20050705.pdfDATE RECE
I . & MMMMILIIIIIIIIIIIIIIIIIIIIIIIIII U
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF 13USINESS
John Friel
MAILING ADDRESS
20102 83 Ave W
CITY ZIP TELEPHONE
Edmons 98026 425-771-3892
NAME
12601
CITY ZIP, TELEPHONE
Kirkland 98034 1425-814-
STATE LICENSE NUMBER EXPIRATION DATE
P AqrPtk7 Pr 0 R 9 T)P 9-1 r,—rA
PROPERTY TAX AC70'UNT PARCEL NO.
00431200000302
NEW
RESIDENTIAL
L
ADDITION
COMMERCIAL
El
MIXED USE
E]
REMODEL
MULTIFAMILY
13
REPAIR
GRADING CYDS
DEMOLISH
TANK
GARAGE
RETAINING WALL
CARPORT
ROCKERY
(TYPE OF USE, BUSINE RACTI ITY)EX I
i%
PERMIT EXPIRES
PERMIT U6, L-�O,
NUMBER
JOB
ADDRESS 20102 83 Ave W
SUITEIAPT#
PLAT NAM E/SUB DIVISION NO. LOT NO to NO
I I rLID FEE S
PU13LIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING- j1n_.aCf&j@SED
, OL 'on ",ohe—i
REO ID a, —.FT _
TESCP Approved
RW Permit Required
400, �Se Permit Required
S',"alk Required
underground
METER SIZ iiS INE SIZE -N07OMXMME,rjfFA SM
jea expans !on tank shaill bes a
REMARKS Axiiat"Alti oil '9 11 not Wa
0WNFRfCOjVAfb1aRRFSPZWSIBLE FOR EROSION C10NF01Nk&
ov- 1, vent eontiectors requi
ENGINEE1j181TMqEfjjjjrjjj- Ippil. ITE
�jg. qnCej pflgjn�
FIRE
RED
0 E3 z
FE
tu
W
z
[5
z
W
BY V a14 Flk;tk il�'fff lel"Wa-11WEID I EXENiPT
4 P�Y� 0 KtN 0 1
CA# I OLA"%A, �i41ZONF' STGN HE4GHT
WAIVER ME PROPOSED
STUDY 13
PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT) rmurvact., OM I DM k i
ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR
COMPLIANCE OR
z
CHANGE OF USE z
PARKING LOT AREA I PLANNING REVIEWED BY DATE
SIGN REa'D I PROVIDED
FENCE
( x FT.) REMARKS
OTHER
FIRE SPRINKLER
FIRE ALARM I
Lu
I Y Ntrur Nz)l
CU Elu
NUMBER NUMBER OF
OF DWELLING SPECIAL INSPECTION CONSULTANT
GROUP
STORIES
UNIT
REQUIRED
LOAD
DESCRIBE WORK TO BE DONE
Remove/=Iace gas water h r in(
REMARKS z
storage room in basement 40.000 b
GEOTECH REPORT
BY:
STRUCTURAL DESIGN
BY:,
()I-f\ CA
VALUATIUN-T
$
Description
FEE
Description
FEE
Plan Check
State Surcharge
LOT . SLOPE%
VESTED DATE
T
B uilding Permit.
City Surcharge
001
PLAN JHECK NO:
Plumbing
ctc)
Base Fee
72
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
Engr. Review
PERMIT APPLICATION: SEE ECDC i9.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SMALL 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.'
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt ft
Landscapelnsp.
Total Amt. Due
U7.
Recording Fee
LReceipt #
jjoz
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 CONSTRUC.
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
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
CALL
FOR INSPECTION,
(425)
1 771-0220
APPLI ION APPROV -
This application is not a permit until signed by the
Building Official or his/her Deputy: and Foes are paid, and
receipV*,,acknowlelped in space provided,
0 CAL IG AT RE 4,
VRELEA��
SIGNATURE (OWNE AGE�T:
i�� 1
22 L
DATE SIGNED
8-16-05
BY)
By
DAVE
ATTENTION t:A L '11,3aa
IT IS 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 I IBC110 f IRC110.
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
ORIGINAL - FILE YELLOW - INSPECTOR
PINK -OWNER GOLD - ASSESSOR
z
0
i
0
M
-n
M
C
M
.-40
0
0 C
--i K
3: M
z
C
X
0 -n
n
M M
0
0 M
C C/)
9 0
M 0
Z
z
3:
z
0
0
M
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing.......................
Wall ..... ....................
Pier/Porch .................
z
Retaining Wall ............
0
Slab. Insulation ..........
PLUMBING:
0
Underground ...... ......
M
C:
Rough -In ..................
-4 0
0
C=
Commercial Final ......
---
1711
HEATING:
IT! z
C z
Gas Test ....................
>
-Gas Piping .................
0 -n
Equipment .............
Commercial Final .......
M M
0 vi
EXTERIOR SHEATHING'
0 r
NAILING ..........................
0 IT!
FRAMING ........................
CD
M 0
z
FIRST FLOOR FRAMING...
—4
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
x
0)
Ceiling Insulation .......
z
SHEETROCK NAILING ...
0
SPECIAL INSPECTION ...
IT!
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
40