20030330.pdfI
DATE RECEIVE�D�
PERMIT EXPIRES
1 01 1 Zzz
CITY OF EDMONDS
USE PERMIT
ZONE P
� a NUMBER
CONSTRUCTION PERMIT APPLICATION
�Z';<
J013 SUITE/APT#
ADDRESS S.T.
OWNER NAMEINAME OF BUSINESS
IAq_ mu Q
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
i I�L_
.
1__0__
LID FEE S
15 MAILING ADDRESS
TESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW PerniAt Rewired
street use Permit Raq'd
CITY ZIP TELEPHONE
EXISTING - PROPOSED inspection flatitsked
Sidewalk Required
Underoroun(I
REQUIR EDDEDICATION— FT — Wiringroquired 13
NAME
mETER SIZE IF FIXTURES PRV REQUIRED 113
YES[3 NO 13 2
ADDRESS
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY ZIP TELEPHONE
�504 it MW IMAV9"Oa-S
NAME CBL#
ENGINEERING REVIEWED BY ATE
ADDRESS
—A
FIRE REVIEWED BY DATE
CITY ZIP
lz
LTELEPHONE
BOND
K B
STATE LICENSE NUMBER eXPIRATION DATE Y
SHORELINEORADBN INSPECTION
REQ'D POSTED
13YES PCO
rjam��.M
SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX COUNT PARCEL NO.
AC
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
c)%-k%0,0 a o Lklo o
V00, z j4-
EXP
NEW -51-aESIDENTIAL 0 PLUMBING MECH
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
COMPLIANCE OR
DITION COMMERCIAL 1:1 CHANGE OF USE
7. 'To z
3`59 5 1%zv 10 lig
PARKING OT AREA PLANNING REVIEWED BY DATE 06
REMODEL MULnFAMILY SIGN
RECI'D PROVIDED
2-1 7-- �1 (to. If /-24-
FENCE
REPAIR CYDS 0 x Fr)
REMARKS
ii h i-I f)Vrv\ a$,_
OTHER
DEMOLISH 1:3 TANK
_01w%
0 GARAGE [3 RETAININGWALL FIRE SPRINKLER
CARPORT ROCKERY FIREALARM
MPE OF USE, BUSIN§" OR ACTIV(M EXPLAIN:
I
CHECKED BY TYPE PANT
OGCCUUP
!WUCTION
07
NUMBER NUMBER OF CRITICAL
AREAS
OF DWELLING 15 -
SPECIAL INSP ECTION AREA OCCUPANT
LOAD
STORIES UNITS WER
REQUIRED 13 YES 23 to, =Inc
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER USC 1108/FINAL INSPECTION REaD
\�.Zft S LkVA a-.3 a 1A
Cz,
M
- ALA - I
ft- A
mvtnil e,
VAILUATION
$ A
Description
FEE
Description
FEE
Plan Check
State Surcharge
6V
GLAZING % LOT SLOPE %
Building Permit City Surcharge :05,
PLAN CHECVNO- VESTED DATE
Plumbing -4el-7-
42 �= 2 4117112
rCOVERS
Mechanical
THIS PERMIT AUTHORIZES ONLY TAE WORK NOTED. THIS =PEUff WORK TO
t= BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
Grading
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
3 SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT Umm I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
1522
'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
IJL�_
a EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
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
CALL Fees are paid, and
Building Official or his/her Deputy: and
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
,
FOR INSPECTION receipt Is acknovdodged In space provided.
WORKMEN's COMPENSATIO��SSURANCE AND RCYY 18.27.
GNATU DATE
SIGNATURE (OWNER OR G DATE SIGNED
25) 1(7mpm
771-0220 RE ED BY
dA
M 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 -IN ECTOR
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
9
0
M
OM
C
ITI
-4 §
0 C
� C
M
In
O�
MITI
20
�; Fn-
C
r. 83
M 0
z
z
0
M
rot%
40%
9p
9.0',
91.1
4p 9' 9
1p
L I I' L
Ir
f I Id
LI,
: d
L't
I 'k
it
*4 %
4vs .�T 'AN.
9 jQ'I
tp.� t r.
7.1 1
rd 9
d I
Iltler Residence
t, p I
9 9006 83rd West
9. p I I I I i I j I I
% $ d 1 0 9 r P I 1 :1 1
olmonds, Wa. 98026
9 1 1 1
j 4 �k k
coatet 1`20'
-1. r I p 19 r I p I I 1 9
k I r I
! 9 k 9
I I r
I 1 15 1 1 1 1 1 L I k 9 1
9
1 p I
d k L I I I 1 9 1
I p I
1 d
1 %9 L I
I L I I
I d I I
r a P I r
d k p 9 9 9
r I r I r I
9 .91 j t I r d r
pl�
0
d<
% 4�0-
C::077"6=4- j
C%�
Fit ..I
Ct
a
L�
I
85,95"
83rd West
10 04
0 to
oom
Subject: Miller Su
e. W.
