Loading...
20040956A.pdfLl DATE RECEIVED / �// CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION �NAME OF BUSINESS MAILINGADDRES 7,tA. /Y CiTY Z IP ELEPHONE mm FA 9 ADDRESS NAME ADDRESS 771 Ai 01) - CITY ZIP I TELEPHONE 41 % 00t) rj STATE LICENSE NUMBER EXPI ATION DATE k-')-) o q qc* tv� PROPERTY TAX ACCOUNT PARCEL NO. NEW RESIDENTIAL t�_PLUM COMMERCIAL PERMIT NUMBER Z'oi) JOB ADDRESS PLAT NAM EISU B DIVISION NO PERMIT EXPIRES - () q 7 e -1 LOT NO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED__ — REQUIRED DEDICATION FT METFR SIZE LINE SIZE NO OF FIXTURES I SUITEIAPTP LID NO LID FEE S TESCIPApproved RW Pomid Required Seect use Permit Roquirerl Inspection Required Side�jlk Requirec! Undutgtound Winno reouired PRV REQUIRED YES 13 NOO REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE F—cBLss B ­ - I— -�. _ - ". . 1 throjigJA U "'I'Mphinces passilIg n 11 ea ted S k).4 CPS FIRE REVIEWED By -I// E ADDITION E:] MIXED USE CHANG�E OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE ( X FT.) DEMOLISH TANK OTHER GARAGE Ei RETAINING WALL Ei FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLi)_ft UJI NUMBER NUMBER OF 0 OF DWELLING Cal UNITS 0 STORIES I DESCRIBE WORK TO BE DONE _7�V-5 116 11-av ad's z1glze2 -F—VESTED DATE HEAT SOURCE LOTSLOPE% PLAN CHECK NO: -------------------------- THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: SEE ECDC 19.00.o05(A)(5) PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) SEE BACK OF PINK PERMIT FOR MORE INFORMATION $APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS 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 REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S 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 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 LA CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSAT AINS NCE AND RCW 18:27. DATE SIGNED SIGNATURE (OWNER AGI�NT): VARIANCE OR CU CAH WAIVER 13 STUDY 13 LOT COVERAGE ALLOWED PROPOSED PARKING REO'D , PROVIDED REMARKS TYPE a z a Uj W z 0 z Lu W SHORELINE RADB# I INSPECTION SEPA REQ'D 01 COIJPIET�D I EXEMPT OYES 13N ZONE SIGN AREA HEIGHT OP ALLOWED I PROPOSED I ALLOWED , PR OSEO REQUIRED SETBACKS (FT R OSED SETBACKS (FT.) FRONT SIDE REAR EFROOPNT LIR SIDE REAR z 1 2 LOT AREA I PLANNING REVIEWED BY DATE 5 IL OCCUPANT GROUP SPECIAL INSPECTION CONSULTANT OCCUPANT REOUIRED 13YES I I LOAD I REMARKS GEOTECH REPORT BY: STRUCTURAL DESIGN BY: VALUATION Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee CALL FOR INSPECTION FEE Description FEE State Surcharge City Surcharge Base Fee Plan Chk. Deposit Receipt # Total Arnt. Due Receipt # APPLICATION APPROVAL Ties application is not a pornut until signed by the Building Official or hisftr Deputy and Fees are paid, and receipt is acknowledged in space provided (425) T A 771-0220 —RELEASED BY ATTENTION EXL IJJJ IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. io/04 PRESS HARD - YOU ARE MAKING 4 COPIES 11116" ORIGINAL - FILE YELLOW - INSPECTOR PINK -OWNER GOLD - ASSESSOR 0 z z 0 i 0 M q =6 3: M C M 0 0 —40 0 rn M z 0­1 C x C/) 0 _T1 n ;d > M M 0 0 0 M C C() 90) M 0 Z z --I 3: 5 z 0 i 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ............... Wall ................. ......... Pier/Porch ................. Retaining Wall ........... z 0 Slab Insulation .......... 0 PLUMBING: =i 5i Underground ............. --I Rough -In ................... M M Commercial Final ...... 0 —40 0 HEATING: __4 x IT! M z GasTest .................... C z Gas Piping ................. Equipment ................. 0 _n Commercial Final ....... 3:9 EXTERIOR SHEATHING M M NAILING .......................... 00—) 0 FRAMING ........................ 0 171 C Cl) FIRST FLOOR FRAMING ... C Cn IT! 0 Z INSULATION ................... Floor Insulation ......... -A Wall Insulation ........... z Ceiling Insulation ....... SHEETROCK NAILING ... z 0 SPECIAL INSPECTION ... —i 0 ITI MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. z244 The Initials MT are M ilt011 ThortipsOn, a temporary colltrar-t inspcctor for the City.