The URL can be used to link to this page

20030414.pdfr,?- 0. -4 1-&0 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS —ST_Z_;V_i5 -f-6073e)X MAILING ADDRESS I q -;F - CITY ZIP 17 LEPHONE enm, -7 NAME ADDRESS CITY ZIP CBL # .I-( e-A_-_T-x (--J(. ADDRESS CITY ZIP V I W A, CL8 k TELEPHONE 4( c/ STATE LICENSE NUMBER EXPIRATION DATE E s 4(6 1— PROPERTY TAX ACCOUNT PARCEL NO. e) 0 -7 0 C:)C"> ? NEW 39fe ESIDENTIAL PLUMBING MECH 91 ADDITION COMMERCIAL COMPLIANCE OR El CHANGE OF USE KREMODEL' MUL11FAMILY SIGN REPAIR 13 GRADING CYDS' FENCE X Fn DEMOLISH TANK o OTHER oGARAGE [3 RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (ME OF USE. BUSINESS OR A NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS N R DESCR18E WORK TO BE DONE Cv-w6vS71:iA/ A-1 ,Z A-i r -w-a a" 0,c or -`&-j 3 HEAT SOURCE GLAZING % I LOT SLOPE % PLAN CHECK NO: _T VESTED DATE THIS PERMIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I: BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 0 DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. t: PERMIT APPLICATION: 180 DAYS PERMIT UMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 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 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 2 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE 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 CONSTRLIC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LAQQB CODE OF THE STATE OF WASHINGTON RELATING TO WtRKMEN'?\COMPE�&?j6R4KRANr.E AND RCW 18.27. 61 "TUR ( WN;EE �F�bEN-Q,-' DATE Y(GNED [PERLMIT EXPIRES USE PERMIT ZONE NUMBER ov JOB E iPT# r ADDRESS 2- f3S-+'PL VJ PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APP(Ovsd RW Permit Required Street Use Parmil Raq'd EXISTING - PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- FT Underground 13 METER SIZE LINE SIZE NO, OF FIXTURES I PRV REQUIRED I j YESO NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE ENGIt FIRE e B or L vent connectors Wgnam fuel -burning applianeMn u h inffieated spaces. UMC 815.1.7 VARIANCE OR CU SEPA REVIEW COMPLETE I EXEMPT EXP LOT COVERAGE ALLOWED PROPOSE CHECKED 13Y ITYPE SHORELINEORADB# I INS E 'ON BOND P 7D RED POSTED 113YES EINO 1$ SIGN AREA HEIGHT ALLOWED . PROPOSED I ALLOWED , PROPOSED REQUIRED SETBACKS SPECIAL INSPECTION JAREA REQUIREC REMARKS PROGRESS INSPECTIONS PER UBC Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee PROPOSED SETBACKS (Fr.) SIDE REAR BY VTE 916 OCCUPANT GROUP OCCUPANT LOAD INSPECTION REG'D I I FEE Description FEE State Surcharge I City Surcharge Plan Chk. Deposit Receipt # Total Amt. Due Receipt # .ICATION APPROVAL atlqnils�Qot a permit until signed by the I ^Is/hV Deputy; and Fees are paid, and 4wLZA-SED BY DATE 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 GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES CALL FOR INSPECTION 1,Ad%&% 1-04u) 771-0220 EXT 1333 z 0 :1 0 M rn M i 4 3 0C 1 3. M M 0 C 2 pg 40) 0 n M M 9 Vi 0 fn, C C2 MO z 0 4 0 M IS7 DATE RECEIVED E!NM CITY OF EDM0,1NDS �CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS _ST"L_V6 + 5073 bt1Q_R_-6--rr 