The URL can be used to link to this page

20040107.pdfI Eil —_ DATE RECE�I�V FPERMIT EXPIRES t CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION USE PERMIT 7"asse"'als— ZONE NUMBE��—//—,4/,�� JOB TE/A4# ADDRESS OWNER NAME/NAME OF BUSINESS PLAT NAME/SUBDIVISION NO. I LOT NO. LID NO. LID FEE $ MAILING ADDRESS 0 Sq7A PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION— FT 1 METER SIZE LINE SIZE -I NO. OF FIXTURE I S I TESCP Approved RW Perm t Required It Street Us. Permit Req'dT Inspection Required Sidewalk Required 0 UndetWound 13 uIngrequired RV REQUIRED YEB 13 NO 13 z CITY ZIP TELEPHONE I 776zo NAME 6gQ6!!x ADIfIRESS I REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE NAME CBL# ENGINEERING REVIEWED BY DATE ADDRESS FIRE REVIEWED BY DATE aaa CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION CHEC ED BY VARIANCE OR cu SHORELINE 08 ADB#,j IN ECTION AEO'D 3YsP ES ONO BOND POSTED PROPERTY TAX ACCOUNT PARCEL. NO. 1,20 _V3z/_ W -00 nd YP-vo J431-7 BEIRA REVIEW COMPLETE I EXEMPT EXP SIGN AREA ALLOWED I PROPOSED,, HEIGHT ALLOWED PROPOSED NEW SIDENTIAL PLUMBING MECH 103 ;9 ADDITION COMPLIANCE OR :21�-COMMERCIAL 1:1 CHANGE OF USE REMODEL 0 MULTIFAMILY [_1 SIGN GRADING FENCE REPAIR 1:1 CYDS X_Fr) DEMOLISH 1:1 TANK -1 RETAINING WALL F o GARAGE RE SPRINIG FR z CARPORT 1:1 ROCKERY FIRE ALARM LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT- URSIDE REAR PARKING REO'D I PROVIDED LOT AREA PLANNING REVIEWED'BY DATE REMARKS K UWE OF USE, BUSINESS OR ACTiVrM EXPLAIN: 1xe:0 USO!F CHECKED BY ITYPE 0 NSTRUCTIO? REM I OCCUPA43; GROU &Z NUMBER OF STORIES .3 TC—RITICA NUMBER OF 17 DWELLING UNITS L AREAS NUMBER SPECIAL INSPECTION' JAREA REQUIRED YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER USC IGO/FINAL INSPECTION REO'D T GAS PIPE TEST MUST BE 37 Q4,7Z.--,r5 IRSERVED By CITy INSPECTW VALUATION $ AFFIDAVITS SHALL BE ACCEPTED pill Descri an F.EE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % I LOT SLOPE % Building Permit City Surcharge 1,A5 PLAN CHECK NO: VESTED DATE — Plumbing ' Base Fee Mechanical THIS PERMIT AUTHORUES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO HE DONE ON PRIVATE PROPERTY ONW. ANY CONSTRUCTION ON THE PUBILIC X DOMAIN Grading 3 (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 1= SEPARATE PERMISSION. 11 1 5 PERMIT APPLICATION: Engr. Review ISODAYS CL 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 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 # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due I— 0 x NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." NJ - Recording Fee Receipt ALV4 I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION 'ON GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF OF APPLICATION APPROVAL 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 DING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided. WORKMEN'S COMPENSATIO RANCE AND RCW 10.27. !Alul Fr LS SIG A RE DATE V.V�r � S��U E (OWNER 0 Irl DATE SIGNED 1495) 4 Lf y J/j"_ 1 771-022 0 TE ENTION M 1333 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 ORIGINAL - FILE YELLOW - INSPECTOR PINK -OWNER GOLD -ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES z 0 4 0 M 0M C M __1 § 0 C � C M 10 z CO) 0 _n IT! M 8 ra 0 Fn C 0) 0 CO) z 0 :1 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED. SETBACKS ..................... FOUNDATION: Footing ...................... Wall.... I ...................