20020323.pdfDATE RECEIMVED *it& I
1 141 lt')�_ i PERMIT EXPIRES
I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NA`UFINAME OF BUSINESS
I"
Alex Molnar
3
ADDRESS —
FMAILING
P.O. Box 55576
C CITY
ITY ZIP
TELEPHONE
Seattle,WA 98155
206-363-5001
NAME
by owner: Alex Molnar
ADDRESS
540 Edmonds Way
CITY ZIP
ITELEPHONE
Edmonds. WA 9 8020
1 425-774-9510
NAME
- af xi�'r aez'4�y
ADDRESS
CITV ZIP
TELEPHONE
STATE LICENSE NUMBER EXPIRATION DATE
I CHECKED BY
;I
PROPERTY TAX AD OUNT GEL NO.
27032500308300
0 NEW RESIDE IAL q
_(a.�EGH
NO
ADDITION E] COMMERCIAL 11 CHANGE OF USER
REMODEL 0 APARTMENT El SIGN
E] REPAIR E] GRADING 0 'INGE
Cy.. I — X Fn
DEMOLISH TANK OTHER
GARAGE RETAINING WALL
CARPORT ROOKERY RENEWAL
(ME OF USE, BUSINESS OR A3?
?rN:
NUMBER
OF
NUMBER OF
DWELLING
CRITICAL
'GAL
AREAS
Ad
STOR JES a,
_Pel
UNITS I
NUMBER
ER
DESCRIBE WORK TO BE DONE
r.hannina f rain P lioctrir
h. '-W at er
water boiler & domestic hotwater
—2- &71V117-, I'J 7�1 Ile
J13012- AAA
aj A? S/ �A/Pl—
"D7
, V"
HEAT SOURCE 11—NII Is
LOT SLOPE I
PLAN CHECK NO:
VIST111 DATE
THIS PERMIT AUTHORIZES ONLY THE WO K NOTED. THIS PERMIT COVERS WORK TO
t:
BE DONE ON PRIVATE PROPERrY ONLY, ANN' CONSTRUCTION ON THE PU13UC
M
]DOMAIN (CURBS, SIDEWALXS. DRIVEWAYS, MARQUESS, ETC.) WILL REQUIRE
SEPARATEPERMISSION.
PER ITAPPUCATION: ISDIDAYS
PERMIT LIMIT I YEAR - PROVID D WORK IS STARTED WITHIN INDAYS
SEC SACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHAL OF His OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE Of THIS PERMIT SHALL NOT BE
9
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0
NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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 CONSTRU
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EM PWYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON REUTING TO
WORKMEN'S.05WkNSATION INSURANCE AND RCW 1027.
DATE SIGNED
4-29-02
USE PERM T
ZONE NUMBER
JOB SUITEIAPT#
ADDRESS '5110 Fd1nod-, A�
PLAT NAMEISUBDIVISION NO. I LOT No. L�D Il
L D FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP d
Plonst P�Wd
EXISTING — PROPOSED risous.
ton-1, .'unsd
REQUIRED DEDICATION— FT ,o_
P" "Ou"'D
REMA
GWNEtNW DR K/DRAINAGE
I milikil ott fud-burning appli linces in
:IRE REVIEWED BY DATE
VARIAN VfflWQh33$ QjOWhEJ.j(M9kd#% watep Stillin BOND
a
E POSTED
is open or dowd, P.,,pansioq b =12re
L4%dJfi'jNpgE "Fi k JLpgE HEIGHT
LPT
SEPA FM 39L PCs
'OMP I FUSED
, LETE . 9JAd
KP ECDC119.30.020'C)
LOT CI �VERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
,LLOWED PROPOSED FRONT SIDE BEAR FRONT UR SIDE REAR
PARKING I LOT AREA I PLANNING REVIEWED BY DATE
IEMARKS
:HECKED BY JTYP;,�N I Cll�:_';t 11 UP,
OR
BIT UP
�PECIAL INSPECTOR JAREA
EQUIRED [] YES LOAD
OCOU
EMARKS
INSPECTION
VALUATION $
Plan Check
Mechanical
Grading
Recording Fee
Engr. Review
City Surcharge
Engr. Inspection
State Surcharge
Traffic Mitigation
Plan Chk Deposit
Fire Review
Receipt #
Fire Inspection
Total Amount Due
I
Landscapeinsp.
Receipt #
CALL
FOR INSPECTION
(425)
771"0220
APPLICATION APPROVAL
This application is not a ponnit-11 started bythe
Building Offlclitt,, Init-orOoputy; and F—are pind,and
ro'inpl I...kn.w1sdg.d 1. spue p—IdedF
/;/A;); DATE
OFFICIALS I;
— "J(�
RELEASED BY
ATTENTION
EXT 1333 -----------------------
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221 1
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL . FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK - OWNER GOLD � ASSESSOR
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171
RECORD OF INSPECTIONS
t
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall........... f .............
z
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
C
Underground .............
IT! 0
0
0
Rough -in ...............
0 C
d K
Commercial Final
:i: M
I., Z
HEATING:
Gas Test
C
>
..............
Gas Piping
0 -n
Equipment .................
ITI ITI
Commercial Final
EXTERIOR SHEATHING
6 Fn
NAILING .......................
0)
mo�
FRAMING........................
FIRST FLOOR FRAMING
INSULATION ................
z
Floor insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
0
171
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR W3
OCCUPANCY ..............