20020106.pdf'�J_DATE RECEIVED
PERMIT EXPIRES 21b �03
CITY OF EDMONDS
USE
Z NE
PERMIT
NUMBER 2--&y-`
CONSTRUCTION PERMIT APPLICATION
"JOB
ADDAES�
j SUITE #
1INAME OF BUSINESS
PLAT NAMEISUDDIVISION NO.
L09-. 11D No
MMMG_
It
CJ1:Z0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
a". R a
EXISTING — PROPOSED
— =a, Z,
11ELE1110111
REQUIRED DEDICATION—
I
a u_
"A.
_79
11T11 S111 I LINE SIZE
I NO. .1 1IXTt.01ES PRV REOU RED
Is
YES E3 NO 13 E
REMARKS
OWNEWCONTRACTOR RESPONSIBLE
FOR EROSION CONTROL/DRAINAGE
ZIP ITELEPHONE
40*7� 1/� I c_,)4-76,ZL -7 0
- — - I I --" —
ENGINEERING
REVIEWEDIDATE
ADDRESS
E0
I I I
blQ
K - I
TEUEPHONI
? cC) -S- S, S _?� L16
FIRE REVIEWED BY
_ 1��7 C
DATE or
- - M,
_�,, _3 Cl
STATE LICENSE NUMBER
EXPIR DATE
BY
C7
VAR I CE OR cu
SHORELINE OR ADB#
INSPECTION
RE
OSTED
I
MIS "i CI, �o
2"
�FKED
�iv
0YES -
!&,
-
4
PROPERTY TAX ACCO NT PARCEL NO,
SEPA REVIEW
COMP
SIGN AREA
ALLOWED PROPOSED
- HEIGAT
ALLOWED 0111)
1
EXP
0 NEW
0 R ESID;NTIAL
0
LOT COVERAGE
REQUIRED SETBACKS (FT.) PROPOSED
SETBACKS (Fr.)
P RISING I MECH
ALLOWED p
P7
FRONT REAR
FRONT UAIIIE REAR 0
ADDITION
COMMERCIAL
0 C MPHANCe OR
7
CHANCE .1 USE
—AIJILANINING
IEV'EW'0
BM..EL
0 APARTMENT
Ej SIGN
WARIONG
B PROVIDED
BY DATE
F NCE
REPAIR GRADING CYDS x FT)
o
_.eMA
DEMOLISH TANK
0 OTHER
GARAGE RETAINING WALL
CARPORT 0 ROOKERY
0 RENEWAL
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN;
2
-NUMBER
TYPE OF 0 ATRUCTION
[.EGUIRE.
ft
C
Dec PANT
GROU
STFORIES
UMBER OF
N.WELLING
RITICAL
AREAS
I CUMBER
SP ECIAL INSPECTOR
6
AREA
OCCUFANT
U
R Do YES
YES
LOAD 6-1
yna� Apot
I U Rob % i
REMA
r
41:�
PROGRI TIONS PER UBC 108/FINAL INSPECTION RECrD
r
tVA�LWUA�TIO�N $ ,
,
,"q
Descrlpflon�
7" q —
"q I
T�q
i�q
FEE - Description FEE
_Ma
HEAT SOURCE GLAIING 96 LOT SLOPE N
Chec'
Building
&ffE
PLANCHECK: VESTED DATE
Flan,
Plumbing X_A46+rC__
Mechanical WA,,Arr,
THIS PERMIT AUTHORMS ONLY THE ORK NOTEM THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY eONSTRUCTION ON EPU LIC
S TH a
Grading
Recording Fee
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS MAROU ES, LTC.) WIU REQUIRE
SEPARATE PERMiSSION. E
Engr. Review
City Surcharge
PER FTAPPLICATION: ISODAYS
PERMITIUMTRIYEAR � PROVIDED WORK IS STARTED WITHIN INDAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BE -IF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chl(Deposit
IN INTEREST, AGREES TO INDEMNIFY; DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS MOM ANY AND
Fire Review
Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT $HALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire inspection
-tat Amount Due
0 NOR LIMIT IN ANY WAY THE CITYa ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
___T_
Landscapoinsp.
R...,pt
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND $TAT LAWS REGULATING CONSTAUC.
CALL
ThIspaienean Inner. prent.rall signed by am
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF THE
I LABOR THE STATE 0
IN V1;AT OF WASHINGTON RELATIN. TO
FOR INSPECTION
Sender) -ffIrIW or herfinef DaP1IY: and Fees am P.IrL.ed
ac�ptis�knolledg,dinsp,cep�ided.
