Loading...
20010674.pdfL: REC EIVED 4 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 0 ;?-,/ (2) ( I I PERMIT EXPIRES USE L PERM T ZONE C C-1 NUMBER S ITEIAPTA ADDRESS zy ,Qez AW-1 91: PI -AT NAMEISUBDIVISION NO. I LOT NO. L L�D N D FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED — REQUIRED DEDICATION— FT METER SIZE I LINE NO� 01 FIXTURES PRV PEOUIR D YES 1:3 NO 0 CITY ZIP TELEPHONE ENGINEERING REVIEW5DIDATE ADDRESS E Da DATE 14 oq CITY ZIP 0 I TELEPHONF, /A.IANCE F(rU ... RELINE OR AGE. lNBPE.!I.N OYRE . ES ONO I PB OTTE. STATE LICENSE NUMBER DATE MnAEL *7,1912V- 41110S ON BY !ff ­­ LEIE I PT EXP SIGN AREA ALLOWED , PROPOSED HEIGHT ALLOWED PROPOSED I qllNT ll­"�_r � Q 0� 'W7 'T (Z�9 oc� C] NEW TIAL PLUMBING I MECH AD ITION L C MPLIANCEOR 0 CHANGE OF USE 0 RE DEL SIGN REPAIR GRADING CY.E C] PENCE IT) [3 DEMOLISH C] TANK ciGARAGE f­1 RETAINING WALL RENEWAL CARPORT L­` ROOKERY LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UP SIDE FEAR PARKING REOD I PROVIDED LOT AREA PLANNING REVIEWEDBY DATE E.A.KE (TYPE OF USE. BUSI XPLAIN: CIECKEDBY P N OCCUPA GROU NUMBER OF F 0 DWELUN G N'N'IT'S" RI 'CAL TA ARE S N ME R U E �ECJA INSPECTOR OCCUPANT E JUIR� LOAD ED RI a . (DYES _STORIES DESCRIBE WORK TO BE DONE 4- TZ61p, Agar. REMARKS PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REO' i Teia ±6o VALUATION FEE P LA N K F E PIN CHECK FEE H c E L 0 T S L 0 E HEATSOURCE GLAZING I LOT SLOPE I *' U I L D N G D A T I-STEDDATE T D PLAN CHECK Nbt _;? M I N G PLUMBING P L U H AN C A L MECHANICAL M E C I T 0 V RE W K TO R M C E THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 0 T P U t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC T I L L A E U E DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS . MARQUEES. ETC.) WILL REQUIRE F GRADINGIFILL FA. N 'L L SEPARATE PERMISSION. S�ATEFSURCHARGEza' PERMIT APPLICATION: IfIII.Ay. v T A S PERMIT LIMIT. I AR - PROVIDED WORK IS STARTED WITHIN 100 DAYS A T I SEE BACK OF PINK PERMIT FOR MORE INFORMATION EV EW FE "S IEW FEES N A N EU-C EEO-S L ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESOF'S .. TIC N FEE k2t.V��PSCTION FEE ;AFPICANT, A R L E. B THE CITY OF N NTEREST. AGREES TO INOEMNIFN. DEFEND AND HOLD HARMLESS LANDSCAPING LANDSCAPING AGENTS FROM ANY AND 2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANYAND D "REC�Ly OR INDIRECTLY ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY ISSUANCE OF THIS PERMIT SHALL NOT BE INSPECTION FEE INSPECTION FEE IS ml FROM THE ISSUANCE OF TH PERMIT, a 0 1 Y ORDINANCE EE MED TO MODIFY, WAIVE OR REDUCE ANY REQUI RCMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT 1 0 0 NOR LIMIT IN ANY WAY TH E CITY'S ABI LITY TO E NrORCE ANY ORDINANCE PROVI SION c6 2�f 1 �41 1 1 TOTAL AMOUNT DUE I HER56Y ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLICATION,APPROVAL U GIVEN IS CORRECT. AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF T I". THE OWNER, I AD E TO COMPLY WIJH CITY AND STATE LAWS REGULATING CONSTRU F c RE PERSON WILL BE EMPLOYED I CALL C LL B".' ­g OH, 11, h-11 D—ty d F... 11, pl.d, TION—DINOOIN T 'OR'CAOUY,'Y,��'ZT.DETHEREE'y67 HE W G GTON R L T I G TO STAT ' WASHINGTON FEIATINB TO C TIC FOR INSPECTION I.-PI-1--d, .. 11—d— d.�:p 11 1101-All 1 11 1111 L., WORKFAI,FNlol COMPENEA�j�.E AND FCW 11117 OFFNIALS SIGNATUM E E (425) 4 L �U.ET.1101­2 I_j 771-0220 RELEASED By DAfF I 4 ITT N N EXT 1333 ITIS UNLAWFULTOLISE OROCCUPY ABUILDINGOR STRUCTURE UNTIL 771-0221 1 A FINAL INSPECTIONYHAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCuPANC HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR z m 0 m a . I M a , 0 80 ;.1 c AT 10:2 c >Z E: � � c-a 0 -n 'n 9w, m M C3 M C) ;a ca z m FINAL PROJECT APPROVAL FORM TO: DATE: TO: PERMIT COORDINATOR, BUILDING DIVISION-) 'FROM: ::I.�FIRE DEPARTMENT DATE ENGINEERING DIVISION DATE PLANNING DIVISION DATE — SITE ADDRES 14'!1 2 PERMIT #2:!2 �/—aC-�7.ADB#-------PATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTE 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 2�:_GRANT FINAL PROJECT APPROVAL ______GRANT PROJECT APPROVAL WITH CONDITIONS NOTED I . —FAILED FINAL INSPECTION - OUTSTANDING ISSUES I 2. 