Loading...
910802.pdfy r r_ , r.,, I„J,Ai 1,.1. fifr f'v.'{, Ill,.I .! .. »S.r,. �!Pt r,!' a SE PERMIT • 911 `R i CITY . . . L u NUMBER CONSTRUCTION PERMIT .. ,3{ w,l OWNER • • Ali �J _e Le xl •MAILING ADDRESS fit y I PUBLICWAYPEROFFICIAL..•.. ■ riPROPOSED • ■ IEXISTING REQUIRED DEDICATION a �' ■ • i 1 it ft1it it. jl ADDRESS-i; n iF 4=ii it TELEPHONE f • j ? its .li X1931 • . ADDRESS :: .cA •NO.OF FIXTURES Ilka`STATE LICENSE NUMBER!I IT SIGN AREA SEPA REVIEW COM ALLOWED PROPOSED XEMPT -iasements l, Legal es ripti Fool of Property include a I iSHORELINE to t t •EXP ii I.ARIANCCE • tni !'a , y,l � tit ySETBACKS FEET oil •COVERAGE 4 r •SIDE REAR s!t Tax Account Parcel is ■ Y ■ .� ii AD DIALTER COMMERCIAL MECHANICAL ■ I REPAIR El SIGN ■ ■ . yr-... .. '. :e ..I r . A - lot.'. ,.:...rn f ..... lit- GRADING FENCE Ant f 1! DEMOLISH ■ • ■ it tolh REMODELSPECIAL UPANCY GARAGE OCCU TI: REQUIRED of YES F WOOD STOVE/ RETAINING WALL/ it: -i`I INSERT ROCKERY El RENEWAL IREMARKS • • •. ACTIVITY) 1 Sly NUMBER • • . EXPLAIN; NUMBER • • 1$ ut:DWELLING F ST i r^,UNITS ii like • IL rrr.' u 1 * i � iy, i fl ,: 11.dr� t e. .tli : v. .. .. ,u, 1... ?+.. .nx:,.,,, - ..:.rn•;. i,.v . o s tr ' tj1+f..T��� t. tool PLUMBING Plan Check PIO. MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: 1 Year" Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and Ell INSPECTION FEE in successors in interest, agrees to indemnify, defend and hold 'LOU harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of iwhatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT 0 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 TOTAL AMOUNT DUE provision." I hereby acknowledge that 1 have read this application; that the information given is correct; and that I am the owner, or the duly ATTENTION authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and in doing the work authoriz- AUTHORIZES ed thereby, no person will be employed In violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED tion Insurance. INSPECTION �IG�SIGNATff E (0 NER OF AGENT) DATE SIGNED} DEPARTMENT TY OF 6C�-O l0 it _ l / EDIMONDS 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 CHAPTER 3. 102.87 CHAPTER 3. 1na.a7 CALL FOR INSPECTION 771=3202 1 , APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt is acknowledged in space provided. FFI I 'S SIGNA RE DA E ELEASED a DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor 4 PINK — Owner GOLD — Assessor r: C CITY OF EDMONDS M ZONE CONSTRUCTION PERMIT APPLItO]VATION JOB OWNER NAME/NAME OF BUSINESS ADDRESS PERMIT NUMBER Cx t f-k Y "UML UC0UN4YIIUN L:HtCK SUBDIVISION°NO. OILING ADDRESS \' t 0 1 ( �� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. rY I VIP TELEPHONE UMBER ^ EXISTING REQUIRED DEDICATION ME PROPOSED REMARKS CITY ZIP (TELEPHONE NUMBER NAME Se.1 :A��ccS ADDRESS CITY ZIP TELEPHONE NUMBER REMARKS STATE LICENSE NUMBER piCe ription of Property - include all easements • ixrgal Desc 17 ilb i; �Y Ilj • r41 • u VARIANCE OR CU ui w 0 q a SETBACKS - FEET Co uy FRONT SIDE Tax AccountNo. ,A In ■ , El DENTIAL PLUMBINGilk as ...