20000375 (2).pdfCITY OF EDMONDS ZONE
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS �-ADD.RE
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STATE
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RESIDENTIA
PLUMBINGNECH
ADDITION
COMMERCIAL
M Cc PLMACEOR
CHANGEOFUSE
REMODEL
APT. L...
F� SIGN
FAGI�.
DEMOLISH W,N01E0A0TSTOW`
FENCE
WIMPIOL
.T TUB/SPA
GARAGE RETAINING WALL/
ARPORT ROOKERY
RENEWAL
TYPV U"$ELBUSINESSORA('T],VITY)FXPLAIN:
NUMBER
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STORIES
'E.
'IN.
.IT.
PERMIT
NUMBER
PUBLIC RIGHT OF WAY PER OF IFEET MAP
F'C'AL S
RESCP_IP11-11 11
P. " R- 0
EXISTING — REQUIRE. ES.ICAT"H
11,,,N�Ull I 1 0
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PROPOSED
METER SIZE
LINE SIZE
NO, OF FIXTURES
PRY REOUIRED
I
YES Cl NOD
r"A
VARIANCE OR CU
ADD
SHORELINE
SERA REVIEW
SIGN
AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED
ALLOW osED
EXP VI-1
I
1PROP01111
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1 1E.-E
H-1ED SETBACKS (FT)
PROPOSED SETBACKS (Fr)
ALLOWED PRO OSED
FRONT SIDE REAR
FRONT L-T.S.- F-
35--P IVL
I
Z-5 75
3-, 73 1
DATE
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RE ARKS
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HECKE BY
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LOAD
REMA S
PROGRESS INSPECTIONS PER UBC 108
19&& 69 -7 L6q�4
FINAL INSPECTidN REOUIRED
PLAN CHECK FEE
/ / /I U`0
BUILDING
HIL�T $0 RCE
E`c
MThisPermit
PLUMBING
Plan Check No.
MECHANICAL
covers work to be don private property ONLY.
son
GRADINGIFILL
h,.,.)p.ub In (culls, EIdaVYRks
oy CEIRS nuo I p I I
A y I on 1. d.m
0
.I ff�l=ln
=,=.On,
separate Permission.
STATE SURCHARGE
;1j,
-driv
Permit Application: 180 Days
STORM DRAINAGE FEE
Remit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant G08�! olhis or 1, Spou��, h.lr,�,, ssigns and
0
nHN.S a Gas to indemnity, do end an 'to
i�On
�u as..'s
crc on its
ha mless the City of Edmonds, Washin
3.0
lagins io, damaaes
5 employees. and agents 'Tom any a th ei suance
tly from
oi
whatever nature, atshg directly EHIIdndairec�
Issuance of this permit shall not be earned
to
PLAN CHECK BE OSIT
of this permit.
u
mod*,, w.,,. or ad ce any requirement Oi
0
x nor ii" I in any way the City's ability to an orce any ordinance
TOTAL AMOUNT DUE
provision
he a read this application; th:t the
I hel:byrackn.CnV�:dge '.he I v
ATTENTION
APPLICATION APPROVAL
R hat I am the owner. - th duly
in to, In 'o gV C." ct! a d t
m ly 'wit h oil
UHH,rl,ed an, 0, ,,a owner, ' agree to Co. P y and
THIS PERMIT
This application is not a permit until
.,aWs,:g theWorkauthoriz.
is . I in
'Ll.tinfloons'nuch.n. and n do
AUTH oPZES
OIL, THE
signed by the Building Official or his/her
so thereby, no person will be em�loyed In violation of the Labor
1I.- HAD
Deputy; and fees are paid, and is
Codeof the State of Washington relating to Workmen's Compensa.
dreceipt
acknowledged in space provide
!on a ACW 18.27,
HS�ECT-
71-��77TRE�' �GENTI rDATE EIG.ED
BE FA TMENT
I �, SIG
elm, 4LI-
I
CITY OF
EDMONDS
CALL FOR
-FL ED 01
ATTENTION
INSPECTION
IT S UNLAWFUL TO USE On OCCUPY A BUI LD"VG OR STRUCTURE
Urviiii- A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF, OCCUPANCY HAS 8 EEN GRANTED. LEG
7 0 20
-
ORIGINAL F,IE YELLOW - Ir, Peclo
AISSI-1
SECTION 109
10287
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...................
FOUNDATION:
vy-A
Footing ... ................
z
Wall
..........
Pier/Porch ...............
0
RetainingWall ............
Slab Insulation ............
I A
PLUMBING:
M
0
Underground ........
C)
C
Rough -In ............... -
M
10-4
CommercialFinal ..... —
HEATING:
GasTest ...................
'0
GasPlping ................
IT, rn
Equipment— .......
Commercial Final .........
0
EXTERIOR SHEATHING
rM
NAILING.. � .................
61
FRAMING— ...... .........
INSULATION:
Z
Floorinsulation ........
Wall Insulation ......
z
Ceiling Insulation .........
o 14VII-C'OWL�l*t�SHEETROCKNA]UNG..�
il
...
VN^ S
-2
IT!
SPECIAL INSPECTION ......
