20000382.pdfuse
CITY OF EDMONDS ZONE
PERMIT
gil
CONSTRUCTION PERMIT APPLICATION
-6 —'YT,
,
ADDRESS
OWNER NAMEINAME OF BUS NESS
W_d'6-6-ryrt+
�g�L
io
C
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
—
EXISTING '� REQUIIIEDDED—TIGN—
FAoPosE.
I TESCP App d
R—_d Al,
S, U'. P.—, R� . 1A/-O
R"u— S3-
0
CITY
ClAAAILIt" q,�',
PHONE NUMBER
NAME
L—L)7��k M lvm��—
NO� OFR TUBES
—%
PFIV REQUIRED
Y-A
ADDRESS I/ REMARKS
NUMBER
A5PA417 P,9111,uW V 12-0 'D Zt% liO3Pe'tif
tz CITY —I.EPHONE
Fa4 9ZdS10A1 Cl;.117Z'9�
NAME
ADDRE
NGINE G
2MY
p ELEPHONE NUMB A
I.E.E.—TED
ORCU S��A E.
STATE NUMBER EXPIRATION DATE
Y� V C;)b-2--2-R,0 ralaI)C50
Legal Description o7ropeny-inulude.1-- "elits
SSPFA REVIEW
COMPLETE
EXP
I E
El T
SKIN AREA
ALLOWX,�OPOSED
'ALIGHT
ALUOWEI?�
1770"O"D
R.
T +('4
LOT COVERAGE
PROPOSED
REOUIRED SETBACK. I-)
13ONT SIDE BEAR
PHOPL— -- -.—as (FT,
FRONT UR�IDE REAR
27,
�-,?G+ 0.�- lot 14
P- AA
T I ' -4;
H 39 2 Lill k'X
L
N fE-V
-M NEW 1e`1EI;ID1NTAL 2- GIAEC"
REMARKS
=A"NCE`0C"A
9 Gin- COMMERCIAL El CHAN EOFUSE
�0-00EL APT. BLDG. j r � SIGN
FER�Un OIAOING C,.L PENCE
L—.—FT)
M DEMOLISH �1NOSEOPOTSTOVE SWIM POOL
HOT TUBISPA
BY TYPE OF CON'
V—,�
.0
CCUPtT
7A.
SPECIAL INSPECTOR
Beau RED I
OYES
GARAGE RETAININGWALL/
CARPORT A OCKERY F RENEWAL
REM RKIS
PROGRESS INSPECTIONS PER USC 10-
7— IVITY) EXPLAIN:
0 ITY1EO1U E--USl
ye�,41hy..k, L
NU MBER
OF
STORIE
NUMBER OF
OWELL No
UNITS
CRITICAL
AREAS
NUMBER
DESCRIBE WORK TO BE DONE (ATTACH I'D' 11—
FINAL INSPECTION REQUIRED
N
FEE
PUN CHECK FEE
BUILDING
HEg,�p I
'LA'D" %
I.M.S.-
0
...
Plan Check No. Clq— 3
MECHANICAL
30
GRADINGIFILL
This Permit covers work to be done an private property ONLY,
Any construction on the public domain (curbs, sidewplks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
..50
P
mi�l, APp1,1CWloaYt1.8P0iG1y5
P:Fm STORM DRAINAGE FEE
LBR , Be ovided Work Is Started Within 180 Days
"Applicant, on behalf of his or he, spoUn6jo e'g eaig"Shandd ENG. INSPECTION FEE
successors in interest, agrees to I dam �rd fg no 0
h miless the City of Edmond' Washington of
i its officials' -
emp�.O�Y:a gents from any �nd .11 Claims or damages
a 5, and a, dissuance 60
'I Wh nature, rising directly or indirectly lro%thea PLAN CHECK DEPOSIT
x of this Permit. Issuance of this permit shall not a emed to
city 0
modify, - ive or reduce any requirement of any romance
a' a
nor limit in any way the City's ability to enforce any ordinanc TOTAL AMOUNT UE
provision."
