20020832.pdfDATE RECEIVED
— 7
PERMIT EXPIRES
LfSE PERMIT
CITY OF EDMONDS
ZONEAee22 J, Y NUMBER "A
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CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
SUITEIAPT#
OWNER NAME/NAME OF BUSINESS
vlazv�_ (:�Oms
5wc 7
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
MAILING ADDRESS
'7'7,n 7 5-ar'e
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESUP AP
RW PsfrrJI'R*j,,
.554A
EXISTING - PROPOSED
street use Perm I Rsq'd
Inspection Required 13
Sidewatit Required 13
CITY ZIP
TELEPHONE
5d )0&
tr
d9y'_ 7,7
REQUIRED DEDICATION- FT
Underground
Wiring required 0
NAME
METER SIZE
LINE ��.
OF FIXTURES
PRV REQUIRED 0
I
YES13 NO E3 L'
04e-- C2
� I
ADDRESS
7. m7 5,'N - 5cli -m ffj t_
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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CIT'r ZIP
ITELEPHONE
NAME CBLN
Wit (146L CM&Kaklu 566
ADDRESS
7-IA'? -/J,?fb <7 </,d
CITY ZIP I TELEPHONE
STATE LICENSE
PROPERTY TAX ACCOUNT PARCEL.NO.
!9:=-
7-> -067-1002L
NEW
RESIDENTIAL
PLUMBING / MECH
ADDITION
COMMERCIAL
COMPLIANCE OR
E] CHANGE OF USE
13 REMODEL
XIMULnFAMILY
SIGN
REPAIR
13 GRADING
CYDS
FENCE
( —(&— x _%a FT)
DEMOLISH
13 TANK
OTHER
[3 GARAGE
RETAJNINGWALL
F RE SPRINKLER
CARPORT
ROCKERY
FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
6" It Y,
NUMBEV t,
NUMBER OF
CRITICAL
OF N—If
DWELLING
A
STORIES
UNITS
N
DESCRIBE WORK TO BE DONE
& r t11,1W_ / ) r& A Y 4 Y- 7-eviomp
ENGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE 1 '01
VARIANCE OR CU SHORELINE ORADRtj INSPECTION BOND
REO'D POSTED
S ONO 1$
BEIRA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED
I L" L�� t � / L /
EXP dl
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
I A'�Iel4
PARKING LOT AREA I PLANNING REVIEWED BY DATE
REO'D I PROVIDED I j � - "-_ — � L j CL
. I&K.'020
CHECKED BY ITYPE OF CONSTRUCTION CODE OCCUPANT
-2" GROUP
C7 _1
SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [] YE LOAD
REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD
lb 57 aR;.
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE__7 GLAZING % LOT SLOPE %
Building Permit I
City Surcharge
PLAN CHECK ND- VESTED DATE
ng- 36'
Plumbing
=
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
lz BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
Grading
:3 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: ISODAYS
PERMIT LIMIR I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICAK ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
Q, NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt #
I HERE13Y ACKNOWLEDGE THA1 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-
CALL
This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or histher Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN.S COMPENSATION INSURANCE AND RCW 18.27.
S1V3t9%TURE DATE
81 T RE (OWN OR DATE SIGNED
IA05)
VIALS
_V
771-0220
TiEf
PMED BY DAYIE
ATTEWION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
LA
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
S ETBACKS .....................
FOUNDATION:
Footing ............ ..........
Wall..........................
Pier/Porch .................
Retaining Wall ...........
ITI,
IN
Slab insulation ..........
PLUMBING:
Underground . .............
11711�
M
Rough -in ...................
Commercial Final ......
HEATING"
M
110
C
GasTest . .....................
Gas Piping .................
4,
Equipment .................
n
Commercial Final ........
M
EXTERIOR SHEATHING,
Fn
NAILING ..........................
C
j;l
FRAMING. ......................
. ..... .. ......
