960071.pdfC.
USE PERMIT
CITY OF EDMONDS ZONEn5� Z NUMBER 9600A
CONSTRUCTION PERMIT APPLICATION GU $UIIE
a `:VNIR V.Y•, \.:Mf: ('SINyyIS n/1G' j, jG/ ADDNFSS 311 O iV t eiu
01'1 O W
Ins, ING4- . 5
`��7 _ �/ •
�.� 1
a ilzu, TELEPHONE NUMBER
ZIP TELEPHONE NUMBER
n i il` .. — —,I— — .a.,
ADDRFSS
'7M.-,— 1 "7h /. 5 • W I
u�f
N.Nf:FNG
,I— 6 01
Lr it Description of Property -
�fi
Pm Perldyp
1 C�31
Pa l Nn�rDl
;
PRESIDENTIAL
L '1MBING
COMMERCIAL
MECHANICAL
^Uy,DI%Iiia`N
APT BLDG
EI
LyJ ttL l.la)U[I
SIGN
GIAOIN.
REPAIR CYDsOOGS
❑ FENCE
�pENIOLISF,
❑
❑ INSERT
HOT
HT T1H6PA
RETAINING WALLS
❑
CARPORT ROCKERY
RENEWAL
TYPE OF USE. BUSINESS O�RTA/C�TITVITY) E%rPLAIN/ne<
NUA LtEH ///F
Or ,, •
NUMBER OF
I DWELLINf, /
CRITICAL �F
AREAS
:,(DRIES //
UNITS
NUMUER
DESCRIBE WORK TO BE DONE (ATTACH P OT ANi
t}�t'{cv'►ca^ Y r
5c� riOR
p
5 iigrh'm GSCC (�{ 1�1DY1 a
s
LEGAL DESCRIPTION CHECn
G 1 NO
LID 1,0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved ❑
❑
EXISTING. _ _ _...___ re.UIREO pEOICATION __ . _ __
RW Permit qey, r,ry
Sireel Use PermR Rry n Cl
n Specllpn Rey,rred ❑
PROPOSED _.._____.___..__..
Sidewalk Reyuned ❑
METF.
3 /)
LINT SIZE
yr
NO OF FIXTURES
PIIV ni-GGIRED
YES NU ❑
RChIAPK
/i/Si/Ir.(- GviTC-.xs �IX rv�tJptu n)s-,J
3
AkVP 7P sz, << 1'" 70 sr.n.H vs ,ram
Sys' {i n.. / C-�•s.c �ti+-S^� ���
ENGINEERING MEMO DATED 771 RF EVE Y
w
F If1E MEMO DATED REVIEWED 11Y
SIGN AREA
SEPIA REV FEW
A8 NO
ALLOWED PROPOSED
COMPLETE EXEMPT
—3
E%P
/ SHOR-LINE
✓
V RIAN OR CU
5�
PLANNIN a RE IEW
rr,k
BY PATE
E
JV4L6,CrJyFEET 7,5-, 6.9 C HEIGHT/
LOT COVERAGE
FRONT Z S SIDE 10 REAR i f .2
a
I REMARKS / /
V ev.'�.✓GE Y- 5•1G 4.J-$ yIVGd .
CHECKED BY
TYPE pF CGEISTRUCTION CODE
..eT • 1
OCCUPANT
I
n
J1/-�N
I
!
SPECIAL INSPECTOR A�jE9� �� OCCUPANT
REQUIRED /r/�`K:� LOAp
❑ VES • • "
REMARKS --�-
PROGRESS INSPECTIONS PER UBC 305
cKmA+ R.. q
EII�S�EG %v
FINAL INSPECTION REQUIRED
9
's
'
PLAN CHECK FEE
< G
2=1'
BUILDING
ll�
,rr. T ,iOURCE
el C� S
GLAZING
%
PLUMBING
Plan Check No. � ,209
MECHANICAL )
This Permit covers won to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curls. SidewPlks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
Permll Limit: 1 Year - Provided Work Is Slanted Wllhln 180 Days
"Applicant. on behalf of his Or her spouse, heirs, assigns and
ENG. INSPECTION FEE
Successors in Interest, agrees to Indemnify. defend and hold
harmless the City of Edmonds. Washington, its officials,
employees. and agents from any and all claims for damages of
whatever nature. arising directly or indirectly from the issuance
PLAN CHECK nEPOSIT
!
T
of this permit. Issuance of this permit shall not be deemed to
motl,ty, waive or reduce any requirement of any city ordinance
T
nor hmlI in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
C
provision "
Hereby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPROVAL
mformation given is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with City and
THIS PERMR
This application is not a permit until
State laws regulating construction: and in doing the work authorixr
AUIHORQES
ONLY THE
signed by the Building Official or his/her
Ed thereby, no person will be employed m violation of the Labor
woRn NOTED
Deputy; end fees are paid, and receipt is
Code of the State of Washington relating to Workmen's Compensar
acknowledged in space prc•:Ided.
lion Insurance and RCW 18.27.
NSPECnO,.
ATE SIG 'D
DEPARTMEYT
CITY
Ai
nE
LI.
Or
EDMONDS
�ny
CALL FOR
PELEASED AT
I
ATTE I
INSPECTION
t
L L TO USE OR OCCUPY A BUILDING OR SROVAL R
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 0
771 _OwAo
r 11
ORIGINAL - F-'�e YELLOW - Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UB
f111
CHAPTER 1
PINK - O.-, �er GOLD - Assessor % Vi9
Too-er
'
i
0
J
OI
TO: ermit Coordinator, Building Division
FROM: FIRE DEPARTMENT
ENGINEERING DIVISION
PLANNING DIVISION
OWNER , � t
ADDRESS 9 3 � I C� (/ V
PERMIT# 96 00
ADB#
INSPECTED ON!]j:i�'
A field inspection
was conducted
to determine compliance with approved plans.
Final approva
denotes there are
no objections to the granting of:
--Z—Occupancl
for the building
Performance Bonds may be released
Maintena
ce Bonds may be released Landscaping is approved
Other inspected
PASSED
FIRST INSPECTION -
CONDITIONS NOTED
1.
2.
FAILED
INSPECTION - OUTSTANDING REQUIREMENTS - RECALL FOR INSPECTION
1.
2.
3.
4.
X
/\ OCCUPANCY
APPROVAL
DATE b BY
FAILED
FIRST INSPECTION
DATE BY
RE -INSPECTED
- APPROVED
DATE BY
RE-INSP
CTED - FAILED
DATE BY
RE -INSPECTED
APPROVED
DATE
FEES RECEIPT#
OCCAPRVL/TXTRECEP/October 13, 1993
G
■
EOM
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...................
FOUNDATION:
., Fooling ....................
-
.�. Wall .......................
Pier/Porch................
Retaining Wall, ...........
Slabinsulation............
PLUMBING:
'
Underground .............
- Rough -In ...........
�---�
3 , 2as
Commercial Final......,.
HEATING:
:.. ........:.. Gas Test.................
` - Gas Piping ................
Equipment .................
Commercial Final.........
EXTERIOR SHEATHING
NAILING ....................
-
FRAMING ..............
f
INSULATION:
Floorinsulation..........
-
Wall Insulation ...........
Ceiling Insulation.........
SHEETROCK NAILING....,
SPECIAL INSPECTION ......
RADON MONITOR AT SITE.
FINAL APPROVAL
FOROCCUPANCY.........�-"s�'^I
n,,{{
ME