Loading...
20000402.pdf5A DATE FE,,E,VEI:� 6-0 P F ERMIT EXPIRES I! ilL nn, PERMIT ci ITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB A DRESS /0(3 t_ AITI, 5 OWNER NAMENAME OF BUSINESS FLAT NAMEISUBDIVISION NO— I LOT NO� LID NO. eco)lr,c — — LID FEE S IF MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXIS ING — PROPOSED— 0 CITY 'i�-) 3 5 06 REOU$REDDEOICATION— FT METER SIZE LINE SIZE NO, 01 FIXTURES "OUIRED NAME 91-C; PAV YE No 0 JVI ee r ADDRESS tL. REMARKS ­PF—Irl I -R EROSION CONTROUDRAMAGE HE CITY ZIP - I _ . , " I wt'. cl ITELEIN NAME M� ENGINEERING H­IF.­5ATE a ADDRESS ;)10*7 FIRE REVIEWED BY DATE rNA CITY ZIP ELEPH NE 0 0 IS 7q03S6 VARIANCE OR OU 5 HORELiNEORADBO INSPECTION STATE LICENSE NUMS�ER REQ��o YES JPBOND OSTED s r L R SEPA REVIEW SIGN AREA HEIGHT If pg y COMPLET ALLOWED PROPOSED ALLOWED PROPOSED EXP LOT COVERAGE REOUIRED SETBACKS (FT. I PF.1.�IG SETBACKS (11 C] NEW PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT IJR SIDE PEAR ADDITION C MPLIANCE OR CHANGE OF USE PARKING I LOTAREA PLAIIINING REVIEWED BY 0 REMODEL SIGN l!!±PlOVIDEIl..j.. C] GRACING REPAIR cYDS NCE El ','Nc' x — FT) EMARK5 0 DEMOLISH Fj TANK K TH A -GE RETAINING WALL RENEWAL 1:1 GARPORT 0 0 C Z ROCr;R, 0 _ —LAP: BUSINESS P (TYPE OF USE, G� �FTI'Vily) CHECKEDBY jTgZCO rCd NUMBER OF ..... DWELLING ICAL �REAS N­­ UMBE R SPE.1 SPECTOR FETIUAL IN iRED M YES lA-- LOAD LIBC VALUATION I FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE BUILDING S"O 000 PLAN CHECK NO: 0 PLUMBIN MECHANICAL 0 THIS PERMIT AUTHORIZES ONLY THE W RK NOTED, THIS PERMIT COVERS WORK TO ON THE PUBLIC OBE DONE ON PRIVATE PROPERTY ONLY. AN Y CONSTRUCTION OMAIN (CURBS, SIDEWALKS, DRIVEWAYS MA GUEES, FTC.) WILL REOUIRF. GRADINCIFILL SEPARATE PER�ISSIRN. STATE SURCHARGE IF PER IT APPU.ATION: 18IIVAYS PERMIT LIMIT. I YEAR � PROVIDED ORK IS STARTED ITHIN 100 DAYS SEE BACK 0 PINK PERMIT FOR MORE INFORMATION -7 �C� EHALF 01 HIS Ft HER SPOUSE, HEIRST ASSIGNS AND SUCCESORS FEES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF ;�A P F, CAEgToA,.S LANDSCAPING T A GENTSFROM ..ODS,WA�H.lNGTON ANYAND ITS O'FICI LS. EMPLOYEES, AND A INSPECTION FEE C 'RICTLY ALL CLAIM '0 AIVA.E� OF WHATEVER NATURE, ARISING 0121 TLY 01 IND ISSUANCE Or THIS PERMIT SHALL 140T BE PLAN HECKDEPOSIT RECJIPT `7D THE %EUAFCS OF THIS PERMIT. "E.ECTO . WAIVE .� R.UCE ANY FE.LIFEMENT 01 ANY CITY ORDINANCE E PROVISION,' REC I 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANC TOT L AMOUNT DUE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THAT THE INFORMATION APPLI ION APPROVAL I HEREBY GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULYAUTH KIZER AGENT OF C. TIII� -� gF." I" I" HE ER A LyW," ,TANDSTATE LAWS EGULATINGCONSTRU OWN I G R"TO COM EMPLOYED CALL dInq 001­1 , hiVhll Dop.1, ld — IP F.w. �,,d T N AN. IN IN. T K AUTHORIZED THEREBY, N 0 PERSON WILL BE I. C. HE WOR OF NGTON RELATING TO WASH' FOR INSPECTIOt 4 _'pt � .,k­ltldgod.l -co p-1,11d. I IN V,.IAT IGN OF THE LAS OR LODE 0, THE STATE FCW 18.27, 1111 1 11: DATE WORKMEN E COMPENSATION 'NEU PANCEAND (425) on, 1� I 7RE 1 11 ( SIGN.UAE(0 ..NE ORAGENT) DATE SIGNED j I-- s-1 ci� �oc -4-- C7— fnLo) 771-0220 EASED By DA EXT 333 ENTIO IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLOW, INSPECTOR A HAS BEEN GRANTED. LED SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR CATE OF OCCUPANCY z am C,3 m 0 80 a .-I m I � x m M m T 0 ca 0 0 M 0 z ri z z 0 m .. .. ....... RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS FOUNDATION: Footing ...................... Wall ............ Pier/Porch ................. �'5 Retainirfg Wall ........... Slab Insulation .......... PLUMBING: 0 C M Underground ............. 0 r� -4 Rough -in ................... -4 K Commercial Final M Z' 1 10-4 HEATING: Gas Test .................... GasPiping ................. M ITI Equipment ................. 'Co�mmercial Final 0 EXTERIOR SHEATHING C: NAILING .......................... M a FRAMING ......................... ;U FIRST FLOOR FRAMING INSULATION ................... z Floor Insulation Wall Insulation ........... Z� Ceiling Insulation 0 M SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. RECEIVED 5v,tlj A\L PERMIT EXPIRES PERMIT bfY OF EDMONDS c. NUMBER /00 �t, KjIIT* CONSTRUCTION PERMIT APPLICATION 'A0080FIESS OWNERNA ENAMEOF USINESS PLAT NAMEiSUBDIVISION NO. LOT NO* LI NO. owe I LID FEE S MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TES", EXISTING —_ PROPOSED- sh.. L.. P.— -.qA 0 0 0 ?7� CITY REQUIRED DEDICATION— FT D_ METER SIZE IINE.IC= REQUIRED Is NAME I YEPRV S 0 No 0 Z. ADDRESS REMARKS NEWCONTRACTOR RESPONSIBLE FOR EROSION CONTI ROUDRAINAGE CITY ZIP TELEPHONE NAME ENGINEER EWEDDATS ADDSCS S I w. z 0 FIRE REVIEWED By DATE li CITY ZIP TELEPHONE 0 —VARIANCE OR CU SHORELINE OR ADB,I ,SPFC_TjON RED, OYES �Kjo I BOND I PG_STEO STATE LICENSE NUMBER SEPA REVIEW COMPLETE EXEMPT Ii SIGN Al�IA POSED AL HEIGHT ALLOWED PROPOSED L) 2001"ZZ�_N,� ccol 6_),3,2R L NO. o--310 =777 EXP am — LOT COVERAG E REQUIRED SETBACKS I FT) PROPOSED SETBACKS (FT) REAR' 0 NEW 0 ESIDENTIAL 0 PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE BEAR F PONT URSIDE ma 0 COMMERCIAL o COMPIL NCE R 0 ADDITION CHANGE OF USE 0 c ED BY DATE 0 HE APARTMENT MODEL 0 SIGN 0 0 M FENCE EPAIR C3 X FT) FEMA.I. 0 DEMOLISH TANK c) RETAININD WALL RENEWAL C3 -CAAl',�P.PT ..0 P.,F 0 -n (TYPEOF IE,IUIINESIO W1 I EXPtL CHE OC up RCUPANTvn -34: M m is NU SER M OF N M CRITtCA AREAS op E.IAL INSPE CTOR .CURANT oA, LOAD LOAD OF STORIES 00 LING IS UNITS NUMBER R SQUIRED C] YES JAH­ a 0 0 DE RISE OR kS DON -5 �' '— "M ; AIKS ISS INSPECTIONS PER UBC 1081FINAL I .P CTKHI 0 Ft E D IR G c: c CD M C3 d ag �Vk lA76,-0,U 4�XAj lq:P4VX*J z z VALUATION FEE a-IJ Rj_AN CHECK FEE z H SAT SOURCE LOT SLOPE I BUILDING 0 PLAN CHECK NO: t &7( VESTED DATE PLUMBING m MECHANICAL THIS PERMIT AUT ONLyTHE�lRK"*Tll "IIIERIIITC.VEESll.FKT- HOR""' PROPERTY gNL,. ANY C6.1 P I ..-IN."ILL STIICTIONBNTH -C BE B.NE ON PRIVATE, DOMAIN (CUR .E. SIDEWALKS. g... M ... UE.EB.STI. WILLEASOLIUME 7 SEPARATE PERMISSION. STATE SURCHARGE P n T APPLICATIONt 100 DAYS E "PITOVIDIED WORK IS STARTED allIN 100 DAYS ENG. REVIEW FEES PERMIT LIMIt I YEAR ' W SEE BACK OF PINK PERMIT FOR MORE INFORMATION XN,,,.,&.AS�,A, .. AND ED E IS py,R SpgU,, S APPLICANT. ON BEHALF OF HIS OR 'D SS THE CITY OF LAND C PING N$"E N DE R.LF I N 'NTIREIT=T.TO EDMONDS. W N, :T DMIFII'3�1. 6, EMPLOYEES� AND AGENTS FROM ANY AND I.SPEGIAION FEE ALLCLAIMS FOR DAMAGESOF WHATEVER NATURE, ARISING REC(IPT FR THEI S N EOFTHISpERM,T. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT IFY., AIVEO E U ANY CITY ORDINANCE DEOMCEANYREOUIREMENTOF ED To T C ISION.- RECEI T THE CIT SABILITy 0 NFORCE ANY ORDINANCE PROV 0 NOR LIMIT IN AN I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ApT,.C�A,�OLN�, THAT THE IEN.FOR. ION APPLICATION APPROVAL GENTOF GIVEN IS CORRECT, AND THAT I AM THE OWNER, Is C AUTH.RZ This pplics,sh I, nos A p­lt until.sioh.d.vhs, Y: T OWNER. I AGREE TO COMPLY WITH CITY AND ST.ATNL.AW_, REGULATING CONITGUC- Bu,l6n,Ojj,­,.,hh­D.p.t �d ... ... p,,d.,nd THE;ANDIND ING THE WORK AUTHORIZED THERE Y. P.EGN WILL BE EMPLOYED d s s ION RELATING To TION i—k-1. g J,� pa,, p—ded. OF CODE OF THE STATE OF WASHINGTON IN VIOLATION THE LABOR DATE WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27. (425) !M: SIGNATURE(OW E ORAGE-1) ATE SIGNED cz) q—_ C�'? ) I I 1-%ve,aw EASEDBY T'O EXT 333 KTO ITISUN�LA.IU USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW - INSPECTOR - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. uBc SECTION 109 FAX PINK -OWNER COLD