MISCELLANEOUS
FINAL APPROVAL
FOR OCCUPANCY ..........
us
S ZONE PERMIT
CITY OF EDMOND NUMBER
CONSTRUCTION PERMIT APPLICATION JOE SUITEIART
NESS ADDRESS �n
OWNER NAMEINAME OF Bust
Kkmt 4- AQbaCA- P" Ye -9- 5
MAILING A DRESS
6/
CITY
TELEPHONENUMBER
'02
_6'f( . /1/ 72
NAM'
N A,
ADDRESS
CITY zip TELEPHONE NU MEER
NAME
ADDRESS
_+�UMSER
LICENSE NUMBER
EXPIRATION DATE
PUBLIC RIGHT OF WAY PER OFFICIAL STREET
TEScP Ap,,—d 0
Rw P"_, o
st—I U,i. R. 'd 0
RIKIII C1
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kWEII(IIIIEL �ja
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_4��
TURES
PrIVREQUIRED
YES D NO 0
REMARKS
1J. E,0 J CE7- Ij
IV,
4
ENGWEE IN ME ODATED
-74, 21
1IR . E-O --EU
)NEVIEVED.Y
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q
VARIANCE 08 OU AGE I SHORELINE 9
.. .... . ......... 11 0
Legal Description of rty - include all easements SERA REVIEW SIGN AREA _HEtG T
9's — I �71PZ 1, 1 11' 6A VA I L COMPLETE I EXEMPT ALLOWED ED AJWED
I P AGROS ALL WED 1PROPOSED
E.P 25, IZ 51 'A 'fi
1. E HhQUjREDSET.Kb()jPRtoPQsED.S ACKS(FT.) V5 �
ALLOWED POSED FRONT SIDE REA R FRONT UPSIDE REAR 0 M
3517 jPF11V& 2-5 75 -30 -7.3 z ma
0
Propil"Y -0 00 LOTAREA P NNINGREVIEWSY I 9/,D;� -40
Tax Acitioun, 0500 0 C:
Paroall N. 63 _ . ��q 6. -4 C
REMARKS 3: M
U: PLUMBINGIMECH V- 99- 1 �)3 AIL"I 4 5' W%� IT! F
RESIDENTIAL,, 4
F-1 COMPLIANCEOR
ADDITION COMMERCIAL CHANGE OF USE 2� 6,
fe—Y, E:
F.MOOEI APT. SLOG. SIGN KED BY
E] REPAIR CYOS FENCE . 0
I— _FT) n
DEMOLISH M,N,ODS1 E IWITMTPOOLPA PECIAL INSPECTOR I IR A 100OUPINT
ERT OV C US's REOUTAIED 13 YES A0112L7A/ Z� jjbf� LOAD
E] GARAGE
RETAINING WALL/
ARPORT ROCKERY RENEWAL AEMA...
PROGRESS INSPECTIONS PER IUBC 108
CTIVITY) EXPLAIM,
(TYPE OF USE, BUSINESS OR C M
Cl)
Q 0
&"4- Ilia.
DESCRIBE WORK TO Balo"ATTA -.1 ILPNI LLS4-9� X
?-&IS Lr kt o vurz.- lir),gliwl, 5DIUM 9111 FINAL INSPECTION REOUIRED
VALUATION >
�F Z
PLAN CHECK FEE
BUILDING -7 L I �,2s Of
HATSOURCE: GLAZIN" % o Z
PLUMBING -j- I 'r,
-JAIL _jv,+�>,
/7A, L JA C I'
j
MECHANICAL 0
Plan Check NO. M
This Permit covers Work to be —don. on Private propOrly' ONLY. GRADtNGIFILL
Iks,
A III, construction on the public domain (curbs, sidew?
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE D
Permit Application: 180 Days STOA. DRAINAGE FEE
Permit Limit: 1 Year - Provided Work Ithin 180 Days
"Applican!, on behalf of his or her spouse, heirs', assigns and
successors in interest, agrees to IndemnIly, de end BIT Do
""0 O'�
I ChI
n .'a, 3.
harmless the C of E mond. Wa. nims for damages of / . —
employees, and 41�,Yenls fiom any �hd -11 hll-inha
whatever nature, arising directly or indirectly from the i:suance
of this permit. Issuance of this a mit Shall not be de Tried to PLAN HECK OEIIGBIT
P r
m any requirement of any city ordinance
. Dolly, waive or reduce 's ability
0 to enforce any ordinance
or limit In any Way the City TOTAL AMOUNT DUE
provision."
I IT reby acknowledge that I have read this application; that the N APPLICATION APPROVAL
in G or the
formation given is correct; and that I am the owner. duly
authorized agent of ,he owoe, , ,01nagree 10 comply with city. and THIS PERMIT This application is not a permit until
.I., laws 'EIgUet'rig ognstru. ; and In doing the Work authoriz- AUTHORIZES
e no ONLY THE signed by the, Building Official or hlS/h!r
ad th reby, person will be employed In violation of the Labor WORK NOTED Deput and 0 s are paid, and receipt is
Codeeof the State of Washington retailing to Workmen's Compensa- acknoyw� ledged in space provided.
ROW 18.27. i INSPECTION
rj1T1R1QaW�,E,Fj,OR AGENTI 1 DATE SIGNED DEPARTMENT OFFIC, SIG RE TIE
1 0 1
CITY OF
EDMONDS
e1w, M-1
CALL FOR rEt A .D By
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE 01, OCCUPY A BAILDING OR STRUCTURE
UNTIL A F:NAL INSPECTION "A BEEN . OE AND APPROVAL OR 771-0220 I/ORIGINAL — Ffle YELLOW — Inspe. Or
A CERT, FCATE OF OCCUPANCY HAS SEEN GRANTED. USC , � �:&� ,, 7 /�� �) PINK — 0-1"-e;' GOLD — Assessor
SECTION 109 A-