20040633.pdf, tilitiligi
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
- OWLWU -, 0 (-,&)1 AlLif X 17 c
MAILING ADDRESS
%6,-E ) �� A ( /Jf A'
CITY ZIP ITELEPHONE
NAME
15
Lu
t: ADDRESS
cc
x
CITY ZIP
NAME
TELEPHONE
CBL
1/"V kit I
�L
USE
ZONE
JOB
PERMIT EXPIRES
PERMIT
N U /&
'li
IMBER z
su
ADDRESS
PLAT NAMEISUBDIVISION NO. LOT NO.
LID NO.
LID FEE $
IESCP Approved
0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
I
RW Permit Requited
13
Street Use Permit Roq'd
13
EXISTING — PROPOSED
Inspection Required
13
Sidewalk Hequired
0
REQUIRED DEDICATION— FT
underground
0
Wiring required
METER SIZE
LINE SIZE
NO. OF FIXTURES
I
PRV REQUIRED
I
YES 13 NO 13
IADDRESS (!"al
/,o-. z� 4� )J 11 V.� I
CITY ZIP
" \ , - - . " 1 �,
PROPERTY TAX ACCOUNT PARCEL NO.
11
NEW
RESIDENTIAL
El
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
n—A
REPAIR
GRADING
CYDS
DEMOLISH
TANK
oGARAGE
CARPORT
RETAINING WALL
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER NUMBER OF
OF DWELLING
STORIES UNITS
DESAC_RIBE WORK TO BE DOtf
7- L,
HEAT SOURCIE
PLAN CHECK N
I
HONE
- /3/1 "1
CHECKED BY
PLUMBING / MECH
El
COMPLIANCE OR
OF
CHANGE USE
ED
SIGN
FENCE
I X FT)
OTHER
FIRE SPRINKLER
FIRE ALARM
AREAS — 0/)�,
NUMBER
!��T?W( T- E5.y--fV;V1 L-LVVt-k-- q.
C-6-1 1A —M') ifz- f4y<-r-A-�
GLAZING % LOT SLOPE %
VESTE9 �ATE 11A,1
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
ENGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE
VARIANCE OR CU HORELINE OktDB#)i INSPECTION I BOND
[]Y RE020, 1 POSTED
��IA A�� j ES S
SEPA REVIEW SIGN 10EA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED P ED
UJI
z
z
F3
z
W
W
cc
M
EXP I K /Vd - - f
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKe(Fr.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SID REAR
f z
Xj C /vq- 2
I I - — VC( C z
PARKING L4 IT AREA I Pl� AEVLIEWEP By DATE 3
REQ'D I PROVIDED I , i- �.ql 1 0.
1 61 q
REMARKS
CHECKED BY
ITY CONSTRUCTION
T� I
E
11-7
OCCUPANT
GROUP fZ� I
Hv�,�
SPECIAL INSPECTION
OCCUPANT
REQUIRED [] YES
JAREA
LOAD
REMARKS
z
PROGRESS INSPECTIONS PER UBC 108 1 IBC109/
IRC109 FINAL INSPECTION REO'D 5
lei
I 1z; :3
44A-.17 -I �j 1-1 111
VALUATION
$ )t/-5
A
Description
Plan Check
Building Permit
Plumbing
FEE Description FEE
State Surcharge
City Surcharge_ kol
Base Fee 4
C 7 7 �4 Mechanical
THIS PERMIT AUTHORIZES ONLY THE WOI�K NOTED. THIS PERMIT aVERS"WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
2 Engr. Review
UJI PERMIT APPLICATION: 180DAYS
IL PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) Fire Review Plan Chk. Deposit
'APPLICANI. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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 N
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTI-YOR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CHY ORDINANCE Landscapelnsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS 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, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITI I CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a pernnit until signed by the
TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Olficial or his/her Deputy: and Fees are paid, and
IN Vj6LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27, orFICIAIS SIGN DATE
SIGNATURE (OWNER LAGEKT�* DATE S . IGNED (425)
7714 R SFD 13Y DATE'
)220 JA
A17ENTION E)ff '1333
IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVALOR ACEPITIFICATE OF OCCU-
ORIGINAL - FILE YELLOW - INSPEAR
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK - OWNER GOLD - ASSESSOR
09/03 PRESS HARD -You ARE MAKING 4 COPIES
I/
z
0
1
0
M
4 -n
C M
M 0
0
10
0 C
4 K
X M
M Z
0 --1
C —Z
x
W
0 -n
n
M M
0 —Cf)
0 r-
0 M
C 0)
9 Cn
M 0
Z
z
C/)
z
0
i
0
M
55'-6"
ELEV 106.0' 48'-0
PROPERTY LINE 240.0'
ZE
CD c5'
51'-6"
15'-0"' 7' —0.
B
BUILDING "A" TWO STORY 8 UNIT
A TWO STORY 8 UNIT ARTMENT BLDG W/
APARTMENT BLDG P N HOUS
>4
1ST FLOOR ELEV 119.0' 1 T FLOOR ELEV 134.0'
CD
cn
uj
cl-
CD
uj
CL
01
AREA OF REPAIR TO
2ND FLOOR UNIT
Jun 2
BUIL ING D PT-
90,
PROPERTY. LINE 240.0' ELEV 114.0' Lu
C) 7- US
0 CC
ELEV 106.0'
uJ tu _j
ALDERIST
0
Y CA, =m 0)
I-0
loul
AR -ROVED B"! 1:)LA':',!Nil,,IG
6q 0 r
NAL 0 tg
SITE PLAN - - - 11 XPIRES, 7161200
SCA E: 1 20 20 0 10 20 40
Z-
35 f-� I de IIe,
I
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 ....................
GasPiping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
NAILING
C;
SHEETROCK ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
ZVcq,.. 0 6 3,3 v"00"
z
0
0
M
--I -n
M
M
0
—40
0
M
M z
.C) —i
C _Z
3:
C,)
0 _n
n
—4
M M
0 Vi
0 F_
0 M
C W
9 Cl)
M 0
Z
z
__4
M
W
z
0
M