Loading...
930735.pdfglt CITY OF EDMONDS f NE i CONSTRUCTION PERMIT APPLICATIONB OWNER NAME NAME O1F/BUSINESS DRESS I(A �� ! .I,15� ,`I 1 .L6%\r\ GAL DE ZITTI I; ADDRESS x U ¢a CITY NAME f9111t�r� ADDRESS CITY STATE LICENSE NUMBER Legal Description of ZIP (TELEPHONE NUMBER P ITELEPHONE NUMBER EXPIRATION DATE - include all easements Property Tar Account Parcel No. �t NEW 1,= RESIDENTIAL PLUMBING ADDITION F COMMERCIAL MECHANICAL REMODEL APT. BLDG. El SIGN REPAIR G ADING CYDS. ❑ (ENCE x—Flr) DEMOLISH INOORTTOVE El HOT TPOOL UB SPA FGARAGE CARPORT ROCKERY RETAINING WALL/ ❑ RENEWAL (TYPE OF US,BUSINESS OR ACTIVITY) EXPLAIN: Ste" /,'�s� t1.�ste NUMBER NUMBER OF CRITICAL STORIES ( DWELLING �/ IAREAS STORIES �� UNITS NUMBER! DESCRIBE WORK TO BE DONE (ATTACH PLOT, PLAN) VA a '�NO I /2PERMIT NUMBER 19307.36 �ejZ/3 OZ Y/1 140/6 Ule�! HECKI SUBDIVISION 4 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ❑ EXISTING REQUIRED DEDICATION RW Permit Required ❑ Street Use Permit Req'd ❑ PROPOSED Inspection Required ❑ Sidewalk Required ❑ METER SIZE LINE SIZE NO, OF FIXTURES LLJ PRV REQUIRED YES ❑ NO ❑ 3 4EMARKS O Lu z z % r 0 ENGINEERING MEMO DATED REVIEWED BY Ly SIGN AREA SEPA REVIEW ADB NO. ALLOWED I PROPOSED I COMPLETE IEXEMPT EXP VARIANCE OR CU PLANNING REVIEW BY DATE BY w LL W SETBACKS - FEET HEIGHT LOT COVERAGE Z z FRONT SIDE REAR Z REMARKS a row>>�'sles11 MAP CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPAt1T� ��✓1////���1 C'Ia/ GROU�PK/1) SPECIAL INSPECTOR AREA OCCUPANT REQUIRED YES LOAD ❑ REMARKS PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED VALUATION PLAN CHECK FEE HEAT SOURCE: GLAZING BUILDING PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY, GRADINGIFILL 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 j harmless the City of Edmonds, Washington, its officials, ¢ employees, and agents from any and all claims for damages of x` whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT omodify, waive or reduce any requirement of any city ordinance x 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; 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 and RCW 18.27. INSPECTION SIGNATURE (OWNER OR AGENT), DATE SIGNED DEPARTMENT CITY OF EDMONDS ATTENTION CALL FOR IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE INSPECTION ��� ®��� UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. toz•e7 22, - I (pool 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. IjPAk'S SI91NATURE % /DATE ELEASED PfY DATE ORIGINAL — File YELLOW — Inspectoq PINK — Ownr. Ca OV_n —. � 0 fe1 . a -♦ ♦ ,' i ,f i r l n, LM",.a F { I .oii,.wyn,1 T l i rI.I1 s -M'.!I. i dor r.: a r .tom lfiIto ! .I - J - t ,�. ,Y JL tY rYl ff+ft'r`i�•tL TY• 9..* 7•Y h aV: [ 3 i y .' t . w .a. a t I r 7. v.: y{ y !• / i floodk do ff yl�''i.•1 4ryH 4 .e t a y_ f t- / • - , it r •••'' ` " r-. l E q j. _ y L ,•.�oret R" : ! • 1.do 1 ,r aa off" \y•n t rr 1•y f r[e J� •lam i.0 .JJ '".Y(1�1' 4 �. ti An �+ 4 .r y f 1, '--.« rt.. _ ).. y. _� .J.'. •: rn �I��fl �., J t'.i 1 r e•, fdo 'do, rl 5.:'Lfj•Jtr�'Y,i.JY .., I��,A'^. .. .�"; , .ya - - I. r ,y{. �t -t A tr [, G2' .^, 1 • ,.'r Y rt a '� tr .!`e Iti3,{ 'tj� •}_ 5• /.hif t Tim .11 ,• q I.(�! i.�.If C ♦ ♦ r a - +. r S • ,} 1 t N r ♦ )''Yj' 1`),Lih r• 1`!"t �1 151S t .rt Jl do wood r y .1 y Ar+ /'II. i ) r} r r )I •• i 4 11i y: y a ;�� r•r. /, ) _ •:1 r, t •t I!ao , r� fit jly ,y�, sJ d[ {1 .>� ti. .•Y 5t. �'•''_1 �, .• r. t { ,� .. .'