20020235.pdfE RECEr I —PERMIT EXP
5f"-' kkInJ 1� IRES —W-zjz�-
CITY OF EDMONDS
as
ZONE
e, PERMIT
"MEIER)-02-02-�
CONSTRUCTION PERMIT APPLICATION
JOB SUITFJAPT#
J
A
ADDRESS 437 5th Avenue
OWNER NAMENAME OF BUSI EBB
Bob Gregg
MAIL NO ADDRESS
904 Sea vista Place
--TT—ELEPHONE
CITY ZIP
PLAT NAMEISUBDIVISION NO. LOT NO, I'D NO,
U. E
p
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP M P RM
— p-
EXISTING—, PROPOSED o
SW— R.e.— CI
Edmonds 9B020 1428-672-9664
'REQUIRED OEDICATIOr��—
FT
0
NAME
A.D. Shapiro
ZE OFFIXTURES V REQUIRED
No. YES 0 140 0 .9
ADDRESS
120 West DaYtom #Cl&
REMARKS
OWNEPVCONTRACTOR RESPONSIBLE
FOR EROSION CONTROUC)SAINAGE
CITY ZIP
TELEPHONE
98 0
Edmonds 02
425-778-5400
NAME
Smith Fire Systems
ENGINEERING REVIEWEDIDATE
AIIIIIISS
3813 168th St. N.E. Suite I
9
M
rn
; ..
FIRE �5Y71ED BY DATE
Iq -02-
r
CITY ZIP
8 Arlington 982 2.3
EILEPHONE
T3 C
10-651-7701
VARIANCE OR CU
I
S ORELINE OR ACIDS
INSPEC!ION
RED G
OYES
PSOND
STATE LICENSE NUMBER EXPiRATIO 0 E
SMITUFS1360T 11 -02-
(V
SEPAREVIEW
COMPLETE I EXEMPT
EXP
SIGN AREA
ALLOWED I PROPOSED
HEIGHT
ALLOWED I PROPOSED
PROPERTY TAX ACCO NTPARC L NO.
4342-123-037-00-06-00 - 0
NEW RESIDENTIAL 0 PLUMBING MECH
LOT COVERAGE
ALLOWED PROPOSED
RE UIRED1171ACKS(FT1
Q
FRONT SIDE REAR
PROPOSED SETBACKS (M.
FRONT URSIDE REAR
-4 C)
0 C
COMMERCIAL C MPLIANCE OR
AUDITION CHANGE OF USE
n
M
rn
PARKING
LOT AREA
PI.ANNING REVIEWED BY DATE
0 REMODEL 0 APARTMENT 0 SIGN
FENCE
Cj REPAIR 0 GRADING CYOS 0 1 _ X _ FT)
V REP 1
[3 PEMOLISH C] TANK rt U. Idt
(�'GARAGE M RETAINING WALL C] RENEWAL
CAR�OR -
�Feal)
PROVIDED
I
10
C
4
0
M
V)
0
(TYPEOF A A��P!-Aft
USETBUSINESS6
CP
"Cr RuCT
4�
�11`111 & I'
0,
d
'UNDER
STORIES
1E1 11
L"N. 10
'E
UUN TS
jl"IEA� �j
U.SE.
0
1 SPECTOR 11REA
RPEOCUIARLEICN) 0 YES
_
&CA.DUPANT
6ESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS
PER UBC 108JIFINAL INSPECTION REQ'
snrinkler system
VALUATION
FEE
z
LAN CHECK FEE
PLAN CHECK FEE
HEAT SOURCE --N- I LOT SLOPE %
BUILDING
U, L."'.
gI;A
M
... FED DATE
PLAN CHr)r*
PLUMS' N, -
[.EC.AN
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORM TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN ICURDS. SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
M SEPARATE PERMISSION.
I YE PEDMIT AIPLMATI N: 160 DAYS
PERMIT LIMIT.- AR. PROVIDED WORK 15 STARTED WITHIN 180 DAYS
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
APPLICANTON SEHALFOF HISOR HER SPOUSE. HEIRS, ASSIGNSAND SUCCESORS
IN INTER T. AGREES :NOEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
Is D 0 S. WASHINGTON. TS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
'I ADLL CI.AIMS FOR DAMAGES OF WHATEVER NATURE.ARISiNG DIRECTLYOR INDIRECTLY
9 FR M THE ISSUANCE OF THIS PERMIT I SSUANCE 01 THIS PERMIT SHALL NOT BE
01 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENTOF ANY CITY ORDINANCE -
NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
GRADINGIFILL
STATE SURCHARGE
IREVIEW FEES
-;PT�ZIECII.N FEE
LANDSCAPING
INSPECTION FEE
PLAN CHECK DEPOSIT
—
TOTAL AMOUNT DUE
IE5`7�
i
REC
TV,
IR EIP1
IHEREBY ACKNOWLEDGE THAT, HAVE FEAD THIS APPLICATION: THAT THE INFORMATION
GIVEN I CORRECT, AND T AT I A. THE OWNER OR THE DULY AUTHORIZED AGENT OF
S H
THE OWNER. I AGREE TO CO'jP WITH CITY AND STATE LAWS REGULATING CONSTRUC.
TION. AND IN DOING THE WORK AUTHORIZED THEREBY, No PERSON WILL BE EMPLOYED
VI OF THE STATE OF WASHINGTON RELATING TO
.- Y
APPLICATION APPROVAL
11 1 11 Is n. . I-11 ..III elp.d 111, 11.
CALL Dgpuly: and Fees are pa,d. and
FOR INSPECTION ,..d'PI Is seknowledged 11 sp— pro,ded.
LIN
WO, �.I`IPE;��7UNNC
WOI1K.EN E AND ACW 18,27�
SIGN TUR D -1 SIG 0
SIGN
(425)
71AMAT
'71E�
�GETJI
f r 'Ialwp- ...ssa
A17ENTION
f IF I 'W&9'-V
EXT1333
RELEASED BY —E
IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI- 771-022
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX
ORIGIN;'L�ZE I YELLOW INS;ECTOR
PINK. P;. GOLD - ASSESSOR
5,98
CITY OF EDMONDS
121 STH AVENUE NORTH EDMONDS. WA98020 - t425177i.02M -FAX (425) 771-0221
Website: �cl.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
t"c. lag,
Planning - Building - Engineering
September 3, 2003
Mr. Bob Gregg
16550 76ffi Ave W
Edmonds, WA 98026
Re: Certificate of occupancy for 5th and Walnut Building "MacGregor Place"
Dear Mr. Gregg;
GARY HAAKENSON
MAYOR
Enclosed please find your final occupancy approval for 437 5th Ave So. from the City of
Edmonds. Congratulations on the completion of your project. I wanted to let you know
that until Planning signs off on the Landscaping, we will be holding the Performance
Bond. Once I receive written confirmation from our Planning Department that all the
requirements have been met and the Maintenance Bond is in place, I will release the
Performance Bond. If you have any questions, please feel free to can me at 425.771.0220
X1703. Once again, congratulations!
