The URL can be used to link to this page

20000862.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ON ADDRESS CITY ZH` IT111PHONE NA;bl_tjj we-57- s5m ai Le - ADDRESS /) 0 = I PERMIT EXPIRES US E PERMIT ZONE NUMBERa JOB SUITE5�, PLAT NAMEISUODIVISFON NO, LOT NO/ to NO, LID FEE S PUBLIC EIGHT OF WAY PER OFFICIAL STREET MAP V., PX EXISTING - PROPOSED-- PEOUtEED DEDICATION- PT - TE,,,ZE LINE 111, 01 IBTU91S RIQUIRED �Ro, YEPRV SO NOO A MARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE -7 2:�-A FIRE REVIEWED BY DATE QY �T STATE LICENSE NUMBER CHECKED by VARIANCE OR CU SHORELINE OR ADD' INSPECTION REDID I PRIDEJ D OSTED NO nr�s 0 Ll AREA YzS 0 NO HEIGHT AD P�7q COUNT PARCEL NO. SERA REVIEW COMPLETE EXEMPT S;GN ALLOWED PROPOSED ALIO ED PROPOSED -7 i�X E. P I I I 0 NEW FIE ... IN.C-:ECC7) LOTCEIVI AGE ALLOWED PROPOSED REOUIRED SETBACKS JFF� FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UPSIDE BEAR 0 ADDITION o C MFUANCE OR CHANGE OF USE PARKING LOT ARIA DATE (3 REMODEL SIGN REDD PROVIDED 0 REPAIR 0 GRADING CYBS 0 PENCE X FEE I VI F,,D 0 DEMOLISH C] TANK 0 TI-7z ciGARAGE CARPORT M RETAININGWALL C] RENEWAL BOOKER ....... ... F UtSE TYPE 0 BUS" "� R ACTIVITY1 EXPLAIN DIECKED61 I STRUCTION CCUPA Nis '�� ISHOLIF U. DER Mj.0' 'E, C�R.111CAL A S SPECIAL INSPECIOR OCCUPANT T S STORIES t�F UNITS I. NUMB UIRCD JAREA REG I [:] YES LOAD W DESCRIBE WORK TO BE DONE TEMA KS nGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REO' VALUATION I FEE F A. CHECK FEE HEAT SOURCE LOT SLOPE BUILDING PLAN CHECK;�� =-"'GGA'E -70 THIS PERMIT AUTHORIZES ONLY THE W.RK NOTED, THIS PERMIT COVERS WORK To BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON LTHE PUBLIC 13 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MAROUEES. ETC.) WI 1. REQUIRE SEPARATE PERMISSIOW GlIM11N. F.11 P 10TAIlLWATION: IE--Ay- E"P' PERMIT LIMIT. I YEAR, ROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION a 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESONS IN INTEREST, AGREES T.:NDEMNIFY, DEFEND AND HOLD HARMLESS THE CIII OF EDMONDS,WASHI GTON, TSOFRCIALS EMPLOYEES,AND AGENTS FROM AN' AND ALLCE�IMS FOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTLY 08 tNDIREC11-1 IS PERMIT ISSUANCE 01 THIS FANYC TYORDINANH ED.. THE ISSUANCE OF THIS ... Cl ANY FE.UINE.lNT oPERMtTISHAtL NOT I` F� 1EIV'D ", ,,, �WTA.IVEICR ECU N AN Y� L ITY 10 ENFORCE ANY ORDINANCE PROVISION OR ".IT IN Y Wy 'CH SA., ENG tNSPFCTION FEE I.NU5CAPIN. INSPECTION 'F, PLAN CHECK DEPOSIT TOIAI AMOUNT DUE BE CX.1�1 HAVE READ THIS APPLICATION. THA TFEINFORMADON 'H'RE'YACXNoW`LEADfGETH"VT: A. THE OWNER. OR THE DULY AUIROAIZED AGENT OF GIVEN �C..RECT. THE WNR I AGREE T�OW.OMILY WITER CITY AND STATE LAWS REGULATING CONESTELL F EMPLOYED T'gN?A � NGN DOING TH K AUTFICNIZED THEREBY NO PERSON WILL 6 L T IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE ATING 0 ww� rGNATUR�� DATE %'If D - tPPLICATION APPROVAL at-,, -I I P01-1 uPlil 1,19- by th, CALL B I-, c).Pdty 1pd p,,d.,,d FOR INSPECTION p-ftd. oFFICI IG BE DATE (425) 771-0220 LIAIEO At TT—TENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 EXT1333 771-0221 FAX ORIGINAL FILE YELLOW INSPECTOR PINK � OWNER GOLD - ASSESSOR 5198 FINAL -PROJECT -APPROVAL FORM TO- DATE:_Z� �_ MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: DEPARTMENT DATE_JL�2 __C' —SSW ENGINEERING DIVISION DATE — PLANNING DIVISION DATE— PROJECT — SITE ADDRESS — PERMIT #,4e g,l, �.ADB#________DATE INSPECTED — DESCRIPTION OF WORK TO BE INSPECTED rmine compliance with approved plans. Final approval denotes that A field inspection was conducted to dete there are no objections from the above signed Department to the granting of: al approval of the described work —Fin FINAL PROJECT APPROVAL �:,_GRANT V_VGRANT PROJECT APPROVAL WITH CONDITIONS NOTED FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp.-bldg:forms6/98 z C M MO 0 80 a 'M z 0-4 o -n n M M w (n 0 r- 0 M C 0) 9(n M 0 z z z 0 :j 0 M ALP DATE RECEIVED PERMIT EXPIRES loh-W01 USE PERMIT CITY OF EDMONDS ZONE NUM8ER -c-_ZoQ,9 6 2? CONSTRUCTION PERMIT APPLICATION joB SUITEJAPTR ADDRES:2� �/ OWNER NAME/g, ?,F?USINESS PLAT NAmEISUBDIVISION NO, LOT NO/ L L�D NO. MAILING ADDRESS D FEE S 9 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP o o U.. PECTION CITY \j ZIP TELEPHON EXISTING — PROPOSED—� 0 0 ITILIPHON rpol"nols REQUIRED DEDICATION— FT 0 NAME MeTS!l SIZE LINE SIZE I NO.OFFIXTURIS_ PRV REQUIRED I I YES 13 NO 0 ADDRESS REMARKS OW MCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP 11ELIPHON1 .,T; N C-C). 01 C 7NGINEERING REVIEWEDIDATE I ADD EBB a 3T, z P/ 9 !!E-, FIRE REVIEWED BY DATE 0 S P 0 Q' Y" l/ p `3 ? � ? " 1, VARIANCE OR CU SHORELINE OR AM INSPeCTIO BOND STATE L CEASE NUMBER EXPIRATION FT S 111111DIY RE 0 POSTED I I 0 YES 0 NO A EL NO, SEPA REVIEW COMPLETE I EXEMPT SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED I PROPOSED a m c EXP IT! 0 PLUMN<0 LOT COVEM131 ALLOWED REQUIRED SET ACKS (FT.) SIDBE REAR PROPOSED SMACKS (FT. FRONT URSIDE "EAR 0 0 NEW C3 ADDITION c3 COMPLIA CE OR CHANGE OF USE PROPOSED FRONT m REMODEL SIGN PARKING REDD I PROVIDED LOT AR14 , J,�NNING 11V MID BY DATE m z 10.5 REPAIR El GRADING GYGS 0 PENCE X REMARK51_1 el,'D > c OT, 0 DEMOLISH F] TA14K 'Vi 0 -n o GARAGE C] IETA IN WALL E] RENEWA L,_ CARPORT Y� BQC�l r TIVITY) EXPLAIN: m m _�HECIEI BY ITSUCTION CCUPANT IT jC4,A.FQUF 0 S ECIALINSPECTOR OCCUPANT LOAD 0 0 0 SECURED YES JAREA co M REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REOID 0 r ffgffin—. W_Q�Aizl5p fz:eha z VALUATION FEE z PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING m PLAN CHECK VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC m DOMAIN (CURBS. SIDEWALKS, DRIVEWAY � MARQUEES, ETC) WILL REQUIRE S GRAOINGIFILL SEPARATE PER�ISSION. /r PERMIT APPLICATON: ISD DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION FEE U-14-1 F His OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS END. INS " INTERESi, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY Lb- LANDSCAPING ------- �7— E MOND$. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE A CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY LL VE_ C72,'� I FROM THE ISSUANCE OF THIS PERMIT. ISS ANCE OF THIS PERMIT SHALL NOT BE 0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANYC;TYORDINANCE PLAN CHECK DEPOSIT NOR LIMIT IN ANYWAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' R EIPT IR TOTAL AMOUNT DUE IR IHEAEB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFO' MATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED A ENTOF T I- b-I - P-1-11 -01 �11 by 11. T EOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- H EMPLOY ED CALL d,q Olki.1 .1 hWh., D.puTY; A,� F A'. TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION -.FT P-A- I N VIOLATION WORKM J�AU�ANCEY RCW 18.27� OIFICI 10 HE DATE Wt):RE FNER A5124 (425) 771 -0220 0/� DOE LEtASEDK, ATTENTION,-__-:� EXT1333 4-/0 IT IS UNLAWFULTO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORMINAL-FILE YELLOW INSPECT R CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 519B