FIRST FLOOR FRAMING.,
INSULATION.. ....................
Floor Insulation .........
vall Insulation ...........
Ceiling Insulation .......
S14EETROCK NAILING ...
0'
IT!
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
60
I
I IDATE R4FEIVED
jr;
ERMIT EXPIRES
FP
------ lr-- USE PERMIT
CITY�OFEDMO NDS ZONE4pg N MB'ER
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
ADDRESS
OWNER NAME"E OF BUSINESS S7
�nfz7e(1C 01(>eV PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
&Z
MAILING ADDRESS LID FEE S
TIESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW Permit Required
�2_ Street Use Permit Rocfd
7,7o 7
CITY ZIP TELEPHONE EXISTING PROPOSED Inspection flequlrc�
Sidewalk Required
e7f REQUIRED DEDICATION— FT UnderWowd
7 Wiring required 13;
NAME METER SIZE LINE SIZE ] NO. OF FIXTURES PRV REQUIRED
YES C3 NO 13 z
Vevj 11941 C' �w P"12, /D - 1 9 't I
ADDRESS REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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5, Cd -
Zte-', 7 -) U, -W
CIT? ZIP _.ITELEPHONE
_OonA C7 7b-?, Z
NAME CBLN
Pit Owe" Rnly ENGINEERING REVIEWED BY �DATE
CC ADDRESS z
11 5-01 74� FIRE REVIEWED- By DATE
CITY ZIP TELEPHONE 0
M
VARIANCE OR CU SHORELINE OR ADXj INSPECTION IS BOND
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY REO'D POSTED
xxie th� MYES ONO
k0(r*56 1616511 0q_ Vj �
SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. LETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED rn
COMP I ,
? L.--,* M 0
EXP 0
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) 0
NEW 0 RESIDENTIAL PLUMBING MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
COMPLIANCE OR M
ADDITION COMMERCIAL CHANGE OF USE M
10
PARKING LOT AREA PLANNING REMVI ED BY DATE
REMODEL XMULTIFAMILY SIGN REQ`D I PROVIDED
FENCE r 00d,22
-4PAIR ( (0 x FT) R
CYDS
OTHER 6*-*'02 0 A-5 CO)
0 0
EMOLISH
GARAGE RETAININGWALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT M M
GROUP
4—
NUMBER� I NUMBER OF RITICAL 592" 0
OF DWELLING AREAS SPECIAL INSPECTION JAREA OCCUPANT 0 FT,
I A UNITS LOAD
STORIES &!!g& I i CNUMBE REQUIRED [:] YEs
DESCRIBE WORK TO BE DONE M 0
REMARKS
PROGRESS IN&ECTIONS PER UBC 108/FINAL INSPECTION REQ'D
Afflant ET611
z
lftAlry OeAle_ VALUAnON jM1r6616W
$
4 z
P4 5-7 e.; A Description FEE Description FEE
0
Plan Check State Surcharge
M
HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge
PLAN CHECK VESTED DATE Plumbing
Mechanical
THIS PEMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
EQUIRE Grading
DOMAIN (CURBS, SIDEWALKS, DRIVIEWAYS. MARQUEES, ETC.) WILL R
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: ISO DAYS
PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICAW. ON BEHALF OF HIS OR HER SPOUSE; HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES,TO'.INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
a EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt N
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIFE ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE cays AsiLrry TO ENFORCE ANY ORDINANCE PROVISION.-
zi Recording Fee Receipt 111 747
I HERE13Y 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- This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or hisrher Deputy: and Foos are paid, and
receipt Is acknowledged In space provided.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
OF IALS SIG TURE DATE
DATE SIGNED fA05) e
S19W'ATbRE (OWNPR Ofl,,WE`T��'( ' ') z It -will" %//)
771 DAYIE
- all 1-7 -0220 'RE SED BY
ATTENTION M 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - Y I I ON - IN&ECTdR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
A