The URL can be used to link to this page

20010927.pdfVED DATE RECEW (J. A F_ PERMIT EXPIRES CITY OF EDMONDS USE ZONE NEW I V UMl'ERqV/_Wc4 JOB SUITEJAPT. CONSTRUCTION PERMIT APPLICATION 2'�21 ADDRESS 9�� 5e V, NOKE PI -AT NAMEISUBDIVISION NO. LOTIO, 1111 NO* UDFEES MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP fMP 4d RN P—It R.q.k.d EXISTING — PROPOSED CITY ZIP ITELIP"OlE RECURRED DEDICATION— FT NAME METER SIZE LINE SIZE NO.01FIXTURES ip-RV RiQUIRED I I YES 0 NO 0 ADDRESS REMARKS OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY zip ITELEPNONE NAME T HCY'T') Dipe'T, SFRVICE-1, Mir. ENGINEERING REVIEWEDIDATE ADDRESS 4 woc> 12T-q fttF— S FOR R IEWED BY DATE z CITY ZIP TELEPHONE c_ /�Z—/ g-- o I E cm It'S VARIANCE OR DO SHOR UNEORADON INSPECTION RED 0 OYES C3NO R 0 BON OSTED STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY J�P�4.&U%T'P_A.CEL ol SEPA REV IEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT A -WED PROPOSED NO. UP I , , E] NEW C3 RESIDENTIAL PLUMBING I MECH LOTCOVERAGE ALLOWED PROPOSED REQUIRED SETBACKS JFT.) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT. UPSIDE REAR 0 ADDITION COMMERCIAL o C MPLIANCEOR CHANGEOFUSE x PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL APARTMENT SIGN REDD I PROVIDED F REPAIR GRADING CYDS 'ENCE X FT) EMARKS 0 DEMOLISH C3 TANK GARAGE r-I RETAINING WALL RENEWAL lo CARPORT P (TYPE OF USE. BUSINESS OR A PUN: CHECKEDBY 0 CUPANT GROUP NUMBER OF a STORIES NUMBEROF WELL NO �'TS I ICAL R A EAS NUMBER SPECIAL INSPECTOR REOUI RED [:] YES JARIA OCCUPANT LOAD DESCRIBE WORK TO BE DONE iAl L- U L-_3=2 :DRE— i�M R EMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D S 5\15MM ItJ VALUATION FEE PLAN CHECK FEE, GLAZING I LOT SLOPE I BUILDING rTEO DATE 06W�MB� M`E PLAN CHECK NO: ;�oek' 50 M�&Q�l_ ov THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLI. ANY CONSTRUCTION ON THE PUBLIC FILL DOMAIN (CURDS. SIDEWALKS. DRIVEWAYS. MARQUEES, ETC., WILL RE.UIRE GRADING' SEPARATE PERMISSION. j4QSURCHARGE PERMIT APPLICATI N: ISO DAYS PERMIT LIMIT'. 1 YEA P ED WORK IS STARTED WITHIN 180 DAYS END, REVIEW FEES Ri P"OVU" '_ SEEEIA�K. INK PERMIT FOR MORE INFORMATION ' 'OR' END w -APPLICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS END INSPECTION FEE I S A ND SO CC 1 0 I L E' T' E CT ' OF LANI IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAP NO G ENT' F ROM ANY EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS F ROM ANYAND NSPECTICN FEE AND 'N'P R E CT Ly GRIND E Y OFWHATEVER NATURE.ARISING DIRECTLY OR INDIRECTLY PE R"T SHALL N . - A L CLAIMS FOR DA A E PLAN CHECK DEPO$IT FROM THE ISSUANCE OF 7 IS PERMIT. ISSUANCE OF T.1 S PERMIT $HALL NOI BE IRECEIPT C E 'LA' A. T' .D NANCE DEEMEDTO MODIFY. WAIVE A REDUCE ANY REOUIREMENT OF ANY CITY ORDINANC R N PH , IS. D' ANCE 0 1 N o NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION IRECEIPT TOTAL AMOUNT DUE TOT, JI" I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. I HAT '-E ..... AT'-N APP ICATION APPROVAL GIVEN I CORRECT, AND T AT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT 01 G G C. S'FUC NSER )AGREE To COMPLY WIT. CITY AND STATE LAW Y G CALL Th � ppt.�t a po—t unt.1 slg.$d by th6 THE OW S REGULATING CONSTRUC IND IN THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED 1—.' Dly .�,[ F... TION, AND 0 G INGTON RELATING TO FOR INSPECTION ... �pi lk.1.1-god � 1p— P1.1-1.d. /IN VIOLATION OF THE LABOR CODE OF THE STATE OF WAS I WORKMENS COMPENSATIO=URANCE AND R WIS.27 D TE St;EAE (OW�b D E SIGNED (425) WER4, m6k, v, lid 771-0220 -FELE'EDBY- —1 DA0E ArrEhTION EXT 1333 IT IS LINLAVVFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-1,11221 - 111#bV-7- )44/1 A FINAL NSPECTION HAS BEEN MADE AND APPROVA' OR A CERTIFI- ORIGINAL FILE .[IKLOW-INSPECTC4 CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER --GOLD -ASSESSOR S19B vl`� z m 0 m 00 0 m 0 n m M 0 vi 0 o M 0 z z 9 0 IT! FINAL PROJECT APPROVAL FORM TO:— DATE: — MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: .,_��FIRE DEPARTMENT DATE—Z9--Z--6 ENGINEERING DIVISION DATE — PLANNING DIVISION DATE — PROJECT S� SITE ADDRESS 9-2-1 2=1 PERMIT#2:a�12 �2-7 ADB#______--PATF INSPECTED DESCRRTJON OF WORK TO BE INSPECTED-ZhL�� Final approval A field inspection was conducted to determine f1mal compliance with approved plans. lease of ere are no objections from the above signed Department to the re denotes that th PERFO tMANCE BONDS and the granting of: K GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED c3 Copy ofCONDITIONS given to owner/contractorby inspector 1. FAILED FINAL INSPECTION - OUTSTANDING ISSUES u copy of CORRECTION NOTICE given to owner/contractor by inspector 1. 2. 3. RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign_ ocaprvl.doc.l:temp.bldg:formsIO/OI z 0 3: C M M0 --1 0 0 0 C M M Z 0 -n M M 0 0 0 M C: (1) K CA Q 0 Z ;u -4 3: z -4 z 0 1 0 M .. ....... . RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... Wall.......................... Pier/PorCh ................. Wall Retaining ........... Slab Insulation .......... --------- 6 PLUMBING: -5. N Underground ............. ITI Rough -in ................... 171 Commercial Final HEATING: M Gas Test .................... ID a .1 Gas Piping ............ Equipment ................. 01; Commercial Final EXTERIOR SHEATHING IT, S, NAILING .......................... Fn FRAMING ........... ............ Cc- ra FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation W SHEETROCK NAILING z 0 SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. _J lor;ERMIT EXPIRES USE CITY OF EDMW�DS ZONE PERI; IT UM E R g(V1 - CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPTO ODRESS ZZ,921 _44, 'qV 99 j7ulij;�;IS - C PLAT NAMEISUBDIVISION NO, LOT 110- IID 0. c MAILINGADDRESS LID FEE S TES-P App PUkIC RIGHT OF WAY PER OFFICIAL STREET MAP R. 1 2q D. I 1_11,11/ c1c) _—_464t CITY ZIP ITELEPHONE EXISTING — PROPOSED — REQUIRED DEDICATION— FT — unnu_ Fnmt"'ms c 20ac> winne I. -Id NAME METER SIZE LINE SIZE NO. OF FIXTUIES P I REQUIRED YES 13 NO 0 ADDRESS AEMARXS OWNERICONTRACTOA RESPONSIBLE FOR EROSION CONTROUORAINAGE CITY ZIP ITFLEPHONE CITY ZIP kZONE FIR R IEWEDBY DATE -)vA-L La, , -2-v"? 01 STATE LICENSE NUMBER EXPIRATIONOATE CHICIEDIY P GE VARIANCE OR CU SHORELINE 01 ADEM INSPECTION r, opto* D -01 - 0 11 rEXP REDD 0 YES C3NO ] PBONG OSTED PROPERTY TAX 4.1#1 PAIICEL _NO. SERA REVIEW Mp COMPLETE EXEMPT SIGN AREA ALLOWED PPOPOSIO HEIGHT ALLOWED PROPOSED Q=n6r' I , I 0 NEW RESIDENTIAL 0 PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED B RE.LIRED SET ACIS III PROPOSED FRONT SIDE REAR SlTBACXS Il . FRONT UPSIDE REAR 0 A601TION COMMERCIAL x o C MPLIANCE OR CHANGE OF USE PARKING REDD I PROVIDED LOTAREA PLANNING REVIEWED BY DATE [3 REMODEL 0 APARTMENT [I SIGN E] REAAIF�. GRADING F NCE .-AH1. CYDS X F7) 0 LISH C:] TANK CfCAlplAPORT Al"TAININD WALL 0 RENEWAL ECC ER (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: RLS7AwRAti CHECKED By [REOU IM3�� STRUCTION jf� OCCUPANT I GROUP NUMBER NUMEIIROF CR TICAL SPECIJALEIDNSPECTOR FC—CUPANT OF DW.LLING AREAS STORIES UNITS NUMBER P r] YES JAIIA LOAD DESCRIBE WORK TO BE DONE =REMARKS RESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'E VALUATION I FEE PLAN CHECK FEE LOT SLOPE BUILDING PLAN CHECK NO�. IVISTED DATE lKy THIS PERMIT AUTHD IZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO MWIdi 14CIIQ iii��Cn�lml BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE GRADINGIFILL SEPARATE PERMISSION. SURCHARGE PE MITAIPLICATI..; 11B.B PERMITLIMIT;l YEAR-PROVID D WORK IS STARTED WITHIN 19DDAYS END. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND sucCEsoRs ENG. INSPECTION FEE IN INITERESt AGREES TO INDEMNIFY. OEF NO AND HOLD HARMLESS THE CITY OF LANDSCAP NO EDMONDS. ASHtNGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLYOA INDIRECTLY RECEIPT/6 FROM THE ISSUA E OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE PLAN CHECK DEPOSIT I 7,?( 0 NOR LIMIT IN ANY WAY THE CITY S A81LITY TO ENFORCE ANY ORDINANCE PROVISION.- CEIPT TOTALAMOUNT DUE IR IHERED ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMAT ON GIVEN 11 CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT I OF APPLICATION APPROVAL THE OWNE . I AGREE TO COMPLY WITH CIT AND STATE LAWS REGULATING CONSTRUC- TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILLBE EMPLOYED CALL d.19 01 , h,:�o, Deputy: end Fee, — pud, end IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION l,dg,d in paw 110,11d. WORKMEN S COMPENS TION INSURANCE AND RCW 1827. OFFI L SS T.RE DATE SIGWATU (ow?O DATE S GNED '1425) &�IE Q 771 -_O'M f DATE ATTENTION EXT 1333 iE 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 - Fil INSPE&OR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER .-COLD - ASSESSOR 5198 Z 0 0 m c m 8c 0 M m ?s rn 11 c z m