20060089.pdfLE RECEIVED
[PERMIT
EXPIRES
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
PERMIT
NUMBER
JOB SURVAPT.
ADDRESS -71 fi4 P�-V,t L,tj,
�WNE,�Z;ZE �RUIIIESS
cx_ i 0� -I IF s
PUIX NAME)SUBDIVISION NO
LOT NO
LID NO
LID FEE S
3:
C
MAIUNGADO EBB
!D-2 7-1sli qI —ft"", All . V\j
PUBLIC MIGHT OF WAY PER OFFICIAL STREET MAP
ING PROPOSE
REQUIRED DEDICATION __ FT
CITY ZIP
E��wkot,,�cy_-_V,k qkzd
TELEFHGN
42S)EI-1l.- 04-2.
NAME
METER SIZE I
LINE SI
NO 01111 FUMES
PAV REQUIRED
YES 0 o[3
I.
ORE.
REMARKS
OWNERICONTRACTOR RESPONSIBLE FDA EROSION CONIHOUDRAINAGE
CITY ZIP I TELEPHONE
COUNTRARCELNO.
11 1 --- ---
41"19 _00�b _068_ 00
1
JO YREOED3.No
Ea
CM
ZO E
SIGN AREA
HEIGHT
0 NEW RESIDENTIAL 0 PLUMBING I MECH
0 WAIVER
I
L_
AU-1 P1*-IE1
AL I
L'-
COMMERCIAL COMPUANCE OR
0 ADDITION 0 CHANGE OF USE
13 STUDY
LOT COVERAGE
REQUIRED SETBACKS I,,T)
PROPOSED SETBACK$ (FT)
MIXED USE
ALLOWED PROPOS ED
E, REAR
FRONT BID
E
tP11-11
FRONT UPSIDE READ
REMODEL n MULTIFAMILY 1:3 SIGN
#.E
I
REPAIR GRADING CYGE (FENCE
I FT.)
LOTAIEA
PLANNING REVIEWED BY DATE
AN I M
DEMOLISH TANK OTHER
GRARKN"
RE. PRICNI.E.
I
GARAGE HETAIMING WALL FIRE SPRINKLER
REMARKS
CARPORT MOCKERY FIREAILARM
(TYPE OF USE, BUSINESS OR ACTIVI
NUMBER
HUM ER OF
OF
STORIES
DWELLING
UNITS
TYPE OF CONSTRUCTION
W7
1 CO2,11,DV31
MCU NT
OGc
OUR
DESCRIBE WORK TO BE curel
=S8CyTE10N
B
I CONSULTANT . .....
OCCUPANT
1._LOAD
*J�)
REMARKS
IA76,0 ea�uzar—k rz tz,-�_
av-1 t, 6 12-v " ryng I : , je-
GEOTECH REPORT
BY
Description
FEE
Description
FEE
HEAT SOURCE LOT 11LOR1% �11TED DATE
Plan Check
State Surcharge
Building Permit
L
City Surcharge
PLAN CHEqK NO:
Plumbing
Base Fee
THIS PERMITAUTHORIZ S ONLYTHE WORK NOTED. THIS PERMIT COVERS WORK T 0
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Mae . I I
Mechanical
Grading
E DOMAIN fCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
3. PERMISSION.
_SEPARATE
I
I PERMIT APPLICATION; SEE ECDC 19.00,005(A)(6)
EngL Review
Recording Fee
I
PERMIT UMITSEE ECOC 19BOBOS(A)(6)
Engn Inspection
Plan Chk. Deposit
Be SACK OF PINK PERMIT FOR MORE INFORMATION
S SEE a
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMON S. WASHINGTON, ITS OFFICIALS, MPLOYEES, AND AGENTS FROM ANY AND
D 6
F ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE Of THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
D H OR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
Fire Review
Receipt #
Fire Inspection
Total Amt. Due
-------------
LandscapeIRSP
Receipt I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INPORMATION
GIVEN IS CORRSCT� AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
N?WND. IA..E.TO.O PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
'EE, �A � BEING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATIO F THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORK ENSATION INSURANCE AND Hew 18:27.
MEN.E�
Ck
CALL
FOR INSPECTION
(425)
APPLICATION APPROVAL
Ths PPI—e— (X . PA-1 10 se— F, III.
Bud, 011-1 , Nvner D,p,iy B,d Fees — pa,d. IP,d
—d—ledsed in space p—ded
OF R DATE
HE ORA .. T1.
771-0220
-21-7)0
81L BEY I 1DATr
ATTENTION
EXT. 1333
ZJ-7 10
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 / IBC110 I IRC110.
ORIGINAL � FILE - YELLO - INSPECTOR
PINK � OWNER GOLD -ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
z
9
0
C M
M a
0
0
On ITT
z
Co
0 -n
n
M M
0
0
0 M
C ri)
9 fi)
M
z 10
:-i
z
-4
3:
z
ITI
Permit Inspection DetaiiS
Permit: BLD20060089
0
PERMITTRAX
I t
1
—'OVED
03106/2006 snook 40 APPR
Y
Total Time: 40
--z
?
03124/2006 snook 30 APPROVED
Y
Total Time: 30
Ki
04110/2006 snoOk 25 APPROVED, building appears to be a single family tasiderice.
Y
0
Total Time: 25
Total Inspections: 3
Total Time: as
M
C:
im
—1
0
M
ITI z
0 'n
-n
M ITI
0 r
IT!
U)
0
0
6123/2009 11:38:19 AM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ..............
Pier/Porch .................
0
Retaining Wall ...........
Rq
Slab Insulation ..........
PLUMBING:
M
Underground .............
C:
ITI
0
Rough -in ...................
Commercial Final
M 11111
HEATING:
Gas Test ...............
Gas Piping ................
Equipment
0,n
Commercial Final
M IT
0 vj
0
EXTERIOR SHEATHING
NAILING ..........................
0
C: (n
FRAMING ..........
0
FIRST FLOOR FRAMING
INSULATION ...............
>
Floor Insulation
z
Wall Insulation ...........
x
z
Ceiling insulation
2
vyl -A.
F)
SHEETROCK NAILING
IT
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ................
110
0MIII!