The URL can be used to link to this page

20000445.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNIP"MIINAMIOIB SINISS :5�m Trw'w, MAILING ADDRESS FASOMMIRAW EXPIRES USE PERMIT ZONE NUMBER - PLAT NAMEISUBDIVISION NO LOT NO. LID NO. I LID FEE S P..LI. RIGHT OF WAY PER IFICIAL STREET MAP 0 0 EXISTING — PROPOSED— P-1 R.,lI 0 0 0 REOUIREDDED$CATION— FT 0 lIXTURES PRV REOUIRED YES 0 NO 0 212RKS.T.A1 FESI—iBLE FOR EROSION CONTROLIDRAINAGE :Z 0 u I /Uw FIRE REVIEWED BY DATE ITY %reJ1;de_,WA 7 VARIANCE OR CU SHORELINE OR ADS� INSP OTION RED E 11 OYES F-INO I P.OND OSTED ;TATE LICENSE NUWBER EXPIRATION h MAI 0 SERA REVIEW COMPLETE I EXEMPT EXP SIGN AREA ALLOWED I PRO10110 HEIGHT ALLOW I PROPOSED ED ROPERTY, CE NO, .4_ 3,4a 0 N �O.V.E.11.A�L, C3 PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED RED. SETBACKS (FT.) FRONT SIDE REAR PROW BED SETBACKS RFT) T LIR SIDE REAR ci COMPLIANCE 08 11 ADDITION CHANGE OF USE PARKING _40T REA PLANNING FISVIEWED By DATE 0 E3 REMODEL 0 APART SIGN REOD 1 �A FENCE C] REPAIR 0 ( X FT) S DEMOLISH 0 TANK o OTHER N CARAOE R TAMING WALL OCKFRY 0 RENEWAL E3 GARIO.T BE (TYPE 01 U,Bf;?, ICTNITY) Ell"': CHECKEDBY jf;�ONSTRUCTI GROUP c E oocupl�� NUMBER OF STORIES IUMBIROF DWELLING UNITS CAL C4::)o_<a AREAS NUMBER 01 PECIAL OCCUPANT OnCTOR JAREA PEOUIRSINSPS YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1 L81FINAL I ECTION 2E PLAN CHECK FEE LOT SLOPE I BUILDING VESTED DATE PLUMBING MECHANICAL PERMIT A THORIZES ONLY THE WORK NOTED. TH S PERMIT COVERS WORK TO E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GPADINGfFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES� ETC.) WILL REOUIRE :I SEPARATE PERMISSION. L STATE SURCHARGE IS MIT APPLICATION: "I DAYS PS I R. PERMIT LIMIT. I YEAR. PROVIDED WORK S STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION IA -APPLICANT. ON BEHALF OF HIS OR PER SPOUSE. HEIRS, ASSIGNS AND SUCC5SORS _.ON FEE F INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING IN INT R ST. AGREES TO AD ,, oFFCALL EMPLOYEES �NTS FROM ANY AND INSPECTION FEE 'SAND ING DIRECTLYOR INDIRECTLY og.ATE'ER NATURE. A. DIRECTLY OR INDIRECTLY NOT BE PERMIT SHALL PLAN CHECK DEPOSIT F ANY CITY ORDINANCE - RDINANCE PROVISION. TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THECOWNER R THE DULY AUTHORIZED AGENT OF o' GMPLyWTH 'TYAN60 L THE NER, I AGREE TO C STAT AWS REGULATING CONSTRUC CALL TION. AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED WASHINGTON RELATING TO FOR INSPECTU IN VIOLATION OF TH LABOR CODE OF THE STATE OF w oMPE ATION INSURANCE AND RCW 18,21 NER T) DATE SIGNED (425) 771-0220 EXT 333 EN ION 11 ISUN WFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- A CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX �198 VALUATION I FEE APPLICATION APPROVAL F .. P .,L c�,.d 1� p— PI—E., F DATE ORIGINAL - FILE YELLOW INSPECTOR PINK - OWNER GOLD - ASSESSOR z 0 m 0 0 c: m m z 0 _n -4 m M 0 o F,, c: U) 0 z z 3: z m --- ------- - RECORD OF INSPECTIONS INSPECTOR DATE APPROVED, SETBACKS ..................... FOUNDATION: Footing.............. Wall.......................... Pier/Porch z Retaininig Wall ........... Stab Insulation M, PLUMBING: Underground M ............. In a I Rough -in .............. OL -40 j Commercial Final M Z; HEATING: '04 Gas Test ................... Gas Piping ................. . Equipment -n Commercial Final M M: tv, EXTERIOR SHEATHING NAILING ............ 0 Fn C CF) FRAMING � ...................... M 0 FIRST FLOOR FRAMING INSULATION ............... Floor Insulation Wall Insulation ........... Ceiling insulation 19m) z SHEETROCK NAILING 0: -4 SPECIAL INSPECTION M I MISCELLANEOUS FINAL APPROVAL FOR OCCUPANCY .................. Are" ic CA .0q 00*r&0000 ! 0 PIRES oo us _0 IT PERM CITY OF EDMONDS ZONE 'UMIER CONSTRUCTION PERMIT APPLICATION JOB suutmnirl 4 OWN' R NAM11NAm' 0,1 BUSINESS OWNER NAMEINAME OF BUSINESS PLAT NAMEISUBDIVISION N 0. LOT NO, LIO NO, I A, - - LID FEE $ MAIIIN ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Ya al�- C TEIl.P: C Nw PROPOSED - REQUIRED DEDICATION — C E 1 1 zip Of 11 26122 T METER SIZE LINE SIZE NO. OF FIXTURES PRY EQUIRED NAME I YES 0 No 0 REMARKS F....TFACT.R RESPONSIBLE FOR EROSION C.NTA.IJDRAINAGE ADDRESS NAME w �) C/ / Lw FIRE REVIEWED BY DATE z CITY -0, um SHOREUNE OR AGE. , VARIANCE 08 CU RED" ETE STATE LICENSE NUMBER EXPIRATION UAI t E3YEs ONO 0 SERA REVIEW EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED :5 PR0PERTYT!AXiiCiC0§NT_ RCELN0111 COMPLETE vi 019- 025—000�L EXP I OM LOT COVERAGE REQUIRED SETBACKS IFT.) PROPOSED SETBACK$ (FT.) rn 0 NEW RESIDENTIAL 0 PLUMBING f MECH ALLOWED PROPOSED RE FRONT SIDE AR FRONT URSIDS REAR 0 0 ADDITION COMMERCIAL c3 COMPLIA CE OR CHANrEOFUSE 0 C: LOTAIIEA PINNINGFIRIIEWS-By ATE C3 REMODEL APARTMENT C] SIGN PR.W E. m REPAIR GRADING CYGE 0 FENCE 0 X A 0 2 C> DEMOLISH 0 TANK 0 THER 0) GARAGE RETAINING WALL RENEWAL CAPLRT C, ROCKERY �� 0 N_ 0 0 BE, UE,.IBB 0. ACI 1) a .FU_ CHECKEDBY a - — ca NUMBER NUMBER F 'IT CAL 0 __�ATIEA. E DWELLING 7v�ff�:� m M SPECIAL INSPECTOR AREA ca '0, 000- UNITS ETGF'n , t . ES REQUIRED 0 YES OR DESCRIBE WORK To 13E DONE C: C4 REMARKS 1081FINAL INS ECTION REQ' PROGRESS INSPECTIONS PER CjO8: R-m-kiee w fUB :Yt Ly ca L. . 1 ..... .. ........... Q z VALUATION FEE PLAN CHECK FEE HEAT Alu" I 183`-;�_` I LOT SLOPE % SU LDING 0 m LAN CHECK NO: ... IEO DATE PLUMBING ECHANICAL pC.RNIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVER WORK TO I -I BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DRIVE S, MARQUEES, ETC.) WILL REQUIRE GRADINGFILL LKS. 91 DOMAIN (CURBS'SIDEWA SEPARATEWBYAMISSIO STATESURCH RGE PERMIT APPUCATI Ayj$D�j�Hlhl ISO DAYS REVIEW FEE PERMIT UIMIT.� I YEAR * PROVIDED WOMS1ftSj:RT SEE BACK OF PINK PERMIT FOR MORE INFORMATION A F OF HIS .11 HER SPOUSE, HIIRS, ASSIGNS AND SUCCESOnS LT ENG� INSPECTION FEE Y OF ou ;�App,_,EC�A�N�TIOAN.BIEH "T F E. . NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF :T, EMPLOYEES. AND AGENTS FROM ANY AND LANDSCAPING INSPECTION FEE 'TON OFFICIALS. * ED ASHNG F.R.A.A.'BOF INDIRECTLY ,I "=�W ARISING DIRECTLY 0 HALL NOT BE PERMIT SR DEPOSIT * FROM THE =NCE OF TH'WHATSIEP'NATURE, S PERMIT. SSUANCE OF THIS ANYCITY ORDINANCE PLAN CHECK , 5 DEENEOTO 'Y�W.,VE on REDUCE ANY FISQUIREMENTOF TO ENFORCE ANY ORDNANCE PROVISION.' RECEIPT T__ 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TOTAL AMOUNT DUE IHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL HE DULY r lys CORRECT, AND THAT I AM THE OWNER, OR T AUTHORIZED AGENT OF "V'N C. Thim.ppkao, I. a.. P.I. t ua'"iga.d a, 11. THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRU CA a, 011a.l. old Foes 11, pald. 1�d LL Bull,! .a.ly TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED WASHINGTON RELATING TO lot IS Ilk,miedgld I, Paco pmvided. F -0 R INSPECTION IN VIOLATION OF TH LABOR C DE OF THE STATE OF W OMPE� ATION INSURANCE AN RCWIS.27. - FFICIALSSIGNA, RE DATE NER DATE SIGNED (425 SIGNATURE IT) 1 -0220 771 LEASED By EXT 333 N 11,0N 'N . UTO USE OR OCCUPY A BUILDING OR STRUCTURE UNT �E Is U, Is U:� L 771-0221 INSPEC ION HAS BEEN MADE AND APPROVAL OR A CERTIFI- I 'T ORIGINAL -FILE YELLOW INSPECTOR IN', A IN HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR FAX CATE OF OCCUPANCY