The URL can be used to link to this page

20000972.pdfRECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 7',77.7,E,""""� � 4,ko:-,, MAILING ADDRESS a I (o I G - -in, 7 CITY zip LILIP1011 c -A , , A) w_4 210 2 la 5�- NAME ADDRESS CITY ZIP �TILEPHONE NAME ADDRESS [PERMIT EXPIRES 9A�± USE PERMIT F_J?, �.�E NUMBER 2 OC JOB SUITEJAPT# AUDREV aA v L F�T NAMEISUBDIVIStON NO. LOT NO, LID 10, I LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Zvi; "F"", .1 U.. P E ISTING — PROPOSED — REQUIRED DEDICATION— FT u . ....... W111", 1111111d ____7 METER SIZE ------- [_ P REQUIRED YES Cl NO 0 TANK FUL, KMOVAL, OR CAP ENGINEERING REVIEWEMOATE Y DAT� ;ITY ZIP ZIP TELEPHONE 7 EdRCU SHORELINE OR ADSO ELINE SHO' 08 6' INSPECTI ;TATE LICENSE NUMBER EXPIRATION DATE C.E.—.1 'ARIA' ED C3YR 'Do PSOND OSTED EW SEFA R V'E �iFA:O SIGN AREA SIGN AREA HEIGHT COMPLETE EX FT LLOWE. PRO .. ED ALLOWED PROPOSED ALL PROPOSED ALLOWED ROPERTY TAX ACCOUNT PARCEL NO. L EXP P I �V, , _F��EEMIINTIA LOT COVERAGE 4ADNI, (FT. REQUIRED SET ACKS ) PROPOSED ETSACKS(FT) FA. 0 NEW L 0 PLUMBING/M CH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR ADDITION IAL C MPLANCEOR 1:1 C] COHANGEOFUSS PARKING FLA IN. G DATE T AREA PLANNING REVIEWED By REMODEL APARTMENT C3 SIGN AEC`D I PROVIDE;r GRADING FENCE EMARKS C] REPAIR Cyos El I X FT) 0 BE TA K _A GA.:E CARPORT IN ETA ING WALL ROCKERY, E] AE.EWAL (TYPE OF USE. BU SS OR �C IVITY) UN: CHECKED BY TYPE OF CONSTRUCTION C OCCUPANT CUP NUMBER NO ER CA I L SPECIAL INSPECTOR OCCUPANT _"!Z �GR AREA 0 F TORIBI D�ELLIN- ) AR 5 NU A REQUIRED C3 YES LOAD DESCRIBE WORK TO BE DONE A MARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION V�N VALUATION I FEE PLAN CHECK FEE HEAT IUACE GLAL�.I�NGA LOT SLOPE I BUILDING PLUMBING PLAN CHECK NO: IVESTEO OAT' MECHANiCAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CoNSTRUCTIDN DN THE PUBLIC G-114GIFILL 2 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARDUEES, ETC.) WILL REQUIRE :I SEPARATE PERMISSION. I RCHAAGV P MIIAPPLICATION: 180DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK SSTARTEDWITHIN 10DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS THE CITY OF ENG. INSPECTION FEE RMLESS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HA TS FROM ANY AND 2 E CMo,DS,W,,,,�N.,TlN, l.Tg.FlIMALB E IL.IEIS,ANBABEN LANDSCAPING INSPECTION FEE ATE�E ATURE. ARISING DIRECTLY ORIN RECTLY �,LQLA'. FORD AGE H N SHALL NOT BE RECEIPT FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT T E OR REDUCE ANY REQUIREMENT OF AN' CITY ORDINANCE DEEMEI)ToMoDI'Y.WA'V ANY ORDINANCE PROVISION.- PLAN CHECK DEPOSIT HE -1 1 0 NORLIMI INANYWAYINE CITY'S ABILITY TO ENFORCE X TOTAL AMOUNT DUE THIS APPLICATION: THAT THE INFORMATION A PLICATION APPROVAL I HEREBY ACKNOWLEDGE THAT: HAITEHAEoAD GIVEN IS CORRECT AND THAT A. E WNER. 0. THE DUILy.AUTHQR,.l.lD tIG NR OF Th�l �PPIIIIII il �l P I - 1 by lhl THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAW E.U, C.N:T uc CALL D TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PEAS N WILL BE EMPLOYED RELATING