The URL can be used to link to this page

20030123.pdfDATE RECEIVED ,:5 1 1 PERMIT EXPIRES ===ELM IF USE ZONE PERMIT ;—( I )5 0 IhJ CITY OF EDMONDS Mj/ NUMBER 0 JOB CONSTRUCTION PERMIT APPLICAT ION ADDRESS' SUITE/APT# OWNER NAMEINAME OF BUSINESS ST- FV "'s SU&P Lhr_-_� T T_ PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. I LID FEE S 15 MAILING ADDRESS 7��C) 2-1 to—W ST SEL) — TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Polfrift Rewired sifeetusa Pernift Req'd CITY ZIP TELEPHONE EXISTING — PROPOSED inspection Required Sidewalk Recithred 0A %C2.01 REQUIRED DEDICATION— Undenor-ld FT — Wiring (squired ,E-3banioNb�, METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 13 NAME L2Sa NO __Z3 ADDRESS REMARKS N CONTROUDRAINAGE OWNERICONTRACTOR RESPONSIBLE FOR EROSIO CITY ZIP TELEPHONE NAME CBL# F112.0;2� I k6t2L ENGINEERING REVIEWED BY DATE ADDRESS /9�P/ &tP1Aq: v) 6-20el REVIEWED fLY DATE ul CITY ZIP TELEPHONE FIRE /,L(,,JA)W000 PJ4 9&S& #�' &70 Z_ 7 BOND EXPIRATION DATE ECKE VARIANCE OR CU SHORELINE 1 OR ADBI INSPECTION REQ'D POSTED STATE LICENSE NUMBER 141, 13YEs 13NO S AFhb4F1 Z/ SEPA REVIEW COMPLETE EXEMPT SIGN AREA HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. AP , I I EXP NEW RESIDENTIAL PLUMBING i mECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FF.) FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR ft3100C`oMMERCtAl_ 0 ADDITION CHANGE OF USE PARKING LOT AREA PLANNIN REVIEWED BY DATE C6 REMODEL MULTIFAMILY 0 SIGN REO`D I PROVIDED_ I ci FENCE REPAIR GRADING cyng x FF) REMARKS DEMOLISH 0 TANK OTHER GARAGE [3 RETAINING WALL R 0 CARPORT ROCKERY FIRE ALARM (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: CHECKED_�Y TYPE OFCONSTRUCTION CODE OCCUPAV, cc WMB'ER NUMBER OF CRITICAL GROU OCCUPANT OF DWELLING AREAS T SPECIAL INSPECTION LOAD —STORIES NUMBER JAREA REQUIRED [] YE DESCRIBE WORK TO BE DON. REMARKS PROGRESS INSPECTIONS PER UBIC 108/FINAL INSPECTION RECII'D 4b01T70rJ DF FIP& At4jev Zw0cf-9 ssp&g- 6si rnee im�) VALUATION Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE T_ GLAZING % LOT SLOPE % Building Permit City Surcharge — 67— PUN CHECK NO: VESTED DATE Plumbing 4g�_e,:� se Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK ROTED. THIS PERMIT COVERS WORK TO FEE t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 t: SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS PERMIT ILIMIR I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION E�f Fire Review Plan Chk. Deposit APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS x IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection c PI Receipt # 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 Landscapelnsp. Total Amt. Due Total I iReceipt# 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee 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 This application Is not a permit until signed by the THE OWNER. I AGREE M COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building otficial or his/her Deputy: and Fees are paid, and TION; 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 receipt is acknowledged in space grovidod.__ WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. 0 NAZ SIGNATU (OWNER OI(AGENTO)y' DATE SIGNED (4251 14 *ED _,A1 30 03 771-0220 DATt: i _M 'z -2 MA 1 1 13 1 1 ,p3itENTION 'I L� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL M `!_ 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 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING f 0 M M C M 0 C rn ,0 z 4(a) MITI C Fcn 0 z 0 ITI FINP PROJECT APPROVAL FORM TO: — DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: L FIRE DEPARTMENT DATEJ&�:!