The URL can be used to link to this page

20030286.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS C MAILING ADDRESS CITY NAME ADDRESS CITY ZIP ' JTELEPHONE ZIP ITELEPHONE PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS Imu PLAT NAME/SUBDMSION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approv0d AW Pemot Required EXISTIN Inspectlon Requir REQUIR Z7 tk Requ f= y1Mnar"t*e4_ 0 ;N[3 METER Ind jrUjp_W&4R&ffP i2reqf On Fun*nWd UUVA7Rg Illuming it D 13 sp4m__ UMC 815 z 111SE3 REMARK &M=MWrPONSIBLE OWNERI FOR EROSION CONTROWDRAINAGE NAME ENGINEERIN TVVIEWED Y Perrot) N F1 ADDRESS n j etrica LQ I t fQ L us FIRE REVIEA�__.., CIM ZIP TELEPHONE IEL VARIANCE OR CU SHORELINE ORADIIN INSPECTION BOND STATE LICENSE NUMBER EXPIRATION[ATE 1 REO'D I POSTED CJ6 hIE5'SULLU�L_" 13YES 13NO SEPA REVIEW �Ar.048=09 I HEIGHT nonnr� TAV Art�e%"ur pAnn un ALLOWED - PROPOSED Ti sc� EXP =1 ME H tif NEW W,'**RESIDENTIAL 5fpLUMBINGIMECH ALLMID ARIV COMPLIANCE OR ADDITION COMMERCIAL U CHANGE OF USE PARKING REMODEL MULTIFAMILY SIGN REQ`D I PROVIDED REPAIR 0 GRADING FENCE X FT) REMARKS CYDS ( DEMOLISH TANK OTHER oGARAGE [3 RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTWM EXP I 1W) PROPOSED SETBACKS (Fr.) . I FRONT UR SIDE REAR PLANNING REVIEWED BY DATE t* K__ CHECKED OFff NUMBER NUMBER OF CRITICAL _iM OF DWELLING AREAS SPECIAL INSPECTION AREA STORIES UNITS NUMBER REQUIRED [] YES DESCRIBE W0fRI TO BE DONE REMARKS PROGRESS INSPECTIONS PER USC I OCCUPANT GROUP OCCUPANT LOAD INSPECTION REQ'D I —Vd='P evi r,-7 0,&i, — T, III 1A 6 _n Lft-t I t CA� I Desciriptlon FEE Description FEE I V I A14 lt�(.12fld b" h " Plan Check State Surcharge I HEAT Soul GLAZING % LOT SLOPE % Building Permit ell — City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical I THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I: BE DONE ON PRIVATE PROPERTY ONLI ANY CONSTRUCTION ON THE PUBLIC Grading M DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. L: Engr. Review PERMIT APPILICATION: 180 DAYS PERMIT LIMM 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 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 Landscapelnsp. Total Amt. Duo DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Receipt # 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 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 acknovAedged In space provided. WORKMENS COMPENSAT CE AND RCW 18.27, OFFICIALS 871,NATIUE DAIE SIGNA:: (0 tE DATE SIGNED 771-0220 I RELEA§ED tj,r IIIATE ATTENTION 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 04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 13 DATE RECEIVED I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS I MAILING ADDRESS CITY ZIP NAME ADDRESS CITY NAME ADDRESS ;:XD 1(�-) I" C11m, STATE LICENSE NUMBER .Q2 6h) IE:s PROPERTY TAX ACCOUNT TELEPHONE ,-go( 0 ZIP ITELEPHONE CBL # - - �(l St TELEPHONE 1-y� 11 -n -) - bj�`RESIDENTIAL [:] NEW 0, ADDITION COMMERCIAL REMODEL MULTIFAMILY [3 REPAIR GRADING CYDS DEMOLISH TANK 0 GARAGE o RETAINING WALL CARPORT ROCKERY 'OWE OF USE, BUSINESS OR ACT1VTM EXPLA"t NUMBER NUMBER OF OF STORIES DWELLING' UNITS DESC TO BE DONE I I - - - - 117- % I Lx PLUMBING / MECH COMPLIANCE OR CHANGE OF USE SIGN FENCE ( —X FT) OTHER_ FIRE SPRINKLER FIRE ALARM ZONE JOB ADDRESS PLAT NAMEISUBDIVISION NO. 77� 'I PERMIT EXPIRES PERM T NUMB ER I A surrE/APTf LOT NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP METER MaTIEVIEWED BY Obtain Electried Permit FIRE LID NO. LID FEE S TESCP Appm"d RW Psm9t Rowked Stmet U" P&MR Rsqd VARIANCE OR CU I SHORELINEORADB# I INSPECTION SEPA COMPLETE EXP A LOT CC ALLOWED BOND POSTED HT PROPOSED IROPOSED SETBACKS (Fr.) FRONT L/R SIDE REAR BY DATE REO'D I PROVIDED PARKING I LOT AREA I PLANNING REVIEWED CHECKED BY OCCUPANT 4�2, LTYPEMWR IC109111IJ GROUP CRITICAL CA AREAS Ike SPECIAL INSPECTION OCCUPANT NUMBER JAREA LOAD tREQUIRED [3 REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION RE 'D 1 11' C 9� I ovi r1i ov�� J, n --*Ia L I �J" ( Q VW W-ww-fi a mm I U A -1� Descrlpl:lon FEE Description FEE I n i Ma t�c fff-d 1ki h " Plan Check State Surcharge 1. I HEAT SOURCE GLAZING % LOT SLOPE Building Permit 00, City Surcharge --- PLAN CHECK VESTED DATE Plumbing 7 r Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1: BE DONE ON PIMATE PROPERTY ONLX AW CONSTRUCTION ON THE PUBLIC Grading 2 DOIMN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: 180DAYS PERMIT ILIMM I YEAR - PROVIDED WORK 18 STARTED WITHIN 00 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND 8UCCESORS Fire Review Plan Chk, Deposit I 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 # ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY -- — FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* NOR LIMIT IN ANY WAY THE Recording Fee HK Receipt # L[ I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMWATION 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 unto signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABORXODE OF THE STATE OF WASHINGTON RELATING TO Building OMejai of ws/har Deputy: and Faso are paid, and FOR INSPECTION receipt Is acknowledged in space provided. FOI WORKMERS C0VPENSA5W^-11VANCE AND RCW 10.27. (425), 07A CIAL E OFFI 61 NATU E SIGNATW (04 DATE SIGNE D 1,12 _tS IM—( (1—aL 771-02 20 HELFAbW BY AT E ATTENTION 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