TO F OR INSPECTION ,p- Ilk..Wlodgld p..o p—ld.d ,N VIOLATION OF THE LABOR CODE OF THE STATE OF WASHIoNGTON WORKMEN s c�MPENSATIoN INSURANCE AND RCW 18.21. FICIALS 5IGN.ATURE DATE W .FNTI ATE SIGNED (425) , h SIGNATURE - 0 4) a I L,;� 771 �� 1 ,2 , � p. "L E -0220 RELEASED BY d.4 .. FXT'33;3 A17ENTION ITISUNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTUREUNTIL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEPITIFI- oRIGINAL-FILE YELLOW INSPECTOR ASSESSOR A CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK OWNER GOLD z 0 c rn 00 0 0 C -4 W. mm M z 10-4 0 _n n Ill m 0 0 0, c: m co) m r J) .1 rn o z cl) z 0 j 0 m FINAL PROJECT APPE TO: DATE: MEMO TO: P7EP0rAT101 BUILDING DIVISION FROM: FIRE DEPARTMENT DATE --!- DIVISION DATE — PLANNING DIVISION DATE— PROJEC SITE ADDRESS (U -7q 1't— A-V 'Al qLcoo - c? 17-- # PEMT #--L—ADB ___-----DATE INSPECTED — DESCRIPTION OF WORK TO BE INSPECTED—E'5� A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the granting Of ____I ---Final approval of the described work --�L—Perfbrmance Bonds associated with the project may be released _GRANT FINAL PROJECT APPROVAL GRANT FINAL PROJECT APPROVAL WITH coNDMONS NOTED Ako-Ticz- 'op ?/, c, vae_ 3 Fiw_ FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. ________RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprv1.doc.1:temp:b1dg:fb-6/98 z 0 i 0 M 0 (= M rn 00 80 C -i K X M M Z JD —i z -4 0 -n n --q x M M 0 0 M M Z z -4 3: 6 z 0 1 0 M MEMORANDUM Date: September 27, 2000 To: Building Department From: Fire Marshal Westfall Subject: UST Deummissiloning Plan; Arker 21616 791h Avenue W Fire Department has following comments for project: I . Liquid product In tank must be pumped and removed from site by a State-cert , Ified (IFCI) tank s- decommissioning company. Companies can be found In yellow pages under'Tank Abandoned -Filled". 2. The tank will be rinsed and rinsate removed by that certified company. Rinse method will be In accordance with State Ecology guidelines. 3. The tank may be removed by owner to metal reclamation on Harbor Island. 4. Fire Department shall be contacted 24 hours In advance of pumpirinse operations for on -site inspection (425 771-0213). Please Identify on permit. cc: Fire Inspector Development Services Techs . I 11, City of Edmonds t Fire Marshal 0", fa gO 0'r. fl: :t, 01, , m; I -4 0 i,,: M, m 0 -J 0 C), 0 M M z i, 0 > Z m m 0 0 Fn: C rn z z -4 CfJ i z m L RECEIVED r P RMIT EXPIRES E Ua'E CITY OF EDMONDS 'ON' S Zo�0 D4 PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION JOB LICATION JADDR"E ADDR2L6/W/ S ITEMPTO Cy 0 AME OF BUS A,-k,YA PLAT NAMEISUBDIVISION NO. 'T I LOTNO Lt NO. LID FEE S MAILIN GADDRESS /\,A VD- GEXISTING LSTREE PUBLIC RIGHT OF WAY PER OrFK3IA TMAP PU EXI STI PROPOSED— REOUIREDDEDICATION� FT TE—Appl— A', P_a ftia' 0 aau,ol 0 CITY ZIP w'I "o �EUEPKONE NAME METER SIZE I LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 NO ADDRESS MARKS 8 REMA, OWNERICONTRACTOR RESPONSIBLE FOR EROSION 2ONTROUDRAINAGE OW I "Y ZIP ITEIEPHONE CITY Al. 'LL NAME x ADDRESS TELEPHONE CITY .. RAT'.. STATE LICENSE NUMBER ,IPROPEFITYTAX ACCOUNTP ACELNO. glN,? 46w 1119.40 TAL MBINGIMECH 0 NEW pq, RESIDEN I PLU 0 ADDITION 0 COMMERC!AL C MPLIANCEOR 0 CHANGE OF USE 0 REMODEL 0 APARTMENT 0 SIGN 0 REPAIR __F7;ZFN�� 0 FENCE X 0 DEMOLISH ><TANK 9D �MML�4 L oGARAGE C R, AR ORT r-1 RETAINING WALL ROCKERY 0 RENEWAL 0 (TYPE OF USE. BU SSOR ACZITY) f _�I NU SEA OF _,� EA NUMb 0 N DWELLING B F C I L AREA STORIES �T UI T ....A DESCRIBE WORK TO BE DONE PARANCE OR CU I SHOREUNEORAOB. 10PECTION RE 'D PBO D —ED C3YES ONO SEPAREVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED XP I I LOT COVERAGE REQUIRED SETBACKS CFTJ PHOPOSEDSIETBACKS(FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE BEAR — A P RKING LOT AREA 1 PLANNING REVIEWED By DATE a. 1 0 RE D PROVIDE 'HECK ED By TYPE 0 ST UCTION�c E OCCI GROUP SP DIAL INSPECTOR A�REA: OCCUPANT REQUIRED [] YES �LOAD IEMARKS DRIC)GRESS INSPFCTIONS PER UBC 1081FINAL IN .0 VALUATION I FEE PLAN CHECK FEE HEAT SOURCE G _LOT SLOPE % BUILDING PLAN CHECK NO: IV15TEO DATE PLUMBING ECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS Wo RKTo SE .NE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION 0. THE PUBLIC GRADING/FILL DOMAIN QUA.S, WAYS' MARQUEES, ETC.) WILLREQUIRE SIDEWALKS, DRIVE SEPARATE PERMISSION. RCHARGE PE MIT APPLICATION: 18Q Ay� PERMIT LIMIT'. I YEAR, PROVIDED W RK IS STARTED ITHIN 18Q DAYS eNG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MGRE INFORMATION ENG. INSPECTION FEE P F HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS F "INLIECRAENSTi.oAVEHALTO ;A iNDEMNIF DEFEND AND HOLD HARMLESS THE CITY OF N T A ES Y. LANDSCAPING S EDMONDS.WASIII G ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND TON RVIOLATIONOF INSPECTION FEE A AGE�OFWHATEVER NATURE, ARISING DMIECTLYOR INDIRECTLY IF AULCI-ALMS Fi I E $HALL NOT B RECEIPT I FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT I CE ANY REQUIREMENT OF ANY CITY C DEEMED TO MODIFY. WAIVE OR AEDu ORDINAN E PLAN CHECK DEPOSIT I 0 NOR LIMIT IN ANYWAY THE CITY S ABILITY TO ENFORCE ANY DFIDINAN— Hi, I �o 1 HEREBY ACKNOWLEDGE THAT; HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION'APPROVAL GIVEN IS CORRECT AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF Thil PPlii,lbll il I PI II u,,t,I.i,ld by th. THEOWNER� IAGREETO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC B,adilg Offili.1 .1 hillhll D,puty: ,d Fall 110 paid, a TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED WASHINGTON RELATING TO TION ap.jddI space ar—dod. IN THE LABOR CODE OF THE STATE OF WORKMEWSC�MPENSATION INSURANCE AN RCW18.27. _ 516NATURI DATE A AGE T __j DATE SIGNED (425) JIICIALI /6'u , A/va/ - V L4A g 41 0 0 771-0220 -,,, ') RELEASED Y DATE/ EXT 33� i ATTENTION IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 HAS BEEN MADE AND APPROVAL OR A CERI ORIGINAL -FILE - YELLOW- INSPECTOR A FINAL NSPECTION GRANTED. LED SECTION 109 FAX PINK OWNER- GOLD -ASSESSOR CATE OFIOCCUPANCY HAS BEEN z 0 m 0 00 c M M z z 0 -n 'n m M 0 0 o Fn C V) m co m 0 z -4 . . z