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20020144.pdf'ERE PERMIT EXPIRES P CITY OF EDMONDS N�;� (f SUITEIAPT. ADDRESS' ;,,"'A VO::N Lie lC I I T-1-f CONSTRUCTION PERMIT APPLICATION joB OWNE=�IUIINJ!�e�:� C)&j PL D. 2Es MAILING ADDRESS 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP u W M. V.. P IF EX STING — PROPOSED REQUIRED DEDICATION� FT o a 2�4 z`" cl a CITY ; r1p -0101 TEL NE -N METER SIZE LINE SIZE H;..,RiG FAVLO5 /jjJr2 AFC�W(170&(j I YES C3 NO 0 "ADDRESS AEMARKS NE�CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ff�(�A f fbF, WA /T _j (CW_ ENGINEERING ;?;/D/ATE ADDRESS ame A-vt FIRE IIIIEWIDEY DATE To ZIP TELEPHONE cl��CAT-r4- WA 1 SHORELINE OR ADBN INSPECT IoN VAllAI4CE.RCU piv- 101- _EB llo OSTEO STATE LICENSE NUMBER DATE CHECKED By §RO WRW 1§ �AOCOU EXEMPT AREA ALLOWED PROPOSED HEIGHT PROPOSED P P E NT PARC EL 0.1 3_ 0 001- x— 0 0 71 C) 20 41548 OL COMPLETE EXP , C ER E LOT OVP AG REQUIRED SETBACKS (FT) EALLOWED PROPOSED SETBACKS (Fr.) FRONT LIR SIDE REAR HO.I jK NEW rl RESIDENTIAL C] PLUMBING I MECH ALLOWED HOP BED G IDE REAR FRONT SIDE RI COMPLIANCE On C] ADDITION CO COMMERCIAL CHANGE OF USE PARKING LOT REG i_p= ED AREA PLANNING REVIEWED UT C3 REMODEL 0 APARTMENT 0 SIGN FENCE REPAIR 0. GRADING CYGE cl ( — x — FT) kg.XRKS DEMOLISH TANK 0z LIJ 0 'CAARAP."AT 0 RETAIN.INGWALL CC 0 RENEWAL ITYPE OF USE, BU INESS OR ACTIVITY) EXPLAIN: CHEC�EDBY ITYPEII. o UPA T FC STAUCTIONI"'ll, COD CC o GR up NU",, NUMBER F I CRITI L AREA .. OF .2_t6A�(fjT -0 STORIES DwELLIN UNITS ARE Num E 4q LEA G- DESCRIBE WORK TO BE DONE REMARKS AL INSPE EO'Dl' GRESS INSPECTIONS PER LIED JOB/Fll CTION R m A� JC4 X F1 9 j344 A0 -Ayip *rlK3 AUE - flJ_fVA"C I_AfjOill' ZOP 6 _A-�j 0 P Lt' VALUATION FEE PLAN CHECK FEE RCE GLAZING % 2ATZU I PLAN CHECO 0: __EzlL_ MEST ED DATE / 9 PLUMBING ME HANICAI_ THIS FiRMIT AUTHORIZES ONLYiHE WORK NNOYTEo THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, 4 � —RUCTION ON I E PUBLIC MARQUEES. ETC.) WILL REQUIRE DOMAIN (CURBS. SIDEWALKS, DRiVEWAYEtSEjoH. I ILL A5V �3 9 1 ESURCHARGE IF PERM W PERMIT LIMIT'. I YEAR - PROVIDED WORK ISISITA111TEORWITHI. 180 DAYS _V FE�S ENG. REViEV ,OR IE H G M Nr A SERBACKOF? PER41T IF FEE ;A PLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS P N SoTO N"�, DEFEND AND HOLD HARMLESS THE CITY F :NDEM FROM ANY AND INTEREST, AGRE�T ENG� INSPiCTION SCAPING DMONDS WASHINI TSOFFICIALS. EMPLOYEES, AND ADEN TS E N. ALLCLAIMIS FOR __5E,�,oHFSW�HATlVTE.R,NATURE EING.�l INSPECTION FEE RECEIPT 21 FROM THE ISSUAN E OF THIS PERMIT SHALL NOT BE CEO EF. SSUANA PLAN CHECK DEPOSIT DEE.EDT. WAIVE OR REDUCE ANY FtEOUI.EMENTOF ANY CITY ORDINANCE � TO ENFORCE ANY ORDINANCE PROVISION.- RECE oR"M,TNANY Y THE CITY S ABILITY TOTAL AMOUNT DUE IHERE ACKNOWLEDGE THAT I HAVE READ THIS APPTLIC��ATIUL�4 THAT THE INFORMATION By APPLICATION A A GIVEN IS CORRECT, AND T AUTHORIZED AGENT OF A. E OWN ER OR THE 0" ' ER. I AGREE To CHAT'Ll WITH CITY AN6 STATE LAWS REGULATING CONSTRUC- 'A%'D F CALL B,I,Ig Off,.W .1 h11-1 D-PUIY: 42' TIONL IN DOING THE WoFIK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN WQILATION OF TIJE STATE OF WASHINGTON RELATING TO FFOR INSPECTION ipt,.M,knl.dpd -0— Pl- OF THE LABOR CODE WORKMEN S COMPE.S+6 27 OFFllq L AT DATE G.NE;�D (425) r SIGNAT:�� FTES C,_ C) 771-0220 FEL ED BY DATE EXT 1333 ENTION IT 15 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 --ELLO - INS CTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 5,98 FAX PINK - OWNER - GOLD - ASSESSOR z 0 0 M 0 M ME M ra 0 M M 0 0 cl 0 z M Project Review Checklist project Narne:rk� Plan Check #: 121-65D P ect Address� /.'71 - � . Receipt Date: 'MIJ/o/ Underground