Won E�!ON
S COMPENO�CE AND RCW 18.27.
OFF DIAL aNAT DATE
6 UBE OWN R 0 NT)
(425)
771-0220
AELEAS�D BY DATE
A'�ENTION
M 1333
.2
27(7 /0-
IT , . 11 BE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
L-
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIN.
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER - GOLD - ASSESSOR
z
4:ii
17111
M 0
0
80
C
-4 K w
x ITT
1111 z
10-4
X
0 -n
n
ITI 1111
0
0
0
C:
9 00
M 0
M
z
ch
z
0
M
certificate of
DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SEC71ON 109
23632 Highway 99 #13. Edmonds WA 9802) #2002-0106
At:- Building Permit #:_
Occupancy established by this certWicate: Dwelling Units: -N/A** No. Stories: I
M TvD9 Construction: VN Sprinkled Basement: No
Maximum Occupant Load -677- Per U.B.C. 1002)
Room capacity signs, when required, must remain posted at aff times.
Owner of Building: T. J. Maxx Company Address: 770 Cochituate Road, Framingham, MA 01701
THE T. J. Maxx AS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 199_7 EDITION OF THE
UNIFORM BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this loth day of__Apr_il 2002
CHIEF BUILDING OFFICIAL
BY:
This amssaidshall ba pmtw in a nshaosssus "bilcman and shaft W be-aned, nhalltw � obmhal and shall be nuilrdained in legibl—dithat at bit thhes. my chaNa td�psncy dr haiL4104 a building Wmit and a hm
cemwe of0="hsYlss,,sd by" city d Edmnds Sullding Offidal.
ft�
Osseo lasso
Temporary occupancy For Rack Installation Only, Expires March 28, 2002
DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING rODE SECTION 109
At: 23632HicIhwfflr99#B —Edm0hdsWA9802) - Building P*fM!t#:_ _#�2002-0106'
Occupancy established by this certificate: Dwelling Units: -N/A- No. Stories: I
Type Con ction: VN Sprinkled Basement: No
M
Maximum Occupant Load (Per U.B.C. 1002)
ted at all times.
d,',*ai& remain pos
Room capacity signs, wonrequ2e5
owner of Building: T. J. MM&92MgLn Road Framinaham. MA 01701 7 EDITION OF THE
X_AddreS$: rCoc'hliul ... lig
THE T. J. MaXX HAS BEEN INSPECTEP,MD:APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 19— R WHICH THE
CCUPANCY AND THE USE FO
UNI�OSRBUILBlNG CODE AS ADOPTED By THE Crty FOR THE GROUP AND DMSION OF, 0
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this __�:_14th day mgf—JALrSj
_�002
T--,v-c44'1
CHIEF BUILD 7191 *W1 12
OFFICIAL
BY:-6�-4W4,Z �7 a
3-wZ
namated w oe—ed and idan ma minutned in leggge condvan at &it o_ Any�ngeof�pncya�muimewidingpl�it.m..-
Tnia candmiateahall W peeled Ina Week— PubtIC and Ou" net W efo�gd
ncy IsInue, by da, aty of Edmonds Building Offidat.
- -- --- --- --- aea. red.
HER �r—
FINAL PROJECT APPROVAL FORM
TO:
DATE: —
MEMO TO: PERMrr COORDINATOR, BUILDING DIVISION
FROM: -YlRE DEPARTMENT DATE 3
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE�_
PROJECT--2:-V At A-x /7- 7--
SITE ADDRESS 3
PERMIT # 92�0�2- -01 o G ADB#--DATE INSPECTED1:1 �—O 2-�
DESCRIPTION OF WORK TO BE INSPECTED--TL 1�:
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
PEREO_RMANCE BONDS and the granting of
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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
I
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FIN TOJECT APPROVAL
Date C4:�::1�0 1� Si
ocaprvl.doc.l:tenip:bldg:formsIO/OI
z
W
M
a 0
M 0
-40
OC
-49
X M
M
0
0 -n
M M
065
0 r-
0 9i
C:
9
Q 0
Z r- I
z
z
0
M
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ... ...................
wait...................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground ... . ........
Rough -in
Commercial Final
HEATING:
GasTest ....................
Gas Piping
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
ins
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
VIA t
SPECIAL INSPECTION
— 11 1
VAS
z
0
�n
IT
C
R,
0
C
IT M
z
o —4 1
O'n
n
M M
0
0 Fn
C cl)
C 0)
M 0,
;13
z
2
0
M