20050220.pdfDATE RECEIVED
f- - [PERMIT EXPIRES
CITY OF EDMONDS Nu BER - 5
CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT#
ADDRESS _ ^ 1 �
OWNER NAMEINAIME OF BUSINESS �j 3 Lcf #7 � � (5drne. f d s if✓ �7 �i
kQtHc i PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LU MAILING ADDRESS LID FEE $
o'~ /, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 13In 7 RW Permit Roqurod ❑
CITY ZIP TELEPHONE EXISTING PROPOSED inspeStreection
use Requited ❑
underground
Sidawaik Required 13f c"yl,? j CLQ i C p c).1C, y�� �y r �j REQUIRED DEDICATION FT nderWiringrequired
rQ u ud ❑
NAME METER SIZE LINE SIZE TNO OF FIXTURES PRV REQUIRED
l7
u YES O NO O z
I= ADDRESS REMARKS w
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
a w
CBL#
0 v ` ENGINEERING REVIEWED BY DATE
X ADDRESS
U O �.
I( RE EDBDATE
Z CITY. ZIP TELEPHONE k J 0 // ' it
c�t1.- ; tt ��y
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY IANCE OR C SHO LINE OR ADB# I INSPECTION SEPA
_ REQ'D COMPLETED I EXEMPT
O YES ;ftNO
I-r PROPERTY TAXACCOUNT PAA%RCEL NOS% CA# ZONE SIGN AREA HEIGHT
W qq-4 00 WAIVSTUDY 0 G ALLOWED PROPOSED ALLOWED PROPOSED
❑ NEW ❑ RESIDENTIAL ❑ PLUMBING / MECH
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE FEAR FRONT UR SIDE REAR
COMMERCIAL COMPLIANCE OR ?
❑ ADDITIONE] MIXED USE ❑ CHANGE OF USE, i
PARKING LOTAREA PLANNING REVIEWED BY DATI g
hilt REMODEL ❑ MULTIFAMILY ❑ SIGN REQ'O PROVIDED � a
GRADING FENCE
❑ REPAIR ❑ CYDS ❑ ( X FT.) REMAR
❑ DEMOLISH ❑ TANK ❑ OTHER
Z ❑GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ❑ ROCKERY ❑ FIREALARM
d(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAI
V�UTYPE NSTRUCTION CODE OCCUPANT
U GROUP
o. NUMBER NUMBER OF
OF I DWELLING SPECIAL INSPECTION CONSULTANT LOAD OCCUPANT
p STORIES �/
-+ REQUIRED YES
DESCRIBE WORK TO BE DONE C
M fqG REMARKS Z
0
GEOTECH REPORT
JAY; BY: m
7 i vottaAbo STRUCTURAL DESIGN
BY:
VALUATION
$ Soy
1 Description FEE Description FEE
Plan Check 3 State Surcharge
HEAT SOURCE LOT SLOPE% VESTED DATE
Building Permit 3�) City Surcharge �S
PLAN CHECK NO: , Plumbing Base Fee
• J _ 85
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC,) WILL REQUIRE Grading
t SEPARATE PERMISSION.
Engr. Review
ot PERMIT APPLICATION; SEE ECDC 19.00.005(A)(5)
UJI
a PERMIT LIMIT: SEE ECDC 19.00,005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) •APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review a,01 Plan Chk. Deposit
LU IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection C� Receipt #
a ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY J is
= 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 Landscape Insp. Total Amt. Due 0 50
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
Recording Fee Receipt # 9
1 HEREBY ACKNOWLEDGE 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 This application is not a permit until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL . Building Official or his/her Deputy: and Foes aro 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 C SATION INSURANCE AND RCW 10:27.
OFFICIA Bt�N TU DATE
SIGN RE WNE aGEN:DATE SIGNED (425)
'it r
+'
771m0220 RL 0 BY VD E
del
IT S UNLAWFUL1TO USE OR OCCUPY A BUILDING OR STRUCTURE. UNTIL EXT. 1333 /' 1 r / .�
1,,
0000
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
YELLOW -INSPE
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 if IBC110 I IRC110. ORIGINAL -FILE • OR
PINK -OWNER •GOLD -ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
O
0.
irn
vM
Cy
O
On
C
�11 C I.
=m
im Z
IO �_
C
Ca
r=
0 M
mn
mm
Or
r -
C ca
C Cn
Z r
X
D
Z
2
O
n
m
`• 3• •i Z• to • r.r• •iflt iC� • •i Z• •l•• • •i i• ri S'• • •i•••`• •.�•`• ri•4i •JA •• •J�•Z• •`•••i• r•�•S• •'•iL• •'•'••• •i•�i• r.�•S• • •i'•.• �i ``• •i'•l• • •'i•�• •i•`••
•' r�t�i•} `d�1•f ` • r • • ` r • r • r • • • i • • • • r r • • • i • r •. i • •r i r • r ii��`• r • • • r i • i • ri
��Ulri/ �dY// ��1YG �IUi �dIIG ��✓ �i �dlli• ��11U1 syllG �VV/i ��i �dlli SIU/ ��111G �V�li
------------
1
Of eb on
DEPARTMENT OF BUILDINGS
i PER International Building Code Section 110
At: 533 Main Street Edmonds WA Building Permit #: 2005=0220
Occupancy established by this certificate: Dwelling Units: **NIA** No. Stories:
B Type..Construction: VB Basement: No
Maximum Occupant Load **19** (Per IBC 1004)
Room capacity signs, when required, must remain posted of all times.
Owner of Building: Paul Sorenson _Address: 533 -Main Street, Edmonds, WA 98020
THE Kara Nails HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 2003 EDITION OF THE
INTERNATIONAL BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 11th day of April 2005
CHIEF BUILDING OFFICIAL
BY: _
This certificate shall be posted In a conspicuous public area and shall not be removed, mutilated or obscured and shall maintained in legible condition at all times. Any change of occupancy or use requires a building permit and a new
Certificate of Occupancy issued by the City of Edmonds Building Official:
tr•.. s.••• IQ
tt t st S. •:•�` ri t`= S 4S •. S:• _ `L• sr ti• i• %1% 9:000%o i'0.%• • S`• s. ._" i� �_I i �•� i'h•• 61006%% ii•�`• �S•iL• �i {•. �:• TO
go 0% 0MOU i' S`i i' �" iJ•�`� i •�•• i �•
al r,