Loading...
20030890.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OF BUSINESS LPERMIT EXPIRES USE PERMIT ZONE NUMBER Z*/v - JOB ADDRESS Zj SUITE/APT# t)o —21 " W PLAT NAME/SUBDIVISION NO. LOT No. LID NO. rLID FEE $ MAILING ADDRESS Lto ato kcml f4 c---- Vj Je- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESCP Approved RW Patft Required Street Use Permit Rsqd CITY ZIP ELEPHONE(P,,,,,.,,, EXISTING — PROPOSED Inspection Required Sidewalk Required 00 REQUIRED DEDICATION— FT Underground Wiring required NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO ADDRESS REMARKS OWNER/CO&TRAM!LM j2VaLWjgg=WL/,DRAINAGE 1 ODKI0 CITY ZIP TELEPHONE -0- SIDS SEWER MUST an CAPPw jvr i PROPERTY LINE NAME hli ' 0 WATER METER 'M BB R13MOVED On fAA ENGINEERING RdRIMBBID WITH INSTALI ADDRESS RUN FIRE REVIEWEDSYES DATE DEMOLITION INSPBC170H ul CITY ZIP TELEPHONE I 0 CHECKLIST ON BAC r%n f'% -- ft aw: VARIANCi-o—R-Crult a U Ift BOND STATE LICENSE NUMBER EXPIRATION DATE CHECKE BY REO'D POSTED 13YEs [3NOT I $ SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO, COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 2zto!�% 0,0 k,0040 , , , EXP NEW RESIDENTIAL 13 PLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) FRONT SIDE REAR FRONT URSIDE REAR ALLOWED PROPOSED ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED 13Y DATE REMODEL MULTIFAMILY SIGN REQ`D I PROVIDED 0 REPAIR [3 GRADING CYDS FENCE X ( — FT) REMARKS M71 DEMOLISH 1151111. TANK OTHER — GARAGE RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM ME OF USE. BUSINESsr A M 'yp� C OCCUPANT CHECKED BY N . GRO I BER NUM ID OF -iiU M OF W L CRITICAL ffi/ J AREAS 03 _fz�7 4 AREA OCCUPANT LOAD STO IES UNITBLIN( U NITS NUMBER REQUIRED [] YE,- DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC log/FINAL INSPECTION REGID q & VALUATION 7W - * $ C,n Description FEE Description FEE Plan Check S f tate Surcharge HEAT SOURCE LAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERUrr AU`THORrZES ONLY THE WORK NOTED. THIS PERMrt COVERS WORK TO t HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU13UC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PFRMITAPPILICATION: IGO DAYS 06 PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit I'APPLICANT. 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 DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, ORTHE 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 LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building official or histher Deputy: and Fe as are paid, and receipt Is acknowledged In space provided. WORKMEN'S CO ION INSURANCE AND RCW 16.27. OFFI IGNjirTURE TE SIGNAT�UR N GE" DATE SIGNED (4-25) A =60" 0 �EFRI am 771-0220 RELEASED BY DATt EXT 1333 IT IS UNLArUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 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 JECT APP.R �VALF TO: DATE: a z 9 0 m =i 9 M MO 0 80 c -4 r. MM M� ID 6- Z 0 -n m M C) 0 0 M C (j) c V) M 0 Z .4� ;D z z 9 0 m I q . Ik. - ----- - ---- DATE RECEIVED Ll.)ATE PERMIT EXPIRES PERMIT CITY OF EDMONDS ZONE NUMBER JOB SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADDRESS Z �0 /;� — _ OW`Ni� NAMEMME OF BUSINESS kftPLAT NAME/SUBDIVISION NO. LOT NO. LID NO. tQ-2� X)t3 MAILING ADDRESS LID FEE 111 TES PUBLIC RIG4 OF WAY PER OFFICIAL STREET MA RW=- Rsq�d Su*M Use flarmil CITY ZIP JTELEPHONIE EXISTING — PROPOSED mapsedon pAqtdw Sid&wa* Required %xi REQUIRED DEDICATION— FT I Underground 4be-kMilla WMgTsq_ 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES - PRV REQUIRED I YES13 NO 13 I ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 0 PRB-INSPECTION REQUIRED CITY ZIP TELEPHONE 0 SWEET TO BE CLEANED OF DEBRIS NAME CBL# 0 SIDE SBWMt MUST 813 CAPPED AT I ENGINEER I NG RfARFAW UNB DATE ADDRESS MMU TO 98 REMOVED OR VY AIM FIRE REVIEWEIleff?� DATE CITY ZIP TELEPHONE 4, DVW At AppRom Dump sm omw VARIANCE OR C68B I BOND STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY DMDMIWW4 STED CHE*KUST ON B UAC SMM k� _112 10579AW - SEPA REVIF#W U HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED , , , EXP 1:1 RESIDENTIAL PLUMBING/MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT) J:3 ;NEW ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR 3 ADDMON COMMERCIAL COMPLIANCE OR 1:1 0 CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL [3, MULTIFAMILY SIGN RE PROVIDED 'FENCE REPAIR GRADING CYDS X FI) REMARKS IR DEMOLISH [3 TANK GARAGE RETAINING WALL F RE SPRINKLER CARPORT ROCKERY FIREALARM (TYPE OF USE. BUSINESS OR A CHECKED BY occupr ITYPE=eN 14 GROU NUMBER, NUMBER OF CRITICAL W Jj A OCCUPANT DWELLING AREAS - SPECIAL INSPECTION JARE LOAD V, 'OF STORIES UNITS NUMBER REQUIRED [] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER U13C 108/FINAL INSPECTION RECtO AC Lra2', r iiiig2L !FBI% 3 V-1 11111 lull N I CW VALUAMION I M kv $ 18 h V I zwo Description FEE Desciription FEE Plan Check State Surcharge HEAT SOURCE 7­6 LAZING % LOT SLOPE % Building Permit City Surcharge VESTED DATE PLAN CHECK NO: Plumbing Mechanical THIS PERMIT AUTHORDS8 ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPEITTY ONLX ANY COMMUCTION ON THE PUBLIC Grading 2 DO&IIAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATIOW. ISO DAYS PLqUIT IUMM I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection SEE BACK OF PINK POWIT 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 I EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND I spectl Fire n on Receipt # , ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY . — FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECI` 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 porrrgt untU signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, No PERSON WILL BE EMPLOYED Building Official or hlsftw Do": and Fees ore paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO FOR INSPECTION receipt Is acknovdofted In space provided. WORKMEWS C�VVMN�ATION INSURANCE AND RCW 18.27. OFFICIALS PIG"TURE D SIGNATUR ER 0 64E" IA03 _425) /TE 2 771-0'20 _01'�' RELEASED DATt ATTEN Off 1333 IT IS UN L TO USE OR OCCUPY A BUILDING OR STRUCTURE 6NTIL� 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 GREEN - ACCOUNTING L� 04102 PRESS HARD -YOU ARE MAKING 5 COPIES J t t z 0 IT! M C M 0 C ITI CE 01 M ITI Fn C C M 0 z 0 M