Loading...
20010558.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ERIAMEINAME OF BUSINESS_ ATY ZIP TELEPHONE 4AME kDDRESS ATY NAME ADDRESS CITY TELEPHONE STATE LICENSE NUMBER EXPIRATION FPERMIT 31 1 EXPIRLMS ERMIT USN P 00 1 — ZO E NUMBER JOE SUITE/APT- ADDRESS PI -AT NAMEISUBDIVISION NO LOTNO. LID NO. LID FEE I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP u EXISTING — PROPOSED— 0 Cl REQUIRED DEDICATION— FT — METER SIZE LINE Sl�� PRY REQUIRED I YES E3 NO 0 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED BY DATE VARIANCEORCU SHOREUNEORADEW INSPE. TI.1 BE .1 [3YES [3NO I B.ID STED BY tALLOWED SERA REVIEW CCOMILIII I EXEMPT P - EXP SIGN AREA ALLOWED PROPOSED I HEIGHT ALLOWED PROPOSED LOT COVERAGE PROPOSED REQUIRED SETBACKS IFT.) FRONT SIDE REAR I PARKING REGO I PROVIDED I LOT AREA I PLANNING REVIEWED By DATE C] NEW fiRr RESIDENTIAL PLUMBING I MECH C] ADDITION 0 COMMERCIAL C MPLIANCEOR CHANGE OF USE REMODEL APARTMENT RTME 0 SIGN 0 REPAIR 0 GRADING CYDS C:] FENCE DEMOLISH TANK ciGARAGE CARPORT m RETAINING WALL ROOKERY RENEWAL (TYPE OF USE. BUSINEEB OR ACTIVITY) EXPLAIN; NUMBER NU-�� T.2N OF - STORIES �EL TS DESCRIBE WORK TO BE DONE J..E.KE. Y ITY E OF CONSTRUCTION I CODE accul T e7 ROUP e.o CT Y� OCCUPANT SP CIAL INSP OR AREA REQUIRED C: E LOAD REMARKS vannnpqq IMqPFeTInNS PER UBC 1081FINAL INSPECTION REO'Di VALUATION PEE PIN CHECK FEE P N HEAT SOURCE GLAZING % OF E LOT SLOPE % L 0 T 'L. BUILDING U L PLAN CHECK NO: T D A T IYESTEODATE U P PLUMBING L U MECHANICAL E C VE RK R M T C 0 W THIS PERMIT AUT14ORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO ON . THE PU"-C BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 'LA GRADING1111.1. A 0 E WILL E.- - S TO OMAIN (CURES. SIDEWALKS. DRIVEWAY MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. I' STATE SURCHARGE -TAT PERMIT APPUCATIONt 1-0 DAYS PE' I.. -A S PERMIT LIMIT. 1 YEAR , PROVIDED WORK IS STARTED WITHIN 100 DAYS 'MIT' ' YA R ENG. REVIEW FEES EN. �AT-Ohl SEE BACK OF PINK PERMIT FOR MORE INFORMATION SEE BACK OF N PIS I A PLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS P C N SU . END INSPECTION FEE ENN I C OF tj IN IN— EST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING LA NO 2 EOMONOS.WASHINGTON ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND 0 . DS SH. TSF 0. , A C I M OR CTL 0 . C R P RE TLY Q ALL -AMA ES OF WHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY C`AMSFOFO G INSPECTION FEE NS T m FROM THE ISSUANCE 01 THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT P A DEEMEDTO Fl.—VE OR REDUCE ANY REOU REMENTOF ANY CITY ORDINAI,IC .0. P "`C Mool Y W I Y TO ENFORCE ANY ORDINANCE PROVISION NORU.'T I NY ORD C , V E. NORUMITINAN .�T.ECTY L T //0 2 TOTAL AMOUNT DUE T.T 1 715 1 HERE$ ACKNOWLEDGE THAT I HAVE P1A.T.IS APPLICATION THAT THE 11,1FORMAT ON APPLICATION v AL GIVEN IS CORRECT. AND THAT I AM THE OWNER OR THE OLLY AUTHORIZED AGENT OF T­ 001-1— � - t,p,!PPRO THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONETRUC- TION CALL ­g 0II.­1 D­ly .�,l F-1 .�d AND IN DOING THE WORK AUTHORIZED THEREBY NO 'EPSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION ,,.,pt,, --wildgld �l ­11 P'l..dla INORKMENS3��"SATION INSURANCE AND RCW 18 27 DATE S;FRE ENTI DATE SIGNED (425) -1111-1119 )` �7-Z2�7-01 1 771-Ozzu RELEASEDBY DATE ATTEhTIOW EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. LIBC SECTION 109 FAX PINK-OWNEA - GOLD ASSESSOR "S z om co m 0 80 c 10 0 n m M e a 0 0 m z C, z z 2 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: M, IT! Underground ............. Rough -in ................... ir Commercial Final HEATING: j GasTest .................... Gas Piping ................. Equipment m 10 air Commercial Final EXTERIOR SHEATHING NAILING ....................... m 0, FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. S CITY OF EDMOND CONSTRUCTION PERMIT APPLICATION zip ZIP ITELEPHONE 11,IJ PERMIT EXPIRES US' ZONE ERMIT NUMBER �w 1 —105519 SUITUAPTO ADDRESS I�, '7� PLAT NAMEISUBDIVISION NO. LOT 10, LID 110- LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED— S­ R.Wshid 0 REGUIRED DEDICATION— — FT — — uhftmhi­d Vi" -,I.d __ Q 'E 7 ..IFI.TUFEB T PRVFE.UIFE. 1 Y ES' NO �3 IT MARKS OWNE APCONTRACTOR RE SPONSIBLE FOR EROSION CCONTROLDRAINAG E 1_'11,4_14LK562 42A&274!F� ENGINEERING WDRESS FIRE REVIEWED BY DATE 'ITY zip TILEPHDNE VARIANCE OR CU SHORELINE DR AOBN INSPECTION OYRE 'D ES C3 NO BOND POSTED STATE LICENSE NUMBER EXPIRATION GAT CHECKED BY SEPA REVI EW COMPLETE EXEMPT SIGN AR EA ALLOWED PROPOSED .12I..T ALLOWED PROPOSED -AOPE TAX ACCO TPARCEL NO. EXP I I 0 NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE ALLOWED PROPOSED _L� REGUIRED SETBACKS in) FRONT 11111 R-R PROPOSED SETBACKS (FT.) FRONT LTISIDE REA9 [3 ADDITION 0 COMMERCIAL COMPLIANCE OR CHANGE OF USE PARKING LOTIREA DATE 0 REMODEL APARTMENT 0 C3 SIGN RED D I PROVIDED 1111NIIIIIIIEWEDBY REPAIR 0 GRADING CY.. C] X py) -AEMARKS 0 DEMOLISH 0 TANK 0 GARAGE .A CRT 0 RETAKININYO WALL RENEWAL ROD ER (TYp.ECFUSE. 8USINES ORACTIVITY)EXPli -PECKED BY CHECKED By �TFU�TIGN 'P 77 O-c-"-U 7T,4":�� NUMBER OF STORIES NUMBER 11 G ELLIN. C IN LUNG U UNITS CP'TlS AR EAS NU. SPECIAL INSPECTOR R U, 0 JAREA OCCUPANT REQUIRED YES �OAD DESCRIBE WOR40 BE DONE REMARKS -ECTION RED' PROGRESS INSPECTIONS PER UBC 1081FINAL INSI PRO wl a V/m — I m INWOWW"m WIXUIIIIIIIIIIII PLAN CHECK FEE __17-rK -o -0 'ou GLAZING 1* R.0 E. BUILDING 5 e t:`2i v� 0 NEAT I LA C C 0: _rTED DATE HE PE PLUMBING MECHANICAL THISi AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GAADING/FILL 2 DOMAIN ICUPHIS. SIDE RITYEEWATS. MAoRQUEfS, ETC,�WILI� 9EQUIRE Z 'o _ I, RA PE MIsw N. 7TATE SURCHARGE INE MIT APPLICATI N; 180 DAYS 'A PERMIT LIMIT. i Y PROVIDED WORK IS STARTED WITHIN 120 DAYS ENG. REVIEW FEES SEE BACK ot; PINK PERMIT FOR MORE INFORMATION ING. INSPECTION FEE P PLICANTONBEHAL OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORIS ;A MLESS THE CITY OF N NTEREST. AGREES TO :ND MNIFY, DEFEND AND HOLD PAR I EFFICIALS. I-ANDSCAPING TON, TS EMPLOYEES. AND G 2 EDMONDELWASHING A�914TS FROM ANY AND ALLCI-AIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DI ECTLYORINDIRECTLY -INSPECTION FE x Fl�IOM THI. ANIE 01 THI.S PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT 81 'SSU PLAIN CHEqK D G -`N _WAVEo E.UrE A Y REQUIREMENT OF ANY CITY F.,NAN HOF L .. T I N A YW�YT.E.ITY� ABILITY TG ENFORCE ANY ORDINANCE PROVISION. IR 71V/0 TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLI ATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This IPPICIIS is It I pellit I.Ilt sighed by the THEOWNER. I AGREETOCOMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- WILL BE EMPLOYED CALL B111-D Offill.1 of hishel Deputy: led Fee, — PlId. Ild TION; AND IN GOING THE WORK AUTHORIZED THEREBY. NO PERSON WASHINGTON RELATING TO FOR INSPECTION —PI is 11showledged space p­,d,d IN VIOLATION OF THE LABOR CODE OF THE STATE OF WORKMEN =SATION INSURANCE AND RCW 18.27. OFFICIALS St TURE DATE SIGNED (425) _4112 771-0220 RlllAlEQ BY I CATE ATTEATIOIC EXT I 3d3 ITS UNLAWFULTOUSEOR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 '1 - A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. ORIGINAL - FILE YELLOW - INSPECTOR CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 1,98 Z 0 om c- A A 0 111 M M 0 o Fn c M 0 Z m