20020433.pdfDATE 1-1111:� Z
PERMIT EXPIRES
CITY OF EDMONDS
P,= Z�'2-�)��3.
CONSTRUCTION PERMIT APPLICATION
JOB SUIT
ADDRESS
OWNER NAMEINAME OF BUSIq
PLAT NAME/SUBDIVISION NO,
LOT I'D
LVI FEE I
MAIIIN. A.DREE11
1v2 6 D
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
—'ase—a
a... — -a add.
ZIP
ITELEPHONE
EXIST NG — PROPOSED—
REOU�RED DEDICATION— FT —
M� srequ—
`Req� ad
U-Insand
wtds�
I
METER
YE11V REQUIRED
a C3 NO
ADDRESS
U
20VI fr
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE as
I
z
IT
:; "R e
0 m
I=
ITI
0
C)
0 C
m
10
C2
IASPO-no" f�14'1) *, �Z r-tQ&_L_ 6
cr-7) I If, M1?f
NAME
INEERING REVIEWEDIDATE
C_. --.c
1) - 61 Lse�)*zj- / �' 17,
ADDRESS
Z(??,/ -;zo-e 4-C
FIRE REVIEWED By DATE
c
�Wlw
4'046
1;7;5 0��/
ST. P.,
STATE LICENSE NUMBER EXPIRATION
Alwhozolto0-7 'Fir, It
VARIANCE OR CU
SHORELINE OR ADBA
INSPE NON
RE. .
YES r3NO
I PBOOTNIED
PROF PAID
'!5V� _? 00
I 27�
SEPA REVIEW
COMPLETE EXEMPT
EXP x
SIGN AREA
;D I Z
07 '�ZD
HEIGHT
1,110 PIOF�0110
:D
12 11
0 NEW RESIDENTIAL PLUMBING MECH
C MPLIANCE OR
ADDITION COMMERCIAL CHANCE OF USE
0 REMODEL APARTMENT SIGN
REPAIR CYDS F NOE
( _X_I,Ij
LOT COVERAGE
ALLCy1ED
REQUIRED SETBACKS (FT.) PROPOSED
PONT SIDE NEAR
SETBACKS (FT.)
FRONT as
z_
sa
PA
REDD
ING
PROVIDE
LOT AREA
E
1-as....
DEMOLISH 0 TANK OTHER
GARAGE ETAININEI WALL
CARPO o RENEWAL
RT?rXN ROOKERY
o -n
_n
—4
xm
ITI
00 Vi
0
C (1)
K I
M 0
(TYPE OF USE. ACTIVITY) EXPLAIN:
HECKED BY 1-11
FRE
OF CCON18TRU ION
D
ORCOCUIANTX-3
Up
NUMBER
OF
01 ST.FBE.
1 OF
U EILIN.
T.
C CA
A 5� 7
IT' Lzazv-
1 NU... A
�F
PeCIALEOINSPECTOR
US 0 YES
JAREA tit t
To A.UPANT
'0C)
DESCRIBE WORK TO BE DONE IL_
REMARKS
PROGRESS INSPECTIO.. PER IISC 1081FINAL INSPECTION REDID
A— Im I -rie-1
7V E" �+k
I 05(x LC
/4-7)(2 A4.-()
z
X
Ato
VALUATION$ '2_1 q 9
0)
z
ITI
Description
FEli
Description
FEE
Plan Check
351.
&%O�tRIE LOT SLOPE Building J� 20.,- &Iw _k�
PLAN CHECK NO: VESTED DATE Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLI
a C Grading Recording Fee
DOMAIN (CURIVS, SIDEWALKS, DRIVEWAYS, MAROUEES, ETC.) WILL REQUIRE I
SEPARATE PERMISSION, Engr. Review City Surcharge
PE MITAPPUCATION: INDAYS
PERMIT LIMIT. I YEAR - PROVI ED WORK IS STARTED WITHIN So DAYS Engr, Inspection State Surcharge :To —
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICA ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk D posit
NT
IN INTER T. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
BE 0
x EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND Fire Review Receipt #
ALL CIA,IMS FO DAMAGES OFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
R HALL
M T 6 NOT BE
I FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE Fire Inspection TotalAmountDue 7
IN
9 DEEMED TO MODIFY�YWAIVEE OR RE LICE ANY REQUIREMENT OF ANY CITY ORDINANCE _2CI,,
ANYC'
NOR LIMIT IN ANY W T
0 CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Receipt #
Landscapainsp.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
HA
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNE , I AGREE TO COMPLY WITH CITY AND STATE LAWS HEOULAT114G CONSTRUC- Thasprea.fte Is net. Inaset-01,19dIal by Me
TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL I,Itdinq Orfidi.I., Net, D,dnny� and Fees all paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION le.elpt I-ek—ledg.d I..p.s. pd,ld.d.
WUHXMh;� PENS I I RANCE AND RCW 18.27.
OFFIJJALS SIGNATURE DATE
G
EN&I DATE SIGI:��. (425)
4/
ATTENTION EXT 1333
N,
IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 1— — 'ORIGINAL . FILE �ELLCW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR
I0'6ET5ACK LINE
r- - - - - - - - - - - - - - -
- - -
13,
C '10
.5
ADD GUTTERSIDOWNSPOUT S
:,W
:J AND SPLASHBLOCKS
m!
Cc
''mo,
�fq
APPROVED AS NOTED
EXISTING
RESIDENCE
BY ENGINEERING
m
mz,
Do
—
gz
PAVED
DRIVEWAY Dato .0
wt:.
-
AB
�on
E
�TRY
WD �'NINING
2
-02,
m m
267 ;E E�A K
I�E
HEIGHT CALCULATION
p 0
A- �102 AVERAGE 405'/4=102'
5- 402 MAXIMUM 102' 25- 121,
M
v
C- -102.5 ACTUAL 16'
102.5
Z5
WM
X,
z
OMER/CONTRACTOR IS RESPONSIBLE FOR
omw
DATUM �100
EROSION CONTROL AND DRAINAGE
Z�
m
PAI-EY ST.
— - — - — - — - — - — -
— -
PLOT PLAN
SCALE� P - 2V-O'
FARCEL INLIMIBER:
00 4342 043 Oil 00
SITE AODRESS�
1036 DALEY ST.
EDMONDS, UJA. WOW
OWNER�. JERRY
AND GAYLE FRAWLIN
I LG
Pf
FINAL PROJECT APPROVAL FORM
TO:
DATE:
NMMO TO: PERNIIT COORDINATOIZ, BUILDING DIVISION
FROM: --YM DEPARnMNT DATE�_
6(L-e'elzr ENGINEERING DIVISION DATE-5L2� �O3
—PL G DIVISION DATE
PROJECT --
SITE ADDRESS
PERmrr# �koa,,a-o,��33—ADBi�--DATEiNspEcTEi�- -F7WAL,
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans,� Maul approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
--I�GRANT FINAL PROJECT APPROVAL
GRAM PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy ofCORRECTION NOTICE given to owner/contractorby inspector
2.,
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
ocaprvl.doc.l:temp:bldg:fomisIO/OI
z
9
0
rn
rn 00
--40
0 C::
rn
M
z
0
n
M M
a
0
C co
M 0
Z r-
.IT
M
z
-q
co
z
9
0
M
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ................
FOUNDATION:
Footing .................
Wall ........................
Pier/Porch .................
Retaining Wall ..........
71:
Stab Insulation ..........
PLUMBING:
Underground
Rough -in ...................
M
Commercial Final
HEATING:
M
0
Gas Test ....................
-4
Gas Piping
Equipment
Commercial Final
n
EXTERIOR SHEATHING
M M
'NAILING ..................
0
0 Fn
FRAMING ........................
C D)
FIRST FLOOR FRAMING
ITI 0
Pis
INSULATION ...................
Floor Insulation
Wall Insulation ; ..........
z
ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
Lo -03
OCCUPANCY ..................
/0 OL
i0b (Lkte.A_14
1.1AA CM0_1,1