Loading...
20000674.pdfF_ -7 Q� 100 PERMIT EXPIRES ' ' I I USE� PERMIT ��GCG74 CITY OF EDMONDS ZON NUMBER US C'TY OF EDMONDS ZO E NE P ERMT MBER CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT# ADORE ADORES: r) LOT No IA' STREET MAP OINAMEINAME OF BUSINE PLA,T NAMEISUBDIVISION NO. LOT NO, 11 NO - LID FEE S MAILIQG ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ow� U.. ol 0 5XISTING — PROPOSED - CITY NE � —1,, A­I­ -3 A G RED. G. TO. T AE.URE..E.I.ATK)-- FT . T A SZ LIN NO OF IxTU TIE. El. LINE SPIZ`E NO. .1 lIXTURESC ' V REQUIRED NAME YES 0 NO 0 CITY ZIP NAME �FADDRESS FIRE REVIEWED By DATE HE 411 OD U SHORELINE OR ADBN INSPEOCTION A 0 N.. OBT 1'. ATI.N OYE5 ON. SIGN AREA LETE EXEMPT ALIOWIO PROPOSED COMPLETE EXEMPT HEIGHT ALLOWED IA.P.SEB FAACEL NO. Ink,- EXP I , LOT COVERAGE REOUIREDSETBACKS(FT) P%POSED SETBACKS (Pm) NEW RESIDENTIAL '2:�AUMB NG I MECH ALLOWED PROPOSED FRONT SIDE RUA I F ONT UR SIDE REAR [3 ADDITION C3 COMMERCIAL (_ COMPLIANCE A Cl CHANGE OF USE PARKING LOT ARE PLANNING REVIEWED By DATE REMODEL C] APARTMENT 0 SIGN REG'D I PROVIDED PAIR GRADING CYDS 0 PENCE X FT) REMARKS C3 DEMOLISH TANK [3 OTHER RAGE El GCARFORT RETAININYG WALL A GXEJ 0 RENEWAL (TYPE OF U TIVITY) EXPLAIN: CHECKED Y OFCO I C DE 0 C T P GC 0 NUMBER NUM ERO CRITIC L SPECIAL I N;PE AR iEA OCCUPANT OF DWE'LUNG' AR AS NUMBER I JUIRED LOAD STORIES TO BE D NE DESCRIBE WORK REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REG HE UAC5 GLAZING I LOT SLOPE I I PLA K NO: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 10 BE 0ONr ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: IGODAYS IS PERMIT LIMITl YEAR - PROVIDED WORK STARTED WITHIN i8B DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION . PLICANT. ON BEHALF I f HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS THE CITY F D 0 0 ;AP I INDEMNIFY. DEFEND AND HOL N NTEREST. AGRE95 TC GHARMLESS I I AGENTS FROM ANY AND EMPLOYEES. AN EDIMONDS, WASHINGTON , ITS OFFICIALS. OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY ALI CILAINIS FOR DAMAGES F -IS PERMIT SHALL NOT BE F-F.." OF THIS PERMIT. ISSUANCE 0 THE ISSUANCE A ]NANCE I. CEANYR UIREMENT 01 ANY CITY R DEEMED TO MODIFY. WAIVE OR REDU DEE, EEO ISION' 0 LIMIT IN ANY WAYTHE CITY'$ ABILITY TO NFORCEANYORDINANCEPROV NO A NOR iHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPUCEATUN THA 1HEIN11 NATION OR . 0 Y ALT TZ IZED AGENT OF GIVEN ly CORRECT, AND THAT I A. THE OWNER 9 THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC ED TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERED WILLBEEMPLOYTO IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE LATING WORKMEN'S COMPENSATION INSURANCE AND RCW IBZ7. ,eTNATURI IrNIR I r4G NTI VALUATION I FEE -AN CHECK FEE JILDiNG LUMBING !ECHANIGAL RAWNGIRILL TATE SURCHARGE NO. REVIEW `EES PLAIN CHECK DEPOSIT ' I A a IF IF TOTAL AMOUNT CUP APPLICATION APPROVAL CALL T is ,s ­1 ol hil/1,11 DlpltY .,d Foos so P P FOR INSPECTION P-p- l­PwIod9od , sl— 11—o-o FICIALS St NAluR DATE (425) �! I I ;;�, 1 11", 771-0220 ELEASED ATTENTION tA I IT IS UNLAWFUL TO USE OR OCCUPY ABU ILDING OR STRUCTURE UNTIL A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI_ 771-0221 ORIGINAL FILE YELLOW INSPeCTOA I PINK OWNER GOLD. ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX d z m M 0 0 80 c M M z c J) o -n .n rn 0 0 Fn C 0) m co m 0 Z r- z --I z 0 d 0 m , ......... . ... rr - . ; �, � �� � D PERMIT EXPIRES PERMIT I.XA071 'I 'S' ONE o< NUMBER CITY OF EDMONDS 14 CONSTRUCTION PERMIT APPLICATION JOB 3SU-ITEIAPT" OWhjfNAMTN�MEO5BlJSINEnV, �C_U Pi -AT NAMEISUBDIVISION NO.