20050066.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEiNAME OF BUSI oc i4c)
MAILING ADDRESS
W
z
� 0
: _�� I C)'_� 3 TH 57 Sut,
CITY ZIP TELEPHONE
I
f 14 77 1 --(,-;)'j 5 1
NAME
ADDRESS
TELE
NAME ICE11.4
CITY ZIP I TELEPHONE
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
PROPERTY TAX ACCOUNT PARCEL NO.
7 3'L
NEW
RESIDENTIAL
PLUMBING / MECH
ADDITION
El
COMMERCIAL
COMPLIANCE OR
1:1
MIXED USE
CHANGE OF USE
REMODEL
MULTIFAMILY
SIGN
REPAIR
r.pant ir
Ti cyos
FENCE
X FT.)
DEMOLISH
TANK
OTHER
a"GARAGE
Ei
RETAINING WALL
FIRE SPRINKLER
CARPORT
ROCKERY
FIREALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN
NUMBER
OF
/ *
NUMBER OF
DWELLING
I
I
SPECIAL INS�P TION
STORIES
UNITS
—
REQUIRED YES.
-
I&kSCRIBE WORK TO BE DONE
I, Wr-)-p i ftA
REMARKS
C3 6A,,k
GEOTECH REPORT
BY:
#NJ
STRUCTURAL. DES IG N
IT;
VALUATION
$ t6q)jl�qj
Description
Lig
:11
Plan Check
HEAT SOTU. I LOTSLOPE% VESTED DATE
Building Permit
PLAN CH ECZO��,
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Grading
BE DONE ON PRIVATE PR OPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Eng I r. Review
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
Engr. Inspection
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Landscapelnsp.
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
NOMEWANNEON�
Recording Fee
? 1%
PERMIT EXPIRES
PERMIT
ole� / I
NUMBER
JOB
ADDRESS
Sto
SUITEIAPTN
PLAT NAME/SUBDIVI SION NO,
LOT NO.
LID NO
51c57-A.P4f&.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
EXISTING PROPOSED
Street use Permit Requited
inspection Required
Sidirwalk Required
REQUIRED DEDICATION FT
Underground
Winno required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
-
---
YES [3 NO 1:1
,4
>, k -,T i
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR
EROSION CONTROUDRAINAGE
" r: - r -r/ 0, \e CA
) 2
REVIEWED BY DATE
112
D BY DATE
a
z
cc
Lu
Lu
z
5
z
Lu
VARIANCE OR CU SHORELINEORADB# INSPECTION SE jA
REO'D COMPLETED EXEMPT
E3YESOXVOI >4
CA# Qt4- fe)4 ZONE SIGN AREA HEIGHT
WAIVER ALLOWED PROPOSED ALLOWED PROPO
STUDY 13 F_155�18 1 L - 1 12-S, i I (a I
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
%a,- -0 1 0
2-S 7-5 , vr.,3.19 -7 -c.-.,
PARKING LOTAREA I PLANNING REVIEWED 13Y DATE
REQiD I PROVIDED _7 (P 116
2—
TYPE OF CONSTRUCTION OCCOUPANT
R
CONSULTANT
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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC- CALL
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
WORKMEN'S COMP NSATION INSURANCE AND RCW 18:27.
DATE S
sj6N A IGNPD (425)
t,:R)VRt RAG N 1 21-
. _I 11 1 771-0220
I A / A bflozl 1
OCCUPANT
LOAD
rN
FEE Description FEE
state surcharge
City. Surcharge
Base Fee
? A
Plan Chk. Deposit (A
Receipt #
Total Anit. Due
Receipt #
APPLICATION APPROVAL
This application is not a perfrid until signed by the
Building Official or hisiher Deputy' and Fees are paid, and
receipt is acknowledged in space provided
FIC)9-S SIGNATLkE DATE
k lad i I I/ K_ I 1h
' tr(_51 I A f
Atft 10' EXT. 1333
I L
T I UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 I IRC`110-
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
BY/ / 0 D/YT E
ORIGINAL - FILE, YELLOW INSPICTOR
PINK - OWNER GOLD - ASSESSOR
a
z
I I
z
0
1
0
M
3:
OM
C
M 0
0
10
0. C:
q M
X M
M Z.
