The URL can be used to link to this page

20030318.pdfM aDATE RECEIVED PERMIT EXPIRES __,ii USE PERMIT CITY OF EDMONDS 111E NUMBER JOB SL D CONSTRUCTION PERMIT APPLICATION rAD 2RE5Z2L Z& OWNER NAMEINAME OF BUSINESS CITY NAME ADDRESS CITY NAME ADDRESS ZIP TELEPHONE *,O,A I zx/A-'!�-_ ZIP ITELEPHONE M PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Ap RW Permit Sarm 9 Street Use .q.., EXISTING — PROPOSED inspection Required Sidewalk Required REQUIRED DEDICATION— FT Und&WMW Whingrequired 13 METER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED is I I YES 13 NO C] I REMARKS I 22c, OWNE 11CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE DATE jj;;j'Q'.j -I,-w_ Us FIRE REVIEWED BY DATE IC CITY TE�EPHONE Ir AX41151WARV� STATE LICENSE NUMBER EXPIRA-UON RATE CHECKED BY VARIANCE OR Cu SHORELINEORADBO INSPECTION 1$ BOND REO'D POSTED 113YEs ONO SEPA REVIEW SIGN AREA . HEIGHT PROPERTY TAX ACCOUNT PARCEI NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I , NEW 1:3 RESIDENTIAL PLUMBING/MECH I LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR ADDITION COMMERCIAL COMPLIANCE OR 1:3 CH*JGE OF USE A PLANNING REVIEW PARKING LOT P.REA ED.BY DAI 016 REMODEL MULl"IFIVAILY SIGN RECV13 I PROVIDED 1:1 REPAIR [j GRADING FENCE CYDS X_FT) REMARKS OTHER DEMOLISH TANK [3 GARAGE o RETAINING WALL FIRE SPRINKLER FIRE ALARM CARPORT ROCKERY Sells (TV OF USE, BUSINESS OR ACTIVITY11 EXPLAIN: CHEC�"E NSTRUCT N OCCUPANT JA r 5116K-Rifl' GROUP - NUMBER talmec-R 0# CRITICAL OF DWELLING AREAS SPECIAL INSPECTION AREA OCCUPANT -STORIES UNITS NUMBER REQUIRED [3 YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER U8C 108jFINAL INSPECTION REG'D zw Or VALUATION Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing " �_& 4: 5: Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t= BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURDS. SIDEWALKS. ORNEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 1800AYS PERMIT LIMM I YEM - PROVIDED WORK IS STARTED WITHIN 160 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 INDEMNIFX 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. Due DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 21 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- sees Recording Fee Receipt # I HERE13Y 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- This application is not a permit until signed by the I CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foes are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. Aefiq�Ls SO T E DIE SIG REPWNER O&G-6M) DATE SIGNED 771-0220 RRahSED BY ATTE M 1333 M! IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGIN"AL -FILE YELLOW IN 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 1 0 m =Uii m ma 0 80 c im MM MZ 1c) —1 CE 0 _n n m M o 0 0 M C 0) 9 co) M 0 Z z 0) z 0 m 2. 3. ISSUES GRANT FINAL PROJECT APPROVAL RE -INSPECTED OUTSTANDING ocaprvl.doc.l:temp:bldg:fonnsIO/OI Itt �.�Vr 41 I I % I , p 11 - --------- ---- DATE RECEIVED PERMIT EXPIRES 7—M USE PERMIT CITY OF EDMONDS ZONE NUMBER JOB CONSTRUCTION PERMIT APPLICATIONt rADDRE� OWNERAWERM415 OF BUSINESS M92 CITY NAME ADDRESS CITY NAME ADDRESS Z /� I 'PITY Llz;�� IIII it JUU7 If I STATE LICENSE NUMBER ZIP ZIP ITELEPHONE NEW RESIDENTIAL 0 ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS 0 DEMOLISH TANK GARAGE RETAININGWALL CARPORT ROCKERY II OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 0M 1a; NUMBER NUMBER OF OF .1 DWELLING STORIES I UNITS DESCRIBE WORK TO BE DONE .4 /1 J..&- / CBL —41 SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appriwad RW Pemilt Required Street Us* P6rmh Ftoq'd EXISTING — PROPOSED Inspection Roquked Sidewalk Required REQUIRED DEDICATION— FT Unftwotm Whing required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE REVIEWED BY DATE FIRE REVIEWED BY DATE —60060'-= VARIANCE OR CU SHORELINEORADB# I INSPECTION I BOND CHECKED By REO'D POSTED 13YEs ONO s SEPA R IEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSED rl PLUMBING/MECH LOT COVERAJM ALLOWED PRC00i COMPLIANCE OR 0 CHANGE OF USE PARKING XSIGN RECID I PROVIDED oFENCE I ( — X—FT) REMARKS OTHER 0 FIRE SPRINKLER FIREALARM E INSBED SETBACKS (FT) LIR SIDE REAR r. U ARRPLEANNffINGREMVIIEWED BY ., DZTE )!` CHECKED BY I TYPE N CRITICAL AREAS SPECIAL INSPECTION JAREA NUMBER REQUIRED [] YES ]REMARKS III PROGRESS INSPECTIONS PER UBC OCCUPANT GROUP OCCUPANT LOAD 2 INSPECTION RECVD VALUATION Description FEE Descilptlon FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit OQ City Surcharge PLAN CHEC VESTED DATE .'"N Plumbing lzz= M Mechanical THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX AM CONSTRUCTION ON THE PUBLI Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRCE SEPARATE PERMISSION. — Engr. Review PERMIT APPLICATION: 180 DAYS PERMIT UMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 100 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 LandscapeInsp. 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 Pt # I HERE13Y 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 Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAedged In space provided. WORKMEN$ COMPENSATION INSURANCE AND RCW 18.27. Ft 8 SIGNX7PE DATE S17GRE MIER gffAGENT) DATE SIGNED 1A 93 x-425) _jC 771-0220 BED BY ATTENTION M 1333 Ai 7;;� 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 - IN!(PEWR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING A �4 Z, 0 0 ITI CO) M M or� �z 1711 C _z 01 M M, 8 ca 0 Fn C ;0 z 0 0 ITI