20040232 (2).pdfDATE RECEIVED r
PERMIT EXPIRES
i USE PERMIT
ZONE
CITY OF EDMONDS NUMBER
'JOB SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADYESS
OWNER NAMEINAME OF BUSINESS 47 Sprauge St
Holly Ho on PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
M MAIIING ADDRESStJ LID FEE $
W I
z TESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required C3
02: 1621 9 u h Ave N street use Permit Rorrd 0
CITY ZIP TELEPHONE EXISTING - PROPOSED inspection finquinid 0
Sidewalk Requirod 0
RFOUIRFD DEDICATION- IFT Undergrotind
Edmonds, 98020 1425-778-7013 wiring niquirod 13
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 13 NO 13 z
Ul cc
W W
t: ADDRESS REMARKS z
x z
L) OWN ER/CON TRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE E5
CITY ZIP TELEPHONE
jr, A
Obtlavl'1
NAME �u L 1$ state.
Day & Niter, INC. DA N-1PH044C DATE
cc ADDRESS
0
16614 13-uh Ave W
cc FIRE REVIEWED BY DATE Lu
rr CITY ZIP TELEPHONE
0
Lynnwood 98037 425-775-6434
VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION DATE CLIECKED11Y REOO POSTED
D A Y N 1 P YES ONO S
H044CM hh, (194110" SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
u0j 00434208402300 .......
EXP
C1VAkY.S6?dA6Wtrf.y'?ROPOSEQ SE ACKS (FT.)
NEW RESIDENTIAL PLUMBING MECH ALLf
F bfl�tfl E REAR
is t
.�,) S
COMPLIANCE OR z
ADDITION COMMERCIAL 2
r7 r_1 CHANGE OF USE z
A%Wr�"""T I__C;f_;iFA_ PLANNING REVIEWED) 183Y DA - :5
REMODEL MULTIFAMILY SIGN REO' 1L
REPAIR GRADING FENCE
CYDS ( x FT) REMARKS
DEMOLISH E] TANK Ei OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: CHECKED'BY TYPE 0 QTION CCUPANT�,,�?)
4a 4 e, Go GR
0
En , F7 747y�_
W NUMBER NUMBER OF CRITICAL
0 OF DWELLING AREAS SPECIAL INSPECTION JAREA OCCUPANT
M I UNITS R LOAD
o STORIES NUMBE REQUI13ED
DESCRIBE WORK TO BE DONE E] YES
,9 a p 1 a c e REMARKS
gas furnace wl new
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D Ei
90% furnac.o
VALUATION
vow, $
no Description
Description FEE FEE
State Surcharge
z )c I's-ii d Plan Check
Ag'.-
LOA
HEAT SgURCE 'GLAZING % LOT SLOPE %
s
Building Permit City Surcharge I �7
PLAN CHECK NO: VESTED DATE Plumbing Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review Plan Chk. Deposit
cn 'APPLICANT, ON BEHALF OF HIS OH HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
_j
2 EDMONDS, WASHINGTON, ITS OFFICIAL S. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALI. CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTIY OR INDIRECILY I
FROM 1HE ISSUANCE OF [HIS PERMIE ISSUANCE Or THIS PERMIT SHALL NOT 13E
Landscape Insp. Total Amt. Due
DEEMED 10 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR Limir IN ANY WAY THE CIrY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
21
I' __ I
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 APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL I his application is riot a perinit until signed by the
TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/tier 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 space provided.
WORKMEN'S COMPENSATIO"*U RANCE AND RCW 111.27
OFFICIAL5 SIGNAIURF DAT E
SIGNATU F (�yVNFR,P9j2LN DATE SIGNED (425)
f
771-0220 1117117AS�D IW DATE
EXT 1333
T6TION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
z
0
4
0
M
-n
M
M
0
0
0 C:
49
M M
M Z
10-4
C _z
3:
W
0
n
3:
M M
0_0
0 r_
0 M
W
Cn
M 0
Z
X
z
--i
3:
(1)
z
0
1
0
M
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .............
FOUNDATION:
Fooling, .......
'Wall
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Ro6gh-ln- ...................
Commercial Fin'a-I
C
HEATINGf
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 ..................
004 C) Z 152.V
z
0
1
0
IT!
0 M
C
M 0
0
0
0
--I
X M
M Z
,C) --I
C —Z
r- -4
0 -n
n
M M
0 C—/)
0 r,
0 M
C (/)
9 C/)
Q 0
Z
z
--I
x
Cf)
z
0
1
0
IT!