The URL can be used to link to this page

20020991.pdfDATE RECEIVED cx"� CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNEQ_NAMEINAME OF BUSINESS W C NE 0 NA N ME A,&4 c4 jS6vic/& ffi FMAILING ADDRESS ci ZIP TEIEPHONE o 2�7c/�W&j qp� 14Z_� -774-04 N M AME 47 ADDRESS iL rn Alva CITY��, ,,jIP, NE ITELEP110 7C( [_T e7 NAME CBL N_ ADDRESS /&A/ T70f1,-_5,-r CITY ZIP LICENSE NUMBER EXPIR , I JQ Y---7"A A Z /) A-V 14 ROPERTY'Tt AQC�Nlr PA!R71L NO. - f 01) 0 NEW 13 RESIDENTIAL P9 CiD MECH 1:1 ADDITION *COMMERCIAL COMPLIANCE OR 13 CHANGE OF USE REMODEL MULTIFAMILY E] SIGN REPAIR GRADING CYDS FENCE x Fr) DEMOLISH TANK Pe OTHEA ciGARAGE RETAINING WALL FIRE �PRINKLEFI CARPORT ROCKERY FIRE ALARM (TYPE OF US q, BUSINESS OR ACTIVTM EXPLAIN: /V/ 1_0 (/ NUMBE'h OF /V/14(t_ STORIES NUMBER OF DWELLING FUNITS 1 ; M V I CRITICAL VVM- A _ V_ 4 % N=F(�4 DESCRIBE WORK TO BE DONE t NP 111' o WeA - , A r HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO* VESTED DATE (3 z —_�—o C — THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT UMFr I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS 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- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATIOP OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'SfiOMPENSATIOJ!PRRANCE AND RCW 18.27. SlGii;�� I DATf SIGNEV Vd/?,Zlh -z PERMIT EXPIRES /07—Zf4'4-Z- Z USE ZONE CI'v PERMIT NUMBER cz:Wzv JOB SUITE/APT# ADDRESS 41 PLAT NAME/SUBDIVISION NO. LOT NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Ap RW Parrnftl`RaqVu red — — Street Use Pornill Req'd EXISTING -------- PROPOSED Inspection Required 13 Sidewalk Required El REQUIRED DEDICATIOI`i�_ FT Underground Wiring requir 13 METER SIZE LINE SIZE NO.,OF FFURES PRV REQUIRED (3 I 4elo YES 13 NOA I z N REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE uAity- 4�;jLA, r,;r W, r-1 In.-, 1 W-Sp- ENGINEERING REVIEWED BY DATE — /I 12-1151e) 7-- DATE '24) W OR CU SHORELINE OR ADB# INSPECTION BOND )09RIANCE q"_z4W_43YEs RE D POSTED 211-65 s -- SEPA REVIEW SIGN AREA HEIGHT T E EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED = I HAC , IVC , :C�PL .XP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR N4 PARKING LOT AREA PLANNING REVIEWED�GY DATE RECI`D PROVIDED 1 1 14c, I REMARKS 1 ITYPE OECONSTRU I N OCCUPANT —1 PAIL 1c047 GROUP SPECIAL INSPECTION r pt)C,*_ �! OCCUPANT REQUIRED 1% YES 9�2 1 LOAD PER UBC 108/FINAL INSPECTION REO'D VALUATION Description FEE Description FEE Plan Check State Surcharge 4�2 6-49 Building Permit 4P 1.4 City Surcharge Plumbing Me chanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit 1'�5 75 Fire Inspection Receipt # 1) NP2101(7 Landscapelnsp. Total Amt. Due 4-7-94111V Recording Fee Receipt N CALL FOR INSPECTION 1A0 ,425) 771-0220 EXT 1333 APPLICATION APPROVAL' This application Is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. OFFI I N DATE Z ,�hv RE D BY f PATE M�D A IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 19- A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGZAL-FILE YELLOW-INSPECTC CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING V z 9 0 M M C M8 40 OC :� r. In z 10-1 2 0) 0 _n M M 0 0 o Fn C (j) C V) M 0 X z z 0 i 0 M 6 z 0 m :4 9 m c MO 0 80 c 1 K MM MZ C) -4 C2 cl) o -n n m M 055 0 r- 0 M C C/) m (i) M 0 Z X -4 X z -4 :c 55 z 0 1 0 m RE . -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:tenv:bldg:forimIO/OI FINAL PROJECT APPROVAL FORM INISION DEPARTIVIENTI)ATE— ENGINEERING DIVISION DATE PLANNING DIVISION DATE MAWSM PROJECT A41 4 41 SITE ADDRESS Je6w�z _ZZ=� PERMIT, B# DATE ECTED_ DESCRIPTION OF WORK TO BE INSPECTED —op 414field inspection was conducted to determine flnal compliance with approved plans. FYnal, approval objections from the above signed Department to the release- of denotes that there are no PERFORMANCE BONDS and the granting of VAL �JGRANT FINALTROJECT APPRO IONS NOTED GRANT PROJECT APPROVAL WITH CONDIT a Copy of CONDMONS given to owner/contractor by inspector 'FAILED FINAL INSPECTION - OUTSTANDING ISSUES a Copy of CORRECTIONNOTICE given to owner/contractor by inspector 2. 