Loading...
20040677.pdfDATE RECEIVED 1, V ��,j uf PERMIT EXPIRES USE PERMIT ZONE CITY OF EDMONDS NUMBER JOB SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADDRESS OWNER NAMEMAME OF BUSftSS 7 k it PLAT NAME/SLIBDIVISION NO. LOT NO. LID NO. MAILING tu -ADDRESS LID FEE $ IESCP AppfoVed [3 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 RW Permit Required 13 CITY strain Use Permit Roq'd 0 ('N Z TELEPHONE EXISTING PROPOSED inspection Required .1 T_� Sidewalk Requited 19 L_1"K e,.Ivn� 4,- �_Ljq 0 REQUIRED DEDICATION— FT underground J L_�) 1 wiring requiroo 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES NO 540 10� �- I I LU I- ADDRESS REMARKS z OWNEFIXONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE Ir a z CITY Lu EPHONE NAMES, BL fs ic DATE ENGINEERING REVIEWED BY 4ADDRESS, 0 Co W 11W1 L_ 3 jtf2el FIRE REVIEWED BY DATE LLI 61 TY ZIP TELEPHONE 0 U. Uj iiiiij u (_,C�9 u-t* ST�V LICENSE NUMBE EXPIRATION DATP CH BY VARIANCE OR CU SHORELINE OR ADIIII INSPECTION BOND RECkD/ POSTED 4L OYES JRNO s SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX. ACCOUNT PARC�L NO. COMPLETE , EXEMPT ALLOWED , PROPOSED ALLOWI�D PROPOSED 1,5 1 It zli "K 56" U1 C) (,'A( �j C) () Q -2" ­ — 4 -` LA EXP 6 NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (IT) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR COMPLIANCE OR ------- z ADDITION COMMERCIAL CHANGE OF USE z z PARKING LOT AREA I PrNING R DATE REMODEL MULTIFAMILY SIGN REQLD� 'PROVIDED EW D GRADING FENCE M REPAIR E] CYDS E] ( x Fr) REMARKS DEMOLISH TANK OTHER /L GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM I 0 FYI�E USE% BUSINESS NUMBER N \'DOMBER OF CRITICh 0 FQ��' WE LLING AREAS ST NU , I s MBEK:21- "5 DESCRIBE WORK TO BE DONE HEAT SOURCE GLAZING % Vf Ivi LOT SLOPE % PLAN CHECK NO- �7 VESTED DATE 0 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: 180 DAYS 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 DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - I HEREBY ACKNOW'_EDGE 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 /%No STATE LAWS REGULATING CONSTRLIC- TION; AND IN DOING TI IE W�� UTI IORIZED THEREBY, NO PERSON WILL BE EMPLOYED A IN VIOLATION OF THE 0 'C�OPE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSTO� INSUqNCE AND RCW ILL27. SIGINA URE (OWNRR 0 " "EN T,)��/ DATE SIGNED \,A' CHECKED BY I TY 0 JZ��N CQJ)-E T-E- FICONS - I OCCUPANT -(.:D L n GROUP PC SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [] YES LOAD REMARKS z PROGRESS INSPECTIONS PER UBC108/IBC109/IRC109 FINALINSPECTION REQ'D F3 A VALUATION Description FEE Description F Plan Check State Surcharge Building Permit City Surcharge Plumbing Base Fee Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit 12-j Fire Inspection Receipt 4 ,qjj) qq Landscapelnsp. Total Amt. Due Recording Fee Rec pt # ;17 CALL FOR INSPECTION (425) 771-0220 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 provided. I 01 104ALS SIGNATURE DATE RFLEAdrD BY 'PATE ATTE"TIQN E)ff 1333 IT IS UkAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILA FINAL I INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCU- PANCY HAS BEEN GRANTED. UBC109/]BC110/IRC110. 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES ORIGINAL -FILE YELLOW -INSPECTOR PINK -OWNER GOLD -ASSESSOR z 0 `1 0 M -n M M 0 0 —1 0 0 M M Z JC) —i C 3: 0) 0 -n nX > M M 0 5) 0 r- M C0 C0 M 0 Z 17, z CO z 0 i 0 M I Im FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE PLEASE SIGN 4 ENGINEERING DIVISION DATE PLEASESIGN PLANNING DIVISION DATE PLEASE SIGN PROJEC SITE ADDRESS U i _7') ADB# DATE INSPECTED PERMIT # DESCRIPTION OF WORK TO BE INSPECTED A field inspection was conducted to determine compliance with -approved plans. Final approval denotes that there are no objections from the above signed Department to the release of PERFORM-ANCEBONDS and the granting of: GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED Copy of CONDITIONS given to owner/contractor by inspector I . FAILED FINAL INSPECTION - OUTSTANDING ISSUES Copy of CORRECTION NOTICE given to owner/contractor by inpector I . 