20020071.pdfAM.
C'T y
CITY OF EDMONDS
0 F E D MO N DS
USE
E
Z.HE PERMIT
N E
NUMBER
C RM
CONSTRUCTION PERMIT APPLICATION
0 E IT A PPL,CAT
�T R
ON
10.
0 A
SUITEIAPT
0 W N ME I A 1�2108 INS
OWNER NAME INAME 01 BUSINESS
A A
ADDRESS
D
L E G A L S
LEGAL U—NIF-H -EC�j SuB.IwN NO
LID .0
A -EA ..
U L A
PUBLIC RIGHT OF WAY PEA OFFICIAL STREET MAP
TESCA APP,d 0
I T ,A
w P'""'
-77 7 8- -0 Y 2
'a
T
EX IST$NG "COUIRED DEDICATION —
x . P
F.P.IIED
S
1 ININ ... PvNT'I P.vV
PIP..P`Nqvq..,. 0
N A M
NAME
_
E-Knilk A.-- 0
ce
AD "s
T A
"ITIR Sl�=O 01 IIITLAES
IAI REONOIRED I -
YES 0 0
CITY ZIP -ITELEPHONE NUMBER
nry zip
A
RE—S
M
E A -Ks
FIRE MARSHAL
NAME
N AME
TO (.5 F- 7-/q-/VK 5
1 MI-JR F ILL., 1 11
ADDRESS
.35- /4,j F- ---3
I E
ENGINEERING MEMO DATED
REVIEWEDBY
CITY z, A TIE BAN... HUM..
I.H. —U LIA
REVIEWED By I,
��ft..E NUMBER EXPIRA 0
ir�� I
"
00?.6
�Mgnt Vine'I'le
-"Z
-
VARIANCE OR OU —ADB It
"4EL"IN4
I :__
Pr"operty .t t
all easements
'i —
_6�
'A At� SIGN AREA
C C OMPLE-ri: -VI5W AT
EXEM
EXP i X
11�m
is.l.".1-1 -t�3 i -tv3i - b/ 0,R'
IA
Farrel N. 33 6/0
L AT
rAIT-A—
FRI.- 9
El
REMARKS
REM ARKS
"ECH
PLUMBINGIMECH
ms�rALL-
f:k-:P-
E] C MPLIANCE OR
-f
171-1—=
FLA-k,
A DDITION
CHANGEOFUSE
USE
REMODEL
El SIGN
REPAIR F'� DIA111
PENCE
(—x _"
;IIE.KIED BY
CH."". BY !T.UCIGN co,�;;r
00cu
GROUP
DEMOLISH F1 GODSTOVE
INSERT
SWIM POOL 'A
HOT TUB/SPA
3M 111,13-1310. AREA
ED'AL "'a-,
GARAGE 0 RETAINING WALL/
A CCIAL
U AEG
a I A
FIE - U E E3 yes
r
'Ah FORT ROCKERY
RENEWAL
S
0, Us;�IgNESS On ACTIVITY) EXPLAIN:
T�,
PROGRESS INSPECTIONS PER USC 108
SS 010 k) 4 ?1�
IA)Sr
E CIGM M 15 S /0 " 0 L a ij &0Tr/rrrV(, 1), L
FINAL INSPECTION REQUIRED
C1110000-XII-Y,
0 =7-n L L &r
VALUATION
FEE
-r,+p K
PIN C14ECK FEE
BUILDING
HEAT SOURCE:
GLAZING %
PLUMBING
Plan Check No. cl/- 41&16-
MECHANICAL
This Permit covers work to be done on private property ONLY.
GMADRIGIFILL
1
Any construction on the public domain (curbs, sidewpiks,
—
marquees, etc.t will require separate permission,
STATE SURCHARGE
_driveways,
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
END, INSPECTION FEE
Successors in interest, agrees to indemnity, defend and hold
h rmless the City of Edmonds, Washington
AIJ14 5/
5'
emplotro-, and agents from any and all claims iortisam.g..1f.-i
1 A
what Ver nature, arising directly or indirectly from the Issuance
a
61
of this permit. Issuance of this Permit Shall not be deemed I
PLAa-ECK DEPOSIT
cc
modify, waive or reduce eqUireMe.t 0 any city rdinan a
Carry
nor I imi I I� any way the fly's ability to enforce any ordinance
TOTAL AMOUNT DUE
18 %(V
provision.
hereby acknowledge that I he 0 read this application; that the
inf'ormation given is correct: andvthat I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
slate laws regulatin g construction; and In doing the work authortz.
AUTHORIZES
This application is not a permit until
Ed thereby, no person will be employed in violation of the Labor
oNLY TIE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa.
WORK NOTED
Deputy; and fees am paid. and mcelpt is
tion iostirance aria RCW 1
INSPECTION
acknowledged in space provided.
DEPARTMENT
—
CITY OF
OF, C S
E CIVIC NOS
CALL FOR
,
ATTENTION
INSPECTION
Kml-
Qu,
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNIIII. A FINAL INSPECTION HAS BEEN MADE AN 0 APPROvALOR
771-0220
ORIGI�41- NELLA - inspect,
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, USC
SECTION 109
PINK - Owner GOLD - Assessor
10247
Z
OX
C:
M
0
80
C
X IT!
M Z
10
O"Al
n
M M
00)
0
0
M 0
Z
Z
Of
Z
9
0
M
#1NALPROJECT APPROVAL FORM
TO:
DATE:—
WMO TO: 'PERMIT COORDINATOR, BUILDING DIVISION
ARTI�MNT
FIREDEP DATE G
FROM:
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE —
PROJECT 0
SITE ADDRESS C�y
PER PECTED---�a�17
,I,ff #_S�� INS
DESCRIPTION OF WORK TO BE INSPECTED 07 1) /q7& T—
A lield inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH
CONDITIONS NOTED
C, Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION OUTSTANDING ISSUES
en to owner/contractor by inspector
u Copy of CORRECTION NOTICE giv
2.
3.
RMNSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date, Sip_
oraprvl.doc,l:ternp-.bldg;fo=10/01
z
0
3:
M
MO
0
80
C
M
M z
g) --I
C 5
0
MM,
0
0
0 M
C CD
9 W
M
z 0
-1
z
M
z
M
7�
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ..............
FOUNDATION:
Footing..............
Wall .... ...... ......
Pler/Porch . ...............
RetainingWall ............
Slabinsulation ............
PLUMBING:
Underground .............
:0
M
Rougii-ln_.� ...... ......
M
0
Commorclaffinal .......
0
c
HEATING:
ITI
J0
GasTest .................
6asPiping ................
Equipment..
CommerclalFinal .........
M ITI
EXTERIOR SHEATHING
a vj
NAILING ..... ..............
OT-
0
FRAMING ...............
a
Q 0
INSULATION:
z
71
Floorinsulation ...........
;U
Wall Insulation
z
Ceiling Insulation... ......
SHEETROCK NAILING ......
z
SPECIAL INSPECTION ......
0
IT!
MISCELLANEOUS
FINAL APPROVAL
FOR OCCUPANCY.
71Aoe