The URL can be used to link to this page

20030813.pdfI DATE RECEIVED �tic CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS AJW4_ To 14 AJSC> 0 �1 MAILING ADDRESS . I )i I NAME ADDRESS P ITELEPHONE CITY ZIP ITELEPHONE NAME CIZIC -rVA1&--CAJ CBL N (AJ C_ ADDRESS ?_?_ 906 8,69 R V IF CITY ZIP TELEPHONE C_j)mAv"pe, ?,P26 1106 9v(779.1 STATE LICENSE NUMBER EXPIRqATIO DATE 'Phl� I Cl 2-CO3 NEW IESIDENTiAL 1-1 PLUMBING if MECH ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE REMODEL MULTIFAMILY 0 SIGN 9 REPAIR GRADING CYDS [3 FENCE X FT) DEMOLISH 0 TANK 0 GARAGE RETAINING WALL FIRESPRINKLER CARPORT ___R0CKERY FIRE ALARM CrYPE OF Ugg, BUSINES1.�,",40MM EXPLAIN: NUMBER OF STORIES NUMBER OF DWELLING [UNITS CRITICAL AREAS LIMBER DESCRIBE WORK TO BE DONE eff o4,0 p4ge-)c /0. 1 12- 1 HEAT 8 _G �0N LOT SLOPE % PLAN CHECK NO: VESTED DATE r- �7 M)C— j /�" [PERMIT EXPIRES USE PERMIT �� ZONE ii�� Z, NUMBER JOB ADDRESS X) _,l,,l -r U 1/1 WITE/JkFT# -ILC— Eu PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved El RW Permit Required Street Use Permit Req'd EXISTING — PROPOSED Inspoctlo" Required Sidewalk Required REQUIRED DEDICATION— -]— FT UnderWound Wiringrequired 13 METER SI ZE LINE SIZ NO, OF FIXTURES PRV REQUIRED YES13 NO 13 REMARKS z OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I A — . - __ .— __ , k ft .-- . . _'-, d ffoffi7Rff!,1WT.04w7,1 nil FIRE REVIEWED BY DAiE I VARIM-CE—OR CU HORELINE OR ADS# NSPECTION BOND _01117'r REQ'D POSTED -A- -410:5 .%a.IYES )ifNO 1$ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED xP_ , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRPIPE REAR 11jo CA4A. 115'- 5-r 0,-Cnr* L4 li, 40 f lr-LVIL16 PARKING I LOT AREA UPLANNING REVIEWED BY ATE 0. REO'D I PROVIDED WocVIA " 1,, It—), �" P, ""j;b REMARKS � CHECKED BY ITYPE OF C 'WCTION Ifolif- I C MON JAREA �TA )CCUP GROU SPECIAL INSPEC 6C_CUPA REQUIRED[3) LOAD REMARKS PROGRESS INSPECTIONS PER USC 11011111FINAL INSPECTION REG'R_j VALUA71ON $ f, ' qJ00 F__ Description FEE Description FEE Plan Chf3ck State Surcharge Building Permit City Surcharge Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading N 3 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 'kc t SEPARATE PERMISSION. Eaw—Romw _E] veA ito PERMIT APPLICATION: IBODAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS 0_ I I Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review --- Plan Chk. Deposit '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 Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY PERMIT SHALL NOT BE FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS EEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due OR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee Receipt # I HEREIYY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATI OVA' 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 WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LAWM-COqE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or h131her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. WORKMEN'S COMPENSA��SU CE AND RCW 18.27. --h OF LS 21GNAT�615 DATE SrIGE DATE 'A'35) �SIG;ED 771 -0220 %REED DAT ;(0 By BY ATTENTION Off 1333 A/. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 7 'YELLOW A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-FIL� - - INSPIiCT(fR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING it z 0 4 0 M M C M -48 0 C � r. M M 10 F; z 0 _n '�" 9 rn M 8 7W 0 rn C 0) C CO) M 0 z z 0 4 0 M ATE RECEIVED Lon 1 �7 PERMIT EXPIRES USE 11"E '7 PERMIT CITY OF EDMONDS NUMBER JOB CONSTRUCTION PERMIT APPLICATION ADDRESS OWNER NAME/NAME OF BUSINESS NOT 4— Z C) H /JSO Q PLAT NAME/SUBDiVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE S v 1, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP AP AW Peffnit'AiFlned ZIP TELEPHONE EXISTING — PROPOSED , R, d Street Use Perm t eq Inspection Raqulf*d Sidewalk Required ci�?,J REQUIRED DEDICATION— FT '7, Underground Wiring required NAME METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED I YES 13 NO C3 ADDRESS REMARKS z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE pif wojeo CITY ZIP TELEMONE'z% Vi I dy'd, w, P,)10),j gumyn od NAME C12 IC -rA1A,*&-XAj CBL# I DF-L11- go. I)SC4 swy, WOOTIvi Ip- kr,1-4 -y ill"AJ C 4 .0k FNGINEERINdI REVIEWED BY ADDRESS 61 � �DAJE;� q h &4 7_?_ '*&WONE F REVIEWED BY DATE UJI z CITY ZIP ,�RE y cc 0 106 �WY Y�Zf 6— 0 STATE LICENSE NUMBER EXPIRATION DATE I 9HfCKED 11 VARIANCE OR CU SHORELINE OR ADBP -;?� L INSPECTION REQl 'YEs [13 BOND POSTED I ITI wwwr 5 n/2-003 Lj XNa, — s PROPERTY TAX ACCOU N SEPA REVIEW COMPLETE EXEMPT SIGN AREA 10 ALLOWED PROPOSED . HEIGHT ALLOWED PROPOSED, , M EXP NEW IESIDENTIAL 0 PLUMBING MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SI�MACKS (FT), � FRONT MDE REAR PROPOSED SET4ACKB (I:T) FRONT LIR S REAR M ADDITION COMMERCIAL COMPLIANCE OR 0 USE C= CHANGE OF REMODEL. 0 MULTIFAMILY 0 SIGN PARKING REQ`D J�PROVIDED LOT IR 11P�ANNING REVI ED ef, 06 M M REPAIR [:]'GRADING FENCE CYDS FT) 114, RE�ARKSJ H� z�[3- DEMOLISH 13 TANK r 4nJr&\ 01A,62 :(E EfGAFIAGE� o RETAININGWALL F RE SPRINKLER . 0 I Ir CARPQAT ROCKERY FiRE ALARM < -n (TYPE OF U BUSINE"4WP~ "PLAIN: CHECKED BY -TYPE 0 ION' 0 OCCU�A)r ' I . 1-111 GROUP.. ff, ITI NUMBER '01: BER 0 jCRrnCAL NO WUM LL NG AREAS (;J- I SPECIAL INSPECTION _aC`C_UPA&r__ LOAD 0 ST 1E s I NUMBER C.." JARSA REQUIRED 0 DESCRIBE WORK TO, BE DONE C R9MIARKS gROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTIONAE03 0 jr-P/141119- e4v &jtetrz /0-5 12. w 0-41 - .7 VALUATION $ q, z I 1 Description FEE Description FEE co 7 Plan Check State Surcharge z 0 ... N —Y—P— -1 HEAT S:W�CE LOT SLOPE % Building Permit City Surcharge 5 ITI PLM CHECK NO: VESTED DATE Plumbing. Mechanical THIS PERMff AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERUrr APP= - ",VAA IL PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN ISO DAYS Engr. Inspection SEE 13ACK 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 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 18SUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt, Due (IVA" DEEMED TO M ODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE -A NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPA0VAL* GIVEN 13 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 POMIt " Signed bYjh8 TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are pWd, and IN VIOLATION OF THE LA40WCOOE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION recelptis acknowledged In space provided. WORKMENS COMPEI41�INSURA�CE AND RCW 18.27. DATE SIG LYE (0 lot DATE SIG)IED IA-05) 771-0220 ATTENTION 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- F S O;IGI&N'AL - - IL� -YELLOW -IN" PLTC� CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING