Loading...
20010671.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME.AME OF BUSINESS MMZ, � F�- A CITY q? El NE ITI I PERMIT EXPIRES use 'ONE P RMIT 2- NEUMBERMN-067, ADDR ,Do 2V4d SUIT -IT, FILAT NAMEiSUBDIVISION NO. LOT 10, Ll N I FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP _LID 7� R.100 I,­1 A., EXISTING — PROPOSED — RE UIRED DEDICATION— FT NO-OF111TURIS VIIIIU18ED I YESC3 No R MARKS Gw­�ONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE FIRE REVIEWED BY DATE - LOT FO—VERAGE I REQUInEDSET.rlB,11 PROPOSED STSACK&A(FT) • NEW [jr<EWIDENTIAL PLUMBING I MECH ALLOWTID PROPOSED FRONT SIDE REAR FRONT UR SIDE F R I • AUDITION C3 COMMERCIAL o C MPLIANCE OR CHANGE OF USE I PARI ING LOT AREA PLANNING REVIEWED BY DATE • REMODEL 0 APARTMENT 0 SIGN RED FLO PROVIDED I I I 0 REPAIR 0 FENCE X FTI X FTJ MARKS 0 DEMOLISH 0 TANK 0 07HER IWAILL 0 REN—WAAL oGARAGE CARPORT 0 %�KIN F (TYPE OF USE. BUSINE=L,UN: �A CHECKEDBY ITYPE;tWXN 1C E OCCUPANT '7 7 1 GROUP k-7 NUMBER OF NUMBER. D IT S A. AR —�H CA. SPECIAL INSPECTOR P OCCUPANT OF STORIES UnELLING "EAS UMBE 11I)tj N MBE JAPEA REQUIRED 0 YES LOAD PER UBC VALUATION I FEE PLAN CHECK FEE GLAZING % LOTSIOIJEIIUI LD' NO PLAN CHECK NO: IVISTED DATE PLUMBING PLUMBING i i MECHANICAL C THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 70 US BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL 3 DOMAIN (CURBS. SIDEWALKS, VEWAYS MARQUEES. ETC) WILL REQUIRE URI U SEPARATE PE0115sioN. V-'j'U ... AF.E U PE MIT APPLICATI N: 180 DAYS PERMIT LIMIT. AR. PROVIDED WORK IS STARTED WITHIN 1411 DUB I YE END, REVIEW FEES SEE BACK OF PINK PERMIT FDR MORE INFORMATION ENG. INSPECTION FEE ON BEHALF OF HIS OR HER SPOUSE, HEIRS� ASSIGNS AND SUCCESORS —LANDSCApiNG ;APPLICANT 1� N NTERE ST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS SHINGTON, ITS OFFICIALS. EMPLOYEES ANDAGENTSFROM ANYA411 ALLCLA FO E. ARISING DWECTLYORINDIRE lMiWAR DAMAGES OF WHATEVER NATUR C INSPECTION FEE �RECEIPT III FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE 'oV'SK`N CEIIT 15V T' TAL AMOUNT DUE IR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLICATION APPROVAL T. A D T AT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF GIVEN IS CORREC T N " A. I AGREE TO COMPLY WIT. CITY AND STATE LAWS REGULATING CONSTRUC- CALL T­ THEOWNER .y . T ION, AND I N DOING THE WORK AUTHORIZED THE REBY, NO PERSON WILL BE EMPLOYED DOp,IY I'll, , I G . IN VIOLATION OF THE LABOR CODE OFJHE STATE OF WASHINGTON RJELATINGTO FOR INSPECTION focelP!IsacknowIodQ.d­F­p. WORK�ENSCOMPEN=SURAN ANDRCW18,27 E TE sl I (OWjr DATE SIGNED (425) GFI6N I "AG 771-0220 RELEASED By DATE ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 1 ORIGINAL - FILE - YELLOW - INSPECT R A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR Else z 0 j m m a -1 0 0 0 m O'n nj r M n 0 0 0 F, O� z rj) z m p , M "J -W, I r RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... 66 I*irisulation PLUMBING: Underground ............. Rough -in ................... Commercial Final HEATING: LO (2. Gas Test .................... 0 L&tga_ Gas Piping ................. Equipment .................. . Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... _07 - FINAL APPROVAL FOR OCCUPANCY .................. joo /a, 064 71pe "'N M M 0 !, 0 171 to -4 C Z co) 0 n n M M 8 rn� C z 8 11111 0 PERMIT EXPIRES I I CITY OF EDIV16fbs USE ZONE 2- PERMIT NUMBER 2Z/ 067/ JOB ADDRESS 6120 4A�TO ITEIAPT* 5�s_ — CONSTRUCTION PERMIT APPLICATION OWNER NAME�IAME OF BUSINESS Pi -AT NAME/SUBDIVISION NO. I LOT NO* 11 0. LID FEE I I MAIL PI1.11. R ,-IT OF Way PER OFFICIAL STREET MAP Ted­a­ae P­ II'd =Rae-aw EXISTING � PROPOSED� REQUIRED DEDICATION— FT 0 In N METER SIZE UNE SIZE NO.OF1I-URES PR1V'F!;.UIRED NAME I YES C3 NO 0 .3 ADDRESS KS REW ARKS NER-ICONTRACTOR RESPONSIBLE OW RA FOR EROSION CONTROUDRAINAGE CITY, '21P. ITELEPHOtf NAME TELEPHONE 41�7c—_ -, LICENSE DATE IF Xp 'P M c- a I MECH TT zAGE V REQUIRED SETBACK$ (Fr.) FRONT SIDE REAR PROPOSE SETBACKS(FT.) FRONT URSIDE R R 0 NEW LUMBING (3--.E.I.ENIIAI ALLOWED PROPOSED PR 0 C MPLIAN E OR 0 ADDITION 0 COMMERCIAL CHANGE OF U E LARK C) PARKING PROV RED D PROVIDED I EA JPILANNINGREVIEWFOSY DATE I I E3 REMODEL C-] APARTMENT SIGN m GRADING C] FENCE X PT) REPAIR CYDS x PT) 10 ARKS ­y S — — 0 DEMOLISH 0 TANK o OTHER 0 RENE Ap� RETAINING WALL FIENE G.A9eGRT 't-JA _XgRy 03 r"ICKE05Y OCCUPA.T"e (TYPE OF USE. BUSINESS OM) EXPLAIN: a gN ITYPE=;W GROUP m M at UMDER NUMBER I OF WELL NO OF 6jr,� A!AL TIC L ITICAL CR EA AREAS SPECIAL.INSPE.TOFI COCU PANT LOAD N T.' NUMBER JAR�A EGLI R R C] YES - 0 0 0 Fn 1 DESCR;EW 2-5 rL) BE D��Ej i REMARKS PROGRESS INSPECTIONS PER UB I 081FINAL INSPECTION REOM iS 0 VALUATION FEE PLAN CHECK FEE z _70 HEAT SOURCE GILAZING I LOT SLOPE % jTHS BUILDING PLAN CHECK NO: [ITE11111 PLUMBING m MECHANICAL THIS PERMIT AUTHOFIdES ONLY THE WORK NOTED. PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC D L REO IRE OMAIN (CURBS. SIDEWALKS. DRIVEWAYS. MARQUEES ETC.) WIL SEPARATE PERMISSIPM j GRADING/FILL ER ITAPPLICATION! IMIDAYS P M PERMIT LIMIT: I YEAR, PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES V AIPUCANTjON BE"ALFOI HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS ;NNTERES . AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY .1 M EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANYANO ALLIC-AIMS FOR DAMAGESOF WHATEVER NATURE.ARISING D­­­ ­­­­ ­ FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE GEEMED TO MODIFY. WAIVEOR REDUCEANY REOUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISI ON.' ENG. INSPECTION FEE LAND A NO 'C P' INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DL RECEIPT I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION GIVEN Is CORRECT. A D THAT I AM THE OWNER OR THE DULY AUTHORIZED AGENT OF THEOWNER. I AGREE TO COMPLY MT. CITY AND STATE LAWS REGULATING CONSTAUC TION. AND IN DOING THE ING RK AUTHORIZ ED TH ERESY, No PE ASON WILL BE EMPLOYE D IN VIOLA71ON OF THE LABOR CODE OF�JHE STATE OF WASHING70N RELATING TO WORKMEN S COMPENS �I�NSURANCEIkND RCW 18 2 1 GAII SIGNED - SIGNA,16AE CWNE� /.;( , I VVI I 1 APPLIC&ION APPROVAL CALL 'ng an add 8u0,"3OHp,',,I e, n­e, Deputy: and Fees na F.Id. and FOR INSPECTION "".Pt ­p. F­dod. OFpF (425) , 5 � & �/, -0220 DATE 771 RELEAS(FO By ATTENTION EXT 1333, IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ORIGINAL FILE YELLOW -INSPECTOR PINK - OWNER GOLD - ASSESSOR ,I).