The URL can be used to link to this page

20030573.pdfI DATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME NESS PuP-d'i MAILING ADDRESS - Z?L / CITY ZIP TE EPH&NE d'? I F VWM-14- qer'U WZr--7-71J_q�',d ADDRESS NAME ADDRESS CITY o f,,V, STATE LICENSE NUMBER PROPERTY TAX ZIP TELEPHONE -7 ICBLN USE ZONE JOB ADDRES��,; [ PERMIT EXPIRES PERMIT ) 4q)� _ NUMBER PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approv RW Permit RiK "Id 1� EXISTING — PROPOSED Street Use Permit Req'd Inspec-tion Required 13 SIdewstic Required El REQUIRED DEDICATION— FT Underground Wiringrequired 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE ENGINEERING REVIEWED BY NEETR Nor REV" G' I ' DATE FIRE REVIEWED 103Y DATE uA zip TELEPHONE rr fN L EXPIRATION DATE C_ HECKED 13Y VARIANCE OR CU I SHORELINEORADB# I INSPECTION BOND REO'D POSTED aw 1 C3 YES !WN'O $ 0. SEPA REVIEW SIGN AREA I HEIGHT I 2 , - . - - COMPLETfi . EXEMPT ALLOWED . PROPOSED At I OWEn Plpin. NEW RESIDENTIAL 1:1 PLUMBING/MECH ADDITION COMMERCIAL o COMPLIANCE OR CHANGE OF USE REMODEL 0 MUI.TIFAMILY SIGN REPAIR GRADING FENCE 1:1 CYDS X DEMOLISH 1:3 TANK OT ;Tdf_� GARAGE CARPORT [:] RETAINING WALL ROCKERY F RE SPRINKLEW FIRE ALARM UWE OF USE, BUSINESS OR ACTrVITY) EXPLAIN: 71p, 1A M NUMBER OF NU"ER OF DWELLING STORIES Y A UNITS DESCRIBE WORK TO BE DONE 'ao�e Vd h ubit 1, AV EXP r ---+ ____r_ I — I LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACK$ (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR PARKING LOT AREA I PLANNING REVIEWED BY DA E REOD I PROVIDED FT) N REMARKS CHECKED BY I TYPE OF CONSTRUCTION E OCCUPANT V-W GROUP q SPECIAL INSPECTION JAREA OCCUPANT REQUIRED LOAD [REMARKS PROGRESS INSPECTIONS PER UBC IGO/FINAL INSPECTION REQ'D VALUATION Description FEE DescrIption FEE Plan Check State Surcharge HEAT S0UR6F__j_ GLAZING % LOT SLOPE % Building Permit City Surcharge bf"2_ PLAN CHECK JN(L- VESTED DATE zqt� —,R2Q Plumbing THIS PERMITAUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN SIDEWALKS, Grading (CURBS, DRIVEWAYS. MARQUEES. ETC.) WILL REQUIRE t: SEPARATE PERMISSION. 2 I PERMITAPPILICATION: Engr. Review ISODAYS CL PERMIT L1MIr 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 C OF 'TY EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES Fire Inspection Receipt # OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Total Amt. Due S��- SO 0 NOR LIMIT I z N ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION., , Recording Fee Receipt # 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 APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL This application Is not a permit until signed by the Building Official or hislher Deputy: and Fees are paid, and IN VIOLATIPN OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO COM URANCE AND RCW 18.27. FOR INSPECTION receipt 15 acknowledged In space provided. ___WORKMEff SIG (OINNE P9 DATFjSIGNED 4, /4'25) OFFI: ALSNATUE DATE 'ZIA V 771-0220 1 1 DATE RT A YTIWTION 333 I IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- �J' CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINALALE YeLLOW-INSPECTOR PINK - OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 0 M C M 0 —10 0 C � 1C 1:� M M 0 _n n M M DO—) 0 p Fn C 0) M 0 z 0 I 0 M 11 121 5th Avenue North Edmonds, WA 98020 Fax: 425-771-0221 Subject: Port of Edmonds O-Dock Overlook Dear Mr. Snook: A final inspection of the above referenced project was completed on Wednesday December 17, 2003. The purpose of this letter is to acknowledge that the work completed by the Port of Edmonds for the O-Dock Overlook project meets the plans and specifications as stamped and sealed by the Engineer of Record. Sincerely, PND Incorporated attle Office David Pierce, P.E. Senior Engineer Cc: Bob Yeager Port of Edmonds 811 FIR51'AWN ITE. 570 - SEA ASI I INGTON 98104 , 206.624.1387 - Pax ZMOZ4-1 3?. D�te: PORT OF EDMONDS INSPECTION REPORT N/P DOCK EXPANSION Lu Is— I:fP) w ov) UA), kKO -2- +A-C*-3 e,-O -505- wvg-- + L*Y517A 2- CL(a:s sjQP �vo� -5 r7a-- Vaj �plr6 9atvu%� ea F-Loftr— +-f2tOA'-r) hyttic- -I's e . k-6 tk *D:),c6a hoo VLI rwrio Lit-Ar 4 L Nlers avxrvL- thrvvrvc (fwlo "Aj -cj,j Syu,� Ll il -m vylax>, MICROFILM zo LL— P4 oz— ao PORT OF EDMONDS INSPECTION REPORT R5C:F.IVED N/P DOCK EXPANSION DEC 17 2003 Date: I L- '2-!q: ?