g) -4
C
0 -n
3:9
M M
0
0 M
C (j)
MCI)
Q 0
Z
z
--I
3:
W
z
0
i
0
M*
Of
0 45 e-x C6, 0A
7t
egepce;e e�� (L<wo,*j
mn
Id rWI
2 A
M Z
JO
Zee
4p wn
IWO
j,
mm
06�-- ------ -- ..... .
a,,t e m
I d C6
m. 4 6
z rz)z) dl�e
alL era ylte., -��CtJ
a re rve e(
jZe �11
zv
GARY HAAKENSON,
CITY OF EDMONDS MAYOR
12 1 5TH AVENUE NORTH EDMONDS, WA 98020 -.(425) 771-0220 FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
C.
April 20, 2005
Z.
3
Mr. & Mrs. Jeffrey Sanderson
0
8107 213"' Street Southwest
Edmonds, Washington 98026
T
co
Q
RE: Building Permit #2005-0066
M
C
M0
0
0
0
Dear Mr. & Mrs. Sanderson:
C
rn
M z
JO
In response to your request fo r temporary occupancy approval, the City Building:
ormed an inspection today a nd verified that all life -safety items on the
Ins'ector perf
p
habitable portion.of the home are complete and therefore temporary occupancy is hereby
In
0 _n
granted.
However, please be advised a pen -nit condition is hereby placed on the subject,pennit that
M.rn
0
shall require all other portions of the original permitted work (which includes the garage.
'0
0 M
remodeling and garage. addition) to be completedby January 24, 2006.
C CO)
K co
If you choose not to complete the arage remodeling and garage ad dition please inform
9
rn 0
Z
the City in writing. Upon receipt of. such a letter you will be required to. obtain a City
En-inecriner Division final inspection which includes storm connection to infiltration and
final.
z
If you have any questions please. feel free to contact meat 425-771-0 220 extension 1226.
X
65.
z
0
Sincerely,
0
M
Jeannine L. Graf
Building Official
I corporated August 11, 1890
n
Sister Qtv - Hekinan, Japan
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLrASE SIGN.
DIVISION *DATE
0
ENGINEERING
M
PLANNING DIVISION DATE
PLEASESIGN
PROJECT
M
M
0
0
0
SITE ADDRESS-
C
PERMIT# (1P It? ADB# DATE INSPECTED I
M
M Z
CE
DESCRIPTION OF WORK TO BE. INSPECTED f_7
(n
A field inspection was conducted to determine compliance with -approved plans. Final approval
0
denotes that there are -no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
M M
.0 ui
0 M
GRANT FINAL PROJECT APPROVAL
C (n
9 Cn
M 0
Z
7
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
El Copy of CONDITIONS given to owner/contractor by inspector
65
z
0
M
FAILEDFINAL INSPECTION - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE. given to owner/contractor by inpeQtor
.2.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECTAI)PROVAL
Date SignatUrC
1:tcmp:b1dg:fbrins:ocaprv.1 3/25/04
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
s.
SETBACKS ..................... .
FOUNDATION:
Footing .......................
IDS
Wall..........................
Pier/Porch .................
M
z
Retaining Wail ...........
0
-4
Slab Insulation ..........
ITI
PLUMBING:
Underground .............
3:
1711
C:
Rough -In ...................
M 0
Commercial Final ......
0
.0c
HEATING:
3: M
M Z
Gas Test ....................
C Z
Gas Piping .................
co
Equipment .................
0 _n
Commercial Final .......
EXTERIOR SHEATH[ NG
VV)S
MITI
0 Cn
NAILING ..........................
0
0 IT!
FRAMING ........................
C
FIRST FLOOR FRAMING...
Q 0,
Z
INSULATION ...................
;0
Floor Insulation .........
W611 Insulation ...........
>
z
J,
Ceiling Insulation .......
S LJ3 2,
C/)
SHEETROCK NAILING ...
wr
z
0
2.Li -
d
SPECIAL INSPECTION ...
0
M
MISCELLANEOUS ........
FINAL APPROVAL FOR
OCCUPANCY ..................
-Opt + b
dews-e'
C,0 $v
W0.5 '0066 v0000"
sum
The initials MT cire Milton
ThOMPSO111, a teillporary contract.
illspcctor ro r tile