The URL can be used to link to this page

20030438.pdf4 DATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF Ou EBB MAILING ADDRESS 1-;—>i — f54;93 CITY ZIP TELEPHONE NAME 19 NAME STATE LICENSE NUMBER 19la-,M) ZIP NEW 1:1 RESIDENTIAL PLUM ADDITION �BOMMERCIAL COMP CHAN REMODEL MUI.TIFAMILY SIGN Eii:REPAIR GRADING FENC CYDS DEMOLISH 0 TANK ACOTO GARAGE CARPORT -1 RETAINING WALL 11 ROCKERY FIRE S FIRE (TYPIn USE. BUSINESS OR ACTIVITY) EXPLAIN: NUMBER OF UM U N MSE OF FDE '1L -1 CRITICAL STORIES W L IRN G W U IT UNITS AREAS NUMBER DESCRIBE WORK TO BE DONE CBL N BING/MECH LIANCE OR GE OF USE E — X_ FT) R P IN F: ALARM LPERMIT EXPIRES USE ZONE PERMIT M5 NUMBER JOB ADDRESS IL -It 4a I n �:)_f_ 'rect PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 13 RIN Permit Required EXISTING — PROPOSED Street Use Permit Roq'd Inspection Required 13 Sidewalk Required 13 REQUIRED DEDICATION— FT Underground wiring required 13 METER SIZE LINE SIZE 0. OF FIXTURES PRV REOU RED 11 YES 13 NQ 45 z f5 REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE z EN'C fig a 9NEERI!p REV] D BY �0 mia FIRE REVIEWED BY DATE Ift! tVARIANCE 08 CU -j"ORELINEORADB# I INSPECTION BOND �tMb _fRERka4 , POSTED SIXNO � S SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP x , - 4 -_ NO C-Hilk"c7s LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR ko C."g4r4(_ '9 No CH)qPGe x PARKING REO'D I PROVIDED LOT AREA_[iP9AI PLAI NINO REVIEWED BY DATI�� I CHECKED BY I TYfj OF CON"CTION CO2U OCCUPANT Kes, .- -GROUP SPECIAL INSPECTION- jAnEA OCCUPANT REQUIRED [:1 YES V LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN ECK NO: VESTED DATE Plumbing THIS PERMIT AUTHORMES ONILVTHE WORK NOTED. THIS PERUIT COVERS WORK TO Mechanical BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSUC 1 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, LTC.) WILL REQUIRE Grading SEPARATE PEnmissiom. II Engr. Review PERMIT APPLICATION: lea DAYS ,--.r ILIMM 1 YEAR -PROVIDED WORK IS STARTED WITHIN 1180DAYS SEE BACK Engr. Inspection 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 Fire Review Plan Chk. Deposit EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # FROM THE ISSUANCE OFTHIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT IE I DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp, lbtal Amt. Due I NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' , --- - -_ I Recording Fee Receipt # I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN 18 CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATiON APPROVAL ME OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED' CALL This application Is not a permit until signed by the IN VIOLATION OF THE LABOU=Qf, OF THE STATE OF WASHINGTON RELATING To WORKMENS COMPENS�== AND RCW 18.27. !fl FOR INSPECTION Building Official or his/her Deputy: and Foos are paid, and receipt Is acknowledged In spa Idod. 5PPFV SIGNAEER OR AQgN4_--- DATE SIGNED (425) OF N WAT I "97i EX��j -042:11 MINNMENRNNN� 771-0220 .41 A REL A I 16M ATTENTION Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR:GINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PNK-OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING V z 0 M =iffi M C M 0 C, M 10 C 2 0 TI 9M rn z CO) M FINAL PROJECT APPROVAL FORM z 9 0 m =i :R vi :0 OM c Ma 0 80 c -1 K MM MZ 0 m M 0 U5 0 o Fn C M 0 34 Fn- z CO) z 9 0 m Date Signature I:temp:bldg:forms:ocaprvi 3/25/04 Vw EJ] 1_41 PERMITEXPIRES 691 MIA USE ZONE PERMIT CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JO SUITEAPT ADDRESS Pt 61 In OWNER NAMEINAME OF BUSINESS LID NO. PLAT NAME/SUBDIVISION NO. LOT NO. MAILING ADDRESS LID FEE $ bwvu6jtj Ulm. TESCP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW P. CITY ZIP TELEPHONE street d EXISTING — PROPOSED Inspection Wulred Sidewalk Rewired AZ4%--TT%--t*;3-zZC3, UnduWVXW REQUIRED DEDICATION— FT Wiring required 13 NAME METER SIZE LINE SIZE [NO. OF FIXTURES PRV REQUIRED YESM NO E3 ADDRESS _-Z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE cm ZIP TEL&PHONE -n-7 7,2 C�: NAME,0 tk'A� ENGINEERING REVIEWED BY PATV ADDRESS tjj_�, (x-) P FIRE REVIEWED BY DATE U11 TELEPHONE c `TY�A Ir STATE LICENSE NUMBER EXPIRATION DAT CHK*REO BY VARIANCE OR Cu ORELINE OR ADB# INS ECTION BOND I W R ' I POSTED ;L�5 YES NO $ L Rj HEIGHT $EPA REVIEW SIGN AREA r PROPOSED 9 PROPERTY TAX ACCOUNT PARCEL NO. OMPEPA COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED 0 , x 0 EXP 0,NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR ADDITIO . N [W.-eomMERCLAL COMPLIANCE OR OF USE I-JO R0 CH iA t-*� z z_ CHANGE [3 REMODEL MULTIFAMILY SIGN PARKING LOT AREA NING REVIEWED BY DAT REQ`D PROVIDED C)" 7ZC GRADING [:3 FENCE Ej�REFAIR CYDS X FT) r DEMOLISH TANK KIM rVd Cgkn 116 1 C' I k6A RE SPRINKLER GARAGE RETAJNINGWALL FI' LJA CARPORT ROCKERY FIRE ALARM Lg_ r,-, (TYPq OF USE. BUSINESS OR ACTIVITY) EXPLAIN: C.A --- — �;,k CHECKED BY TYPI OF CON CT co2g_ OCCUPANT GROUP Kel- Gf+ R Ul NUMBER N JMBER OF CRITICAL OF DWELLIN AREAS G I SPECIAL INSPECTION- JAREA OCCUPANT V STORIES NITS N NUMBER A REQUIRED [:] LOAD YES DESCRIBE WORK TO BE DONE 7_7 REMARKS PROGRESS INSPECTIONS PER UBC 100/FINAL INSPECTION REaD Uj A- VALUATION -4J $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE L;0 NG % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPERTY ONLX Any CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION., 100 DAYS PERMIT LIMM I YEAR - PROVIDEM4ORK IS STARTED WITHIN 180 DAYS Engr. Inspeclion 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 0 F 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 Landscapel nsp. Total Arnt. Due DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITVS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN 15 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- 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 hi0er Deputy: and Fees are paid, and IN VIOLATIZN OF THE LABO%X.00Q0F THE STATE OF WASHINGTON RELATING 'TO., FOR INSPECTION receipt Is acknowledged In spage pi0vided. WORKMEN!S COMPENSAT!=j AND RCW 18.27. O7F llgj��7 SIGNATUPE (OWNER OR JaEifq—�" DATE SIGNED ANAT IA-35) r ;4 j A f 771-0220 RELIt 7 'DATE W & ATTENTION EXT 1333 _-z. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I � -) -1 _j A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLON - 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