20060129.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
�1]114AME!NAME OF BUSLUESS
M
LU
MAILING ADD�RE ss
z
R.
-
0
_22LrUL. - E
CITY
NAME
U
W
ADDRESS
CITY
NAME
tr
ADDRESS
0
L)
M
�Z_
CITY
0
L)
STATE LICENSE NUMBER
ZIP
PROPERTY TAX ACCOUNT PARCEL NO,
T
TELEPHONE
NEW
[:] RESIDENTIAL
E] ADDITION
kq--CbMMERCIAL
MIXED USE
LgrMODEL
MULTIFAMILY
1:1 REPAIR
GRADING CYDS
E] DEMOLISH
TANK
GARAGE
RETAINING WALL
CARPORI
ROCKERY
(TYPE OF USE, BUSINESS Q5 ACTIVITY) EXPILAIN
NUMBER
OF
STORIES
Wei-1:99110MA
HEATSOURCE
PLAN CHECK NO:
PIRATION DATE
DWELLING
UNITS
LOT SLOPE%
CBLO
/ /V 67 .1 1 PERMIT EXPIRES
/PERMIT
NUMBER 261
JOB
ADDRESS
SUITEYAPTP
PLAT NAME, SUBDIVISION NO
LOT NO
I
LID NO
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL
STREET MAP
TLSCII Apprcea
H%1W P01M.1 Flec"apa
0
EXISTING PROPOSED
Strew Uso Perrm ke,jaccl
4
0
13
lnspecl:on ReqLs red
Soe6a-, Req,wed
13
REQUIRED DEDICA1 ION
FT
undergro"rti
13
Mr-OC) fel".10d
11
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES0 NO 13
REMARKS
OWN E R /CONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE
It
CHECKED 13Y I FIRE REVIEWED BY
PLUMBING,'MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
DFENCE
( X
1:1
OTHER
EFIRE
3
SPRINKLER
FIRE ALARM
VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT. SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
VARIANCE OR CU
CA#
0 WAIVER
0 STUDY
Nu
!n
ED BY
LOTCOVEHAGE
ALLOWED PROPOSED
FT.) PARKING
REO. D I PROVIDED
REMARKS
'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 SHALL 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.'
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 CONSTFIIIC-
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
WORKM'S,C
,�MPFW��TION INSURANCE AND RCW 18:27.
SIG TU R A G E N T)e--,-, DATE I NED
,72,jb/�
REQUIREDO YES
REMARKS
BY
9T-1
BY-
DATE
DATE
DATE
AUB4 PEC�ION I SEPA
I INS�Eoo COMPLETED EXEMPI
1:1 YES 13 No I I
SIGN AREA HEIGHT
ALLOWED PROPOSED I ALLOWED PROPOSED
0
z
EE
Uj
W
z
0
z
LU
Uj
cc
LL
REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT)
FRONT SIDE REAR FRONT LIR SIDE REAR
0
z
1 2
z
4
LOTAREA PLANNING REVIEWED BY DATE _j
I M
CONSULTANT
lewsm,
PANT
VALUATION
Description
FEE
Description
FEE
Plan Check
State Surcharge
Building Permit
/I
City Surcharge
Plumbing
Base Fee
Mechanical
m
Grading
Engr. Review
Recording Fee
Engr. Inspection
Plan Chk. Deposit
Fire Review
Receipt ft
Fire Inspection
Total Amt. Due
Landscapelnsp.
Receipt #
�3
CALL
FOR INSPECTION
(425)
771-0220
E T. 1333
APPLICATION APPROVAL
This apocation is not it pefrnti uniii signed by trio
Budamg Otficial o, hisitior Deputy ano Fees are paio too
sackno,&iedged in space Provided
OF 0 GN E IL
nil 'D 25/
/DATE -
ATTENTION I
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CFERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC11 0.
6/05 PRESS HARD - YOU ARE MAKING 4 COPIES
ORIGINAL FILE YELLOV�' -INSPECTOR
PINK -OWNER GOLD - ASSESSOR
0
z
z
0
i
0
M
--i "n
X
M
M
0
10
0 C:
M
M z
j) --I
C
0 _T1
MM
0 _Cf)
0 r-
0 M
c:: Cf)
90)
M 0
Z
z
z
0
1
0
M
04/18/2002 23:07 14253533399 KINTIGH PAGE 01
RECEIVED
FEB 2 4 L VJ
DEVELOPMENT SERVICES
Z
0
February 23, 2006
0:
Theresa Umbaugh
Permit Coordinator
City of Edmonds
0 M
C
th
1215 Avenue N
M 0
Edmonds, WA 98020
0
0
C
Re: Avalon Inn Permit Extension — 22816 Edmonds Way
M
M z
Theresa,
C
>
We will be able to begin work within 2 weeks of issuance of the necessary permit
and estimate that it will talce one work week to complete the sprinkler riser room, one
0 -n
-n
work week per floor to complete soffitting of the common area sprinkler pipe and two
rn
work Nveeks per floor to complete tile soffitting of the sprinkler pipes in t1le living units.
rn
0 C/)
Any questions feel free to call me.
0
0 M
Thank you,
M0
Z
X
Robert D. KGQ)
>
Pres./C.E.O.
z
z
0
M
One Call FIXes All! DoQrs -Windows Handyman RernodpItNew - Insurance
18908 Hwy. 99, Suite B - Lynnwood, WA 98036 Phone; (425) 640-3620 Fax: (425) 640-3947 Lic. U. PROPEHr,95 1137
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMOTO: PEW7C, DINATOR, BUILDING DIVISION
FROM: FIRE DEPARTM ENT DATE 3-119/0c,
?L V 1,SE I M
ENGINEERING DIVISION DATE
KFASU SUM
PLANNING DIVISION DATE
?LEASL SIGN
PROJECT IN/J
SITE ADDRESS
PERMIT# D6:,-o)2_2 ADB# DATE INSPECTED.
DESCRIPTION OF WORK TO BE INSPECTED X��6�� fLy— P69A-1 t7_ 04- - cl"7
A field inspection was conducted to determine cornpliance with approved plans. Final ipproval
denotes that there are no objections from the above signed Department to (lie release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT A-PPROVAL WITH CONDITIONS NOTED
El Copy of CONDITIONS given to owner/contractor by inspector
I
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
IAe1np:bIdg:fbnns:ocaprvI 3/25/04
z
0
1
0
M
—i -n
—j
X
M
C
M 0
0
--j (-)
0 C:
4 K
3: M
M Z
r') —i
C
0 _n
r1;0
_j >
M �
M M
0
0
0 M
C/)
M C)
Z r-
M
X
--I
M
z
--i
M
Cl)
z
0
A
0
M
!1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...................... ----------
Wall ..........................
z
Pier/Porch ................. ----------
0
Retaining Wall ...........
M
Slab Insulation ..........
PLUMBING:
Underground .............
M
C
M 0
0
--1
0
Rough -In ...................
0 C
--I
Commercial Final ......
M
M Z
HEATING:
C
>
Gas Test .................... ----------
0)
Gas Piping .................
0 -n
Equipment .................
Commercial Final .......
M M
0 Cn
0 r—
EXTERIOR SHEATHING
0 M
NAILING ..........................
C: co
Cn
FRAMING ........................
Q 0
Z
FIRST FLOOR FRAMING...
INSULATION ...................
M
>
Floor Insulation .........
z
Wall Insulation ...........
C/)
Ceiling Insulation .......
z
0
SHEETROCK NAILING ...
0
M
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR NO'S
OCCUPANCY ..................
20 6-0 1 z t? woo'
IIIIIIIII