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature 1: temp:bldg: forms: ocaprvl 3/25/04 z 0 M -i -n 5­1 0 M C M 0 0 --1 0 0 M M Z cl) 0 -n nx --i > x 9 M M 0 0 0 M C: C/) K Cl) M C-) Z r- M X z z 0 i 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... Commercial Final ...... HEATING: GasTest .................... 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 OCCUPANCY .................. 20al-- d & -7 -71 z 0 11 0 ITI --I -n 0 ITI C: ITI 0 0 __10 0 C M ITI z 0 _n n M ITI 0 0 0 171 C: C0 9 Cf) ITI Z > z z 0 0 171 I oATE RECEIVED 7, PERMIT EXPIRES CITY OF EDMONDS USE ? PERMIT ZONE .1 , rI 1 / Z� NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS OWNER NAMEINAME OF BUSINESS PLAT NAMEISUBDIVISION NO. LOT NO, LID NO. Or W MAR ING ADDRESS LID FEE S z :I: PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved AW Permit Required 13 0 0 Street Use Permit Roq'd 13 CITY ZIP TELEPHONE EXISTING - PROPOSED inspection Required Sidewalk Required E3 El 1. 11. 1 P'. � / I'... 1 ­1 ­ 1. / '.'? " / W I/ REQUIRED DEDICATION� FT Underground Winng required 13 N AME METER SIZE LINE SIZE 0. OF FIXTURES PRV REQUIRED t YESO NO a 0 E W t: ADDRESS REMARKS z z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE Z5 cc W CITY ZIP ITELEPHONE NAME CBL a ENGINEERING REVIEWED BY DATE ADDR ss cc 0 x ;1 751 I BY DATE FIRE REVIEWED W CITY P ZI TELEPHONE 4W VARIANCE OR CU DB INSPECTION jjbNj STATE LICENSE NUMBER EXPIRATION DATE CHEC E B N\V " REO'D S D A ,, 4e 7d OYES PA REV 1W 76L NN AREA Is 'L A' S W ALL w7D I PRO S 11K N PO ED TE A P COMPLEE E I ,4� t_ I. 111 ...11 " Lu PROPERTY TAX ACCOUNT PARCEL NO. 40 _j EXP qllii�� ,VM T VERAG P), REQUIRED SETBACK Ft)P(WED SETBACKS (FT.) EW RESIDENTIAL PLUMBING I MECH FRON1 .'1" 1:1 1:1 LLO D RO ASIX V* F N-11 L/R SIDE REAR z - COMPLIANCE OR E M ADDITION r7 COMMERCIAL 1-1 CHANGE OF USE z D BY DATE PAR NG LOT AREA VVIEN REMODEL MULTIFAMILY 0 SIGN RE OVIDED REPAIR GRADING FENCE I k CYDS 1:1 1 FT) ARKS I% [],'DEMOLISH TANK OTHER E36! O*j o GARAGE RETAINING WALL R z CARPORT ROCKERY I ALARN CHECKED BY ITYPE.,OF *KSTRUCTION CODE OCCUPANT GROU (TYPE OF USE, BUSINESS OR ACTIVIM EXPLAIN: NUMBER kUMBER OF CRITICAL OF DWELLING AREAS SPECIAL INSPECTION ARtA OCCUPANT L ,,I /Z 0 STORIES UNITS NUMBER REQUIRED LOAD [:] YES DESCRIBE WORK TO BE DONE REMARKS z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D ,//17 61)) LJWA�S, VIE7 T) kh, 1jj (1/4 4 7,9 V_ f J'e,: 7 VALUATION $ ju) � Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 4Pz#-1V% 1;% 14 ift a r Ir 10 SEPARATE PERMISSION. Engr. Review cc IMIPIC— r. W PERMIT APPLICATION: 180DAYS PERMIT LIMI1' I YEAR - PROVIDED WORK IS STARTED WITHIN 1130 DAYS Engr. Inspection SEE B.ACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF His bR HER SPOUSE. HEIRS, ASSIGNS AND SUCCEsdRS Fire Re\�ew Plan Chk. Deposit IN INTEREST, AGREESJO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection 0: Receipt # 4 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF IHIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due _j DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 101 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION' Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE OU& AUTHORIZED AGENr 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 DOING THE WORK AUTPORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR COP'E OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION re.ceipt is acknowledged in space provided WORKMEN'S_.5QMEgNSATION INSURANCE AND RCW 18.27. 9FFI�IA_r�ZIGN T�,RE DATE SIGNATUFfE �OWNER O� ...... DATE SIGNED 25) (4 771-0220 RELEASED BY DATE AT'T�NTION EXT 1333 IT(S,UNLAWFU�,_�O 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 I ASSESSOR 04/02 0 0 a C! 0 U A 13 11"t Vt-N I I A 0 C RA A Ldr I KI t1""_ C 1'%n 01 C 0 GREEN I ACCOUNTING z 0 1 0 Ri :; =55 5i -j r 0 M C M 0 C-) 0 CZ M M Z 0­4 C 0 n __j > 3: 9 M M 0 —0) 0 r, M cir) Cf) Q 0 Z z --I 3: (1) z 0 M 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 OCCUPANCY .................. Die ?I /d if A�wjw/ r 45' 5- 6 oeoO 414, 06 74? z 0 i 0 M —i -n 6 --1 1 0 M C 0 M 0 --I C) 0 C 3: M M z C: U) 0 -n n M ITI C) 0 0 M C Cn 9 cn M 0 Z 71 > z z 0 1 0 M