20030377.pdfDATE RECEIVED
to -IN.
1 1
09
,�
PERMIT EXPIRES`���
S
[L
CITY OF EDMONDS
USE PERMIT
ZONE <7
NUMBER &6V3_()_3'Tq_
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS
1Z S5.1 'CACI
OWNER NAMEINAME OF BUSINESS
Rw-r
Mew k Vio If
PLAT NAME/SUBDIVISION NO. LID NO.
T"70�
__c_
MAILING ADDRESS
LID FEE $
1.70 Sol
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved
RW Perfrit Requited 'd
CITY TELEPHONE
zip
Street Use Parmh Roq
EXISTING — PROPOSED Impaction Requited
te I 1evLw_,
Sidewalk Required
REQUIRED DEDICATION— FT - UndwWound
1 vvinno required. 13
NAME
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YEs[3 NO 13
I
ADDRESS
REMARKS
U
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
CITY ZIP TELEPHONE
NAME CBLN
Alivwv%
ENGINEERING REVIEWED BY DATE
ADDRESS
PI) 5&c *34on
A
CITY ZIP TELEPHONE
FIR EVI DATE
VIrEVIPW ay�w
-&4n IN&A413- rl—
STATE LICENSt NUMBER EXPIRATION DATE I 1.CWKED 0
IANCE OR CUI SHOR'VINE OR ADBN INSPECTIONT—WND
W REO'D POSTED
10YEs
ALAWC1 0 d
-5 x
ONO Is
SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL,NO.
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSE15
3
I
EXP
0 NEW RESIDENTIAL PLUMBING MECH
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
;COMMERCIAL
ALLOWED FRONT SIDE REAR FRONT LIR SIDE REAR
PROPOSED
0 COMPLIANCE OR
ADDITION
Z
CHANGE OF USE
EdREMODEL t' Q— MULTIFAMILY SIGN
PARKING LOT AREA PLANNING REVIEWED BY DATE
REOD PROVIDED
I
REPAIR GRADING CYDS o FENCE
X Fl)
REMARKS
0 DEMOLISH TANK E] OTHER
GARAGE RETAININGWALL
CARPORT
ROOKERY FIRE ALARM
OWE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT
-7 GROUP
0-7 M
NUMBER NUMBEF1 OF CRITICAL
-
OF DWELLING AREAS
SPECIAL INSPECTION AREA OCCUPANT
STORIES UNITS NUMBER
REQUIRED LOAD
0 YES
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
V^ Stew, A&=:t
:53 ae
Aa*=A-
&92h2I:w,2
.0A_jCt+_
VALUATION
$
Description FEE Description FEE
Plan Chock State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building P . ermit City Surcharge 16
PLAN CHECVXNO: VESTED DATE
Plumbing
1�2:z
Mechanical
THIS PERMrr AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: 13E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
X
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, E`TC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT LIMM I YEAR - PROVIDED WORK 15 STARTED WTTHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review 0�3 A Plan Chk. Deposit
�Ll
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
91 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT
Landscapelnsp. Total Amt. Due kli
OF ANY CITYORDINANCE
0 NOR LIMIT IN ANY WAY THE crrys ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
OWEN 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
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official of his/her 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 spa"ovidod.
WORKMERS COMPENSATION INSURANCE AND RCW 18.27.
SIGN DATq
SlqVATI�RE (OWNEI qK'AGE DATE SIGNED
1A25)
1-9 MA
q1
(A
771-0220
RE Y D E
ION
off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
9ECTOR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -ALE YELL
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
FINAL ROJE& AiPROVAL WK44
TO:
DATE:
MEMO TO: PERIVHT COORDINATOR, BUILDING DIVISION
FROM: DEPARn4ENT DATE
_0000�- —FIRE
ENGINEERING DIVISION DATE
MAUSM
PLANNING DIVISION DATE
PROJECT
SITE ADDRESS�
PERmrr # ADB# DATE INSPECTED
'*Z7
.
DESCRIPTION OF WORK TO BE INSPECTED F(f W"
p
mal compliance with approved plans. FInal approval
A. field inspection was conducted to determine f
denotes that there are no objections from the above signed Department to the release- of
'I
E CE BONDS and the granting of
P RFORMAN
GRANT FINAL PROJECT APPROVAL
0.