'm 10 gY cor, Ct! I he
in, I Chr:byieknow�:dge .he ve read this application; that the ATTENTION APPLICATION APPROVAL
and that I am the owner, or the duly
authod,od gonl 01 the owner. I agree to comply With city and THIS PERMIT This application is not a permit until
state laws :gLa,Ing Construction; and in doing the work authoriz. AUTHORIZES signed by the Building official or his/her
Ed loyed in violation of the Labor O"L11111 fees are paid, and receipt is
thereby, no person will be emp 0.. 40TED Deput
d, the State of Washington relating to Workmen's Comports C".. and
Cc of a. acknoyw; edged in space provided.
ATE SIGHED IAFT.E�l
CITY OF
EDMONDS
CALL FOR
,47T—TENTION INSPECTION
ySE OR OCCUPY A BUILDING .11 STRUCTURE
IT IS UN AWFUL TO
AOe AND APPROVAL OR 771-0220tg
_C ON HAS BEEN
UNTIL A IF NAL INSPE 0 UBC
A CERT F :CATE OF CCUPANCY HAS BEEN GRANTED. PINK — Owr.er GOLD — AsSeSSOr
SECTION log
z
Cz M
M a
0
80
C
X rn
M z
6
O.n
M M
0;;
C co)
(n
0
7-1
z
z
M
OY
PER
HNAL PROJECT A
TOL-
-DATE-
memoTo. PERmrrcooRDINATOk.BUILDINGD'm'ON
FROM' DEPARTMENT DATF�—
ENGINEERING DIVISION DATE
LANNING DIVISION DATE—
SrrE ADDRESS
B#----DATE INSPECTED
PERMIT
DESCRUMON OF WORK TO BE ]INSPEMED 7-
A field inspection was cOndwW to dcWmmc Compliance vnth approved plans- Final approval denotes that
there are no objections from the above signed Deparbnent to the granting of
---Yinal approval of the described work
released
__Perfomm= Bonds associated with the project may be
GRANT FINAL PROJECT APPROVAL
—77Z
GRANT FINAL PROJECT APPROVAL W1TH CONDMONS NOTED
1.
-R,",10LED FINAL INSPEMON - O1=TANDING TS�
2.
3.
�p,,NSpECTED OUTSTANDING ]SSUEs GRANT FINAL PROJECr APPROVAL
ocquvLdoc.L-t=V.b1dg:forms6198
z
m
MO
0
80
a
M
M z
io
0 -n
m M
0
0
0 M
C 0)
9 CD
M 0
z
�2
co
z
9
0
m
w
py
rvzl 57!7
0 owe,. vNer
IVA
M!
..................... .............. . m D&
-_4
C'�
L,
m Z
0,(vvrw& �40u* 0
Awso,,
o
a CAI
Roi
�vo
9&1 17,
Z
,PVVED BY PL�NNING
RECEIVED
SEP - 2 1999
I�Fp4ftw WJ
Z/ 85N NW10 I DEVELOPMENT SERVICES CTR,
CITY OF EDMONDS
----------- - ALAA5�-r
tgol I-V P.O.W.
W,
use PERMIT
CITY OF EDMONDS ZONE NUMB R
CONSTRUCTION PERMIT APPLICATION Be 3 SUITEIAPT 0
OWNER 14AMEINAME OF BUSINESS ADDRESS
LEGAL DESCRIPTION GHLUA, $UBOIVJSI?N NO
)h
3: PUBLIC RIGHT OF WAY PER OFFICIAL STA FET MAP CL
0 AN U_d �
CITY ITINI 011-111 SA.d P—d "d
C�-AAA&-A-i 5? J, 11 1 O—E.
NAME Side IkRq.11md
METER 61ZE UNIS11F NTOFFIX USES FAV PEOUIRED
IES No 0
ADDRESS .3 0
REMARKS
7
E NUMBER
NAME 77"
ENGINEER7GMEN BATED
EUSPHO E NUMBER
IRE MEMO DATEQ E—EDS1 Z
C)
0
EXPIRATION DATE
a
NE N
Legal Description o(f-i:ro�ped�y�inc3ud�
SIGN AREA
I!
GAT
Ex
-IC
ALLOWED
OPOSED
"" P oPosED
V
A
I 7'11 IN
3:
P
LOT COVERAGE
RECLINED SIETGACK15i
(FT)
REAR
PROPOSED SMACKS (FT)
FRONT US SI
C
;�z�.�- .(4t+ ol� lot 1H
ALLOWED I PROPOSED
-.2
Z%
FRONT SIDE
7�71 27'.z
M 0
800
=.nl
B
LWV
'YM
C
C
Parcel Na� (f3i-f 2 01-4;' C)k -A .0
A-
ITI
Z
Q�PLUMBINGSVIECH
REMAAFPS f"
I
C OR
: I P!)
Z
COMMERCIAL
BOMPLIANC
RANGE OF USE
ACV
4
AtLl� i� ��Aj a 0NI L-iv
[&M.D.L'
E] APT. L...
ON
0 It
M G—R'0`0 -1-S F_�t4CE X—Fn
CHECKED BY I TYPE 01 CONSTRUCTION
V—Al
I Gqo.
..
I
-4
REPAIR
3:9
F-1 WO OVE SWIM POOL
SPECIAL INSPECTO
mT
DEMOLISH INSE01OST HOTTUG/SPA
REGUIRED R
0 YES
I //
jL0CAiUPANT
R NING WALL/
GAR FTAI
D RENEWAL
00,
0
Z
0
'A'AG.
POST ROCKERY
-ffYPE OF SUSIN WITY) EXPLAIN:
PROGRESS INSPECTIONS PER UBC 108
IT
C CA
M Cie
USE.
IT! 0
Z
, BEA 11
IT I I A I e._
'UM
WE G
UNSIL11
/
AC.R
AS
I ...EA
;a
GESCAIFIE WORK -TO BE DONE (ATTACH PLOT PLANi,
P420 AAf RM et52�4-4
FINAL INSPECTION
REQUIRED
Z
VALUATION
FEE
-4
X
PLAN CHECK FEE
Cob
Z
BUILDING
7 SM
PLUMBING
ITI
Plan Check No.
MECHANICAL
t
This Permit work to be done on private property ONLY
GRADINGIFILL
Any construction on the public domain (cu,ba, sidewRiks,
etc.) will require separate permission.
STATE SURCHARGE
_driveways,,marquees.
Permit Application; 180 Days
STORIA DRAINAGE FEE
permit Limit: I Year - Provided Work is Started Within 180 Days
"ApplIcant,OR behal! lhIs Grin Douse. heirs, assignSfard
ENG. INSPECTION FEE
a Indemnity, defend and o
RIESESt r.. G
sacrAl:."Ith. City of W' sh pion, I is officials,
Urriond'
m I B�R
�nts fr an �rui .11 BAAS for damages of
I suan a
wh.f.V TI6�aud.,aairlslng directly or Indirectly ftOmbthde 6
emp'oy:es B
PLAN NECK DEPOSIT
a I
of this permit. I ssuance of this permit sha�l not a a med o
..................
modify, waive Or reduce any requirement o any city ordinance
o � any way the City's ability to enforce any ordinance
nor limit I
TOTAL AMOUNT DUE
provision.
'her:2 ack'Z'�Ggo'na! G i is P it "on; the Me
.'a r-a t ' P c:r Tduly
ATTENTION
APPUcAffON APPROVAL
, or
I the
InI.lAA SOR given -011-cf, and In-' am th: own
authorized agent of the owner. ' ""a 'o-"'P'y With city and
THIS PERM
This application is not a permit until
state laws regulating construction-, and In d.I.g In- --Ikauthorlz.
no Will be employed,in violation of the Labor
AUTHORIZES
oZ'Y THE
signed he Building Official or his/her
I... and receipt is
ed thereby, person
Cod, of the State of Washington relating o Workmen's ComPonsa-
WORK NOTED
SUy!I' I'd are paid,
acknowledged in space provided.
tion Insurance BAD RQW 18.27.
INSPECTION
DEPARTMENT
-6F—FICIAL S SIGNATURE DATE
CITY OF
7a
EDMONDS
C OR
ALL F
EDBY DATE
ATTENTION
INSPECTION
IT. IS UNLAWFUL TO USE OR OCCUPY A BULDI N' OR STRUCTURE
FOe YELLOW - I Ps�tol
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL -1'
771-0220
1 RIGINAL
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
PINK I- O—e, GOLD - ASSeS$.'
SECT ON IRS
IXZIA