20020826.pdf4&.,. RECEIVED
JC!J1
Kj()4 [PERMITEXPIRES
CITY OF EDIVIO�5S
E'
'ONE PERMIT
us NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITIUAPT#
ADDRESS
�77&)D kv-,
OWNER NAMFINAME OF BUSINESS
60 W
J�_b Z, �j
FLAT IIAMEISUIDIIIsION 110. —_ T
LOT No. 70 NO
MAILING ADD E
R40
LID FEE I
Aver
up ru,'
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP el"Mz"
ser.i u.. P.." y.ret
city ITELEPHONE
EXISTING __ PROPOSED— I eu Her-e-d
ele ..e.eue'd 13
REQUIRED DEDICATION— PT' — trede'e—
NAME
METER SIZE
LINE Sl='
PRV FIFOUIRED
AjUj-4 4,S50(f
I
YES 13 NO E3
. ... ..... . _2,r!51,4,AJ -
ADDRESS
REMARKS
z ra,5:-4�'
0 NERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
I r A V, ��
CITY ZIP ITELEP ONE
4/ 7 S
NAME
71!Z
ENGINEERING REVIEWED BY DATE
oj ADDIE11
679
CITY ZIP TELEPHONE
"as DATE
0
&Lwby
z
STATE LICENSE NUMBER E71RA)ION DXff_T
VARIANCEORCU IHOREUNEOPIAD11 INSPECTION BOND
rea, POSTED
9
13YsS ONO S
PROPERTYTAX
$EPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PIOPOIE.
�AC?.'O
o
, , I
EXP
rl NEW RESIDENTIAL PLUMBeNGIMECH
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.)
ALLOWED
a
COMPL CEOR
PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR
rn
0
ADDITION CHANGE OF USE
,K�OMIAE.C-
In 0
PARKING I LOT BY DATE
0
E] MULTIFAMILY El SIGN
REDD PROVIDED
,§rFIEMODEL
rl FE OE
REPAIR GRADING IDS I X Fr)
I
REMARKS
3: tin
M z
rl DEMOLISH TAPIK E3 ol;ER
GARAGE AFTAINtNGWALL RE SPRINKLER
F1
ROCK [3
CARPORT ERY FIREALARM
(TYPE OF us
Co
IC 0 COU
CHECKEDBY jTYPE0ffSTR'U OCR P2T/
U: 2—
0 "n
-n
NUMBER e-7 I NUMBER OF CRITICAL
OF 0, 1 DWELLING AREAS
SPECIAL INSPECTION OCCUPANT
STORIES UWA NUMBER
JAREA
r S LOAD
REQUIRED YE
M M
DESCRIBE WORK TO BE DONE
I
CDI
REMARKS
0 r-
0
M
PROGRESS INSPECTIONS PER UBC 11011/1FINAL INSPECTION REOrD C co
ILV6,77A 1� L a2-?A1_F— beolz <
C 0)
Aelki-e 2— OLIsAj��
M 0
's AM
>
Description FEE Description FEE
z
-4
:TE.'.AT]E
Plan Check State Surcharge
X
HEAT SOURCE GLAIING I LOT SLOPE I
z
Building Permit City Surcharge
PLAN CH:::,�- VESTED DATE
Plumbing
0
D1
Mechanical In L151- 67
THIS PERMIT AUTHORIZES ONLYTHE ORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURDS, SIDEWALKS. DRIVEWAY$ MARQUEES, BIG .) WILL REQUIRE
SEPARATCPERM;SSION.
PERMITAPPLICATION: IN DAYS
Engr. Review
PERMIT LIMIT, I YEAR ED WORK IS STARTED WITHIN 1 80 DAYS
Engr. Inspection
.B.A.;PROVI
PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review Plan Chit. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 E MONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt III
ALL CLA] S FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROMTHE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape finsp, Total Amt. Due
4t/
— DEEMED TO MODIFY, WAIVE OR RE UCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
77;
IIN
Re rd ng Fee Receipt III ;�h f,
'0
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; 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-
vittat. poleek uedt.Igno.d by the
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYER
VIOLATION OF THE LA
A THE STAT OF WAIHINOTON RsLATING TO
Se"Thi-pplicrund
ding Official or his/her Deputy: ee'F.de.,.p uIruel
FOR INSPECTION 10c,eid 10 reckle,01dood In speed Provided,
WORKMENS COMPCNSAT13r� AND C- 1.21.
W
OFFICIALS SIGNATURE D
(425)
A
771-0220 �R �
ATTENTION
D r-
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
'�R - YELL IN -TOP
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
P641."IIELE
G R - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ................
FOUNDATION:
Footing .... ...............
Wall..........................
Pier/porch ..............
z
Retaining Wall ...........
0
Stab Insulation ..........
PLUMBING:
Underground .............
M
Rough -in ..............
R1I
Commercial Final
C)
0 C:
HEATING:
M
z
Gas Test
z
Gas Piping ..........
Equipment .................
Commercial Final
M M
EXTERIOR SHEATHING
a
NAILING ..........................
0
0 Fn
FRAMING .. .................
a 0)
FIRST FLOOR FRAMING_
0
INSULATION ...................
Floor Insulation
Wall Insulation . ..........
z
Ceiling Insulation
z
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................