The URL can be used to link to this page

20000982.pdfDATE RECEIVED a i cj_ i PERMIT EXPIRES U.S, PERMIT CITY OF EDMONDS Z 4 A-N-6 NUMSER CONSTRUCTION PERMIT APPLICATION JOB 5 ITEIAPTO ADDRESS 'i D AND NDSCAPRIG V�N7 NAMEINA EBB ME OF V, Alw I I I kA ) PLAT NAMEISUBDIVISION NO Ll NO, LID FEE S AILING A //00-R 41AI41, P BLI FIGHT OF WAY PER OFFICIAL STREET MAP U EXISTING — PROPOSED REOUPREDDEDICARON_ FT L.I 0 F.�� 0 0 0 9 CITY ZIP TELEPHONE Z;7/— NAME PRI 81CUIRIO YES 0 NO E3 �3 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAl— CITY ZIP TELEPHON M ENGINEERING REVIEWEDOATE ADDRESS ge- FIRE REVIEWED BY DATE VARIANCE OR CU SH7RELME OR ADBN INSPECTION BOND REQQ 1POSTED OYES ONO STATE LICENSE NUMBER Jay, P SERA REVIEW COMPLETE hXhMPf _SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROP RTY TAX C UNTRARCELNO. 4,24.7 n_7/ EXP I [3 NEW RESIDENTIAL PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT UPSIDE REAR -O-ME o COMPLIA CE OR [3 ADDITION COMMERCIAL CHANGE OF USE :APARTMENT PARKING LOT AREA REVIEWED BY DATE C] REMODEL 070 SIGN REQD PPIOIMED� 7NING FENCE X X REPAIR GA DING CYDS 0 X FTJ E [ff DEMOLISH C] TANK o OTHER AGE RETAINING WALL 0 RENEWAL C3 G.A�R,.RT 0 ROOKERY ITYPE OF USE. BUSINESS ACTIVITY) EXPILAIN: C41CKIDIY JTYPEOFC N! i T It 1 :11' A, 0 CODE 0 CUPANA 7- GROUP BER F NUMBER MUM 0 OF 1� DWELLING UN— STORIES CRITICAL AREAS FLb—I 177 NUMBS SPEIIA INSPECTOR JAREA REQUIRE. [] YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS ER USC 108/FINAI INSP rTInN AFCY�n PROGRESS INSPECTIONS P 12 .11& I VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZIN % LOT SLOPE % PLUMBING PLAN CHECK NO: VESTED DATE MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLRIC WAY' DOMAIN (CURBS, SIDEWALKS, DRIVE , MARQUEES, ETC.) WILL REOLI E m SEPARATE PERMISSION. HADIN6fFILL 4�WSUACHAPGE PERMIT APPLICATION: 18l DAYS PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENS. REVIEW FEES END, INSPECTION FEE -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASS' NS UC ES S HOLD HAP LESS HE ITY F !3 IN INTEREST, AGREES TO INDEMNIFY� DEFEN EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND A E ANY AM INSPECTION FEE 2 HE ALLCLAIM1,ORDAMAG11O1WHATEVER MATURE'AR'SIN. "I HE TT Y IN IRE TLY OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT FROM THE'SSUANCE DEEMEDTOMODIFY, WAIVEORREDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT INANYWAYTHE CITY-SABILITYTO ENFORCE ANYORDINANC TOTAL AMOUNT DUE 81 E�T IHEREBYACKNOWL�D�G.ETTHATT;A�MAVT��EA. HIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN , CORRECT, A 'A HE OWNER. OR THE DULY AUTHORIZED AGENT OF I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL ,,, ,pI.,,. 1. p1 110iL �ipld by th. I "I )oputy: �d Flo, ala old, Ild THE OWNER, 'PON; AND IN DOING THE WORK AUTIHORIZEG THEREBY. NO PERSON WILL BE EMPLOYED RELATING TO FOR INSPECTION IN VI HE LASO CODE OF THE STATE OF WASHINGTON K gIF T 0 K Is C MPENSAT12&SURANCE AND ROW 18.27. W R� S C (425) OFFICIALS SIGNATURE DATE SIGNED 1.11W94 L�ATE -,gg 771-0220 ILI Y N EXT1333 A�N ITIS UNLAWFULTO USE OROCCUPY ABUILDING OR STRUCTURE UNTIL 771-02211 tyl A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR sm z c m m 0 c: m > Om .n MITI -2 Fn IT C) z z 0 M FINAL -PROJECT APPROVAL FORM TO. — DATE:_ MEMO TO: pERWr COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE— GPIVISIONDATE—A �O PLANNING DIVISION DATE— PROJE I/W Z-A) Vt-F SITE ADDRESS— —.L' —v PERMIT g 7.0,4-?92-_ADB#________PATEINSPECTED—....M::� DESCRIPTION OF WORK TO BE INSPECTED—LW.&?A— approved plans. Final approval denotes that A field inspection was conducted to detennine compliance with there no objections from the above signed Departnient to the granting Of are pp. -,.I of the described work FINAL PROJECT APPROVAL ___X_GRANT PROJECT APPROVAL WITH CONDITIONS NOTED FINAL INSPECTION - OUTSTANDING ISSUES 1. 2. 3. RE_INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL ,aprvl.doc.l:telnp..bidg:fo-6/98 z 9 0 m C: m M 0 0 80 C M M z 0-4 z o -n m M 065 0 0 C cy) 9 (D M 0 z 0 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... wall .......................... PledPorch ................. Zi Retaining Wall ........... 0, 0, i;.�, stab insulation .......... PLUMBING: Underground............. in Rough -in ................... -40 Commercial Final a M, HEATING: M ID Gas Test C > GasPiping ................. Equipment Commercial Final !9 M M E)iTERIOR SHEATHING 0 NAILING .......................... oFn Fll� FRAMING ........... F1 FIST FLOOR FRAMING INSULATION ................... t Floor Insulation Wall Insulation Ceiling Insulation z 0 SHEETROCK NAILING —I SPECIAL INSPECTION hill MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ................ _j 7 7 a I PERMIT CITY OF EDU E NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS SUITE/AFTW SI EBB NAMEISUBDIVISION NO, LOT NO, LID NO. 12 &a-j ILK LID FEE $ MAILING ADDRESS PER FFICIAL STREET MAP PUBLIC FIGHT OF WWAY PEll 14" 0 fft'. 0 q11 - 41411 0 d 0 ZIP TELEPHONE EXISTING PROPOSED =%Rooll ..d .1.1 0 4 'Z �23 ADDRESS tz� ZIP �LE ONE '; -STATE LICENSE NUMBER —,,—,..N AlE -A C ... KE. BY 0 NEW 0'11�181�ENTIAL 0 PLUM131H.IMEC. 0 A..ITI.N o COMMERCIAL o COMPL ANCE OR CHANGE OF USE REMODEL C3 APARTMENT 0 SIGN FENCE REPAIR 0 GRADING CYCE ( — X FT) DEMOL ISH TANK OTHER GARAGE CARPORT 0 ITEDUNN�.WALL F( 'EF C] RENEWAL ACTIVITY) EXPILAIN: 11UMBER BEF F UM '0 GRIETISCA OF WE LLING AR AS NUM Ef� STORIES _L�UNV_ T S t 19 - REOUIREDOEDICATION� FT — 0 APV REQUIRED No 0 IEMARKS RESPONSIBLE FOR EROSION CONTROLIDRAINAGE z DWNERICONTRACTOR -NGINEERING REVIEWEDIDATE FIRE REVIEWED By DATE 0 0 VARIANCE OR CU SHORELINE OR ADB# INSPECTION ReaD BOND POSTED OYES [3NO SERA REVIEW HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED �XP I I I rn LOT COVERAGE _�EQUISED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT USSIDE REAR 0 C PARKING LOT AREA PLANNING FEW —E BY DATE REG�G PROVIDED M z I Z REMARKS 6) on k A III By C NSTRUCTIO CODE 0 UPAIA 3. 7_ DR. P m T (4 0 ICHECKED �TYPEOF PECIAL INSPECTOR Ep S AREA OCCUPANT LOAD 'U'R' E<� REQUIRED 0 YES IS o A 0 REMARKS S�P�ECTION RE D PROGRESSI U Z VA UATION FEE z PLAN CHECK FEE !4 0 HEATSOURCE I / LOT SLOPE % 1./ BUILDING m PLAN CHECK NO: ED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADiNG/FtLL . DOMAIN ICURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE :1 SEPARATE PERMISSION. SURCHARGE sl PEAMITAPPUCATION: ISODAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FDA MORE INFORMATION ENG. REV15W FEES ENO. INSP CTION FEE 'A PLICANTONSE LF F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN INDIMN 01111,11 AND " D LESS THE CITY F I TEREST� AGREES T AND TSFROM ANY LANDSCAPING ED FI 11 E,oA' 3 ONDS, WA HINGTON, ITS OF LE, EMPLOYEE NG= SDI ALL IMSFOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTI YOR INDIRECTLY INSPECTION EE CTtON REC IPT FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEM90TO MODIFY, WAIVE OR RE CE ANY FIEQUIREMENTOF ANY CITY ORDINANCE OU 0 NOR LIMIT IN ANY WAYTH5 CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - TOTAL AMOUNT DUE RIZIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE 9WINSER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC PERSON WILL BE CALL h �/h.l D.P71,d Poll Pald. a,,d NOTHEWOR AUTHORIZED THEREBY, NO EMPLOYED TION: AND IN DOING THE WOR THE CODE OF THE STATE OF WASHINGTON RE ATING TO L A FOR INSPECTION -PI l� ..kI.dl.d �P P—ld- IN vio M0.1 Wop%rN S PENSATIC, RANGE AND ROW 18-27. UU OFFICIALS SIGNATURE DATE SlONATU E DATE SIGNED (425) 1-0220 771 0220 ELEASESS'y DATE WAWA NTI6NN 7� �E EX17333 5i:� A IL-1 5- IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 J\�" D'�A IT A FINAL INSPECTION HAS BEEN MADE AND APP ROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX ASSESSOR