880567.pdfI\
S t ry
l
CITY OF EDMONDS ZONE ZPERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION JOB
NAME (OR NAME OF BUSINESS) ADDRESS q/ / 15""- t+491V ,401/ J11,f141 ,0R, V&c
LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO.
ZMAILING ADDRES ��
0 S/ •'G �` / ` /�' 17 t �I� TESCP
�� APPROVED BY
CITY V TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
�2 1 �� EXISTING _ REQUIRED DEDICATION
,M 7 7 _
�, , •�n PROPOSED O
NA 6llk 57 7Y�� �� Z
I. (� RIGHT OF WAY PERMIT REQUIRED. .
v W FE
Y CONSTRUCTION RIRED
3 STREET USE PERMIT REQUIRED z
w ADDRESS ��
x S µL1��C1 tJ'r 1"t SEE ENGINEERING MEMO DATED REVIEW BY W
U
Q CITY TELEPHONE NUMBER
0 w 77 � GREMARKS
NAME ,
C4`-P ltkr� C� • r_ 1
Q ADDRESS
O METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
F-
CITY,� TELEPHONE NUMBER w
o1�to � � REMARKS �
U STAT LICENSE NUMBER
SIGN AREA ENV. REVIEW ADB NO.
(� v ALLOWED I PROPOSED COMPLETE I EXEMPT
Legal Description of Property • include all easements
(show below or attach four copies) SHORELINE M
NEW � RESIDENTIAL El PLUMBING
® ADDI LTER El COMMERCIAL 1:1MECHANICAL
ElREPAIR F1 RETAINING WALL
EXCAVATE
DEMOLISH El OR FILL
PRE -MOVE INSP.I
REMODEL COMPLIANCE INS
❑ WOOD STOVE/ ❑
INSERT APT. BLDG
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
0
LJ SIGN
FENCE
( x _FT)
RENEWAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year- Provided WorK is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
N successors in interest, agrees to indemnify, defend and hold
J harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
a whatever nature, arising directly or Indirectly from the issuance
0 of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinance
°x 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 construction; and in doing the work authoriz-
ed thereby, no person will be employed in violation of the Labor
Code of the State of Washington relating to Workmen's Compensa-
ATE SIGNED
7- I S'
ATTENTION
VARIANCE OR CU IPLANNING REVIEN(• BY
YARDS )IFHEIG HT' LOT COVERAGE
FRONT Z,/C SIDE %O / REAR&5 Z3 ram-
CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
yid :Eggg� /I� /pi?f'6:57 20so
SPECIAL INSPECTOR AREA77 OCCUPAN Y OCCUPANT
REQUIRED GROUP LOAD
O YES C NO
PROGRESS INSPECTIONS PER UBC 305 to
m
VALUATION I FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADINGIFILL
STATE SURCHARGE I I 3
ENERGY CODE
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE I I .4 �,j� `7119
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
CHAPTER 3.
102•B7
ATTENTION APPLICATION APPROVAL
THIS PERMIT This application is not a permit until
ONLYAUTHORITHES signed by the Building Official or his
WORK NOTED Deputy; and fees are paid, and receipt is
INSPECTION acknowledged in space provided.
DEPARTMENT
OFFICIAL'S SIGNATURLo0tv DATE
CITY OF _
EDMONDS
771=3202 REL D BY: DAT
ORIGINAL — File YELLOW — InLpector
PINK — Owner GOLD — Assessor
I
i
t
t "
i
�•n'
"t Id,d ' r
f
t
yr } S
,
rf: 11
7FY
-
1 1
ill)ASll
F �IdIII
..-
��`
1 PL
St;
�
.r
dr
IPA ,..iNi;d.t.......,s1.,.a.�.
�..er..v vi:..J ,,....�.. �...�.,3 .L,
w....4-....ae
yR
I1
OY`sN
O
OIN
Z
-�, • 2
,E - /D
AR 2501
•1ER Z� SITE PLAN
lemon
J C '
41t k¢�•�., i{ x �. tY .9i .. ..
rr
r
_..
i
1
t
�1{11 1 a
''; I
f'
IN IZm�....�. tv n-.+- •r ^— -.,i. ,-,w-+-"^'.t ,--a. .,..,.- _ ...s.-..+r-.._.T� -' + _._'^4.✓".._K" r _.....r
f /(
SIN
t$IN
it.ti. 'Z IN
`' 7aa'uu:ciXv' ,
r t '4 : t _..-.,...,Wn»"'{3wwli..ie°+u
.,_ .<s aa. .. ..v _.... ._.. .. .. ..
IN
L IN IN
r't
CITY OF EDMONDS CARRY s. NAUGHT N
fYOR
:'N
5r 250 • 5TH AVE. N. • EDMONDS, WA 9E3020 • (20G) 771.3202
r •c PETER E, HAHN -
COMMUNITY SERVICES: DIRECTOR
0 Public Works • Planning • Parks and Recreation • Engineering
90
I F•
8.19 �
July 11, 1989
Mr. Charles Saul
9115 Olympic View Drive
Edmonds, WA 98020
IN RE: Bedroom Addition
IN 9115 Olympic View Drive
Permit #880567
IN I
According to building division records the subject permit is due to
expire on August 19, 1989. If the work is complete or will be complete
by the expiration date please contact the building division for the
required final inspection.
If the work is not complete and more time beyond the expiration date is
needed to complete the project, please renew the permit by contacting
n date. A new application form is
the City prior to the expiratio
required and a renewal fee will be charged.
Please contact the building division prior to the permit expiration
date at 771-3202 with regard to your intentions.
Thank you,
Jeannine L. Graf
Permit Coordinator
• incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
' : tt>•2i f t b i {�i„q'yk� try.
i'h al 4t of }'ttA I �: t [
r
ININ:
N,
t Ii:N 4t Sy
� vn
qlo 1 t(i
IN I IN
t 1 yiA y -1
S/ylo� o2�cf�'
•��o��./
rvuimuh111V11 ram'
House
Porches, piers
Retaining walls _
Garage, carport
PLUMBING
Underground
Rough -in �.
Water service
HEATING SYSTEM
FRAMING ZZ 6 WALLBOARD.
FINAL
�
spy -
ell V