The URL can be used to link to this page

20040242.pdfVATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION BUSINESS F && Lot Rza& ffi MAILING ADDRESS CITY ZIP TELEPHONE NAME ADDRESS PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS / OZ/ 7 LW�lal PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Permit Reced EXISTING — PROPOSED Inspection Required [3 SidewatIc Required 13 REQUIRED DEDICATION— FT — Underground 13 � �Iringfequlro�d METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES [3 NO C3 REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I CITY ZIP ]TELEPHONE NAME CK, Az 1 _-7 1 1 ENGINEER ING R EVIEWED BY DATE X DDRESS FIRE REVIEWED BY DATE CITY ZIP TELEPHONE W STATE LICENSE NUMBER E BY VARIANCE OR cu SHORELINE OR ADB# INSPECTION BOND REQ'D i POSTED DYES 13NO s PROPE FITY TAX ACCOUNT PARCEL NO. SEPA REVIEW COMPLETE EXEMPT SIGN AREA HEIGHT ALLOWED PROPOSED .�'ALLOWED PROPOSED , EXP PLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (FT)- 'PROPOSED sEToAcKs (FT) FRONT REAR -�iESIDENTIAL ALLOWED PROPOSED FRONT SIDE REAR URSIDE C3 , COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE ;��, z REMODEL MULTIFAMILY SIGN PARKING LOTAREA PLANNING REVIEWEDr,10 DATE REO'D I PROVIDED o FENCE REPAIR CYDS X FT) ZA REMARKS DEMOLISH TANK OTHER GARAGE RETAINING WALL FIRE SPRINKLER %,L-MPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR N: j!�GRV7!;n CHECKED BY C1 OCCUPA f cRr1ICAL ITY=CTION GROUP NUMBER & NUMBER OF OF DWELLING AREAS I SPECIAL INSPECTION AREA OCCUPANT I 1112-7;* STORIES UNITS -NUMBER P?Z REQUIREC�� S zlyJ j LOAD Z I DESCRIBE WORK TO BE DONE REMARKS PROGREI TI r I PER UBC 100/FINAL INSPECTION REO'D 9&2&& ZA25 ;107W A 0 W VALUATION $ 'aw-x Description -FEE Description FEE -7 <S Plan Check state Surcharge HEAL SOUBDE NG % LOT SLOPE % I AM Buildinj'Permit 457L/0 City Surcharge 131-114 CHECK NO: VESTED DATE Plumbing Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PFRMIT COVERS WORK TO 13E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: ISODAYS PERMIT ILIMM I YEAR - PROVIDED WORK 15 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 INDEMNIFN� 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 $HALL NOT BE Landscapeinsp. Total Amt. Due Isis-, DEEMED TO MOD117X WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' =1 Recording Fee Receipt # 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 applicaflon Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees 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 PC _Pj�SATION INSURANCE AND RCW 18.27. OFFICIALS I NA f1UR5 DjTE I DATE SIGNED 7T (425) _-_0 /V 7 il 2 2 0 hnELEASED BY DATI! ATTENTION EXr 1333 I IT IS UNLAWFUL 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 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES `7 :7711"� RECORD OF INSPECTIONS INSP ECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing. .................... Wall............. ............ Pier/Porch ................. rn Retaining Wall ........... 2 Slab Insulation ...... q PLUMBING: M Underground ............. Rough -in .... ............... Cornriierciall Final ....... 10 HEATING:, Z'; AS, Gas Te6t ......... Eauiornent . ................. Gas Piping ................. D aw pa f Ch n S e a �-A� jt0w# The initials MT are Milton Thompson, a temporary contract AAW"a Prdd inspector for the City. F V� 7,'*�- D MIT EXPIR DATE RECEIVE PER IES USE PERMIT CITY OF EDMONDS ZONE *1 NUMBER CONSTRUCTION PERMIT APPLICATION JOB RESS SU"VAPT# ADD z, jltl OWN�R NAMEINAME OF BUSINESS , 7 // Z� PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. TESCP APPRNW (W11 1-1 '41) ISIIIAI) PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pwffdt R*qUW / MAILING ADDRESS /, LID FEE S 14 --Df7- stmot U" P"M AW CITY TELEPHONE EXISTING �A PROPOSED kopecdon Flaquired Zip SidwalkReq*6d REQUIRED DEDICATION— FT Undwwmind z1)g3qS, 3 37 qqZ_,�_ YlAftroquired NAME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES13 NO C3 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP ITELEPHONE NAME C, CBi, I -1 ADDRESS CITY ZIP TELEPHONE T q STATE LICENSE NUMBER 6; 0 EXPIRATION PATE PROPERTY TAX ACCOUNT PARCEL NO. ESIDENTIAL PLUMBING/MECH AbDITION 0 COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAiR. FENCE cyDs X FT) DEM06SH TANK 0 OTHER N GARAGE o RETAININGWALL F RE SPRINKLER ��PORT ROCKERY FIRE ALARM ITWE OF USE. BUSINESS OR NUMBER �OF -, . STORIES IUMBER OF )WELLING )NITS_ CRITICAL (tA AREAS 7 NUMBER /9 DESCRIBE WORK TO BE DONE 1,7 :4 I — E GLAZING % LOT > I _L NO: VESTED DA7 ENGINEERING DATE FIRE REVIEWED BY DATE In VARIANCE OR CU SHORELINEORADB11 INSPECTION BOND I REO'D POSTED is [3,yEs nmn SEPA REVIEW SIGN AREA *:. .. HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED. EXP , , , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) J�LLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR PARKING LOTAREA PLANNING REVIEWED BY DATE RECYD PROVIDED REMARKS CHECKED BY I TYPE I !=. CTION coof T, q OCCUPAZ/ SPECIALINSPE ON - C//ve, 57e OCCUPANT JAREA REQUIREDj;FI YES /,/Mj)�I/ LOAD ..Z REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAIL INSPECTION REGfD VALUATION THIS PERMIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLX ANY C0111STRUCTION ON THE PUBLIC 2 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERAXISSION. I: PERIAITAPPILICATION. ISO DAYS CL PERMIT ILIMIr 1 YEAR - PROVIDED WORK IS STARTED WrrHIN 180 DAYS SEE 13ACK OF PINK PERMIT FOR DAORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNg AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY; I)EFEND AND HOLD HARMLESSTHE CITY OF EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OFTHIS 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 ABILITY TO 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 DUCY AUTHORIZED AGENT OF THEOWNEFL. I AGREE TO COMPLY WITH CITYANO 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 WORKMENS qQrKSAnON INSURANCE AND RCVV 18.27. SIGNATLIRE��.tER.00 AGENTI.- DATE SIGNED Description FE� Plan Check Building Permit 1-541 Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscape Insp. Recording Fee Description State Surcharge City Surcharge Base Fee Plan Chk. Deposit Receipt # Total Amt. Due Receipt 111 APPLICATION APPROVAL' CALL This application Is not a permit until signed bythe Building 01ficial or his/hot Deputy: and roes are paid, and FOR INSPECTION receipt Is acknovAedged In space provided. x-401 OFFICI�LSI DA E < - t) y ,It 771-0220 ELEASED BY /Dj�T ATTENTION 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- ORIGINAL -FILE YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES z 0 M SIM M 80, M z 01 M J z 0 M