Wiring Required Hydraulics Permit plat/subdivision Requirements Street Dedications Easements - PublictPrivate Engineering Storm Drain Review Fee Engineering 2.2 Inspection Fee Drainage Plan (On -site) Setback - Storm Drain Line Open Ditch - Existing Culvert Required Culvert Size Shoulder Drainage/Shale Open Runoff catch Basin Required Driveway Slope & Vehicle Access Sidewalk Required Curb & Gutter Required Curb Cut for Driveway Required Street Paving Required truction Permit Required Iq ES Right -of -Way Cons public improvements Bond Required for FEMA Map Checkfwater Table Side sewer Availability '4&5 Calculate Sewer Fee ifNo LID9 �� rlwt W"NoMm— Water Meter 4-W74 Water Meter Charge ;1QQNNJ&Cn I , A . Hydrant Required street Cut Miscellaneous 'Tgf� Date issued (gl I/ _22 RW Permit # A�2 / _ Receipt # SS Permit # Date Issued — Receipt 4 Fire Connections Date Issued — Receipt # — Date 17jd Receipt # Meter Size Paid $ IJT�emp/DST's/Forins/PirikSheetRevisedl/l/01 1, - - z 0 0 C M m 0 --1 0 0 0 C M M Z C/) 0 -n n M M 065 0 r- 0 M Q C.) Z ;U .-I 3: z C') z 9 0 M CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS. WA 98020 - (425) 771-0220 FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering February 7, 2002 Reg Clowdsley Ferguson Construction P.O. Box 80867 Seattle, WA 98108 GARY HAAKENSON MAYOR RE: Grinder Pump Design Information for Ferguson Building 123 Second Avenue South — ED 150 Dear Reg, Our on -call consultant has completed review of the subject grinder pump design. Following discussion with Lisa Horn this morning, I found that the additional information we talked about yesterday in some of the paper work previously subn-dtted. Therefore, the system submitted is approved and is enclosed. Before beginning installation, you will need to obtain a side sewer permit and pay the following outstanding fees. In addition, you must submit a drawing sho� " "ge location of the grinder pump and the sanitary sewer manhole with invert elevations. Consultant review fee $ 747.50— Sewer connection fee 3,132.00-- Side sewer permit 65.00� ' Fire connection permit 205.00 Resubmittal storm review fee 45.0 Total $4,194.50 If you have any questions, please call me at 425-771-0220, Ext. 1324. Sincerely, k zz-� � z CIHUSMAN Engineering Program Manager c: Ml4,,fW=i6DevcIoprwnt Services Perrnit Coordinator Mike Snook, Building inspector Mike Strith, ChiefFire inspector Parnela Leracke, Engineering Specialist Incorporated August 11, 1890 Sister Citv - Hekinan, Japan =14 0 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SEiSACKS ..................... FOUNDATION: ai Footing...................... wall........... I .............. PledPorch ................. Retaining Wall Slab Insulation .......... Imn: PLUMBING: =I sn" Underground............. Rough -in ................... M M Commercial Final 0 C: HEATING: w Gas Test . .................... Gas Piping ................ Equipment .; ................ . Commercial Final E)ITERIOR SHEATHING NAILING .......................... rn FRAMING ........................ FIRST FLOOR FRAMING... cc): INSULATION ................... Floor Insulation Wall Insulation ........... Coiling Insulation SHEETROCK NAILING .4 SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR MS OCCUPANCY .................. tip DATE ERMIT -21 EXPIRES 10 FP CITY OF EDMONDS E USE PEIM T 0 U S ZON F2 'UMl'ER,,&4, 2 JOB 5C '1111.PT. D RES' ' D ADDRESS' '4L'A VON Lt e I -r�-t CONSTRUCTION PERMIT APPLICATION OWNE R o�-j T AME' PLAT NAMEISUBDIVISION NO. P U I ,_-'ii�TRAr�-Dz I LOT NO ct ZF-,-24 NO. 'L�OD FEE S 'N MAILINGADDRESS, "-,01 Ll c: k) 1�/ Ti� JJAO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP PUBLIC FIGHT EXISTING _ EXISTING — PROPOSED— FT W� A—. 8 0 SW.Wk R—ked 0 CITY zip '5CA jTELEPHO,`,E T ft C, �J A 170101 EOU'RED DE Ott REOUIREDDEDICATION— NAME SIZ METER SIZE FIXTURES P VREQUIRED YES C3 NO 0 .3 RKS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJORAINAGE ADDRESS bc)5 S_ -7-0 Tc-WAR-r -;,-r. w6r#+!,9� CITY zip fbF, WA ITELIP"ONE ( 9 ENGINEERING ME I WED E 2. ADDRESS -743:� R�To Avajue �/c7c&ih FIRE REVIEWED BY DATE 7kA T V4- id A If9ploE31 TELEPHONE bbq. -580 m VARIANCE OR CU SHORELINE OR ADS# 141;1)- 101— INSPEC [3YES 0 D PBOO7ED STATE LICENSE NUMBER EXPIRATIONDATE I CHECKEDBY 4ZZ,0,0,:� 44 I il SEPA REVIEW ...... , EXEMPT EXP — VREaD SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED PROPOSE0 I — - C PROPERTY TAX ACCOUNT PAR EL NO. 4s 4 13 - 00 C) 20— 0 NEW RESIDENTIAL PLUMBING I MECH LOT C VERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR I PROPOSED SETBACKS ( ) FRONT LIRSME REAFRr to AUDITION COMMERCIAL C:] COMPLIANCE OR CHANGE OF USE I PARKING LOTAREA PLANNING REVIEWED BY REMODEL C3 APARTMENT SIGN PROVIDED I GRADING F NOE RKS REPAIR CYDS X DEMOLISH 0 C:] OAF ET RE INYG WALL ' RAG R C:] ROMR CARPO 0 RENEWAL (TYPE OF USE. BU!F, S OR ACTIVITY) EXPLAIN: Ty CHECKED BY NUMBER NUMBER to OF _ OF A�Ctjfj TORE S STO D U SPECIAL 1,N) REQUIRE 'r DESCRII EWORKTOREDONE C I. REMARKS (VJ_ 61,J _-_2 P P AUE - -5 0, clb - fIJTVA"C,5_AfJ0PL'-==- 14-C 5q F- ,iu_P,--Aij0PLt' -:--- &5- 5ClF 1�- LOAD UBC 1081FINAL INSPECTION VALUATION I FEE PLAN CHECK FEE P LA N C H C 0 P E 'L G BUILDING 8 U �AT ",ZURCE PLAN CHECOO: 0 A T E ESTED DATE D P M B I G PLUMBING L U H A N I MECHANICAL ME C C I T C V E W FIX To THIS PERMIT AUTHORIZES ONLY`fHE WORK NOTED. THIS PERMIT COVERS WORK TO t: 0 N N T HE U U BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GIFILL G T C IN I L L A U E DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS' MARQUEES, ETC.) WILL REQUIRE :21 SEPARATE PPMISS1,0N. E go PERMIT APPLICATI?Vl - &Wi _U�PERMIT LIMIT, I YEAR PROVIDED WORK IS STARTED WITNJIONN180 DAYS I ENG. REVHytEES FPR . T A IQ SEE BACK OF PINK PERMIT OFIE INFTMATI." ------- 7 B 0 -A PLICANT ON BEHALFOF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG: IN9PECTION FEE' 9 NO I N. P �S T F TO INDEMNIFY. DEFEND AND HOLD HARMLE IS HE CITY OF INPNTEREST. AGREES S-THE CITY LANDSCAPING LANDSCA' S 9DMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS F OM ANYAND ALL CLAIMS FOR DAMAGES OFWHATEVEA NATURE.ARISING DMECTLYOR INDIRECTLY INSPECTION FEE I SPEC PERM FROM THE ISSUANCE Or 7 IS PERMIT. ISSUANCE OF THIS P �FMIT SHALL NOT BE PLAN CHECK DEPOSIT 1110EIPT Y, Y DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 'S ABILITY TO ENFORCE ANY ORDINANCE PF0lISIO 0 NOR LIMIT INANYWAYTHE CITY I 1,3 Cry/ m TOTAL AMOUNT DUE TOT L 1" - 1 HERE Y ACKNOWLEDGE THAT HAVE READ THIS APPLICATION: THAT THE INFORMATION a APPLICATION APPROVAL _T_ "E. . NT. GIVEN S CORRECT. AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF � Tl,* a,m , oehhel U11.1 llo,,ed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- WILL BE EMPLOYED CALL ubtt,�o Oti.d.1 ., hi—, D.pul,:.hd F..... red. TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON RELATING TO I SPECTION ipl a ul,ho.ledged PW.d, FOR N IN VIOLATION OF THE L�SOFI CODE OF THE STAT F WASHINGTON -WORKMENS COMPENSAfnK.QN RANV EP/RRRCW1827. � __ih.p.. DATE 07;m lIGNITURE10 (425) FgNED /- C- 01 771-02— . J. RE .1 EXT 1333 ATTENTION ITIS UNLAWFULTOUSEOR OCCUPYA.UILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI ORIGINAL - FILE - Y CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD ASSESSOR "a Z 11 m m 0 m m 10 o -n rn M 0 (_ I 0 D cl rn- Z Z m