20060345.pdfDATE RECEIVET
�PERNIIT
EXPIRES
kFIMIT
CITY OF EDMONDS
NUMBER
CONSTRUCTION PERMIT APPLICATION
joa so
A.ORCSS
0D 'Agoq S 5W
01 1AM11NAMI 01 BUI
-
ILNT.A.IS ... LOT NO LO !Y
LZS\ ,
is— 7_�
MAILING ADDRE11
-') 'A
to FEE S
—PUBLIC RIGI-fT OF WAY PER OFFICIAL STREET MAP
C' (" - '). - �".
W F—,
CITY TELEPHONE
CXISTING PROPOSED 13
_izl�
REQUIRED E.IC- 1.� ___ IT E3
NAME
MEIERSIZE
LINE S17�
NO 01—IIXTUREI
PRv REQUIRED
I
YES 13 No E3
ADDRESS
A MAR-
OWNERICOtr[RACTOR RESPONSIBLE FOR EROSION CONTROIUO�TAINAGE
NAME
co"
INEeRING REVIEWED By DATE
_:V V- I (L_ A, I -�
I P;�
—
�
ADDRES
RECYCLE REVIEWED By DATE
U—C
Ty 1P TELEP I HONE
T
PUBLIC WORKS REVIEWED BY 5-A E
z
�T
STATE LICENSE NUMBER EXPIRAT! ATE ED
FIRE REVIEWED By DATE
0
117� -FR—opERTY TAX ACCOUNT PARCEL NO,
VARA�IE OR CU j��IN PECTIOP
ZONE SIGN AD. "EIGHT
'A
—S M—E. AU.0WF.
ALL"" Pa2F'
ALL
3:
T
E] NEW 0 FIESME .': " PLUM..'K".eC.
C! WAIVER
13 715 C"
PR
C.M.ERC COMPLIANCE OR
ADDITION 0
STUDY
PROPOSED ETS KS(FT
S AS
0
0
CHANGE OF USE
M MIXED USE
UOTC0 ERAGE AEGUIREDSETBACKSt,,)
ALLOWED PROPOSED F ONT SIDE a FRONT �ASIDE REAA
0
REMDDEL MULTIFAMILY SIGN
I t5-
I
*ED
0
REPAIR GRADING CYCS IENCE
X_FT)
LOTA EA PLANNING REVIM By DATE
A
M
z
OTHER
DEMOLISH TA�K
G
GARAGE RETAININ WALL F:RE SPRINKLER
REMARKS
-
WD
a
ARP08T ROOKERY EMARM
—BUSINESS
PJ7YE��OF LUSE� OR ACTIVITY) EXPILAIN:
Cy
0 -n
NUMBER Num EROF
OF 'W LUN
TRUCTION cUPANT
o2c.oup
M
tEs NITS
sToR LO U
-C)f 7s
M
REPAIR EXISTING DECK GUARDRAIL
411�)
SPECIA�INSIECTION CONSULTANT
065
0 �
0 m
WITH PREFABRICATED DURAIL
REQUIRED M YES
C to
GUARDRAIL 42'* MIN. HEIGHT. REPAIR
REMARKS
Im
EXIST:NG DECKING. DRYROTREPAIR OF
Z
EXIST NG DECK PER STRUCTURAL
CEO ECH REPORT
71
ENG.'S REPORT& PLANS.
By
M
Syl
>
z
$
Description
Description FEE Description FEE
_7
Cn
,are Surcharge
Star. Surcharge 50
z
HEAT SE;� LOT SLOPE'. VESTED DATE
Building Permit IVJ — .h."'. /5
9
PLANC.ECKNO: DU _p
.
--
F.
J—Plu;;_,� Base Fee
0
in
THI PERMITAUTHORIZES ONLY THE WORK NOTED. THIS PERMITCOVER W K
'DONE PROPERTY ONLY. AN CONSTRUCTION ON TSE OUBITo
IRS
Mechanical
BE ON PRIVATE
g DoMAl N (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
—
Grading
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.0rL0D5(A)(5)
T PERMIT LIMIT. SEE ECDC 19.00o05(A)((N
Engr, Review
SEE a ACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection PE�Chk.Deposil -7
�A P MANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AN SUCC SSORS
s L o
AND HOLD HARMLESS THE CITY OF
Fire Review Receipt
INTEREST, AGREES TO INDEMNIFY, DEFEND
EDMOND WASHINGTON ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
S' '
S ITECTLY OR INDIRECTLY
LAIMS F R DAMAGE F
ALL C o WHATEVER NATURE, ARISING DI
Fife inspection Total Arrit. Du e
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
W
D�d DoEmao TO MODIFY, AIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
- __tFre.ept tl
N R IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
I�AIT
Landscape Insp.
APPLICATION APPR6VAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFO MATION
THE DULY AUTHORIZED AGENT OF
CALL P.'_ 1,' 1.
GIVEN IS CORRECT. AND THAT I Am THE OWNER. OR
THE OWNER. I AGREE TO CO PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
01 Vp�" ". r., — o '
FOR INSPECTION
TION; AND IN D IN T K AUTHDRIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF TH OF THE STATE OF WASHINGTON RELATING TO
I
1.Wd9W 1� �P Pl
E3=A'�
WORKMEN'S comp CE AND RCW 18.�
LS N�A�T U A E
(425)
TUREfOy
771-0220
Y
MAELI� AT
EXT. 1333
ATTENTION 0
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL NISPECTION HAS BEEN MADE AND APPROVAL OR A CERTI�
It
ORIGINAL FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / ISC110 I IRC110.
PINK -OWNER - GOLD , ASSESSOR
PRESS HARD - YOU ARE MAKING 4 COPIES
was
��Z'C4L, 5eP-
CITY COPY
0 -3 4/9
W& -0�q5 'A -
APPROVED BY PLANNING
�c"okt by
RECEIVED
MAR i 7 2006
PERMIT COUNTER
z
0
0
c m
M a
0
80
c
m
0-4
c
0,
n�
--i
mc
mm
a Fa 0
0,
om
ca
V)
M 0
Z r-
z
z
9
0
Permit Inspection Details
Permit: BLD20060345
PERMITTRAX
0,isifffi h'ei-Ifiln
0611312006 MS 20 EXTERIOR ilwiEE�ROCK APPROVED
y
Total Time: 20
05/04/2006 MS 20 FRAMINGAPPROVED
y
Total Time: 20
1166", d I �Fi a
"c'
09128/2006 Snook 26 APPROVEO
y
z
Total Time: 20
0
Total Inspections:
3 Total Time: 60
9i
vi
M
rill
0
0
C
IT!
M z
z
>
0 71
MIT
0 r-
0 M
C CA
I'll 0
z
z
z
fill
7/9/2009 9:22:52 AM
Page I of 1
'7777':",
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall .....................
Pier/Porch ... ..............
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in .... ..........
Commercial Final
HEATING:
Gas Test ...........
j Gas Piping .................
Equipment
Commercial Final
EXTERIOR SHEATHING
NAILING ...............
FRAMING ...........
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
Watt Insulation ...........
Ceiling Insulation
1v\S
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ............
Aft
z
C: ITI
M 0
0
80
M
M z
jo --I
C —
E:-q
0 -n
M M
07) F
0
0
M
C: 0)
C co
M 0
Z
7-1
z
03
z
9
0
171
E