3. ISSUES - GRANT FINAL PROJECT APPROVAL RE -INSPECTED OUTSTANDING Date Si ocaprvl.doc.l:teinp:bldg:formsIO/OI ,� 04p, k z 0 =i _9 M M 0 80 C M M Z ID --I _Z cl) 0 _n M M a C-1) 0 r- 0 M C CO) r. Cn M 0 Z 7-1 X z __4 3: W z 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS . ..................... FOUNDATICN: Footing. ...................... Wall........................... Z� Pier/Porch ................. d: 0- Retaining Wall .......... Slab Insulation .......... PLUMBING: M; Underground ............. C Rough -in ................... 0 c� C" 'IR Commercial Final ...... M M; 10 HEATING: z GasTest .................... Gas Pip rig .................. Equipment .................. mm Commerpia ,Ina[, If 0 Fn EXTERIOR SHEATHING NAILING ........ .................... FRAMING . ......................... FIRST FLOOR FRAMING... INSULATION ................... Zil Floor Insulation ......... Wall Insulation .......... Ceiling Insulation ...... SHEETROCK NAILING ... M SPECIAL INSPECTION ... MISCELLANEOUS ........... FINAL APPROVAL FOR OCCUPANCY .................. a I I on RECEIVED F" CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER,NAMEINAME OF BUSINESS er4 (� 15 MAILING ADDRESS OW C NE 0 NA N MI r M ILJ� A 1 D CITY ZIP TECEPHONE a"o 7_�- 774 - 0 ME A j NAME )50 jr) 1,07 -eel-i,1 cl ADDRESS > CITY�� ZIP + NAME LICENSE PROPERIV'l 2C�NT PALRICEL NO. 06 7- 0 1 NEW RESIDENTIAL ADDITION *COMMERCIAL REMODEL MULTIFAMILY E] REPAIR GRADING CYDS DEMOLISH TANK IGARAGE CARPORT RETAINING WALL ROCKERY (TYP,q OF USC. BUSINESS OR ACTIVITY) EXPLAIN: 0(d rv-w NU11 0 STORIES NUMBER OF DWELLING 11UNITS 1411tt 7A ,C--T ICBLN PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS t"2 4 1 kVil" aaaaa� PLAT NAME/SUBDIVISION NO, LOT NO. 1.10410� LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Requ:r6d Street Use Perm I 11-d EXISTING --- PROPOSED Inspection Required Sidewalk Required 13 REQUIRED DEDICATIONZ____�l FT Underground Wiring required METER SIZE LINE SIZE NO. OF URES PRV REQUIRED YES13 NOA 2; REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE we%_ 4v- rrrx-,-. r-io.Al WSP. E:e ENGINEERING REVIEWED BY DATE 1211 9 z RE ED BY DATE /7 �0/0 EPHONE RIANCE OR CU SHORELINE OR ADB# /JIM - traa -t�410YES 7 INSPECTION REO'D IWO BOND POSTED 1$ ';IR2;AT[ N D;ATE CHErKED 6Y �j SEPA REVIEW GqVPL%l k: EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED 0 U VV EXP 4AM , , MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SET13ACKS (Fr.) FRONT LIR SIDE REAR COMPLIANCE OR CHANGE OF USE Aje, PARKING R PROVIDED LOT AREA I I PLANNING REVIEWED 13Y DATE SIGN [3 FENCE ( X_ FT) �EQ'D N(I I Z22 REMARKS Allnl'imw OTHEFj> CW111M I I WWI 1! 1 N I F RE SPRINKLER FIRE ALARM W= I NEW CRITICAL AREAS , DESCRIBE WORK TO BERbNE 50 0 a -- A I I - -1 1 42-9 ClIp" % LOT, SLOPE % ��CKjEEQ BY CONSTRUCT!ON CODE .,-' 'UILM; FANI TYP AV—/ 'M 1 177 GR . OUP OE SPECIAL INSPECTION OCCUPANT REQUIRED LOAD laa I x _22 I REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD Description Plan Check Building Permit FEE Description state surcharge City Surcharge I MI I MIN FEE ' PLAN CHECK 1 �0' VESTED DATE Plumbing 410— 1-*5A. 0 �;: Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading 3 DOMAIN (CURSS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. En9r._Review PERMIT=i&. )iBODAYS� UMM I YEM - PROVIDED WORK 15 STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review PlanChk.Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF a EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." x Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL' GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLAT 0 OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN!ShOMPENSATIO 'RCW 18.27. 'V�%,URANCE AND OFFIPI GNTA7 DATE SIG )ATf SIGNE9 (425) 771-0220 RELY ED BY 9ATE ArfEN;hON EXT 1333 ,v IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL ILI A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES z 9 0 M :q T, 55 � M M 0 -10 C: �K M M 0 F; �z f 7X-1 � (j) 0 _n n M M 0 V5 0 6 Fn C (j) C V) M 0 z X z z 0 1 3 M