20060474.pdfCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
�� M1E0(,GoSl`ESSMk-T1aj
�.ANU
-4 1
TILIIIIONE
sk-'�o 4f
IST <"�Ivl� -*
TIP FTELEPD..E
PERMIT E PIRES
PERIN
NUMBER c�!
'lob I PT
ADDRESS
PLAT NAMEaUBDPbSION NO JOT
No
LID NO
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI
EXISTING PROPOSED
I R
PEOUIRED DEDICATION ___ IT
111TURES
FEY PEOUIRID
YES 0 NO
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CODTROEJDFAINAIE
PROPERTY TAX ACCOU T PARCEL NO
JO Y.EOG
I ES 3 Do
1;
2��& -�00
E RESIDENTIAL XPLNMBING � MECH
CA,, U SIGN AREA
0 WAIVER CAC D I. ES. PR C.
A N COMMERCIAL COMPLIANCE OR
mTj
K`N 13 CHANGE OF USE
STUDY
LID COVERAGE
T '
rA
D
REQUIRED SETBACK FT)
PROPOSED SETBACKS (IT I
MIXED USE
ALLLOTCOVERAGE
LOW F.POSSG
L OWED PROPOSED
FRONT SIDE ASEAR
FRONT UPSIDE HEAR
Re ... EL MULTIFAMILY 1:1 SGN
1
REPAIR GRADING FENCE
CYDS X
PARKING LET,
LOTA111
PLANNING 1111 ly DATE
_ITj
DEMOLISH E3 TANK OTHER
PROV, DEB
REDO I PNo_DEO
REMARKS
RETAINING WALL 2RE SPRINKLER
C PORT NOCKERY REAI-ARM
2 I ACTIV TY) EXPIAIN:
E. BUSINESS 0 1
06
NU ER
OF
STORIES
NUNI. .1
DWELLING
UK,.
TY COD
in I I V
'p�2,
OC PA T
RCOUP N
______LREQUIRED 13 YES
BY
UATION
Description
FEE
Description
FEE
Plan Check
State Surcharge
—HCATSOURCE LOT SLOPE% VESTED DATE
LE
Building Permit
City Surcharge
S
PLAN CHECK NO:
60-2
zv_
Plumbing
Base Fee
THIS PERMIT AUTHORIZES ONLYTHE WORK NOTED, THIS PERMIT COVERS WORK TO
BE DON E ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Mechanical
—�md, �g
MAIN JCUFUNS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
D 0 RATE PERMISSION.
SEP4
PERMIT APPLICATI N: SEE ECDC 19.00,00SAHS)
Engr. Review
Recording Fee
PERMITLIMIT'. SEE ECDC 19.01l
Eng, !nspection
Plan Chk, Depositi
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
LICANNE ON BEHAL OF HIS OR HER SPOUSS. HEIRS, ASSIGNS AN. SUCCESSOR$
;APP D HARMLESS THE CITY OF
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND "BE
9 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
I
I ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OF INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY OR.INAN CE
z NOR LIMIT IN ANY WA THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Y
�Ire ReVieW
Receipt ft
Fire Inspection
Total Arm. Due
Landscape Insp.
I; Receipt #
pt
!L
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE WE RM ON APPLICATION APPROVAL
By EDAGEAT'
GIVEN Is RECT, AND THAT I AM THE OWNER, OR THE IYULY AUTHOAIZ NT OF CALL T
Can C 1111:1111".17, Lly �1,ld Fell ,, re,,Ild
THEOWNER. IAGR' TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- FOR INSPECTION
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYE. 1Kdq0 I� 1p.— PI—K.
IN VI AT 7PTHE LA OF THE STATE OF WASHINGTON RELATING TO E
KIM OtO E (425) OFFICIALS SIGNATURE
WOROLEN! S 7PTEN ION I�RANCE AND RCW 18:27.
SIGNATURE T DATE SIGNED 771-0220 All, 01
ATE
i�614'J-00 EXT. 1333
jid&
YIS VUeNNLAWFUL
TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL IN SPECTION HAS BEEN MADE AND APPROVAL OR A CERTI ORIGINAL FILE YELLOW -INSIECTOG
FICATE OF OCCUPANCY HAS BEEN GRANTED. USCIOS / IBC1101 IRC110, PINK OWNER GOLD - ASSESSOR
(YES PRESS HARD - YOU ARE MAKING 4 COPIES
z
0
4
0
M
C 0
IT 0
80
in rn
z
%0-4
0 -n
n
M M
a 6 f ,
0 r-
0 M
C In
9 00
M 0
-q
z
z
z
9
0
Permit Inspection Details
��;� ..........
Permit: BLD20060474
Rr-RMITTr/,.X
1 11"6� a� W . na
01/0312007 Snook 20 'A�P�'ROV6
y
Total Time: 20
Total Inspections:
Total Time: 20
z
-4 �n
CIA
ITI
0
-40
0 C
--I
M
ITI z
0,
M M
0
0 ITI
C:
TO
;D
-4
X
z
-4
CO
z
M
71912009 9:14:53 AM
Page I of 1
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing .................
Wall ....................
Pier/Porch .................
Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground
Rough -in ...................
Commercial Final
HEATING:
Gas Test ..........
Gas Piping .................
Equipment
Commercial Final
EXTERIOR SHEATHING
NAILING ..................
FRAMING ....................
FIRST FLOOR FRAMING
INSULATION . ..................
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ............
C:
M 0
0
80
C
IT
M z
10-4
C -S;
0,
-4
mT
0 o
0
0
C co
go
ITI 0
Z
3:
z
z
2
0
ITI