20000844.pdfCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE I
GRADINGIFILL
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OMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL RED IRE
SEPARATE PERMISSION. STATE SURCHARGE
P AMIT APPLICATION: tVI DAYS
E
PERMIT LIMITll YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
ENG. REVIEW FEES
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALrOF HISOR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
;APPLICANT
N NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY 05 ANDSCAVING
S EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANYAND
INSPECTION FEE
RECEi T
IF E. ARISING DIRECTLY OR INDIRECTLY
ALLCLAIMSFORDAMAGESOFWHATEVEn NATUR
NOT BE
m FROM THE ISSUANCE OF T IS PERMIT. ISSUANCE OF THIS PERMIT SHALL
DEEMED TO MODIFY, WAIVE OF REDUCE ANY PEOUIREMENTOF ANY CITY ORDINANCE
PLAN CHECK DEPOSI F
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NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- TOTAL AMOUNT DUE
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OTAL A N
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
A ATION APPROVAL
A PLICI
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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THE OWNER . I AGREE To COMPLY WITH CITY AND E LAWS REGULATING CONSTRUG
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TION. AND IN DOING THE WORK AUTHORIZED THERE,Y,N PERSON WILL BE EMPLOYED
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FOR INSPECTION
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IN VIOLATION OF THE L
W RKMEN'S COMPENSATION ND PCW iS.27.
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JgABOR CODE OF THE STAT OFONASHINGTON
OFFIC IGN DATE
'&�URANCE
SIGNATUR - NEROJ��
(425)
( 5)
JDATESIGNE
Ig
771-0220
L)Z6
RELEASED BY
ATTB ION . /
EXT/333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
.
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - lL 6 YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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CITY OF EDMONDS
USES PERMIT
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CONSTRUCTION PERMIT APPLICATION
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PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REW
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PLAN CHECK FEE
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�9( MECHANICAL
THIS P ERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE 00 NE ON PRIVATE PROPERTY ONLY. AN' CONSTRUCTION ONITH E PUBLIC AADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS' MARQUEES. ETC.) IN LL REQUIRE
SEPARATE PERMISSION.
STATE SURCHA GE
YEPE SUIT APPLICATION: 180 DAYS
PERMIT LIMIT. I AR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
IN NTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCA ING
M tl
EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND
ALLCI-AIMSFOR DAMAGESOFWHATREVRR NATURE.ARISING DIRECTLYOR IND RECTLY
x FROM THE ISSUANCE OF THIS PE ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT
D 0 EMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 00
CE PROVISION.'
NOR LIMIT IN ANY WAYTHE CITY'S ABILITYTO ENFORCE ANY ORDINAN R
TOTAL AMOUNT DUE
�APLICATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFOPMAT10N APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This appl—bb, [, - a Polhill ii by Ile
THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Nsll.r D.P.,, -d F b pi,.
TION IN DOIN THEWO K AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED d
VI: ANDI CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION —lipt is .,k.owil g.d in space pfovided.
IN OLAT ON OF THE LABO
WORKMEN'S COMPENSATION URANCE AND RCW 16.27, DATE
sirNAT A
U�yl!�NERD GENT DATE SIGNED (425) 4
U16 / A,b
MCI f f I -IUi RELEASED BY
ATTENTION EXTJ333 vs 1c):Jfl-
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 1221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-C t ORIGINAL-11ILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK -OWNER - GOLD ASSESSOR
M,
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(4Citpof Cbm0uh
ST
tertiffaq DUO Empance
OF BUILDINGS
NO CODE SECTION
It #:
At:
des: 2
welling Units:
occupancy established by this Certificate:
ypq ponstruction: V4 Hr Sprlok
Basement'. Yes
RIM
IN
i(per. U.B.C. 1002)
maximum occupalt Load
ig ted at 81(limes-
ey main POs
ROOM.CSPSC Y�red, must re
monds 01 in &Y1l1hLLLQ COMPLYING WTH THE REQUIREMENTS OF THE
owner of euilding:--gEdftmAlmxmg''."...:zt4'AS,BEtWIIN$Piditd AS'
Die V THE CITY FdRfkE4dROUP AND DIVISION OF: OCCUPANCY AND THE USE
THE ADOPTED By
"97 EDITION OF THE UNIFORM BUIL D.
