20020732.pdfI AMIIJ
DATE RECEIVED
PERMIT EXPIRES
I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
"BE PER T
ZONE Lo NUMMB'ERZa2-0732_
JOB SUITE/APT#
ADCR'ss 660 Birch St
OWNERNAME AMEOPBUSINESS
Mr. Marlow
PLAT NAMEISUBDIVISION NO
I LOT NO,
LID NO,
LID FEE S
-MAILING ADDRESS
660 Birch St
0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— FT —
RW 0
0
0
All 0
U . ......
0
CITY ZIP
Edmonds 98020
TELEPHONE
425-776-5257
NAME —
METERSIZE pJ.'UNESIZE
,.k NO,OFFIX(TURES
SUAMT UPC 6 )5 .2_1
PR�REOUIRED
YES 0 NO
Al
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ADDRESS
REMARKS A;�/ATrR S17RVI lull -WI, z
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OWNERIC§, SJOVOINTROLIORAINAGE
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A,449P �t% 1,
I DJF AS rr TITE TWIL,
CITY ZIP
JTEIFPHONE
NAME
Day & Nite, Plumbing & Heating,INC.
KIRSUAIND, 'r'_
ENGINEERINgk PRESSURERE. C
ii-TLATOR VALVE (PRV)
SHALL BE INSTAIj El) KLAT2 —
ADDRESS
E 5700 B 188th St SW
"BE REVIEWED BY lim WA,'ER SHT FF DATE
CITY ZIP
Lynnwood 98 037
I TELEPHONE
1 425-775-6464
STATE LICENSE NUMBER EXPIRATION F
DAYNIPHO44CM
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a,2"
VARIANCE OR CU
HOSE
SHORELINE OR AOBI
R DDS (LVM, RIOR E
INS PECTON
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COMPLETE EXE.PE
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HEIGHT
LOWED , PROPOSED
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9
PROPERTY TAX ACCOUNT PARCEL
00539100001900
C] NEW RESIDENTIAL PLUMBING I ECR
ADDITION COMMERCIAL C MPLIANCEOR
0 CHANGE OF USE
C3 REMODEL n APARTMENT SIGN
C] FENCE
REPAIR 0 GRADING CYDS ( X FT)
0 DEMOLISH 0 TANK OTHER
oGARAGE C] RETAINING WALL C3 RENEWAL
CARPORT ROOKERY
LO COVERAGE
A OWED PROPOSED
REQUIRED SETBACKS H`Tj
FRONT SIDE REAR
PH SETBACft IFT)
FRONT LIRSIDE REAR
PARKING
LOT AREA
PLANNING REVIEWED 6 DATE
REMARKS
LREOOPROVIDED
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
--,riz-
CHICIEDBY 17YPIOICIINg/fION
14
N
On 0 OUPA Tk�7
GR CUP
NUMBE R
OF
STOP E
BE
NUMBER OF
DWELLING
UNI TS
CRITICAL
EA
ARE S
NUMBER P1440r�
SPECIAL INSPECTOR
REQUIRED E] YES
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE Replace water service
REMARKS C
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D 3.
to house from meter about 30ft.
VALUATION I FEE
PLAN CHECK FEE
HEAT SOURCE GILAIING 1, LOT $LOPE I
BUILDING
PLAN CHECK NO: IVESTID DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NO) ED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURB% SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
GFADINO�FILL
SEPARATE PERMISSION,
-&'<E SURCHARGE
PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG, REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-AP LICANT, ON BEHALF OF HIS 08 HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG, INSPECTION FEE
IN INTEREST AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
2 E MONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE
A L CI -AIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR IN DIRECTLY
'RECeIPT
X FA M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUl REMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
D NORLINIT INANYWAYTH—TY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
CEIPT
X1
TOTAL AMOUNT DUE
I
I RER�.Y ACRN.- EDGE THAT I HAVE READ THIS APPLICATION, TH- TH. INI ... A-TI.N
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITI CITY AND STATE LAWS REGULATING CONSTRUC
CALL
Tb,S IPPI111t,11 11 - l, 1111t .01 llq11d by lb,
K)N, AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
G TO
IN VIOLATION OF THE LABOR C OF OF THE STATE OF WASHINGTON RELATING TO
'j
R I 9 011-Il 11 hIlft, DOPIN: Ild rOD. 110 plld.;
I d
FOR INSPECTION P1111,11
WORKMEN SCOMPPENSATIONIN URANCEANURCW16.27�
OFFI T RE DATE
CIA s�;
DATE SIGNED
(425)
7- -3
771-0220
RELEASED By D*E
ATTthTION
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 -ASSESSOR
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FINAL PROJECT APPROVAL ORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIREDEPARTMENT DATE-
-N
ENGINEERING DIVISION DATE--21'—Z-(O-
PLANNING DIVISION DATE —
SITE ADDRESS
PERMIT#__Qt��/2— ADB#___-----PATEINSPECTI:,D
DESCRIPTION OF WORK TO BE INSPECTED—W I . . ......
A field 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
GRAM PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE_INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date— Sign_
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing..................
wait .............
Pier/Porch .................
Fetaining Wall
Slab Insulation
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final
HEATING:
GasTest ....................
Gas Piping ... ..............
Equipment . ..........
Commercial Final
EXTERIOR SHEATHING
NAILING ....................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
f Coiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
ITIA "49
OCCUPANCY .................
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