20060284.pdfCITE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APTI,
ADDRESS z t ei 1(o#� II too
OWNER NAMENAME 01 BUSINESS
FLAT NAME,SURDIVISION NO LOT NO LID NO,
LID FEE S
21 (,11, 1,4� Avc LL., "I
PUBLIC RIGNT OF WAY PER OFFICIAL STREET MAP TIL-I.-.-
CITY ZIP
EXIST�NG C1
PROPOSED 0
XLE11TODE
J,
10
REOURED EDCAI N___FT---
NAME
ETER SIZE XTURES PNV REQUIRED
LINE SIZE NO 01 F7
-Tbe>
YES C3 NO 13
I
I. ADDRESS
EM�RXS
scc 300
OW ERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 9
.1
J-11
,�o ITELEF111E
Cf
NAME 11L1
ENGINE DATE
R-Av C(0_1 .
W-51/00
ADDRESS
L-C IS i S T C-,
REGME REVIEWED BY DATE
CITY ZIP TELEPHONE
PUBLIC WORKS REVIEWED BY DATE
-7
0 �C5)
STATE LICENSE NUMBER EXPIRATION ATE C
11 A Is DATE
z
0
I I�Amfvtte I* a-)_23JA o4-c)
4
/
0
PROPERTY TAX ACCOUNT POET, NO,
rIA..E Go Of STONEILINc..A.11 IEPE.C�ION SEIA
E D jT_PU2
E.I.ENTIA
NEW PLUMBING I MECH
1
C ZONE
�kA�E- REA DEIGHT
B ALL SIGN A PEOP.C. I AUD—D P A. . ...
— 1
A. 1100 C .. END AL COMPLIANCE OR
0 STUDY 7, 0
0 1111
C
E]
MIXED USE C ANGE OF USE
LOT COVERAGE REQUIRED SETBACKS IFT) PROPOS 0 SETBACKS (FT�j
Rn a
AL OWED PROPOSED FRONT 510 FEAR FRONT URSIDE HEAR
L
. i
0
40
REMODEL
1 0 MULTIFAMILY SIGN
All el i
0 C
E] REPAIR E:] GRADING CYES r110E
X FT.)
z
PARKING UOTAREA PLANNING REVIEWED BY DATE
4 K
= M
OTHER
DEMOLISH n TANK 17—
REDD I PROVIDE
23 Z3 �'l
M Z
N$NG :RE SPRINKLER
APACE Ei RETAI WALL o F
ARPORT ROOKERY REAILAR.
3Jo C
REMARKS
0
C:
>
(TYPE 0�1 ACTIVITY1 1XIIII:
NUMBER NUMBER F
Q
OF 2 + 4,4 DWELLING
STORIES UNITS
F CONSTRUCTION CUPA T
DES�ItE WORK TO BE DON
'DO
Go P
MT
'2151 --F OF afjj,&Q-r I mEf�OVM I
SPECIAL INSPECTION CONSULTANT IICCUPAHT
0 Co
00 1r7l 7 17 V
REQUIRED E3 YES LOAD -7-2
0 r_
OM
16111AAL
C co
9 (j)
Tx,)T7g,,, C'E54
i d��:l 0
rL�Izavx4 AA-0- 4
GEOTECH REPORT 5
MO
Z P
BY
STRUCTURAL DESIGN
By
$1A
,Vf
z
Description FEE Description FEE
HEAT SOURCE LOT SUCIP11, VESTED DATE
Plan Check State Surcharge
co
Building Permit City Surcharge
z
9
PLAN CHECK NO:
Plumbing Base Fee
0
R1
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERSWORK TO
ANY CONSTRUCTION ON THE PUBLIC
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
PERMIT APPLICATION: SEE ECDC 19.00.005A(St
PERMIT LIMIT. SEE ECDC 19'00,005(A)(6)
Engr. Review Recording Fee
_SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chlk. Deposit 21)efC)� M
�APFLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR$
INTEREST, AGREES TO INDEMNIFY, DEF No AND HOLD HARMLESS THE CITY OF
M ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review Receipt #
EDMONDS' WASHINGTON,
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection Total Amt. Due
/191�
FROM THE ISSUANCE OF THIS PERMm ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIV OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
— a
i
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Receipt
Landscapelnsp. ai!g4 I
I
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPkOVAL
GIVEN IS CORRECT, No THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
CALL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC,
1 p.A
FOR INSPECTION
TION; AND IN GOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
RELATING TO
SPAII p—Ald
IN VIOLATION OF THE LA80R CODE OF THE STATE OF WASHINGTON
WORKMEN'S COMPENSATION INSURANCE AND HOW 1-7.
(425) 0 1. mDAT L DATE
t N E NER OR N DATE SIGNED-
771-0220
EXT. 1333
ATTENT100t,
4�_
U
IT IS UNLAVIF��TOVS 0 CUPYA BUILDINGORSTR CTURE UNTIL
INS TION FIC"N M , .