_WH,C
FO H THE PROPOSED OCCUPANCY IS CiA 2_000
Issued this �28th day Of—D MIRME—_
UILANG-012
FICIAL
CliLIEF 6
BY:
amitand.nw
Alym.,4.d—p..y�rusomquimebtdtdnage
od.muol lado,obsonaulndanaltana-1-1
sul O.V_y ,,uw by bu, c1t, d Edmond, inom,no 0610W.
canntoata
TK, carucam "U in, poaW in a wmptcoaus Pubic am- and anatt not be mano,
TO:
DATE:
MEMO TO: PTECOPArTUILDING DIVISION
FROM: FIRE DEPARTMENT DATE "W-0
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
PROJEC
SITE ADDRESS —
PERMIT #_Z��.ADB#__DATE INSPECTED Lev
DESCRIPTION OF WORK TO BE INSPECTED____FE_1 46 _C0J-)4)C—ET74^-)
A field inspection was conducted to determine compliance with approved plans. Final approval, denotes that
there are nQ, objections from the above signed Department to the granting of:
. _QA�_Final approval of the described work
71E—T Performance Bonds associated with the project may be released
FT
GRANT FINAL PROJECT APPROVAL
—GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
_FAILED FINAL INSPECTION - OUTSTANDING ISSUES 4110
2.
41
3.
_______AE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
ocaprvi.doc.l:tenip:bldg:fo-6/98
TO:
,DATE:
MEMO TO: P7F�c TOR, BUILDING DIVISION /CIO
FROM: FIRE DEPARTMENT DATE—L—
.NGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
'L�v-
PROJEC
SITE ADDRESS �Z- 3
PERMIT 0 Z,�Oa'7-3 ADB#_DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECT
A field inspection was conducted to determine compliance with approved plans. Final approval, denotes that
there are n objections from the above signed Department to the granting of:
Final approval of the described work
Performance Bonds associated with the project may be released
GRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
FINAL INSPECTION - OUTSTANDING ISSUES
2. 4
v
3.
_RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
ocaprvi.doc.l:temp:bldg:for=6/98
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FIRE PROTECTION, INC.
FU BOX 12042
NIEL GREEI(WIE980112
12061440-5763 on 1-000-601-1125 FIR 12061417-0051
RECEIVED
MAR 2 9 2000
DEVELOPMENT SERV'CES CTFt
H8r&Vff26ffNOS
aryomMONDS _//� ��
PLAN REVIEW 7:3 7
Re, FIRE ALARM sYSTKM-oLyMPIC VISTA 6 PLEX
please find enclosed plans for the FIRE ALARM SYSTEM at the above
location. The system has been designed per KFPA 72, 96 edition
requirements as well as WC, UBC, BBC current and your additional
requirements.
The building is fully sprinkled. The system shall monitor by
zone, waterflow and FACP smoke activation as well as separate
trouble signal.. Monitoring shall be provided via UL listed
Central Station, The Alarm Center LACEY, WA., over a dual line
separate carrier public switched system, DACT. Audibility shall
be in compliance with NFPA standards with a 10 inch bell located
on the outside of the building in the top 25% with a 117 candela
strobe facing the first in -coming FIRE DEPT. vehicles for easy
building location. Interior DB shall be 75 DB minimum throughout.
A full service and monitoring agreement is in force for the
proper service and maintenance per NFPA requirements. All systems
shall be UL certificated and placard. A full pre -test and NFPA
form shall be conducted and completed prior to calling the AHJ
for acceptance testing.
