The URL can be used to link to this page

20040070.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS RIAILING ADDRESS CITY ZIP TELEPHONE NAME U W t ADDRESS x U I CITY ZIP TELEPHONE NAME ADDRESS 7q7 CBL# USE ZONE JOB ADDRESS2 Ze)2 PLAT NAME/SUBDIVISION NO TELEPHONE STATE LICENSE NUMBER EXPIRAT ON DATE CHECKEQ BY N 71 ce /0j ni PROPERTY TAX ACCOUNT PARCEL NO. I /?)/y Toc-/-2,/�6z6CD 1 NEW RESIDENTIAL ADDITION E] COMMERCIAL E] REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE nAQPnAT El RETAINING WALL ROCKERY (TYPE OF USE, BUSINES��R ACTIVITY) EXPLAIN: U) w NUMBER �UMBEFI OF a OF DWELLING M UNITS 0 STORIES ORK TO BE DONE Yee 'IE 'I I UM: S T:O R EIS DESCRIBE W SO HECK NO: PLUMBING MECH COMPLIANCE OR El CHANGE OF USE F1 SIGN FENCE D X FT) o OTHER FIRE SPRINKLER FIRE ALARM CRITICAL AREAS NUMBER LOT SLOPE % VESTED DATE 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, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180DAYS PERMIT LIMIT 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 DIREc rty 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 ABIL11Y 10 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 LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATIQali�SURANCE AND RCW 18.27. SIGNtAT�U- (OWNER DATrEIGNED /'-A /,f �CM/xzlz/L-�, I 2,61,cfr-1 PERMIT EXPIRES PERMIT NUMBER LOT NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION— FT METER SIZE LINE SIZE NO. OF FIXTURES c-f SUITEIAPT# LID NO. LID FEE $ IESCP Approved E3 RW Permit Required 13 Street Use Pbrinit Roq'd 13 Inspriction Required 13 Side"alk Required E3 Underground Wiring required PRV REQUIRED YES 0 NO [3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE ENGINEERING FIRE REVIEWED BY VARIANCE OR CU SEPA REVIEW COMPLETE , EXEMPT EXP LOT COVERAGE ALLOWED PROPOSED DATE DATE BOND SHORELINE OR ADB# INSPECTION POSTED E3Y REO'D ES EINOIS - HEIGHT SIGN AREA I Al LOWED , PROPOSED ALLOWED , PROPOSED cc W z z 6 z uj REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) FRONT SIDE REAR FRONT UR SIDE REAR z 2 z PARKING LOT AREA —[�PL�ANNING R�EVIEWED BY DATE 5 CL REQ'D I PROVIDED CHECKED BY TYPE OF OCCUPANT GROUP SPECIAL INSPECTION JASEA OCCUPAN LOAD REQUIRED [] YES REMARKS z PROGRESS INSPECTIONS PER UBC 1 08/171NAL INSPECTION REQ'D 3 j VALUATION Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire inspection Landscapelnsp. Recording Fee FEE Description FEE State Surcharge City Surcharge Base Fee CALL FOR INSPECTION (425) 771-0220 Plan Chk. Deposit Receipt Total Amt. Due _e Receipt # APPLICATION APPROVAL This application is not a permit until signed by the Building 011icial or his/her Deputy: and Fees are paid, and receipt is acknowledged in space provi�ed. SIGNATURt) ATE IAL AftENTION EXT 1333 v IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 09,03 PRESS HARD -YOU ARE MAKING 4 COPIES By DATE ORIGINAL -FILE - YELEVUlt PINK - OWNER - GOLD - D z 0 0 M --I -n co M C 0 M 0 4 (-) 0 C: —4 g :r M M Z rL) --i C: z 3: Cl) 0 n :E 1711 171 0 — 0 0 IT! C: W M 0 Z z Cn z 0 IT! RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... Commercial Final ...... HEATING: Gas Test ................. Gas Piping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR cz� OCCUPANCY .................. z 0 A 0 rn -i -n rn 0 0 0 0 C: rn z _Z o -n -n M 0 _0 0 r- 0 171 Cl) Cn 0 Z X z z 0 0 M