20020286.pdfDATE 110E111/0
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PERMIT EXPIRES
CITY OF EDMbNDS ZBES r PERMIT
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CONSTRUCTION PERMIT APPLICATION 'JOB ITVAPT#
ADDRESS
ER NAME/N — ... INESS — JV�
PLAT NAMEISUBDIVIStON NO. LOT NO 77o.
LID FEE S
16 PUBLIC RIGHT OF WAY PER OFF:CIAL STREET MAP Tan.1,AV,—
� rance .11.e
an. U's K
EXISTING
ZIP FTELEP14ONC — PROPOSED
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REQUIRED FT — U"doa-
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METER SIZE I
LINE SIZE
I NO. 01 FIXTURES
PRV REQUIRED
I YES E3 NO E3
,Co. REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDITAINAGE
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ENGINEERING REVIEWEDIDATE
ra q ,
Iflao IN NW' to
FIRE REVIEWED BY DATE
72--3 7204-) — VARIANCE ADB# BOND
EXPIRATION DATE ( OR CU SHORE INS OR INSPECTION I
� �j* )JE C3
V7 pQ��Oq No POSTED
cc SEPA R I EVIEW ON AREA ALILO HEIGHT
as MPLETE EXEMPT ALLMYED
E.P X PFT� 7P
E] NEW RESIDENTIAL LOT COVEAAGE ROOMED BACKS (Fr) PROPOSED SETBACKS
0 PLUMBING I MECH ALLOWED PROPOSE EAR llljj/�Rj "'R
0 ADDITION 0 COMPLIA CE OR IDE
�JE 114
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C ANSE OF USE
EMODEL [] APARTMENT Ey-SIGN
XRXCOMMERCML PARKING I LOT AREA jtATE)5,r
0 REPAIR 0 GRADING CY.S o i
( _ X FT) REMARKS
DEMOLISH 0 TANK OTHER
Mcwto4a,
o CGMAGE [3 RIETAINING WALL RENEWAL
ARPORT OCKERY
2
101 USE, BUSINESS *1 ACT7 EXPI.AIN;
CHIGIED BY CTION 0 CUP
ITY=T
_ESCZZ��_ --- GROUPANTb
NUMBER NUMBER OF CRITICAL
SPECIAL INSPECTOR NT
OF DWELL NO OCCU
STORIES NITS R dIVIA R 0 YES LOADPA
G EOGIRCD JAREA
111,4
DESCRIBE WORK TO BE DONE
REMARKS
PROGRES 3 INSPECTIONS PER USC 108/FINAL INSPECTION REOD
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FEE
Description
FEE
C em
rVALWATION
Plan Check
51qn
HEATSOURGE --F GLAZING % LOT SLOPE %
Building
60-
PLAN CHECK NO: IELTED DATE
Plumbing
--
Mechanical
WORKMOTED. THIS.nERMITCOVE11 WORKTO
-L-ai-00N-E-0NP-R-1-VA—TEP-R — ON-EPUBUC
OPEFM ONLY. ANY CONSTRUCTION
Grading
Recording Fee
3 -.—VALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
I= SEPARATE PERMISSION.
PER ITAPPIUCATION. INDAYS
Engr. Review
City Surchan go
PERMITIUMB11YENIR-PROVI ED WORK IS STAITPED WITHIN I ILD DAYS
Engr. Inspection
State Surcharge
SEE BACK OF PRIK PERMIT FOR MORE INFORMATION
'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Traffic Mitigation
Plan Chk Deposit
M E MENDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
IALL CLAMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE iSSRANCE 'IF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BC
9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE
Fife Inspection
Total Amount Due t
.0 NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Landscapainsp.
Receipt #
I HEREBY ACKNOWLE GE THAT I HAVE READ THIS APPLICAT:ON; THAT THE INFORMATION
AN"
GIVEN IS CORRECT 0 THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUI-ATING CONSTRUC.
CALL
This application Is net a pannift until signed by the
TION; AND IN DOING THE wOnK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Burning Official a, Idatich Barney; and Fee, one paid, and
roulptisecknoledgedinspomprovidad,
WORKMENS COMPENSIAIJ�NCE AND RCW 18.27.
slo, W�NER Ae DATE
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(425) 1
WOFFINATURI
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771-0220 -RELEAJW
BY DATE
ATTENTIOP
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-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAX
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E'w i V 7:_ 242nd Place Southwest
F-1
7
Wooded Hill
... . ............................. ....... .....................................
Single-family
Residences
Parking Area
1966-vintage
Vacant Wooded Area two-story
rate I build
1:j I ; Ing
10tra Haven Parking Area
Single-family
000 0000"'Z 00
I Day Care Center 5 't
Residences TA, IV
J Village Espresso Shop/ %'U'k ooqc'0'_0 0 SOR-0 MOO -
Finials Barber 0%300 -ot"too Firdale Townhome
Seattle FilmWorks P-4t P 14(f. complex
Drop -Off Booth
Parking Area
9715
C-34243j0jl� 9711-
9713 El 942-vintage
(fill port visible) three-story
retail building
Pird
Parking Area
243rd Place SW
-family
Resklences -family
",,Single Single
Residences
-3 U)
03
Additional single-family residences
a.
located farther to the south.
N
Legend (approximate locations)
=1 Developments/buildings On -site location ofUST Probable direction of
shallow-soated
groundwater flow
Subject property boundary
sc
SITE PLAN
ENVIRONMENTAL Firdale VillagO ShOrping Canter
ASSOCIATES, INC.
9601-9715 Firda a Avenu
EdrAonds, Washington 98920
2122-112th Avenue NX, Ste. U-100
4L " Bellevue, Washington 99004
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FINAL PROJEC-TA-PPROVAL FORM
DATE#�
MEMO TO: PERMIT COORDINATOR, 13UILDING DIVISION
FROM: DEPARTMENT DATE -
ENGINEERING DIVISION DATE-
P LANNI NG D IVIS ION D ATE -
PROJECT'
U
SITE ADDRESS T-�
PERMIT #AR--Q�Z- DATE INSPECTED -
DESCRIPTION OF WORK TO BE INSPECTED
f
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
PERFOR_MANCE BONDS and the grantine of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH coNDITioNs NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
I
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractorbyipspector
2.
3.
RE_1NSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign_
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ............
FOUNDATION:
Footing .............
wait ....................
Pier/Porch .. ...............
Retaining Wall
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Stab Insulation
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PLUMBING:
Undergro und .............
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Rough -in ...................
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Commercial Final
0,
HEATING:
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Gas Test ....................
Gas Piping ............
Equipment
d:
Commercial Final
EXTERIOR SHEATHING
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NAILING .............
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FRAMING .. ......................
FIRST FLOOR FRAMING...
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INSULATION ..........
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
R11
MISCELLANEOUS ..........
FINAL APPROVAL FOR
So -ZZ
OCCUPANCY ...............