3. _______RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprv1.doc.1:temp:b1dg:f6=6198 r z 9 0 M :4:fi C m m z ox! � Fn C z 9 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVEO SETBACKS ..................... FOUNDATIONt Footing...................... Wall........................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................ Commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment ............ Cc rcial Final mme E)(TERIOR SHEATHING NAILING........................... FRAMING ................. FIRST FLOOR FRAMING --- ----------- INSULATION Floor Insulation .......... Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION r MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 4 ?5 0 C Co 01 M i 0 p Fn: C z M DATE RECEIVED < CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION iv. :1 lolaw.-ko, 51m, I rill .1 wl-mmomm I C) ( `,�7 1 I PEPMIT EjPIRES PERMIT 2W ZONE al NUMBER -I(Ot - '00 ADDRESS PLAT NAMEISUBDIVISION NO LOT NO 110 NO LID FEE S PUBLIC RIGHT OF A — WAY PC T OFFICIAL STREET MAP I EXISTING � PROPOSED— REOUIREODEOICATION_ FT OF FIXTURES PRV REQUIRE 0 IE 0 No 0 —P-- FOR EROSION CONTROUDnAINAGE _ 0 NEW 0 RESIDENTIAL RESIDENTIAL 0 PLUMBING I MECH 0 AUDITION COMMERCIAL COMMERCIAL 0 COMPLIAMC OR CHANGE OF USE C] REMODEL APARTMENT APA.TM NT 0 SIGN REPAIR 0 ORADIII CYUS F CE 0 ('N X FT) 0 DEMOLISH Li 0 TANK 0 4&00 ARA E 0 GCA.lGRT 0 RETAINING WALL — 0 R NEWAL 0 OF p (TYPE OF U:SIE. :BUS�IN� CT 'ORA IVITY) �AR NU BER R� NUMBER., C r"C EA �w� , OF W UN. D EL UNITS NUMBER STORIES - r DESCRIBE WORK TO BE DONE E wil DATE ARIANCE OR U SHORELINE OR ADBO PEG IQN INSRE. D T E3YES ONO I I N ARE PA POSED lEIGHPTR.P..lED ALLOWED CO PLETS EXEM PT 11LOASE'D I LOT COVERAGE 11011IRTE ROPOSED VED PROPOSED PARKIN AEOD I PROVIDED CHI -E - BY Typ 7P IA E71; D L'NS REQUIRED rAlC,`,-N' VAL-jATION I FEE PLAN IECIIEI SLOPE C) HEAT SOURCE GI.AZING I LOT BUILDING VESTED DATE PLUMBING PLAN CHECK Nb( —0. . CHANICAL THIS PERMIT AUTHOR,�EESIGNLPyETNE WORYK N.oTlo TH COVERS WORK TO STRUCTIONON H U Y G.L A Q6. 15 PERMIT T EP BUIS GRADINGIFILL AT RG N BE DONE ON PRIV oUEES. ETC.) WILL REQUIRE DRIVEWAYS, MAR i DOMAIN (CURBS. SIDEWALKS, SEPARATE PERMISSION. STATE SURCHARGE RE MITAPPLICATION; IBDDAYS R - PROVIDED WORK IS STARTED EVIEW FEES I Y PERMIT LIMIM BAR SEE BACK OF PINK PERMIT FOR MORE INFOR PECTION FEE 'APPLICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRSLA I S N S C.S RS �N D L SS THICC ITY OF ANDSCAPING INDEMNIFY DEFEND D Ho IN INTERESi. AGREES TO ANY AND ITS OF' FICIALS EMPLOYEES AND ENTS FR INSPECTION FEE S WASHINGTON EDMOND 'FORDAMAGEiOF AjEVj�� ARI�ING DIRECTLY OR INDIRECTLY PERMIT BHA ALLIS 'MSISSUA =E THIS '.L NOT BE REC P AN CHECK DEPOSIT PERMIT OF FROM THE REDU A REGO oFANYf TYORDiNANCE CE OF T"I CE NY FIE.ENT EEMEDTI - MODI Y. AIVEO ENFURCEANY AYTHECI LITY TO ORDINANCE PROVISION D SABI R5CEI I 0 NORLIMITI IIANY TOTAL AMOUNT DUE THAT THE INFORMATION H REBY E IH�ATT: AVTARNAGTHE'�'. A'�,".`IAT.UL'� AUT..RI�E. ADEN r OF APPLICATION APPROVAL ��b, "glld by th, G �E , =LVA . A. I N I T, H CITY AND STATE LAWS REGULATING coNsTRuc CALL B.", ofl,,., .1 hl,— DeWY: -d F101 — P3 'PLYWI RIIEDTHEREBI N.IERSON WILL BE EMPLOYED T",.`NG=R,� INSPECTION 0,,.W���lkll.11dgld,,,pawproVidOC . DA.,N`G`T.T�oCo.RKAUT THE B Co OF THE STATE OF WASHINGTON RELATING TO FOR DATE IN VI DILATION OF COMPENS 0 NS NCE AND RCW I B.27, OF IALs SIGNATUR WORKM NIS (425) IG URE (OWNER N MMO 771-0220 Lw& RELEASED By D EXT 1333 A 9"NTION A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL TO USE OR OCCUPY MADE AND APPROVAL OR A CERTIFI, ORIGINAL YELLOW - INSPECTOR GOLD - ASSESSOR A FINAL INSPECTJON HAS BEEN UBC SECTION 109 FAX PINK - OWNER < CATE OF 9CCUPANCY HAS BEEN GRANTED. smo z 9 - .. 0 c: m In 0 0 80 c .1 m c o -n M rn 0 0 H M 0 z z 9 0 IT!