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20000400.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS Sco—z's qar & Gr-"-'.!.. m ILING ADDRESS 8105 240th Street S.W. CITY zip TELEPHONE ,dmnds 98026 425-775-2561 1326 F,-'.�th Avenue, Su4.te 414 CITY Seattle ZIP ITELEPHO 98101 E 206-587-7120 N ME R. Miller Construction Co., lnc. ti�T!Fth--_d AjenUe South CITY Fdmnds ZIP 98020 ITELE ONE 206-583-0238 STATE LICENSE NUMBER FMjLTr---l.90L5 EXPiRATI OJIDO.N— /00 I PROPERTY TAX ACCOUNT 49.U*.00001505 PARCEL NO. 0 NEW GENT'AL 0 RESIDENTIAL )0�.EC. C] ADDITION COMMERCIAL n C MPLIANCEOR CHANGE OF USE E.IDDIEL APARTMENT 0 SIGN 0 REPAIR GRADING CYOS 0 FENCE I X FT� 0 DEMOLISH 0 TANK n OTHER 0 ARAG' G RA GARPGORT C 91TAINING WA ENEYVAl 0 REOTAKINIRNYG WALL RENEWAL R a C _ (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: NUMBER NUMBER IF CRITICAL 0' STORIES CM�LING UN, fq_ AREA. AREA. U..F. N SER DESCRIBE WORK TO BE DONE mts to -the --estr .6 ADA -nmonreme -Fh -ocr Db- I PERMIT EXPIRES I L �L- U s' PERMIT ONE NUMBER B ADDRESS IUITEMPTI 5TS0 PLAT NAMEISMBDIVIIIOI NO. LOT NO, LDN . LID FEE $ lUG-Ic FIGHT OF WAY PER 05FICIAL STREET MAP EXE ING — PROPOSED REOUIRED DEDICATION— FT PRV REOUIRE ......... YES 0 No, qEMARKS DWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I RSVIEWEDIDATE ENGINEERING FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR ADEIII Sl-H.N I P.VTE. RE .1 0 YES 0 NO ,EpA REVIEW SIGN AREA HEIGHT COMPLETE I EXEMPT ALLOWED , PROPOSED ALLOWED , PROPOSED !X LOT COVERAGE REOUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE FEAR PARKING LOT AREA PLANNING REVIEWED BY DATE REGO I PROVIDED I D 8 P ;'i;�IAL'; SPE TOPI -PAN REOUMED C] YES 1—IMPAq JAREA Lo 0 '0 REMARKS C lNqPFCTIONS PER UBC 1081FIt IE TT..N E.�. R VALUATION I FEE PLAN CHECK FEE I GLAZING I LOT SLOPE I BUILDING 0 N/A ED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REGUHIE SEPARATE PERMISSION STATE SURCHARGE PE MIT APPLICATION; 180DA- PERMIT LIMIT: I YEARRPAoWDED WORK IS STARTED WITHIN 18G DAYS �RR -111"--'F� SEE BACK 01� PINK PERMIT FOR MORE INFORMATION SpEo�USE �IEI.RS, A 'A PLICANT. ON BEHALF SSIGNSANDSUCCFSORS 0, HIS ENG, INSPECTION FEE ORgER INP INTEREST AGREES To'gE. � BE, �N OLD HARMLESS THE CITY OF LANDSCAPIN E CDMoNDS,WASHINGTON� ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND IREC LYORINDIRECTLI INSPECTION FEE PERMIT SHALL NOT BE PLAN CHECK DEPOSIT )F ANY CITY ORDINANCE )RCXNANCE P TOTAL AMOUNT DUE OX/, -ST) I I HAVE READ THIS APPLICATION, THAT T.'E IEN�FOR. TON APP ICATION'APPROVAL I I IEREBY ACKNOWLEDGE THAT CtVEN IS CORRECT, AND THAT I All THE OWNER OR THE TIDLY AUT.o,, " AGENTOF Thl, PPI-cltl- '� T-1 � P-11 VTIII "I't" THEOWNER I AGREI TO COMPLY WITH CITY AN6 STATE LAWS REGULATING CONETRUC� CALL offi—I .' -1- Dlplty: Foes ul,, P,11d, TION� 'o IN 'o" AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED RE ATING 0 L T GLI FOR INSPECTION pd —,,--d IN VI ATI9. OF E LABOR CODE OF THE STATE 0; WASHINGTON ON OF �GPIIIE woRKI,IEN' �SAHON INSURANCE AND RCW 182 7 OFFICIAL NAT DATE PIGNED (425)DATE /6-4) 771-0220 RELEASED DATE ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 It INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� ORIGINAL FILE A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK � OWNER GOLD, ASSESSOR 5198 0 3: c m rn 13 0 80 c -4 m = m m Z 0 -n I � f i cm 0 c c m C, Z Z m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATIOW Footing ...................... wait.......................... z Pier/Porch ................. 0 I Retainirig Wall ........... M Slab Insulation .......... PLUMBING: M 0 Underground .. ........... 0, 0 Rough -in ................ Commercial Final 3: M 10 HEATING: a -4 Gas Test ................ 3:� Gas Piping .......... 