-COD DEVELOPMENT SEAVICES CTR. -*T* OF EDMONDS Amo -z--mEH C-L-emooj e- a, - 10 r-"Wltc-- FOA-C HOLAEP o ur or- 4 re7&et--5<5 tJ - "o-T ov-j rk.,j,)Ay W, t L azo--5 &-n-4/1 aw u ODP---� avL ' 611-121%-Vaj oj lla'- Z�1&6 P WNW\ MIS) - WR- $60k/ oil% It A M2�� t-A All 011. *AW \jig L ob A-c-7t v i H MICROFILM 15 0- v a ff c oc. C Z' Pi mm Hn, Z' o'' oil m I FINAL PROJECT APPROVAL FORM TO: T)ATR- FAILED FINAL INSPECTION - OUTSTANDING ISSUES a. Copy of CORRECTION NOTICE given to owner/contractor by fiWector 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:tenip:bldg:formsIO/OI i z 0 m =i:fi rn -4 r OM C MO 0 --10 0 C: -1 C X M M Z 0-4 CE 0 -n n --I 3: M m 065 0 r- 0 M a Cn C ch M 0 Z z z 0 m M DATE RECEV S UV 14o /�� /z � PERMIT EXPIRE u CITY OF EDMONDS Z CONSTRUCTION PERMIT APPLICATION j A OWNER NAMEA"E.GF BUSINESS 15 MAILING ADDRESS CITY ZIP q8( bx/m .1 4�;,- j zo ELEPHdNE -7 Za - uSj q NAM;b /�o ADDRESS R ?/I F104 Ale C ZIP TELEPHONE NAME CBL# ADDRESS CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY PROPERTYTAX APCOUNT PARCEL NO., NEW RESIDENTIAL 11 PLUMBINGIMECH COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE REMODEL 0 muLn i FAMILY SIGN REPAIR GRADING FENCE CYDS X FT) I TANK THE DEMOLISH OfAr, &Ifk GARAGE RETAININGWALL F RE SPRINKLEFf 0 13 FIRE ALARM CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: NUMBER NUMBER OF CRITICAL OF DWELLING [UNITS STORIES NUMBE DESCRIBE WOAK TO BE DONE C 4 iOM M 4 o le 'C"4 A - I r HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NM z92 _ 197/0 VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC W1 a DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. UARQUEES, ETC.) LL RE UIRE SEPARATE PERMISSION. PERMITAPPUCATION: 1180DAYS IL -7 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, 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 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 VIOLATIPN OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKME" COMPEN�ATION INSURANCE AND RCW 18.27. SIGNAT (OWNER D, ATLIGNED SE PERMIT ONE NUMBER )B SUITE/APT# DDRESS PLAT NAME/SUBDIVISIDH NO. LOT NO. LID NO. J— LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP proved RW Pennit Required Street Use Peffnh Rac(d EXISTING — PROPOSED inspection Required Sidewalk Required REQUIRED DEDICATION— FT Underground wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 EMARKS WNER/CONTRACTOR RESPONSIBLE FOR EROSION QONTROL/DRAINAGE 4GINEERING REVIEWED BY DATE IRE REVIEWED BY DATE LAI a, r VARIANCE Oil CU SHORELINE ADB# INSPECTION BOND REQ&,O POSTED qI lq 10YES N 1$ SEPA REVIEW SIGN AREA HEIGHT ;OMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED CP �Q LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) LLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE BEAR PARKING LOT AREA PLANNING REVIEWED BY DA7E IECrD I PROVIDED _ 1 41 VAALLI(Y� _2 HECKED BY ITYPE OF CONSTRUCTION E OCCUPANT 1417 GROUP ,PECIAL.INSPECTIO!] REA OCCUPANT 1EQUIRED [] YES LOAD EMARKS IROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REG'D S&f1'1'(AMA1 A V All—v/dAw AA �Ir #4—*Yl Description FEE Description FEE. 31an Check 17,�� = State Surcharge :�z "5-eq 3uilding Permit AnT City Surcharge h�5 Numbing C.A :2 Vechanical 3rading Engr. Review Engr. Inspection winor, Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION IA'35) APPLICATION APPROVAL This appiicauon is not a permifuntil signed by the Building otticial or his/hor Deputy: and Fees are paid, and receipt Is acknowledged In space provided. OFFI LS N U E DATE 1. MV A 4Z )IV4 � FF 0 rf- ---- 771-0220 RE��F,61Y ATTEWION M 11333 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 YLow-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