HomeMy WebLinkAbout790109 (2).pdfBUILDING DEPARTMENT Applicant Fill
USE PERMIT
ZONE NUMBER 790109
901py
PERMIT APPLICATION
Inside Heavy Lines
NAME JOR NAME OF BUSINESS)
ADDRESS PL.
LEGAL LOT PLAT NAME SUB DJIVISION Ni
y M ILI N/�G/r Aj�O�]O
YES INO
JArESS�%/�/f
'EY' C/ /V ✓'-S
/11 ��(j
✓� ;" '
RIGHT OF WAY PER ORDINANCE NO.
///
CITY
ELEPHONE NUMBER
PUBLIC
l/1-
/���
!%IST ING RIGHT OF WAY
RIGHT OF WAY
r
-JO
PH OPOSED
/�''�
DEFICIENCY OF RIGHT OF WAY C)
U
W ADDRESS
�r7
STREET/UTILITY WORK REQUIRED EYES ❑NO
r
_ � -
n
�
X,r
PERMIT FOR WORN IN PUBLIC R/W CY YES ONO
U
Q CITrY
TELEPHONE NUMBER
UNDERGROUND WIRING REQUIRED KNO
` Gv
11❑OO��Y""ES
CONNECTION TO SANITARY SEWER AYES
NAME
�7 C� Q-J
/ ✓ O 7
I❑ENO
SEPTIC TANK PERMIT REQUIRED /❑�Y ES qNO
SEPTIC TANK PERMIT NO.
Q
I.V ADDR ESS
SEE MEMO DATED
Q CITY
Q icy �I�/
TE LEPJH OcNE NUMBER
REMARKS M
Me -WO
U ar Arr t Irc NCE NUM wEw
CITY LICENSE NUMBER
CHECKED BY 1\ rl \ t
�w or Attach Four Copiesl - 14
` k
ct/E M`Iti1• p
RE A KS (�FSScJt��• 'TOK-
�
SIGN AREA ENV. REVIEW ADB N
1 ALLOWED PROPOSED COM PLET1 E _— ,N rfl1 SHORELII
J
13
REMARKS
0
W
J
VARIANCE OR CVBe
PLAI
YARDS
FRONT
Y.1 SIDE
�I
I �Q
NEW
RESIDEN TIAL
GAS NE
❑ L
FIRE ZONE TYPE OF CONSTR
J(�J
NON-RESIDENTIAL
❑SIGN
❑
ADD
❑
DEMOLISH
RETAINING
SPECIAL INSPECTOR
REQUIRED
AgEA
WALL
❑ YES ❑ NO
23(0
❑
ALTER
a
EXCAVATE
OR FILL
FENCE
❑ i_ X Fr)
PLAN CHECKED BY
]HIE
❑
REPAIR
O
PRE -MOVE
INSP.
SWIMOF
POOL
SH O'
E OF
REMARKS
REVIEW BY DATE
LOT COVERAGE
REAR O�
r CODE HEIGHI
CCUPANCY OCCUPA
iOUP-I LARD
PA-3
BE
NUMBER OF STORIES NUMB R
ZO {1 DWELLING UNITS t-}1FRMAL NSULATiollA PERR. Fib
1-p��
G NATURE OF WORK TO BE DONE
Ld� DRAIIJAC� 1 R CRD 1i14 OL G
m
w
a
m
O PLAN CHECK FEE VALUATION FEE
PROPOSED USE
3�
PLOT PLAN INDICATE BUILDING SETBACKS, AAe?
2 ABUTTING STREETS)
BUILDING
U
W
����^
PLUMBING
D fJ
SEG
IS
D
MECHANICAL
FENCE
SIGN
Iwn "Applicant, on bellall of his, Or her sp(Inw. heirs, assigns and
W successors in interest. agrees to indemnify, defend and hold harmless
-I
i the City of Edmunds, Washington, its officials, employees, and
RETAINING WALL
Q agents from any and Ill claims for damages of whatever nature,
Q
x arising dircrtfy or indirectly from the issuance Of this permit. Issu-
SWIMMING POOL
a :nce of this permit shall not be deemed to modify. waive ur reduce
J any requirement of any city ordinance nor limit in any way the
Cupp *(Is
= City's ability to enforce any urdinmlce provision."
1 hereby acknowledge that I have read this application; that the in-
TOTAL AMOUNT DUE
formation given is correct; and that 1 ant the owner, or the duly author-
ized agent of the owner, 1 agree to conlplY with city and state laws regu-
ATTENTION
lating construction; and in doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the Slate of Washington
THIS PERMIT
relating to Workmen's C'ompensatio j Insurance.
AUTHORIZES
NOTE: Permit Limit One Year(Except DEMOLITIONS and DILL
ONLY THE
PERMITS without conditional use permit, which shall be completed in 90
WORK NOTED
MOVED-INUILDINGS shall he completed in six months.)
R CR7 AG�E I
TE SIGNED
INSPECTION
DEPARTMENT
f�Lt%-Y��
LLL
-,� 7
CITY OF
EDMONDS
This Permit coven work to be done on private
property ONLY.
775-2525
Any Construction an the public domain (curbs, sidewalks, driveways,
marquee$, SIC-) Will require separate permission.
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306.
1a2-/a
3
# 41 A0 3oa
511'
APPLICATION APPROVAL
This application is not a permit
until signed by the Building Official or
his Deputy; and fees are paid, and
receipt is acknowledged in space pro.
vided.
DIRECT 'S SIGN VR
GATE
ORIGINAL - File YELLOW -- Inspector
PINK - Owner GOLD - Assessor
Y
Q
0
I
I
1
1
I
I
ENGINEERING REQUIREMENTS F011 BUILDING PERMIT APPLICATION
CITY Uh' KIUJPIUS T
PUBLIC WMKS Di*-TAMME'NT 790109"
FT1, ,11 IEER.111t., m-V I 1011
SUBJECT: _
Subdivision
Multiple
DATE : j ng - 1
.Plat
Cori rr>L rc i a 1
G U IERAL RL qj IREI''IugTS
Coordination of the location or anv structure with respect to utilities, streets, property
lines and drivewtly grades is the responsibility of the contractor.
The ccnstraci-or is required to keep the abutting street cleaned of dirt and debris caused
by the construction 7.30.20E Violations - Penalties 7.30.290.
j 0 A "Right -Of -Way Construction Permit" is required from the Engineering Division of Public
Works for any work within the Public right-of-way or public Penalties 7easement. 7.30.010 Violations
hN .30.290.
SPECIFIC REQUIRU7jDrS
UNDERGROUND'POWER
❑
Underground Wiring Req'd VN Not Req'd
SANITARY SEl•IER (PER:•IIT RE01 D )
Connection to Sanitary Sewer Req'd
❑ Back Water Valve Req'd Side
❑
Septic Tank Pei-mit Read. Design Approval
on Sewer
Req'd
Approved Dt.
Permit Number
STORM SEI-E-R SYSTEM (PER CITY CODE
)
❑
Drainage Plan Req'd
❑ Drainage Plan Approved Dt.
❑
Site Drainage to be Contained on Site
Site Drainage to be Connected to City System
ROADWAY Ii•1PROVF•1L1TPS AND DRIV11•IAY RIEcIUIRSIEN1rS
Driv ,,ay Slone Not to Exceed 1
Driveway Faving Req'd
❑ Driveway Culvert Req'd Size
❑
❑
Vertical Curb Req'd
❑ Sidewalle Req'd
Street Paving, Req'd
❑ Approved Desig;n Req'd
❑ Bond Req'd for Public Improvements []Submit Cost Estimate
Note: �X►ST1.►��
Engi nc-el•in;r Ui vi si or.
Foundation Side Sewer ❑ Septic Tank
Water Service ❑ Fire Protection X Drainage
Site Trrprovem.�nts
A 24 - hour, notice is requ.iifd for inspection Engineering, call 775-2525, extension 220.
—�E % leDoeF=-
1 REII F. M-RZBERG, P.E.
1 hiK,�;xi'iit,'J�!'�Rlrn . ''M^t �:ttih, ..v' r,• .., � ..... ,.... r
J •
I CIt
.l
V
-�.r �f1~R<'L L�' a .' � i r•'Ctd r *�«. n� t^�"?1 s �'!f r �� �A! a;2i•�`"1'�:•!y1� a �t;tr •t.� �, y •�� �„� Y't,F.
`Kr' �j.,':I�r QY. V'K. ',j � .K� ,Jf n i +— i T A. .� �, •a' :}!3n , .. f'; t�•..• , rt. . ' •' �+..- �['� 't'
x�ybL,ddtEZw1M ^!'.. •r•�,av oar,-..r-ir . r w, ... •, r. ..f�.... ... ..... •.. .: .. ... ... ., .._. ,. . ... ..,
.`P�%Y. ,t F. :.f,-i., • ,.�. .'L: Lhy'�: ki. .�':lt+. di. N%t. ...:'l:!. .. s..... 1 9� ... �. (i.
S r a�,.i,F e•Y,!�:s T , '• �' .�•i4r ., sr r .y \�' 1 � - _
s�'!�, tk�rr � 'a �SiR, �-- .�fa� 1 ..',�. r r.• QY�r ^Y ;'.?,:e •"'•
Uf kr
i ¢ ! •rJQQ�{
- �}Iiwi��rR Y• � �. .. ''4; ��'�I:. t'•n :. •.. . � ..�.� f�"hf.t i tS� � � . ... .. '.
f j
R t.
r \
.tea• /�� � � Q)
£< LOT IDRAetAAtbE
n
DER W MEPAc,
f
..i.4
;i..�ij7','Rw.
IE
j.--���.1_.r^Y:.F/�r../.!_ ... ..a.rNl.YrLl.�_.-���!tt•IC.:
,•dam , ,...
TUWAY MESSAGE
TO �7' FROM r;;�
........ ...
SUBJECT: 41
--4p /-�V/7 A -7� nATr
M
E.........
S
s
A
G
.
E
---TSIGNEI)
AU&ffl-XjNPEQTMS
-"ttP�gsed
POUMATION —A-11- z3r
Noun 4 :I.L-:Z �j
ftr0vs. plem
pletel in!;: w:lfk
ca
Und,2r,raurld
-59--7
ftuown
i-- t—t
Wata s �rvice --
HEATING SYS E'A
FRAMING -7
WALLBOARD -1
FINAL