20060312.pdfDATE RECEIVED
7 PERMIT EXPIRES
PERMIT
CITY OF EDMONDS NUMBER oCl V ty d 3
CONSTRUCTION PERMIT APPLICATION JOB 1 SUITEIAP!�Tv
OWNER NAMFJNAMEE OF BUSINESS ADDRESS 7 jj1 5� 5L.V7 IJY�,
4"1 `, G IV 1 ` PLAT NAMEISUSDIVISION NO LOT NO. UD NO �l
w MAILING AD DRESS !✓ UD FEES
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAV TEy CPnvno.no ❑
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CITY ZIP TELEPHONE EXISTINGV Bev ❑
�vf ` (yt ............. PROPOSED
20�,-: J(J (. 3•)y' REQUIRED DEOICATION FT_1:— ''4 p
NAME METER SIZE.,' LINE SIZE! - Nd. Oh'FI%) LF PRN REQUIRED
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Yes No0
i ADDRESS REMARKS"3Cti' '
99 ., T .. O
OWNERICON�IjAiPfpR�E$PQNSIbL€'1FdR ERU51AO TROVDRAINAGE -
CITY 21P TELEPHONE -
CITY ZIP TELEPHONE
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Description
FEE 'Description FEE
❑ YES
NO
❑ NEW �RESIOENTIAL
�LUMBINGIMECH
CAp
0 WAIVER
ZONE
SIGN AREA
AtLDVRD Pa0PDs5D
HEIGHT
AltOwt=o ROPeace
❑ COMMERCIAL
j ❑ ADDITION
COMPLIANCE OR
❑
❑ STUDY
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
❑ MIXED USE
CHANGE OF USE
LOT COVERAGE
REOUIREDSETBACKS(FT.1 PIIOPOSEDSETBACKSIFT.I
FRONT
Engr. Inspection
❑ REMODEL ❑ MULTIFAMILY
❑ SIGN
ALLOWED PROPOSED
FRONT SIDE REAR
UPSIDE REAR
E] REPAIR REPAIR ❑ GRADING
❑ FENCE
PARKING
Landscape ln5p.
Receipt AT
BY DATE
X FT,)
_ _s
OTHER
PEp'D PROVIDED
LOT AREA
PLANNING REVIEWED
❑ DEMOLISH ❑ TANK ❑
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EXT. 1333
AR ❑ RETAINING WALL E]IRE SPRINKLER
REMARKS
}❑ CARPon ROCKERY
ORIGINAL -FILE - YELLOW INSPECTOR
PINK .OWNER . GOLD - ASSESSOR
(TYPE OF USE, BUSINESS OR ACTIVITY)EXPLAIN:
oNUMBER NLIMBEROF
m OF DWELLING
EOFC NS RUCTION CODE OCCUPANT
p STORIES UNITS
GROUP
DESCRIBE WORK TO BE DONE
SPECIAL INSPECTION
CONSULTA O PANT
tL?
REQUIRED 0 YES
LOAD
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Description
FEE 'Description FEE
HEAT SOURCE LOT SLOPE% VESTED DATE
Plan Check
State Surcharge
PLAN CHECK NO:
Building Permit
City Surcharge
Plumbing
Base Fee
THIS PERMITAUTHORRESONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Mechanical
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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PERMIT APPLICATION: SEE ECDCD0U5(A)(5)
PERMIT LIMIT: SEE ECOC 19.D8.IXISC885(AI(6)
Engr. Review
Recording Fee
Engr. Inspection
Plan Chk. Deposit
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
u IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
E EDMONDS' WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
CALLCLAIMSFOB 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 WAV THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
CI
Fire Review
RDCBIpI It
Fire InseCllOn
P
7otalAmt. Due ��
57s] 1•
Landscape ln5p.
Receipt AT
HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN 15 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 CONSTRUC-
TION; AND IN DOING TME WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S SA SATION INSURANCE AND RCW 18:27.
CALL
FOR INSPECTION
(425)
APPLICATION APPROVAL
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DATE
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EXT. 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINALINSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI•
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 If IBC110! IRC110,
ORIGINAL -FILE - YELLOW INSPECTOR
PINK .OWNER . GOLD - ASSESSOR
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Permit Inspection Details
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Permit: BL020060312
E PERMIT rR ",
{ 1128 B(iasTesUPipe
04120!2008 SNOOK 35 APPROVED
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Total Time: 35
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Compete?
04120/2006 SNOOK 15 APPROVED
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Total Time: 15
Total Inspections: 2 Total Time: so
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RECORD OF INSPECTIONS
" INSPECTOR
DATE APPROVED
.; SETBACKS .....................
" FOUNDATION:.
?. Footing ......................
Wall..........................
Plot/Porch .................
" - Retaining Wali ...........
Z
O
Slab Insulation ..........
n
PLUMBING
Underground .............
"
N
- Rough -In ...................
Cm
Commercial Final ......
IR
"
-
--I n
O .0
HEATING:
�f ^fib
m
Gas Test ....................
RI Z
i Gas Piping .................
D — s
Z
r
Equipment
S
Commercial Final ...._.
Ori
SDI
y ' EXTERIOR SHEATHING
NAILING ..........................
m M
O 5
. FRAMING ....... .................
r
FIRST FLOOR FRAMING....
N
INSULATION ...................
�r�tIt1
D
Floor Insulation .........
;U
;.
Wall Insulation ...........
Z
Ceiling Insulation ........
—
_q
S
" - - SHEETROCK NAILING ...
Uf
Z
" SPECIAL INSPECTION
"
M
MISCELLANEOUS ..........
"
FINAL APPROVAL FOR
G, �,60
OCCUPANCY ..................
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