20010931.pdfI USE
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME NAME OF BUSINESS ADDRESS
JhM)6ttBP� LEGAL BE
MAILING ADDRESS
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EXISTING
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SIGN
61A01110
E] FENCE
REPAIR
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DEMOLISH
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El SWIM POOL
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CARPORT
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RENEWAL_
TYPE OFAGNESS ;��IN:
OF
NI
NUMBIER OF
DWELLING
CRITICAL
STORI S
UNITS
JAREAS
NU MBER iVj#
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
WIPIF--S�MP
PERMIT
NUMBER 'a loo o C1
SUITE APT
I-PI1 L I I A I A�A I
SCRIPT;ON C�ECKJ
SUBDIVISION No LID
No
IGHT OF WAY PER OFFICIAL STREET MAP TESCP
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I NO, OF FIXTURES
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YES 0 No o
REMARKS
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ENGINEERING MEMO DATED
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FIRE MEMO DATED REVIMEU BY
SIGN AREA
ALLOWED .2POSED
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SEPA REVIEW
COMPLETE
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CHECKED BY
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_�CIPANT
SPECIAL INSPECTOR EA
RECU'RED 0 YES
C.,.T
L.A.
REMARKS
PROGRESS INSPECTIONS PER LIBC 305
FINAL INSPECTION REOUIRED
HEATSOURCE
GLIIIIG
BUILDING I _
BING
Plan Check No.
MECHANICAL
This PermK covers vi to 1. done Go rivals property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewpiks,
driveways. marquees. etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 160 Day.
t Limit: I Year - Provided Work Is Started Within 180 Days
_Pennl
"Applic3nt, on 6ehall of his or her spouse, Dole, assigns and
ENG INSPECTION FEE
Ed ccessors in interest, agrees to indemnify. defend and hold
h a miess I he City of Edmonds, Washington, its officials,
ar
YL2�
employee and agents from any and 311rac 'ms'ortdmBgBBol
5,
directly of ad c�a
what ver nature. arising ly from t hel5lu.nC.
-5wahq!�,t
of thes permit, Issuance of this permit Shell not be de.medto
PLAN CHECK DEPOSIT
modi fy waive or reduce any rfiquj�ament - I any city ordinance
�'t
Do, if m in any Way the City's .1 t , to enforce any ordinance
provision."
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
informati on g Ivan is correct; and that I am the owner. or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply With city and
TIIS PERMIT
This application is not a permit until
State law regulating construction; and in doing the work authoriz.
s
.B thereby. no person will be employed in violation of the Labor
-'
PUT oFj2ES
o LY TIE
signed by the Building Official or his/her
-
Coce off re Staie ton relating to Workmen's Compensa.
WORK NOTED
Deputy� and fees are paid. and receipt is
"on Insurance and 1A
WIN7
NIS.Ec"o,
acknowledged in space provided.
A 0 SIGNED
DEPARTMENT
-
�GEN7— JDATE
UZ
CITY OF
FIcIA A' DATE
C
EDMONDS
ATTENTION
CALLFOR
LATj
INSPECTION
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING TRUCTURE
UN1iIL A FINAL INSPECTION HAS BEEN MADE ANDoAF`PSAOVAL OR
71-0220
ORIGINAL — F e YELLOW — Inspector
AHCERTIF'CATE OF OCCUPANCY HAS BEEN GRANTED. USC
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CITY OF EDMONDS
121 51H AVENUE NORTH - eDMONDS, WA 98020 - (425) 771-0220 - PAX (425) 771-0221
Websile: �Ci.ecimondS,MVS
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
January 4, 2002
1-5 Signs, Inc.
3005 Marvin Road NE
Olympia, WA 98516
Dear Trinity,
\\60\ C
\\N\0
VS
GARY HAAKENSON
MAYOR
This letter is to inform you that we neglected to coUect any fees for the awning
for Thoroughbred Collision. We collected fees for the sign perntit only. The *
valuation of $2200 for the awning was not assessed any fees. If this awning bid
does not include the signage, the outstanding fees are $167. If that bid does
include the signage, please submit a revised bid to the City excluding the
signage so that we can assess the correct fees for the awning. I am sorry for the
inconver�cnce. If you have any questions, please feel free to call me at 425-771-
0220. Otherwise, you can renut $167 to the City of Edmonds referencing
"permit #2001-0931 /Thoroughbred Collision Awning".
Sinc el ly,
Lara Knaak
Permit Coordinator
City of Edmonds
425-771-0220
knaak@ci.edmonds.wa.us
Incorporated August I I - 1890
Sister CHU - Hekinan. Javan
FINAL PROJECT APP 3.VALFORM
TO:-Cj�
DATF:Lt I Z"�'l F
TAEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE-
PROJECT
SITE ADDRESS.
TED-
.RM,T',_jS20J, CL 3J_ADB#,2JJL DATE INSPEC
.DESCRIPTION OF WORK TO BE INSPECTED-
ed plans. Final approval
A field inspection was conducted to determine final compliance with approv
ere are no objections from the above signed Department to the releas e of.,
denotes that th E BONDS and the granting of:
PERFO
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
[3 Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
� Copy ofCoRRECTION NOTICE given to owner/contractorby inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sigri__
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...................
FOUNDATION:
Footing ....................
Wall .......................
6
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pier/Porch ............
RetainingWall .....
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Slabinsulation ............
PLUMBING;,
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Underground ..........
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Corn a cla F na ...
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GwTest .................
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GasPiping ..... f;,.
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Equipment ................
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Commercial Final .........
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EXTERIOR SHEATH�NG
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FR�M... .........
INSULATION:
Floorinsulation ...........
Wall Insulation ...........
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Ceiling Insulation .........
SHEETROCK NAILING ......
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SPECIAL INSPECTION ......
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RADON MONITOR AT SITE.
FINALAPPROVAL
fOR OCCUPANCY
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CONSTRUCTION PERMIT APPLICATION
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OWNER NAME NAME OF BUSINESS
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LEGAL DESCRIPTION CHECK15LBUIVI-N
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PUBLIC RIGHT OF WAY
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NAME
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LINE SIZE NO Of FIXTURES PRV REOUIR
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REMARKS
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IF ADDRESS QNGINEERING
MEMO DATED R71/ED 11
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CHECKED BY TYPE��
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0
REPAIR
wo O�E, 0 S.
r IMSODST POOL
DEMOLISH ERTe HOt1MrUBfSPA
SEECIAL INSPECTOR
RP
OUIRED
AREA
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m
0 YES
a aj
GARAGE M RETAINING WALL/ RENCWA
CARPORT L-J ROCKERY Ir
REMARKS
PROGRESS INSPECTIONS PER UEC.305
0 F.
(TYPE OF.0 VIT XPLAIN;
C 0)
MO
NUMBER
bF-
STORIES
N �T`S P 0,
0 E ING
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NUNIBE
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FINAL INSPECTION REQUIRED
VALUZ557
FEE
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PLAN CHECK FEE
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HEATSOURCE
GLAZING
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MECHANICAL
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This Permit coven ,to property ONLY
GRAOINGIFILL
Any Construction on the pub n (curts, sidewPIks.
driveways. marqU80S. etc.) wliII1=1separate permission.
STATE SUP C HARGE
Permit Application' 180 Days
Permit Limit: , Year, provided we*,, started within '. D"'
I, ithens ouse ITS. assigns ano
,.as rn�jf�he
�on "=! Of
nteres . d fend_46Dd
E"11- "'PECTIC" FEE
..a,.,,
hl
�As I
h to
�'mies"es!.%C, �bm alhn*tbir
any .
mp(6 na
Whatever mature, art$ g directly or indireCilli-fiIbin thell-sluancill
2ancle this Shall n0i be deemedco,
""N CHECK DEPOSIT
Of this Pe"T". '55 of permit
modify waiv. or reduce any requirement of any city ordinance
o
nor lil�lt in any Way th, I , City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision.. .
I hereby acknOw�l:e g t I have read this application; that the
ATTENTION
APPLICATION APPROVAL
information given I correct; and that I a. the owner, or the duly
I agree to comply With City and
THIS PERMIT
This application is not a permit until
owner.
"e:,:g n.. and in doing the Work a -
:,u.,he0,'.w e.n,.',IOfgtco`nstructIo uthoriz
AUTHOPTZE
signed by the Building Officia.lor his/her
ther III be employed in violation of the Labor
y, no erson
ES
N
0 "NOTE.
WOFX '"
ild I r7p
Deputy; and fees are t is
pal 'a
ed
o ofthe tate?f to� relaing to Workmen's Compense*
de of the
aclknoWe dged in space pfoyl
fit TE SIGNED
-ER
ttM
INSPECTION
DEPARTMENT,,
A DATE
I NZT7.-E 0 GENT,
CITY OF
1ICIA
EDMONDS
CALL FOR
0 By la DATE
0
.,-�T-TENTION
INSPECTION
IT IS UNLAWFUL T.CFEU.Sf, 0" OCCUPY A BUILDIANG OR STRUCTURE InSP-101
ON HAS BEEN MADE ND APPROVAL OR 771-0220 ORIGINAL - F.e YELLO�lj
TL A FINAL IN
UN N PINK - 0-- GOLD - AS-s-
A CERTIFICATE OF OCCUPANCY HAS BEE GRANTED. UBC
CHAPTER 3.