The URL can be used to link to this page

20030521 (2).pdf4 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NME OF BUSINESS _C KR I sy-'( T- L-V tq yw MAILING ADDRESS 16LA n — C) CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP ITELEPHONE [PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB r ADDRESS -5 SUITE/APT# OLW J. Iq q 1 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP jESCP Allp'=. ".' P.,W R Street Use Peffnil Wd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT 1 Underground I vvlmg rq-- 13 METER SIZE LINE SIZE -] NO. OF FIXTURES PRV REQUIRED I YES13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE NAME bN 0M lhrrqv ?w CBL# r%lf U__5'^' ' 19.30-WA A V1119 639 K-1c ENGINEERING REV rO ECDC WMAW ADDRE"S S "T REGULMRVALVEWO AOU.Sum m 49i A 2- .j DATE FIRE REVIEWED By SHALL ISIS Lu SHMFF CITY ZIP TELEPHONE I THELWATF'R x 1_:*jt3U3Cx'-)p 9e�3'j '47.Gr'-nS-_73-7-7 STATE LICENSE NUMBER EXPIRATION DATE Y VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND I REO'D POSTED IS AMY 13YEs 13NO (ioLmd se. _] SEPA REVIEW HEIGHT I PROPERTY TAX—ACCOUN1 PARCEL NO. COMPLETE . EXEMPT I ALL( )qF:n AIIOWED . PROPOSED NEW WRESIDENTLAL WPLUMBINGIMECH LOr COVERAGE ALLOWED PROPORMS00 I REQUIRED S IDPOSED SETBACKS (Fr.) WAS&WNT L/RSIDE HEAR I COMPL ANCE OR ADDITION COMMERCIAL OF USE JrOFF AW#ER SERVICE SHL CHANGE PARKING I*= DATE REMODEL MULTIFAMILY SIGN LSH1jL&TAkWr0XA#Aftt4WIAM REOD I PR"ASrrEN ERSTHEBUILDING REPAIR GRADING FENCE X CYDS ( FT) REMARKS DEMOLISH 1:3 TANK OTHER oGARAGE o RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR A�g�N: CHECKED BY U CODE OCCUPANT ITYP§.ncqlNS Irr-5- I GROUP 913 NUMBER OF U MBM OF DWELLING CRITICAL AREAS SPECIAL INSPECTION __ JAREA OCCUPANT STORIES 0[N UNITS NUMBER REQUIRED YES LOAD DESCRIBEsWORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ-0 tlu_ -To j7kp1Er...__ VALUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % VESTED DATE Building Permit Plumbing City Surcharge PLAN CHECK N Mechanical THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPEHITY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 1 3 DOMMM (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPUCATION: 160 DAYS PERMIT ILIMM 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 2 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 Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # I HERE13Y 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 DOING THE W THORIZED THEREBY, NO PERSON WILL BE EMPLOYED Wq'""'T Building Oilicial or his/her Deputy: and Fees are paid. and IN VIOLATION OF THE aE OF THE STATE OF WASHINGTON RELATING TO C E' FOR INSPECTION receipt Is acknowledged In space provided. I SU wo OMPENSA INSU CE AND RCW 18.27. '*R OFFICI&L3.WNATj1RE DPTE URE (OWtR ORtEN7/) DATE SIGNED 3 IA25) -7- 1 a. r-% 771-0220 -RELEASED BY DAff ENTION 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 5 z 0 4 0 In In M Fn 0 M 10 o -n .n M M 0 rn C , .11 X z 0 M FINAL PROJECT APPROVAL FORM z 9 0 m 65 34: Om c rn 0 0 0 c 3: M M Z c � 0 -n n m m 0 V5 0 0 Fn C (j) c (1) M 0 M z V) z 9 0 m ocaprvl.doc.l:temp:bldg:fomisIO/OI A , 00) it RECORD OF INSPECTIONS INSPECTOR DATE APPROVED ld -SETBACKS 1; ..................... FOUNDATION: Footing. ...................... Wall ......... Pler/Porck li4 ............... M ,''Rdtaining Wall ..... ..... Slab Insulation ... PLUMBING: Underground............. M *Aoug6-In' ...... kill .0 ommer6jalf#1a 10 G T a's est . .................... -Gas Piping ...... ........... P, Equipment................. M omm,ercial:Flh.al, C...... EXTERIOR SHEATHING NAILING .................... .., ...................... FLOOR, FRAMING... .,..fIRST INSULATION ..... Floor Insulation ......... Wall Insulation ........... Coiling Insulation ....... 