The URL can be used to link to this page

20010794.pdf'i DXTERECEI�SD CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION -) D r ')-Do i rA —o-u L CITY ZIP L ITILE11A.MlE 6 *Dy,,—D-S 5AM s- 0 -1 '1 L4 I NAME CITY ZIP PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ADDRESS PI -AT NAMEISUBOIVISION 110, LOT NO. LON L L = S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P` EXISTING — PROPOSED A k R.q.k.d REQUIRED DEDICATION— FT ME 0. OF FIXTURES PRV REQUIR D tT lEs E3 No 0 R MARKS OWNFRI—FRACTORRESEONSIBLE FOR EROSION CONTROUDRAINAGE 5NGINEEIIING- REVIEWEDMATE 80X )30 FIRE REVIEWED BY DATE m ;ITY ZIP TELEPHONE C 1,-& 6— L LA 2_,? E05 L4 VARIANCE OR CU SHORELINE OR ADBN INSPEC E 7�10N OYES ONO P..ZTE. TATE LICE SE NUMBER -1--NDATE 4- 'A 1-19lb-L SEW&C-6. loopi 14 SERA REVIEW COMPLETE EXEMPT SIGN AREA Al... PROPOSED . HEIGHT ALLOWED PROPOSED ROPERTY TAX ACCOUNT PARCEL NO. 0 0 sco:) -7 0000 _3317 2- "P I , 1 NEW PLUMB MEC :SZIEEII)ENTIAL ALLOWETICOVERAGE PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SMACKS (FT) FRONT LIRSIDE REAR ADDITION COMMERCIAL o C MPLIANCE OR CHANGE OF USE 0 REMODEL C] APARTMENT SIGN REC GRADING CYGS Cj FENCE C3 REPAIR 0 1 — X FTj =MARKS [:] DEMOLISH 0 TANK OTHER ci GARAGE rl RCTAINING WALL 0 RENEWAL_ CARPORT — ROCK T (TYPE OF USE. BUSINESS OR ACTIVIT4YEXPLAIN: fLC-s%'oel-l-n L CHECKEDBY JTYPE:��JC?f7 JOC P OU .,GUP;Ve3 NUMBER 2_ OF 1 NUMBER F 1) WELLING ITICAL I " Wl-- A EAS S ECIALEI.NSPECT.11 IA.EA RP OCCUPANT STORIES UNITS NUMBER EGLI R [3 YES LOAD DESCRIBE WORK TO BE DONE E.A XI5 5 miannimgQq I?jqPFCTInNS PFR URC 108/FINAL INSPECTION REO-Die VALUATION FEE PLAN CHECK FEE HEAT SOURCE GI_A2ING LOT SLOPE % d BUILDING PLAN CHECK NO: 1111TED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE IN RK NOTED. THIS PERMIT COVERS WORK TO ON t: BE DONE ON PRIVATE PROPERTY ON LY. ANY CONSTRU CTI ONTHEPUBILIC GRADtNG/FILL U 2 DOMAIN (CURDS. SIDEWALKS. DRIVEWAYS' MARQUEES. ETC.) WILL REG IRE SEPARATE PERMISSION. PERMIT APPLICATION: 100 DAYS _VAKSURCHARGE A. PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMAIION OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS END, INSPECTION FEE ,m ;AIPLICANTONSEHAL N INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF SCAPING E MONDS.WA MING N. OFFICIALS, EMPLOYEES, AND AGE TSFROV.ANIANI I NTLYOR IN C ECTLY ALLCLAIMS FOR DAMAGES 0 WHATEVER NATURE. ARISING DIRE IR IF. ALL NOT FR M THE ISSUANCE OF TH IS PERMIT ISSUANCE OF THIS PERMIT SH BE PLAN CHECK DEPOSIT F E DEOEMEDT MODIFY. WAIVE OR REDUCE ANY REQUIREMENT 0 ANYCIT ORDINANC 91 0 S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' W OR LIMIT IN ANYWAYTHE CITY z TOTAL AMOUNT DUE JRECEI�� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION kPPLIC'ATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER OR THE DULY AUTHORIZED AGENT OF I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL T�h�lopp.11111.1,1�,-' 1 1-11 U�Iil -10� d �l T HOWNER. H IND ING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMILOYED T,ION. AND OOF D d. II, , " I'd F oddl --.d:.d THE LABOR CODE OF THE STATE OF WASHINGTON FELATI N VIOLATION ING TO FOR INSPECTION ._p__ l I'� F... p.d.d. WORK ENSC NSATII N INSURANCE AND RCW IB27 DATE SIGNTT DATE SIGNED (425) 7 /0— a3 —01 III 771-0220 71.9AEE. By" - L) DATE' ATTENTION EXT 1333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 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 PINX-OWNEA GOLD -ASSESSOR 5,93 11 z 4 m m m CO3 Am 0 _n A m a 0 0 0 z 0 IT! RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: �Poollng ..................... wall.................... Pier/parch ................. Retaining Wall ........... Slab Insulation .......... PLUMBINW 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 .................. "I", i Om 1 CO— :M i 1-181 0 M S C!E Fn C Q) 0 z M LIF /1)7.9 0/ PERMIT EXPIRES YS' CITY OF EDMONDS ZONE C� PERM,ETR CONSTRUCTION PERMIT APPLICATION JOB UITUAPT, ADDRESS )00'�,) inmvl fip Lu 5K OWNER NAME,WAM1 OF 8 5, Of PI -AT NAMEISUDDIVISION NO. I LOT NO. L�D NO. S 32s�-t 6 0 FEE MAILING ADDRESS PUBLI RIGHT OF WAY PER OFFICIAL STREET MAP .... CITY TELEPHONE EXISTING — PROPOSED— z P S_ R_ - '�H FT U—,.