20030034.pdf)DATE RECk IVED),
FPERMIT EXPIRES 4Z
ERMIT
U'E
CITY OF EDMONDS ZONE FUMBE -,003LI
PERMIT APPLICATION 10 SUITEIAPT#
CONSTRUCTION ADDRESS -f3eitt-,
OWNER INAMEMME OF BUSINESS PLAT NAMF�SUBDTVISION NO. I LOT No, NO.
n,Tvp U FEE S
5 MAILING IDDRE11 T111P
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T__ 'I
_=EZ
EXISTING — PROPOSED — 11 ..
CITY zip ITELEPHONE REQUIRED DEDICATION— 17 13
PRM REQUIRED
NAME YES E3 No 13
REMARKS
ADDRESS OWNER/CONTTACTOR RESPONSIBLE FOR EROSION CONTROUDRMNAGE
CITY ZIP
JCSL�
NANA DATE
_C_ BNOIN�ERII. F.MI.E..y
ADDRESS
DI DATE
FIRE REVIEWED BY
ZIP TELEPHONE
IC
BOND
1�3
1 )�03 VARIANCE OR CU HopEL—INEORADSO I INSPECTION
R 0 POSTED
E.PI�ATWN DATE
STATE LICENSE NUMBER CHECKED BY I C, �s [:]No
" o(.)Re T k L9 NP REVIEW SIGN AREA HEIGHT
SEPA PROPOSED
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED
PRO, FARCTC(�W ,
_IR�acourl`r
W56 XP
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FTI
KNEW FESIDENMA PLUMBING / MECH ALLOWED PROPOSED PROW SIDE REAR FRONT LIFISIDE REAR
L
COMPLIANCE OR
ADDITION COMMERCIAL CHANGE OF USE
PARKING LOT AREA PLANNING REVIEWED By
1[03MULMFAMILY
REMODEL SIGN REOID I PROVIDED
Al 01 Ell
FENCE
[3 REPAIR GRADING CYDS [3 ( _ X_FT) REMARKS
%JVIUF-6"6
g 0ii-iin
[3 DEMOLISH TM,
ci GARAGE RErA.INI.NY11 WALL IPPUN.ILIR
A,
_j CARPORT FS.
L L j CAR PORT 8OCKI
E OF USE BUSINESS R ACTIVITY
TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: STRUCTION COD OCCU NT
CHECKED By Co. OCCUPANT
GROUP
GROUP
1�rTN
W�
�TRUCON�
.U.-ER 0 OCCUPANT
NUMBER NUMBER OF— ITICAL
AREAS
DWELLING L.A.
D LUNG
OF J,nE N MBE SQUIRED YES JAFIEA
UNIT.
STORE R
.E. .,.E WORK To BE ONE
DESCRIBE WORK TO BE DONE REMARKS
hUsUs"T"'. RE
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-0
q
AIM — (14% VALUATIO1
$
Description FEE Description FEE
Plan Check state urcharge
NEXT SOURCE LOT SLOPE Byildlng Permit City Surcharge
VESTED DATE Pe . mbin§
TEM �CHECK Ni)b�4
oMechanical
THIS PERMIT AUTHORIZES ONLY THE.'WcR)t NOTED. THIS 4ERMrtbov+s WORK TO
Grading
MARQUEES, ETC.) WILL REQUI
Do. CUR ,SGIFAIALKS. DRIVEWAYS RE
PERU;
SEPARATE 9610N.
Engr. ReveW
PERMIT APPLIC-ION: 1. DAYS I
PERMIT LIMIT. I YfAR - PROVIDED WORK 15 STARTED WITHIN I I. DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review 'an 1,n�, ,p,,,
—PLICANT, ON BEHALF OF HIS OR HER SPOUSE, EIAS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF R .. ip,
AND AGENTS MOM ANY AND Fire Inspection
EDMOND' WASHINGTON. ITS OFFICIALS. EMPLOYEES.
ALL CILAIM� FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
ISSUANCE OF THIS PERMIT SHALL NOT 6 T.I.IA.I.Eua
FROM THE ISSUA CE OF THIS PERMIT.
N E LandScapelnSp.
DEEMED TO MODIFY WAIVE OR REDUCE AN' REOUIREMENT OF ANY CITY ORDNANC E
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE NY ORDINANCE PROVISION Recording Fee Receipt If
),A2
I HEREEiY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE 0 NER, OR THE DULY UTHORIZED AGENT OF This &PPI1111- Is 10t, pe,mhii wg,,dby
THE OWNER, I AGREE T COMPLY WITH Ci4 AND STATE LAWS REGULATING CONSTRUC CALL B..Id,rg 01I r 1,111h.1 0 To
EMPLOYED
TION, AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE d.Pdll:-d
OF WASHINGTON RELATING TO FOR INSPECTION ..p ... F-Id'dr
IN VIOLAT ON OF THE OF THE STATE
AN.
W.R KMEN�s CO.P�N��.E
Offi6IA GNK0/R#
Sill [OWNEA A ENV DATE (425) �I'All
JIGNID
) 1 771-0220 LE E By GAVE
r
ATT]EI!i EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORGINAL-FILE YELLOW -INSPECT
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 1109 PZ-OwNtrC. GOw.AsSxSSO
012rccz wAon _VnI I A929= "Alelmr- 9% rnoll;:Q GREEN.ACCOUNTING
04/02
z
0
In
�n
M
C
M
0
80
a
� x I
M I"
ID,
C _z
o -n
M M
8
Fn
or
;U
z
9
0
FINAL . A0JECT A-P-MR-OVALFOR-1
TO: —
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: L —FM DEPARTMENT DATE-Z��"—�(3-?
ENGINEERING DIVISION DATE—
z
0
1
0
PLANNING DIVISION DATE—
M
PROJEC
U5 --j
am
C:
SITE ADDRESS 326
MO
0
80
C
PERMIT ADB# INSPECTED .16
mm
z
DESCRIPTION OF WORK TO BE INSPECTED—jEj� A =d6�
>
A field inspection was conducted to determine final compliance with approved plans. Final approval
o n
-n
denotes that there are no objections from the above signed Department to the release of
3:
pERFO tMANCE BONDS and the granting of:
M M
ki CO
0 r-
GRANT FINAL PROJECT APPROVAL
0 M
Cn
co
z 0
r
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
z
--4
3:
a Copy of CONDITIONS given to owner/contractor by inspector
0
z
0
1.
d
0
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date- Sign,
ocaprvl.doc.i:tcrnp:bldg:fonnsIO101
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch ............
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...............
Commercial Final
HEATING:
c
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
in
ff
iv.
A
C
M
-4 0
oc�
M
C
ra
0 -n
,n
M M
0 Fn1
a
r U)
M 0
X
0
M
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWI_ER)7,EINAME��UIINESI C�M,�
MAILING ADDRESS
F-CITY ZIP I TELEPHONE
ZIP
STATE UCENSE NUMBER EXP19ATION 0
" (.)()fke TP I, k Lo t_�p '(" - _P_
C] RESIDENTIAL
PLUMBING I MECH
ADDITION
%-� COMMERCIAL.
