The URL can be used to link to this page

20030432.pdf3 PIN DATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME[NAME OF BUSINESS ;d5*Z�1Af.4P,t 19t.!,JWS, ADDRESS ZIP TE EPHONE NAME ed16 / r ADDRESS -,,4� V 7 Ale CITY ZIP TELEPHONE z � I I // C il Y I 21V 1 ;1 -,71.-2 NAME ICBL# i . ADDRESS CITY ZIP TELEPHONE 2! . 2�jt-7j w7e & I . � '? IoK.7 STATE LICENSE NUMBER EXPIRATION DATE EC 013 PROPERTY TAX ACCOUNT PARCEL NO. is — ()I e) 4"L %L NEW RESIDENTIAL PLUMBING MECH ADDITION COMMERCIAL COMPLIANCE OR 13 ' CHANGE OF USE 0 REMODEL MULTIFAMILY 0 SIGN REPAIR FENCE CYDS 13 ( X FT) DEMOLISH TANK o OTHER GARAGE CARPORT RETAINING WALL FIRE SPRINKLER ROCKERY FIRE ALARM (TYPE OF USE. BUSINESS OR bP1IVrrY`) EXPLAIN: NUMBER/ NUMBER OF CRITICAL'%- .2i4A zv%1 0 F DWELLING AREAS X STORIES UNITS 1 NUMBER9P"-' DESCRIBE WORK TO BE DONE air C_719U_1�7_ A 'It PERMIT EXPIRES TUSE 1.!5'�'PERMIT OC13; Z NE Q0 NUMBER 10 J JOB SUITE/APT# 0 ADDRES�� 'a , (.A HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO* VESTED DATE 0 --(4 U I — THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISO DAYS PERMIT LIMIT. I 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 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY 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 NOR LIMIT IN ANY WAY THE CITY'S 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 TOE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC - TION; AND IN DOING 1HE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATI ;Op.qmFp HE LABOR CODE OF T14E STATE OF WASHINGTON RELATING TO COM�WORKMEN' C MP SATION INSUFkANCE AND RCW 18.27. AGE" DATE SIGNED --'2%---) 1 �� , ? (" PLAT NAM E/SU BDIVI SION NO. LOT NO. LID NO. LID FEE S TESCP Approved PU13LIC RIGHT 4 WAY PER OFFICIAL STREET MAP RW permit Required Street Use permit noq'd EXISTING — PROPOSED inspoction Required Sidewfilk Required REQUIRED DEDICATION� FT underground Wiring required METE 'R� �Sll E LINE S IZE I I NO. OF F IXTURES --w - T P V REQUIRED YE;X NO 13 RESPONSIBLE FOR EROSION 'A In, i�E �- �aa::vvz'� FPE REVIEWED BY DATE ut M )L VARIANCE OR cu SHORELINE OR ADB# INSPECTION BOND POSTED 1,*cs-zooi-4]VZ 41EQ'D ONO IS lopip SEPA REVIEW CgMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEItHT ALLOWED PROPOSED V A 6, I I 3(:)l EXP YL3A9 LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (IT) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR Iq to 15 14 Y1 7!ZJi0' 51 z -2 P ARKING IT AREA _n PLANNING REVIEWED BY DATE FlEO'D PROVID Er , (o 4 REMARKS Z_ , 0. 'Q I 1%,i" A E.43 'z. I _j J AC -rz,63:n't Ar" riit�� A 00 (ACC _f2c"O W'c4 CHECKED BY ITYPE OF. CPNSTRUCTION -OCCUPANT GROUP SPECIAL INSPECTION AREA OCCUPANT REQUIRED n LOAD YES 1 5 FREMARKS z P 0 PROGRESS INSPECTIONS PER UBC 108/1FINAL INSPECTION REQ'D I/V1 --.a A Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscape Insp. Recording Fee MFEE Description FEE State Surcharge City Surcharge )4z� CALL FOR INSPECTION (425) 771-0220 EXT 1333 Plan Chk. Deposit Receipt N Total Amt. Due El I IfLov Receipt # .00.mwmm� APPLICATION APPROVAL This application is not a permit until signed by the Building official or his/her Deputy: and Foes are paid, and receipt Is acknowledged in sp o1providod. FFICIAL NAT7J) , I I ',PtE:-�? I I 1A L-7 U IT - IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- V 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 I I/ z 0 1 0 M --I -n 55 � 0 M C M 0 -40 0 C -49 X M M z rL) C (j) 0 _n ic M M 0 _0 0 r, 0 M V) M 0 Z z z 0 1 0 M A- V, Height Calculation Worksheet Address: D Date: 5�- Ct - 0-3 hispector(s): —VvxS- 1. Datum Point: 2. Datum Point Elevation: 03-79 3. AverageGrade: M! .4. Maximum Elevation Allowed: �6-SP(averag6 giade) -437,SG- 9- W. -M 5. Reference Point Elevation Shot to House: .0 _Xd Tatum elevation) + �erade to transit level line'shot to house) M PA. 6. Measurements from line shot onto house to roof ridge: Zp 0 0"W ffi MI Total: 0 Ml- 7. Actual Elevation: reference point elevation easuremints (In from #0 Conclusion: (actual) Is greater QSNO-z (allowed); therefore the house id is not ovW�e height requirement per ECDC 16.20.30 requirements INSPECTOR DATE APPROVED A 4-7 SETBACKS ..................... FOUNDATION: Footing...................... Wall.......................... Pier/Porch ................. 7.1 Retaining Wall ........... Slab insulation ........... PLUMBING: Underground............. Rough................ -in ... lyi/Lj Commercial Final ...... HEATING: Uit Gas Gas Piping ................. Equipment ................. . Commercial Final . ....... EXTERIOR SHEATHING on tj NAILING .......................... FRAMING ........................ .-FIRST FLOOR F RAMING ... fv1 -7- INSULATION ................... Floor Insulation .......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. M A AO z 0 0 ITI CITY OF EOMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS NAME ZIP TELEPHONE '21 02�-,?(` �F- U -1() Z. )� PIRES -1 /'1 , I I PERMIT EX & U E ----VERMIT ZONE NUMBER JOB SUITE/APT# ADDRES;,,k PLAT NAMEISUBDIVISION NO. LOT NO. L�D NO. L D FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW, Permit Required Street Use Permit Req'd EXISTING - PROPOSED Inspection Roquirod 13 Sidewalk Required E3 REQUIRED DEDICATION- Fr Underground Wifing required E3 METERS E NO. OF FIXTURES PRV REQUIRED YE NO 13 REMARKS z z OWNER/6014TRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINkGE CITY - ZIP I TELEPHONE NAME CBL N pw 1A MW ENGINEERING REVIEWED BY DATE ' AdDAESS C'. A� 14 cify- ZIP TELEPHONE F1,qE REVIEWEd BY DATE Lu 11c A Z_ 4L��w M �22 37S:�- 71.� 7 �TATt 116ENSE NUMBER EXPIRATION DATE CrT B % - ) VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND I EO'D 1$ POSTED it4w-' MeE ONO -le 2,2- -? at-4 S SEPA REVIEW SIGN AREA HEIdHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE., EXEMPT ALLOWED, PROPOSED ALLOWED PROPOSED UQ -X , NEW RESIDENTIAL PLUMBING MECH REQUIRED SE11BACKS (Fr.) PROPOSED SETBACKS (FQ i ALLOWED PROPOSED FRONT -SJQE REAR FRONT URSIDE REAR ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE 15 7F2too 5;�122 lg!5�1 AREA REMODEL MULTIFAMILY SIGN PARKING LOT PLANNING REVIEWED BY DATE REO'D PROVIDED 3'. I 0 REPAIR GR I FENCE CYDS_ Fr) .4 REMARKS X OTH KTANK Lj)6 A a i C_W DEMOLISH t4 'war_ GARAGE CAAPORT RETAINLdA�Afl_ FIRE SPRINKLER ROCKERY FIRE ALARM 0 C cryp'E OF USE, BUSINESS OR ACTIVITY) EXPLAIN: C*1, CHECKED BY TYPE OF CONSTRUCTION OCCUPANT YL;l - --- . . . I GROUP NUMBER OF UM N BER 15r CRITICAL DWE ILLING KREAS 1V SPECIAL INSPECTION JAREA OCCUPANT LOAD STdRIE'S S R2 REQUIP111D.F 11 YES ?_2 OF2 DESCRIBE WORK TO DE DONE 1% 8 EMARKS I T PA09RESS INSPECTIONS PER UBC I 08/EINAL INSPECTION REGID 2) 7 -1 - k1_1L r �11 _0 ___' , - � - . , __ . ILM - . i A '_ - M __�— I - . , - -, �- FEE Description FEE < I I a C )- . an Check State Surcharge I - , HENr Xuficlf GbONG-% LOT SLOP E,% - _' 10 - Bu Ping Permit City Surcharge PLAN CHECK. NO-' VESTED DATE Olumbing - Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO' It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) Wj1LL REQUIRE t: SEPARATE PERMISSION. Engr. Review T-F �1, I —,I J -I PERM11TAPPILICATION: 1180DAYS n PERMIT ILIMIT I YEAR - PROVIDED wbRK IS sTARnd WITHIN 180 DAYS Engr. Inspection ?I 11,� 24214-11 SEE BACK OF PINK PERMIT FOR MORE INFORMATION N BEHALF 0 F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk . Deposit ;APPLICANT N INTEREliT,0AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt N ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY 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 Landscapelnsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee Receipt # 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 applicallon 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 Qf THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In spacIo provided. WORKMEN'Syd%PNATION INSURANCE AND RCW 18,27. 1. OFFICIALS SIGNATURE DATE� 'ii SIGNMATUR (OWNER AGENT) DATE SIGNED (425) 771-0220 RELE�Slil) BY: DATE ATTENTION EXT 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 a z 9 0 M =i9 US Om co M 0 -40 0 C �c . M Mz IC) -4 C 0 N �k MM 0-0) 0 0 C M 0 Z X z 0) z 0 1 0 M