Loading...
20030277.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS — / ­716 '401 CITY ZIP 6�L_=?o ILI U/4. fn NAME 1?(., ADDRESS s' 'Vol cITY ZIP jFV_v--j,# WW. NAME TELEPHONE ZIZ.5- :314: TELEPHONE I-IZ5% Fzc­cz ICBL# ADDRESS IvIlb _106 Al CITY ZIP TELEPHONE Woo- 1 _3 STATE LICENSE NUMBER EXPIRATION 1_.rheo & I (?q ton IF -:i PROPERTY TAX ACCOUNT PARCEL NO. 06 LL] LPERMITEXPIRES S E USE PERMIT N E ZONE 0 NUMBER 3 JOB 0 I D ADDRESS 23 1/0-/-) 20� 1f, D R SUITE/APT# jeZ -W 6_C1,M1.4Ct5 PLAT NAMEISUBDIVISION NO. P LA LOT NO. LID NO. I LID FEE S U PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P B TESCP Approved RW Perffgt Required Street Use Peffnk Req'd rXI S EXISTING — PROPOSED Inspection Required Sidewalk Required R Eal REQUIRED DEDICATION— FT underground Wiringrequirad 13 METER SIZE LINE SIZE FZ OF FIXTURES PRV REQUIRED 1 YES 13 NO 13 5 I REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIORAINAGE b % 6) r-1 mAL_, Q51NEW [3-�RESIDENTIAL PLUMBINGI MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR 0 GRADING CyDs 01 FEN;,, t X FT) DEMOLISH TANK 0 OTH��y I Z oGARAGE CARPORT [31 RETAINING WALL ROCKERY FIRE SPRINKLER FIRE ALARM OWE OF USE, BUSINESS OR ACTIVrM EXPLAIN: NUMBER NUMBER OF RITICAL OF DWELLING CAREAS STORIES UNITS 1BER DESCRIBE WORK TO BE DONE C'X-' " R�4-e4- -P 4U-r— 't rt HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC X clu :1 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARGUEFS, ETC.) WILL RE IRE SEPARATE PERMISSION. PERMIT APPLICATION: ISO DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 160 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 CIAJMS 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 Awl CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT6 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- TION. AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABgODg E OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSA __j9ff NSUFfNCE AND RCW 18.27. S107 (OWNER OkAGE DATE SIGNED BY FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINEORADB# I INSPECTION BOND L . REQ'D POSTED Is yovEs ONO BEIRA REVIEW SIGN AREA' HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALL07ED PROPOSED , , _XP , LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR BY DATE PARKING REDID PROVIDED I LOT AREA I PLANNING REVIEWED I k�r�-11-9k.'71131 REMARKS CHECKED BY ITYPE ONSTRUCTION OCCUPANT 7_77 - GROUP SPECIAL INSPECTION fAREA OCCUPANT REQUIRED [[:3] YES LOAD REMARKS I PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD 1 9 I I PC Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscape Insp. Recording Fee CALL FOR INSPECTION (425) 771-0220 FEE Description FEE State Surcharge City Surcharge 7 t _0 1 5— Plan Chk. Deposit Receipt # Total Amt. Due Receipt # L112 lion is not a permit until signed by the or hlslher Deputy: and Fees are paid, and rpckngwI,9WIn space provided. 55 ATTMTIOK off 1 33 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L / A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FIF - /YE:0N/iNSP TCTC CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING j z 0 11 0 M APPROVED BY PLANNING Po 0 NNE)� ts k 6LE -FbP- DUTU- t� I 1�9 POT Ew-k-osL-k 9-a) wr Acco-'s Q L):n Ull 54 I f 340--- 00, 0. Lu LWU 65 LU BUILDING --------- WaAft ---------- - 9�- -.11 , UNE(TYPI—\ MAINTANIN MIN. 0 7 C I X (MM NIEEX got SEM (CONVAGUTMOMR TO FY r OWYN PRIOR T_Q - ------ A 5.671 LOT &r. FoF. - (SiE ARCH) X. .01 44 f!pol �04 -cT 1006 CoamcT X (ROCKEItY LOC oft K UNINA ta : kw2W MOCKERY ARY I TO ON IS RESPONSIME FOR . AND DRINAGE 0 1 CONSTRUCTION 0- % ENTRANCE 0- RSOUIRED 'MY lvr-D MAY 0 5 2002 E)EVELOPMENT -,,eclViCES CTR cl"y OF EDMOWDS APPROMMAN EARINWORK QUMn'nfS GRADING AND T.E.S.C. PLAN 4EXCAVAIION: 450:k CUBIC YARDS FOR FILL : . . 20* CUBIC YARDS UNCOLN ESTA 11E LOT 11 APPROVED AS NOTED BY ENGINEERING IN NE174 OF SECIION 369T.27 N.,R.3 E.M.M. CITY OF 'EDMONDS SNOHOMISH COUNTYa WASHINGTON. Dole: 1A $1 -02, SHWT 3 OF 3 A: P Z an c Im oc m c -2�, > 0 In. Im m- c 0. Zi 0 lft� —" j.� N pi 1p v WY14' d I dL L tot es W-I 11 4 L L Z7 P r L r tit L� 4 23qo 7 all ff 71, P, 11 if d L L� Y4 L4 L 41 Pr! r:r 4 r r r r rt r 4 Ir I -r 10A r L L I L d r 1 21 t _lk� ?ZR J�IL 1 iy A ij rf' L kL 17— d p %L 1 4 .1 1 L 'r 19 r r L r L I r QRhz I- L. r IV L L I I k I r Lr 'L TY 0 F E D F� 110 N I D S p L ' 9 1 1 1 4 1 r L p I I I I I I I I L I I I I L r r �Joil' L I LAING D E gi-DA4 RTM ENIT 4. f r L 1 0 I r 5.1 I I k r r I I I I k t ,I I 1 70 r r I . . �L . I -) t'.'% ", ! f , ; 4 j 01 p r if TY COVY I k I I L -T. - �A p I L k I I �'y s or I I r I r I I p 4 4 k r 4 1 p 4 L jk r :r 4 Al I k I k r r p �'4 I I ol I I 4 AL FINAL PROJECT APPROVAL FORM TO: DATE: 0 3. RE-iNsPEcTED oursTANDiNG issuEs - GRANT FINAL PROJECT APPROVAL Date____-. Sip, ocaprvl.doc.l:wmp:bldg:formsIO/OI z 9 0 m =i =n- M c mo 0 80 c M MZ C) --i CE 0 -n 3: M m 0 0 0 M C (j) c co M 0 Z z z 0 4 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED 01� SETBACKS ...... ............... FOUNDATION: Footing............ ........ Wall......................... Pier/Porch ................. Retaining Wall ............ io Slab Insulation .......... r PLUMBING: m Underground .... Rough -in ................... ...... ..... .... C. iiclal Final ...... omm C Z'. -�.HEATING: 'Gas,Test. .................. 4: -n Gas, Piping ...... ............ E Ulornent ........... Comrnerclai Finaif ....... C: -EXTERIOR SHEATHING NAILING .......................... C) FRAMING ........................ INSULATION . ................... FIRST FLOOR FRAMING� ... Floor Insulation .......... Wall Insulation ........... Z� Ceiling Insulation ....... -..SHEETROCKNAiLING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... Fn FINAL APPROVAL FOR OCCUPANCY ................ ATE RECEIVEP I CITY OF EDIVIOWDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS Z10 C C11A MAILING ADDRESS r CITY ZIP TELEPHONE e,, , 7' 1 / 141A - f&;c -I' V?5- NAME ,.0 _< ADDRESS 31TY ZIP TELEPHONE ril V -, k- # ?A6-<37_C NAME ICBLN 4j(&=jL,A &C Y-J4 ADDR /19/16 _100 Al :5� CITY ZIP STATE LICENSE NUMBER Zrneoc_ PROPERTY TAX ACCOUNT PARCEL NO. 21 0 SL TELEPHONE 4/75"� 3 q- /T- 0 [&NEW [3-RESIDENTIAL 0 ADDITION COMMERCIAL 1:1 REMODEL 0 muLnFAmiLy 0 REPAIR GRADING CYDS DEMOLISH TANK GARAGE CARPORT RETAININGWALL ROCKERY OWE OF USE. BUTLINESS OR ACTINTM EXPLAIN: NUMBER NUMBEROF. OF. 6��s DWELLING UNITS DESCRIBE WORK TO BE DONE "A �f k e 2 PERMITEXPIRES USE PERMIT ZONE Fz_ NUMBER 2 JOB ADDRESS 4L A441 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL Sr EET MAP TESCP Approv9d AW PenmN Required Street Use Parmil Rocfd EXISTING — PROPOSED inspecUon Required Sidewalk Required REQUIRED DEDICATION tlnder� Wking required METER SIZE LINE SIZE NO. OF FIXTURES RV REQUIRED YEB 13 NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE I ocwwtioos. Fi5m) f=71 MAL-0 %4-.V 1 ICA. V %.0Lj%_0 FIRE REVIEWED BY DATE W VARIANCE OR CU SHORELINEORADON I INSPECTION BOND L �, REO'D POSTED 15yEs 13NO IS SEPA REVIEW SIGN AREA' HEIGHT COMPLETE , EXEMPT ALLOWED , PROPOSED ALL07ED j PROPOSED __XP 5'ass 1 LOT COVERAGE REQUIRED SETBACKS ( ) PROPOSED SETBACKS ( ) PLUM13ING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR. I COMPLIANCE OR z CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE SIGN RECID PROVIDED I I I I 4t241r7--- Af-1/03 o FENCE ( do' X FT) REMARKS OTI-Igly I y F RE SPRINKLER FIRE ALARM CHECKED BY ITYPE ONSTRUCTION CRITICAL AREAS SPECIAL INSPECTION AREA NUMBE.OVI 3 REQUIRED [:] YES A IEMARKS ­,"J�R;)63RESS INSPECTIONS PER UBC Description Plan Check HEAT SOURCE GLAZING % LOT SLOPE % Building Permit PLAN CHECK NO: VESTED DATE L W Plumbing Mechanical TMS PERMIT AUTHORMFS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC a Grading -6, ETC.) WILL n M DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEE EQUIRE t: SEPARATE PERMISSION. Engr. Review PFRMITAPPLICATION: 180 DAYS PERMIT ILIMM 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 IN,INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection ALL CLAMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CirirS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT fHE 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- CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOB!CME OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMENS COMPENSAff �IN F+NCE AND RCW 18.27. JA FEE OCCUPANTV.g GROUP 0- %,wor OCCUPANT LOAD INSPECTION REa�'D!j Description FEE State Surcharge City Surcharge 115— Plan Chk. Deposit Receipt # Total Arnt. Due' `L Receipt # P I tion Is not a permit until signed by the or his/her Deputy: and Fees are paid, and rlackqmWeW In space provided. I ..L, SIGI�� (OWNER OkAGE DATE SIGNED 70 0) 42 3 771-0920 RE 15A�VU E ATTL*TI'OW EXT 13:33 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR�GINAL-Fft -)YELLOW/1N SWCTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P NK - OWNS4--"- GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING I L.