20050571.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
)WNER NAMEINAME OF BUSINESS
Tom Nicholson
WALINGAODRESS
1 030 Grandview street
'ITY ZIP
Edmonds 98020 J'C'O'Z!3�10-5133
Clim:teq!eating & A/C
ADDREFr
5_
14715 N. . th Unit B
CITY ZIP TELEPHO E
Redmond 98052 425-746-3077
7TATE —LICENSE NUMBER E I DATG�j _�HICIEOT1517
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ALLUCH 966C6 2 26-0
PROPERTYTAXACC PAR EL NO, \'y
00595100000400
JZ' RE.ID NTI: jg:P!L.��I:�G)MECH
.... :R. COMPLIANCE OR
TIGN 0
MIXED USE CHANGE OF USE
0
0
L
REMODEL 0 MULTIFAMILY SIGN
..'He FENCE
0 REPAIR 0 t _ X_FT,)
r-1 DEMOLISH TANK 0 OTHER
3 o M
.GARAGE RETAINING WALL (3 FFIR SPRINKLER
CARPORT 0 FLOCKERY REALARM
U
I. Mn. OR
11'. N ER LING
UMB -_EL
. . U"'
OF
':R
,as
ETCH E UIMT.
install gas piping from.meter to
with tee ior future appliance
U-) I I PERMIT EXPIRES
PERMIT
gC6�;-
NUMBER
JOB S ITEIAPTO
ADDRESS 1030 Grandview Street
PLAT NAMjjEUBO1VSION NO,
LOT NO
LID N
LID FEE S
tC RIGHT OF WAY PER OFFICIAL STREET MAP
'E.Eann..
ING
EXISTING —PO us
P-P, a.
1� 2
REQUIRE DEDICAT We
METER SIZE
R101IR10
NO 13
REMARKS
OWNEWCONTRACTOR RESPOI,ISIm
0 UDRAINAGE
""'f
on
appliances passing
FIRE
VARIANCE OR DO SHORELINEORAD80 JINSPECTION
RE
D COMPLETED EXEMPT
"T
No
R'
ES 0 No
0 YES
CAM — ZONE REA HEIGHT
WAIVER 13 AMMCYCD PROPOSED ALLOME. PACE. —
STUDY 11
LOT COVERAGE REQUIRED SETBACKS (FTJ =SED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR UP SIDE REAR 0
N
PARKING LOT AREA PLANNING REVIEWED .I DATE
R REaD R'
Can � PROVIDED
REQUIRED 13 YES
REMARKS
GEOTECH REPORT
0 CUPANT
GROUP
60tT $
Dmsc�iptioan
FEE Description FEE
an -heck
I IT heck
P Pla
State Surcharge
HEAT so RCE UOTSLOPE% VESTED E Bull n Permit
Building Permit
City Surcharge
Gas
Plum
P ECK NO: Plumbing
Base Fee
echanical
M chan'O.,
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO _
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBIC Grading
DONMAJN (CURBS, SIDEWALKS, DRIVEWAY% MARQUEES, ETC,) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
PERMIT APPLICATION: SEE ECDC JIL00,0051A)(51
PERMIT LIMIt SEE ECDC S(AR"I Engr. Inspection
SEE SACK OF PINK PERMIT roR=DINFORMATION ..
'APPLICA�T�DANGEEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSORS Fire Review
Plan Chk.De osi
_E REES To INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
IN INTERE AND Fire Inspection
EMPLOYEAIRI;�AI.I.A,�I.I."TILSYI.'.*,I
Receipt #
EDMONDS, WASHINGTON, ITS OFFICIALS, AN'
CLAIMS FOR DAMAGES OF,=VEH NATURE, IN No RECTLY
ALL
FROM THE I ..... E OF TEN T. SSUANCE OF THIS PERMIT SHALL NOT BE
Landscapeln
Total Amt, Due
' a
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
ENFORCE ANY ORDINANCE PROVISION.
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO
Recording Fe
Receipt #
I - HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
AGENT OF
APPLICATION APPROVAL
TNX appa--a a., . p.rnad LaaA a,gn. by.nE
GIVE THAT, AM THE OWNER6011ATHE OU AUTHORIZED
�.m CEHEEEECT�
'AN. _O TE LAWS REGULATING CONSTRUC- CALL
PU'Wn.mTYAN ST
Baild.nq OffirOal of haaho, 01puty: and F11X 410 pand. and
�
GO
THE OWNER. I AGREE T. THEREBY,
TiON;ANDINGOINGTH WORKAUETHORIZED NO PERSON WILL BE EMPLOYED 14C i. C.."DdgP sp— Prov, 8
INSPECTION
IN VIOLATI N OF THE OF THE STATE OF WASHINGTON RELATING To FOR
0
'0,
WORKMEW CoMPE.. CE AND RCW 18121�
F NAT
ED (425)
05 771-0220
RELEA BY DA E
EXT. 1333
WFENTION
UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
IT IS
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL - FILE - YELLOW - INSPECTOR
A FINAL
OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBCI10 I IRC1110-
PINK -OWNER - GOLD - ASSESSOR
FICATE
101" PRESS HARD - YOU ARE MAKING 4 COPIES
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...... ......
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACK$ .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .............
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground............
Rough -in ...............
Commercial Final
HEATING-.�
ICA 6
Gas Test
Gas Piping ................. Idu
E..
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 ..........
Woo-m- w?n4_ PrzvAir -gm5--r)Y7�
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACK$ .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .............
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground............
Rough -in ...............
Commercial Final
HEATING-.�
ICA 6
Gas Test
Gas Piping ................. Idu
E..
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 ..........
Woo-m- w?n4_ PrzvAir -gm5--r)Y7