20060072.pdfLATE FE.E,.
36
[PERMIT 7 '36)
IL,
0 EXPIRES
CITY OF EDMONDS
PERMIT
NUMBER AL
CONSTRUCTION PERMIT APPLICATION
JOB SUITEiAPT,
ADDRESS
io
OWNER NAMDNA E OF BUSINESS
Yf �al 1) u.0,
PILAFF NAMEISUBDVVISION NO L T NO LID NO
MAILINGADDRESS
LID FEE $
c
PUBLIC RIGHT
NIGHT "eEfjPF 1qSTWUtAPconnect
CRY z1P TELIPHOIII
EXISTING on fuelchuf%ing appilances p
qr"w
REOUIREDDE thrromag h-unheated
NAME
METER SIZE
I.
ADDRESS -REIAARKS
OWNEROONTRACTORRESP NSIBLE FOR EROSiONCONTROUDRAtNAGE
IF
j IJ Z
CITY ZIP
ITEL111IONE
Y j
NAME
LNGINEERING REVtEWEC��13
�Y-Fjl
&351-77 9,1&"/
ADDRESS
RECYCLE REVIEWED BY DATE
's C--
CITY ZIP TELEPHONE
PUBLIC WORKS REVIEWED BY DATE
5�5
STATE LICENSE NUMBER EXPIRATIONOATE CHRHY
— --- I - IIIIIL
,,, REViEWEJ��-
State Labor & Industries
z
0
-4
N/0 Z/4//? 0 to I
PA
0
PROPERTY TAX AD
CX (X) I I D (D 06
NEW RESIDENTIAL K1LUM.1,N. I ED.
AC3
cm ZONE SIGN AREA EIGHT
[I WAIVER ALL—. I PRoposED ALL.— I —Po"
COMMERCIAL 'LAND A
ADDITION El
0 STUDY
STUDY
SEOSETBACKS (FT I
0 IT
C:
CHANGE OF'uoE
MIXED USE
AL LOT COVERAGE REQUIRED SET'ACK
LOWED PRopos FRONT SIDE FISEA(7) REAF
M
C] REMODEL 0
[W—AIVIR
tL.TAD
MULTIFAMILY SIGN
REPAIR GRADING CYCE [] (FENCE
x FT.)
PARKING LOTA�EA PLANNING REVIEWED BY DATE
Z
M
DEMOLISH TANK El o771iso
REOD i PROVIDED
ITIZ
jo
CA AGE 0 RETAINING WALL 1IIIE.PFrNI<1-E.
z CARR RT ROCKERY f-I FIREALARM
z
r -4
0
E;
(TYPE OF, USE. BUSINESS OR ACTIqjE:;�j
0A 17
�m
Q,
I
NUMBER uNIBEROF
OF D WELLING
Cn� 0 CUPAkv)
0
C IES UNIT,
GO
RoUp
TYMZWN
I _STO
DESCRIBE WORK To BE [)ON,
r
'OTC—UPANT
I
M M
Qg",
SPECIAL INSPECTION LOAD
0 eQ
An,, q4,
REQUIRED 13 YES
0 r-
0 M
REMARKS
C (j)
SE.TECH REPORT
M 0
z
BY
If
ST DESIGN
;0
BYRUCTURAL
A�' AV,
VALUATION
$
GQ6 -�t�ev
Description FEE Description FEE
z
HEAT 6 PE% VESTED DATE
Plan Check State Surcharge
3:
r—
z
PLAN CHECK NO:
Building Permit City Surcharge III
9
Plumbing Base Fee
0
THIS PERMITAUTHORIZES ONLY THE WORK NOTED. THIS PERMITCOVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC�) WILL REQUIRE
Grading
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.0b.005(Alls)
PERMIT UMIT�. SEE ECDC 19.0B.005(A)(6)
Engr. Review Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
A 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Receipt It
�w IN INTEREST, AGREES INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEE% AND AGENTS FROM ANY AND
AL CLAIMS FOR DAMAGE OF WHATEVER NATURE. ARISING DIRECTLY OR IN In TLY
- L D So
Fire Review
Total Aml, Due
F, OM THE ISSUANCE OF THIS PERMIT. ISSUANCE Of THIS PERMIT SHALL NOT BE
Fire Inspection
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT DF ANY CITY ORDINANCE
Receipt 4
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscapeltup.
APPLICATION,APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFOR ATION
GIVEN IS CO HECD AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT or
CALL T111—rAlb.F., I — --IL PgPbU by th,
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONsfRUC-
6--9 oll-1.1 F b, DP`UIy ,b, I In rb
FOR INSPECTION
TICIN; ANDRI DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN Yj OLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPE=URANCE AND R 1&11.
0111 LS $1 U E DA
(425)
EIGIVATUR.=� DATE SIGN"
771-0220
RELEASE, By
;�.30
EXT. 1333
ATT7E7t ?5ON
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APP ROVAL OR A CEFITI-
ORIGINAL , FILE YELLOW INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / ISC110 It IRCI10,
PINK OWNER GOLD - ASSCSSOR
PRESS HARD YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060072
PERMIT-rRAX
S "T" vpi pw� 1
. . ..... ... .....
02/01/2006 SNOOK 25 APPROVED
y
Total Time: 25
ui
P,
02/oi/2006 SNOOK 15 APPROVED
y
Total Time: is
Total Inspections: 2
Total Time: 40
z
0
X
M
C
M
0
0
C
M
0
M M
0
0
z
z
M
71912009 3:04:51 PM
Page I of 1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...................
FOUNDATION:
Footing ......................
Wall . .......... ..............
Pier/Porch
z
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
0�derground .............
IT!
C:
j �ough-ln . .....
M
0
Commercial Final
0
C:
HEATING:
IT!
IT! z
J0 -4
Gas Test ..............
r
Gas.Pipin'
0 Vqruipment
Cn
-n
...............
0
-n LO
-q-
Commercial Final
:C r.
M M
EXTERIOR SHEATHING
a
NAILING ..............
0
0 M
FRAMING ................
C w
9 C/)
ITI 0
FIRST FLOOR FRAMING
INSULATION ...............
Floor Insulation
Wall Insulation ...........
z
-4
Ceiling Insulation
z
SHEETROCK NAILING
SPECIAL INSPECTION
0
IT
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
SOW 0074 v"-