Loading...
20010604.pdfDATE RECEIVED U /a --I /0 1 1 [PERMIT EXPIRES USE PERMIT CITY OF EDMONDS .MBER CONSTRUCTION PERMIT APPLICATION JOB SUITEJAPTI ADO'E" F-50 , loll_�l 0!�rENAME OF SUSINES Le �&l It )14- )01 ) PLAT NAMEISUBDIVISION NO LOT NO 7'... 1 MAILING A bbREss I LID 'BE E PUBLIC RIGHT 01 WAY PER 0111114L STREET MAI 7­411- 0 0 S­. ­P-IRld 0 CITY GTE EXIS ING- PROPOSED- A.1-d 00 ,ATILEPH REQUIRED DEDICATION- FT - METER S17E LIAElIZE 11. 01 IIXIUREI FEGIIIED I EPRI s 0 NO 0 q ADDRESS 'REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP NAME 6CA ­ORFSE FIRE REVIEWED BY DATE C'�i E I t VARIANCE OR OU SHORELINE OR AOBI WSPECTI N P EO'. I PBOND OSTED STATE LICENSE NUMBER EXPIRATION DATE CHECKEDETY "YES E3 No dzil I�W "IM14 SEFA REVIEW COMPLETE EXEMPT SIGN AREA A ED HEIGHT 1�� Pj;ljEl PPOPr�rX L EXF I LOT COVERAGE REQUIRED SETBACKS(ET.) PROPOSED SETBACKS I".) Ej NEW �(REEIIDENTIAL, 0 FLUMBINGIMECH ALLOWED VROPOSED FRONT 'Ili , R R A,7,', RR PLIA.- OF ADDITION �NGECFUSE 25 7 , .0 XC PA PARKING LO 11 G RE IEW BY DATE C] REMODEL E] APARTMENT SIGN I REOD :a I IROVI. ED I -a 0 JZ� 0 GRADING El.E , REPAIR CYD� El FTI TWA- G�V� �7 DEMOLISH TANK OTHER GARAGE r-1 RETAMING WALL RE-L. CARPORT_ ROCK, Fly I (TYP101USl,llSIl 501AOTIVIIIEXII-All E CHECKEDBY ITYPEOLWON IW7 I OCOUPA" R.LP NUMBEROF F:. 0 RITICAL AR EAS P.CUL A_AEA OCCUPANT OF STORIES D E LNG L NIT NITS U N UMBER I _zij R IR ECUHR, LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1OWFINAL INSPECTION REO'D JIM:" Vi ftt VALUATION FEE PLAIN CHECK FEE HEAT;,O,UF,�� GLAZING % LOT BUILDING PLAN CHUCK NO: ... TED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTEO THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GEADIN."ILL DOMAIN (CURBS . SIDEWALKS. DRIVEWAYS . MARQUEES, ETC.) WILL REOIJIFE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. I YEAR- PROVIDED WORK IS STARTED WITHIN 100 DAYS ENG REVtEW FEES SEE DAC K OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ON BEHALF 0 F Ill S OR H E A SPCUSE, HEIRS ASSIGN S AN D �UCCEIORS ENG, INSPECTION FEE TO INDEMNIFY. DEFEND AND HOLD NARMLE IN INTEREST. AGREES SS THE CITY OF LANDSCAPING a EDMONDS WASHINGTON. ITSOFFICIALS EMPLOYEES. AND AGENT SEROM ANYAND INSPECTION FEE X IRECT ALL CLMMS FOR DAMAGES OF WHATEVER NATUREARISINGO LYORINOIRECTLY - RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT I DEEMEOTO MODIFY. WAIVEOR REDUCE ANY REQU�RWENTOr AN' CITY ORDINANCE NOR LIMIT MANYWAYTHE CITY $ABILITY TO ENFORCE ANYORDINANCE IFOVISON RECEIPT TOTALAVOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ TNIS APPLICATIOW THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THA A. TT.E HE IULY AUTHORIZED AGENT 01 T' ` T Y., A 'S , LAWS REGUI-AT CONSTRUC ETHE.EA`Y ­4 ,­ C L THECWNER IAGREETOC `PL E TION THE WORK A LIT NO P PEON WIL'LTE _11,,711 8-ty - EPP, EMPLOYTFD AND IN DOING HE STATE OF WASHINGTON RE ATING 0 FOR IN PECTIO WC;�L�," EURANCE A 1. 27 F IA L E GNATU�� DATE DATE Sla� ' 771 LFASFD BY ATTENTION EXT 1333 vz;?z"" IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 'X A FINAL IN S PECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLOW NSPECfOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER FAX - GOLD-ASSESSO. ��a z 0 0 0 m c a m 0 m m c 2 o -n n m M 0 o Fn C (j) M 0 z ;u z z 0 q 0 m ojECT APP FIN PR F--T----R-0-YAL -VORM TO:_� DATE: NMMO TO: pERWr COORDINATOR, BUILDING DIVISIO14 FIRE DEPARTMENT DATE----� FROM: ENGINEERING DIVISION DATE—� ���PLANNIMG DIVISION DATE--���— PROJECT— SITE ADD PECTED ------ PERMIT # DESCRIPTION OF WORK TO BE INSPECTED nducted to determine compliance with approved plans. Final approval denotes that A field inspection was c.o to the granting of: there are no objections from the above signed Department Final approval of the described work ADDR7 _GRANT FINAL PROJECT APPROVAL pROVAL y4TH CONDITIONS NOTED GRANT PROJECT AP -.FAILED FINAL INSPECTION OUTSTANDING ISSUES 1. 2. 3. RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:forms6/98 �0 W ;C Cal M ii FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: —FIRE DEPARTMENT DATE- 2)Ua�-)P�ENGINEERWGI)IVISIONDATE --kk-& PLANNING DIVISION DATE— Ui PROJECT 0 SITE ADDRESS C) PERMIT 4 ______—.PATE INSPEC ,�§ _00WOO ADB# L DESCRIPTION OF WORK TO BE INS & 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: Final approval of the described work C):� GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL oraprvl.doc.l:temp:bldg:forms6t98 w RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... rWall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground Rough -in ................. Commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 2ffO(----O&O �- M 0M M M 10 01 M IT Fn 00 > z z rn /0 1 101 P&MITt*XPIRES ... PERMIT CITY OF EDMONDS ZONE Q53 U M. E R �Ml - /V PERMIT APPLICATION '�OG EUITEJAPT. CONSTRUCTION -)rDr)jA_ k)A" O�!�IIAMI 01 IUSIIES FLAT NAMEISUeDIVISION NO. t LOT NO,, UDNO I LID FEE S MAILINGADDRESS 1-1— u lo PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 8 CITY EXISTING — PROPOSED— o o ,j�,,ATELEPH 4,-4- 5--77/— REQUIRED DEDICATION— FT o NAME METER SIZE LINE SIZE 11 OIFIXTUIIS P V REQUIRED I YES 0 NO C3 ADDRESS 'REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE NAME C, ENGINEERING M ADDRESS 'FIRE REVIEWED By DATE ZIP TELEPHONE IM20,6 lk,9-77)ffT- — VARIANCE OR CU SHORELINE OR ADBP INSPECTION E3YRE ES VN. I PBOND OBTED STATE LICENSE NUMBER E.F.—ION DAI 4 /.VJ 6' SERA REVIEW COMPLETE I EXEMPT EXP X SIGN AREA AL.LOWIDPROIOIED 7HEIGHT ALLO ED I PROPOSED 0151 PROP�RTYjM L U ;�17 0 NEW C] ADDITION RESIDENTIAL 0 PLUMBINGIMECH 1ANCE L --PL EC'U. C MERCIA XC�.AN. SE LOT COVERAGE ALLO :3;WRIPIIEI REQUIRED SETBACKS (PT3 1 0 T SIDE I REAR I as' 71k 15 1 PROPOSED SETBACK$ (FT) FRONT �jn E FEAR I I - /,7 � ?h ii is PA AKfNG LOTAAE��PLA%Aj:�W DATE REMODEL REPAIR APARTMENT 0 0 RADING CYD. SIGN FENCE X FT) REDD Z I PROVIDED 0 -AMARK5 E] DEMOLISH 0 TANK OTHER ciGARAGE CARPORT C3 R.ETA.1N.INGWALL P 0 RENE VAL 2 (TYPE OF U:E. BUSIN SOR ACTIVITY) EXPLAIN. CHEFKCDBY JTYPEOL=10� FOUR 4�7 .60cbmtL5 _��,UMEER OF NUMBEROF I C a W _N Nil CRITICAL AS A E S NUMBER 1PECIAL111PECTOR JARIA D REQUIRE YES lAfANT DESCRIBE WORK TO BE DONE REMARKS 'NI.;IlrlT'.NS PER UBC 1081FINAL INSPECTION REO'Dlq VALUATION FEE PLAN CHECK FEE _N C.'C FEE HEAT SOURq GLAZI t�S I NO I LOT ILDIN. 5 L'LC'N. rNA' 64 PLAN CHIICK NO: 1111TED DATE FL-ME,NG PLUMBING M CHANICAL '. C L E r A THISPERMITAUTHO RES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. AN' CONSTRUCTION ON THE PUBILIC GRADINGIFILL DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS , MARQUEES, ETC,) WILL REQUIRE D SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATI N: 1.0 DAYS A, PERMIT LIMIT. I YEAR - ROVID D WORK IS STARTED WITHIN I.D DAYS P E END REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INF.RM ITION END INSPECTION FEE -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIAS, ASSIGNS AND SUCCESQRS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING I E VONDS.WA5HINGT N. I S OFFICIALS, EMPLOYEES. AND AGENTS FRO. ANYAND ALLCLAIMSFO DAMAGES rWHATEVERNATUAE. ARISING DIRECTLY On INDIRECTLY INSPECTION FEE FROM THE ISSUANCE 01 TH S PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT IRECEIPT DEEMEDTo MODIFYWAIVE011 REDUCE ANY REQUIRE.ENTO, ANYCITY ORDINANCE 0 NOR LIMIT INANYWAYTHE CITY SABILITY TO ENFORCE ANYORDINANCE PROVISIONga 77A.UUNT..E IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL P_ �HIVEoNWS CORRECT. AND THAT I AM THE owl! Qq THE DU�Y AUTHOR ZED AGENT OF CONSTRUC T­ lPpj...j.,­l blt I pl—I lbtI ll,ld by lb, ��r NEk I AGREE TO COMPLY WITH ' STA LA REGULATING ASON WILL BE EM PLOY ED CALL F " ' — . 11 1. _-lb ND INDO X VLAYU='E`G TNIE RE EITEN.W2 WASHINGTON RELATING TO FOR INSPECTION �T�10 U. NCE, .C��". SURAN I�PALS S"GIN u A DATE AT DATE Sg)/ (425) 1 . - /7 a44yZA L`E�ASED -1 dilf 771-0220C By DATE ATTENTION EXT 1333 UNTIL IT IS UNLAWFULTO USEOR OCCUPY ABUILDING OR STRUCTURE 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPRWAL OR A CERTIll- ONGINAL-FILE - YELLOW. NsIEC�.R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD ASSESSOR z 0 =1 - 0 0 m c IT! cl 0 80 c IT! m 10 0 -n M M In Fn C (n r. (1) - M 0 z 0 :j 0 m