Loading...
20000450.pdfI PERMIT EXPIRES _�FGAT" RECEIVED � \ t I CITY OF EDMONDS USE r mm." ZONE NUMBER CONSTRUCTION PERMIT APPLICATION AOGRESS SUITE�APT. OWMERNAIIEINAM101.US'. PLAT mAMEJSUSDIVISION NO, LOT NO� LID NO, FEE E MAILING ADDRESS atrctc), Ed PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP - I-, ..d. 0 ln- - 0 0 EXISTING � PROPOSED 0 13 CITY ZIP TELEPHONE REOUIREDDEDICATION- IT - METER SIZE LINE SIZE NO- OF FIXTURES V REQUIRED NAME S 0 NO 0 YEP I AODRES1 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUORAINAGE_ IF CITY ZIP jTE1E1HO11 NAME ENGINEERING REVIEWEDIDATE ADDRESS By DATE FIRE REVIEWED CITY ZIP TELEPHONE 0 INSPECTION BOND VARIA CE OR CU SHORELINE OR ADS# S ELICENSENU BE EXI-I 1.N CHECKED By RE 0 OYESaONO IPOSTED 7 SERA 8 VIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED FTROPERTY rCEL N�Gj EXP I I LOT COVERAGE REQUI D SETBACXS.(�,.) PROPOSED SETBACKS (FTJ FRONT UP SIDE REAR NEW 0 PLUMBING MECH ORE ALLOWED PROPOSED FIT NT SIDE ci C MPUANGEOR C] ADDITION CHANGE OF USE PARKING LOTAREA PLANNING REV EWEDBY DATE 0 REMODEL rl SIGN FIE D PROVIDED 0 REPAIR 0 GRADING EYES C] FENCE x "I MAP.. 0 DEMOLISH TANK AGE 0 IND WALL 0 G�AAIRIP.RT IRETAKICNR C] RENEWAL JOG r (TYPE OF U ACTIVITY) EXPLAIN: CHECKEDBY TYP CON TRU ION DE �Occ. E14 - NUMBER N MBEFGJ SPECIAL INSPECTOR AREA OCCUPANT LOAD D o GFORIES UNITS REQUIRED 0 YES DESCRIBE WORK TO BE DONE REMARKS EBB INSPECTIONS PER UBC 1081FINAL INSPECTION REO OR PR LLLXTION FEE PLAN CHECK FEE HEAT SOURCE BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY� ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURB% SI EWALKS, DRIVEWAY . MAROUEES, ETC.) WILL REOUI S SEPARATE PERMISSION, ROMANCE PERMIT APPLICATION: 180 DAYS S PERMIT LIMIT I YEAR -PROVIDED WORK I STARTEDWITHIN 180DAYS ENG� REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INF ORMAIION ' ASSIGNS BUD ES R 'APPLICANT, ON BEHALF OF H�SE,,0,R,",E' ',P"'.E NE`N 'L. CITY OF ENG, INSPECTION FEE SE AG9 IS To A' , GE �N . Ar.L THE IN INTEREST. ' ANY AND :T LANDSCAPING FEE END BH, 5 OFFICIALS, EMPLOYEES, AND AGENTS FROM z E NCBWA N.TOX. RECTLY INSPECTION I ALLCLA,�M�,,F�ORDNA�AGE�SOII"ATE�EIT NATURE.A1,11N.MIECTIORINDI OF . THIS PERMIT. ISSUANCE OF THIS ERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT . FROM , SUA 0 DEEMED TO MODIFY. WAIVE OR REDUCE ANY IEOUIREMENT OF ANY CITY ORDINANCE ' NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION TOIL AMOUNT DUE RED THAT I HAVE READ THIS APPLICATION. THAT THE INIOR.ATI N LEDGE I HEREBY ACKNOW, ULY AUTHORIZED AGENT Or GIVEN IS COPPED � AND THAT I AM THE OWNER� O'ATHE D Thd ID-11-d 11 no' loodd an"I P'gn'd Py'd' THEOWNER I AGREE TOCOMPLY WITH CITY AND ST LAWS REGULATING CORSTRUC- ""'Y'O CALL B,d,og 011P., F, ­jhP, Dopto, and Fool ad, pald. and TION, AND IN 11 DING THE AUTHOII�1� THEREBY, NO PERSON WILL BE L WASHINGTON RE ATING TO P.Phl ac n.o a da,,pdF,p,­ddd. FOR INSPECTION G, TM HE ST E IN VIOLATION OF THE L=GO.E AT 01 COM,; : I WORKMEN S :1GN,1NEURANC1 G�;W,8.27, (425) 01roc, S, DNA E 771-0220 ELEASED By ATE _7��ffENTION'� EXT 333 TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - PILE - YELLOW INSPECTOR - GOLD - ASSESSOR A FINAL INSPECTION GRANTED. UBC SECTION 109 FAX PINK - OWNER CATE OF OCCUPANCY HAS BEEN C, 519B z um m 0 80 c m m O_. n _q m M a 0 0 c (MA M 0. X z z 0 m TO: DATE: TO R� BUILDING DIVISION MEMO TO: P _ FIRE DEPART.NmNT FROM: DATE _ ENGINEERING DIVISION DATE — PLANNING DIVISION DATE — PROJECT SITE ADDRESS- 6t) PEMT#—Z&O--(S-O..