20060376.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
MAILING ADDRESS
/oil '&" xvc
CITY I ZIP TELEPHON
&DW01\11)s Q)A-
NAME
PERMIT EXPIRES L
PERMIT
NUMBER
JOB SUITE/APTb
ADDRESS
FLAT NAMEtSQSDIVISION NO,
LOT NO
LID NO
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
RWP,R
EXISTING PROPOSED
REQUIRED DEDICATION _ FT
METER SIZE LINESI���
PH EOUIRED
I
YES 13 NOO
R
.rARKCS. NTRACTq8 RESPONSIBLE FOR EROSION CONTROLIORAINAGE
ACT I ONI WAi;`:,, [;�NltR ONLY JN__C_
N - Id I t q
I
ENGINE ERING REVIEWED By DATE
E
ADDRESS Vitz: AUAL ILCIV
T01hfVIl.;!- !'" Ir
in "
27C ; t,,! �_' 1 �-�4th ST'k 4
Q,
I'll E REVIEWED BY DATE
CITY I J N;w' VVj.Td1awd4
ST NUMBER EXPIRATIONIATE
55L)pI
1-0-017
� /J1Y
VARIANCE lj!'�QIU4.
SHORELINE ORADBN
SPEC I TION
;_REC IT
SEPA
—FIETE. I F-JIT
YE'7rr-_0T
I
I
HT PARC
PROPE No 30
)�Ej7u Z/6 /0(
CAP
W AIVEIR 13
TUDY
S y
1111111owel:
Wt t eLabor
IcattrAerim M H
"Efifl4if
IG T
RESIDENTIAL
NEW I I ME"'
LOT CO
ALLOWED 'PROPGOESED
REQUIRED ACKS TBACKS (FT.)
FRONT SIDE REAR FRONT LJRSIOE REAR
COMMERCIAL COMPLIANCE OR
ADDITION CHANGE OF USE
MIXED USE
REMODEL MULTIFAMILY SIGN
RKINK
D PA I
REQ PRC
JLn
'QE�JGMUR
pre surefrel�efralve,
T9L"KrAQ
DATE
an approved
PENCE
C] REPAIR 0 '-'1" CYDE X _ 11)
REMARKS
IjSted expinsvan unk sngtu De,
[3 DEMOLISH M TANK OTHER
installiev. oil all Z-oz waler VAnto.
C Fj FF�R SPRINKLER
ElGARAGE RETAINING WALL
ARPORT ROCKERY REALARM
ure 6e9
(TYPE OF USE, SUSINE ACT��
TY-D CONjTXV?N
I Cr�
OCCUPANT
GROUP
No BER
OF
o STORIES
NUMBER 0 F
DWELLIN
UNITS
NSULTANT
OCCI NT
LOAD
DESCRIBE WP
14,, f LVIJ f CIL-
I REMARKS L kj,j
I I
S
$ .-Irth
roug it n4heated spaces. ITUC 803.2
Descrtp_tI0i7_ __7FE_E ___ 7EUPbc�._ __F
Plan Check
State Surcharge
UOTSLOP5% VESTED DATE
Building Permit
City Surcharge
1510-0
PLAN CHECK NO:
Plumbing
LGrading
-24-J
CA%�
Base Fee
Mechanical
THI PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
Engr. ReVie.
Eng, mspection
PERMIT LIMIT-. SEE ECDC i9.00.006(A)(fil
SEE BACK OF PINK PERMIT FOR MORE 1NFORMATIDN
ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire RevieW
Plan Chk. Deposil
;APPLICANT,
IN INTE E I, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
u R S
E ED Y AND
MONDS , WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM AN'CTLY
ARISING DIRECTLY OR INDIR
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE,
I FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapemsp.
Total Amt. Due
0EZME1 TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT IF ANY CITY 011INAIC
bOR ..IT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Recording Fee
Receipt If
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATInNAPA
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
Ibis bIx,bbr,, , 1 0 sgned by Ih,
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING C-NSTRUC.
CALL
TKII6, Offi-I D.P.n� rd Frb. ,b P�W. rd
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
_n
IN VIOLATION OF THE LABOR CODE OF
WORKMEN'S COMPEN=RANCE AND RCW IS 27.
SIGNATU AGENT DATESIGNED
(425)
_.q 2-
�/ _6) 67
ATTENTION
EXT. 1333
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. UBC109 I IBCjI0 I IRC110.
PINK � OWNER GOLD . ASSESSOR
101" PRESS HARD - YOU ARE MAKING 4 COPIES
z
C M
M C1
0
80
C
X M
M Z
0-11
C
0 _n
M M
055
0
0
M 0
z
z
-4
z
9
0
M
Permit Inspection Details
Permit: BLD20060376
PERMITTRAX
7-"
0511112006 MS 20 APPROVED
y
Total Time: 20
Total Inspections: I
Total Time: 20
C —
M
0
0
M
M z
C
-n
m m
0 r-
0 M
C C)
M C)
M
5/28/2009 2:23:16 PM
Page I of 1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall......................
Pler/porch� .................
Retaining Wall ...........
z
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ................
M
Commercial Final
IT!
0
0
0
HEATING:
C:
Gas Test ...........
M
171
Gas Piping ...............
Equipment ...............
Commercial Final
0 _11
n
-4
EXTERIOR SHEATHING
x
NAILING ..........................
M M
FRAMING ........................
0
0
FIRST FLOOR FRAMING_
c
M co
ITI 0
INSULATION ...................
Floor Insulation
Wall Insulation
Ceiling Insulation
z
-4
SHEETROCK NAILING
SPECIAL INSPECTION
M
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................