20060058.pdfDATE RECEIVED
[PERMIT EXPIRES
CITY OF EDMONDS
PERM T _;Q)OLI -_00
NUMVER
CONSTRUCTION PERMIT APPLICATION
JASGRESS SUITE10
R NAMFJNAME OF BUSINESS
<OWN
t V
PLAT NAMIDSUBEINISION NO. LOT NO. LID NO
MAILING ADDRESS
LID FEE
PUBLIC RIGHT OF WAY PER OFFICIAL STREET IAAP a
CITY ZIP ITELEPHO E
IN.
e �r l-ve--nit co n-
PON
JYDJJA
\J A O)F�� 7,()(-
REQUIRED D — 0
I
NAME
I In; "%VRE
AETEP SG Ou
jh, Zg1r.' E
t It �d spaces. UVF0803,1�
t ADDRESS
REMARKS
OWNERiCONTRACTOR RESPONSIBLE 'OR VROSKDN CONTROUDRAINAGE .9
CITY
In addition to the required
NAME
ENGINEllyfMOVII&IM111011 Valve, P
C
pan n tank shall be
1100 ej 810
I ADIRE11
REc,c,jf,&,,&fijb . Ikus ATE
all hot water tanks
CITY ZIP TELEPHO E
PUBLIC
z
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY
"I E REVIEWED BY DATE
9
SERA
VARIANCE OR Cu Sl� lNECr,�ADDT M SERA
0
R1
PROPERTY TAX ACCOUNT PARCEL NO. xv 3
-SL4 3 '1 o
Ell T
At
=6
REI
AM RESIDENTIAL G I NEON
C. U A I i 2ONe- A HEIGHT
1.
A
NEW
WAIVER
STUDY T 1
C
ON. 1 COMPI IAI,ICE 08
ADDITION 0 COMMERCIAL
!jIDEUNT'A']
In
KS(FT
M 0
[3 MIXED USE CHANGE OF USE
LOTCQ�ERAGE REW K
ALLOWED PROPOSED FRONT SIDE REAR
0
REMODEL
MULTIFAMILY SIGN
Ly
REPAIR GRADING FENCE
CYDS X FTJ
PARKING LOTAREA PLANNING REVIEWED By DATE
ITIZ
0T7HER
DEMOLISH TANK 11
REDO i PROVIDED
1 1
J,0
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROOKERY FIREALAR.
REMARKS
>
—4
P (TYPE OF USE. BUSINESS OR ACTIVITYi, EXPLAIN:
I
L R
o 'n
NUMBER 0
NNIMTSSERG,
OF OWELLIN
I
0 CUP NP
2:
c� STORIES
GOROUPA
in M
_QDE
SPECIALINSPECTION CONSULTANT OCCUPANT
LOAD
0 r
al*UA
L
Ok W t+h
REQUIRED [3 YES
0 r�
C: cn
REMARKS 0
1,9 o
'Z
GEOTECH REP08T 5
By
Z
Sal N
BY
VALUATION
>
$
z
Description FEE Description FEE
—sulch.rga
3:
0)
12,
____4EATSOURCE LOT SCOPE. VESTED DATE
Plan Check �.-
z
city surcharge
PLAN CHECK NO:
Building Permit
0
Plumbing Base Fee
M
THIS PERMIT AUTHORIZES ONLYTHE WORK NOTED. THIS PERMITCOVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS, MARQUEESl ETC.) WILL REQUIRE
Traci,
S EPARATE PERMISSION,
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
g
7�91 Ray. Recording Fee
PERMIT LIMIT., SEE ECDC 19.00.005(A)16)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr, Inspection Plan Chk, Deposit
ON BEHALF 0 HIS OR HER SPOUSE, HEIRS� ASSIGNS AND SUCCESSORS
R.C.1p, a
;APPLICANT,
N INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
WASHINGTON, FFICIALSl EMPLOYEES, AND AGENTS FRO
SGINTEREST, AGREES TO ITS 0 M ANY AND
Fire Review
ALLMCOLNADISM'S FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection Total Aml, Due r�5
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY� WAtVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION..
L.71scap. TISP7 Receipt
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DU AUTHORIZED AGENT OF
CALL TIIIG IPP11-1111 11 1 V1111 11 11910 by III,
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
Bm0:.,',.V DPPU y F..5 rb P
FOR INSPECTION
TION; AND IN DOING THE WW UT..�GRIZEG T.�.=, No PERSON WILL BE EMPLOYED
IN VIOLAT�,QN_,0,FPTHE L HE 0 F WASHINGTON RELATING TO
�,C�RANG
So a RANCE AND HOW 18�2
WORKP SCOM NeIO
OFFICIALS UAL DATE
(425)
IATE SIGNED
Zic:D
771-0220
RELEASED BY UATI
—j
EXT. 1333
ATTENTION
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL I NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI.
ORIGINAL -FILE YELLOW -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC110/ IFIC110.
PINK -OWNER GOLD - ASSESSOR
61.5 PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
. . ..... ..........
Permit: BL020060058
FERMITTRAX
P
02113/2006 mook 25 APAOVED
y
Total Time: 26
"X
04/03/2006 snocl,' 20 APPROVED
y
Total Time: 20
Total Inspections: 2
Total Time: 45
z
—04
M
9-1
M
0 C
M
M z
0
w
C
>
0 n
M M
0
M 0
5�,
r
z
z
0
M
Page I of I
71112009 t03:32 PM
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
-SETBACKS
FOUNDATION: -
Footing ...................
Wall ................
Pier/Porch ... ...............
RataningWall
�labinsulation
0
PLUMBING:
Underground .............
Rough -In
M
...; ...............
IT!
0
-10
Commercial Final
0
HEATING:
C
ITI
ITI z
Gas Test ...........
Gas Piping
ID -I
z
.................
C:
0)
Equipment . ................
-n
Commercial Final
EXTERIOR SHEATHING
ITI 171
NAILING ............ - ............
0
FRAMING ..............
5
C
ca
FIRST FL60R FRAMING.-
M 0
INSULATION ...................
Z
Floor Insulation
-4
Wall Insulation ...........
z
Ceiling Insulation
co
SHEETROCK NAILING
z
SPECIAL INSPECTION
0
M
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY .................