20060136.pdfPERMIT EXPIRES
CITY OF
PERMIT
EDMONDS
NUMBER
CONSTRUCTION PERMIT APPLICATION
'A`DGRESS
'OF BUSINESS
[OW�NER :NAMEINAME
P, Lorene
PLAT NAME'SUBDIVISION NO
LID NO
MAILING ADDRESS
UD FEE S
TKIP
PROPOSED
ZIP
EXISTING
NAME
METED SIZE LINE SI1T OF AXTUDES PRV REQUIRED
I
ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY
0injain
Electrical Permit frOm
NAME
[�.Y.LE
ADDRESS I
REVIEWED BY
_j
CITY zip TELEPHONE
PUBLIC WORKS REVIEWED By
1
&TAIE LICENSE NUMBER EXPIRATION DATE
FIRE REVIEWED By
DATE
PROPERTY TAX ACCOUNT PARCEL NO,
D
CM
ZONE AREA HEIGHT
OSED SETBACKS IFT.)
0
0 MIXED USE CHANGE OF USE
COVERAGE
ALLOWED PROPOSED
SETBACK IFT)
1�11 SIDE REAR
0
0 MULTIFAMILY SIGN
0 REPAIR F1 GRADING CYGS FENCE
LOTARBI PLAN
M
DESCRIBE WORK TO BE DONE
CONSULTANT OCCUPANT
0
REMARKS
GECTECH REPORT
BY
Description
FEE Description
HEAT SOURCE LOT SLOPE9. VESTED DATE
Plan Check
State Surcharge
z
Building Permit
VFEEE
7�, S.rch.1g.
_i
PLAN CHECK NO:
Plumbing
Base Fee
1711
THI PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
_,�e_ 1
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THIE PUBLIC
DOMAIN (CURB$, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
M SEPARATE PERMISSION.
APPLICATION: SEE ECDC 10,00,005(A)(5)
Grading
Fee
PERMIT
P. PERMIT LIMIT'. SEE ECDC 11,00.006(A)(6)
Engr. Review
Recording
SEE BACK OF PINK PERMIT FOR MORE INF
Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS" SSIGNS AND SUCCESSORS
Receipt If
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
E MONDE, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY IND
Fire Review
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY Oil INDIRECTLY
Fire Inspection
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 CtTY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
ndSCRPSIhSp.
Receipt If
APPLICATION APPROVAL
HERB Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INF AMATION
OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL
TI � U,
GIVENtSCORRECT, NO THAT IAM THE
�THEO JA BEE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC,
a'p'�'�
FOR INSPECTIO N 8`1`1
TION:ANDINDOGIN THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE LOYED
IN VIOLATION OF'THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
SI NATURE IOWNEA G ADEN
771-0220
J,, AaVALI
, -
:
DATE
EXT. 1333
TT �4
IT IS UNLAWF TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
-FILE - YEL OW -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 /
PINK -OWNER GOLD - ASSESSOR
PRESS HARD - YOU ARE MAKING 4 COPIES
-
Permit Inspection Details
Permit: BLD20060136
PERMITTRAX
021 2 4 2006 MS 35 APPROVED
y
Total Time: 35
Y,
02/24/20'06 MS 15 APPROVED
y
Total Timet Is
Total Inspections: 2
Total Time: -50
z
0
C, -4
3m:
a 'M
Ro
c c
M:
-4 0
0
0 C:
M
10
>
0 -n
M M
0
C
C Ca
M
X
z
-4
3:
CO
z
0
M
7/212009 1:39:66 PM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...................
Footing .. ........
Wall ............. ..........
Pier/Porch ..............
Retaining Wall ...........
z
Slab Insulation ..........
0
ITI
PLUMBING:
Underground
Rough -in ..............
M
C
IT1
Commercial Final
-40
C:
HEATING:
IT!
Gas Test ....................
Gas Piping .................
z
Equipment ..........
Commercial Final
0 -n
Irl
EXTERIOR SHEATHING
-4
3:9
M IT
NAILING ..........................
0
FRAMING ........................
0
0
FIRST FLOOR FRAMING
C: cf)
9 (n
IT 0
INSULATION ...................
Z
Floor Insulation
;a
Wall Insulation ...........
>
z
Calling Insulation
SHEETROCK NAILING
z
SPECIAL INSPECTION
9
0
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................