20060405.pdfPERMIT EXPIRES-1440k/2
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
PERMIT
UMBER L
JOB
ADDRESS
0 01 Bus' IESS
_qiNA
b(
PI.AT NANEISLEDIVISION NO.
COT NO
L 'jQ
D FEE
MAILING ADDRESS
P SUC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING. PROPOSED
FE=.�. F.ICAT ION ____ FT
0
E3
0
CITY III
ic
S -W
TELEIIII E
+6@9-6
NAME
AYE
METER SIZE
I LINE SIZE
I NO. OF FIXTURES
PRV REQUIRED
13 No 0
ADDRESS
CITY ZIP ITELEPhOlE
to
FOAARKS 9
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
Wyo. 15
1ADDRESS 5/1
1-;! CITY zip TELEPHONE PUBUDWORKS-Vionion by DATE
VARIANCE 08 CU
SHORELINEORADBN INSPECTION
"PA
PROPERTY TAX ACCOU
RECtD
1-1 13 YES N N
I
I.—LEIE.
I F I
NE A
"a
CG`-- HTC"AALL
ILUNWINI
-XCO.1LIANC1 On
CM 1-1
c
III WINER
0 STUDY
ZONE
SIGN AREA
ALL.
I PW_1
ED
C/1
EIGHT
ALLEYEI . 1R.—Vo
N I C., I
E] ADDITION
HANGEOFUSE
LOTCOVERAGE
REQUIRED SETBACK (FT.)
POSE.
SETBACKS 7FT.)
REMODEL
C]
0
MIXED USE
MULTIFAMILY
SIGN
ALLOWED PROPOSED
PRO T SIDE RSEAR
N 0 L't
A AIQ
L:�_
E] REPAIR
0
GRACING GY,IE FENCE x
FT�)
PARKING
I LOTAREA
PI.INNINGRIEWEVIEDBY
DATE I
DEMOLISH
E]
OTHHE—A
TANK 13
REQn)
* I P"",
051101
0(o
El CARPORT
1:1
RETAINING WALL FIRE SPRINKLER
ROCKERY FIREALARM
UK
r
low
r
U-x,
b-� NUMBER
NUMBER OF
0AY (A4 a J-
12 4
OF
STORIES
DW LLING
UNI NIA
TYPE OF CONSTA'u
CODE OCCUPA
FOUR
SPECIAL INSPECTION I CONSULTANT LOAD PANT
rl ... I DID" 6 6 1
Description
FEE
Description
FEE
LOT SLOPE',. 2VESTED DATE
JWORKTO
Plan Check
P, IT IT k
State Surcharge
" FgFame�
Aw
City Surcharge
PLAN CHECK NO:
Plumbing
Base Fee
OV ro
THIS PERMITAUTHORIZESONLY THE WORK NOTED. THIS PERMIT COVERS
. '. innint,
BE 00 E ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
M I
Mechanical
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, IETC�) WILL REQUIRE
B EPARATE PERMISSION.
Grading
PERMIT APR ICATION: SEE ECDC 19.00,005(A)(5)
PERMIT LIMIT. SEE ECOG 19,00,005(A)(6)
Engr. Review
Recording Fee
Engr. Inspection
Plan Chk. Deposit
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
APR ICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
L
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
,11 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
At CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FR M THE ISSUANCE OF THIS PERMIT. ISSUANCEOFTHIS PERMIT SHALL NOT BE
D EMED TO MODIFY, WAIV OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Fire Review
Receipt #
Fire inspection
Total Amt. Due
-
Landscapeinsp.
—_
Receipt IT
I
INEREBYACK OWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFO MATION
GIVEN IS CORRECT; ND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMP DYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND ACW 18:27.
APPLICATION APPROVAI
CALL ThIleppi,canon is not, poneentineel g,,d t,y the
ou"e"g 01' o"' his"" 0"'Y 'on F—ho Fee. end
FOR INSPECTION oceipt is ackemitinged,n SPAng P—sle
(425) 5. Ll SI IRE DATE
SIGNATURE (OWNER KAGE11TV ATE SIGNED
J�4
771-0220
5/&A
R GATE
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-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC11 091 IBC1 10 / IRCII 10.