�(— �() M2"=M —ENGINEERING DIVISION DATE- KEMSM —PLANNING DIVISION DATE PROJEC Aid SITE ADDRES PERMITU=��-� __ ---ADB# DATE INSPECTED DE . SCRIPTION OF WORK TO BE INSPECTED__I—_tXd__&�,�� Ir�.. 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 PERFORMANCE BONDS and the granting of : 2C -GRANT FINAL PROJECT APPROVAL GRAM PROJECT APPROVAL WITH CONDITIONS NOTED u Copy of CONDITIONS given to owner/contractor by inspector Ulu FILWJ FAILED FINAL INSPECTION - OUTSTANDING ISSUES u Copy of CORRECTION NOTICE given to owner/contractor by inspector 2. 3. RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date, Si ocaprvl.doc.l:temp:bldg:fomnsIO/OI 1� _�ATF RECEIVED PERMIT EXPIRES USE PERMIT ZONE CITY OF EDMONDS A & NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRE AN* ss7l,.,,,,P & �5r ze-"� OWNER NAMENAME OF BUSINESS ST F-V f-�s SLEEP LA(!., T T- PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE $ 7�� 0 Olto-ttl ST SW TES CP AP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP .' d CITY ZIP TELEPHONE Str EXISTING �.— PROPOSED 1nspwWnA*quk6d SidewaW floquirod F'ballorJU 0A 98mo I REQUIRED DEDICATION— Fr I Undww&XW 1 Winng requirad 13 NAME E-1 METER SIZE LINE SIZ NO. OF FIXTURES PRV REQUIRED I ES 13 NO 13 z ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP ONE NAME �-,-bUjft, GINEERING REVIEWED BY DATE ADDRESS 101?oi FIRE REVIEWED Y DATE 2CITY ZIP TELEPHONE LAWWOM '?AP3& 14tr 00 7,77-q E'- 9—/ d'—O T VARIANCE OR CU SHORELINEORADB# INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE REO'D POSTED EjZ OYES 13NO $ --r-f'664F1 PROPERTY TAX ACCOUNT PARCEL NO. SEPA REVIEW SIGN AREA HEIGHT "'kPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED CO 7 a2,0 , , 4:02z EXP 1:1 NEW 0 RESIDENTIAL PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)'. ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR ADDITION da-'COMMERCIAL 1:1 CHANGE OF USE 0 REMODEL 13 muLnFAMILY SIGN RE PARKING ED AREA PLANNING REVI=ED BY DATE CID I 0 REPAIR GRADING FENCE CYDS X— FT) AP11OVID 9F A an I REMARKS 1EI 1 -0 tj OTHER 0 DEMOLISH [3 TANK oGARAGE [3 RETAININGWALL R CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: A-j M CHECKED BY ITYPE OF CONSTRUCTION ICODE OCCUPA 1jt=h11a- Ww-'A��12da;5 7 GROU 0 0 CRITICAL NUMBER NUMBER OF OF WELLING AREAS ISPECTI OCCUPANT SPECIAL IN DN AREA STORIES UNITS, NUMBER_ 3 LOAD REQUIRED [] YES DESCRIBE WORK TO BE I�PNE REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REaD 4b0/770r,j 0,P flAs Au�" Z6005-9 orve- rx- sApu- VALUMON $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing /Z� h= Mechanical Popp THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO aq 1= BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 I 6q0F1 Grading DOMAIN (CURBS, SIDEWALKS, DRIVIEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review PERmitAppur.Amom isoDAys IL PERMIT UMM I YEAR - PROVIDED WORK IS 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 Plan Chk. 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 # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due 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." 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 CITY 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 IN VIOLATION OF THE. LABOR CODE OF THE STATE OF WASHINGTON RELATING TO Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space grovided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. oj:�i I NA DA SIGNATZOWNER Oq(AG9N"T)j' DATE SIGNED -:1A95) 771-0220 DATE 71-7 ENTION EXT 1333 -2, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A rIr4AL R40FEG I ivii nA0 Or-CF4 IVIAL)r- ANU /ArrMUVML un t% %jr-n i iri- ORIGINAL -FILE YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING