670154.pdfL
BUILDING DEPARTMENT I Applicant Fill
PERMIT APPLICATION
Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
Edmunds Country Club Apartments
MALLING ADDRER
r
P.O. Box 2488
CITY —ITMPHONE
NUMBER
yakimal wn. 98902
248-1166
NAME
Jobs Y, Sato & Assoc,
ADDRESS
1620 South JacksorL St-
Orry TELEPHONE NUMBER
Seattle, Wn. EA 5-5363
NAMN
W. W. Nettleship, Inc.
ABBIM��
PIO. Box 2488
Yakima 9 Wn. 9 8902
TELEPHONE NUMBER
248-1166
See Attached
or
PERMIT
NUMBER 670154
YARD- BETBAC STREET SETBACK REAR YARD SETBACK
to -,�20 0 / _T 1 010/
&ONE LOW AREA I VACANT SITE
14 :1 YES wiro
.4giL
UT"T.n MrS AREA i VARL4LNOE NUMBER
3.�
PROPERTY
EX387TNG STREET R/W .......... DEFICIMCY 7BI13
COMP. PLAN ST. R/W ....... .... IT- .......... 3".
REMARKS it 4F of e
Yr SO/ 124�A% 0
CHECKED BY
MVTZR SIZE SERVICE SIZE CHECHAD 13Y
I CLEARANCE
REMARKS (
OF
1
[3 YES 8_116-
PLAN CHECKED BY
GAS
lz� NEW RESIDENTUL LINE
NON.RMSIDENTIAL SIGN
D Is= RETAINING
1:1 DEMOLISH WALL
DALTER EXCAVATE FENCE
E] OR FILL 0 ( .......... x .......... Ft.)
REPAIR PRE -MOVE swim
INSP. POOL
REMARKS
NUMBER OF STORIES
3 & Basement
NUMBER OF
DWELLING
UNITS 29 Units
NATURE OF WORK TO BE DONE
Ajartment Building
Plan Check No ... :7..::..4r..2
BUILDING
PROPOSED USE
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
t
N
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application: that the In-
formation given to correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state 19LWB r89U- ATTENVON
iating construction; and in doing the work authorized thereby, no person
will be employed In violation Of the Labor Code of the State of Washington TRJIS PERMIT
rel&Ung to Workman's Compensation Insurance. AUTHOWZES
ONLY THE
NOTE: Permit Limit One Your (Except DE51OLITIONS which WORK NOTED
shall be Completed In 12inctY days; MOVED -IN BUELMINGS shall be com-
pleted In ell months.) INSPECTION
UGNATURE (OWNER OR AGENT) PAU , MOVE DEPARTMENT
7
67 CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee PH 6.1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, c4c.) will require separate permission.
Valuation
E3 YES
Fee
._,00
a)
I /, / I. -z!s� I
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
FILE
all
CITY OF EDMOND14
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
At 960 — 5th AVENUE SOUTH Building Permit Number
occupancy established by this certificate:
Fire Zone
H I
Type Const.
670154
No. Stories III
Basement YES
Floor Load signs in place (per Sec. 1308 U.B.C.) — Capacity signs posted (per Sec, 3301 (i) U.B.C.)
Floor load and room capacity signs, when required, must remain posted at all times.
THE APARTMENT BUTLDING HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this 12th day of August 19!L8
CHIEF BUILDING OFFICIAL By &f
This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall be main-
tained in legible condition at all times. Any change of occupancy requires a new certificate.