20020032.pdf1�1 DATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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OWNER NAMEINAME 01 7SINESS
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REMARKS
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJDRAINAGE
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REMARKS
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THIS PERMIT AUTHO IZES ONLY T HE WORK NOTED. THIS PERMIT COVERS WORK TG
MECHANiCAL
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC,) WILL REQUIRE
(f 116 ll�j-ucrl 4-�)
SEPARATE PERMISSION.
STATE SURCHARGE
PER IT APPLICATION: 181) DAYS
—
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG, REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
PLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FE*
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N' AS TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
ED ONDS ASHING ON ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
INSPECTION FEE
LCLAIMS FOR DAM
A LCLAIMSFORDAIV GESOFWHATEVER NATURE, ARISING DIRECTI-YOR INDIRECTLY
FRI M THE ISSUANCE 0 THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMEDTOMODIFY, WAIVE OR REDUCEANY REQUIREMENTOF ANYCITY ORDINANCE
PLAN CHECK DEPOSIT RECEIPT/ WV(
JRECEI
0 NOR LIMIT IN ANYWAY THE CRY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
TOTAL AMOUNT DUE
IHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
APPI IdATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
T E OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL TI bw , p,bbXb,W,,bod by th,
NON AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATC Or WASHINGTON RE ATING TO
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FOR INSPECTION 1-ri 1� b-b-
WCAKMEN'l COMIENS�FANCI AND FEW 11.11,
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DATE SIGNED
OFF, All
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7-1 HELLAS BY IF
ATTENTION
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 FILE YELL SPECTOR I/
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK OWNER GOLD -ASSESSOR
MEMO TO STREET FILE
655 Edmonds Way
Decemb er 10, 2002
P -0032
SUBJECT: Chermak ermit # 2002
Engineering Final Approval
A final inspection was performed on November 8, 2002 and the following items were not
completed to plan:
1. Drive -aisle width in front parldng lot was less than 24 feet.
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2. The width of the paved surface between the southeast comer of the building and the fence did
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not measure 13 feet as shown on the plan.
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Due to the location of a power pole on the east comer of the property, the driveway entrance
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could not be located per plan. This change caus ed the width of the drive aisle to be less than 24
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feet in width in the front parldng lot, which only has parldng stalls on one side of the drive aisle.
The paved surface between the southeast comer of the existing building and the fence did not
change with the permitted addition. The plans did not accurately indicated this width and no
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change could be made.
Final approval was granted on November 12, 2002 and the above referenced items were
approved as constructed.
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'Fe, "AL PROJECT APPROVAI"ORM
TO:
DATE:
!�EMO TO: PERMIT COORDINATOIZ, BUILDING DIVISION
FROM: FIRE DEPARTNIENT DATE —
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—jJ2j-L/----z--
PROJEC
SITE ADDRESS (-9'-S E441xyd� 041,1
PERmr I r #-aM 05Q. ADB#-J1z �(-?_DATE INSPECTED---IILL�L/ �-
DESCRIPTION OF WORK TO BE INSPECTED—:CLv4
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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
PERM CE B6NDS and the granting of:
/-----GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
ci Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE-INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date— Sip—
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Flt'�*,L PROJECT APPRovAv"IbRm
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NMMO TO: PERMIT' COORDINATOR, BUILDING DIVISION
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ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE —
PROJECT
SITEADDRES
p ER M r r oo 2 o o 3: —A DB _D ATE I N s P E c T E DI L, L - - _o�-
DESCRIPTION OF WORK TO BE INSPECTED .. 1_11(j_�_
A field I 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 LIONDS and the granting of:
GRANT FINAL PROJECT APPROVAL.
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
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2.
3.
RE INSPECTED OUTSTANDING ISSUES -GRANT FINAL PROJECT APPROVAL
Date— Sigq_
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FI?6'kL PROJECT PROVAL*43RM
TO:_
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: _,,,,_FIRE DEPARTMENT DATE —
DATE
���MGINEERING DIVISION
PLANNING DIVISION DATE—
PROJECT_R2_Q_29X_ OIL"
SrrE ADDRESS
PERM1T#Aq—)9--MaZ� ADB# DATEINSPECTED
DESCRIPTION OF WORK TO 13E INSPECTEDJ�������
A field inspection was conducted to determine flual 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 WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by *inspector
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FAMED FINAL INSPECTION - OUTSTANDING ISSUES
Q Copy of CORRECTION NOTICE given to owner/contractorby inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES -GRANT FINAL PROJECT APPROVAL
Date_ Sign�
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INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
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wall ......................
Pier/Porch .............
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Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
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Rough -in ...................
Commercial Final
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HEATING:
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Gas Test ....................
Gas Piping ...........
Equipment .................
Commercial Final
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EXTERIOR SHEATHI NO
NAILING
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FRAMING ........................
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK N41LING
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SPECIAL INSPECT! ON
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