4�1
0
!owf, or 4 1 of pk,rr.�
O!'ll, .147kowrok 47M MT !e 'In et'!774*77-� A 'I" T
It ,I I
I
Ilk 'k,
Irk
P
RECORD. OF INSPECTIONS
It
INSPECTOR DATE APPROVED
4
SETBACKS
k I I I
k I I. I 1 11 1 1 FOUNDATIONs
ak,
f I
Footing
I
I.. I Ilk 1 0064 @Meade 9408 z
If k
If.
t
I Ilk, 4 1 1 1
00,1406 8 04 $4 6 0 to memo,
Pier/Porch
11
L'' kk I I', I C)-
-I- I lk,
1.11 17. 1 4.1 1 1 lk I I I I 1 11 1. w1kv L,
4 Ilk
m
0 0 % I I I
Retaining Wall
1 40
L r
own I
r I
I k I I k. i I I I
New I k, Ik I
Slab Insulation
OL, It I.' I I I 1 .1. 1 1 1 1 1, 1 1. 1 1 1 1 1 1 L
I —P I I
PLUMBING*
1 4
kk
M
f
4L
'L Underground PH;
I 1. 4 1 , I Ik'_ I, "llk, I L� I I I I f I I I I I I I -k I I I _j I
-.I I i .'L I I I - I I I I I I " 0 0 1 1- 1 1 1 1 1 1 1 1 1 1 1 1
" I I. " - I.J. I I I ;;I It I I I 1 0
If 1 4 4
t Rough,,In
lk, ''. o @@@41vetoed save@@*
I k. I I I I
.4
I t I I I
1 4
I k. I I
k.
j'Commercla Final
k
*d
I t I I I r k I I
HEATINGo
Il k?
It
1 4
I, I I I I I t j I r I I
Gas Test.
lr I r ) I 1, 1:1
1. 1 1. 1 A 4L I k"k I -II, I'd, I
pI I
r, 4 1 1 0 rr
j 1 4 1 Ilk, I
M101111111111, I .
r It
I 'It
r rL I" r I Gas Piping r *.,I
1 4, 1 1 1
It I. r I L' I 1 .1 j I r
v I Eq4ipmentL r r
d'
) I. I Ilk I
kk I I . , I I
kr,t I I 'I r I I I r I r I
1 4 1 1
I I I I I I 1 4' r r r I I r I Ilk
memo
t I It r 1 r r Ilk I I I
�N4� I I t 1 4 AI
Cc
I Tmerc qI Final
I j- "Ap� I.� t� I l I I I . . I . I k' I I lL
It I
L' I kk� Ilk I EXTERIOR SHEATHING:
I F I
'k I I I I r I I I
k It I I I r r I k 1 6 a v 0 0 9 #too* 4664006 6066060 .0 'dr I
NAILING
I I
r 4
1 4 1
FRAMING k I I I I I I
I I I
I k I I I I �4 I r
I IL I I t I 'I I rktk�'
L
1, 1 :4 1 1 r FIRST FLOOR FRAMING... I I r I od
lt
It
Ilk
It
I
t , I
Pr
*1 1 1 ! - I I . I I I I r I
I.
