20060377.pdfDATE RECEIVED C–•^
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
7"hoMA-3 Oats"
MAILING ADDRESS
VZ 2- 7 200 - 7- Sid
CITY ZIP 1! t "PHONE
EDrI04 /l.r -775IW5
NAME ,,—r'. ONI..1
CIAI rf-NTE=
ADDRESS 1 +;h ST N 4.a3
CITY - ZIP TELEPHONE
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❑ NEW
*RESiOENTIAL
UMBING/ ECH
❑ ADDITION
❑S5'COMMERCIAL
❑
Description FEE Description FEE
❑ MIXED USE
CHANGE OFUSE
❑ REMODEL
❑ MULTIFAMILY
❑
SIGN
❑ REPAIR
GRADING
❑ CYDS
❑
FENCE
( _ X _FT)
❑ DEMOLISH
❑ TANK
❑
OTHER
❑ GARAGE CARPORT
WALL
❑ ROOKERY
❑
FIRE ALARM LER
rSTOROF DWEL
IES UNITSLINOF ,
l NUMBER NUMBER
10, (� I l PERMIT RMIT EXPIRESS �
PERMIT
NUMBER '60661 l iJ 77
JOR- sUiTE.1APTp
ADDRESS �6 L G- 1 % - •, � �� � L./ t"�
PLAT NAMEISUDDIVISION NO LOT NO LID NO
PUBLIC FKHTOFrA MROFFICW.3TiNE TM4}nn. '1 n `44tI'11ix:.NJ e�
wol,
%IStING T •.Zit PROPOSED_ i5µi2.Slll.L... I LY/� �
METER SIZE LINE SIY.E- NDOF FIXTl/RE3" ""-PRVREOIJNIEO
YE S❑ NOD
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
MvIle an apps
tank shall be
o jgI?u
REDO C EtED F.PHP1
O YES ONO oMPI
CAp ZONE SIGN AREA HEIGHT
WAIVER 0 ALLOWED PROPD6E. ALLOWED —ED
STUDY 13
LOT COVERAGE REOUIRED SETBACK (FT) PROPOSED SETBACKS IFT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR 0
I 1z
PARKING LOTAREA PLANNING REVIEWED BV DATE g
WAIVER
.PROVIDED
SP ECIALINSPECTION ( CONSULTANT I LOAD PANT
REQUIRED CI YES
REMARKS
GEOTECH RE ORT
BY: in Electrical Permit from
STRDGTURAL tfate Labor & Industries
ST
DD
81 -WS S
VALUATIO
Description FEE Description FEE
-
Plan Check
State Surcharge
HEAT SOURCE LOTSLOPEA VESTED DATE
0
Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
V Base Fee , 00
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
• BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DORMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Gradin g
'. SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECOC 19.00.005(A)(5)
Engr. Review
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
a •APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. Deposit –
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF.
E EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
e ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
THIS PERMIT SHALL NOT BE
Q�
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF
TO WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape insp.
Total Amt. Due
DEEMED MODIFY,
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt # J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPI–ICATiON APPROVAL
GIVEN IS CORRECT; AND THAT t AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
This applaalion Is mol a an aad until,,gnetl by Lha
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
Bantling Oficial or baihar DoP,IY and Feesaro bad, and
TION; AND IN DOING THE WO UTHORIZED THEREBY NO PERSON WILL Be EMPLOYED
ODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
eccipl �s acknowlatl9pH In space provitletl.
IN VIOLATION OF THE LABOR
WORKMEN'SCOMPENSAT i r RANCEANDRCWI6:27.
_
0 I SSI ATUR DA
SIGNATU EOWNERO AGEN DATE SIG
(425)
G 2
771-0220
RELE S BY -DAJE
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 t IBC110 I IRC110.
PINK .OWNER • GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
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Permit: BLD2006O377
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PERMIT rr:+%4:
1158?; 8•Buildlirig Finai
05/17/2006 SNOOK 25 APPROVED
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Total Time: 25
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Total inspections: 1 Total Time: 25
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RECORD OF INSPECTIONS
_
- -
INSPECTOR
- DATE APPROVED
SETBACKS .....................
,.
FOUNDATION:
.
"Footing ......................
�-
f
Wall
..� ;.
...
•
Pier/Porch .................
-
... -`Retaining Wall ..:........
-
0
1
Slab Insulation •.........:
0
m
PLUMBING:
Underground
N 1
-`crn
Rough -in ................... .
In p
""'-- CommercialFinal ....:.
-I n
Oc
HEATING:
2 m
.
ITI
Gas Test ...............
1
to
t
« :
Gas Piping .................-
.Equipment
{ Cn
1
.
^.
Commercial Final
n_
EXTERIOR SHEATHING
IT m '
i -
NAILING ...............
(:
p0
j
FRAMING ........................
C N
FIRST FLOOR FRAMING.,.
..
IT 0
�
INSULATION ...................
;I
-
Floor Insulation .........
-
-4
Wall Insulation ...........
_
2
Z
Ceiling insulation .......
_ «
..
N
j
SHEETROCK NAILING ...
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. SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
-
FINAL APPROVAL FOR
OCCUPANCY ..................
..
4377 �---
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