A FINAL E AND APPROVAL OR A CERTI-
ORIGINAL FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. USCID91 IBC110 I IRCIIO
PINK -OWNER GOLD - ASSESSOR
W05 PRESS HARD - YOU ARE MAKING 4 COPIES
HNAt, PROJECT APPROVAL �,jRM
TO: -
DATE:
MEMOTO: PEMTCOORDTNATOR, BUILDING DIVISION
I I I F-*#4K-
FROM: FIRE DEPARTMENT DAT
ENGINEERING DIVISION DATE-
PLANNING DIVISION DATE-
z
0
4
0
PROJECT
=i9i
Vi
M
SITE ADDRESS. .'71,�,
C
PERMIT # Al" ADB# DATEINSPECTED
M0
-4
00
C
M
DESCRIPTION OF WORK TO BE INSPECTED aaz�
rn z
A field inspection was conducted to determine compliance with'approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
U)
PERFORMANCE BONDS ad the granting of:
on
rn
GRANT FINAL PROJECT APPROVAL
0
0
0 M
C CO
M 0
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
3:
0 Copy of CONDITIONS given to owner/contractor by inspector
z
Cn
z
0
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0
El Copy of CORRECTION NOTICE given to owner/contractor by inpector
rn
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tcmp:b1dg:fbrms:ocaprv1 3/25/04
.Alaw r "
city of &MOUN
DEPARTMENT OF BUILDINGS
etrtititatt of Otmoant? ..,
PER International Building Code Section 110
At: 21911 W Avenue W, Suite 100 Edmonds WA -Building Permit #: BLD20060284
Occupancy established by this certificate: Dwelling Units: —N/A** No. Stories: 2
B Tvae.-Oonstruction: IIR Rnrink �es
MaximUm.occupant Load (Per IBC 1004)
Room capacity signs, vVhanff ust remain posted at an times.
Owner of Building: Mastgach ress: PO 60JESUSI.EVOrett, WA 98206
THE BEEN INSPIkq-TTED AND APPROVE15.AS�COMPLYING WITRTHE REQUIREMENTS OF THE 2003 EDITION OF
AND THE USE FOR WHICH
THEINT E AS ADOPTED'BY THE CITY FOR THE GROUP AND. DIVISION OF OCCUPANCY
THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 6th day of _October 2006
CHIEF BUILDING OFFICIAL
BY:
bWdiq wfflvd.
This ceoificate sholl be Posted i� obnlpl—u, pbllo.- oa ......... d, sh.11 be -i-inod !� 1.91ble msb� s10 I—, My —g-1—obolY ol
C,fi of occupenc, 0 by,,. ci�y,f Eb—nd, B111dilq Officilt.
(1WT1
q/ kv T \V T q1 q/ \v\v �VT\VTTVV�v
p%, Permit Inspection Details
—N Permit: BLD20060284
PCRMITTP-,��
o h In'.
ug
-,plumb]
05/0412006 Snook
30 APPROVED
y
Total Time: 30
100 q;�quipritentmMech
opriplete
05/04/2006 Snook
30 APFROVIED'
Total Time: 30
Iing:Gr'
11�8� 6wqel id,
—c 1-
qrn-p eteT
0810212006 MS
25 GRID APPROVED
y
Total Time: 25
z
iU2 -,B'.Fram ng,�
?
0510812006 BUMS
30 APPROVED
y
0
ITI
Total Time: 30
1160, I'B-Sheetroci kkail 1
07126/2006 Snook
30 APPROVED
y
Total Time: 30
Idnn I a
0
09/28/2006 S , MITHM
0 A0PR&66;t::'
y
0 lvl'-,-'
C
1 10/06/2006 Snook
t
30 APPROVED
y
Total Time: 30
0 C
= rn
M Z
r
10
C
10/09/2006 Harrison
0 Final Smith 9/28/06
y
-4
Total Time: 0
Total Inspections: a
Total Time: 175
0 "n
-4
M ITI
u
0
C: --
C
n, C,
IT
612312009 8:49:03 AM Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ...................
Pier/Porch .................
Retaining Wall ...........
z
Slab Insulation
0
PLUMBING:
Ri
Underground .............
Rough -in ............... -4
x
Commercial Final C
M 0
0
0
HEATING: C
Gas Test .................... x ITI
Gas Piping .................
Equipment .................
-XI p
Commercial Final
0 -n
-n La
EXTERIOR SHEATHING
NAILING ............ :r
M M
FRAMING............. ....... .. . ...... ....... 065
0
0
FIRST FLOOR FRAMING C:
INSULATION ................... M
Z
-A
Floor Insulation
Wall Insulation ........... :E
Ceiling Insulation z
-4
SHEETROCK NAILING 2;
co
SPECIAL INSPECTION z
0
V, 0
IT1
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................