----ADB#__------)),kTE!INSPECT 7- 0926 N% DESCRIPTION OF WORK TO BE INSPECTED A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above siped Department to the grmting of Final approval of the described work ect may be released Bonds associated with the proi C_GRANT FINAL PROJECT APPROVAL FINAL PROJECT APPROVAL WITH CONDITIONS NOTED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. -jNSpEC I TED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:fonns6/98 z am C mo 0 -40 0 C -4 K X m M z ,0-4 C 2 0 M m 0 Fn 0 r- 0 M C 0) 9 (n 7-1 z z 0 1 0 m I tl)ATC RECEIVED PE�M(TEX'PIRES PERMIT CITY OF EDMONDS NUMBER 41_DOLJ��o S ITEIAIT* '.NSTRUCTION PERMIT APPLICATION JOB ADDRESS ADDRESS CITY NAME ADDRESS CITY PLAT IIMEIIUBDIVIS'.I4 NO LID N., LOT LID FEE S 7 TEScPl' PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T, EX'S N PROPOSED JELEPHONE EXISTING PROPOSED - AEOIJIREDDEDICATION� FT L.. 'XT METERSIZE I LINIS'll N..7.'FIXTURES PAY REQUIRED YES C3 NO 13 P E 5 Pon EROSION CONTROUDRAINAGE mo :Nm� IN151 o NEW RESIDENTIAL LUMBING I ME H 0 ADDITION 0 COMMERCIAL 0 MPUANCE OR CHANGE OF USE 0 REMODEL APARTMENT 0 SIGN 0 REPAIR GRADING CYDS FENCE 1:1 1 X FT) 0 DEMOLISH 4!�'TANK 119 oGARAGE CARPORT r-1 RETAININGWALL — ROCKE RENEWAL NUMBER - I NUMBERRIF . TO BE DONE FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE 08 ADBN REDICK" .YCS . NO $EPA REVIEW SIGN AREA EIGHT COMPLETE EXSMPT ALLOWED PROPOSED ALLOWED PROPOSED �Xp I I — I LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS JFfl ALLOWED PROPOSED FRONT SIDE BEAR FRONT URSIDE REAR PARKING I LOTAREA IPLANNiNQREVICWhUUY DATE FED'D I PROVIDED I I ;ED BY Ty' 'ECK By :CK—L 1�_iPEE , :jj LrPE�IAL IN S� C LTO I RCOU PC PEOUME. C] y,,S Y�S 1081FINAL VALUATION I FEE PLAN CHECK FEE HEAT SOURCE BUILDING cz� PLUMBING PLAN CHECK NO: MEC ANICAL THIS PERMIT AUTHORIZES ONLY THE W FIX NOTED. THIS PERMIT COVERS WORK TO 85 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC SIDEWALKS, DRIVEWAY . MARQUEES, ETC.) WILL RSOUI DOMAIN (CURBS, S SEPARATE PERNItsSIO'L GRADING/FILL -,�S RCHARGE P AMIT APPLICATION: 180DAYS PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 04YS SEC BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES ENG. INSPECTION FEC P LICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS A P IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CI I I Ul X EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND AULCLMMSFOR DAMAGESOFW HATEVER NATURE, A91SING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMCD To MODIFY. WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,� LANDSCAPING INSPECTION FEE RECEIPT SIT RECEIPT TOTAL AMOUNT DUE APPLIC ION APPROVAL Thl, IPP1110- I' �11 0 P""I U't-1 I,y - CALL P.Iy:.,,dl­ .1. P­- , �.jp,,­­wl.,Jg.d'­p ... P­d.� FOR INSPECTION OF cl S, ru D E I HER58Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE NIORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERS. WILL BE 'm'LOY" IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING To WORKMEN S COMPENkTIONINS4N=D 1 771-0220 ELEA E By ATE EXT 333 ENTiON IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 CERTIF!- ORIGINAL - FILE YELLOW - INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A PINK - OWNER GOLD � ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX Z 3: rn 0 80 m 10 om n m M o @ , ; 0 o Fn C v) m w . I � M 0 Z r- z 0 0 IT!