALL T E OWN , THE ING K AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED TION; AND IN 0 ING OF THE LA 0 CODE OF THE STATE OF WASHINGTON RELATING TO FO R INSPECTION IN VIOLATION WORKMEN'S C P TI NINSURA NC5 AND PCW 18,27. . Ep N (425) 771-0220 EXT 333 ION IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- A HAS BEEN GRANTED. USC SECTION 109 FAX CATE OF OCCUPANCY 5.13 ---------- ____ -------- — ----- VALUATION I FEE APPLICATION APPROVAL Thi, lic fieh ie h1t . Per � I Igh.d ey 'he t th liho 'I I I her D, e.id. -.d �h t _1.dg.,ih� ph—d.d: 3ALS SlI D IS ASED 6 �TE ORIGINAL-PILV YELLOW SP T 0 PINK - OWNER GOLD---- s