20051159.pdfCITY OF. EDMONDS
VLERMIT
PERMIT EXPIRES 1
NUMBER
JOB SUITE/APT#
ADDRESS 456 Admiral Way
PLAT NAMEISUBDIVISION NO. LOT NO LID NO
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApprored O
RW Permit Requited i,
EXISTING PROPOSED Street Use Permit Requited a
Inspection Requited Ar
Sidewalk Requited O
REQUIRED DEDICATION FT underground O
Winno required 1]
METER SIZE LINE SIZE NO: OF FIXTURES PRV REQUIRED
YES O N013 z
Uia
REMARKS W
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z
z
Or 01 Ipon S EN NEE RE EWEDBY 0 TE
ADDRESS
336 Admiral Way
FIRE REVIEWED BY DATE W
z CITY ZIP TELEPHONE
LL
" Edmonds 98020 425 774-0549
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY
VARIANC9 OR CU SHORELINE ORjjADB# INSPECTION SEPA
b 7 J r� O YES D NO COMPLETED EXEMPT,
CA# ZONE SIGN AREA HEIGHT
PROPER TAX ACCrII INT PARCPI _ ,, 1
MOO
, WAIV /'.1J ALLOWED POSED ALLOWED PROPOSED
` �' �/! STUDY D IIVJJ""" f� v
❑ NEW ❑ RESIDENTIAL ❑ PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PR SED FRONT SIDE REAR FRONT UR SIDE REAR O
❑ COMMERCIALCOMPLIANCE ORri:iII— Te
❑ ADDITION ❑ CHANGE OF USE / z
�,/ ❑ XED USE PARKING LOTAREQ PL NG REVIEWED BY DATE g
I]d REMODEL ❑ SIGN REO' D PR D
J`� ENCE
❑ REPAIR. ❑ GRADING CYDS ( X FT.) REMARKS
❑ DEMOLISH ❑ TANK ❑ OTHER
z ❑GARAGERETAINING WALL FIRE SPRINKLER
CARPORT ❑ ROCKERY ❑ FIREALARM
a (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
1. OCCUP
re Weather Station TYP of , VVN C E GROUPANT
c NUMBER [NUMBER OF
OF 17 / a LING n/ a SP CIAL INSPECTION CONSULTANT OOADPANTp STORIES S REQUIRED D YES
DESCRIBE WORK TO BE DONE
The weather station will be a free REMARKS f z
standing structure and will house
GEOTECH REPORT
BY: m
computer monitors (3) & two (2) info STRUCTURAL DESIGN
BY:
placards to provide weather related VALUATION
information to the public, boatin $
Community, and schools. Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE LOT SLOPE% VESTED DATE
Building Permit '� City Surcharge
PLAN CHECK NO: L,7- _ Plumbing Base Fee
__ _. Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBIC Gradin
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE g
SEPARATE PERMISSION,
� Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
LU PERMIT LIMIT: SEE ECDC 19.00,005(A)(6) Engr. Inspection �-
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
UN IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape Insp. Total Amt. DUB
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 PROVISION.'
Recording Fee Receipt #
t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC• CALL Building Official or his/her Deputy: and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED FOR INSPECTION receipt is acknowledged in ace provided
IN VIOLATION THE,LABOR CODE OF THE STATE OF WASHINGTON RELATING TO P g p
WORKMEN'S NATION INSURANCE AND RCW 18:27. OFFICIALS SIGNATURE DATE
SIGN WNE OR AGENT): DATE SIGNED (425'
771-0220 -RELEntx
(DATE
ATTENT1014 EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL • FILE YELLO INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 1 IRC110, PINK -OWNER GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
Port of Edmonds
LQ:
MAILING ADDRESS
0
336 Admiral Way
CITY ZIP
TELEPHONE
Edmonds 98020
425 774-0549
NAME
marker Landscape
Architects
W�
_
ADDRESS
`1514
NW 52 Street
CITY ZIP
TELEPHONE
Seattle 98107
206 783-2870
NAME
CBL#
P t r Ed d
VLERMIT
PERMIT EXPIRES 1
NUMBER
JOB SUITE/APT#
ADDRESS 456 Admiral Way
PLAT NAMEISUBDIVISION NO. LOT NO LID NO
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApprored O
RW Permit Requited i,
EXISTING PROPOSED Street Use Permit Requited a
Inspection Requited Ar
Sidewalk Requited O
REQUIRED DEDICATION FT underground O
Winno required 1]
METER SIZE LINE SIZE NO: OF FIXTURES PRV REQUIRED
YES O N013 z
Uia
REMARKS W
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z
z
Or 01 Ipon S EN NEE RE EWEDBY 0 TE
ADDRESS
336 Admiral Way
FIRE REVIEWED BY DATE W
z CITY ZIP TELEPHONE
LL
" Edmonds 98020 425 774-0549
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY
VARIANC9 OR CU SHORELINE ORjjADB# INSPECTION SEPA
b 7 J r� O YES D NO COMPLETED EXEMPT,
CA# ZONE SIGN AREA HEIGHT
PROPER TAX ACCrII INT PARCPI _ ,, 1
MOO
, WAIV /'.1J ALLOWED POSED ALLOWED PROPOSED
` �' �/! STUDY D IIVJJ""" f� v
❑ NEW ❑ RESIDENTIAL ❑ PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PR SED FRONT SIDE REAR FRONT UR SIDE REAR O
❑ COMMERCIALCOMPLIANCE ORri:iII— Te
❑ ADDITION ❑ CHANGE OF USE / z
�,/ ❑ XED USE PARKING LOTAREQ PL NG REVIEWED BY DATE g
I]d REMODEL ❑ SIGN REO' D PR D
J`� ENCE
❑ REPAIR. ❑ GRADING CYDS ( X FT.) REMARKS
❑ DEMOLISH ❑ TANK ❑ OTHER
z ❑GARAGERETAINING WALL FIRE SPRINKLER
CARPORT ❑ ROCKERY ❑ FIREALARM
a (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
1. OCCUP
re Weather Station TYP of , VVN C E GROUPANT
c NUMBER [NUMBER OF
OF 17 / a LING n/ a SP CIAL INSPECTION CONSULTANT OOADPANTp STORIES S REQUIRED D YES
DESCRIBE WORK TO BE DONE
The weather station will be a free REMARKS f z
standing structure and will house
GEOTECH REPORT
BY: m
computer monitors (3) & two (2) info STRUCTURAL DESIGN
BY:
placards to provide weather related VALUATION
information to the public, boatin $
Community, and schools. Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE LOT SLOPE% VESTED DATE
Building Permit '� City Surcharge
PLAN CHECK NO: L,7- _ Plumbing Base Fee
__ _. Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBIC Gradin
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE g
SEPARATE PERMISSION,
� Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
LU PERMIT LIMIT: SEE ECDC 19.00,005(A)(6) Engr. Inspection �-
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
UN IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape Insp. Total Amt. DUB
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 PROVISION.'
Recording Fee Receipt #
t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC• CALL Building Official or his/her Deputy: and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED FOR INSPECTION receipt is acknowledged in ace provided
IN VIOLATION THE,LABOR CODE OF THE STATE OF WASHINGTON RELATING TO P g p
WORKMEN'S NATION INSURANCE AND RCW 18:27. OFFICIALS SIGNATURE DATE
SIGN WNE OR AGENT): DATE SIGNED (425'
771-0220 -RELEntx
(DATE
ATTENT1014 EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL • FILE YELLO INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 1 IRC110, PINK -OWNER GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES