20060264.pdf.L DATE RECEIVED qlgl& I I
PERMIT EXPIRES
USE PE MIT
CITY OF EDMONDS I ZONE UR
CONSTRUCTION PERMIT APPLICATION JOB N MEIER
ADDRESS '71Z, ��,/
PLAT NAMEJSUSDIVISIONI Nb, OT NO. LID NO.
IN. ADDRESS �11) FEE
"Sep AS
PUBLIC RIGHT OF WAY PEA OFFICIAL STREET MAP 0. ns
S..., u. qV
R
ZIP ITELEPHONE EXISTING — PROPOSED
In-jc U
1'— :2, REQUIRED DEDICATION— FT —
VA-1—i-
E METER S11. I LINE GIIA I No .1 FIXTURES P REQUIRED
ES 13 No E3
S
'ONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
m
NAME
9
FIRE REVIEWED BY DATE
71P
HE
JIEUEPII
MTE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
VARIA"Ce OR CU
1HOHILINEORAD81 I
INSPECTION
RE 'D
BOND
POSTED
L2)t,qx- E_r(� I j � C L_
i
t3y ES [IN
R077 T7�:7;T 0,
SERA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
EXP I
,
,
C
NEW FEE L PLUMBING I MECH
��OGGVBE
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS IFT)
FROM SIDE HEAR
PROPOSED SETBACKS (FT)
FRONT LIA SIDE REAFI
r] ADDITION MERCIAL
C P.AN..OR
CHANGE OF USE
se
HEO-IFARIKIPADVIDED
A
LOT AREA
I PLANNING REAR 0 BY DATE
RE MODEL MULTIFAMILY SIGN
REPAIR 0 GRADING FENCE
CYDS X_FT)
,
F12F hh
ARSHAI
REMARKS
MUST RE PRPRFNIT EOR
-
0 DEMOLISH W"T7NK
IANK FILL, REMOVAL., OR CAP
o GARAGE ri AETAINING WALL
[3 F HE SPRINKLER
CARPORT POCKEAY FIRE ALARM
("PE OF USE, BUSINESS
CHECKED BY
GENT
0
NUMBER
"Umme, 0,
DWELL NG
C1ITI1A1
AREAS
SPECIAL INSPECTION
OC15UPANT
STORIES
UNITS
NUMBER
JAREA
REQUIRE [I YES
LOAD
DESCRIBE WORK TO BE DONE
REMA KS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REITO
es
ni.LM17) ae,
r) (-)-p
Description
FEE
Description
FEE
Plan Check
1PIumbIng
State Surcharge
GLAZING %
LOT SLOPE %
BuildingPermit
City Surcharge
PLAN CHECK NO:
VESTED DATE
Base Fee
Mechanical
THIS PERM" AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVER WORK TO
Grading
t: HE DONE ON PRIVATE PROPERTY ONLY. AM CONSTRUCTION ON THE PUBLIC
2
= DOMAIN (CURBS, SIDEWALKS, DRARAIVAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
tz
Engr. RevieVv
PERMIT APPLICATION: ISODAYS
[Engr. Inspection
A. PERMIT LIMIT. I YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS 08 HER SPOUSE, HE01% ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDERANIFY, DEFEND AND H LD HARMLESS THE CITY OF
Fire Review
Fire
Plan Chk. Deposit
EOMONO1, IVAIIIINGTON, ITS 011ICIA11, EMPLOYEES, AN AGENTS FROM ANY AND
ALL CLAIMS FOR DAMA ES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Receipt #
FROM THE ISSUANC OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT E
CI OADINANB
DEEMED TO MODIF`WA Ve OR REDUCE ANY REQUIREMENT OF ANY TY C
Landscapelnsp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE DRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt #
"Wl_ I
I
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, 08 THE DULY AUTHORIZED AGENT OF
THE OWNER, I AGRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC,
CALL
T applical
A a Penn I u,fit
Ssind,
signed by the
TION; AND IN DOING TH WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
E
FS
HS11d'hig'Offid.1 ." GdP`ny,:and esampaid.and
VIOLAT ON OF THE LABO CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
—.1pli—kn—ledgednsp ... pd,idsd�
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
.,
Ef/
DATE SIGNED
(425)
ZDwl
r1h#UREj0WNr
3,-31
771-0220
�AfflfXELE.
BY
A17ENTION
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI-
ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK-OVVNER - GOW-ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
z
0
4
0
X
IT
M 0
0
80
C
m m
z
10-4
C
0
m
m
F_
C In
M 0
m
z
z
0
in
FINAL PROJECT APPROVAL FORM
TO: -
DATE:
N1EM0 TO: UILDING DIVISION
FROM: FIRE DEPARTNIENT DATE
D (6
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
PROJECT
SITEADDRESS
PER -MIT# 041 _ADB# DATEINSPECTED If/14(crC
DESCRIPTION OF WORK TO BE INSPECTED 05T
A field inspection was conducted to determine compliance with ipproved plans. Final approval
denotes that there are no objections from the above signed Department to file release of
PE,RFORMANCE BONDS and the granting of:
- Q6_� GRANT FINAL PROJECT APPROVAL
,7'
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspcctor
I
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owncr/contractor by inpector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
I:lcmp:bldg:fbnns:ocapn1 3!25,'04
z
0
0
ff)
0
C In
mo
__q 0
0 0
C
--j K
= M
MZ
0-1
o'n
"n
m M
U (n
0 r-
0 M
C Cn
0
M
;u
--I
z
-A
3:
0)
z
9
0
m
Permit Inspection Details
Permit: BLD20060264
PERMITTrAy,
P!
04/1412006 WESTFALL 30 APPROVED
y
Total Time: 30
Total Inspections: I
Total Time: 30
z
0
=i 5i
0M
Ca
M
0
-40
0 C
M
M
C Z
Co
rg
In
"n
M ITI
a
0
Fn
M
x
z
z
0
Page I of I
6/512009 3:14:44 PM
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch ...............
z
Retaining Wall
Slab Insulation ..........
0
PLUMBING:
Underground
M
C: 0
Rough -in ...................
0
0
Commercial Final
C:
HEATING:
rn
Gas Test ..............
C z
Gas Piping .............
Equipment ; ................
0 _11
I
-n Zo
Commercial Final
� E
M M
EXTERIOR SHEATHING
NAILING ..........................
0
0
FRAMING ...........
C ri)
C (1)
Q 0
FIRST FLOORFRAMING_
Z r-
.4
ANSULATION ..............
M
Floor Insulation ..........
>
z
Wall Insulation ...........
Ceiling Insulation
z
SHEETROCK NAILING
SPECIAL INSPECTION
171
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ................