Loading...
20030449.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MS.-j1;t'jvS jorJEC. MAILING ADDRESS 9 118 CITY ZIP TELEPHONE Ebmcooz> c18024 a2,5 V5 - 70 NAME ADDRESS CITY ZIP NAME ICBLN AAA 7,401< SERVic-F- Cc," IA) —,- ADDRESS —327 ice r? t<Ljq N3r.-> A*NXLIF— CITY ZIP TELEPHONE Kiev-Lwlb 960.3-6 147-16 8o,3 :y STATE LICENSE NUMBFR EXPIRATION DATE i4A0,-MSC0&.-VL4/ 0 V1 8,40 91 PERMIT EXPIRES USE PERMIT �&)3 ­() ZONE NUMBER JOB S ITE1APT# ADDRESS PL I Z 12 - /2'- 0 7 9f 4c� 1 � W?� PLAT NAMEISUBDIVISION NO. � LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved AW permit Required Street Use Parrnit Raq'd EXISTING — PROPOSED Inspection Required 0 Sidewalk Required 0 REQUIRED DEDICATION— FT Underground Wirtng required [3 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO 13 z REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I BY DATE FIRE REVIEWED BY DATE Lu Cc VARIANCE OR CU SHORELINE ORADBI I INSPECTION 1. BOND REO'D POSTED OYES ONO SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED , PROPOSED NEW J2- RESIDENTIAL 13 PLUMBING/MECH LOT COVERAGE ALLOWED PROPOSED I E .) PROPOSED SETBACKS (FT.) FRONT L/Ft SIDE REAR I JOR ADDITION 0 COMMERCIAL COMPLIANCE OR 1:1 CHANCE OF USE iAl lc� IDQPQI:sT REMODEL MULTIFAMILY SIGN PARKING� ARIA W= VM DATE I *AW lFul CAP I 0 REPAIR GRADING [3 FENCE X CYDS ( _ _FT) I REMARKS DEMOLISH [:] OTHER TANK oGARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM _13 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN CHECKED BY CLq4a&�f OCCUPANT R jTYP4.WRfJVON. _ GROUP 7- MB M NUMBER —f 7NUBER OF CRITICAL W LL EAS OW ELLING AR OF 0 kk SPECIAL INSPECTION JAHEA occumNf To STORIES MBE U REQUIRED [] YEs LOAD DESCRIBE WORK TO BE DONE I REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 3 Aftorm o - tN ft Fits- 2 sop 6gr I 14(sr j1J11A11f*7 Vine—P ak A 9 94 XIA 9 VALUATION J $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % I Building Permit C ity Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORGMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading DOMAIN (CURBS, SIDEWALKS, DRiVIEVAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: ISO DAYS CL PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION *APPLICAK 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 MPLOYEES. AND AGENTS FROM ANY A EDMONDS, WASHINGTON, ITS OFFICIALS, E NO Fire Inspection Receipt # ALL CLAIMS OR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY ------- t— FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NO R LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Receipt # Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPFIOVAL 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 DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO Building Oftial or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPENSATI9WjM7rCE_AND RCW 18.27. 9ffjQ&S IGN URE RIC" (OWN 0 9W DATE Sl NED (425) 000, �/Ij = -LE —Asto —BY 0- "v mommommomem�� ease 771-0220 TE "M A EATION 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 FINAL PROJECT "PROVAL FORM TO: z 9 0 m I. =i:q OM c Ma 0 80 c -q K .x m MZ 10-4 � -Z E: � 4 ra 0 -n n M m a 0 0 M C (j) c ca M 0 Z z (j) z 0 m RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Si ocaprvl.doc.l:t=V:bldg:forMS10/01 (- ---'�- ' ---�--------'-^-----�`-------`--------`-'�r �7) RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS Aels. Jiqmj)s MAILING ADDRESS J118 20:rfl) CITY ZIP TELEPHONE ftmorotc- 51802A 1 425 V5 - 7 ADDRESg CITY ZIP ITELEPHONE NAME CBL# A A 4 7 5f c v r c - e � Cy .,, IfUt ADDRESS —4 *z f< t<(_14 N3fz> h&Nxty— CITY ZIP . TELEPHONE VICI(LA031> 9803-6 qZIS 803 :Ya STATE LICENSE NUMBER EXPIRATION DATE 0AATASC0661M/.0y./8L0,V 1�( PROPERTY TAX L NO. le)q �V027` /M M/ 6190 -7 PERMIT ELXPIRES L I USE PERMIT ZONE NUMBER JOB S TE/APT#. ADDRESS q11 L.-If27 A = PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. 0 NEW .52-RESIDENTIAL PLUMBING I MECH ADDITION 11. A COMMERCIAL COMPL ANCE OR 0 CHANGE OF USE REMODEL ULTIFAMILY 0 SIGN REPAIR 0 GRADING CYDS FENCE ( X FT) 0 DEMOLISH kw TANK OTHER GARAGE. RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE. BUSINESS OR ACTIV" EXPLAIN' NUMBER NUMBER OF CRITICAL OF DWELLING AREAS kh4t!� STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE - fAi - f-i pq rj!;. &10 F; tx HEAT SOURCE I GLA23NO % I LOT SLOPE % PLM CHECK NO: STED DATE .. ...... 04 ........... "­ ............ 0""'o .17 - - THIS PERM11T AUTHORIZES ONLV THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION. 180 DAYS PERMIT UMM 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, 98 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 HE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 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 CORRE" 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- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOD CODE OF THE STATE OF WASHINGTON RELATING TO WORKMERS COMPENSATIOICLItIBYWCE AND RCW` 18.27. DATE SI NED 4 7:27 3 /.& 3 LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESOP Approved AW Permit ReWired street U" Palm" PAO EXISTING PROPOSED Inspection Required Sld&wa& Required REQUIRED DEDICATION— FT underground Wir1rigrequirod 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I I YES E3 NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE REVIEWED BY DATE FIRE REVIEWED BY DATE 1 011, VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND I REQ'D POSTED I 13YES 13NO S SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED _XP I I , LOT COVERAGE " I It PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED MU T B XIM B P S --MQur UR SIDE REAR FOK PARKING i AN 1� REQ`D I PROVIDED 1 d7flaW qWX"ftW&UflbyVeAPDATE 06 CHECKED BY OCCUPANT GROUP SPECIAL INSPECTION 1AFfEA OCCUPAW REQUIRED [] YE LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD 1 VALUATION $ Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapeinsp. Recording Fee CALL R INSPECTION 111110 1,425) 771-0220 EXT 1333 FEE FEE State Surcharge A Description City Surcharge A., Plan Chk. Deposit Receipt # Total Amt. Due Receipt # APPLICATION APPROVAL This application is not a permit until signed by the Building Officiall or hWher Deputy: and Fees are paid, and recelpt Is acknoslodged In space provided. MQ1)U8/SP_NfURE:, �,j : �ATE BY 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 ..............