The URL can be used to link to this page

700191.pdfPOSTED ON KROLL MAP NO.: B Di t FM UIL,NG DEPARTMENT Applican PERMIT APPLICATION Inside Heavy Lines JOB ADDRESS 0 !!, /0 ay NAME, (OR NAN377F. BUSINESS) 0 SIDE YARD SETBACK I STREET NO ADIUM50 714 1/�,, P OF. I I 0 -S i;54"e U or WJO4 EXISTING STREET R/W ............ FT. COMP. PLAN ST. R/W ............ FT. yo.rrs r P PERC. TEST REMARKS FIRE golm— TYPE OF' 1 10 Nf rCTOR RD C1 YES XNO RESIDENTIAL NEW NON-RESIDENTIAL DEMOLISH ALTER EXCAVATE OR FILL REPAIR PRE -MOVE INSP. GAS LINE SIGN RETAINING WALL FENCE ( ........ . x ......... Ft.) swim POOL eLAN CHECKED BY REMARKS (A)SOMWA71t rUMBER OF STORIES NUMBER OF DWELLING UNITS APPkV c4wA IATURE OF WORK TO BE DONE 7"� Plan Check No ..................... 2L --#— � Z & BUILDING �RGFQSED USE VPLUMBING HEAT & UNNOW!"111— 'LOT PLAN (IndFcate Build—Ing setbacits, abutting streets) tRETAINING PENCE SIGN WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that I have read this application; that the in- formation given In correct; and that I am the owner, or the duly author- Ized agent of the owner. I agree to comply with city and state laws regn. lating construction; and in doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington relating to Workmen's Compensation Insurance. NOTE: Permit Limit One Your (Except DEMOLITIONS which &hall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) 7 c'p NOTE: Applicafit Subject to Plan Check Fee This Permit COVCrS Work to be done On Private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) wW require separate permission. TOTAL AMOUNT DUE �01 ArMNTION TIUS PERMIT AUTHORIZES ONLY TIM WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS PR 6-1107 PERMIT NUMBER A 700191 I. > 4 El YXS 13 NO DEFICIENCY THIS PROPERTY E3 YES [I NO 1OUP AJ -rb J36 1AJ olpt Ct4WAAJeQrf Valuation Fee M 1 4 - 1 No. APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. 7 0 FILM E Id 4r 01� . . I . . . . . . . . I q PIN 71 I I P 1 .1. '1 01 1 A VA� W F �O 4,�j I I I 'I 'I 1 0 Fd 4 Nd Ad d 14 7F) 14 r, JI It, A i W i I $ III dq,d 4% A A jd rI A P d d 0 rk ...... d i d IJ 4 I Ai ly lk i�kx� 9 -Lr 'rq T v; iA r P I-L fj & J 4 IL" L. I rI ft�r IV I A`t AI, r tt-yl t I 1 40 116 1 4 1k;l 4 . . .. I . I Ip . 1A : d I - I.... 41 1 INSPECTIONS Date Passed Foundation Plumbing I . —P I . I I .1 Frame, I Fu rn, e & FLI e I Lo v P. s—. �l �'4 I t L Yl Fim I I P . % L I" I b :r' P dd ORD OF INSPECTIONS.: REC . d I Date Passed A I Drainage L4 � Ar S ewer Parking Landscaping Fire Dept. I C CITY OF EDMONDSs WASHINGTON BUILDING PERMIT Applicant hereby certifies that a plot, plan, dra and sufficient details to indicate the intention to fulfill all. requirements of this =are attached hereto. Application is hereby made for permit to do the following work: Vo � Z--�D ............................... . . J ............ . . .... . ...... . . .... ...... .......... .......... . . . ........ .. . . .... .... .. .... . . .... . . .... .. . ... . . .. .. . . ...... . . ...... ... ....... 'Lot ....................................................... Block ....... . ............................................................... . . ...... . .... . .... . ......... ....................................................................................... .... ... ..... . ................ . .... . .... . .... . .......... . .... . .. . ...... . .... . ...................... ........... . .... . .... . .... . ................ at.... . ..... ..... X=-A ................. . ...... . .................. . .... . .... . ... 1. Building dimensions ................. "7 .... X ....... .......... 2. Lot dimensions ...................... /. /. .. .... X ...... ........... 3. Building will be ......... ............ stories. 4 Basement 5 Occu ancy of building will be ...................................................................................... YO from tUe . ..................... . 5feet I _.,,meareq adjoining line. e�� ..... .................. . . ..... ... .................................. 7. Owner ..... ... . ...... ;Jdress.... Ze.dj5� .. ...8.10 . * .. ��>- -7- ............ . ............... 9. Builder ................ '.4 'A ......... ........................................................... .... ................ 10. Builder's Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......................................................... .............................. ......... Date ... ........... . . . . . . . . . . . . . . . . . . . (owner or his agent) This Space Is For City Inspector Only Permission is hereby granted to do the work described hereon, according to the approved plans and specifications pertaining hereto. subject to compliance with the ordinances of the City of Edmonds. PERMIT NOO' .' 883 Estimated cost ......... Life of permit ............................. date Plans filed: Yes tr--�No 0 1. The building permit fee which applicant pays when permit Is Issued shall be based on estimated cost of the proposed structure, at the rate of $2.00 fortach $1000.00 of cost. If the actual cost of the structure, when finally determined, exceeds the estimated cost by more then Wo. applicant agrees to pay in additional fee of $2.00 for each $1000-00 of such excess cost. 2 Whenever a contract for construction Is executed for any structure costing more than $1000.00 for which a licensed architect or engineer is not required by the Building Code of the City of Edmonds, the application for a building permit shall be accompanied by a copy of the contract and a copy of the detailed specifications. 3. Pilot to employing any labor or commencing work, notify the Industrial Insurance Division of the Department of Labor and Industries, giving an estimate of the payroll and make monthly reports of payrolls. Full Instructions should be obtained from the nearest office of the Department of Labor and Industries, Before final payment, the owner should obtain a release from the general contractors who in turn should obtain release from all sub -contractors. Ile releases should be Ruested by the Department of Labor and Industries. Ile above procedures are requirements of the State Industrial Insurance Act. BUILDING PERMIT A ,,,-1,-,,,APPL10ATI0N Appl. No. ...... Permit limit, one year EDMONDS Building Department N , is hereby made for a permit to construct the following work, in accordance with the accom- s . pecifications. Two sets are submitted herewith for approval. Off'st alter. ........................................ Parking ...................... repair ... ..................... Const. type ................................ Use zone ..... ................... Fire zone ........................... .. . ................ Addn.. . ............... Lot .... !�t ............ Blk .. s7 .................................... .. ....................................... Area ... 46�0.A..CL dJ,Septic tank ..................... o :��7 ............... ............ front ........................... r. side ....... r ... ..... .... 0 ...... A--.— .... * ear..., �)C-2 . ...... Addrm.11940 ........... :72—W-Clim.. A ............ ................................................................ Address .................................................... Tel. No ............................. Tel. No ell. Plans by ............................................................ ...... Address ............................... .................... ............................. ks.Remax ......................................................................................................................................................... ................................................................................................ I ......................... .................................... I ................................................ ........... ................................................................................................ ................................ The above is a correct statement, and I agree to comply with' all applicable Codes and State laws regulating this work. Signed 0wner/Age1�.1�.--'-,-/-.J'-- ... A.-Z.... ................................... Date ......................... PERMIT for the above work is her&y approved, subject to the above conditions, and to compliance with the ap, proved plans and specifications, and Building Department notations thereon. Valuation .............. 5-9 . . ........................ Permit fee .......... Z, Recd. by ........................................................ ....................... Building Department, By ....................................... .................. Date .... :7-Z-�7 ....... (5-1 ............................ This Permit does not cover Plumbing, Sewer or Electrical i7istallations.