20020229.pdfPERMIT EXPIRES
US PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
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LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT)
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ADDITION JAL o COMPLIANCE OR
COMMERC CHANGE OF USE
PARKING LOT AREA PLANNING REVIEWED BY DATE
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DESCRIBE WORK TO BE DONE
REMARKS
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VALUATION $
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1rHISPERMrfAUTHOFUZESON TH9WORKNOTED. THII PERMIT COVERS WORKTO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
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DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATEPERMISSION.
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2—
EngL Review
PEAMffAPPUCATI N; INDAYS
P&AMMUNI . IYEAR - PROVIDED WORK IS STARTED WITHIN ISODAYS
Engr 'o.p.cU.n
Engr. Inspection
SEE BACKOF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
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IN INTEREST AGREES TO IN51MIIIFY. DIIIND AND HOLD HARMLESS THE CITY OtF
E,MQ,11,w1".111T0 , He OFFICIALS, E.110YFeS, AN. AGENTS FROM ANYAND
. OF WHATEVER NATURE, AS SING DIRECTLY OR INDIRECTLY
A'Lo.. FDA AMAG�
Fire Review
RM CR_YAL' NOT BE
E IT '
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE 09 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
PROVISIO
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE P OV N
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, 08 THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS R EGULATING CONSTRUC-
CALL
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DING , W L RE M'LQyE
TION; AND IN D THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR Do STATE OF WAS INGTON RELATING TO
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FOR INSPECTION
WORKMEN'S COMPENSATION INSUP;rN�OEF ATND` NOW 18.27.
BAT E SIGNED
(425)
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771-0220
ATTENTION
EXT 1333
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-
DATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
40101
Recording Fee
City Surcharge
State Surcharge
Plan Chk Deposit
Receipt #
Total Amount Due
Receipt #
JCATION APP OVA
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At:-- 23031 Highway 99 # 8, Edmonds WA 98026 Building Permit#:
#2002-0229
Occupancy established by this certificate:
]:DW:e:1fingU7nits: -N/A" No. Stories: 1
T..
S1 Type Construction: V-N Basement: No
Maximum Occupant Load U.B.C. 1002)
Room capacity signs, 'P
-�;hn lneqimd, p..,t. d at arl/ times.
Owner of Building: Shlomi Investments Address:_aO aox 661, Medina, VIA 98039
THE Armadillo StOEAR2_gHfldjflgj8 HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1997
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 18th dayof_jgly, 2002
CHIEF BUILDING OFFICIAL
BY:
This se'l sh-11 be Passed In —'Pl—1 Putft ar—diftil net be den—d.
anditated wob—fed and sluill be maintained 11 legible sandflim at all tnuss. My mange ofascups,cy a, us. require, a ending iseesil and a dea,
C-41fibet- bfOsinua—Y issued bythe City 0 Ed—da Building Ofifid.l.
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FINAL PROACT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE—
;D .0-60P-T ENGINEERING DIVISION DATE
PLANNING DIVISION DATE —
PROJECT
srrEADDRESS—A,�11=
PERMIT a"-6W -4'—ADB# DATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPECTED
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 B and the granting of
-)GP-4,NT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL wrm CONDITIONS NOTED
u 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_ Sign_
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FROM: FIRE DEPARTWNT DATE-
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denotes that there are no objections from the above signed Department to the release of
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ci Copy of CORRECTION NOTICE given to owner/contractor by inspector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Si
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FIN-LPROJECT-APPROVAL 3RM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM:
�-�FIRE DEPARTMENT DATE--� -
ENGINEERING DIVISION DATI�—
PLANNING DIVISION DATE�—
PROJFCTAa,4:2(NL 0
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PERMIT �LQQ'1-622-9 —ADB#--DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED (94- 0-
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:
--L-GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign
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HEATING:
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Gas Test ....................
Gas Piping .................
Equipment ................
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EXTERIOR SHEATHING
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NAILING ......................
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FRAMING ...............
FIRST FLOOR FRAMING...
INSULATION
Floor Insulation
Wall Insulation
Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................