The URL can be used to link to this page

20030557.pdfI DATE RECEIVED,� PERMIT EXPIRES CITY OF EDMONDS USE ZONE PERMIT NUM&R�-3 CONSTRUCTION PERMIT APPLICATION JOB ADDRESS SUITE/APT# OWN E OF BUSINEsr 7rl;) ±t PLAT NAME/SUBDIVISION LOT NO. LID NO. MAILAIG ADDRESS /J10 &1� C ITELEPHONE ZIP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING - PROPOSED REQUIRED DEDICATION— FT [.to FEE S TIESCP Approved AW Pe M4 Requited Street 'use Permit Ftoq'd Inspection Required Sidawalk Requlr*d Undorgmund Wiring required 13 NAME METER SIZE LINE SIZE OF FIXTURES REQUIRED YEPs'1VI NO 13 ADDRESS R. E. M A R K S. OWNER/C TRACTOR RESPONSIBLE FOR EROSION 6&rUMAWEr -I vent connectors CITY ZIP ITELEPHONE ma -till NAME CBL M A I DIVA ffik" Al:�ffik�o I ENGINEERING REVIEWED BY DATE ADDRESS )q 10 2- CITY, Zip TELEPHONE FIRE' REVIEWED BY DATE ��At' W4 - - %S- I VARIANCE OR CU SHORELINE OR ADBN . INSPECTION BOND ENSE NUMBER ) E IRAT DATE . GAS I PIPE TEST M E%O POSTED Ilit-o-1 ES 004RA 011501a 'A I &a I OCOA MIM �M_ � NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MULnFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE [3 RETAININGWALL CARPORT ROCKERY WYJN: (TYPE OF USE. BUSINESS OR ACTWs NUMBER NUMBER OF OF DWELLING STORIES UNITS DESCRIBE WORK TO BE DONE . --.r — I I ---r - w.k.rijiumm w U1.66*0WIll IPAOP8'51V WL5749D PROPOSE13 AVITS WL.N - I EXP ___AEE1 PWM131NG / MECH LOT COVERAGE ) PROPOSED SETBACKS (FT) REAR ALLOWED PROPOSED FRONT URSIDE COMPLIANCE OR CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED,.BY DATE SIGN REO'D I PROVIDED FENCE ( _ X_FT) REMARKS OTHER FIRE SPRINKLER 0 FIRE ALARM CHECKED BY ITYPE N UU1L;UrA:7< , GROUP CRITICAL N 127-)l AREAS SPECIAL INSSE I S AREA OCCUPANT NUMBER REQUIRED [] YES LOAD REMARKS PROGRESS INSPECVIONS PER UBC 108/FINAL INSPECTION REG-D, HEAVBOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: VESTED DATE THIS PERMIT. ALITHORGMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMN (CURGS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATION: 160DAYS PERMIT LIMM 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 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 PERMrr. 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 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 CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LAq9kCODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSAq0N)IfFdItNCE AND RCW 18.27. SIGNATURE (OWNER OjdNT)) DATE SIGNE10:S ZVJ16AAJ�� -712s $ Description �-L FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire inspection Receipt 0 Landscapeinsp. Total Amt. Due Q-j— Recording Fee elpt # CALL FOR INSPECTION (425) 771-0220 APPLUTION APPROVAL This application Is not a permit until signed by the Building omciai or his/her Deputy: and Fees are paid, and receipt 15 acknowledged In space provided. OFFIC/1A OIG ATURV DATE E 1'�EI.Ei DATE ATTENTION IEXIF 1315 c: 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 z 0 0 M =i 9 7M � 0111 C in 4 02 3! M, M 0 TI �1 6 Fn Co co M0 z 0 q 0 M V 6 4 1 1 id M . ...... .. . ...... DATE RE PERMIT EXPIRES Z 7 47 USE ZONE PERMIT ' CITY OF EDMONDS NUMBER,�O�? JOB CONSTRUCTION PERMIT