Sincerely
lv4 , 41�-
Lara Palmatier
Development Services Coordinator
City of Edmonds
Pahnatier@ci.edmonds.wa.us
Incorporated August 11, 1890
M til IF
E Smimiplim
T
UID
om tE v al
u
H.1 hi U..I.tl-
OWE F Z.A
It
A.-
BL 1-1
m
L t
:Kul
-7
z
w — ) A 5
(Dr— - - - A_
cn n1z
E- WALNUT STREET
4 tr,
C NTS I v
APOROVED BY PLANNI
0 i'2 6 2,,
DEVELOPMENT SERVicES CTR
CITY co CIT, j EDMONDS
*,See A DO - 2ool
RZ,
FW - L PROJE, CT APE-R-OVAL --)RM
TO:
DATE:
NIEMO TO: P 0 T ING DIVISION
FROM: FIRE DEPARTNIENT DATE—L
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATH—
PROJECT—
srrEADDREss 43-7 S21-- A-.,- !2
pERNUT #_0 ADB#_____--PATE JNSPECTED---.��(O
DESCRIPTION OF WORK TO BE INSPECTED---fL"2
A field Inspection was conducted to determine final compliance with approved plans. Final approval
to the release of
denotes that there are no objections from the above signed Department
CE BONDS and the granting of
-�5-�GRANT FINAL PROJECT APPROVAL
GRAM PROJECT APPROVAL WrM CONDITIONS NOTED
E3 Copy of CONDMONS given to owner/contractorby inspector
FARED FINAL INSPECTION - OUTSTANDING ISSUES
u - Copy of CORREMON NOTICE given to owner/contractor by inspector
1 .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date — Sign_
ocapryl.doc.l:temp:bldg*.formsIO/OI
z
0
M 0
-1 C-)
0 C:
-4 K
X M
M Z
lo-4
a 2
> -4
0 -n
n
M M
065
0 r-
0 M
C Cn
K Cl)
M C-)
Z
z
-4
z
0 1
0
M
ih A
Certificate of (occupantp
DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At:— 437 6th Ave S. d onds WA 98020 Building Permit 111: 2001-0901
Occupancy established by this certificate: Dwelling Units: **10** No. Stories: 3
R1,13,S3 TypeConstruction: V-111-Ir-Sprink Basement: Parking
Maximum c= Load "237** (Per U.B.C. 1002)
R.% signs, wftn requftd, -must remain posted at 89 times.
Owner of Building: Bob Oman Addri-
THE MacGregor Place HAS BEEN INSPECTE . D AND APPROVED AS CQMPLVIN�etVff�THE REQUIREMENTS OF THE RMEDITION OF THE
UNIFORM BUILDING CODE AS ADOPTED BY THE CrrY FOR THE GROUP'AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 31d dayof_&p!Wber, 2003
CHIEF BUILDING OFFICIAL
BY:
CltS� d by � City of E�s &Min �W.
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Foo ling .....................
wall..........................
Pler/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground ..........
Rough -In ...................
Commercial Final
q
HEATING:
Gas Test ....................
Gas Piping .................
Ectufliment ..� ...............
Commercial Final
E)ITERIOR SHEATHING
NAILING ..........................
FRAMING ....................
FIRST FLOOR FRAMING...
INSU 0 ............
IN
Floor Insulation ..... .. ....
Wall Insulation ...........
Calling insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...................
C)
m
am
X
m In
Fn�
z
0
M
E-Err PERMIT EX I
Izz, 0-/
�;NE
CITY OF EDMONDS
PERMIT
NUMIBER2,tOZ-02_�_
SUITVAPT.
ADDRESS
CONSTRUCTION PERMIT APPLICATION JOB
437 5th Avenue
OWNER NAME"INAMEOFOU INESS
P TNAMEISUBDIVISIONNO.
LOT NO-
1ID NO,
Bob cregg
I
1ID FEE !I
5 MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCPA;v— 0
P ....... 0
904 sea vista Place
EXISTING PROPOSED
M U.. F .�' D
13
a
CITY JTIELE�HONS
- zip
Edmonds 98020 142�5-672-9664
REOUIRED DEDICATION'— FT �
—9. -E
LINE SIZE
NO. OF FIXTURES
PAV REQUIRED
NAME
YES 0 NO 0
ShaPiro
I
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTI ROUDRAINAGE
rADORESS
120 W:es�t]aytom #Cl&
1 0
CITY ZIP
ITELEPHONE
F.,Imonds 98020
1425-778-5400
NAME
Smith Fire Systems
ENGINEERING REVIEWEDMATE
ADDRESS
St w.E. Suite I
DATE
3813 168th .
FIRE F�E ED BY
VIS
117-02-
CITY ZIP
TELEPHONE
2 Arlington 98223
360-65lT7701
VARIANCE OR CU
SHORELINE On ADSN
INSPEI.O!ION
OT'
P'�
E. D
R D
E NO
O�YES ONO
BOND.