�ADDIALTER El •MECHANICAL r1i APT. BLDG. REPAIR SIGN MMERCIAL GRADING FENCE DEMOLISH CYDEl IMIL POOL _•, REM • •O.00AR }, INN 91 SUITE/APT N to NO, TESCP Approved ❑ RW Permit Required ❑ > Street Use Permit Req'd O Inspection Required ❑ Sidewalk Required ❑ (D z LU w z z w s•F REVIEW, BY NO. OF FIXTURES 1 4 SEPAREVIEW •: • •'• • COMPLETE SHORELINE N EXP PLANNING REVIEW BY GATE HEIGHT LOT COVERAGE i r Z REAR Z a. TYPE OF CONSTRUCTION f tr . A/ R�--.. •OCCUP WOOD STOVE/ RETAINING WALL/ ❑YES GROUP INSERT ROCKERY El RENEWAL REMARKS em ' z (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN; PROGRESS INSPECTIONS PER UBC 305 a_ 2 U �i, a • NUMbth Ul- DWELLINGyl �. ,.UNITS DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) ICA.• • ' rj3 1 � � r 'Ja ia,d,, 4Y. e, vxy r r� A 3k'+.LNft , .n �.tv:, .f •. :- cur+ >t.,..r. 4 O IAY alcj 10926M PLAN CHECK FEE / BUILDING (P S rjt.44,e4�1 �{, PLUMBING Plan Check NO. MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year'- Provided Work Is -,Started Within 180 Days STORM DRAINAGE FEE , "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE ' N 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 i whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance ° nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the Information given is correct Akd•thaf I am-ihe owner, or�,ENTION authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and in doing tMe work authoriz, AUTHORIZES ed thereby, no person will be employed In violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED r lion Insurance. wsPEcnoN SIG E (OWNER O AGENT) DATE SIGNED DEPARTMENT ^_ 1 ^ p' CITY OF lu.- � T l• 1(/ t EDMONDS OCCUPANr' LOAD 71 APPLICATION APPROVAL 114, 3 This application is not a permit until signed by the Building Official or his/her ?, Deputy; and fees are paid, and receipt is acknowledged in space provided. IQIAJ,'S SIGNATJrJRE DATE N,�`}rv�hr"17'.,:fi.G:':�I�.Iy�?`iit�k 3;}.'4xi?:N'{�itf Y{r �it�:lvitt77kS�'ait;4fj�l�.tt;�k�l�; }yyh (r 1s��<f ^�l>�4z"�f'^ar•w4',i ..st�!YY'�G,(�1ii ;�id 'r ft iFh �, Y. T• i � •• ATTENTION • • . INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 =3202 ORIGINAL File YELLOW Inspector. i A CERTIFICATE OF OCCUPANCY CHAPTER 3, r 8 ' Owner GOLDAssessor �.r \ $kl A , 0 T ICE t. TO PERMITTEE AND/OR OWNER ❑ PARTIAL APPROVAL , ❑ VIOLATION K„ C CORRECTIONS REQUIRED PERMIT 9 NUMBER L < ' p : JOB ADDRESS % f C ® � p 1V ❑ PNO ERMIT AAIT STOP ND MAKE WORK COMPLY WITH REM BUIVE LD NG LAWUCHON OR S* CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS j ❑AND PERMIT - STOP WORK. MAKE EXISTING WORK COMPLY WITH t APPROVED PLANS AND PERMIT OR REMOVE IT. r; ❑ STOP WORK - UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN 1114 BE APPROVED, j ❑ WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED. CONTACT INSPECTOR AND Ud RECALL FOR INSPECTION. ❑ ARRANGE FOR APPOINTMENT• 4 S ; , Ilk ;P Si ikk THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN i DAYS OR PENALTIES IMPOSED BY LAW MAY BE APPLIED. FOR INSPECTIONS CALL: 771-3202• - PL ❑ BUILDING DIV. ❑ PUBLIC WORKS INSPECTOR CITY OF DATE ❑ FIRE DEPT. a EDMONDS. �;. Htkk r, Gas Test Gas Piping .. . r Equipment CF �. FRAMING ...... .. .. 14 INSULATION ............ SHEETROCK NAILING ... b SPECIAL INSPECTION ... FINAL APPROVAL ..--'�� ��. •9� FOR OCCUPANCY I' • tk It kkf a i ,� ... �,.