ORIGINAL - FILE . YELLOW - INSPECTOR
PINK -OWNER - GOLD - ASSESSOR
610S PRESS HARD - YOU ARE MAKING 4 COPIES
z
9
0
ITI
C)
C M
MO
0
80
C
X pri
M z
10 --1
C
0
ITT In
0 Fa
0,
0
In C)
Z
;13
z
z
0
In
I
Zok.�e)��- Corner Y flag_ SPACES REO'n
PARKINIC
Setbacks Rcgg�g Astug I
Froot,��yyloeqo— 2-Q1 I/ TS PR ILI
PARKING SPAC OPOSED. -ROLOA-4.0,
Sides W
IN
\) I #RRIER FREE PARKING SPACES:
12'B
Other' . � 4�j�— — � - I I I —., --.. —..
N\j
m
13,
z
01
<
t
m
(P m z
x
1> a
(p
6
YK
'K
.44
S�, *&
sit& V,
APMOVED BY PLANNI.NU
_QW
JR.
ZU Q, 1011cups
1-01 A-1
Sht. M..
MOM DAY CARE CENTER 3 1
C)
z
0
rn
C:
m 0
80
C
k
i�,
A
IM0
ca
0 -n
m m
0
0
M
z
z
0
m
I
WENT
ut? of tebmOubto
DEPARTMENT OF BUILDINGS
Ciettifitatt of ou"ant?
PER International Building Code Section 110
At: 650 Edmonds Way, Edmonds, WA Building Permit 111: 2006-0
Occupancy established by this certificate: Dwelling Units: -N/A** No. Stories: I
M Type Construction: VIS Basement: No
Maximum Occupant Load **66il� (Per IBC 1004)
Room capacity signs, when required,must remain posted at a// times,
Owner of Building: Lakeshore Investment—C—o-ra. Address: 6800 Greenlake Way N Sts 255, Seattle, WA 98115
THE The Salvane StuSLO—HAS BEEN INSPECTED AND APPROVED AS COMPLYING -WITH THE REQUIREMENTS OF THE 2003 EDITION OF
THE iNTERNATIONAL BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH
THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 12th day of May 2006
CHIEF BUILDING OFFICIAL
BY:
W—ta.ured Ind3holl be ItennIllad 11 legall tooldfill It all Untes. Any change of doo,panoyo—, mquives a building boned and a bee,
Codif,�toof0mupancyisuadby�oOtyatEdmonds8u,W,ngOffdal.
'Was
N Irb it
\v
T TV T IM
--- - — - - ------
Permit Inspection Details
Permit: BLD20060405
FrRMITTRAX
05112/2006 Srook 30 APPROVED y
TotaITIa: 30
04/0512006 M Smith 0 APPROVED y
TotaiTime:
Total Inspections: 2 TotalTime: 30
0
0
M
M
C
M,
0
IT
C)
�V
C
-n
0
TIM
0
0 rn
Z:
A
z
ITI
512912009 10:07:41 AM Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ....................
Wall ..........................
Pier/Porch ............
Retaining Wall ...........
z
Slab Insulation
0
PLUMBING:,
Underground .............
-q
3:
Rough -in
M
C
M
Commercial Final
0
0
8 C
HEATING:
-.4
:E
M
Gas7est ....................
I r
C 2
Gas Piping ...........
Equipment ..................
O'n
Commercial Final
In
EXTERIOR SHEATHING
M M
NAILING ........................
a -
01)
0
o Fn
FRAMING ......................
Co
FIRST FLOOR FRAMING
M
INSULATION ................
Z
FloorInsulation
Wall Insulation
>
z
__4
Ceiling Insulation
2; 0
v)
SHEETROCK NAILING
z
0
I
SPECIAL INSPECTION
0
M
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................