20060367.pdfPERMIT EXPIRES
CITY OF EDMONDS
PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
SUITEIAPT,
ADDRESS
-WNE AM�NAIA:40,1. I I
OWNE AMENAME 0(
LOT He 11 NO,
4.A111NGAGDA a
A S
G�
LID FEE S
PUBLIC RIGHT OF WAY PEA OFFICIAL STREET MAP TLS
CRY I__T PH...
EXISTING PROPOSED
ftXgib
AE.UmE..EGICATI.N__ FT
NAME
METER SIZE LINE SIZ�
FIXTURES PRV REQUIRED
I
��OOF
I YES Cl NO 13
ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY zip JTELEIHONI
ENGINEERING REVIEWED eY
ATE
L79q
'5CI
4E
0 AV RES,
A ECYCLEAE1IEWE..Y
ATE
TELEPHONE
PUBLIC WORKS REVIEWED By DATE
STATE LICENSE NUMBER .."H."ONEATE
RRE REVIEWED By
DATE
z
wlom,!�Lq R711
VARIANCEORCU SIOREI
SERA
11111PT
0
AD.
PROj7;�L
=11ET0.
j�COUNT
?�IL
bn
I
C,,�
ZONE SIGN AR T
NEW RESIDENTIAL PLUMBING/MECH
E3 WAIVER
AL- 1EA.—S. WSG"GRAE.
COMMERCIAL COMPLIANCE OR
ADDITION CHANGE OF USE
0 STUDY
LOTCOVERAGE
RE UIRED SETBACKS (FT) osED SETBACKS (FT.)
X
th
C
MIXED USE
�LLoWEG PRopos ED
F ONT SIDE NEAR LIT SIDE REAR
a
in 0
REMODEL MULTIFAMILY SIGN
0
REPAIR GRADING Cype FINDS
X FTT
PARKPRNOGVIDED LOTAREA
PLANNING REVIEWED By DATE
C
ITT
rl DEMOLISH TANK E] OTHER
nn z
to
GARAGE El RETAININ WALL
F] F RE SPRINKLER
AIRPORT ROCKERY' FIREALARM
REMARKS
C
>
0
(TYPE OF USE. BUSINESS
M4 W�
N F
NUMBER UMBE"o
DWELLING
TiON
A HT
OCCU HT
8 C CU
0
TT
F. UNITS
AT FIES
TY
R U P
GROUP
G
-4
3:9
DESC81BE WORK TO BE DO-
SPECIAL INSPECTION
OCCUPA N
CONSULTANT OCACIUPANT
Do D
rn T
00
'
ftjqP&y\tr_,,;)ARI1
F'o UIRED 13 YES
_E�I
In
OM
"
L-' r__
-3 %�Y&x LA F3�"
E AIR
stc-puza)u -
I
?Y) i
C 0)
C.
M
T ED. EICIFIT
GECITECR I—Ar
Ge.
0
Z
W 1114,3 RZ OB
ay
.Y
I
UA�L.EG, N
ETRUCTU.A&.1BIGN
ST U. T
BY
X
s
Description
FEE Description FEE
z
--I
--- 7EAT —SOURCE VESTE DATE
Plan Check
State Surcharge
X
Building Permit
City Surcharge
z
PLAN CHECK NO!
Plumbing
Base Fee
0
THIS PERIATAUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
In
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURB$, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Ruing
Grading
SEPARATE PERMISSION�
A PERMIT APPLICATION: SEE ECDC 19.0seai(A)E)
PERMIT LIMIT., SEE ECDC 19.00A05(A)(6)
Engr. Review
Recording Fee
SEE RACK OF PINK PERMIT FOR MORE INFORMATION
Engr. inspection
Plan Chk. Deposit
14 'APPLICANT, ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Receipt ft
IN INTEREST, AGREE. TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
OR INDIRECTLY
ALL CLAIMS F A DAMAGES OF WHATEVER NATURE. ARIENG DIRECTLY
THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Fire Inspection
Total Arm. Due
FROM
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Receipt #
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
A so.
Landscapeinsp.
APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
THE DULY AUTHORIZED AGENT OF
CALL
Th,� 112�111.11 � PL', �Ig I,
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS AEGULATING CONSTRUC-
FOR INSPECTION
....�olllc I
TQN; AND IND IN H RK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOL OF THE L CODE OF THE STATE OF WASHINGTON RELATING TO
_P.,_.Kdged,,sp ... ir.ded
IF
WoRKM a COMPENSATI;%ANCE AND Now 16;27.
(425)
OFFICIALS SIGNATURE F
SO
771"0220
VV) , u".3V__
;741
U
RELEASED D TE
M!�A
—to
EXT. 1333
ATTENTION '�>
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL - FILE YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1 09 1 ISC1 10 / IRC11
0.
PINK -OWNER GOLD - ASSESSOR
wos PRESS HARD - YOU
ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060367
PERMITT17AX
.. .........
0511212006 MS 20 UNDERGROUND PLUMBING APPROVED y
Total Time: 20
OW1512006 MS 20 ROUGH IN PLUMBING APPROVE6 y
20
06/26/2006 MS 15 GAS TEST AND GAS PIPING APPROVED y
0
Total Time: Is
0
Total Inspections: 3 Total Time: 55
-4 -n
-4
im
M
0
-40
0
C
IT!
M Z
10-4
C —Z
E:
0 -n
R
-4
x
mT
a Cl)
0-
Fn
Co
MO
Z
X
-q
>
z
z
ITI
Page I of I
61512009 9:21:07 AM
77777-
FOUNDATIOW
Footing .......... ...........
wall.....................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground ...........
Rough -In ...................
Commercial Final
HEATING:
Gas Test ....................
ce�
Gas Piping
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ........ . ................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION
Floor Insulation
Wall Insulation ...........
Coiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
6L
OCCUPANCY ..................
z
0
=i 91