0 SHEETROC'K NAILING ... SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR &A OCCUPANCY .................. f : I a RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINIAME OF BUSINESS r 01 MIR I dsylq r L—Y V4 V11 MAILING ADDRESS sT le14 Iq 91 10" \^j ZIP ITELEPHONE CITY NAME ADDRESS CITY NAME ADDRESS CITY STATE LICENSE NUMBER ZIP ITELEPHONE ZIP I TELEPHONE 0 NEW RESIDENTIAL ADDITION 13 COMMERCIAL 0 REMODEL 1:1 MULTIFAMILY 0 REPAIR 0 GRADING CYDS DEMOLISH 0 TANK oGARAGE CARPORT [i RETAINING WALL ROCKERY (TYPE OF USE. BUSINESS OR A�!77e!4: NUMBER NUMBER OF OF WUNITS DWELLING STORIES DESCRIBIEWORK TO BE DONE u4b CBL N PERMIT EXPIRES USE PERMIT Znuc NUMBER 1-4j JOB ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP AV, Pe ed street Use Permk Wd EXISTING — PROPOSED Inspecdon RoquM Sidewsk Requked REQUIRED DEDICATION— FT UndffWmr4 WkInarequW 13 METER SIZE LINE SIZE NO. OF FIXTURES P RV REQUIRED I YES C3 NO 10 z I REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE DATE FIRE REVIEWED BY PURS U h IN 1 A 0 1;'"f%' I ' "� APRMURERhGULA" ILMAT) V C -731 -7 BOND ARIAN E POSTED OyEs ONO s ... AI=VIFW IGN AREA HEIGHT SEPA - ALLOWED PROPOSED] I COMPLETE . EXEMPT ALLOWSED , PROPOSED I I LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) VPLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR I 1 COMPLIANCE OR 0 01 QVIAbIr-4012"n'" CHANGE OF USE PARKING DATE SIGN RECVD PROVIDEA mm S ]BE STAUM ON TM I S FENCE X_FT) REM#RKS OTHER F RE SPRINKLER FIRE ALARM CHECKED By TYPE CONSTAU11 lom CIDDE OCCUPANT GROUP CRITICAL AREAS NA SPECIAL INSPECTION AREA OCCUPANT NUMBER REQUIRED LOAD REMARKS I PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REaD. 5 sr-_ AAa — 2 $ - 4qqww I Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLV THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. AW CONSYRUCTION ON THE PUBLIC Grading I 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review 1 5 PERMITAPPLIC-ATION. 1800AVS L PERMIT LIMM I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION N BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit ;APP N 19WREdTPAGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARIISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT BE Landscape Insp. Total Amt. Due DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HERE13Y 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 CrTY AND STATE LAWS REGULATING CONSTRUC-_. CALL This application Is not a perrnit until signed by the BuIlding Offlclall or his/her Deputy: and Foos are paid, and TION; AND IN DOING THE THORIZED THEREBY NO PERSON WILL BE EMPLOYED Co T .. IF T iE 0 IN VIOLATION OF THE LrR Co E OF HE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. W PENSAI N INS)U MCE AND RCW 118.27. OFFICLALS-WGNAT)JRE NATURE R ENT) DATE SIGNED 1_1`25) IAO 771,0220 _R_ ELEA_SEM6Z&a4/&_9=: VLD'A'15-E y 7TRNTION 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 GnANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES I OR z do 0 Vi 0 M C M§ 0 C x M M z 0"111 .M M M Sc F�n 0 M z M