APPLICATION ADDRESS SUITE/APT# -50 5-,exv-o_' P1 OWN EMPE OF BUSINESS PLAT NAME/SUBDIVISION NO. LOTNO. LID NO. MAIAG" 7-7 LID FEE $ ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APPMW AW P&MA Roqum Sirso Use Pennh Req�d Inspection RK ZIP TELEPHONE Sidewsw Required REQUIRED DEDICATION FT Underground VjWg required NAME METER SIZE LINESIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 is _2_2� 1 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE. FOR EROSION CONTROLIDRAINAGE CITY ZIP TELEPHONE fin or 16 -vent eanne NAME CBL# waldrpd Im ftild-burWilraff applImM In ENGINEER1111 f16V2wEDj3Y DFA ago n67-AAf:2_1 .4. 2C ADDRESS unheaus spacm UMC 8151-41E z V, iA) 102- FIRE REVIE;E_DSY DATE LAIL, III cc CITY ZIP TELEPHONE 0 VARIANCE OR CU SHORELINEORADS# IN BOND SPECTION 1$ LIMBER IRATI DATE C REO'D POSTED DYES 13NO SEPA REVIEW L I 1�, lat. I ES C)OqR& I SIGN AREA HEIGHT AC COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 3 �CP CEV M 7EY, PVP FTI LOT COI POSED SMCKS (Fr.) NEW RESIDENTIAL PLUMBING/lAECH ALLOWED NT L/R REAR INS 670 COMPLIANCEOR C C COMMERCIAL ADDITION CHANGE OF USE PARKING Alp P By DATE M REOD I PROVIDED BE Aft- 0 REMODEL [3 MULTIFAMILY SIGN GRADIN9. r_111"A > z —[3 REPAIR CYDS X Fr) REMARKS DEMOLISH, TANK' , GARAGE RETAINiNd WALL FIR SPR 0 CARPORT ROCKERY 0 FIRE ALARW Un (TYPE OF USE.'BUSINESS OR N: 0 BY TYPE N OCCUPANT GROUP In M CRITICAL NUMBER NUMBER OF IT — EA CUFANI OF DWELLING AREAS SPECIAL INSPECTKIN Or 0 STORIES UNITS NUMBER REQUIRED LOAD o Fn �L . [:] YES (j) DESCRIBE WORK TO BE DONE REMARKS 0 PROGRESS INSPECTIONS PER UBC 1013/FINAL INSPECTION REaD s4n ACL :e)A IT A VALUATION $ C4 Description FEE Description FEE z Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % 3 w' T Building Permit City Surcharge za ITI PLAN CHECK NO- VESTED DATE Plumbing r`2 A 174 Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. t: Engr. Review PERMIT APPLICATION: 180 DAYS rnurr ""M .1 yvAn - PRCMDED Wnme IS STARTED WITHIN 180 DAYS BEE BACK OF PINK PERMIT FOR MORE INFORMATION ;APIP AN N BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS HOLD HARMLESS THE CITY OF Fire Review Plan Chk. Depos.it � REVAGREES TO INDEMNIFY, DEMD AND N I= EDMONDS, WASHINGTON, ITS OFFICIALS, LOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY 'IS§UANCE BE FROM THE ISSUANCE OF THIS PERMIT. OF THIS PERMIT $HALL NOT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CnYS ABILITY To ENFORCE ANY ORDINANCE PROVISION.' 11 Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GWEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY A14D STATE LAWS REGULATING CONSTRUC- CALL This application Is not a peffnh until signed by the TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LA§akCODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or hialbar Deputy: and Fees are paid. and receipt Is acknowledged in space provided. WORKMIEffs COMPENSAVON/TBR�NCE AND RCW 18.27. OFFICIA S G URE DATE SIGNATURE (OWNER Iff NTI DATE SIGNE� 1A10 '115) -7 os 1 771-0220 RELEA'%Ebf Y' DXTE ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROY�L 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 .. .......... . ...... _ -------