20020074 (2).pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
9924 242nd Pl SW
CITY ITELEP ONE
EDmonds 98020 206-546-8702
NAME
NAME
1 12601 132 Ave NE I T LEPHONE
I CITY Kirkland 98'0"34 425-814-3124
ROPERTY TAX ACCOUNT
0074
PARCEL NO.
001"100200
NEW
RESIDENTIAL
PLUMBING I MECH
ADDITION
COMMERCIAL
C MPLIANCE OR
CHANGEOFUSS
REMODEL
MULTIFAMILY
SIGN
REPAIR
GRADING CYOS
c3 FE CE
( X PIT,
DEMOLISH
rl TANK
OTHER
GARAGE
RETAINiNGWAUL
F RE SPRINKLER
ci CARPORT
Ei ROCKE Fly
FIREALARM
(TYPE OF USE. BUSI�A�ACTIV"
NUMBER
dE!X5Pit;2JN:
NUMBER OF
CRITICA
OF
DWELLING
AREAS
STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
[PERMIT
EXPIRES zz�_r�
USEE PE
20 URM T
N MBER
JO SUITEAPT#
ADDRESS 9924 242nd Pl SW
FLAT NAMEISUDDiVISION NO.
LOT NO.
L�D N
I
L D FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
Rw. El
EXISTING — PROPOSED
P-11
Rsq.— 0
13
REQUIRED DEDICATION— FT
13
METER SIZE
LINE SIZE
PRV REQUIRED
I
ES 0 NO E3
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
Is
Regair,;ia� of
dnq�d '11119;0n tank; or.
on all hot water tanks per
FIRE RENIEWED BY DATE
VARIANCEORCU SHORELINE OR ADS# I INSPECTION NO
RECIO POSTED
13YEs, 13NO IS 8
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEMPT ALLOWED , PROPOSED ALLOWED PROPOSED
D(P I
LOT COVERAGE REQUIRED SMACKS IFT.) PROPOSED SETBACK$ (I'l)
ALLOWED PROPOSED FRONT SIDE HEAR FRONT UPSIDE REAR
LOT AREA D BY DATE
I PLANNING REVIEWT
LINT3 AS 17"UNf M-ST11E BUILDING
CHECKED BY IT]
tr
Z� OCCUPANT
GROUP
S ECIALINSPEC )CCUPANT
REQUIRED OAD
REMARKS
PROGRESSANSPECTIONS PER USC 1108/FINAL INSPECTION REGI'D A
in garage but's 35,000
L,l FCDC 19.30.020
DU INSTAT T.F.D NEAR
re-il]"ttir—ed oil
VALUATIJINIJUltheate4, Spam UNC 81 S 1 :7
$ 44
Description FEE Description FEE
_L
TH13 WATER SHUTOFF
Plan Check
State Surcharge
HEAT SOURCE LOT SLOPE
Building Permit
City Surcharge 16—
PLAN CHECK NO: Me DATE
Plumbing
Mechanical
THIS PERMIT AUT ORIZES ONLYTHE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSIRUCTION ON THE PUBLIC
2
Grading
0
3 OMAIN (CURBS, SIDEWALKS. DRIVEWAYS QUEES, ETC.) WILL REQUIRE
tz SEPARATE PERMiss10"I'L
—
PFAMITAPPLICATION; INDAYS
Engr. Review
PERMIT LIMIT. I YEAR. PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLIC T. ON BEHALF OF HIS OR HER SPOUSE . HEIRS, ASSIGNS AND SUCCESORS
Fire Review
[
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMI ESS THE CITY OF
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FPOM THE ISSUA CE OF IS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT 91
9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OFANYCITYOROINANCE
Landscapeinsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PRCVISION�'
Recording Fee
Receipt If
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOW THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
". ' "' ""' ,,d 1P, 11,
s
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
,,,ThIppIi,atj
ding Offidst .1 F' vs Wd, �vid
scelpt Is ack,vskadpd 1, $paw prmided.
WORKMEN'S COMPENSAT19N�SURANCE AND how 18.27.
5 IG T DATE
1IGNA1UII1 IOWN! �Ggrrr) DATE VGNED
7�V)"
(425)
m6g) Z��21'f
771-0M
�i�
RELIZAE IIIATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A GERTIFI-
ORIGNAL-FILE YELLM-INSPECTOR
It
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC, SECTION 109
PINK -OWNER 00 D-ASSESSOR
04/02 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN - ACCOUNTING
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80
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In
RECORD OF IN SIDECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ....................
Pier/Porch ...............
z
Retaining Wall
Slab Insulation
PLUMBING:
Underground .............
a M
C
IT,
Rough -in .............
0
0
Commercial Final
C:
ITI
HEATING:
ITI
Gas Test ..........
�4
Gas Piping ............
Equipment .................
-n Ld
Commercial Final
EXTERIOR SHEATHING
IT I'D
0
NAILING ..........................
F
0)
'ftb6R FFiAMI:'G
N
ITI C)
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,t;.FIRSTI
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Wall Insulation ...........
Ceiling Insulation
0)
SHEETROCK NAILING
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SPECIAL INSPECTION
ITI
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY
.................