20030070.pdfDATE RECEIVED/
"�j
__i� g
PERMIT EXPIRES
L
CITY OF EDMONDS
SE eVPERMIT
ZONEM
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
/ )- �-o
SUITE/APT#
i(
OWNER NAME/NAME 0 BUSINESS
P'- r &
wop
PLAT NAME/SUBD q NO, LOT NO,
L
LID NO.
LID FEE S
MAI ING ADDRESS
'-0.'
P tgoc
V
16'7�iI:4
PUBLIC RIGHT OF(AY PER OFFICIAL. STREET�AP
TESUP Mloved
Rw Permit Roqu:red
Porm I Raq'd
a
EXISTING PROPO ED-- L
Street Use
Inspection Required
CITY
TELEPHONE
70 -al 1/
REQUIRED DEDICATION FT
Sidewalk Required
Underorowd
7
1 Winne required
NA9E_
Ae
co.),
METER SIZE INE SiTE7 NO. OFqURES
/�
FOUIRED
0
YEPW NO E3 3
Ix
5 t!� ii
C" ill"'
W
ADDRESS
13o6
z
REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
Ve"A717612
CITY
ZIP TELEPHONE
mo 4 � /vo
y 7Y 5-L
NAME f
h
jCBL#
V 14/ [L L) n
a-_0
IMMINEERING REVIEWED BY DATE
A?ESS
40., Y,
z
,e6r
FIRE REVIEWED BY DATE ul
Ic
ITY TELEPHONE
ZIP CKI r,70 -)-711
M
0
STATE LICENSE NUMBER EXPIRATION DATE C ECKED BY
VARIANCE OR CU SHORELINE OR AD1111 I INSPECTION 1$ BOND
E010 POSTED
pq
S ONO
gRTY TAX ACCOUNT PAR E 0
PROP C
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
Lff 13
I
EXP Z4
, ,
M
C
M 0
NEW RESIDENTIAL
PLUMBING I MECH
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
0
0
ADDITION COMMERCIAL
COMPLIANCE OR
13 CHANGE OF USE
24 "e.
351�?' 7,fix Z5 z
z
C
5
PARKING LOT AREA PLANNING REVIEWED BY DATE CL
M
M z
13 REMODEL 0 MULTIFAMILY
SIGN
REQ'D PROVIDED
2-
10--1
FENCE
E3 REPAIR 42 CYDS ML j3k� X ( FT)
>— 4� A ,
REMARKS
q,101 WS
C:
>
mhckAm Aezown�� 0.% A4
r-
1:1 DEMOLISH El TANK
OTHER
ca
GARAGE RETAININGWALL
FIRE SPRINKLER
0
CARPORT ROCKERY
F RE ALARM
_n
(rYPE OF USE, 13USINESS OR ACTIVITY) EXPLAIN:
; ,-)/
CHECKED BY CTION CODE OCCUPANT
--I
f
ITYPE
GRO
N12-
MITI
NUMBER NUMBER OF
OF DWELLING
t
W01ONF.-. 16—
CRITICAQ.4
AREAS
x-tPlL-7
SPECIAL INSPECTION AREA OCCUPAN7
LOAD
0 —
0 CA
r
STORIES UNITS
NUMBE
EQUIRED
[] YES
0 M
DESCRIBE WORK TO BE DONE
C
r. 0)
Y,
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION R
z
M 0
5 Z
5
co tt S f-t C' a4j,,
Crr%Xng��M' J
A-M
1112 aLWk� t
X
.q Hock./ ociv-0:�2_12—
IC32 L
VALUATION
>
$ 1 F
z
.333
2.4&
Description FEE Description FEE
CAI
Eizw-:- iA�3
z
0
M
Plan Check
State Surcharge
HEAT S RCE
GLAZING %
LOT SLO % Building Permit
k J4
City Surcharge
PLA CHECK Nn-
VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLV THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
93 DOMAIN (CURBS, SIDEWALKS, DRIVEWAVS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPILICATION: 180DAYS
IL PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
A151,
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
/,!p
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 #
4/-
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
OF THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE
Landscapelnsp.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
x
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
API IROVAL
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
Th a application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
BuildinIg Otficial or histher Deputy: and Fees are paid, and
receipt Is acknowledged in space provided,
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
OFF N DATE
Sl�
ORI�AAG
DATE SIGNED
(425)
rAOX
1 1
�R(OWNE �Of
0-
771-0220
RELEA By DAT E
ATTENTION I/
EXT 1333
\ 4
UNTIL
kjw
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
4,
'
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YE1 LOW - INSIRFAR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
oco,
P/0 rl�w -
hpl�
P.O. Box 1034 VIKING PROPERTIES, INC. Phone 670-2711
Lynnwood, WA 98046 Fax 774-6315
Building in the Scandinavian State Regis. VIKINP1137JG
qC) 16 Tradition of Quality
_ WResidential/Commercial Building & Remodeling
Lot A
d,�C�'\ Styee--t SW
laav),
ill I A
-4-
3o-,
�PL
W-
54eSe a
Ph
714b 0
�%o
AP PROV17- 1�y PLANN"�qu
RF.CEIVED
DEC 13 2002
lyv,pevV�(US
Q,-.Lxr �0,ce,
V) C. A
PERMIT COUNTER
50-0
4a
1 n 5- h--eey Y
cr"
(0, d�
(5-1 �
1B S�
ZONE 62-
SMCKS*
FROW
SIDE - Z0, o
REAR - .......
OTHER
TY COPY
HEIGHT—
z
29:
C):
49
55
M
0 a
0,
C:
6j.
0
C W,
CW
'A
zr
V.��
MR,
or
ol
14K
..'"n C. 19 9 \3
GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 STH AVENUE NORTH - EDMONDS. WA 98020 - (425) 771-0220 FAX (425) 771-0221
Website: www.dedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning 9 Building * Engineering
March 2 8, 2003
Eric Sundquist
PO Box 1034
Lynnwood, WA 98043
Building Permit: 2003-0070
Site Address: 9016 240th St SW
Expiration Date: 1/30/04
Dear Eric Sundquist:
The purpose of this letter is to inform you that the last remaining inspection -on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your permit file.
The City considers the final inspection to be one of the most important inspections
conducted on a project. In order to grant final approval the following must be complete:
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
and residence, egress from sleeping rooms, safety glazing, weather-stripping, any
Engineering department requirements etc. Of course not all of these things may
specifically apply to your project but it does give you an idea about the kinds of things
that must be complete as well as some items that do not need to be installed such as:
r
paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year f om
e to complete the work, permits can be
the date of issuance. If you will need more tim
renewed prior to expiration for one half fees. if the permit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew the
permit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and call for the required final inspection(s). Note: If more than
one department is required to final your project, this is noted on your Job Card.
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
Permit Coordinator
incorporated August 11, 1890
Sister City - Hekinan, Japan
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
IPLLAN SWN
S Mmlafg ENGINEERING DIVISION DATE.. 101
nXASESIGN
PLANNING DIVISION DATE
"AASE SIGN
PROJECT A I+
SITE ADDRESS qQ( ("61'k Sk7 ssv�,J -
PERMIT # IPA &6o-1 o ADB#_____----PATE INSPECTED_12� I I (--A J-03
DESCRIPTION OF WORK TO BE
A field inspection was conducted to determine nnal compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERF.ORMANCE BONDS and the granting of:
K_GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
I .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector.
1 .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date. Si
ocaprvl.doc.l:temp:bldg:fomuIO/OI
z
9
0
M
:; 9
M
0
0
0
0 C
M
Mz
g:) --I
C —Z
0 _n
n
-4
x
M M
a
0
0 M
C 0)
MCI)
Q 0
Z
X
--I
X
z
z
9
0
M
I
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall
..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation .........
PLUMBING:
Underground .............
t4-,o3
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
r
NAILING ..........................
7-0
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
-4v\
SHEETROCK NAILING
SPECIAL INSPECTION ...
U
MISCELLANEOUS ..........
FINAL APPROVAL FOR
MIS.
OCCUPANCY ..................
-
I :
ell DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAM �/NAME LOBUSINESS
t-- , I /� t , ;,�7 14
ING ADDRESS G-1
0 X
CITY TELEPHONE
L y,,, —
�70
NAME
�2
ADDRESS
P06 13o6
CITY ZIP T7 PHONE
mt-1 )�-7((r-
NAME CBL#
�/ ( t"L
A7,,ESS
m 3e-1
EITY� ZIP TELEPHONE
61rl7a—)� 711
V7 p, eel
STATE LICENSE NUMBER EXPIRATION DATE CIJECKED BT
Ll I
PR OPIERTY TAX ACCOUNT PAFICE� NO
0 W330-00016 )L-
ZI NEW
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
?RAD
�_ F CYDS
DEMOLISH
TANK
GARAGE
CARPORT
RETAINING WALL
ROCKERY
(TYPE OF USE. BUSIPESS OR ACTIVITY) EXPLAIN:
NUMBER
NUMBER OF
OF
DWELLING
STORIES
UNITS
DESCRIBE WORK TO BE DONE
-4
loci ill
HEAT S$)URCE
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE X FT)
( LL
OTHER
FIRE SPRINKLER
FIRE ALARM
1P
FPERMIT EXPIRES
USE 11�1 �?QVPERPAIT It
ZONE
NUMBER r-74
JOB SUITE/APT#
ADDRESS
PLAT NAME/SUBDIVI 1014 NO.
IV(
LOT NO
I /
LID NO.
/ 15 � ,
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL S7TEET MAP
TESCP Approved
R Permit Requited
Swtraet Use Permit Roqd
EXISTING PROPOAED—
Inspection
qequltod
Sidewalk RRa uirod
REQUIRED DEDICATION FT
Underground
rod
METER SIZE
LINE SIZTJ
NO. 0[ FATURE S
P EQUIRED
I
YES NO 13
z
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
'tl;rGINEERING REVIEWED BY DATE
,I a '(-G, W La LL- ��D I
IFIRE REVIEWED BY DATE Lu
lz
VARIANCE OR CU
SHORELINE OR ADB#
I INSPECTION
BOND
POSTED
I
eEQ'D
ES
13NO
$
SEPA REVIEW
SIGN AREA
HEIG
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
Vol
,
0
,
_5.
7
, 7-4
EXP
1 LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/RSIDE REAR
- -�?
3g " - -z+
ZIP
�4.s 5�1
2-5 4�6a 5 z
.,Z!5
PARKING
LOT AREA
PLANNING REVIEWED
BY DATE IL
REQ'D
2-
I PF VIDED
to 146
)3!�
REMARKS
CHECKED BY
SPECIAL INSPECTION I FAUFA OCCUPANT'
EC"
�N 4UM'�B;E 7 SP a LOAD
REQUIRED[JyEs
IREMARKS
C
PROGRESS INSPECTIONS PER UBC I 081FINAL INSPECTION REG-0
k1-1 A
LOT SLO %
�5
VESTED DATE
(a Z .....
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: ISO DAYS
PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
VALUATION
$ / -*/A'-)3 3 3
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
FEE Description
State Surcharge
City Surcharge
L-V 6% — I I— � __ I -
I W %a IF
FEE
W
-APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
46� /c%
AN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
U)MONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FRO" THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape Insp.
Total Amt. Due
NOR LIMIT W ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt #
I HEREBY ACKNOWLZDGE 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-
CALL
This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LASOh CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building official or his/her Deputy: and Foes are paid, and
receipt Is acknowledged In space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
OFF N: �DATE
1�� R WNE OR AGE
SIG
DATE SIGNE D
(A 0)
1,4251
771-0220
RELEA$MPY DATE
ATTENTION
En 1333
�A &
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
UBC SECTION 109 Lk 1�y 5
ORIGINAL - FILE YELLOW INSPECTOR
PINK - OWNER GOLD - ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED.
04/02 PRESS HARD -YOU ARE MAdAvCOPIES GREEN ACCOUNTING
z
9
0
ITI
--I -n
rn
C
In
0
80
C
—4 C
3: M
M z
0 -n
Till
M M
0_0
0 r-
0 M
C cl)
C CO)
Q 0
Z [7n
j>
z
__q
3:
0)
z
0
M