275 6th Ave N.pdf55-1,11 OW
us' PERMIT
CITY OF EDMONDS Z.NE NUMBER 9 soal a
CONSTRUCTION PERMIT APPLICATION SUITEIAPT.1
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Description o P SEPA REVIEW SIGN BE
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k5E:e E� EXEMP
EQUIREDSETBACK jFT. P
ALL FRONT SIDE HE A FRONT URSIDE REAR
BY 41/PSL—,.
PMP'"'
Int. A..Unt
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NEW RESIDENTIAL PLUMBINGIMECH
cc PLANCE OR
ADDITION L CHANGE OF USE
cetlr SIGN
SIGN
REMODEL
C ED a NSTRUCTION 'Do
FENCE b ' IT!;;— � CUP
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REPAIR 767 &
PISC L INSPECTQR
IN ERT ODD
SODST H.TTUIPILPI: I LOA
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DEMOLISH WO GIVE SWINTPO LP�X: REQU
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GARAGE RETAINING WALLI RENEWAL R MARKS
CARPORT ROOKERY
PROGRESS INSPECTIONS PER UBC 108
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2
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NUMBER NUMBER OF CRITICAL AY --#r
OF WELUN AREAS
STORIE ON- NUMBE
S
DESCRIBE WORK TO BE DONE IATTACRI PLOT PLAN)
INAL INSPECTION REQUIRED
VALUATION
AN CRICK FEE
BUILDING 513
0/a
PLUMBING
MECHANICAL
Plan Check No.
privo 'o party L . GRADINGIFILL
Any const ruCtIOn on the public domain (cur a, at ewolka,
drive Ways, marquees, AtC.1 will require separate per lesion. STATE SURCHARGE
P Rhit Application: 180 Days STORM DRAINAGE FEE
P:rmit Limit: 1 Yenr - Provided Work Is Started Within 180 Days
--A , heirs, assigns ana ..............
n behalf of his or her spouse
o old
to Indemnify, defend and h.,
Cc=t,� interest, agrees
shumnle5s the City of Edmonds, Washington, its Officla sj
employees, and a 'from any and all claims for damages 0
genla
I
whatever nature Iirl.lng directly or Indirectly rom the lssuadnc8
of this shall not �,e deems to PLAN CHECK DEPOSIT
of In no permit
I. Permit. I --a u.: any r 't
modify waive or he equirement of any c y ordina.n a
nor llr�lt In any way the City's ability to enforce any ord n nce TOTAL AMOUNT DUE
provision," mmmomon�
I hereby acknowl I have read this :pplication; that they ATTENTION APPLICATION APPROVAL
Information given 1:digertahcatI. and that I am the owner, or Ins dul
au agent of the owner. a ree to com I with -fly and 7.15 PER.' This applicatiBon is not a permit until
Ino I gn Pyw
dzedregulating
c he ructf� - In- -rilauthoriz- AUTHORIZE' I
te laws hc uilding Official or his/her
on. a d.nd.1n, ONLY THES sDig,,nVyDyRd1G.
I
ad thereby, n arson will big em;lPyed in violation of the Labor WORK NOTED s are paid, and receipt a
P
acknowledged in space provided.
Code of the Slateof ashington relating toWorkmen"6Compensa
INSPECTION
lion DEPARTMENt
IGNATUR F C AL 5 SIGNATURE
CITY OF
EDMONDS
CALL FOR
ATTENTION I NSPECTION
IT IS UNLAVVIUL T.0PiUSTF,00NR 'y )ING OR STRUCTURE YEL OWIS- ns a I I
MUf1L1' .11 APPROVAL OR 771-0220 ORIGINAL - 1,�a L I P C 0
U
UNTIL A FINAL IN IOCCU'��N`
C ERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC PINK - 0A,a, GOLD - A5SasSor
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�SECTION 109
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UNIFORM BUILDING CODE BECTIO
At 90206%.
2M see Avenue NNorth Bul ding Permit#:
OCDim nq I y esta . blished W this C to: Dwelling Units: **NIA"
pla No. Stories: I
B&A3 ". t.06.rAonstrucdon: V-N
Basement: NIA
Maxiiinum0cpup., Per U.B.C. 1002)
es.
Omer of Building: Pu mil 121 Ave Norlh, Edmonds, WA
THE --Public Safe Cc
molex
1997 EDITION OF THE UN FORM BUILDING PLYING V91TH THE REQUIREMENTS OF THE
FORVWVHICHTHEPROPC, EDOCCUPANC% D-p7ly NID DIVISION OF OCCUPANCY AND THE USE
Issued this W7thi
2000
BY:
TEMPORARY OCCUPANCY EXPIRES FEBRUARY 28, 2001
Any dn,n, d �py,, u.. a b.11d, �njt nd
—0— d Q�nq Wsuel by the Cfty d Ecknod, ObUding m.
UNIFORM BUILIJINU �V—
Building Peffnit 90206
245 Avon �"o
it
At;
No. Stories: I
o qpaopy established �q CIii1le: Dwelling UnUts, **NIA!'a
I bj
'A. ement- NIA
B uction:*�'
TyDe Constr
(M&B.C. 1002)
Ma)drhuM,,
I imes.
g
da. WA
Owner of Building: IF! MI
A TS OF THE 1994 EDITION OF
THE Ststion HAb 13EE
No COD ADOPTE CCUPANCY AND THE USE TOR WHICH THE
T H R ;U�N SIFO ROM UILDI
ED �B
PRO CUPANCY ISO -IFIED.
Inued thI& 2000
4.d
BY:
TEMPORARY OCCUPANCY EXPIRES FEBRUARY 21,2001
Iwo carwoaw stai posm� in a wn,p�om P,�c am, a, "11 —.ad, .61 Any �hanglnf —P-01 �'—ulm b-ilg �nnitand In —
THIN
MY
110 IT,
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City of Ebmoubs
.EPARTMENT OF UIL.INGS
UNIFORM BUILDIN9 (;C?I)E SECTION itk,
occupancy established by this
B
owner of Building: rire owuvii " 1 1
THE Fire Stajj2n_HAS BEEN INSPI
UNI�BRM -BUILDING CODE AS ADOPTED
PROPOSED OCCUPANCY IS CLASSIFIED.
Issuod1his,
�_da,—�by UyIE*�
No. Stories: I
%, I Basement: NIA
.5,c. 1002)
S.
-QUIREMENTS OF THE 1994 Edition of the
:CUPANCY AND THE USE FOR WHICH THE
Tity of Tibmottbs
DEPARTMENT OF BUILDINGS
UNIFORM BUILDING CODE SECTION,
0 1 #99,02po
At: Buildin
Dwelling Units: —NIM* No, $tq�qs: I
occupancy established by this c Icate:
E5 sement: N/A
B&A3 n-struO0.qP: Vl,.,,.
-4 . . . . . . . . . . . . . . .
(Per U.B.C. 1002)
MaXiMUM OCC4P01
Roo Wl - - - - - -
e
MAN` a 1dress:1 6" Ave orth mo ds
Owner of Building: PUI)Ii, Safaty Po ON I q G WTH THE REQUIREMENTS OF THE I
IVISION OF OCCUPANCY AND THE USE
no
BY:
TEMPOR n;O�FM,
KPIREF ��172,_12000
01N.- V) m4N�l is
TEMPORARY TEMPORARY TEMPORARY TEMPORARY *RMPORARY TEMPORARY
AN UN
11FORM Et NO 090P 8 TION iftz,
At:. 26Q 5" Avenue North, Ed�R' as It# 9
Occupancy established by this cel4i
icate: nits: *!N/All No. Slip ita: I
B & A3
U, Basement: WA
maximu
m Occupa
rUBC 1002)
Ro
Owner of Buliding:
Public Safety
121 Ave 92 Nodh, EdMgpft
THE Publli fr COMIPI
B COM ( I L IN WITH THE REQUIREMENTS OF TH
NUILDING 1916N OF OCCUPANCY AND THE USE
Qp P
1994 091tion of the UNIFORM B I(
WHICH THE PROPOSED OCCUPANCY 1111111111111
,F
Itipued this t
CHIEF 84 JILDING OFflg;IAL
By:
... . .. .....
TgMPORARY Cy�
—nd.tl[ �.t .W ?L - " ""' b- --- 1-1-4116il 9 lit timm.
Cbtfl�tl I �— by th, CftY Of Edmmd, Buidhq df�1,1.
Z;
IM "P140,160:11:1411 lawaq
UNIFOffli llllu;�L� A8 ADOPTED IM
PROPOGED OCCUPANCY 18 CLASWIED.
loomed this
Th" M&IdW WWI " Poo" iM a M"W~ pubk "11 W 6* —', MA� w Gbwu� I'd MW b. mIi
C-AkIII & 0--w-y "� tv " ck, d E*-,i. D.We oww.
No. Stofts: I
N/A
D.C. 1002)
auwaw[NT& Or THII of "M
UPANCY iftid"
Aw THE UGe FOR WHICH THg
son
oosupow aslWallshod by Vft
B&A3
maximum occo
ow"K of
WWII Vft - , 1 2001
L*L
THE =4
ME FOR
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FIRE DEPT. PLAN REVIEW AND APPROVAL FORM
DATE SENT:
REVIEWER:z-/4-....'�A
FROM: Permit Coordinator
Building Division
PLAN CHECK# PROJECT: C.
ADDRESS:
M—For Initial Review & Comment
E-1 For Review —See ICBO Letter
E-1 Resubmitted Plans For Review
RESPONSE FROM FIRE DEPARTMENT:
E-1 See Attached Corrections/Send Copy to Applicant Date:
Resubmittal NOT Required
ElSee Attached Corrections/Send Copy to Applicant
Resubmittal Required Date:
APPROVED FOR ISSUANCE:
Zf� '4��
Signature
REVFORM.DOC
Date:
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Department
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FUZE ALARM NOTES
1. Upon completion of the installation, the installer shall prove to the satisfaction of the fire
chief that all functions of the added system works as designed.
2. The applicant shall provide the fire chief with written certification that the system was
installed in conformance with the approved plans and specification at the conclusion of the job.
3. The location of locked FACP, remote annunciator panels and their access keys shall be
approved by the fire chief prior to permit issuance.
4. The written operating instructions for all panels and annunciators shall be stored at the
location of these units.
5. A yearly alarm maintenance and test program done by third party testing companies shall
be set up by the owner who shall provide it to the fire chief at the final inspection.
6. F-type through penetration fire stop material shall be provided around wall or membrane
penetrations and/or floor and ceiling penetrations. T-type of fire stop material shall be provided
for pipes and conduits larger than 4" nominal diameter at penetration of floor membranes, above
corridor ceilings not required to be part of its assembly, and where they penetrate below any
ceiling adjacent to wall requiring protected openings.
7. Manual fire alarm panels shall be installed no more than 54" above the finish floor surface.
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE—
PROJEC
SITEADDRESS
R�
PERmrr DATEINSPECTED— 1117'lal
DESCRIPTION OF WORK TO 13E INSPECTED
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of:
—Final approval of the described work
_X__GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
1.
FINAL INSPECTION - OUTSTANDING ISSUES
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
ocaprvl.doc.l:temp:bldg:forms6/98
FINAL PROJECT APPROVAL FORM
TO: 4AAA-
DATE: *7/11
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE
FROM:
DATE
ENGINEERING DIVISION
PLANNING DIVISION DATE —
PROJECT &HP012!9 J69A LC 59T� EUW (em ca, a
51 SITEADDRESS %0-41ttWg_�A.
PERMIT #
3 ADB#--------jDATE INSPECTED—Z
DESCRIPTION OF WORK TO BE INSPECTED L/
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A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of:
_1:::�_Final, approval of the described work
GRANT FINAL PROJECT APPROVAL
Ire
-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
RECEIV-- VAL FORA/F
NOV 2 9 20M
ENGNEERING DivisION TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: -----------�FIRE DEPARTMENT DATI�.
,�E
e�_r
p�4�Eslw���-ENGINEERINGDMSIONDATI�
DIVISION DATE
SITE ADDRESS _C-1 - a,,, L,� I __ --7,S- -,,, A, _�' )
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PERMIT
222&S���ADB#_DATE INSPECTFD�_
DESCRIPTION OF WORK TO BE INSPECTED I I . 0-4- '
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of:
—Final approval ofthe described work
—Performance Bonds associated with the project may be released
—GRANT FINAL PROJECT APPROVAL
—GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
'V/ FAILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
—RE-INSPECTED OUTSTANDING ISSUE
,S - GRANT FINAL PROJECT APPROVAL
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erformance Bonds associated with the project may be released
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MEMO TO: P I OR, BUILDING DIVISION
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PROJECT ---
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DESCRIPTION OF WORK TO BE INSPECTED----E-""'�
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A field inspection was conducted to determine compliance with approved plans. Final approval denotes t at
there are no objections from the above signed Department to the granting of:
inal approval of the described work
_Performance Bonds associated with the project may be released
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DATE
TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: 8' FIRE DEPARTMENT DATE_!�L��
— ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
OWNER_�11_111 Of _69/-A&4-3 ADDRESS LED ��'T'l*— ItV A-'
PERMIT# 18031-5-' A B#______JNSPECTEDON__L// _125
A field inspection was conducted to determine compliance vAth approved plans. Final approval
denotes there are no objections to the granting of:
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Occupancy for the building __�Performance Bonds may be released
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DATE —BY
DATE —BY
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
--------
SETBACKS ...................
FOUNDATION:
Footing ....................
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Wall.......................
Pier/Porch...
RetainingWalL ...........
SlabInsulation ............
PLUMBING:
U-dergrou nd.
171
Roughin ......... .......
C)
-40
Corrunerciall'inal ... e,.
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HEATING:
M
10
GasTest ...........
GasPiping ......
Equipment ..........
CommercialFinal .........
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EXTERIOR SHEATHING
N I ING..: ...............
AL
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FRAMING ....................
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INSULATION:
Floorinsulation ........
—4
Wall Insulation .............
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Ceiling insulation .........
SHEETROCK NAILING ......
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SPECIAL INSPECTION ......
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MISCELLANEOUS
FINAL APPROVAL
FOR OCCUPANCY ..........
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CITY OF
CONSTRUCTION PE
OWNE"ANIEMWE OF BUSIN 5S
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CITY OF
EDMONDS
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ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL —
771-0220
F.le YFI I OW — inspector
UNTIL A FINAL
A . ERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
PINK — 0-,r.e,
GOLD — Assessor
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