Loading...
20020197.pdfV DATE RECEIVED PERMIT EXPIRES _T C CITY OF EDMOND S BE IT Z HE PE M U. UR - CJ' / b(,-601'1GqMM. IN MBER.qj�' ) CONSTRUCTION PERMIT APPLICATION , _)- dAODBDRESS 7A(r`CW "'4 6il SUITEIAPTr '—s m_AM 'OF BUSIN r—INUADDRESS i�A inlrylA _S . UPC q&WA PLAT NAMEISUBDIVISION NO. _[ 07 1111 SIX 5 LID FEE S 74 Wo OA PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 71,r," .-I'se G TY CITY SAW EXISTING — prioposto — --resqus. Pr ITIL1111.11E VAD ql� 419 -n4. _L__1_W_ REQUIRED DEDICATION— FT NAME ultwal METER SIZE I UN NO. 01 11—REI PRY REQUIRED SIZE YES 0 NO 0 ­.E.S REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRIUNAGE ZIP TELEP.. 0, CII2. ENGINEERING REVIEWED/DATE I ADDI z FIRE REVIEWED BY DATE E Ir JIELEI�O No XtA3-1- 1114 0 STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCE OR CU SHORELINE OR ADS# INSPECTION JPBOND RE 10 OSTED I E3yEs ONO PROPERTY TAX ACC L NO ' SEPA REVIEW SIGN AREA HEIGHT CO PLETE 'APT ALLOWED PROPOSED ALLOWED PROPOSED 'X" -4 N'7 . _*� -COD� -Owl W,'h0?5 ;Zb 01 EXPM I I x ITI NEW 0 RESIDENTIAL IX '---IN- CMSC- COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (7 REAR ALLOWED PROPOSED FRONT SIDE FRONT URSIDE REA C: M a 0 is 80 se OMPLIANCE OR ADDITION [5 COMMERCIAL 0 CHANGE OF USE I C: 1 -1 K Er REMODEL APARTMENT 1:1 SIGN P RE.7i':AE.K'N�. LOT AREA I.A.M.. REVIEWED By DATE V ED ITI Z 10-4 0 REPAIR [3 GRADING eyes o FENCE I X Fn REMARKS C > DEMOLISH 0 TANK OTHER c3GARAGE RETAINING WALL CARPORT o ROOKERY [3 RENEWAL C$) 0 _n (TYPE OF USE, BUSINESS OR AFTIVITY) EXPLAIN: n -4 CHECKED BY TYP ICODE OCCUPANT �OF CONISTRUCTIC SOUP > k X 1171 ITI NUMBER NUMBER OF CRITICAL - �Quy- OF AREAS 7- GIRT. LOA. 0 U-T.H. 0 STORIES NUMBER 0 DESCRIBE WORK TO BE DONE REMARKS C: K Cn PROGRESS INSPECTIONS PER UBC 10S/rINAL INSPE CTION REIVID MT 10 'A i'�5 pumi&!&J. > V z 5-1 'C- X "A (�t� VALUATION $ Description FEE Description FEE z Plan Check q HEAT SOUND LOT SLOPE ss E G " I Building 40= -Z ITI P&N ChH Plumbing 12w Mechanical THIS PERMIT AUTHORIZIES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO I-- BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading Recording Fee SEPARATE PERMISSION, Engr. Review City Surcharge PERMITAPPLI.O.: ISIDDAYS PS.M ...... YEAR � PROVI ED WORK IS STARTED WITHIN ' 80 DAYS Engr. Inspection State Surcharge SEE BACK OF PINK PERMIT FOR MORE INFORMATION ANT, ON BEHALF 'APP110 NT, ON BEHALF F His OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk Deposit IN INTE ST, AGREES TO I DEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF ITS 430 Receipt # a EDMONGE, WASHINGTON, OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECT - Fire Review ALL FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT SHALL NOT BE Fire Inspection let Amount Due 90 1 To Tel I 0 DEEMEDT MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 C NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY )INAN ' PROVISION * I Landscapemsp. Receipt # 1'q ")S-3 "MA".. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, Oft THE DULY AUTHORIZED AGE14T OF E GE OF a NSTRUC THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. t ppi.efte Is Set s ps,.ft..9I.krr.d " CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED I B EMPLOYED T, . To IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO B.This dft Oltal or his/her Deputy! sted Foes a Id. ehd FOR INSPECTION n sps.. PI. WORKMENS COMPENSAYOWTIISQ�ANCE AND Now 18.27. DATE DATE .1. D . ME -2A _6 2 (425) "I A .6-01 _ 771-0220 RELEASE BY D E - IF M 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 GERTIFI- ORIGINAL - FILE YELLOW - I'MSPECfOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWInIf GOLD - ASSESSOR 10101 INSPECTOR DATE APPROVED SETBACKS .......... . . ....... FOUNDATION: Footing ................ Wall.......................... Pier/Porch ................. Retaining Wall Stab Insulation .......... PLUMBING: Underground ............. Rough -In ................. Commercial Final HEATING: N Gas Test ........... Gas Piping Equipment ................ Commercial Final EXTERIOR SHEATHING MAILING .................. FRAMING ...................... FIRST FLOOR FRAMING INSULATION ................... k Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION 0 C ITI MO 0 80 C 171111 RR z 10 1 M M 0,5 0 0 Fn C 0) M (A Q 0 Z 'A z -4 a; rj) z 0 :j 0 IT! A.41 DATE RECEIVE C, PERMIT EXPIRES, CITY OF EDMONDS USE 0 HE ZONE a — 1z:L6Cd_ CONSTRUCTION PERMIT APPLICATION T'AODBDRESS 'Be It C' r� OWNER NAME/NAME OF P.YSINESS PLAT NAME)SUBDIVIStON NO. F-Co N �O La LID 0. LID FEE MAILING A�REEI p 1 4. a, o � / I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ­­.' I-1 rand C 7 Z" EXISTING — PROPOSED ad_'., Asa, -a-d r...d ITELIPHONE -7 j REQUIRED DEDICATION— FT — Va�� A NAME LINE SIZE 110. OF FIXTURES PRV REQUIRED YES C3 No 13 ........ . ...... L ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBIL ROSION CONTROUDRAINAGE CITY ZIP ITELIPHONE NAME ") Pq ENGINEERING REVIEWED/DAT6 ENGINEERING fFIRE REVIEWED By FIRE REVIEWED BY DATE CITY A; VARIANCE 08 CU SHORELINE OR ADS* V "'ANCE OR U INSPECTION STATE FION DATE Go IPSON RE OSTED OYES 13NO ERA REVIEW SIGN AREA S S EPA W -';.MPT HEIGHT ;41 PROP7TYjT X_,,>A�C UNT PARCEL NO, COMPLETE EXEMPT ALLOWED , PROPOSED ETE ALLOWED PROPOSED EXP Xp NEW '�RESIDENTIAL [3 PLUNGING I MECH LOT COVERAGE REQUIRED SETBAC BACKS RFTJ OT COVERAGE (FT.) PROPOS D SET NT FRONT US SIDE HEAR ALLOWED PROPOSED 'a- SIDE BEAR BW 0 ADDITION /7[3 COMMERCIAL COMPLIANCE OR U BE CHANGE OF USE A N G E 0 I LOT AREA PLANNING REVIEWED ASKING P A RK P IN By DATE I N REMODEL APARTMENT [3 SIGN D OVIDE REOD I PROVIDED HE C P I E N CE ­�� 0 F NCE X FT [3 REPAIR X FT) _ I R MA RX a E REMARKS T H DEMOLISH 0 TANK GARAGE — RETAINING WALL E N A L CARPORT L_J ROOKERY 0 RENEWAL tEW 0 (TYPE OF USE, BUSINESS OR N: CHECKEDBY TYPIrOl STRUCTION c oq� '.'�cc. 22 no L RITICAL NUMBER UMBER OF CRI A. A REA$ OF N.WE. A R ING P FE.TO . a.., I..Ej.T.0. C .6 "a I A OCCUPANT LOAD t. N U UMBER STORIES NITS JAREA REQUIRED Y 6 j RE U N Y. j DESCRIBE WORK TO BE DONE REMARKS S PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REOT &C r off fiv C' VALUATION $ LOT SLOP HEAT SOURCE LOT SLOPE % PLAN CHECK NO: TE. �.ATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC 00 RE 3 (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC-) WILL REQUI SEPARATEPERMISSIOW Building Iturniang Mechanical Grading Engr. Review OE MITAPPLICATI N: TWDAYS PERMIT UMM. I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr, Inspection 'APPLICANT. ON BEHALF 0 HIS OR HER SPOUSE. HEIFIS. ASSIGNS AND SUCCESORS at!� M ig lion !�__ 11, INT1111T.A.1EES TO 11 DEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND In. Ris!.F ALL CLAIMS FOR DAMAGES QFWHATEWER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE 01 THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Fire Inspection DEEMED TO MODIFI, WA VE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,' Landscapeinsp. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN 19 CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OFWASHINGTON RELATING TO FOR INSPECTR WORKMEN'S COMPENSATION INSURANCE AND RCW IB,27. -A (OWNi. OW tEN`q�/ [DA�T�, G (425)SIGNATURE 771-0220 ATTENTION M 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. CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 10101 Description I FEE L Recording Fee City SurchargTe�5_') State Surcharg Plan Chk Deposit Receipt # Total Amount Due Receipt # 7777 and Foes ive paid. and ,p,,, pnovided. t � ' ATE :WC1 ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR z 0 1171 M M 0 80 C ITI M to � X 0-71 "n M ITI �i 12 0 M C CA 90) 1 M 0 Z z :0 z 2 0 ITI FLUMbINU: -4 mn pUnderground .. ........... 0 M C Rough -In ............... IT1 a 0 80 Commercial Final HEATING: IT M Gas Test ................ C Gas Piping ................. 2 Equipment Commercial F Ina[ M M EXTERIOR SHEATHING 0 NAILING .................. 0 FRAMING ................... CA ITI 0 FIRST FLOOR FRAMING z I- 71 INSULATION Floor Insulation > Wall Insulation ........... Ceiling Insulation z SHEETROCK NAILING 0 SPECIAL INSPECTION 0 IT! MISCELLANEOUS .......... FINAL APPROVAL FOR VIA OCCUPANCY ..................