20020862.pdfE RECEIVED PERMIT EXPIRES
us' PERMIT
CITY OF EDMONDS ZONE NUM 3�E�R
CONSTRUCTION PERMIT APPLICATION JOB AbITEIAPT.
OWNER NAMEINAME OF BUSINESS ADDRESS 7403 0101$Jeer Way
Dane Stow PLAT NAMEISIJBDIVtSION NO. I LOT NO LID NO.
7AZ ING ADDRESS Block 5 LI. FEE
7403 McLeer Way PU11I EIGHT OIW4Y PER 0111CIALITREET MAP
71TY ZIP TELEPHONE — EXISTING — PpOpOS5,_
Edmonds 98026 425-774-5195 ABOUIRED DEDICATION— FT —
NAME METES SIZE I LINE SI!= PRY REQUIRED
d I Yes 0 NO C3
ADDRESS REMARKS
OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAMAGE
CITY
TELEPHL
on luel-bLroing RPPHa"ces In
NAME
Day & Nite, Plumbing & Heating
unheated SpaeLq. UMC 815.1.7
f7NGMEERING
IF ADDRESS
2 5700 B 188th St SW
FIRE REVIEWED BY DATE
A,
CITY ZIP
0
Lynnwood 8037
TELEP ONE
425-775-6464
STATE LICENSE NUMBER EXPIRATION DATE
DAYNIPHO44CM
JJ,Q,I2�
I CHECKED BY
4IM44
VARIANCE OR GO
SHORELINE OR ADBN
INSPECTI N
ABDO
OYES ONO
SON
POSTED
SERA REVIEW
COMPLETE EXEMPT
EXP
SIGN AREA
ALLOWED , PROPOSED
HEIGHT
ALLOWED , IROPOIE1
PR6p6WflbffbVTdAftff4N0.
C3 NEW RESIDENTIAL IN UMSIND I MECH
[3 ADDITION COMMERCIAL o COMPL ANCE OR
C.MMB,
COLARES' DEI
CHANGE OF USE
F T.
A R
0 REMODEL APARTMENT SIGN
n REPAIR C] GRADING C,.S 0 FENCE
_ X IT,
DEMOLISH TANK Ei OTHER
oGARAGE r-1 SETAININGWALL
CARPORT — ROCKE Y 0 RENEWAL
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT URSIDE REAR
PARKING
EGO
0
LOT F
0
PROVIDED
DATE
E.
RE AIKI Ul)taln 1:11evErical
x laum
L-55(7
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
CNICIED91
ITIP:MWIIN
R Up
NUMBER OF
DWELLING
UNITS
CRITICAL
AREASS &1W
NUMBS 14
SPECIAL INSPECTOK 11kRBA
REQUIRED C] YES
OCCUPANT
LOAD
DESCRIBETfflFj.1ff61EO ld gas furnace wi�h new
'REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE01
furnace and add AC unit to house
C
ZO SX-6-4- As- 425
"1/,-;;
:�
VALUATION
FEE
, , , /
PLAN CHECK FEE
HEAT SOURCE GLAZING %
BUILDING
PLAN CHECK NO: 11ESTID DATE
PLUMBING
MECHANICAL
THISPERMITAUTHO IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BEDONEO PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLI c
OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARGUEES, ETC.) WILL REQU RE
GRADINQIFILL
SEPARATE PERMISSION,
�URCHARGE
PERMtTAPPLICATtOM 180 DAYS
A. PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN 1 BG DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG, REVIEW FEES
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESoRS
E INSPECTION FEE
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS HE CITY OF
LDSCAP NO
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
INSPECTION FEE
A L DI RECTLY OR INDIRECTLY
LCLAIMS FOR DAMAGESOF WHATEVER NATURE,ARISING
FEC—EIPT
FROM THE ISSUANCE OF THIS PERMIT, ISSU NCE OF THIS PERMIT SHALL NOT BE
EMED TO MODIFY, WAIVE OR SEDUCE ANY RE.11REMENT 01 ANY NAN I
D E TYQRDI c
PLAN CHECK DEPOSIT
Q PRO
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANC VISION,
RECEIPT
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INEORMATMN
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUI HOAIZED AGENT OF
APPLICATION APPROVAL
THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
Thl, IPP11111111 -1 IFI I P1111 U01 1911d by th,
NON AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMP DYED
IN V16LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
8,�'t -, offi-I �, D.Puly: .�d F — �,d. ��d
P,pI �, ,kI1d90d 1� $P110 P1111d1d.
WORKMEN'S COMPENSATION It SURANCE AND RCW 18,27,
0 GIA DATE
1-1 SIGNED
(425)
AIS 'SI
/I a17
771-0220
6�TRE
RELEASED BY Get
��TION
EXT 333
IM 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. LIED SECTION 109
FAX
PINK - OWNER - GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
S ETBACKS .....................
FOUNDATION:
Fooling ......................
Wall .................
Pier/Porch ..........
z
Retaining Wall ...........
Slab Insulation
IT!
PLUMBING:
Underground .............
-4
x
Rough -in ...................
M
R1
0
Commercial Final
0
EATINIP
R11
Mz
Gas Test ................. .... .....
10-4
Gas Piping ... ..............
-4
Equipment ............
0
Commercial Final
SHEATHING
M M
E)ITERIOR
NAILING ..........................
0 V)
.0
FRAMING .................
0
C
Cn
FIRST FLOOR FRAMING
Q 0
INSULATION .................
Floor Insulation
Wail Insulation ........... - -----
z
Coiling Insulation
co
SHEETROCK NAILING
z
SPECIAL INSPECTION
0
ITI
MISCELLANEOUS ..........
FINAL APPROVA LFOR
OCCUPANCY ..................