20040351.pdfk
DATE RECEIVED
5/12/04 PERMIT LEXPIRES
L
USE PERMIT
ZONE 5�c-6q-(1351
CITY OF EDMONDS JOB NUMBER L>� SUITE/APT#
CONSTRUCTION PERMIT APPLICATION "IH318 220th St SW
OWNER NAME/NAME OF BUSINESS
Dave Eckert PLAT NAME/SUBDIVISION NO. LOT NO. LID NO,
cc MAILING' ADDRESS LID FEE $
—TESCP �Appro�OdO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required 0
Street Use Permit Roq'd
0 9518 220-th St, SW 0
inspection Required 13
CITY ZIP TELEPHONE EXISTING - PROPOSED Sidewalk Required 13
Underground
J_Edmonds 98020 1425-672-3221 REQUIRED DEDICATION- FT wteng roquir E3
NAME M IT-EIR. Siz IM IMM)- M PRV EQUIRED
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ve ronnectOrs YES C3 NO [3 z
Fr
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unheate
CITY ZIP TELEPHONE
TO ECDC 19.30.020
Day & Nite, INC. ENGINEEAa W§M� &tt� �;tJr-Ml= VAEV ITE
NAME
cc ADDRESS SHALL BE INSTALLED NEAR
0
16614 13th Ave W
FIRE DAL&.
CITY ZIP TELEPHONE Regardless of whether the water system
ou Lynnwood 98037 425-775-6464
P, .1 VARI/ NK aDpn oq C"el2NE W�PM oftsWft t,,re BOND
STATE LICENSE NUMBER EXPI , nON DATE CHECKPn-B REO'D POSTED
t ITC�_ required o� all hot waterlamki P�o $
DAYNIPHO44CM L,/---' I ;
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HE 3HT
PROPERTY TAX ACCOUNT PARCEL NO. ALLOWED PROPOSED
d4iz COM E E EW
Uoi 00544200100201 1 =n= U:======
EXII 4,R it *A
L T Y�Vftg" r �ItWIW'WTBA KS (Fr.) PROPOSED *TBACKS (FT.)
F-1 NEW 17 RESIDENTIAL Ea PLUMBING / MECH ALLOV ED&Wj�Eo LISIDE REAR
,,, Crfo& IffflIftl9ri §RONT
COMPLIANCE OR S= I z
ADDITION COMMERCIAL 1) A z
17-1 CHANGE OF USE z
PARKING LOT AREA rNNING REVIEWED BY DATE n
11 REMODEL MULTIFAMILY SIGN IDED IL
GRADING FENCE AS PIP TEST MUST RE
1:1 REPAIR CYDS ( X Fn REMARKS
OTHER OBSERVED By CITY INSPECTOR
El DEMOLISH 1:1 TANK El AFFIDAVITS SHALI Rni
z 11 GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT E] ROCKERY FIRE ALARM BE ACCEPTED
= (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN; E
rL CHECKED BY TYPE OF CONS CQDE OCCUPANT
cc H o u s a GROUP
NUMBER NUMBER OF RITICAL MEMO )p
Lu C'
C
OF DWEI. LING FAREAS SPECIAL INSPECTION' JAREA OCCUPANT
NL LOAD
0 STORIES UNIT! MBER REQUIRED
71 1 YE
DESCRIBE WORKT4) BE DONE
.0stal-L new hrating and AC system REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
r u n from meter t-o h o u s on yy o\� '\A P - =1
M, h.1 -h-h in 'I, V in
S, P I,qq LtM,
1:010 Tur, AC, plus tub 11) ts e r"
install owner HWT'f""�'�M -it=
,q f-40 kcy It 'fi ep VALUATION
$
Fe. IA16 74g,,, -s Description FEE Description FEE
1+tU1 0UV-D(&_0_ Plan Check State Surcharge
GLAZING % LOT SLOPE %
HEAT SOURCE
Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical (a 0
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
Ir
W PERMIT APPLICATION: 180DXIS
PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS 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 Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIREC I LY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SIIA1 L NOT HE
DEEMED 10 MODIFY, WAIVE OR REDUCE ANY REQUIREMEN r OF ANY Cl rY ORDINANCE Landscapelnsp. Total Amt. Due
x 0 NOR LIMIT IN - ANY WAY THE CITYS ABILITY 10 ENFORCE ANY ORDINANCE PROVISIOW" Recording Fee Receipt # L L
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 I'his application is riot a pertnit until signed by the
TION; AND IN DOING THE WORK AumORIZED THEREBY, NO PFASON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees D10 paid, and
IN VIOLATION OF TIIE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided
WORKMEN'S COMPENSATION INSURANCE AND RCW I B 27. Al, ATU
IGNATuRE D E
DATE SIGNED
SIGNATUR.F,PW (425)
771-0220 �ILEASED BY DATE
ATTEKffON 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- 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
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REQQRD OF INSPECTIONS
INSPECTOR
DATE APPROVED
'.:SETBACKS---..'.'..'.� ........ -- ----------------
FOUNDATION:
Footing ..............
Wall..........................
Pier/p
.,orch .................
Reta.initig a
Slab Inslulation ..........
PL-UMEM4G:
nderground ............
Rough -In . .....
Commercial Final ......
EATI VG:
CD
Gas Test,
--ALL
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 ..................
,100 (/... 0 3 61 V,
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