20020986.pdfDATE �RECEIVED- -
lall- , �L FPERMIT EXPIRES
US' PERMIT
CITY OF EDMONDS ZONE NUMBER 1Az??:52 711_1i!��
CONSTRUCTION PERMIT APPLICATION Joe UITEIAPTi
OWNER NAMEINAME OF BUSINESS ADDRESS -714 rshl --
LE%jiS G PIT NAMEISLHIGIVIIIIIN N Lit) NO,
MAILING ADDRESS LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP irs
BW P.—
ST I—SkAj
CITY ZIP TELEPHONE EXIITUIG — PROPOSED
IqZg-�q: fi.8
3 REQUIRED DEDICATION— FT
NAME METER SIZE 1 1011 SIZE I NO, OF FIXTURES YFPRV REQUIR D
ADDRESS ...ARI(S a E3 NO 13
ZIP
C8L I
11—
--
FIRE REVIEWED BY DATE
��TT_Le
TELEPHO E
Z% 2_8Z 4-7C0
STATE LICENSE NUMBER
EXPIRAT ON DATE
VAIIANCEORCU
SHORELINE OR ADBN
I WSPECTI N
BE 'D
BOND
POSTED
IMPfck P`C�Rqocw
n-2X_-_-_A,
E3VES 971—
IROPERTY TAX ACCOUNT PAR
A -A q
-r
COMPLETE , EXEMPT
SIGN REA
ALLOWED PROPOSED
HEIGHT
ALL ED , PROPOSED
I W
I'm
[3 New
�dRIEMIENTA
P(LU" N-'r�-
EXP
LOT OVERAGE
A LOWE C PROPOSED
REQUIR D SET ACKS (Fr.)
FRONT SIDE R A
PROPOS 0 SET CKS OFT)
FA014T 8 SIDE BEAR
0 ADDITION
COMMERCIAL
_ .:D
� GO
CHA14GE OF USE
_ DEL
0 REMO
MULTIFAMILY
0 SIGN
PARKING
REGO PROVIDED
LOT AREA
LANNING REVIEWED BY DATE
f -1 REPAIR
GRADING C,UE rl F ONCE FT)
x
I
1`7 7
REMARKS
DEMOLISH
TMK
7
ri OTHER
A*91,A.TUR SURVICE'. SHUTOFF
81-116-1, BE INSTALLED ON THE
GARAGE
RETAINING WALL
F ESPRINKLER
lcffiElt� F,"El"
CARPORT
R OCKERV
R
FiREALARM
(TYPE OF USE, 0
CHECKED BY CLIPANT
1Z&61A&, -A-)7-1,41— GCROHP
=U BEIR RITICAL IVIA e? ��
-T-y-no
M -P. FAEA
NO OR OF C F
OF LL N. REAS SPECIAL IN PECTON
STORIES UNITS AUMSER REQUIRED [I YES
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REQ-13
L10 9TV 6-7,q5 VJ A-Tte PURSUANT Tn FCDC; j9_49.020
I'leplEy- IAJ A PRESSURE REGULATOR VALVE (PRV)
VALUATION L NSTALLED NEAR
TF-W IVA . --
Regardless of whether the water systern
is open or dosed, expans ion fanKs are
I 1,
DescrIptlon
FEE Description FEE
reqwltd oil
t1;s,. fl�A. rcnr,. jQ'In n9n (cl
Plan Check
State Surcharge
HE GLAZINQ % SIOPE %
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
THIS PERMIT AUTHORIMS ONLY THE W RK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
Q0. PIPF TFI�T MIIq1 RF
t: B DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
Grading
:2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC�t WILL REQUIRE
11OR
t: SEPARATE PERMISSION.
X
Engr. Review
AFFIDAVI *S SHALL R
PE MITAPPLICATION: ISODAYS
T PERMIT UUBT I YEAR-PROVID 0 WORK is STARTED WITHIN ISODAYS
Engr. Inspection
BE LCEPTED
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLI W. ON BEHALF OF HI OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHAU. NOT OF
!3 DEEMED T MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINA CE
Landscapelnsp.
mt. DO.
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION API
THE OWNEFIL I AGREE TO COMPLY WITH Or Y A14D STATE LAWS REGULATING CONSTRUC.
CALL
I
applica ]on Is ros a peoront Intit sigold by Iho
0
TION; AND IN DOING THE WORK AUTH RIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON REILATiNG TO
FOR INSPECTION
B'ItThIs
Bins Offi.W .1 hillho, D.sxoy: no Poor Iso, psid, sod
A RK IT SATION INSU5� , AND Flow 1837�
DA7
810 U 0 NER 0 A
7 0
71-022
RELEASt6 8)( IDATV
ATTENTION
EXT 1333
IT IS UNLAWFUL To USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORGINAL-FILE YELLOW- INSPECTOR'
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
PINK -OWNER GOLD-ASSESSOG
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN, ACCOUNTING
z
9
0
0
C rR
M 0
0
0
C
3: IT
171
z
-4
CID
0 -n
In
mT
0,-
OM
C CO
0
;o
-4
z
CO
z
9
0
IT!
-7,
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS
FOUNDATION:
Footing...................
Wall .......................... .
Pler/Forch ..........
Retaining Well
Slab Insulation . ..... *...'.
P LU MBINW
Underground
M
IT!
Rough -in
Commercial Final
M
HEATING:
Gas Test ...................
z
Gas Piping .................
0)
0 n
Equipment
1,
Commercial Final
M M
EXTERIOR SHEATHING
a
0
NAILING ........................
M
FRAMING
ch
0
...........
0
FIRST FLOOR FRAMING
INSULATION ...............
-4
Floor insulation
z
Wall Insulation
Calling Insulation
z
SHEETROCK NAILING
0
SPECIAL INSPECTION
IT
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............