— ;DZ L Lj I S REQUIRED DEDICATION — will, 1.1.w" NAME __METER SIZE I LINE SIZE I NO-OFFIXTURIS 110 PIEOUIIED YES 0 NO 0 REMARKS ADDRESS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROODRAINAGE CITY ZIP TELEPHONE NAME Ty" IS or L vent connectors CrV&61& E rN1 N E in u uAeated spacm UMC78i.7 ADDI?5L) 8 0, < --�30 FIRF REVI FIR. REVI 7.7777r-- CITY ZIP 0 Cc-c- 6LLJ1, TELIP80NE 1 L( SO 5 , VARIANCE OR CU SHOSEUNE OR ADEN INSPECTION AT STATE LICENSE NUMV EXPIRATION D E I V 56-&6C_ luopi 41agID-L E3 RE 'D ES 0 NO Y I PBOND OSTED SSPA REVIEW VGN AREA HEIGHT PROPERTY TAX ACCOUNT RCEL NO. 00!&062 0ppD_33i22_ C.."ETE EXEMPT UP I ALLOWED PROPOSED I ALLOWED , PROPOSED NEW 'W'RE:D LL PLUM I MEG LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT) FRONT SIDE REAR PROPOSED SETBACKS FRONT UR SIDE REAW, A o C MPLIANCE OR CC M::,A 0 ADDITION 1-1 CHANGE OF USE I PARKING LOTAI 7ITE 0 REMODEL 0 APARTMENT SIGN REO.D I PROVIDED C3 REPAIR GRADING GVCS FENCE 13 ( X FT) -REMARKS 0 DEMOLISH 0 TANK 0 OTHER GARAGE 0 R TAKINING WALL RENEWAL 0 GARPORT RE ER E] r (TYPEOFUSE.SU INESSORACTIVII�E�P!_AIN: A (�E.S%Der/ a TI CHIECIED81 ITYIE C7F7 -=p NUMBER 0' GSF TORIES NUM EROF DWELL NO UNITS SP CIAL INSPECTOR REQUIRED [3 YES DESCRIBE WORK TO BE DONE REMARKS ..1;PF1!TI... PER I 1181FINAL INSPECTION REO'O1 I ,� -1 6/qfIQA—*d , 14,-icke— eh,d I &IS 109f'i, /1�1, 00 r^ . VALUATION FEE PLAN CHECK FEE L HEAT SOURCE GLAZING I LOT SLOPE % T .IL.'N. 1) 0. PLAN CHECK NO: IVESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WOR�K TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL OMAIN (CURBS. SIDEWALKS. DRIVEWAYS' MARQUEES. ETC.) WILL REQUIRE — SEPARATE PERMISSION. SURCHARGE IERMITAPPLICATIONI: IBODAYS _§;ATe PERMIT LIMIt I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE -A PLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS P IN NTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS HECITYOF LANDSCAPING OM 0 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS PH ANYAN ALLCLA!MSFORDAMAGES OFINHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY INSPECTION FEE 7rECEIPT 'ROM THE ISSUANCE OF T IS PERMIT. ISSUANCE OF THIS PERM T SHALL NOT BE PLAN CHECK DEPOSIT I I DEEMED 0 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE -77-----� 01 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION," TOTAL AMOUNT DUE JRECEIP?S,4�> 1 I 1 I HEREBY ACXNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLItATION APPROVAL ' AL GIVEN IS CORRECT. AND THAI I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF -19l-O lif 11.4 THEOWNEn. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- WILLIE EMPLOYED !E CALL ding Offi—I ot hi�,, D,.p,ty: Old TIOk AND IN DOING THE DIX AUTHORIIEIITHERIBY. NOPERSON W CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION C.d.Fope,. ;iL ,pt i, a�dg Oil _O 0. 0 IN VIOLATION OF THE LABOR WORKMEN S I SURANCE AND RCW 16.27. IF:!S.IAL TE =SATION _7ESIGIED (425) 0 771 0220 REL ASEDB�' DATE ATTENTION '-, 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 - OWNER - GOLD - ASSESSOR z 0 m C: 0 80 C � x m m 0 -n n m M a 0 Fn m 0 z 0 m