15 MAILING ADDRESS ZIP TELEPHONE 9 Pj 0261 1� 'q 7 NAME ADORFS-8 f CITY ZIP TELEPHONE CBL N iL PERMIT EXPIRES USE, PERMIT 106 3 ZONE NUMBER JOB L ADDRESS I e) 12.1 5,5; J>L PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ES P Appr:V RW CPDM* R Wed Str EXISTING — PROPOSED Inspection Flaquirad IlWews* Raquired REQUIRED DEDICATION— FT Unds� Whing raquked 13 METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE, RES L jaAmV.04A 0i s FIRE REVIEWED BY CITY ZIP In TELEPHONE ( 4(4( esin DATE DATE STATE LICENSE NUMBER EXPIRATION DATE VARIANCE OR CU SHORELINEORADBO I INSPECTION I BOND REO'D POSTED Low cj=� 10) OyEs 13NO s SEPA REVIEW SIGN AREA HEIGHT .fROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED if�l 0 —7 ? , , EXP 002 NEW ESIDENTIAL 9P LUMBING/MECH LOT CO AGk_ V9 TOPOSED, REQUIRED WKS (Fr.) PROPOSED SETBACKS (FT) ALLOW , FRTT, REAR FRONT LIR SIDE REAR rADDMON 3 COMMERCIAL MPLYWCE OR 0 ICIIHJANGEOFUSE PCREMODEL MUL11FAMILY "ZI PA 0 SIGN REO'D REPAIR GRADItf FENCE X FT) Rt DEMOLISH K i$OOKeyc Pr OTHER GARAGE CARPORT o R NI A\� - FIRE SPRINKLER I FIRE ALARM ot (TYPE OF USE, BUSINESS 0 CHECKEDBY 1TYPEr4 NUMBER NUk1Ei)!R OF CRITICAL JAREA OF DWEELING AREAS SPECIAL INSPECTION STORIES UNITS NUMBER IJ REQUIRED [] YES DESCR 07E WORK TO BE DONE %J =ESS IN ry -T r-aikc q.kj. vALOAnON $ A--i r W Pei> F:z�'f f4 A Description PIBP)Q k 'MC HEAT SOURCE GLAZING % LOT SLOPE % Building Permit PLAN CHECK NO: VESTED DATE Plumbing Mechanical imm III U KcT IGROUP ',-YJk!A TWNkT�W PER UBC 1108/FINAL INSPECTION REaD I FEE Description FEE State Surcharge City Surcharge ul 21 TMIS PERMrr AUTHORIZES ONLY THE WORK NOTED. THIS PERIUrr COVERS WORK TO JL BE DOME ON PRIVATE PROPEM ONLY ANY CONSTRUCTION ON THE PUBILIC Grading 3 DOMAIN (CURBS, SIDEWALKS, ORNEWAYS. MARQUEES, ETC.) WILL REQUIRE t: SEPARATE P=SI0C. - 2 -11- 9rvr4ftview FERMRI`APPLICATIO N. OSOTARTED PERMrT ILIMM I YEAR - PROVIDED WORK 16 WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERIMrf 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 HINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # OR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT $HALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." I a Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION PPLI ATION APPROVAL GIVIEN IS CORRECT, AND THAT I AM THE 014NNER, OR THE DULY AUTHORIZED AGENT OF rp THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL a 5 4d1.9CIaI9ft1IS/b a Icatkp a pamiat until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED' Bu Deputy: and Fees are p" and IN VIOLATION OF THE LAQQR CODE OF THE STATE OF WASHINGTON nELATING TO FOR INSPECTION r IptIfa9kn ad In spappFovided. WjRKM1EW"OMPE�8?j5i4AURAN10E AND RCW 18.27. 0 R T' R DATE OfGNED 1 1211.012% k Uu L 771-022 0 ABED BY DATE AVI-ENTOWL ov EXT 1333 IT IS UNLAWFUL TO tic 3 PI A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEWMADE AND APPROVAL OR A CERTIFI- 7- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD-ASSESSOA 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 =1 0 M M N0 C' M ,0 � C - Z 9 0) O"n M M Q) Fn C 0 z 0 M