E
POSTED
POST
STATE LICENSE NUMBER EXPIRATION UAI I;A
40�
SMITHFS1360T 11-02-�V 1'2
SIEPA REVIEW
CO I MPLETE EXEMPT
r . I
'SIGNAREA
ALLOWED PROPOSED
I
HEIGHT
ALLOWED PROPOSED
I
PROP ACCOUNT PARCEL NO.
Emy TAX
4342 123-037 00-06 -000,
EXP
NEW 0 PLUMBING I MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
PROPOSED SETSACXS (FT)
FRONT USSIDE REAR
0 COMPLIANCE OR
ADDITION CHANGE OF USE
PA KING
LOT ARIA
PUNNING REVIEWED BY DATE
C3 REMODEL SIGN
BEG. D PROVIDED
0 REPAIR GRADING CYDS 0 ( ENCE X FT)
K
O.DEMOLISH 0 TANK V WPR U I IT
0
&..A-.E, F.TAIMN9 WALL RENEWAL
ARP
0 AFIP.R
BUSINESS OR A��P!=Aft
E
(TYPE OF USE.
TV
offi, S acst H ncy & Pa 'n
u;r - NUMBER OF
ER
NUMBER
DWELL NO
CR` I AL
AR
10
OF 0
ETOR,E UN S
STORIES K' IT
OF
NU ER
ESCRIBE WORK TO BE DONE
D I I
REMARKS ......
PUN CHECK FEE
: HEATSOURC1
::
LOT SLOPE %
BUILDING
-N
P r
C�
VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I:
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
WAY S, MARQUEES, ETC.) WILL REQUIRE
G ADING/FILL
2
,
t:
DOMAIN (CURBS, SIDEWALKS. DRIVE
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 160DAYS
PERMIT LIMIT, I YEAR - PROVIDED WORK ISSTARTEDW11HIN IBODAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
REVIEW FEES
'APPLICANT. ON BEHALF F HIS OR H ER S POUSE. HEIRS. ASSIGNS AND SUCCE SOPS
'"T=T
, T
41PNVEREST GRE S INDEMNIFY, DEFEND AND HOLD HARMLESS I Ht UI I y -1
.E.
LANDSCAPING
ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INDIRECTLY
INSPECTION FEE
=EDMONDS,WAS"INGTON.
FORDAM.A.".kS FWHATEVER NATURE. ARISING DIRECTLY OR
I. 'OR.
NOT
RECfZ
9,k5
U ERMIT SHALL GE
FR THEIS UA CE HIS PERMIT. ISS ANCE OF THIS P E
0 E ED ODIFY. AIVE OR REDUCE ANY REaUIREMENTOFANY CITY OROINAN
PLAN CHECK DEPOSIT
---
N RU ITTOIN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
TOTAL AMOUNT DUE
RECEFT
,.HEERNEGy DN�l THAT: HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
,.�A , THAT AM THE CWNER� OR THE DULY AUTHORIZED AGENT OF
,V S=L C.NSIRUC'
ultI.ig-d b, I'd
=DdIU'1�%ld
LYW'THC'TIAND ST
THE CANE I A REE TO C A LAWS EGUUTIN.
SON WILL BE EMPLOYED
CALL
,, l,. , F111.1 Plid. old
TION NO IN ]NO THEWOA AUTH.IIIZE.,.ERE.;.EN.PE
THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
,k-11,191d l p- p-ded.
IN VI TI N F THE DE OF
WOR EN" OMPE SU NCEANDRCWIU7
E SIGNED
(425)
SIGNATURE IOWNE R AGE T)
?
-"A,
RELEASED By
EXT/333
A// 112'
ATTENTION
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-
YELLOW-INSOECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAX
PINK-OWEER/ GOLD -ASSESSOR
n M
z
0
M
a M
M r)
M
10
0 -n
M M
0
0
M 0
z V,
z
IT!
, N