19006 83 AV
Edmonds, WA 98026
Dear Mr. Davis:
a found the
I e reinforcing steel for the referenced sunroom floor slab and hav
WCSE has reviewed h
At your request,
the contract documents.
rebar size and spacing is in compliance with
ice, please give us a call.
y be of further sery
if you ha
ve any questions, or if we ma
Thank You,
70 ):K
P.E.
raviS cCandless, r-
Engineer
FINAL PROJECT APPROVAL FORM
TO:
z
9
0
M
=i 9
us :�
am
c
ma
0
80
c
MM
MZ
r'.) -i
CE
CO)
0 -n
In
m M
a
0
0 M
C (j)
c (j)
M 0
Z
.A�
X
z
z
9
0
m
a 'Copy of CORRECTION NOTICE given to owner/conftsctOr bY ins�r
2.
3.
RE-INSPECMD OMTANDING ISSUES - GRAM MNAL PROJECT APPROVAL
Date sip
ocqrvLdoc.L*=p.-bMS:fb=10101
, "tk"
.............
z /VZ
bATE RECEIVED
21,; ERMIT EXPIRES
J!7M- ---3 1 l... FP
.4
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
V\q_ - J, mu -, Q - M
MAILING ADDRESS
\ 0�
CITY ZIP TELEPHONE
NAME
ADDRESS
CITY
NAME
ZIP ITELEPHONE
CBL N
C ADDRESS
V Pa
CITY ZIP TELEPHONE
STATE LICENSE NUMBER EXPIRATION DATE BY
ZI,\
un
PROPERTY TAX ACCOUNT PARCEL NO.
O%k%l I %.a a 0 0
1:1 NEW -5F-4ESIDENTtAL PLUMBINGIMECH
COMMERCIAL COMPLIANCE OR
��DITIOM 1:1 0 CHANGE OF USE
REMODEL [3 MUI.TIFAMILY SIGN
13 REPAIR R-11 CYDS FENCE X Fr)
[3 DEMOLISH _'0 TA�K OTHER
GARAGE [3 RETAININGWALL o FIRE SPRINKLER
CARPORT ROCKERY FIREALARM
(TYPE.OF USE. BUSINW%OR ACTIVTM EXPLAIN:
NUMBER
NUMBER OF
1TR-ITICAL
'OF
DWELLING
AREAS
a.
STORI 8
UNITS
DESCRIBE WORK TO BE DONE
VoZ Nb\we)fSTtft S wt-A (La ot-N
USE PERMIT
ZONE NUMBER
JOB
sunVAPT#
ADDRESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
I ESCP Approved
AW Penrit Flaquired
Sum Use Pannit R#q'd
EXISTING - PROPOSED
Wispection Required
Sldem* ReWired
REQUIRED DEDICATION- Fr
underground
WWgrequired
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
I
YESD NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
F-mur_lap I mspecrotis .-
ffl CL&AL
:NA dl KWO IMPP-WOV5
ENGINEERING REVIEWED BY , 9ATE
Me jj bf LaAk L L_ file
FIRE REVIEWED BY DATE
VARIANCE OR CU
SHCRELINEORADBI!
INSPECTION
BOND
REQ'D
I
POSTED
IS
OYES WO
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
PROPOSE
ALLOWED D
__XP`
,
,
149
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SdBACKS (Fr.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT LIRSIDE REAR
:;Sir, 75 1415 10
Im *0
PARKING
LOT AREA PLANNING REVIEWED BY DATE
REO`D
20
IDED
1 PROV7..
A-*
_2014%444-1_ 7/ 24-/OA
REMARKS
V
us
CHECKED BY ITYPE 0
_=UCTION CQQE OCCUPANT
"-7 GROUP
I he, �_
SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [] YE LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION RECrD I F5
4
... A - .- --7. A �M. A J- I /A I.-, 11
VALUATION
b ffin (AthaAL6,
IOU
0 6 on FEqE Description
Plan Check State Su e
HEAT Rgq_*- GLAZING % h& dL6;ie % 7
Building Permit le737 City Surcharge
PLAN CHECXO' VESTED DATE Plumbing
A117,112 O'on
aarge
rge
Mechanical qh
THIS PiRMIT AUTHORIZES ONLY THE WORK HOTM THIS PETIT 'COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION. Engr. Revipw 45
PERMIT APPUCATION' . 180DAYS 6 2-2
PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION �22
FEE 1,
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
-
I 009-- —
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS..WASHINGTONI, IT$ OFFItIAW, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE; ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt N
FROM THE ISSUANCE OF THIS PERMrT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape Insp.
Total Amt. Due
4!Z —6e-
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
L
Receipt #
96
m
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECr 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 aWication is not a permit until cloned 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
FOR INSPECTION
Building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged In epace provided.
WORKMERS COMPENSATIO�EURANCE AND RCW 18.27.
GNATU DATE
SIGNATURE (OWNER OlIxog"N
DATE SIGNED
(425)
i
th" cl�6
771-0220
'RE E BY DATE
ATtENTI
off 1333
11jA
E), L
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
-1 , 'r
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR113INAL-FILE YELLOW f'INSJ(ECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
D4/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
z
0
m
:i:%
ra �
0 M
C
In 0
-48
0
m
z
ra
0 _1111
M m
8 U5
0 Fn
C V)
m 0)
rTI C-)
z
:0
55
z
?5
m