20020116.pdfDATE RECEIVED
CITY OF EDMON S
CONSTRUCTION PERMIT APPLICATION
99
7iP--FTE,i, .. HE
Edmonds, WA
— I I � ZIP ITE11PHON1
NAME
Crown Fire Protection, Inc.
A A.G.IES
4932 W. Interurban Blvd.
--------- - 71-11
PERMIT EXPIRES 2411.1 o
USE PERMIT
ME
NUMBER
joE
FOIRIS, SUITEIAPI,
. 5-9
PI -AT NAMEISUB DIVISION NO. 10" 0. LID NO
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
11 A--
- P-11 RIP'. a 0
EXISTING _ pEOpO SED__
A.., U.. P.— A ,1 0
� �' 0
REQUIRED DEDICATION— FT
0
FEW REQUIRED
YES 0 NO 0
REMARKS
O�!NER,COfRACTOR RESPONSIBLE FOR EROSION CONTROIJORAINAGE
CITY ZIP
TELEPHONE
FIRE REVIEWED BY
OATS
Bothell, WA 98012
425.481.7669
—3f—OL
STATE LICENSE NUMBER
EXPIRATIONDATE
C
VARIANCE CA CU
SHORELINE OR ADB#
INSPECTION
FOND
CROWNFP044LL 4.8.02
PEO'D
0 YES n NO
IOSTEC
PROPERTY TA
SERA REVIEW
COMPLETE
SIGN AREA
HEIGHT
EXEMPT
ALLOWED PROPOSED
P
ALLOWED ROPOSED
EXP I
I
0 NEW
Fl RESIDENTIAL
PLUMBING MECH
LOT COVERAGE
ALLOWED
REQUIRED SETBACKS (FT)
PROPOSED SETIA
ADDITION
ORJ_COMMERCIAL
COMPLANCEOI,
CHANGE OF USE
PROPOSED
FRONT SIDE REAR
FRONT UR SIOECK2EA"R"
C] REMODEL
APARTMENT
SIGN
� PARIGNG
BE. G
G
PLANI41NI fV11WEDBY —DATE
0 REPAIR
GRADING
EENOE
CYDS
X FT)
— _
F�
C] DEMOLISH 0 TANK
E] GARAGE C] RETAINING WALL
—CARPORT ROCKERY
0 RENEW�_
Q
r (TYPE OF USE, BUSINESS OR ACTIVITYD EXPLAIN:
commercial retail
ON TPF.(?y C&P
OCCL IPANT
NUMBER NUMBERCII
OF DWELLING
CRITI=CAL
GROUP
STORIES UN TO
AREAS
R
NUMBER
PEC L INEPT TOR
REC LIA
OCCUPANT
DESCR15E WORK TO BE DONE
I RED JAIIIA
0 YES
LOAD
Inalall 242 sorinkler heads
REMARKS
INSPECTIONS PER UBC 1081FINAL
INSPECTION REO'D
EEIPROGRESS
VALUATION FEE,
I
L A N C H E
PLAN CHECK FEE
'K FEE
37(c.--
HEAT SOURCE GLAZING �� =OPE
P'
BUILDING
U D. D IN G
DATE
PLAN CHECK No�
IVESTED
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
W.- T.
K
E _NANGAL
MECHANICAL
I: OE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL RE QUIRE
-'Mft4i4A�ILL
SEPARATE PEFIMISSIOW
STATE SURCHARGE
PERMIT APPLICATI N: 180 DAYS
P. PERMIT LIMIT-. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
REVIEW FEE.
-17�, REVIEW FEES
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, A SI NSANDSUCCESORS
—SPECT(ONFEE
INSPECTION FEE
IN INTEREST, AGREES TO INDEMNIFY, DEPEND AND HOLD"NAG 0
RMLESS THE CITY OF
I
EDMONDS. WASHINGTON, TS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
LANDSCAPING
ANOSCA""'
LN
. ....
MAGEE IND
ALL CLAIMS FOR DA OF ATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
, N FF
EF�CT
I EFECH.N FEE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NIT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY RIOUIREMENT OF ANY CITY
PLAN CHECK OSP.SIT
A
E
0 NOR LIMIT 1. ANY WAY THE CITY'S ABILITYTO ENFORCE ANY ORDINANCE PORRODVIISIONG.,
___
IRECEIPT
TOTAL AMOUNT DUE
I?Jlll)A / /
1 HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION, THAT THE INFORMATION
GIVEN IS COPPECT.AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APR L
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
AND IN DOING
CALL
Th , "I - IP-11 4 �Ipad by II,,
TtON THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
N VIOLATION OF THE CODE
.
II 1,., 0 ... 1, I,d F .1. d,
LABOR OF I HE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATIO RANCE AND RCW 11,11,
FOR INSPECTION
3NEG
(425)
771-0220
0 "AT'
611)
AELEAS ED BY DATE
AT—NTION EXT 1333
IT IS _AIA P U!- rO USV 0 1 OCC, 'Y A bUILDING OR STRUCTURE UNTIL 771-0221 h)
A FINAL INSPiXTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL F6,4 YELLOW - INSPECTOR
FAX PINK - OWNER - GOLD - ASSESSOR
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE 9-7 r---O Z—
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
PROJECT�__r -3- A�AA Z F�z"_ S e_A16_+
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PERMIT # ADB# ----.DATE INSPECTED 3 s---o z-
DESCRIPTION OF WORK TO BE INSPECTED_�� �SQl
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
RERFORMANCE BONDS and the granting of:
—GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
Copy of CONDITIONS given to owner/contractor by inspector
A,,o7-
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINA&PROJECT APPROVAL
Date 3 -,L-? —o -z- Si C_
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INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
VFooting
......................
Wall ..........................
Pier/Porch .................
Retaining Will ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment ...........
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ..............
FIRST FLOOR FRAMING...
INSULATION ..........
Floor Insulation
Wall insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
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