0 "It 2D Equipment ................. Commercial Final M M EXTERIOR SHEATHING 00 Fn NAILING .......................... C: w M FRAMING z FIRST FLOOR FRAMING ............... JAINSULATION Floor Insulation z Wall Insulation ........... Ceiling Insulation z SHEETROCK NAILING IT SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. U DATE1110EIVEDj 00 1", D NDS MO CITY OF EDMONDS PERMIT NUMBER pp CONSTRUCTION PERMIT APPLICATION 'A'ODFIEss OWNER NAME/NAME OF BUSINESS Scott's Bar & Grill PLAT NAMEISUBDIVISION No LOI NO . MAt ING ADDRESS .. .... . .. OFFICIAL STREET MAP 8105 240th Street S.W. o PUBLIC RIGHT OF WAY PER EXISTING CITY zip Edmnds 98026 H TELEPHONE 425-775-2561 — PROPOSED� REOUIAEDDEMCATION� FT NAME METER SIZE I LINE SIZE No, ol MIXTURES 2 0 Burgess Design — A DRESS REMARKS - OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CON NO. LID FEE PRY REQUIR YES 0 NO ite 1326 Fifth Awnue, Sul 414 CITY Z" 9 IT-1— Seat 810 tle I 206-587-7120 =0=� -17) -15V —r2LI1 (MI &� LAIISI-It-QM9 NA R. MMe r construction Co., Inc. ';�6 5NGINE5RING FIE11SVYEDIDATE fardl$fhird Avenue South Alk Ak m op ft 2 minn If t DATE m CITY ZIP TELEPHONE Ed=ndS 98020 206-5 VARIANCE OR CU SHOR51LINE OR ADB# INSPEL�TION REG 0 0 YES ONO _. STATE LICENSE NUMBER IMILLCI19OL5 SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED hie'OHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PA14CEL NO. 491100001505 EXP NEW _.C. LOT COVERAGE ALLOWED PROPOSED REQUIRED ET5AC11,1Tj FRONT SIDE REAR PROPOSED E�TIII��S 11T, FRONT UASIDE RSAR ADDITION COMPLIANCE OR CHANGE OF USE PA NNING REVIEW90 By DATE IEL SIGN HSO'D PROV ID5D GRADING o F NCS C] REPAIR CYDS 0 DEMOLISH TANK C3 OTHER GARAGE CARPORT RET`UN1,NyG WALL RENEWAL CKE 1: (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: Restauran CHEC11DaY ITYPIO C NS RUCT (ON C 0 CUPANT GROUP NUMBER OF STORIES NUMBEROF D SLUNG UNITS CRITICAL SPECIAL INSPECTOR R5OUIRED C- YES JAREA OCCUPAN LOAD DESCRIBE WORK TO BE DONE I\ REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL I SPECTION REO ADA rventIents to the restm7cfm VALUATION FEE t PLAN CHECK FEE HEAT SOURCE GLAZIN LOT SLOPE i PC BUILDING 0 NIA N/A N/A PLAN CHECK N VESTED DATE PLUMBING E�.MAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GAADINGIFILL 2 SIDEWALKS, DRIVEWAY , MARQUEES. DOMAIN (CURBS, S ETC.1 WILL REQUIRE :1 SEPARATE PERMISSION. STATE SURCHARGE PE A MIT APPLICAX1.14: 10 DAYS W HIN 180 DAYS A. PERMIT LIMIT. I YEAR PROVIDED ORKISSTARTEDWIT SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE P LICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS A P FY. DEF L HA LESS THE ITY F LANDSCAPIN IN INTEREST. AGREES TO INDEMNI A YAND EDMONDS� WASHINGTON, ITSOFFICIALS, PIL YEE E T FRR INSPECTION FEE IN I IN I E TLY ALL CLAIMS FOR DAMAGES OF WHATEVER URE R IN E T PERMIT S A E F TWS PER IT SHALL N T BE PLAN CHECK DEPOSIT RECEh/qZ( FROM THE ISSUANCE OF THIS DEEMEDTO MODIFY WAIVE Oil REDUCE A RE I FANYCIT ROINANCE E PR VISI N. RECEIPT SENT 'OR LIMIT IN ANYWAY THE CITTSABILITY E F ANY ROINAN TOTAL AMOUNT DUE 11 Y ACKNOWLEDGE THAT I HAVE READ HIS APPLICEAIIULN� THAT TH, I�N.IORMATION APPLICATION APPROVAL $HERE GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR T D ALT...'z AGENT F Tie, epp,,, I, p,h,jt enjil eglod by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC� BE EMPLOYED CALL SO&I,i; 01h.t.1 .1 hltft, D""y' :=v"'d.ed-d' ed HON ON WILL ;1NDZI WORK AUTHOIIIIED THEREBY. NO PIPS � AND IN 1?10 RELATING TO N FOR INSPECTION L oFt CODE OF THE STATE OF WASHINGTON IN VIOLATION AS DATE WORK ARON INSURANCE AND RCW 18.27, DIN! I L NAT 6Ad 160 ;IIGNED DA.7 (425) 771-0220 DATE _'�GINTI ;1:2 t-' EXT 333 RELEASED / 'I- � t ATTENTION ITIS UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 �:'� INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- IM0NAL FILE YELL11-INSPEOT6R A FINAL CATE OF OCCUPANCY HAS 13EEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD -ASSESSOR Z m m ma -4 0 0 0 C: X m a 0 _11 n m M a 0 0 C S C) M 0 Z