COMPILIANCEOR
CHANGE OF USE
REMODEL
MULTIFAMILY
SIGN
REPAIR
GRADING DYES
o FENCE
Fri
OEMOUSH
TXNK
01'HER
GARAGE
CARPORT
0 R ,NYG WALL
ETAIN,
R OCKE
F
FIRE SP21NKLER
EALARM
UWE OF USE. BUSINESS OR ACTWTTY) EXPLAIN:
M / VZ,,--A
NUMB,
arc.,E� �"
0,
"I IMBEI OF
1)
U�ELLING
ITS
CRITICAL
AREAS
NUMBE
DESCRIBE WORK TO BE MINE
FPERIMIT ;;PI`RES/��
... PERMIT
ZONE NUMBER
JOB SUffEJAPT#
ADDRESS f3 e L-
PLAT NAME/SUBDWISION NO I LOT 11010
LID FEE S
Pier IC RIGHT OF WAY PER OFFICIAL ;�EET MAP
S.. U1. P.-
EXIS ING — PROPOSED�
REQUIRED DEDICATION— FT — U�
METER SIZE I LINE SIZE I N * 01 FIXTURES P11 REQUIRED
ES 0 NO 13
F.IP.NSIBLE FOR EROSION CONTAOUDRAIN CIE
FIRE REVIEWED By
DATE
10--L -L
r
VARIANCE OR CU
SHO-UNE—U-1
I INSPECTION
9
9 "
00N.
POSTED
JOYES ONO
V
SEPA REVIEW
!�]
'SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
COMPLETE EXEMPT
,
-P
P
,
LOT COVERAGE
HALLOWED
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS (FT)
PROPOSED
FRONT SIDE BEAR
N
FRONT UR SIDE REAR
:�
PARKING
REQ`O I PROVIDED
LOTJW NO REVIEWED By DATE
A..
REQUIRED 11 YES
OCCUPANT
2 GRO
OCCUPANT
LOAD
!EF241 1. 1
$ -
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLA23NG LOT SLOPE
Building Permit
S�D DATE
P�a'mbln
.,uNNCa
A=.O.flffoNa E RkmGT a 9WORKTO
PREP LX ANY t=lb PUBUC
Grading
Do"N (CLRBS. SIDWA,,S, DRIVEWAYS MARQUEES, ETC.) 11 REQUIRE
su�npiitu;sslom.
Engr. RevieY,
pERMffApPUGATTON: INDAYS
PERMa UMM I YEAR - PROVID" WORK IS STAR'TED WTTHLN 10 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATI"
Engr. inspection
Rre Review
15? plan Chk. Deposit
"PUCANT, ON BEHALF OF His OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HAR.LUESS THE CITY OF
AND AGENTS MOM ANY AND
Fire Inspection
Receipt III
EDMONDS. WASHINGTON ' IT' OFFICIALS, EMPLOYEES.
Aj� CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR
FROM THE ISSUANCE OF THIS PER.fr. ISSUANCE or '.Is PERMIT SHAU. NOT BE
Landscape InSP
Total Amt. Due
DEEMED TO MODIFY. WAVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
o NOR UUM IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY OR
Recording Fee
Receipt N
I HERE& ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLIC ION APPROVAL
GWEN IS CORRECT; AND THAT I AM THE QWNER. OR THE DULY AUTHORIZED AGENT OF
,IijsJg,eifby
-.=w
THE OWNER I AGREE To MUp,, WITH CITY AND STATE LAWS REGUUTING CONSTRUC_
CALL
.P.zi rP a-yU m d. " "d
:�=Pd"
TION; AND IN DOING THE WORK AUT�HORMED THEREBY. NO PERSON WILL BE EMPLOYED
OF WASHINGTON RIEUTING To
FOR INSPECTION
9��,P�
IN VIOLATION OF THE LABOR CODE OF T,HE STATE
COMPENSATIO:4URkNCE AND RM 18.27.
DATE
WORKIJEWS
rn6i
T
PATE
(425)
IIIIED
1
771-0220
-RfLE E BY
ATTtNTIO
EXT 1333
IT IS UNLAWFUL USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR GINAI_ - FILE YELLOW - INSPECT
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
P�NK OWNCPF" GOLD - ASSESSO�_
ACCOUNTING
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN
z
0 M
C 0
m 0
80
C
A M
z
o -n
_n
i! r I
M M
0 Vi
0
o Fn
C CID
IT C)
z
z
z
0
0
ITI