The URL can be used to link to this page

20030179.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS grie & ' MAILING ADDRESS 7-3Y03 P013W HW-0 P124VC CITY zip ITELEPHONE etlmvolb _S 61902 0 LZj!�,L) 57 t NAME ADDRESS CITY ZIP NAME jCBLN CITY ZIP I TELEPHONE PERMIT PIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS -d -� PLAT NAME/SUBDIVISION NO. LOT NO. LID NO, LID FEE S 7ESCP APPFO"a PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAF RW ParrM Required Street Use Parrnit Raq'd EXISTING — PROPOSED--- ln&pWlon Required Sidewalk Required REOUiF ED DEDICATION— FT QU' Underground Wifingfequired 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED LEMARKS YESD NO 13 z R M I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION OW CONTROLIDRAINAGE FIRE REVIEWED BY DATE ul Ir I M :a�j� STATE LICENSE NUMBER r ZVe/y 4 V49 �1' - :5—rZ JV-" Z --_C" / f &_ L 0 I C EXPIRATI P DATE C CKED BY M&2 �P, KED BY _&de� VARIANCE OR CLI SEPA REVIEW COMPLETt: EXEMPT SHORELINE OR ADBN 113YEs SIGN AREA ALLOWED PROPOSED INSPECTION REO'D ONO BOND POSTED 1$ HEIGHT ALLOWED PR OPOSED PROPERTY TAX ACCO PARVitt. I U. I EXP -C 0 PLUMBING MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACK FRONT SIDE FEAR I, (FT.). PROPOSED SETBACKS (FT) FRONT LIRSIDE REAR NEW XRESIDENTIAL COMMERCIAL COMPLIANCE OR ADDITION CHANGE OF USE 31 RK:NG LOT AREA LANNING 'REVIEW, DAT t BY E EMODEL X� MULTIFAMILY SIGN REO`D I PROVIDED REPAIR j GRADING 13 CYDS E] FENCE X FT) REMARKS DEMOLISH TANK c3 OTHER GARAGE RETAINING WALL ROCKERY FIRE SPRINKLER 1:1 FIRE ALARM GMF ME OF USE. BUSIN OR AC-TIVTM EXPLAIN: P7-1-4 / Zzac NUMBER NUMBER OF T CRITICAL DWELLING AREAS UN175 NUMBER 2 -4- / t DESCRIBE WORK TO BE DONE WMOV6 6,51olJ& �rHer-TWCA-L Iti ome- PAarr OF rPAVAM DWEWM& - j"6WVr::r> 5eaA46D -c*J A-5,Be-ST05 UA-71NQ - — HEN GLAZING % LOT SLOPE % PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORIUS ONLY TH WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLy. ANY CONSTRUCTION ON THE PUBLIC 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE M SEPARATE PERMISSION. PERMIT APPLICATION: ISO DAYS PERMIT LIMM 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 THEE 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 E DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC : 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 VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. — 9920 DATE)IGN SIGNATUF)KCOWNJ� 0@ AGENT) 3 1703 CHECKED By TYPE OEhGQNST U IUN JAREA SPECIAL INSPECTION REQUIREDE3YES REMARKS PROGRESS INSPECTIONS PER UBC $ DescrIpIlIon Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapeinsp. Recording Fee GROUP A OCCUPANT LOAD I INSPECTION IREG'D FEE FEE Description State Surcharge _11S C rg SurEcha 0 This This CALL Building B R INSPECTION r IA25% rt 0) 771-0220 RELEASE -1 -A 02 , Plan Chk. Deposit Receipt # Total Amt. Due 1 Receipt # .ICATION APPRdiVA—L f ation is not a permit until signed by the a or hisfher Deputy: and Fees are paid, and is acknowledged in space provided. — JATUOr DAT9 ATTEKION 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 'INK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING .0 JUU 1-4ulelut" Labor and Industries NOTICE OF Industrial Hygiene Compliance ASBESTOS ABATEMENT (Regional addresses and phone I PROJECT numbers on page 2) Today's Date Vanuary 30, 2003 THIS NOTICE MUST BE RECEIVED NO LATER THAN 10 CALENDAR DAYS PRIOR TO THE START DATE COMPLETE ALL APPLICABLE BOXES — INCOMPLET90R ILLEGIBLE NOTICES WILL NOT BE ACCEPTED MAIL OR FAX TO THE REGIONAL OFFICE —CIRCLE CHANGES ON AMENDED NOTICES Notice date: 01 /30/03 Initial E] Amended Site Work Hours Su Mo Tu We Th Fr S a /0 am Start date. 02 /10/03 OnHold10OffHoldD 8:00 am to I x I x I x I x F C Com leti 0 / /0 pm Project Dates and Work Hours must be Exact ompletion: 03 /�3jIL03 J Emergency [3 pm 5:00 CONTRACTOR PROPERTY OWNER Company Name American Environmental Construction LLC Name Melanie [Awls and Greg Cain Contmctor Certification Number Owner's Agent 1338 '14 Si at MMY Printed Name Address 23403 Robin Hood Drive DeanIna Gerard city State ZIP+4 Phone Number Edmonds WA 98020 (206)5234441 Job Site C.A.S. Phone number 1(206) 54&2005 John Asselin JOB SITE FACILITY Address 23403 Robin Hood Drive Type Sinele Famil Residence Building Name Room Age Size +/- 48 years 3100 SF city RRemodel 0 Demolition Edmonds, WA 98020 WA 0 Repair 0 Maintenance ZlP+4 County 02fl7ft Snohomish OUANTITY OF ASBESTOS TO BE: E] REMOVED [] ENCAPSULATED Quantity 830 square feet E] Indoors - - [] Outdoors Fireproofing Boiler insulation CONTROL MEASURES Popcorn ceiling Duct paper Neg.- pres. enclosure Wrap & cut CAB VAT Glove bag Wet methods D Sheet vinyl Asbestos paper Roofing 0 Mini enclosure El HEPA vacuum Other El critical barriers El Manual methods Quantity linear feet (3 Mag. pipe insulation (3 Cement asbestos pipe 13 0 Other [3 Other — RESPIRATORY PROTECTION Air cell pipe insulation Mudded pipe ins. /,mask APR El Type C continuous flow Ducting/duct insulation rl [3 Duct tape Full face APR 0 Type C pressure demand Other M nt er PAPR [:] Other F413-025-000 notice of asbestos abatement project 11-01 For clean copies go to http://www.ini.wa,gov/form.%/ T — fit -4� 0 Z; Vol COV V"k" LLP C-w BATcH ID ---------- Air samPle 2303306'00 Job Location: Job Sampled BY: n Date: TImeA Sample fflk3aP7�6 Location: Sample Type: 73 Work Activity: — Protection: Protle Observations: Decon: Worker SW: Cer* Environment: rime: Start P,,/e/ Rate: Start Fibers FIb4 Pump nd Time: E jso3 Rate: End Liters /field ICd` Minutes = Average S V:* A sam* Location: o --ewrwj,,ICj Sample Type: 0 AZD-P-- Work Activity: 9! OX Protection:—cA -- Obseivations: . I: i M A' Decon: Worker SS#: Cert#: Environmentf rime: Start g,1/7,,.__ Rate: Start Xs& -- Fibers Fiba* Pump #: Tim: End Rate: End !K.ZY - Liters /field ft�,. Minutes Average Smple ID. �36& Location: Co Sample Type: Work Activity: Ce'r"Im-C Protection: CA Observations: Decon: Worker SSP. CerW Environment: Ar Time: Start Rate: Start 14 14 2 Fibers a rn Purim Time: Endf Rate: End Liters /fie Id /CC'. CR . Minutes IV Average Sample ID-. Location: 7 T, . sample Type: '0jd& Work Activity: Cj Protection: Observations: Decon: Worker SS#: CerW Environment: F rime: Start Rate: Start Fibers Fjbe* Pump IP Time: End J Rate: End Liters /fie Id /Cc.' M Minutes Average 0 7S Smple ID.-gaf Location: sample Type: Work Activity: Protection: Observations: Decon: Worker SS#- Certs: Environment Tim: Start Rate: Start 3 Fibers 41, FPW Pump Time: End Rate: EncVj's o -3 -liters tfield Minutes . ........................... TOTAL P. 02 4 1 6 6 "I.P PIP 1. It* Ill. I... .,pJ.PP I I. `Il IT IPP 1',r. ... I 111 010 ."IVIPP f STIPP J"P"PIPIP It 4 PIP, P' d % d PIP IT I I. 1.1 PIP TIT 6- P 4 to It .L,A RECORD OF INSPECTIONS I pI 14, l 1 4 1 P INSPECTOR DATE APPROVED III) d J fv SETBACKS r t I II I PIP 1 0. IT PIP 0,:% d ..P. FOUNDATIONS SIP 4 d k IV I I PP. I I I I I PI I 'L PIP I I I I I PIP Footing 69906 ego 600; 1 t ;''I I III I. _PIJ I... I PIT, I. I P k I I J� - I 1 11 1 1 d I I PIP Wall I I I I I I PIP PIP. pl, PIP I. d I IT P, 1, 1 1 I I I IP r..J I, I Pier/Porch 690*400864, 041*680 1 1�1 4 1 1.- d I I I I I I d P. 1I I I I . I I I I 1 911111 1 I I III I 1 1'. 1 1 4 1 1. PIP. 1.. 11 1 Retaining Wall 0. 1 Ild M d Slab Insulation I PIP r SIP 1. PIP.. I P -It -k Son P I PIP I I PIP PLUMBING. P, 11 14 P. IT V IT t IT I P 11 I Ito Ip Underground 4 ff IT .1. Id IT d :4 d Rougholn t T�u I I# oI d IT I. IT rI Commercial Final IT: IL PIT I P. PIP 1 114 4 1 1 M It I I "IT I,,, I HEATING III I :I PIP., I P 1, 1 i I r IT,- I: I I I I IT. IT d 1 1. 1 1. 1 " I I , r' ASSISI PI, I I I PIP I I z d 'd Gas Test IZi d I I I PIP 14 IT 1: 1 1 Gas.Piping P PIP I d T14. Pvt I IT k I IT. I . 1. .1 N-V I k I d PIP P, d 'Equ p ent I 1 1. d I 1..— 1 an I I I ' I I . I ' % , PIP r; I m I IT PIP. 1 4 IT P, IT P PI I P"I 4 1, 1 4 1 1 PIP IT I IT T I J 'I I 'I ITT k P dL commercial Final s PIP 'k P 4 d 4 'TIT f IT M M I 'IfI IT d I I I r. 4 1 1 1 4 1 J I IT I, PIT .11 IT I I T I 1 0 4 IT I; J'f C9 k P T I EXTERIOR SHEATHING P I. it t, TJ k NAILING J I I I I. I Ir I w d . t I WIIII I r P . r I k I 4 P 4, , PIP-- It I I t IT kd 4 P. IT' rlP I 'It, d I J. P , FRAMING I I 'd 0 PIP I d C) P Jr I r. t PIP IT d PP I I I . .1 . .1 PI 4 1 VIP IT I I r'. I IT,- on, 4 �g I I too 4, J! I I . PIP' it PIP I I FIRST FLOOR, FRAMING' ZIP .1 PIP 11 PIP I I I . I I l P , I I I � I. k I 1 4 I t Pq I. IT I If 2Pl� I. IT I I : ; I I ' I PIT I T, k z j P. J.0,T 'I, ANSULATION I.,, PIP I I I It I IP '4 1 :Ph 1 4 1 P,rW I I.' I I. PIP I -P 'k I I.. I PIP IT Jr. I % I d.t I I 14 It IT P, IT. PIP I kPI0. J FloorInsulation 09109*961"1 1 P I PIP I I PP., IT I I r, I I. I I p I- I I I P- I PIP I I 1 4, 1 1 1 1 IP I I PIT PIP I I I I t IT I t LL I, I It I I, .... .. PIP. III . 'I PI I . IT 1 7,# ITT 11 .1 TI I I I I P d -Wall Insulation _7 III I, I, I , IT t,14 lL IL I PIP, I I 4 PIP, I I I I I 1 4 1: 1 v PIP ..Ceiling Insulation' 1 4 1 z 1 4 I IT d d SHEETROCK NAILING I ; 1 4 I I IT , J I J d 0; !- Pt I IT 4 1 1 1 1 10 d ., . I III I I I I A I . %, P M ..I T I PIP I. POP' PIP' 1. SPECIAL INS PECTION I d I I k I MISS J d TIP;. MISCELLANEOUS PIP, d FINALAPPROVAL FOR �r ITT., OCCUPANCY .4 PIP. PIP: I �kkI 1 1. 1 1 1, PIP' I I d, PIP. P I I k I IT I d 14 PIP 4 TP 0 d A X P ( IT IT `4 $ * Is rn d I TI ol I PIP. AA 107 a PIP I I I 'j ;Pdl t I T� 6 ATE RECEIVED F I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS og-e-6 !,;� / �j _iA LING ADDRESS Z-3Y03 POBW HW-D PP-1 VE7 CITY ZIP ELEPHONE r-OMON-b _S q 902- 0 20* NAME ADDRESS CITY NAME ADDRESS A & niz CITY g STATE LICENSE NUMBER NEW 0, ADDITION XREMODEL REPAIR DEMOLISH GARAGE CA PORT, (TYPE OF USE$ E ZIP ITELEPHONE zip XRESIDENTIAL COMMERCIAL MULTIFAMILY GRADING CYDS TANK RETAINING WALL ROCKERY OR ACTIVITY) EXPLAIN: NUMBER OF CBL N PERMIT EX L:E PIRES ..j USE ZONE P < PERMIT t . ..... NUMBER JOB ADDRESS .3 (_R SUrrE/APT# 1)ob M1111400 1p� PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESGP Approved RW Permit ReWkscl EXISTING — PROPOSED Street Use Permit RWd InsPection Required Sidewalt Required REQUIRED DEDICATION— FT Undergmurld Wirinnraquirad METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED I YESE3 NO 13 _I REMARKi OWNERICONTRACTOR RESPONS113LE FOR EROSION CONTROLIDRAINAGE DATE FIRE REVIEWED BY DATE 4 VARIANCEORCU SHORELINEORADBN I INSPECTION BOND BY JC3 REO'D POSTED YES 13NO s COM SEPA REVIEW SIGN AREA HEIGHT PL T COMPLETE E E EXEMPT I ALLOWED . PROPOSED I ALLOWED . PROPOSED [:] PLUMBING/lAECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FE) 0 COMPUANCE OR ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR CHANGE OF USE I PARKING LOT AREA PUU iNING REVIEWED BY , DATE El SIGN REOD I PROVIDED FENCE ( _ X_FT) REMARKS OTHER FIRE SPRINKLER FIRE ALARM CRITICAL AREAS _25EM&dE: jF-_ f I UNITS I NUMBER DESCRIBE WORK TO BE DOME "Ovf- Celom& 5iHeerWC42_ /M ft6e:7 PAarr OF P940-TE. bwELA,1hVg - WavPe$ '5ftz*1%4"-cf4 Aeobesw6 CHECKED BY [TYPE 011-CMUSTOUCTION rrloi� OCCUPANT -Y /V GROUP E SPECIAL INSPECTION JAREA OCCUPANT REQUIRED LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1108/1FINAL INSPECTION REaO =1 1Z I FE E Description FEE HEAT SO RCE GLAZING % 7— Nz 1% I [Bulld7ing Permit — ` I City Surcharge I vs.m% %01116wn NNW; I Vt:blt:U UATF: THIS PERMIT AUTHOREMS OMY THE WORK WOTFM. THIS PERMrr COVERS WORK TO 13E DONE ON PRIVATE PnOPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC I Wi I DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS. MARQUEES. ETC.) LLREOUIRE SEPARATE PERMISSION. PERMITAPPLICATIOW 180DAYS LIMM. I YEAR - PROVIDED WORK 18 STARTED WITHIN 180 DAYS SEE BACK OF PIM 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 CARMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED M MODIFV: WIJVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYB 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 1VEREUY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPENSATION INSURANCE AND RCW 18.27. DATE)IGNE 3 /1 7c)3 Plumbing IV -1 Mechanical Grading Engr. Review Eng - r. Inspection Fire neview Plan Chk. Deposit Fire InspectIon Receipt # Landscapelnsp. Total Amt. Due 174 Recording Fee i Receipt # lk� APPUCATI( 3RO AL , CALL This application Is not a permit until signed by the FOR INSPECTION Building Official or Mother Deputy: and Res we paid, and receipt Is acknowledged In space provided. V7 4RE OFF SIGN DAT9 A.13i 1 5). r 771-0220 RELEASE W MENTION Off 1333 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 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING I z 0 4 0 M -4 _n M 0 C: _z In MITI Vi Fn r. ca in C) z 0 d 0 M