The URL can be used to link to this page

20030276.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS A CITY ZIP TELEPHONE �WOVV403 5Prwe NAME ADDRESS CITY ZIP ITELEPHONE NAME ICBL# zkoe e�/vrieqv i ... 7pt) 13303 CITY! TELEPHO . Y- qS0 NE _)y I I um, - Zip STATE LICENSE NUMBER E PROPERTY TAX-ACCOUNt.PARCEL NO NEW RESIDENTIAL WPLUMBINGIMECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULnFAMILY SIGN REPAIR GRADING CYDS FENCE X . ]F7) 1:1 DEMOLISH 0 TANK OTHER GARAGE [31 RETAININGWALL 0 F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE. BUSINESS OR bI5T1lVrCA4DWJAN: El NUMBER DNWUMBEIR OF ELL No CRITICAL OF AREAS STORIEStfikel UNITS NUMBER DESCRIBE WORK TO BE DONE nr~ :=F- '4g�f'p Ae'vej: Vol, 0'VaIdL, EAT SO RCE GLAZING % LOT SLOPE % A14 2*S* 1 1 PLAN CHECK NO: I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPILICATION: 180 DAYS PERMIT ILIMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAK 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 MATURE. 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 AlITHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABqA.QfDE OF THE STATE OF WASHINGTON RELATING TO WORKMgqAXkMPaN&Wj9fPW&RANCE AND RCW 18.27. DATE SIGNW " wl�o ZONE JOB ADDRESS = MITEXPIRES j�JIZ?ji PERMIT "21� 362,7to NUMBER 4-4,10, SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO, j LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved AW Permit Required Street Use Permit AGId EXISTING - PROPOSED InspecOon Required Sidirwelk Required REQUIRED DEDICATION- FT Underground Witing (squired 13 METER SIZE LIN��Ol` FIXTURES PRV REQUIRED C3 I- YES E3 NO 13 z REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE -11 7) - ENGINEERING REVIEWED BY DATE - �iZ 8= *64-. FIRE REVIEWED BY DATE Lu 0 lz P BOND REG e, POSTED Obtain i'lectricull PIP PROPOSED LOT COVERAGE I REQUIRED SETBACKS (FT:) I PROPOSED SETBACKSEA(Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE R R K 1z UUMC 815.1.7 CHECKED BY ITYP c OCCUPANT GROUP / SPECIAL INSPECTIOIT OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REGI'D VALUATION $ Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt N Landscapeinsp. Total Amt. Due Recording Fee Receipt # 2 CALL FOR INSPECTION 1425) 771-0220 APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or his/her Deputy: and Foos are paid, and receipt is acknowledged In space provided. R ATE ell) 4 z RELEASED 8 DATI! ATTENTION Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL LT P-1 TOR 13 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIG17- FILE YELLCV- INS C V CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 4 0 M :q M M 0 0 -10 0 C: � K 11711 ITI 10 V) 0 _n "3n� 9 M M a a; 0 0 rn MO z 0 4 0 ITI RECEIVED rM CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS le5e7 �_- CITY ZIP TELEPHONE 'F:- . 0,,W.0AA0.5 NAME ADDRESS x CITY ZIP ITELEPHONE MAME CBL N ADDRf&S ZIP T PHONE I:;:- CO2 I 'T CHEM STATE LICENSE NUMBER NEW RESIDENTIAL XPLUMBING/MECH ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE REMODEL 0 MULTIFAMILY 0 SIGN REPAIR GRADING CYOS FENCE 1:1 ( FT) 0 DEMOLISH TANK 0 OTHER oGARAGE o RETAINING WALL CARPORT ROCKERY 0 FIRE SPRINKLER FIRE ALARM OWE OF USE, BUSINESS 0 N: NUMBER OF e7 NUMBER OF DWELLING CRITICAL AREAS I STORIES Lm-�kd UNITS _j NUMBER DESCRIBE WORK TO BE DONE xenw / ZA/_ In fr, <::� VEAT 2RCE T-GLAZING % LOT SLOPE % X,00.'* PLAN CHECK NO: VESTED DATE 5 1g,3 _jk..�j PERMITEXPIRES, S E PERMIT AO_ ZONE 6z -777' NUMBER JOB SUITE/APT# 7 /� ADDRESS /,0 , 0& - - A V - L PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. I LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCIP App"Wed RW ParrM ReWlied luget Use Pomh Raqld EXISTING — PROPOSED ImpoctlonRoquired fildews* Required REQUIRED DEDICATION— FT I Underground Wiring requir" 13 MUER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES C3 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE 11; ENGINEERING REVIEWED BY DATE v z -s = e � 5 F -- 06 4 vA 44;5+. - - - - - FIRE REVIEWED BY DATE LOP BOND REO'D POSTED S07E83 N70 S I EIGHT —6MWEEDI PROPOSED LOT C VERAG REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT) E ALLOWED NJ LIR SIDE REAR Type _B or L vent etars PA REQ'D CHECKED BY ITYPE T Mc I I SPECIAL INSPECTIONIA!HEA REQUIRED [] YES REMARKS PROGRESS INSPECTIONS PER ILIBC I VALUATION Description FEE Plan Check Building Permit Plumbing Mechanical OCCUPANT GROUP �G OCCUPANT LOAD NAL INSPECTION REaD Description State Surcharge City Surcharge THIS PERMIT AUT14ORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 1 DOMAIN (CURBS, SIDEWALKS. DRMVAYS* M"QUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review I PEnurTAPPLICATION: 1180DAYS L PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN iso 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 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt N ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMTE ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED To MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CrTTS 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 11, VIOLATION OF THE LA49WE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Officlall or his/her Deputy: and Fees are paid, and receipt Is acknowledged in space provided. WOR�Q��NW RANCE AND RCW 18.27. officl GNAT ATE G DATE IA-35) :�*IGI�IAT 771-0220 13Y DATI! ATTENTION EXT 1333 RELEiSED _rl�t4V4, 11-41)9 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIG FILE YELLOWINSPIC16 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD.ASSFSSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 0 M 0M a M§ 0 M M C 0 n M 0 n C M0 z 0 M