20060218.pdfDATE RECEIVED
16) PERMIT EXPIRES
I
P T
CITY OF EDMONDS
NEURIMIER
CONSTRUCTION PERMIT APPLICATION
108 SUITEIAPTV
ADDRESS
J13 AL, 5� EDPA64;0-5, _--v?z,)tAo
PI -AT NAMIDSUB1XVISION NO, NO, 11 NO,
MAILING ADDRESS
TT
LID FEE S
ii:
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
.111P 11b
0
CITY zip TELEP"Ol
P-1 R-1111 13
EXISTING PROPOSED C3
qgWEmbRE.
C.1CATK)I,i FT
NAME
METER SIZE LINE SIZE NO. OF Ill— PRV REQUIRED
YESM ROD
I
C ADDRESS
REMARKS
IF
0 NCRICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY
-7c--,-
PURSUANT TO UpV-
NAME
ENGINEERING RfiVIEVIEWATER SERVICE S CAT
Rorw 2,,�;TEP, Aik-010AII)
SHALL BE INSTALL13D ON TUC
ADDRESS
!
RECYCLE REVIEM- j,'
.1
CITY �IP TELEPHONE
1.9 ; GRAS REVIEW D By DATE
J_V N 1$?b
e—",
STATE/ICENSE NUMBER EXPMATIONDATE BY
�
FIRt IEV�EWI; 13'rl'- J-CIATEJA�111,1�f Lill
I
z
WECE
1. - -
I. "R,_) '(� ,;, BP
INIV IL U..1
Zrl—_Qje��C )QaRR el�
_i1C
PROPERTY 0
0M7iT1R�h&600"W
RIANCEORCU �;Sit VN
T; IQ D .54 TUE
is W `CTKI�_'AL
0
Eg RESIDENTIAL
CA 'ION
P AL L�Z.F, �T=E.
1:1 NEW PLUMBING I MECH
0 VArjER 1! li(i
ADDITION rl COMMERCIAL COMPLIANCE OR
MIXED USE CHANGE OF USE
TUpy_
-To FT
FApt REQUIRED 9 BACK I -1p bp_dSiEot�.V&
To I E ED I I AR
L� PA BECI� S`1.E
X
ITI
C
REMODEL MULTIFAMILY E3 SIGN
I.,ED9 , R R. r9NrCURSj
; MID f
ij
M
FENCE
J "it
[
400
a
REPAIR GRADING CYUG E] X FT.)
11R%�bG kBE6 +i!�Tek 14 CA T
bAr� TFA17E
TFATE
C
4 C
DEMOLISH M TANK
X!z�)
IT D.6 B V, �FATE
I � G;1
, 1 .1% ,
M
M Z
GARAGE
N S PRINKLER
[3 RETAINING WALL FIRE
o CARPORT OCKERY L_J FiREA1_ARM
JMAR31 \1
jtYPE OF USE, BUSINESS OR A
T_
N MBER HUM OF
CA
0
OF DWE G
STORIES UNITS
0 C'u,
TP7CrM" CODE ROUP
"lam"
'YA ij 'rr-w"I"
SPECIAL INSPECTION C�TINSUMAN*' OCCUPANT
ITI ITI
LOAD
REQUI13ED YES
I
0
0
REMARKS
0 M
GEOT CH REPORT
M 0
BY
STRUCTURAL DESIGN
Z
By
LUATION
__q
3:
Description FEE Description FEE
D. "Ptipi.
a
z
HEATSOURCE LOT SLOP1% VESTED DATE
LVALUATION
Plan Check State Surcharge
,an C'eOX
X
Bitillding Permit City Surcharge
..'Idmg,emb,
z
PLAN CHECK NO:
9
Plumbing Base Fee
Plumbing
0
THI PERMIT AUTHORIZES ONLY THEWORK NOTED, T41S PERMIT COVERS WORKTO
Mechanical
IT1
BE DONE ON PRIVATE PROPERTY ONLY� ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION,
Grading
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
It
A. PERMIT L MIT. SEE ECDC 19.00.005(A�(6)
Eng, Review Recording Fee
A
SEE B �ON OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chlk. Deposit
50
succasso B
PLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND 8
;A
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review Receipt 0
�2 E MOND% WASHING N. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
. ALL CLAIMS Fort CIA AGES OF WHATEVER NATURE, ARISING DIRECTLY 08 INDIRECTLY
—
Fire Inspection Total Amt. Due
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,'
Landscap elnsp. Receipt #
IHERE Y ACKNOWLEDGE THAT I HAVE READ T81S APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR 7 E DULY AUTHORIZED AGENT OF
CALL ThIS IPPLUU101 I P01MIL "Ill Sigbod by IF,
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
8.4, offi—I b, hbl- 01,
FOR INSPECTION
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
WORKMEN'S OOMPENSAT2��IRANCE AND RCW 1127,
(425) 0 A S TUBE
OF
I SIG"AIR�P�El 0 E SIGNED
�JTI
771-0220 Z4
!ELE ED CIATE
A/
EXT. 1333
ATTENTIQN
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
V
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091113CI10 / IRC119., PINK -OWNER - GOLD - ASSESSOR
6)05 PRESS HARD YOU ARE MAKING 4 COPIES
z
0
�n
0 M
C: m
m 0
--10
00
m m
z
> z
0 'n
-n;u
>
m M
0 2-n
0 �
0 M
C V)
9: U)
M C.)
Z �
M
z
C')
z
0
9
0
m
Pter[Pcw;rA ;)X
X ;I
Fletalnn�g tivali
Slab Insulation .......... .
PLUM6ING:
Underground ............
Rough -In ...........
Commercial Final
HEATING:
Gas Test ..................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ............ ..........
FIRST FLOOR FRAMING
INSULATION ...............
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............
0S
00
100
z
9 L
0
M
0 M
M 0
80
a
M
M z
o -n
4
:C
M M
0-
0 0)
0 r-
C M
0)
M 0)
M 0
Z
;D
z
z
0
M