Loading...
20040995.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS / -, � P�j f'., J r— 0 -1-- /ZZ— z_z_C:_ MAILING CITY ZIP TELEPOONE 2�1 NAME ADDRESS NAME 9!5�0r_s -c- 7­0 ADDRESS �j CITY TELEPHONE ZIP io) o 7 2- FWA CBL41 STATE LICENSE NUMBER EXPIRA;T�CN DATE CHECKED BY 4 PROPERTY TAX ACCOUNT PARCEL NO. NEW RESIDENTIAL PLUMBING I MECH <1 ADDITION COMMERCIAL MIXED USE F� (COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR E] GRADING CYDS FL:NL;t: ( X FT.) DEMOLISH TANK El OTHER m GARAGE CARPORT El RETAINING WALL ROCKERY 11 FIRE SPRINKLER FIREALARM (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN NUMBEFk NUMBER OF OF DWELLING 12 STORIES UNITS DESCRIBE WORK TO BE DONE HEAT SOURCE I LOTSLOPE% I VESTED DATE 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 19.00.005(A)(5) PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) SEE BACK OF PINK PERMIT FOR MORE INFORMATION PERMIT EXPIRES PERMIT NUMBER JOB SUITE/APT# ADDRESS PLAT NAMEISUBDIVISION NO. LID NO LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApprovea RW PernA Required Street Use Permit Requaed EXISTING PROPOSED Inspeclion Required Sklewaik Required REQUIRED DEDICATION FT unLie(ground Wiring equiled METER SIZE LINE SIZE NO OF FIXTURES PRV REQUIRED YESO NOO REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE 0 z FE Lu 11i z 0 z W LU 0: I—L A V 0 V A ARIANCE OR CU SHORELINE OR ADB# I INSPEOTION SEPA R D COMPLETED I EXEMPT [3 YES 13NOI CA# ZONE SIGN AREA 1 HEIGHT WAIVER I ALLOWED , PROPOSE ALLOWED I PROPOSED AIVI 13 S T TUDY 13 U LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) L 0 ALLOWED PR POSED FRONT SIDE REAR FRONT L/R SIDE REAR L z 2 z PARKING LOT AREA I PLANNING REVIEWED BY DATE IL REQ'D . PROVIDED REMARKS TYPE OF CONSTRUCTION SPECIAL INSPECTION REQUIRED 13YES REMARKS GEOTECH REPORT BY: STRUCTURAL DESIGN BY: VALUATION Description CODE CONSULTANT FEE OCCUPANT GROUP OCCUPANT LOAD Description State Surcharge City Surcharge Base Fee M FEE PlanChk.Deposit ,')I — Receipt # 5��-111 7 Total Anit. Due 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 This application 15 not a I)LIM111 Until signLd by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building official or his1her Deputy and Fees are paid, and TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL 13E EMPLOYED receipt is acknowledged in space provided F 0 RMAT'ON , AGENT 0 F C a N ST R U C * E M P Y] Lo ED IN VIOLATION OF T HF-LABC_R CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S COMPENSA,14014 INS RANCE AND RCW 1817. OFFICIALS SIGNATURE DATE DATE SIGNED (425) SIGNATURE (04NER-av;�!� r�ATE 77 1-0220 REL A, -D BY EXT. 1333 ----ATTENTION------ IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- 0131GINAL - FILE YELLOW -INSPEC_4R FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. PINK -OWNER - GOLD - ASSESSOR 10/04 PRESS HARD - YOU ARE MAKING 4 COPIES OAPPLICANT, 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.' Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapeinsp. Recording Fee 0 z z 0 1 0 M --i -n (n 0 M C M 0 0 C-) 0 C: M M Z 0­1 C 2: (j) 0 _n Ti X > M M 0 6) 0 r- 0 M M 0 Z r- X z Cl) z 0 M 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 .... 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 .................. eo0e z 0 1 0 ITI ITI C M 0 0 0 0 C: M ITI z o -n n M M 0 0 0 M C cl) 9 Cn ITI C.) Z > z :C CD z 0 0 ITI