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground .......... Rough -In ................... Commercial: Final ...... HEATING.: GasTest .................... Vyls Gas Piping .................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING . .......................... FRAM1140 ...................... '-,FIRST, FLOOR FRAMING... INSULATIM,' .. ................. Floor Insulation ......... Wall Insulation .......... Ceiling Insulation ..... SHEET.ROCK NAILING ... SPECIAL INSPECI)ON ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. AL A I DATE RECEI 9 W, L P ERMITEXPIRES I / / CITY OF EDMONDS USE PERMIT / ZONE NUMBERC�&6'�—//—L/127 CONSTRUCTION PERMIT APPLICATION JOB q_tfl SMAPI# ADDRESS OWNER NAMENAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S WAILING ADDRESS PUBLIC RIGHT OF PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION— FT -1 TESCP App"wed RW PenrA Ro"Irod Street Use PerymN Rsqd trispoctlon R"ulred SidewsAt ft0qualred Undergraind Wiringroquirecl 13 CITY ZIP 1F4MVA-0 5 q7ozo TELEPHONE NAME It n!j�,�f METER SIZE LINE SIZE I 0. OF FIXTURES PRV REQUIRED YEsI3 NO 13 ADArRESS .415V _r Z?/ '4&&C- REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP LEPHONE T NAME CBL# ow'(fage ;'1aWAe-< zzve__ ENGINEERING REVIEWED BY DATE ADDRESS C FIRE REVIEWED BY DATE M CITY ZIP &/& TELEPHONE �"Irdlv VARIANCE OR cu I SHORELINE OR ADB# INSPECTION REO'D 1E3YEs 13NO 1 $ BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE 12- - 31 -A� CHECKED BY SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. !I Z.3z--i -o341- _�7-001Z,30— V-df,?-1010 EXP I NEW RESIDENTIAL PLUMBING / MECH ADDITION 0—COMMERCIAL �9 COMPLIANCE OR 1:1 CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SET13ACKS (Fr.) FRONT URSIDE REAR I PARKING REqD PROVIDED I I LOT AREA I PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY 0 SIGN AL I REPAIR 0 GRADING 0 FENCE CYDS X FT) REMARKS DEMOLISH 0 TANK 91 OTHER GARAGE RETAININGWALL o FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM UWE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE P7S7RUCTIO CODE OCCUPANT., GRfk z "I I)e NUMBER� OF ST RIES %3 NUMBEIR OF DWELL NG UNITS CRITICAL AREAS NUMBER SPECIAL INSPECTION' JAREA REQUIRED [j YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIOK%.PER UBC 108/FINAL INSPECTION RECVD 0, g07 — UAS PIPE TUT MUST BE 37 e"7 Z-&7,S - NEW- VED ny CRY INSPEMR VALUATION MEL HUr $ BE ACMED Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC Grading 3 3 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMI ' SSION. Engr. Review PERMIT APPUCATION: ISO DAYS PERMIT LIMIr I YEAR - PROVIDED WORK IS STARTED WrTHIN 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 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 ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapoinsp. Total Amt. Due 0 NOR Liurr tN ANY WAY THE CnYs ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECI� AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TNs application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL Building Official or hWher Deputy: and Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided. WORKMEN'S COMPENSATIO=RANCE AND RCW lb.27. OFIALS SIGNATVRE D TE SIGNATURE (OWNER OR DATE SIGNED IA95) 2, P4 --.& 1 1 771-0220 4EEEAdIfD'BY IWTE ATTENTION EXr 1333 ------------ IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I A t-INAL INbrt:UIIUN HAb tithN IVIAUt: ANU APPHILIVAL UH A UthIll-l- ORIGINAL -FILE YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 09/03 . PRE�S HARD -YOU ARE MAKI NG 4 COPIES --------------- RIEC z 0 0 m m 0 r � C m M z 0 In m m Fn C 0) X z 0 0 m