Loading...
20050694.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS 4 % �h OHSTi2,-_1_ CITY ZIP TELEPHONE r_a�o►�►vs � �v'L 4z�-771 - 51 b ADDRESS CITY ZIP TELEPHONE NAME CBL# P O - 5;rAFr- M j: -:7 v CA ADDRESS r+, PERMIT EXPIRES r /Zy sE (a `1 PERMIT ZONEPERMIT JOB SUITE/APT ADDRESS 1 A __ C� / PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ 7ESCPPUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pe Approved O RW Permit RogWrod e Strout Use Permit Roq'A u EXISTING PROPOSED inspection Required 13 Sidewalk Required ID REQUIRED DEDICATION FT Underground Wiring required 0 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED O YES ❑ NO ❑ z W REMARKS i OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE Z W DATE x FIRE REVIEWED BY DATE Q CITY ZIP TELEPHONE a STATE LICENSE NUMBER EXPIRATION DATE C BY VARIANCE OR CU SHORELINE OR ADBp INSPECTION BOND REQ'D POSTED I IWO OYES ENO S SEPA REVIEW SIGN AREA HEIGHT I PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED. ALLOWED PROPOSED EXP X I NA 25' <2,5 i ❑ NEW ❑ RESIDENTIAL PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR �(��,,,�,,.,,� COMMERCIAL COMPLIANCE OR 3 [7Dr' co 0 N 0 (,k'fA�t�i (�� i """ ❑ CHANGE OF USE I o+" J'' z. PARKING LOT AREA PLANNING REVIEWED BY DATE ga ❑ REMODEL ❑ MULTIFAMILY ❑ SIGN REO'D PROVIDED FENCE N G II ❑ REPAIR ❑ GRADING CYDS ❑ ( X FT) REMARKS iJ ❑ DEMOLISH ❑ TANK ❑ OTHER GARAGE ❑ CARPORT ❑ RETAINING ROCKERY WALL FIRE ❑ FIRE ALARM SPRINKLER (TYPE OF USE, BUSINESS OR ACTiv" EXPLAIN: 13V�t i`s 60 V4M>v2C.INL C. "Z 0 CHECKED BY TYPE OF CONSTRUCTION GROUPOCCUPA NUMBER NUMBER OF CRITICAL pir (J OF DWELLING j� AREAS f.REMARKS ECIAL INSPECTION AREA , OCCUPANT STORIES (; UNITS ' * NUMBER QUIRED ❑YES LOAD DESCRIBE WORK TO BE DONE _OGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION.REO'D 9 O N t= N a %A/ 73`1014 1014 _Pv c T- L>a6s m --7 oll1 y r 6J F 2 - U1 P III rEwj fLv o W1 VALUATION Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge ,' PLAN CHECK NO: © — VESTED DATE Plumbing Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION, Engr, Review W PERMIT APPLICATION: 180 DAYS o PERMIT LIMIT: 1 YEAR • PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION U. *APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit 9 IN INTEREST, AGREES TO INDEMNIFY, 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 SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape lnsp. Total Amt. Due = NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." r Recording Fee Receipt # L Vl 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATIONAPPROVAL 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- CALLThis application 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 aro paid, and IN VIOLATION OF THE LAUQq CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided. WORKM501i COMPENSATOR I URANCE AND RCW 18.27. OFFICIALS SIGNATURE DATE SIGN U W R DATE SIC 0 (425) 771-0220 RELE SE BY � TE A ENTION EXT 1333 ) ' IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL Air A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW - IN ECTOR CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 09/03 PRESS HARD =YOU ARE MAKING 4 COPIES O m CA am Co ma O n C 4 C X M C Z r Mn �1 D m m ON nm r Z :rn 2 Z �.. Z' O -I 0 m §gyp ;°0flw mlmnF,`� p45�0 3/�I� p.�J�( ?rr'krr ff �i ryk""meg%'r l l' E,�a' c a1r,x�C j t+t ' t. w�" 'V t h'#sl r°r• a ,°{twig !{ �$fF X42{ _ ��.it The for Counseling and Health Resources Inc. I:•arf f z 1:l7 Fully - licensed Mental Health and Chemical Dependency Services �O '. ��;. �Ii wt�t�r t. F9°4,�.jc�� + . K OIM° IIiA ..UY iii ; 3t G _ q l^fit .. � n sy r�ih�3 �a•, _ h:� ZBUIL y.{ (d� January 9, 2006 DING O P. °e'�atSVol " r r nio ,,WA8020`"�n' 111� n r.; �� l f+. °� g17I.5466R rto;, s i f ib6 i' City of Edmonds Building Division ' �•J{/+�QF Attn: Jeannine Graf t 121 Fifth Avenue North O.M.` e, „ iopserca1 Edmonds WA 98020 m g Vin; • r+ fi'or r•Mi 0. R d .COlM � f C. to �M Dear M5. Graf: ic Il►ns.rn►nit t m z t . i This letter is to confirm that we will not be needing .Building Permit #2005-0694 c th y Z ' �t MAR11 for an air conditioning unit, which was issued on August 15 ., 2005. We o' �. 3 k v 1, h Sptµ>!t 2 k l7„f{ th understand this permit expires on February 1511, 2006 but do not need to renew. N €1 This permit is no longer needed. 0 A ,W FjV h Thank you for your assistance:M m >- •..' F a{.'G,,. Rs�,/'}�Y� Sincerely, , 0.r C m r �Yx r irb / ca -{��to, i+ Itz y . diyj yo Y1' Ann McMurray Operations Assistant ` Z ViVE , a .aY77,.' • 5 .L`tp #'l 1 1�� 1 \ it �it q'e,Si3 AM/Correspondence 2006/06bldgpermit.a09 Z t f O 1 .. a'-y;�tiXtS,,�sY^'�r; - ... 4 too a'f9. /4%�' If f'rt*tee ,,fit r'"ds a)'J�'ai.�;Yti' Q,,ll' 111 ♦ *�^u .pi rf k 2 d�,✓a RLiS - r � No AA (�iy r✓Y`�u7,t fiV�>,rI�yix4"+im {2 "Y� a '� ry,,`• 4 3+4,+' It r;=, s�14r 1'}tiUYFr'✓. NORTH SNOHOMISH BRANCH SOUTH SNOHOMISH BRANCH SOUTH KING BRANCH OLYMPIA BRANCH - ,; •n�14"+ t ( PHONE 360.629.4842 PHONE 425.338-7671 PHONE 206-870.51'91 PHONE 360-943-3227 �•. 1 ' . ' ��'y� 1.1Sk TOLL-FREE 888.771-5166 TOLL-FREE 888.771-5166 TOLL-FREE 868-771-5166 TOLL-FREE 888.771-5166 .. y1 i ,. •r. \Phi \ ,f 1tW( lr li�e!j FAX 360.629.2462 FAX 425-338.7672 FAX 206.870.2892 FAX 360.943.3228 i R !"1k+Rrk'r1�'r;to �tfj Prohibition on redisclosure: This information has been disclosed to you from records whose confidentiality is protected by federal law (42 CFR Part 2): '40 'r%rr' z Qnt\-}� Z. 4d,,!^;tt�, '� �y3�'�*,'.,.i Federal regulation prohibits you From making further disclosure of this material without the specific written consent of the person to whom it pertains, . ,LY, oras otherwise crmitied b this regulation. A general authorization for the release of medical or other information is not sufficient for this purpose. P Y b E P P • ��,Y�;4. �b'Y4't}}m°,e.'o-'s+ ✓r-tjss �� iia r i' - I 1� ' GtLit,