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CITY,O-F EDMONDS 'ONL4� 202- - MQ
CONSTRUCTION PERMIT APPLICATION JOB
ADDRESS
BE
LOWNER NAMENAME OF B
PLAT NAMEISUBDIVISION NO. LOTNOIV L 0,
.AILING
I I LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP rFS
'V AW.P AP"_
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EOULTED DEDICATION_ FT W,I=,." 13
METER SIZE 77 NO. OF FIXTURES PRV REQUIRED
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ADDRESS - REMARKS
F5 OWNERMONTRACTOR RESPONSIBLE FOR EROSION CONTRO.DRAINAGE
NAME
I STATE UCENSE NUMBER EXPIRATION
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Description
FEE Description
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00U.CE
Plan Check
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Building
PLAN CHECK NO: TED DATE
n1j-1V1 VET`D DATE
Plumbing
Mechanical
THIS PERMIT AUTHORRES ONLY THE ORKNOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON 'THE Pusuc
2T 0 OMAIN SIDEWALKS,
Grading
Recording Fee
(CURBS, DRIVEWAYS, MARQUEES, ETC.) MU REQUIRE
SEPARATE PERMISSION.
-
Engr. Review
City Surcharge
R ITAFPUCATION: INDAYS
PERMIT I.I.I. I TEAR - PROVI 90 WORK IS STARTED WITHIN ISO DAYS
Engr. ln!!!��
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLIC'""T ON BE UP OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTER ST. AGREE 10 INDEMNUF)� DEFEND AND HOLD HARM EBB THE CITY OF
a EDMONDS. WASHIN N, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAJM8 FO DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUMCE OF THIS PERMIT SHALL NOT BE
9 DEEMED To MODIFY, WAIVE OR RED CE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspecti:m I
I Total Amount Due
0. NOR LIMIT IN AM WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION�
Landscapoinsp.1
Receipt #
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN 18 CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPI
THE OWNER. I AGREE TO COMP WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
app"'W'on Is - a pewit untii
TION AND OING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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IN V,4 G T
OF E LABOR ODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
BuIlThIs
ft9Offld.I.1hIs/hs1 B.puly: d I
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.0. G. Co. NSA3W6*URANCE AND How 10.27,
SIG low E 0 BE DATE SIGNED
(425)
/
12
771-0220
-RELEASE. 13W
AftENTION
EXT 1333
�, - OR OrCUPYA BUILDING OR STRUCTURE UNTIL
771-0221
— T-
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION'109
At: 22937 #C Highway 99, Edmonds WA 98026... unding Permit 9:— #200 4007-_
occupancy established by this certificate: Dwelling Units: **NiA** No. Stories: I
Rpm— ant: Yes
M Type Construction:
d (Per U.B.C. 1002)
Maxi-.- --up-nt Loa
Sig., Ustremain a all times.
ftod4� Capacity posted a
Owner of Building: Brentwood Plaza, '2
Jut
THE, FI-I Market HAS BEEN INSPECT '111APP VE RibuIREMENTS OF THE 1997 EDITION OF THE
UNIFORM BUILDING CODE AS ADOPTED By'�THg'lcl FOR THE -1 P�ANM-DMSiW0E-OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 4th daif OLAVAM", 2002
C13I
CHIEF 866wi�64iCIAL
BY:—
Thbi,etuce, surer lea conappu ... public am, ead,lealhuet be mr,wed, bartraper or obscuum pad 0mll be abrubbledua lirgubl, porma—tul a.. tiad. a-
C.auopmf Opcupa.y buie. le, he OW el Earracurm Serld'.9 Crilicur.
so 00 W "M ag as a ks
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION vio
At: 22937.,#C Highwaii.99, Edmond WA 98026 —Building Permit III: #2002-0007._
occupancy established by this certificate: Dwelling Units: **N/A** No. Stories: I
M Type Construction: 111-N Basement: Yes
Maximum 61ccupant Load (Per LI.B.C. 1002)
pireq7 tremainpostedat e
Roorii capacity signs, S,
owner of Building: Brentwood Plazill, --j_rBSS;
THE Fiii Market HAS 13EEN INSPECTED"Alilb"A PROVED 011 ;YHE REQUIREMENTS OF THE 1997 EDITION OF THE
,
BY -T I H CIT OCCUPANCY AND THE USE FOR WHICH THE
UNIFZRM BUILDING CODE AS ADOPTED FOR THIE.AROUP.tAND W0Nw.DP
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this alill oijRHADIL, 2002
CHIEF BUILDIN6�CIFFICIAL
BY:
,,cate sliall be ted in a—picu,do ponic—, and shall nod be renavot; antalated or,aw—d andshaH be mai-lidsl in legable madader, at all b— Any change t decuponcy —no onisiles a builong assail ad . a-
Cloaln,—f 0—pancy ma,. nVa,. Cayat E—ds 8,11d,ap Oftiml.
M 1"d "Q4,
Mass, I 00001W a ad
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
mEmo To: PERmrr COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTNIENT DATE_[=�
____YNGINEERING DIVISION DATE
PLANNING DIVISION DATE
T
PROJFC
SITE ADDREs
PERmrr # �2_ooi —,000 ? ADD#_DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED__I��
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITTI CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing
wall ...............
Pier/Porch .................
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0
Retaining Wall ............
-4
M
Slab Insulation ..........
PLUMBING:
Underground .............
M
0
M
0
Rough -in ...................
Commercial Final
-4
x M
I'D
HEATING:
10
C Z
Gas Test ....................
Gas Piping .................
to
0,n
Equipment ............
n
Commercial Final
11111 IT
EXTERIOR SHEATHING
0 f-
NAILING ..........................
0 M T
FRAMING ...................
To
FIRST FLOOR FRAMING....
W
INSULATION ...................
-4
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
z
SHEETROCK NAILING
SPECIAL INSPECTION
M
MISCELLANEOUS ..........
FINAL APPROVAL FO R
OCCUPANCY .