Loading...
20030776.pdfDATE RECEIVED ('30 ')�i a 4 . L, L CITY OF EDMONDS C CONSTRUCTION PERMIT APPLICATION OWNER ME/NAME OF BUSINESS L-LC 15 MAILING ADDRESS 0 C CITY ITY ZIP TELEPHONE 9-T—NAME ADDRESS CITY ZIP ITELEPHONE NAME CBL# ADDRESS T" X105 -7o '�Vi5' Vj CITY ZIP wt, cloo�tki TfLEPHOhIE 4Z5 - --7 76 -34 00 __41­11 STATE LICENSE NUMBER EXPIRATIOq DATE ECKE B PROPERTY TAX ACCOUNT PARCEL NO. 0Q4.34Lj00WV(30W(0 Wqj�'TOZZ P NEW RESIDENTIAL PLUMBING / MECH 0 ADDITION D?-COMMERCIAL COMPLIANCE OR GE OF USE REMODEL MULTIFAMILY 06 IGN ct GRADING REPAIR CYDS o FENCE. ( _X—F7) DEMOLISH TANK OTHER GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIREALARM UWE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: k ___0ArtQ(_kArL_ 6E?,\h1r L---r— o- t =1 Q NUMBER OF NUMBER OF DWELLING I RITICAL AREAS I STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE tw 'S V6, W HEAT SOURCE I GLAZING % I LOT SLOPE % PLAN CHECK NO- VESTED DATE C! I — THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, UARQUEFS, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISODAYS 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, 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 C17Y ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S 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 STATF LAWS REGULATING CONSTRLIC- TION; AND IN DOING THE WWOR AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CC IN VIOLAT!ON OF THE , CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN S COMPENSA�J WRANCE AND RCW 18.27. SIGNATURE GE DATE SIGt/D PERMITEXPIRES 41114612�1 UbE PERMIT ZONE NUMBERC��S—e!�)77)6 JOB SUITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP MY Parmh Required Street Use Peffnh Req'd EXISTING — PROPOSED-- Inspection Required Ell Siderwalk Required 13 REQUIRED DEDICATION— FT — UrderWound Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO C3 0z REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE z :t N e I WIUL V e4;�A U IAF='D A-r A L-A--TG-(, 'NAIE- DAT ENGINEERING REVIEWED BY In 1� - 14 1 uo_� F-7— FIRE REVIEWED BY DATE Lu W U-6 VARIANCE OR CU SHORELINE OR ADBO INSPECTION BOND 14A"o, REqD, I POSTED 1 App. 13YES fikNO $ - - SE -PA REVIEW SIGN ARtA HEIGHT COMPLETE EXEMPT ALLO D PROPOSED ALLOWED PROPOSED , =Xp LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR ------------ z PARKING REVIEWEDBY DATE REO'D I PROVIDED LOT AREA PLANNING REMARKS CHECKED BY ITYPE Cj��M I CEMOCCUPANO GRO SPECIAL INSPECTION AREA OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC I GOMINAL INSPECTION REG-D Description FEE Description FEE Plan Check State Surcharge Building Permit CitySurcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscape Insp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION (425) 771-0220 EXT 1333 APPLICATION APPROVAL This application Is not a permit until signed by the Building 0111clall or his/her Deputy; and Fees are paid, and receipt Is acknowledged In space provided. OF&FIALS&SGIURE , DATE & 41AIA. I ///�/ a IL 7R� DATf 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 1(1NS;fCTO CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 'M/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z IT! =i:w vi � Q M C M N OC 3� C M M 10 Q) 0 _n M M 0 ai 0 6 Fn C cl) 0 X VY z 0 4 0 M I RECORD OF INSPECTIONS LS INSPECTOR DATE APPROVED SETBACKS ....................... FOUNDATION: Footing...................... W Wall.......................... Pier/Porch ................. C): m: Retaining Wall ........ I tio Slab Insu a n .......... rn PLUMBING: m Underground ............. C. . Rough -in ................... m Commercial Final ID ..... Z' 'HEATING: 'Gas Test ..................... 0 on ..Gas Piping ... .............. M m:' Equipinent . .................... Commercial Final ....... Fn 1;o: EXTERIOR SHEATHING NAILING .......................... FRAMING ...... ....... FiRST:FLoOR FRAMING... INSULATION ................... Floor Insulation .......... —Wall Insulation ..... ...... Ceiling Insulation SHEETROCK NAIL ING ... SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. I )$ATE RECEIVED NMI W5 (/PnPf&"f q CITY 0 FEDMONDS CONSTRUCTION PERMIT APPLICATION ke'_IE5 L-LC MAILING ADDRESS 1)6 t4 5TE-. 