Should ycq?u have /Rny further questions, please feel free to
contact e r 9t
e
Roy L t C t Wnage
Proje t nage
NICHT #09766 level 3 SFD #SCP-9955
ALX-dlkM
TO�-
DATE;—
OR, BUILDING DIVISION
MEMO TO: PE Tol"
A T E ILT
11�,E DEPARTMENT D Q
FROM:
ENGINEERING DIVISION DATE-
-PLANNING DIVISION DATE— 0 M
M
01 1,,
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PROJEC
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SITE ADDRESS 2 52
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DESCRIPTION OF WORK TO BE INSPECTED
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Final approval denotes that
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the granting of:
b' i from the above signed Department to 0 Fn1 1
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there are no o jections
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Final approval of the described work z
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7-W—P rformance Bonds associated with the project may be released X
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FINAL PROJECT APPROVAL
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AILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
_INSpF GRANT FINAL PROJECT APPROVAL
CTED OUTSTANDING ISSUES
ocaprvl.doc.l:temp:bldg:forms6/98
FIN& PROJECT APPROVA-L-O-RM
TO:A�
DATE-.
MEMO TO: PERM[IT COORDINATOR, BUILDING DIVISION
FROM: DEPARTMENT DATE —
ENGINEERING DIVISION DATE
PLANNING DIVISION DATEJ��)
PROJECT— — —
SITE ADDRES -4-
pERWT #__J1 ADB#_tA31 DATEINSPECTED—
DESCRIPTION OF WORK TO BE 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 ofthe described work
__QRANT FINAL PROJECT APPROVAL CC!14VtF�_ —FErF
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
ocaprv1.doc.l:temp:b1d8:f0-6/98
MEMO TO: P BUILDING DIVISION
T:�
FROM: M DEPARTMENT DA
0
ENGINEERING DIVISION DATE—
LANNING DIVISION DAT
6 t—
PROJEC M 0[
SITE ADDRFS
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PERMITg_1JL212 _---ADB#—DATE INSPECTED —L
DESCRIPTION OF WORK TO BE INSPECTED--6--U--"—T—
h ans. Final approval denotes that
Afield inspection was conducted to determine compliance wit approvedpl.
ectious from the ab ove siped Department to the granting of
rj
of the described work
onds. associated with the project may be released
F�
qdj�—GRANT FINAL PROJECT APPROVAL
FINAL PROM CT APPROVAL WITH CONDITIONS NOTED Z�
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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ocaMl.doc.l:temp-bld9:f0m56/98
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TO:-
DATE: —
MEMO TO: pER?sffr COORDINATOR, BUILDING DIVISION
FROM: DEPARTMENT DATE—
_____�ENGINEERING DIVISION DATE-11$JM—)
PLANNING DIVISION DATE—
PROJEC
SITEADDRESS- so
PERMIT It qqoj-7i ADB#___________�DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECT
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
igned Department to the granting of:
cribed work
Bonds associated with the project may be released
FINAL PROJECT APPROVAL
____GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
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ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
PROJEC
SITE ADDRESS -
PERMIT 4___IIL171__ADB#_______-PATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPEC
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:
approval of the described work
___GRANT FINAL PROJECT APPROVAL
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FINTL PROJECT APPROVAL FORM
TO:
.DATE:
MEMO TO: PERNM COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTNIENT DATE__4:.- J�-_�-000
� ---ENGINEERING DIVISION DATE,_
PLANNING DIVISION DATE. —
PROJECT c- VIST 7� U 37-
SITE ADDRESS- a_3 q
PERNUT # �U 67 ILI ---,ADB#—DATE INSPECTED /I
DESCRIPTION OF WORK TO. BE INSPECTED_L����..
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:
9./�Final approval ofthe described work
rmance Bonds associated with the project may be released
__2�_GRANT FINAL PROJECT APPROVAL
—GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
______YAILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
_______RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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