___rO. L D NO. It \ N . OLA-', LID FEE S -) MAILIVG ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL l­PApP­d STREET MAP Wp­jtR­l­ 0 0 EXISTING — PROPOSED SW..,n CITY d ATI.N— FT — 0 URES METER SIZE LINE 51ZE NO, 01 IIXT `FV EQUIRED NAME YES 0 No 0 I REMARKS ADORES OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY NAME ENGINEERING M ADDRESS 0� DATE z FIRE REVIEWED BY LEP NE 0 pc� 411 m VARIANCE OR CU SHORELINE OR ADS. INSPE..TION JPBOND R G CAT BE EDI CEN'E NUMBER XPIRA ION DATE C ECKED By [3 YEB lie i SEPAREVIEW SIGN AREA PROPOSED HEIGHT ALLOWED PROPOSED COMPLETE EXEMPT ALLOWED �F_R_OPERTY TAX ACCOUNT PA CEL NO.. 062D 3: M EXP 'T PROPOSE, SETBACKS I I m 0 REOUIRED SETBACKS (".) 'TC lElAlEEEG SIDE REAR FRONT u FRONT R SIDE REAR 0 I ME.. EDO 0 RESIDENTIAL PHOP 0 NEW 7U.B ALL 0 a ..PL�N. ANCE OR ADDITION C] COMMERCIAL CHANGE OF USE I PLANNING REVIEWED BY ATE 3: rn rn 7. RE D C] REMODEL C] APARTMENT cl SIGN PROVIDED GRADING 0 FENCE CYOS X FT) AHKS c > PAIR OTHER DEMOLISH TANK o cl) 0 -n G RAOE 0 RETAIIING WALL C3 RENEWAL A CARPORT ROOKERY 0 _7T_,7� TIVITY) EXPLAIN: p (TYPE OF USA5CV CHECKED By 0 'CUPA T 5! rn rn NUMBER NUMB OF CRITICAL SPECIAL IOSPE _rACj6AS' T 0 DW L LING -'o AREAS REQUIRED[] YES NUMBER 0 0 Fn i I 0; UNIT STORIES I= co DESCRIBE WORK TO 5 N RENA KS Q INSPECTIONS PER UBC 10.11INAL INSPECTION REO'D ROGRESS X z VALUATION FEE z P LAN CHECK FEE 0 PLACE G ZING' LOT SLO BUILDING rn HE VESTED DATE PLUMBING PLAN K NO: MECHANICAL �50 0 L T E IS PERMIT COVERS WORK TO i THIS PERMIT AUTHORIZES N Y H -ORKNOTED. TH THE PUBLIC ONST RUCTiON ON GRADINGIFILL t: BE DONE ON PRIVATE PROPERTY ONLY. ANY C E S. WILL QUIRE MAROU E ETC.) RE RI DOMAIN (CURDS, SIDEWALKS ARATEWAYS, Sep E PERMISSION STATE SURCHA BE PERMIT APPLICATION: 180 DAYS P IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES PERMIT LIMIT'. I YEA -PROVIDEOW RK SEE BACK OF INK PERMIT FOR MORE INFORMATION M, 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS HARMLESS THE CIT OF ING D IN INTEREST AGREES TO INDEMNIFY. DEFEND AND MOL , FROM ANYYA ANDSCA T ' LOYE ANDA EN NO SPECTION FEE 'TSO"'CIAL' - EDMONDS. WASHINGTON, W. AT EV E N��IPU R E . ARL RECTLY IPT R DAMAGE , � ING DIRECTLIOR INDIRECTLY RECE A F.0 LLCLAIMS I F IS PERMIT. LANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT THE SUANCE TH ES FROM C Y ED EQUIREMENT OF ANY CITY ORDINANCE LICE ANY o 0 0 0 IF WAIVE OR IF DEEMEDT M S BILIT TO NFO NOR LIMIT IN ANY W TH E VTY� A E �y OTAL AMOUNT DUE INFORMATION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATLON; THAT THE OR T IE DULY AUTHORIZED AGENT OF T�,j,0,p.,:­_ It . p­j, ­d Big— by GIVEN IS CORRECT. AND THAT I AM THE OWNER, COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUG CALL 9 -lb., D.PuIY: tt�d F­ ­ p1d, THE OWNS R. I AGREE TO TION, AND IN DOING THE WORK AUTHORIZED THE REBY' No PERE IN WILL BE 5 P Oy FC I- sP-11 p—Itild. RELATI G TO )R INSPECTION Vj E STATE OF WASHIONGTON IN OF THE LABOR CODE OF TH DATE OLATIOI� WORKMEN., OMPENSATION INSURANCE AND RCW 18.27. . .. .............. (425) NATURE (:C: . A. NTI A IA?jG ENIM 771-0220 ELEASED 0 E EK 11333 i A17ENTION U PY A BUILDING OR STRUCTURE UNTIL 771-0221 YELLOW INSPECTOR ITISUNILAWFULTOUSEOROCC HAS BEEN MADE AND APPROVAL 0 R A CERTIFF ORIGINAL FILE OWNER GOLD -ASSESSOR A FINAL INSPECTION K GRANTED. UBC SECTION 109 FAX PIN CATE OF OCCUPANCY HAS BEEN 5.8