1NSULATION
4 1 4 1 1 1 1 1 L 1 1: 1 1 1 L� 'It I III I I I I t 4 4
L
2 11 k4 I -'I I r I I 1 4 1 1 1 r I I I r 1p
"I It
k, Or
k It Ir r r I 06L r
F r nWation r
r Ilk
I I r Ilk I, r
),1 4 1 L I I
r Wall Insulation r
z
klk,t Ilk I I
0�
Ceiling Insulation I I k v
I I rk. I r L, r
SHEETROCK NAILING
P
r SPECIAL INSPECTION r
r Jai
T
MISCELLANEOUS %
lk I
r_ % r r It kk� L' r k
r FINAL APPROVAL FOR
r OCCUPANCY r
it
It
Ld
It
r I
fl-
Ilk
4
q,
�DATE RECEIVED
PE9,MIT EXPIRE
L L ' - - s��,
C'Tj "USE PERMIT
CITY OF EDMONDS ZONE NUMBER
C CONS_7
tRUCI JOB SUIMAPT#
ONStRUCTION PERMIT APPLICATION ADDRESS
E
wNER �AME/NAm �F 13�s 1z Z 51 IA�Aj-t `-A C1
ER�ME/NAMIE OF BUSINESS
wN I" . L) f PLAT NAMEISUBDIVISION NO. —TEOT NO. LID 140,
(�V\,Ct V k K 'Wo If
LID FEk S
MAILING ADDRESS
1 "5 1) 11 N (A A
05LALc -ZI)7
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
P
R:::W
Muse OqV
%*
CITY
ZIP TELEPHONE
EXISTING PROPOSED
sg
kapecdon ukvd
Sldews& R#WkW
Bc I Ic
REQUIRED DEDICATION— FT
UrAeromuml 13
V WA
NAME
METER SIZE LINE SIZE NO. OF FIXTURES
PRV REQUIRED
I
YES E3 NO 13
.ADDRESS
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
CITY
ZIP TELEPHONE
NAME
At (AV V_
6".1 k e,.r lot
ADDRESS
34vi
CITY ZIP
A WA 25m-2>4
STATE LICENSt NUMBER
ALAr-Me-1 0 5-5-e
PROPERTY TAX ACCOUNT PARCEL NO.
CBL #
TELEPHONE
(1W 413- i�-7
EXPIRATION DATE KED B
NEW
RESIDENTIAL
1:1 ADDITION
NrCOMPAERCIAL
G(REMODEL
[3 MULTIFAMILY
REPAIR
GRADING CYDS
1:3 DEMOLISH
[j TANK
IGARAGE
:ICARPORT
[3 RETAMING WALL
ROCKERY
ITYPE OF USE, BUSINESS OR ACTIVITY1 EXPLAIN:
NUMBER
OP
=.,NITS
IUMBER OF
DWELLING
S STC
TORIES
DESCRIBE WORK TO BE DONE
k ASLA It
HEAT SOURCE GLAZING %
PLUMBING/MECH
COMPLIANCEOR-
ENGINEERING REVIEWED BY I DATE
Z
w
FIRrI Ob BN DATE us
cc
M
/Ozo /0
J"
0
M
VAfr1ANCEORCU
SHOZINE OR ADB#
INSPECTION
BOND
EO'D
POSTED
13YE"S 13NO
$
SEPA REVIEW
SIGN AREA
HEIGHT
PR6POSED
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED
M.
EXP ,
,
M
LOT COVERAGE
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS fFT)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/R SIDE' REAR
1
0 C
Ln
E:tAWM%jj I&WI PARKING PLANNING REVIEWED BY DATE q M
04.
LOT AREA
A ED
FENCE C= Z,
zf
x FT) REMARKS
OTHER A
0
CRITICAL
AREAS
NUMBER
i \;01,
LOT SLOPE %
VESTED DATE
TWS PERMIT AUTHOREMS ONLY THE WORK NOTEM THIS PERMIT COVERS WORK TO
13E DOME ON PRIVATE PROPERTV ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PEWITAPPLICATION: 180DAYS
PERMIT LIMM I YEAR -.PR(MnDED WORK 18 STARTED WITHIN 184 DAYS
SES BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, rM OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUA14CE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR umff IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
I HERE13Y ACK14OWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
&mn TuAv a Au -ruc t%wmcn OR THE DULY AUTHORIZED AGENT 0
CHECKED BY ITLPE F
Filed
SPECIAL INSPECTION 11
REQUIRED [:I YES
REMARKS
PER UBC
M
OCCUPANT
F
GR()UP
(A
Fn
OCCUPANT
LOAD
C
INSPECTION REaD
al
-0
EL
$
Description
FEE
Description
FEE
Plan Check
State Surcharge
F
Building Permit
City Surcharge
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapelnsp.
Total Amt. Due
kJ5
Recording Fee
Receipt #
APPLICATION
APPROVAL
Do Le.Mn._-. i
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- lids appiicatlon is not a permit Until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL Building OftW o(hWher Deputy: and Foos are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovdedgad In spa5%joyidod.
WORKMI00 COMPEN4a" INSURANCE AND RCW 18.27. DAT
RE (OWNE ENT) DATE SIGNED (425) MvA
5 JI/0:; 771-0220 RE
A*ENTI(jN Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L) -e
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR GINAL - FALE - YELLOW --tNS'FECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P=-OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING