970755.pdfIM
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME NAME OF BUSINESS
\ O)W AS. 54CNIZ
MAILING ADORE$$
9111 O.gW\pl(, Q%Qw S7�\
L
MNNU—
'S(0 `0
STATE LICENSE NUMBER EXPIRATION DATE
Least Descriotion of PrODertv - include all easements
lam
el No. v
t —1 o4E � l F 4--
rex Aceount (�21
NEW RESIDENTIAL PLUMBIN EOF
CH
ADDITION El COMMERCIAL CHANGE OF USE
IRREMODEL Ej APT. BLDG. SIGN
Q❑ GRADING ❑ FENCE
REPAIR CYOS. (_x_FT)
DEMOLISH NSERT TOVE ❑ Ha M UB SPA
GARAGE r-1 CARPORT ROCKERY O WALL/ ❑ RENEWAL
L7
,. PERMIT
�) NUMBER 5 799755
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved ❑
RW Permtl Requred ❑
EXISTING __ REOUIRED DEDICATION __ Skeet Use P-11 RN'd ❑
PROPOSED IneP.1—Re -d ❑
Sldewslk Required ❑
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES ❑ NO ❑ 3
O
REMARKS �
aW
Z
NGINEERING MEMO DATED REVIEW ED BY
FIRE MEMODATED REVIEWEDBY
VARIANCE OR CU ADS x SHORELINE e
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
7 sr i
EXP X 2'S 25
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROSE $XD FRONT SIDE REAR FRONT UR SI E REAR U,
1251 bay 9�I,
LOT AREA _�Pj.AAN�NIN�VIEW BY C 0 TE n
1Y111— NSHEDI❑YDH ES OCCUPANT
REQUIRED ,/I�rN LOAD
` �C/
EMARKS
PROGRESS INSPECTIONS PER USC TGS 1-3
NUMBER NUMBER OF CRITICAL
OF , DWELLING AREAS CA-��-
STORIES UNITS I NUMBER
DESCRIBE WORK TO DONE( TTTT`,C,H,;PL,O^TPLAN)
1L/�y�'X �`� ,�-'' �"' `��y�� FINAL INSPECTION REQUIRED
1% x T' Lr/ k, �YWVV \ ,OH VALUATION
th
LAN CHECK FEE
BUILDING
HEATSOO1RCE:
Gl`��,. ,�,�
O`�
62—
Plan Check No. 9 ) < y
MECHANICAL
51
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
4-.150
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENO. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, antl agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
nor Ilmit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUEprovision."I
hereby acknowledge that I have read this application; that theATTENTION
nformation given is correct; antl that I am the owner, or the duly
jauthorized
APPLICATION APPROVAL
agent o1 the owner. I agree to comply with city and
THIS PERMIT
tale laws regulating construction; and In doing the work authoriz•
AUTHORIZES
This application is not a permit until
d thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
ode of the StateofWashington relating to Workmen's Compensa•
WORK NOTED
Deputy; and fees are paid, and receipt is
ion Insurance SIM RCW 18.27.
INSPECTION
acknowledged in space provided.
AiURE IOW R OR AGE TI DATE SIGNED
DEPARTMENT
CITY OF
DEPICT GN DATE
`—L 1
EDMONDS
CALL FOR
GY
° TE
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
��� �oGLo
GINAL — Flle YELLOW —Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
PINK — Owner GOLD — Assessor
10247
�._ 0
W4
32X
a
I �VA
RrICF-IVFO�
AUG 1 1 1997
RK .MIT COUNTEFI
E5
WO1. M2-2-2�,
41 IL
OT
17
i■ _.......... ...... . _._ ,.
0
CITY OF EDMONDS BARBARA FAHEY �
121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221 MAYOR ..
COMMUNITY SERVICES DEPARTMENT
Public Works • Planning/Building • Parks and Recreation • Engineering • Wastewater Treatment Plant
jnC.189�
April 30,1998
Douglas Sage
9112 Olympic View Dr
Edmonds, WA 98026
RE: Permit for Addition #970755
The purpose of this letter is to inform you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your permit file.
The City considers the final inspection to be one of the most important inspections
conducted on a project. In order to grant final approval the following must be complete:
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage and
residence, egress from sleeping rooms, safety.glazing, weather-stripping, any Engineering
department requirements etc. Of course not all of these things may specifically apply to
your project but it does give you an idea about the kinds of things that must be complete as
well as some items that do not need to be installed such as: paint,carpet, moldings,
wallpaper, etc. Please be advised permits expire one year from the date of issuance. If you
will need more time to complete the work permits can be renewed prior to expiration for
one half fees. If the permit expires without a final approval granted by the Building
Inspector full fees are required in order to renew the permit. This can be very costly to
you and we strongly encourage you to check your permit expiration date and call for the
required final inspection(s). Note: If more than one department is required to final your
project, this is noted on your Job Card.
Please feel free to contact me if you have any questions.
Thank you,
Lora Knack ® •
Permit Coordinator
a
• Incorporated August II, 1890 •
Sister Cities International He khan Japan Il i
77n''f 'Jr f !a f l s�✓�a M1
u 1 . v
V L
"J
_/��( //� i�'�. ,y.
roi
am
x
i"•.,`.. ,,- �^.n:�. �0.•�7rA"?�,�„an was .•.:�.,�r.",,i,�^.�-bra �n,'".'q. �'m*^.. ^.:*3+rpr^r. ... _ _ -r,�. ^— T-.-. �. ..
a
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
I
SETBACKS ................... �_-
FOUNDATION:
-
Footing ....................
0
Wall ..:......... .�.:......�
;
Pler/Porch .................
Retaining Wall.. .:a,....
- - ' Slabinsulation............ -
-
.. _ PLUMBING:
- Underground ............:..
Rough-in....�......... .:..
!2• ♦ z
_ Commercial Final ........
HEATING: '-
-
Gas Test .................
,. .... -. Gas Piping...... .....
Equipment ........::......
_ Commercial Final.........,
-
EXTERIOR SHEATHING
-
NAILING ....................
.. FRAMING .............
INSULATION:,.:
- Floorinsulatlon.........:
-
�
01 '
y Z3//'T—P0 A'07'
Well Insulation ...........
COVG�--
Ceiling Insulation.........
!� C`�
- -
l¢'L Y•�-��������
SHEETROCK NAILING......
. SPECIAL INSPECTION ......
MISCELLANEOUS
FINAL APPROVAL
FOROCCUPANCY.......... �Q _
Gf w l
r� L r/✓jl2ecn0n/ /
9�o35S
1. e
32X I
�■Ir■r