The URL can be used to link to this page

20030717.pdfI DATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS DC)AJ PA-1 MAILING ADDRESS e) 5- `2,1 1 2� 4 Tk CITY ZIP_ ELEPHONE V! ADDRESS CITY ZIP I TELEPHONE PERMIT EXPIRES USE PERMIT ZONE NUMBER 7L, JOB ADDRESS / �_& 7`- "T" PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TIESCIR Approved RW Permit Required Street Use Parrnit Req'd EXISTING — PROPOSED Inspection Required NAME bulAC-0 - CBLN Pr/Z70 ADDRESS q—s L/ le ZIP q?,Iqq TELEPHONE _2_40G _7e 26z-q V STATE LICENSE NUMBER WA __fC _710 iS SRI& 7 EXPIRATION DATE 5, JZQ CWK=33X 4 by PROPERTY TAX ACCOUNT PARCEL NO. 7 '00 6�,66 NEW RESIDENTIAL PLUMBING / MECH ADDITION COMMERCIAL C MPLIANCE OR COANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING 0 CYDS 1:1 FENCE ( X FT) DEMOLISH 1:1 TANK OTHER GARAGE CARPORT -1 RETAINING WALL 1:1 ROCKERY FIRE SPRINKLER FIRE ALARM (TYPE OF USE, BUSINESS OR ACPflVj.59YLAIN: NUMBER DuMIBEIR OF r ;LL NG CRITICAL OF AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE CYQ -S -fo 01 a 3 /1 _)C4._kr 6 /a GLAZVOG -W 1(j LOT SLOPE % NO: I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMITAPPLICATION: 180 DAYS PERMIT LIMM 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, AFUSING 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 CORRE" AND THAT I AM DIE 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 LABOFj'C0Q& OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPENSATIGNIROURAftf AND RCW 18.27. or n a z 09 z z I REVIEWED BY DATE FIRE REVIEWED BY DATE cu SHORELINEORADB# I INSPECTION )e B lor L vent.coweellm ILE)DWED LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR z PARKING LOT AREA I PLANNING REVIM��ATE I REO'D I PROVIDED I ------- CL CHECKED BY I —f I I C chm Ll -r GROUP 1( 4�.� SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [:] YES f LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REG'D SIGN)PRE low ENT) —I,/ DATE SI NED I I q 71�_16 1 ATTENTION V 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 YELLON - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING Description FEE Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Description FEE State Surcharge City Surcharge Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp- Total Amt. Due I Recording Fee Receipt III I APPLICATION APPROVAL CALL This application Is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. OffICIAL SIGNATURE DATE (4925) 771-0220 REL6S15b BY_ DAVE EXT 1333 z 0 0 M am a M 0 C M IT11 C 2 0 _n M M 00—) 0 0 Fn C MO z z 0 M DATE RECE PERMIT EXPIRES 0 �) L,.,[. r USE PERMIT Z03_ ZONE 7 CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB RESS # ADD 7" OWNER NAMEINAME OF BUSINESS Dc) " &A- I I PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE S -tk (_AJ TES60 APPMW PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pom* RequIred Stmet Use P@rTnh Req�d CITv YCI counuc EXISTING- PRapasEn Inqwdon ftequired C—: t� M a4dS qSO-2tx I q7-15 77 1B -7 7 &Z. NAME ADDRESS CITY ZIP I TELEPHONE 14AME CBL 0 wJLS(_0 1-0"/;?70 ADDRESS 1+06 CIO �TY ZIP TELEPHONE �440 q?,jqj Twco Z60-M-t) STATE LICENSE NUMBER EXPIRATION DATE WA-S R IIF�'47 -7/0 A 4T —3-405 Q PROPERTY TAX ACCOUNT PARCEL NO. 0 656 7PQ606 //6 leses NEW K RESIDENTIAL PLUMBING/MECH ADDITION COMMERCIAL [3 COMPL ANCE OR CHANGE OF USE REM�DEL MULTIFAMILY L] S113N 0 REPIAIR GRADING FENCE CYDS X_FT) DEMOLISH TANK OTHER oGARAGE CARPORT RETAININGWALL FIRE SPRINKLER ROCKERY FIRE ALAAM UWE OF USE. BUSINESS OR AC I NUMBER OF if NUMBER OF DWELLING C "'CAL AR A RE S STO1110 UNITS NUMBER DESCRIBE WORK TO BE DONE I aC4 _� 40 04-S j _)C4- kr pcie-r C 1--14 rvt ffm -r (4n, 6v o - , S — 4J 'J k close-4- 6T(. -4, //, 41 &0 VN E GLAZOG 9V JU LOT SLOPE % NO: I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED- THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANV CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT ILIMM 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 A14Y 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 LABO1Fj CIDSE ,OF THE STATE OF WASHINGTON RELATING TO WORKMEPCS COMPEN8ATjQN1N9VRAN59 AND RCW 10.27. DATE SIGNED . q/tz,/63 METER REVIEWED BY FIRE REVIEWED BY VARIANCE Nqj)f0dflW DATE DATE BOND POSTED A- 6�"EOAEW __ "t: .. I COMrLt;IE PROPO ED _j MT .XP LOT COVERAGE REQUIRED SETBACKS (Fr) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR I I PARK ING REVIEWED&M JATE REQ' VID ,I_ e A—t Vlaipptr 0-ni Pe Labor CHECKED BY jTYtjfreSr,!jrIC _?T� _I --koUr-jZ1�5 GROUP SPECIAL INSPECTION REQUIRED [] YES JAREA OCCUPANT LOAD REMARKS PROGRESS INSMNPM AMC CTION REaD VALUATION $ Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing / a U 12 Mechanical Grading Engr. RevIew Engr. Inspection Fire" R ew Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fee Receipt # 'U'S1 vap CALL FOR INSPECTION 42 ( *5) 771-0220 APPLICATION APPROVAL This appiiection is not a permit untit signed by the swiding OMcW or his/her Deputy: and Fees are pWd, and receint In acknowledaed In soace PraMed. OFFICIAL1% SJGVATURE DATE _T// 0- �/ -gi�LEA_s_ffi B�y 7 1 DA* ATTENTION ki Off 1 33 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL - \ J_ 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 SEE z 0 M 7, "n M C M 0 C M E: 0 M 0 0 Fn' C 0) C W i. M 0 z E� z 0 M