The URL can be used to link to this page

20030849.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 0 R NAMEINAME OF bi JUSINESS MAILING'ADDRES or iCITY zip I ITELEPHONE �&�ImAc q 4,4 1 � 4 44 NAME ADDRESS CITY ZIP I TELEPHONE C BLe ADDRESS I ?� —, I CITY ZIP TELEPHONE 111� L CENSE NUM R EXPIRATION DATE I C"ECKED 13Y tar le &WIloge-1 100 .7A*�&r NWPEMI TAX A PARCEL NO. '�C?Ouw d2 c 121 over Q b". NEW RESIDENTIAL PIZ PLUMBING / MECH �DITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE FT) DEMOLISH 0 TANK o OTHER c3GARAGE [3 RETIMNINGWALL FIRE SPRINKLER CARPORT ROCKCRY FIRE ALARM (TYPE OF U N: NUMBER NUMBER OFF CRITICAL OF DWELLING AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE -2 FP—ERMIT EXPIRES SE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved AW Permlt Required Street Use Permit Req'd EXISTING — PROPOSED lrksp*cWn Required SidewaticRewired REQUIRED DEDICATION— FT Underground Wiringrequired METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I L YES 1:1 NO C3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE ENGINEERING FIRE REVIEWED BY DATE uj cc 1E VARIANCE OR CU SHORELIINEORADB# INSPECTION BOND REO'D %0 POSTED 1$ YES SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 'XP 4 , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDq REAR- 01 C PARKING LO ING REVIEWED BY DV/ W�� REO'D I PROVIDED .__ i CHECKED BY jTYPEr_T JUCTION OCCUPANTZ GROUP 7 �. SPECIAL INSPECTIONJAREA OCCUPANT REQUIRED [3 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE0'qj Description FEE Description FEE Plan Check State Surcharge 7 HEAT SOURCE GLAZING % LOT SLOPE % T Building Permit City Surcharge PLAN CHECT VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLV THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, FTC.) WILL REQUIRE :1 SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: IeODAYS PERMIT LIMM 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 fill IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING OIRECT1Y OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE TO MODIFY, WAIVE REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due DEEMED OR NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee Receipt # NI, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL 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- C7— 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 LABOR CODE OF THE STATE OF WASHINGTON RELATING TO Building Official or histher Deputy; and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. WORKMEWS.q�PENSATION INSURANCE AND RCW 18.27. A OFFICIALS SIGNATURE DATE ER RAGE" DATE SIGNED 'A'05) s'� ltlx4t? '�2 771-0220 .0 BY t /DA), ATTENT100"61 EXT 1333 LRELEASED /Wki T� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR;&NAL " FILE ELLOW - INSAECTOW CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P NK - O�iNER -.)GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING I z 0 M M rn a -40 C M 0 � C —Z 0 _n n M M C 0) C 0) M 0 X z 0 M FINAL -PROJECT APPROVAL FORM TO: z 9 0 m =i:q c MO 0 --40 0 c: �c m z 10-4 cn 0 -n n m m 0 0 o C cl) c 0 M 0 Z X z z 9 0 m . 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature I:temp:bldg:fomis:ocaprvl 3/25/04 PERMIT EXPIRES 1. 21110' -7—TsE PERMIT -7 CITY OF EDMONDS ZONE NUMBER C01410 Lj CONSTRUCTION PERMIT APPLICATION MOWN R NAMEtNAME OF USINESS t H IV C9 �±l MAILING ADDRE CITY zip I ITELEPHONE u�+ NAME CITY ZIP TELEPHONE JOB ADDRESS 7 4t 14e9l, UITEIAPT# PLAT NAME/SUBDIVISION NO. LOT NO. LID No. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESCP Appro"d RW Per"I" Required Street Use Permit RWd EXISTING — PROPOSED Inspaction Required Mews& Required REQUIRED DEDICATION— FT U W METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED Yr:s C3 NO 13 REMARks OWNER/C01.1111 011 11-31 01 'SlEtt) FOR EROSION CONTROLIDRAINAGE KAS- `4 e ENGINEERING REVIEWED BY DAT W, ADDRESS t n -01 W. \.k) 'Up 4. �, 740:ry >b j FIRE REVIEWED BY DATE CITY ZIP TELEPItONE VARIANCE OR CU SHORELINE OR ADD# INSPECTION BOND LICENSE NUM R EXPIRATION DATE CtVECKED BY REO�D POSTED 1". 1 &WAAeel a(j�lnpnoo -TAz)yhj W—M-Wo 1 , OyEs Wo eeessessessem'see, lo— ; '. q EPA REVIEW f SIGN AREA HEIGHT PF I`AX PARCEL NO. &C9OUNT MP EXEMPT' ALLOWED PROPOSED ALLOWED PROPOSED EX0 I 0 NEW RES!iDEN'TIA'L PLU��(NG tMECH LOT,COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr) FRONT SIDE/ REAR FRONT L/RSIDJ REAqR DITION COMMERCIAL C 1=�%IR HA 60A C; s REMODEL 0 MULTIFAMILY �SE El PlGti PAAKING LOTA'RA..J."VING REVIEWED BY Dq�l RECVD I PRO�IDFD. FENCE 10 7 13 REPAIR 0 GRADING, CYDS� X FI) REMAKKU DEMOLISH TANK OTHER oGARAGE o RETAININGWALL -FIRE SPFIWKLE�' FIRE ALARM CARPORT ROCKERY.: Cn?E USINESS OR.ACTWM EXPLAIN. OF U ITY CHECKED, By P; esses NrxTRVCTION UPANT 0§62UP Ic,77 G NUMBER OF N UMBER OF 0 WELLING AREITICA� AS z IF x SPECIAL INSPECTION AREA OCCUPANT STORIES UNITS - REQUIRED [3YES LOAD DESCR18E WORK TO BE DONE REMARKS RtOID rny"�ESS INSPECTIONS PER UBC I 08/FINAL INSPECTION )V1 1. 1-1 .1 . also M. VALUATION t" 4 Description FEE Description FEE P)an Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % BuildingPermit 192 10/ City Surcharge A� PLAN CHEC:,� VESTED DATE , Plumbing Ak� —z;k,-j Mechanical ThIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO k: BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBILIC Grading 2 ; DOMAIN (CURBS, SIDEWALKS, ORMVAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review 2 15 8-1 PERMITAPPLICATICRk ISODAYS PERMIT umir I YEAR - PROVIDED WORK IS STAFITED WITHIN 190 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION "APPLICAK ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIF% DEFEND AND HOLD HARMLESS THE CITY OF,, , EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ", Fir&Ihisp'ection . I 1� Receipt # N . r ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapalnsp. Total Amt. Due 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." Recording Fee Receipt # L I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL 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 untli signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED A IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTIO Bufldlng Official or NO& Deputy: and Fees are paid, and receipt 13 acknowledged In space provided. WORKMENS COMEENSATION INSURANCE AND RCW 18-27. --- OFFICIALS SIGNATURE DATE -A SIG R (OWNZIR R AGENT) DATE SIGNED 1A 0% %425) V-"*\- 1� 14.__ /,04 W/� P—T 771-0220 C�r t ATTENTIOU EXT 1333 RELEASED BY 'DA IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI, ORLNA�FILE EdELLON - INS4CTOFY' CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - E GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING Esser z 0 0 M =i:% M C: M