20050516.pdfIDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OW ER NAMEINAME OF BUSINESS
Tom Nicholson
MAILING ADDRESS
1030 Grandview Street
CITY ZIP TELEPHONE
Edmonds 9 8020 1 206-310-5133
NAME
ICITY ZIP ITELIP110
I
NAME ICBL#
All Climate Heating & A/C
ADDRESS
0
13 14715 N.E. 95th unit B
CITY ZIP
0 Redmond 98052
TELEPHONE
425-746-3077
STATE LICENSE NUMBER EXPIRATIO
ALLCLCH966C6
;j PROPERTY TAX ACCOUNT PARCEL NO.
00595100000400
NEW PLUMBING le)
COMPLIANCEOR
ADDITION COMMERCIAL CHANGEOFUSE
REMODEL MULTIFAMILY SIGN
REPAIR GRADING C,GS F NOE
( X FT)
DEMOLISH TANK Fi OTHER
GARAGE RETAININGWALL o FIRESPRINKI- R
CARPORT ROCKERY FIREALARM
UYPE OF US4Urjr IV" EXPLAIN:
NUMBER
NUMBER OF
DWELLING
'RITIC L
'AREAS
OF
STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
of 70.000 btu. 7as furnace
PIRES
USE
ZONE
PERMIT
NUMBER �2��P5
'08
SUITEAPT#
1030 Grandview Street
ADDRESS
PLAT NAME/SUBDIVISION
NO.
I LOT NO,
LID NO,
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
..
are, I,
EXISTING
— PROPOSED—
Se.. — 1-11
$`aPr-R""dd
REQUIRED DEDICATION— FT
METER SIZE
LINE SIZE
NO. OF F17URES
PRV REQUIRED
-Vretr'-No 13
DATE
FIRE ATO"IMY" We " "I" I"nC'L"
in -burning app iq '8
fuel
COMPLETE EXEMPT ALLOWED , PROPOSED I ILL1111
:XP
LOT COVERAGE REQUIRED SETBACKS (FT.) I PROPOSED SETBACKS (Fr.
ALLOWED PROPOSED FRONT SIDE REAR FRONT 1JRSIDE REAR
— — — — — — — — — — T_
PARKING LOT AREA I PLANNING REVIEWED BY DATE
'NECKED BY
ITYfM ON
R.Up
..Up
SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED 0 YES LOAD
REMARKS
IROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REOrD
niv iq u �j s
1�9
$
Description
FEE
Description
FEE
Plan Check
State Surcharge
GLAZING % LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: I VESTED DATE
Plumbing
yechanic
THIS PERMIT AUTHORIZES ONLY THE WO KN.110, 1.16 PERMIT COVERS WORK TO
R
t: 11 DONE ON PRIVATE P"P" ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
OMfiJN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
Pe MITAPPUCATION: INDAYS
PERMIT LIMIM I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT, Oil RENAL. F His OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATU , AR SING
FROM THE ISSUANCE OF THIS PERMIT. ISSUAN"CEE OP THIS PERMIT SHALL NOT
Landscapainsp.
Total Amt. Due
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN
2 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINAN F.0,111 ,
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, A 0 THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
Thisapplarifier anarig—ItureflIgnedbythe
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
WILL BE EMPLOYED
CALL
Raddig0flicial,,histher eptay: eed For, are paid. a
TION; AND IN DOING THE WO K AUTHORIZED THEREBY, No PERSON
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION ..Iptl�.�k�ollodgedlnsp=,ptmided.
WORKMEWS COMPENSAT URANCE AND ACW 1627.
OFFI
DATE SIGNED
SIGNATURE = 0:�
(425)
�N 6-28-05
771-0220
RELEASED BY I/ DATEf
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
L
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
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY .............. ...
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