• / rria �,; Ih t t Iliadlerff2v:to ``�a do tidJ a r. r rt�f , "•G •' .a r. h �`•``i{C �Zy i•bA �1 dad.+' , - , r -dodj do,p♦[ 2 �'•i ,� .ram r f, do @or do o I ad ,o do r [II flood a, a ` •ll ` „ , t•add{ I ,I old do, w 'A♦ r ?i t^L WIVa�ti, a i��! � tf}FtS } !� �,)1• r^am''to do of T do I do I do of ' +�o do .�.- 'r is 1 [ ," t. y. L. ''r`' ' do W. Add w do rd old L I I or do do >emd do I old p od- III dood ad old L L food? do (1. _'. �,; ,t did •' ,� ad do 7i• ff�' '1 'ln. :J. �) f 7 • { V1110, of MT•• `' 11 r � Y' r _ do of {do .'. . . Sop op do d 1 g. 11� a At 3 t.�-ls1 �.. .... _ - i r _ r ra. y i , do r ....- .^-�.-'— '-•--• ...�.� ..���.�.. �. I'do r,` 4 fit, Old.s o. ` �sG.w+R•�. f' .w hcVY+i+f%Rt• I a or do to d or too. oph t. (`�' Ydo M_.} i. . is .y✓•.I do do a. do fr old I of to a L 11 � 1 #.. t od So "I I do told , i iO r • N • s A oldyY 1 -I. ,�. ` _ Is I No., do �. p ad 4 it old x r .4 -`` '� 1, •a- r'. .f , ovo �v+ `) Z t •'J� do . lit ` . .. r , . t t y a 1 llf� pp `il'�♦Ca�lr.� 1 . `.f . _ .. ♦ d0,: a y P y a•.S L.+,' J f )11R� l :t. !•:l ♦ . , r.. '� I,5 a •}} d;` r• Qom•°}. 1 5 a. . i a .I C{w��Vya .lac F..rr"t, i{ti �•j'� //'j] Q �y f do Iy .t t `do .i .. ♦ fto. didof ^,� tot It 1 I A,aad r St �••; ^. f .. .—H"^, '�/ a •�.�t!Y�"©' _ 1. .. ..\� 1-.tl"..•cwY• yp1 kw..: i• A �Fm� iss H N H Lm00 .- er v aaa N N N CV CV M do< :"_ 000 _. _.. . Co .�:: ,000 0/l✓/ra:�i ]may NELL SAUERLAND IS IATES, - CO • DEVELOPMENT CONSULTAMTS • PLANNIERS t 775.159a/ q*, 1' ' \ �� •'4 Tel •..�,/ .�1y"� EXEMPTION FROM CONTRACTOR REGISTRATION VERIFICATION FORM The undersigned property owner or contractor has applied for a building permit from the City of Edmonds and claims that he/she/it are exempt from providing contractor regi accordance with the provisionsstration in of RCW 18.27, The property owner, by their signature below hereby verifies to the City of Edmonds that: Jr Value of work under $500.00. The aggregate contract price of labor and materials and all other items required for the project is less than $500.00 and is not part of.a larger operation to be undertaken on the property. The person employed to do this work has not advertised nor otherwise put himself forward to the permittee to be a contractor or qualified to engage in the business of a contract. RCW 18,27.090(9). Work performed personally on own property. The undersigned verifies that all work done under this permit will be done by the permittee personally on his/her own property and that the improvements constructed on the property are not being undertaken with the intention and purpose of selling the improved property. Commercial property exemption. The permittee is the owner of commercial property and the owner's own employees will perform all maintenance, repair and alteration work on the property. No work will be done by contract under the permit. RCW 18.27.090(13). ❑ Licensed architect, engineer, electrician or plumber, All under this permit will be performed by an architect, civil oork of S°rmed ional engineer, licensed electrician or licensed plumber operating within the scope of his or her license. RCW 18.27,090(14). THE UNDERSIGNED PROPERTY OWNER HEREBY VERIFIES THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE INFORMATION PROVIDED ON THIS FORM IS FALSE, HE OR SHE UNDERSTANDS THAT THE BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED. DATED this �_ day of N,Ic�l/�OAAA , 1993s PROPERTY OWNER/PERMITTEE WITNESS: jeowe PrIfit, Or,