10;L CITY ZIP TELEPHONE EFDmoop!�2 cloo;)-o %5-05-15'60 NAME ADDRESS CITY ZIP JTELEP�HONE NAME CBL# -7qA IC ADDRESS vi X905 -7 IAVC- CITY ZIP TLTj?E __7 7t Q vt;t�b W�> 5 qeo�tlp STATE LICENSE NUMBER EXPjRATIOV DATC I. KE Ahool PROPERTY TAX ACCOUNT PARCEL NO f 11 NEW RESIDENTIAL PLUMBING/MECH COMPLIANCE OR ADDITION Iffe'COMMERCIAL E OF USE REMODEL MULTIFAMILY S tIG N GRADING FENCE X REPAIR CYDS Fri DEMOLISH TANK OTHER GARAGE RETAINING WALL FIRE SPRINKLERT CARPORT 13 ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVTM EXPLAIN: Se Wk` L NUMBER NUMBER OF IL CRITICAL OF' DWELLING AREAS STORIES UNITS DESCRIBE WORK TO BE DONE 0`3 PERMIT EXPIRES 4VUL UbE PERMIT ZONE NUMBERC<09—�9 7 JOB SUITE/APT# ADDRESS Lidl. j;;j&.j;; 1\1 -_ PIAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APpcoved AW ParrrJt Required Streel use Perm" Rao EXISTING — PROPOSED Inspectlo Required Sidewsbc Required REQUIRED DEDICATION- Fr Under"M Wkirtgrequired METER SIZE LINE SIZE -1 I NO. OF Fix-runEs ' PRV REQUIRED YESD NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE + U (,e W D AT A LA-fFf, INAlf- ENGINEERING REVIEWED BY DATI —b - 6 1 uj!ulz 9 FIRE REVIEWED BY DATi a z tu Ic M VARIANCE OR CU HORELINEORADB# I INSPECTION RE4�D� PBONDO OSTE AimA .1[3YES YkNO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE ALLOW'D PROPOSE9 ALLOWEY PROPOSED EXXE.MPT , EXP f CbV9RAGE REQUIRED SETBACKS t]FT) PROPOSED SETBACKS (Fr.) 4 toWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR PARKING LOTAREA PLANNING REVIEWED BY DATE REQ`13 I PROVIDEDI k� REMARKS CHECKED BY ITYPE GROUP SPECIAL INSPECTION JARE�,,,, Q1. OE;UU REQUIRED [3YES r LOAD IREMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION AEG-0 �Xk_ _.�, L-T-7 E 'Plan Check A HEAT SOURCE GLAZING % -, LOTSLOPE% Building Permit PLAN CHECK NO. VESTED DATE Plumbing Mechanical THIS PERMIT MITIIRIZFS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DOME ON PRIVATE PROPEFITY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading a DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS PERMff6MM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engir. lnsp�Bction SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS ANDSU6�ESORS Fire Review .1 IN INTEREST, AGREES TO INDEMNIFX DEFEND AND,HOID HfflWLIESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPhOYEES. AND AGENTS FROM ANY AND Fire Inspection ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE- OF. THIS FIERmrr. ISSUANCE OF Tt)IS PERfArr sHALL'NOT BE MODIFYWAIVt OR REDUCE ANY REQUIREMENT bF ANY CITY ORDINANCE La"Pafe Insp. DEEMED TO NOR LIMIT IN ANY WAY THE CrnrB ABI2. TO ENtORCE ANY ORDINANCE PROVISIO Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN 13 CORRECT; AND THAT I AM THE � . r TEHi� DULY AUTHORIZED AGENT Oj: THEOWNER. I AeREE TV COMPLY WITH-� ffy� AN% XT LAWS REGULATING CONSTRUq- CALL TION; AND IN DOING THE WORNI, ORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE ODE 0 THE STATE OF WASHINGTON RELATING Tq Col LAP%C FOR INSPECT110N WORrJAENS CoMPENSA4 NFRANCE AND RCW 10.27. SIGNATURE (OWNfA1;dj DATE SIG D A3 tag 5 771-0220 ATTE06N EXT 1333 Description FEE State Surcharge City Surcharge 00"- Plan Chk. Deposit Receipt Total Amt. Due 1 Receipt # APPLICATION APPROVAL This application Is not a permit unto signed by the Building Official or his/her Deputy: and Fees are paid, and receipt Is ccknowiodgod in space provided. FMIALS SJGNATURE , PATE f BY IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I tz4XOZ611�4 - /I = evyf - A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE -'YELLON6NSACTC 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 5 M =i ii aj 3� 0 M C M 0 80 C � r. M M 10 0 ITIM a Vi 0 0 C C) z 0 M d,