20020677.pdf9
1 1,111 RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
IER UAMFINAME Of BUSINESS
CITY
ZIP
25-
USE
ZONE PERMIT
PS NUMBER
jo SUITE/APT#
ADDRESS
PILAT NAMEIS;��O�
L:D NO,
L D FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
1. 1
EXISTING — PROPOSED —
REQUIRED DEDICATION— F7 —
ussins'..
wi.su— El
METER SIZE
LINE 1111
NO. 01 FIXTURES
PAV REQUIRED
I
1
YES 13 No C3 I
REMARKS
i
ILI
Ld I
41MLI
18e4-;- I f
ENGINEERING REVIEWED by DATE
4'9��
I
E,!q,74,�
Wkg�
I
57A_
FIRE REVIEWED BY DATE
CITY
zip TELEPHONE
ueg&F/)
, 4T ,
6
STATE LDENSE NUMBER
EXPIRATION DATE OHECIEOB BY
VARIANCE .11 CU EIII)REIINEORADS' I SIPECTION BOND
RE 0 POSTED
4 4/
ES ONo s
PRO
Ll ACCOUNT
PARCEL NO.
BETA REVIEW S11311 ARIA HEIG14T
COMPLETE EXEMPT Alt WED PROPOSED AILOVAO PR.POSEO
Z7
s7;
XP I ,
M NEW
rl RESIDENTIAL
rl PLUMBINGIMECH
LOT COVERAGE REQUIRED 8 PROPOSED SETBACKS JFT)
W(FT
SIDE HEAR
ADDITION
COMMERCIAL
COMPLIANCE 0.
1:3 CHANGE OF USE
ALLOWED PROPOSED FRONT SMIDEACIFS FRONT UR
PARKING LOT AREA PLANNING REVIEWED BY D
REMODEL
MULTIFAMILY
rl SIGN
Ptor. I PII11vID1I1
REPAIR
0 GRADING Cyos
[] F NICE
g_
X — Fr)
REMA,2K4,r K;>T (-_ o - S"
0 DEMOLISH
[3 TANK
0 OTHER
-E-r
LA, "Ot k4rq 0
0 BAR I
Po
[3 RETAIN ING WALL
Boone BY
0 FIT LEE
FIRE SPRINK
F. ALARM
,
o
GARAGRT
& Rik -47
t
(�AM;
ACTATTY, EXPLAIN:
-7;;;/R
CHECKED BY OC UPA
I -PE POP —CoNSPUCT-10H
RCUP T
XA4
OF
2—
1U1111 OF
BVRELL'N.
1
RITIC L
In
A EAS
111CIALINSPFCTION FCCUPANT
STORIES LHRT.
DESCRIBE WORK TO BE DONE
U
N MBER
JARIA
REQUIRED [] YES LOAD
4p`R`oAfa1KsEqq
jimAlstErTinNs PER USC 108/FINAL INSPECTION REOID
11
A6 &&yALrU'_-
,65alfZ,��
Description
FEE Description FEE
JDATE
PlanCheckR
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
City Surcharge
t
PLAN CHT NO: VESTED
Plumbing
&& !Vlay
a -
I - - —
—
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DOME ON PRIVATE PROPER" ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
2 1,
:3 OUMN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
t: SEPAM7EPERMiSSION.
RE MITAPPUCATION: ISODAYS
Engr. Rev!"
PERMIT LIMIT, 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLf ANT, ON BEHAtF F His OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES T INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Plan Chit. Depos;
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE I SUANCE OF THIS PERMIT ISSUANCE F THIS PERMIT SHALL NOT BE
DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapemsp. I
Total Amt. Due ZI!&y
0 NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt 9 ?-057C
I HEBER ACKNOWLEDGE THAT I HAVE READ -,HIS APPLICATION; THAT THE INF RMATION
GIVEN IS CO RECT. AND THAT I AM THE OWNER, OR THE DULY UTHOSIZED AGENT OF
APPLICATION AAI '—FFO—VAL
THE OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGU TING CONSTRUC-
CALL
This app] catJoP Is not , p,ffnit until signed by use
JIGN; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Bull dift Offi.�.l ., hI.fh.r Dsply: erd Fs., on, Fold, on
.sipl 1. .0—Insignol in sp ... pr.idod.
IIIMIEN'S COMPENSATION INSURANCE AND 1CW 11.11.
OF a UBE e? P/7
IIGNA��1/0
(425)
I�Z4
771-0220
Are
ATTE ON
EXT 1333
q11"'10 -z
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE - YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PNK-CwNER - GOLD-ASSESSOH
04/02 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN - ACCOUNTING
z
0
65-4
a x
C: Inn
M 0
0
80
C:
x M
M Z
0-4
C
>
0 -in
IT
-4
ITT BIT
W 0)
0
o
C:
r. co
M 0
Z
;Ig
-4
z
z
9
0
In
FINAL PROJECT APPROVAL FORM
TO:
DATE:... Z_Q n.
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARThlENT DATE
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE 1 5 -
SITEADDRESS t4OG
PERmrr I # P- ;2 — ADB#_���DATII INSPECTED—UIEZo.
DESCRPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMAN B6NDS and the granting of
GRANT FINAL PROJECT APPROVAL
GRAM PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDMONS given to owner/cotiftutor by inspector
FAUM FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of COMECTION NOTICE given to owner/commetor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES -GRANT FINAL PROJECT APPROVAL
Date sip—
ocalnvl.doc.L-Uop*bldg:fomsIO/OI
z
9
0
M
:45i
M
M 0
_q 0
0 0
C
-49
M M
M Z
z
0 -n
n
M M
065
0 r-
0 M
C Cn
9 U)
M 0
Z �
M
z
Cn
z
0
q
0
M
I
A -,fi i�
M
0
m m
0 -n
n
m rn
0
0
0
ra
20
M
z
0
m