20020348.pdfDATE RECEIVED
Ift
PERMIT EXPIRES
CITY OF EDMONDS .. PERMIT
NUMBER 201)
CONSTRUCTION PERMIT APPLICATION Joe SUITEiAPT#
ADDRESS
tu
OWNBRNAMEIN OF BUSINESS I 12L
PLAT NAME(SUBDIViSION NO. I LOT NO. LID NO.
1E,,SC.1,Ad 0
'UK" 'Jtyf* "L'� 0
0
E -pp-
E . . ........ 0
IYN I FI
NAME
E NO. OF FIXTURES
PRV NEON ED
YES 0
ADDRESS REMARKS
OWN�ROONTRACTQR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
-61-Ty
RegZ4GSS of WhethI,:r thn water tpf—
NAME IS Opell Of C.X.91,13ion tanks'are
L�� � ALA 'TVIL ERGII IIQ
ADDRESS
04 Code, ECDC
ZIP TELEPHONE E WEBBY
gy" -�wj 470 -ULt Y-,
NE OR ADS# INSPECTION BOND
TA'-E `E'
ENSE NUMBER EXPIRATION DATE VARIANCE On cu SHORELI REOID POSTED
kL OURS11AWr To ONO
wfl�Z]!!DP Ili
a
IM
I L ' V-1-2 HEIGHT
SERA RE�,Ew A WAITE Nfm
PROPERTY TAX ACCOUNT PAR PLETE E FIR POSED
CEL;�V -XEMSR, . S
&Wr
il;Lcsj Rupw
F
1
m
19, , I,w E AS 1,r jzZ� 'ON T
1� -1 [A
I .
FIPV616daft
LO COVERAGE REOUIRED SETSW(�Re(W� _VBACKS HFT)
NEW )<RESICIENTIAL PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR
55
ADDITION [3 COMMERCIAL o COMPL ANCE OR
CHANGE
0 m
c m
OF USE
PARKING AREA BY IIAT;-
m a
REMODEL C3 APARTMENT D SIG. REGO PROV �,LOT LP-NNING
0
LREVIIN10
I X; 01,
toils IrAugm
80
c
GRADING 0 FENCE
REPAIR CYDS X FT) REMARKS
MR MWO TO HAVE A
-4 -c
C] DEMOLISH TANK 0 OTHER
3: M
m
/A
pp
E:i GARAGE RETIUNIND WALL
CARPORT K'R RENEWAL
c
>
OCCUPANT
(TYPE OF USE. BUSINESS 0�5r
CHECKED By Ty P C
I PTIAtV
NUMBER 1BM.EFI .1 R
OF WELL NG AREAS SPECIAL INSPECTOR OCCUPANT
0
-4
JARIA
TS NUMBER REOUIRE LOAD
STORB_ URI -D [:] YES
DESCRIBE WORK TO BE DONE
In M
REMARKS
0
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D
\<",(Az�L k,
M,:72
c
M
0
Z r-
P5
0,
VALUATION
FEE
Z
PLAN CHECK FEE
HEAT SOURCE GLAZING I LOT SLOPE 1
0)
z
PLAN CHECK NO: 5TED DATE PLUMBING 2-0.
0
q
0
------------- E== MECHANICAL
m
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUS LID
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MAROUEE$. ETC.) WILL REOLBRE
SEPARATE PERMISSION.
SIATE SUPCHARGE
PER IT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS END REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'AP LICANT. ON BEHALF OF HIS 013 HER SPOUSE, HEIRS, ASSIGNS AN ENS. INSPECTION FEE
P DSUCCESORS
IN INTERESr. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLE-LANDSCAPING
X EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM'ANY AND INSPECTION FEE
w ALL CLAIMS FOR DAMAGESOFWHATEVEII NATURE, ARISING DIRECTLY OR INDIRECTLY
FIR M THE;SSUANCE OF THIS PERMIT I SSU NCE OF I HIS PERMIT SHALL NOT BE 181C�Ipl
DEEM D TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE 'LAI CHECK DEPOSIT
N
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PPOVISK) - TOMLAMOUNrOPE
I HEREBY ACKNOWLEDGE THAT I HAVE, READ THIS APPLICATION, THAT THE INFORMATION
APP ICATION APPROVAL
GIVEN I S CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THEOWNER I AGREE TO COMPLY WITH CIT Y AND STATE LAWS REGULATING CONSTRUC T ` - 1� -I . P-11 -.1 �19- I,, ".
CALL
I
TION, AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED .1Ld1I`11 N1I,., D.Pull: - F- - -1
IN VIOLATION OF THE LA ODE 0 THE STATE OF WASHINGrON RELATING TO FOR INSPECTION 1� n p-d-
__,..,P,
W RKMEN*S COMPENS T ONjN URAN�E AND DOW 18.27 OFFICIALS SIG BATT
(OVZF:0A DAT[BGN1 (42 5)
SZ �A')L
-
_.�JRE
77 1-0220 -
FED Ill cj UIATE
ATTENTJ_ON EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
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 - ASEESSORr
5198 . , �>
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS
FOUNDATION:
Footing ......................
wall ..................
z
Pier/porch .................
Retaining Wall ........... .
0
Slab Insulation ..........
'PLUMBING:.
am
Underground ...........
!3
a
m ",'I"
0
Rough -in ...........
0
Commercial Final
m m
HEATING:
z
z
GasTest ....................
Gas Piping
Equipment .................
Commercial Final
m m
EXTERIOR SHEATHING
0
0
NAILING ..........................
C
FRAMING ........................
m 0
z
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
z
Wall Insulation ...........
CA
Coiling Insulation
z
0
_j
SHEETROCK NAILING
0
m
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
A11111111h