20000354.pdf------ - ---------
�r DATE RTCEIVED
I �g 11-3-
[PPERMIT EXPIRES
U;E PERMIT 2A)oasiT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION 'AOBRESS o - SUITE/APT#
OWNER NAMEMAME OF BU INESS TION ] US NO.
FLAT NAMEISUBDIVISION NO. I LOT "Or
MAILING ADD SEE T.e-P elel-
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P.- A-1-
CITY ZIP ITEL111ONE EXISTING — PROPOSED— Wetk R-
7;"'1-,5-40 FT —
o REQUIRED DEDICATION —
METER SIZE I LINE SIZE 10- 01 FIXTURES PRV REQUIRES
NAME REMARKS YES 0 NO Cl
9-A-ESS -11-1-T-1— RIAP-SIBLE FOR EROSION CONTROUDRAWAGE
r,,y — ZIP TELEPHONE
NAME
/�-jc-Z7/-,v- 7-4'oej X/c
REVIEWEDIDATS
ADDRESS
73-3
FIRE REVIEWED By
DATE
CITY ZIP TELEPHONE
0
QqoZo 4,0 �5�- 7 71-
OR C U
Sp
HOPELINE OR ADS� IN E
1. CHECKED By
STATE LICENSE NUMBER
VARIANCE
E - POSTED
0 Y A E ONO
E
14 5
SEPA REVIEW
HEIGHT
TROPERTY TAX ACCOUNT PARCEL NO.
COMPLETE I EXEMPT
E PROPOSED
040
LOT COVERAGE
pACe,OSS SETBACKS (FT)
REQUIRED SETBACKS (FI.) FRONT UPSIDE PEAR
FRONT SIDE REAR
C] NEW RESIDENTIAL 0 PLUMBINGIMECH
ALLOWED PROPOSED
ADDITION COMMERCIAL cl C PLIANCEOR
CHANGE OF USE
PARKING
LOT ARE PLANNING REVIEWED By DATE
0 REMODEL C3 APARTMENT 0 SIGN
REDO PROVIDED
REPAIR 0 CiPA.M. OYDE M FENCE
X IT)
=KkL
��b la
�..
o OTHER
DEMOLISH -;Plp!W
�Qg �AAP-4n�-
0 1,;,,L,4- !A
Tp�-,
4 .
ALI
cRETAINING WALL
l ACQ"Ay 0 RENEWAL
Am j
0
IF (TYPE OF USE, BUSINESS
ACTIVITY) EXPLAIN:
&ECKEDDY
OFCONSTRUCTION CCUPA
NA
ITY
ROUP
NU BEA
NUMB E OF
C ITi AL
SPECIAL INSPECTOR
OF /7
N
- I
A E SR
NU BE
REQUIRED rl YES
JAReA LO
usc
Acp-
- 000c) - -5". /. /-/-.
VALUATION
FEE
47' 0'
PLAN CHECK FEE
700 awa ' 24>0
HEAT SOUR GLAZING LOT SLOPE %
BUILDING
C;,-�30 o o
PLAN CHECK NO: [VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THISUPERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTR. CTION ON THE PUBLIC
GRADINGIFILL
i DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUE S, ETO) WILL REQUIRE
I SEPARATE PERMISSIOtt URCHARGE
PERMIT APPLICATIO : 180DAYS
PERMIT LIMIT. 1 YEAR. PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG� REVIEW FEES
SEE BACK OF PINK PERMIT F DR MORE INFORMAT ON
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEI AS. ASSIGNS AND SUCCESORS
ENG INSPECTION FEE
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
ITI OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE
IFEC LYORiNDIRECTLY
PERM T SHALL NOT BE
CHFCI DEPOSIT
,F ANY CITY ORDINANCE
PROVISION'
ILAN
H C
IRDINANCE
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
.t u�el �,g- el ft
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
DO Feel- elld.
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF WASHINGTON RELATING TO
,ply,,,nd
-,.�g - -,e-
FOR INSPECTION
IN VIOLATION OF THE LABOR CODE OF THE STATE
WORKMEN S COMPENSATION INSURANCE AND RCW 18-21,
OFFICIAL GNAT E
CATE SIGNEQ
(425)
CTRE (OINIER OR AGENT�
45, ). --
771-0220
All EASED By
-�TTENTION'�
EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
L-
A FINAL NS PECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
I
ORtGtNAL-FILE YELLOW. INSPECTOR
GOLD - ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER
5196
Z
0 m
m
0
0
m
a 2
o -n
n
m IT,
0
coFn
ca
M 0
z
--I
i �:,
ri)
z
m
/ '
May 15,2000
' . .
Dear Citizen,
\ �� nmuu nm� `
`- ~~ will ~^~--_ and evaluate
—nnfio^�mmwnm==° "."."=~~setting.
Environmentally harmful products such as asbestos. carpeting and roofing Materials
have been removed in accordance with the City of Edmonds and Puget Sound Clean Air
` Agency_— requirements.
' ammmoxw*�me . 'vv eumvvu Fire Department nnu uvm�o��
Edmonds Fire Department crews will working *moscene mplan
the fire and to make the training site safer.
` ~
� xmmmox�cmemm�mummmo uozvm� ^�
will be on site m 8:30 a.m. until early evening.
^ Edmonds r1°
[ " Firefighters
0 During the afternoon, the structure will be burned to the ground.
" Firefighters will ~~~~ place to protect nearby structures and vegetation.
�mo�x�e��
- Edmonds_Fire —_ '
^extinguish °" spots throughout the night. windows closed.
° During the .live fire period, please keep _your _
' ^ ve a minimal effect on your access mmmonm nnmv We will
' have fire engines and other d equipment —
anticipate any street closures mlong delays.
Feel free ~ observe any tions-- from
ou to stay away onmmnhou��mox=x�nu North due
�������vmmn�� We would ask '
`e��/�
�rn�e��uv
taylor(a),ci.edmonds-wa.0 if
'. Please '
you have further questions.
^
. Sincerely, '
,~
Kevin M. Taylor
` Assistant Fire Chief
`
`
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
wall
Pier/Porch ................. Z'
Retamirig Wall ........... r
0
Slab Insulation ..........
PLUMBING: —4 -n'
Underground ............. :C
0 M,
c E
MRough -In, ................... 0; g",
-4 0,
0 C!
commercial Final
iqrl�
HEATING:
M
GasTest ....................
fq�
Gas Piping
Equipment ...........
'n
Commercial Final
M
EXTERIOR SHEATHING
NAILING ..........................
6 Fn
C to
FRAMING .................
M 0
FIRST FLOOR FRAMING... Z r-,
INSULATION ................... 55:
Floor Insulation
Z;
Wall Insulation ...........
Calling Insulation (01
z
SHEETROCK NAILING
0
SPECIAL INSPECTION M
MISCELLANEOUS ..........
FINAL APPROVAL FOR 4�1
OCCUPANCY ...........
4d
b4 oes-lo-
, M
-yGAT RECEIVED '_s/ PERMITEXPIRES
-:244b 0 11"A
Uic PERMIT
CITY OF EDMONDS ZONE 14UMBER
JOE SUITFIAPTO
CONSTRUCTION PERMIT APPLICATIONIJADDRESS
F INESS
OWNERNAMEINAMEO BU PI -AT NAMEISUBDIVISION N7
LID NO,
/ . I
LID FEE S
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
A�LIN��A;
f-7-.
WC-111—
I,.- K. - 0
Q.. U.. PIZR R��d 0
EXIII TING — PROPOSED
CITY ZIP JTELEPHONE
Y
REQUIRE. B.ICATI.N FT
Z'4'.'o' 9802-0 l4aff- 771- 5-4 -
REQUIRED
- SIZE LINE SIZE NO.01FIXTURES
NAME
YEPFIV
S EJ NO 0
REMARKS
ADDRESS. OWNERUCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY ZIP TELEPHONE
NAME
OREDT.
-At 1AIr
Sr;qUCrl ENOINEERING
I
ADDRESS
1
'733 Ale FIRE REVIEWED BY DATE
z
CITY
j
71- SHOREUNE OR ADBII IN I.C!I.N BOND.
CU
VARIANCE OR
E B POSTE
STATE LICENSE NUMBER EXPIRATION DATE C14ECKED BY [3Y S E 3NO
- 1)4EI..T
5112
0
m
ZIA1114 z o III /< .0 SERA REVIEW A�M�EA.P.EEG ALLOWEE PROPOSED
:7
1.
OWSIIN
T�RGPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALL ED
I I I
Z4Z 20009 EXP .- — .... .. .... —
c:
rn
D SET ACKS ) PROPOSED SETBACKS (FT.)
I ALLOWED PROPOSED FRONT E AR
0 NEW RESIDENT AL 0 PLUMBING / MECH LOT COVERAGE REQUIRE SIDE REIFT FRONT UP SIDE REAR
OR
0
ADDITION 0 COMMERCIAL o COMPLIANCE
CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED By DATE
0
c:
REMODEL C3 APARTMENT 0 SIGN REaD I PROVIDED
IT!
0 FIN11
0 REPAIR 0 GRADING CYDS X IT)
la-4— Cd
z
0/- 4f)
DEMOLISH -;lftW 0 OTHER oft
Ot ;,L,-4 -m Y�twl
RETAININGWALL
Z
0 RENEWAL
�lg�GARAGE C3
0
r
(TYPE OF USE BUSINESS ACTtVtT OCCUPANT
HECKED5Y OF CONS "OUR
n
OU AN�T
NUMBER NUMBER 0 CRITICAL U ANT
AREAS EP.IAL INSPECT R
NG LGAD
MIT!
10EA
OF RIES DWELL REQUIRED E3 YES
To UNITS NUMBER 14)
U
DESC REMARKS
/ -1, REQ'D
0 R
c: CD
Pi ROGRESS INSPECTIONS PER UBC loafFINAL INSPECTION
C (I)
mo
Z' - - 1AA
z
-4
3:
VALUATION FEE
CL ma-y
PLAN CHECK FEE
00
z
HEAT SOUR GLAZING LOT SLOPE % BUILDING
PLAN CHECK NO: VESTED DATE PLUMBING
m
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. 7141S PERMIT COVERS WORK TO
lt BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE P BLIC GRADINOfFILL
ETC.) WILL REQUIRE
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS , MARQUEES.
PER�ISSION.
SEPARATE
n URCHARGE
PERMIT APPMCATIO : 180 DAYS
PERMIT LIMIT. i YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
V, ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEMS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE
TO DEFEND AND HOLD HARMLESS THE CITY OF LANDSCARING,
N INTEREST, AGREES �NDEMNIFY.
I EDMONDS.WA HINGTON� TS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE
m I OFVVHATEVER NATURE� ARISING DIRECTLY OR INDIRECTLY lEIPT
A _O I'l, 1.1�A"A -POSIT
19 THIS PERMIT. ISSUANCS OF THIS PERMIT INALL NOT BE PLAN CHECK BE
OFMYCITYOR01NA CE
ORDINANCE PROVISION�' REC IPT
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION., THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE OUL HAUTHORIZED AGENT OF
AGREE To COMKPLYUWITHRCITY AND STATE LAWS EGUILATING CONS TRUC-CALL lu" 21110 d. -d
THE OWNER. I NIP LOYED
TtON; AND IN DING THE Won A THO ]ZED THEREBY, NO REASON WILL BEE I
D RELAT NG TO FOR INSPECTION
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON
WORKMEN'S COMPENSATION INSURANCE AND ROW 18.27. A 1) M OPFICIAL GNAT E ATE
LJOIRE (OWNER OR AGENT) k I 1 1 .5 vo:
6-. 771-0220 RELEASED BY ATE
ATTENTION EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-6221 ORI.INALwFILE YELLOW -INSPECTOR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK � OWNER GOLD, ASSESSOR