The URL can be used to link to this page

20030349.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS 15 MAILING ADDRESS ? 0-,7 �/ CITY ZIP TELEPHONE z:� o--,,t NAME ADDRESS CITY ZIP TELEPHONE NAME 0-% - -,I I - . - j * ICBL# CITY ZIP TELEPHONE —1 STATE LICENSE NUMBER EXPIRATION DATE I CHECKED) BY NEW Da"InSIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY 0 REPAIR GRADING CYDS 13 DEMOLISH 0 TANK oGARAGE o RETAINING WALL CARPORT ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITY) 'N' �z ,:5 NUMBER OF NUMBER OF DWELILING STORIES UNITS DESCRJIGE WORK TO BE DONE PERMIT EXPIRES PERMIT ZONE NUMBER 9_X JOB ADDRESS S5TE/APT# PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESOP Approved MY "" Required 'treat Use Fannit R8q*d EXISTING — PROPOSED Inspection Required Sidmalk Required REQUIRED DEDICATION— FT undewtxM Wking required METER SIZE LINE_�� OF FIXTURES PRV REQUIRED 0 13 YES113 N z I REMARKS tj "MER0 "tILE7ff@aQd1&1%10WDRAINAGE OWNER/CONTIRAC&T THE WATER SHLrrOFF BY DATE FIRE REVIEWED BY DATE LLI I CE, MA—RIANC 0 1 N BOND 1�0 w4fla mv POSTED &IAU- aE1fNJ.4VR.TA T 12 $ P�— Wl' A"10 HEIGHT SEPA COMPLETE As I I'll SM,13UMD , PROPOSED EXP I I r%T rn1jr0AGE REQUIRED SETBACKS IFT.1 PROPOSED SETBACKS (FT% Da PLUMBING/MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR 2 COMPLIANCE OR z 0 CHANGE OF USE I I 1 5 PARKING I LOT AREA I PLANNING REVIEWED BY DATE 3 SIGN REaD PROVIDED R o FENCE FT) kREMARKS OTHER FIRE SPRINKLER FIRE ALARM CHECKED BY ITYY CMN OCCUPANTP?eZ 0 Im GROUP P CRITICAL OCCUPANT AREAS SPECIAL INSPECT; N AREA r R LOAD NUMBE _ &J/]- ] REQUIRED 0 YES T_ REMARKS PROGRESS INSPECT11ONS PER UBC 108/FINAL (INSPECTION REO'D $ F_ Description FEE Descilption FEE Plan Check State Surcharge 7 H SOURCE 1114 GLAZING % 1 LOT SLOPE % Building Permit City Surcharge Z I e;. PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. AM CONSTRUCTION ON THE PUBUC Grading DOLMN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. t: Engr. Review PERMIT APPLICATION: 180DAYS PERMIT LIMIr 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 Mo� Fire Inspection Receipt # CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY j LALL 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 0 Landscapeinsp. Total Amt. Due OR LIMIT IN ANY WAY THE C[TYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - N On LI Recording Fee Receipt # -1 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 GOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LA13OR 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 space provided. WORKMEN'S NSATION INSURANCE AND RCW 18,27. OFFIC%6 SIGOTURE jDATE BIG (OWNER On GENT) DATE SIGNED (425) 6-- - -d 3 771-0220 -RELEASED _�/, Al2 BY—C/ DATI! ATTENTION Off 1333 IT IS UNLAWFUL TO USE OR OCCL/Y 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 L FINAL PROJECT APPROVAL FORM TO- z 0 m =1 71 OM c Ma 0 80 c M MZ ca 0 -n n m M 0 0 0 M C (j) r. co) M 0 Z z -4 x 65 z 9 0 m RE -INSPECTED OU I TSTANDING, ISSUES - GRANT FINAL PROJECT APPROVAL Date__--, Si ocaprvl.doc.l:temp:bldg:formsIO/OI I 0 DATEE RECEIVED �2 PERMIT EXPIRES PERMIT zo _a2 C1"1w`Y0FEDM0NDS NUMBER _,2 CONSTRUCTION PERMIT APPLICATION OWNER NAMEtNAME OF BUSINESS MAILING ADDRESS L? - CITY ZIP TELEPHONE ?000.a 411 1 vl;;j-- 1;1,/-_J0y1/ __7_ NAME JOB EJAPI ADDRESS C�/ PLAT NAME/SUBDIVISION NO.TLOT No. LID NO. LID FEE S TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Perng ReWhod Street Use Pennit R@Wd EXISTING — PROPOSED- Inspection Required Sidewalk R&WIfed REQUIRED DEDICATION— FT uriderground y, uked METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED (3 1 1 YES[3 NO El REMARKS OWNERICONTRA ESPONSIBLE FOR EROSION CONTROLIDRAINAGE A Amotitil" 1k) ECDC 19-30.020 1 CITY ZIP TELEPHONE LnE:aQ I FA 14 M vPWLV,0krKV) SHALL BE INSTALLED NPAR NAME(q CBL W7a-ER SHUMFF ENGINEERING REVIEWED BY DATE ADDRi-88 FIRE REVIEWED BY DATE CITY ZIP TELEPHONE I VARIANCE OR CU INSP N BOND Iffi STATE LICENSE NUMBER EXPIRATION DATE CHECKED By POSTED =idsg A AM PROPERTY TAX ACCOUNT PARCEL 6EPA REVI — — w., . AL %.#&-AV HEIG PROPOSED COMPL9TE AIMP 'Eft AA 00 1�61v" t EXP N EW SIDENTIAL ka WP LUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR 0 ADDITION COMMERCIAL ci COMPLIANCE OR CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE IL REMODEL 0 MULTIFAMILY 0 SIGN REO'D PROVIDED REPAIR GRADING CYOS FENCE X FT) REMARKS 0 DEMOLISH 1:3 TANK 0 OTHER GARAGE o RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (ME OF USE. BUSINESS OR ACTIVITY) EXPLAIN' OCCUPANT CHECKED BY J�N I GROUP NUMBER OF NUMBER OF DWELLING RITICAL AREAS SPECIAL INSPECTION AREA OCCUPANT LOAD STORIES UNITS NUMBER REQUIR ED 13 YES DESCRE WORK jP BE DONE REMARKS PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION RECVD q F%KM-nL[:Tr. n VAWAnON Description FEE Description FEE Plan Check State Surcharge H SOURCE GLA23NG % LOT SLOPE VESTED DATE Building Permit Plumbing City Surcharge C P;. PLAN CHECK NO: Mechanical THIS PERMIT AUTHORIZES ONW THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRIUCTION ON THE PUBLIC Grading N 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 1= SEPARNTE PERMISSION. Engr. Review 2 PER111UTAPPLICATION. 100 DAYS PERMIT UMM I YEAR - PROVIDED WORK 18 STARTED WITHIN IGO 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 C17Y 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 HE Landscapoinsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION HEREBY ACKNOWLEDG APPLICATION APPROVA L GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF I V E RRE * AN -0 CT' N IS r THE OWNER. I AGREE TO COMP1Y WITH CITY AND STATE LAWS REGULATING CONSTRUC- E OWNER . I AGREE T CALL This application Is not a penrilt until signed biIiie TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED ON. AND IN DOING TH IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO N VIO TION OF THE FOR INSPECTION Building Official or his/her Deputy: and Foos are paid. and receipt is acknowledged in space provided. WORKMEtrSj@!%NSATICN INSURANCE AND RCW 18.27. N [I OFFICga�& DATE/ Oil IG AGENT) DATE SIGNED B 2L 5) 4.2 -L3=mmj 771-0220 RELEASED BY DATC ATTENTION EXT 1333 K� IT IS UNLAWFUL TO USE OR OCCU/Y A BUILDING OR STRUCTURE UNTIL I A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW- INISPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING __�L24L� z 0 M 74 M C ITI --I 0 C rn 0 C 0 n Fn C z 0 I 0 ITI