20020346.pdfA.Aq DATE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
-Ahmad I)aly SnhwaU
MAILING ADDRESS
4018 168th SW
CITY zip ITEL PHONE
--Lynnwood, WA 90037 425-478-2634
NAME
J.11 / A
Pacific Ifech interiors, inc.- _AjJ5
to ADDRESS
12315 Mnlzilteo Speedway Illdgl Ste R
CITY ZIP TELEPHONE
Lynnwood, WA 8037 425-776,.11ZI4 -1
STATE LICENSE NUMBER EXPIRATION 7E�
PACIPTIO85D3 03/19/2 0 _ 1(4HEV
— "7
ROPIERTY TAX ACCOUNT DEL NO.
00391400001401
0 NEW [] RESIDENTIAL PLUMBING I MECH
0 ADDITION COMMERCLAL C UPLANDS OR
CHANGE OF USE
�t,REMODEL APARTMENT 0 SIGN
o FENCE
REPAIR GRADING eyes t — X FT,
0 DEMOLISH Ij TANK OTHER
o GARAGE o RETAINING WALL
CARPORT ROOKERY 0 RENEWAL
OWE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
1�estaurant CHECKED BY T"�
NUMBER Off" I CRITICAL
OF 0 ELLIN AREAS PS.Al 6PEITOR
N
'0
OU
UIR
Be
, YES
STORIES NUNITBSER 0 UMBER 0 n Yes
DESCRIBE WORK TO BE DONE
PERMIT EXPIRES
USE 'E MIT
Z.NE PUR
"I SUITEAPTI
ADDA
PIAT NAMEISUBDIVISION NO.
1777
Le I'D _7
Lt. FEE
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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a- -'�'-`"-"ad
EXISTING — PROPOSED —
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13
REQUIRED DEDICATION— F'r —
Lasuanteard
yeram--ased 13
METER SIZE
LINE SIZE
NO. 01 Il- IES
PRV FIGURED
I
I
YES 0 NO A so
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTR
111
I 1,,P-qt rooms and interior finishes. ir
NGINEERING REVIEWEDIDATE
FI 0 By DATE
( 1 3- 762—
VARIANCE OR CLI
SHORELINE OR ADS#
INSPECTION
I PSOND
DOTED
t
ED NO
aYREC;(
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
zXP I
,
,
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FE)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT LIRSIDE FEAR
PARKING I LOT
AREA I P1,ANNING REVI=ED
BY DATE �Lul
MTRUCTION I C 0 N
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VALUATION$ -/, 1 50. —
Description FEE I Deshffrlpflo�7=
Plan Check 14 :� 17 -1
HEAT SOURCE I GLAZING Is
LOT SLOPE
Building
57b.—
PLAN CHECK NO:
O�3
VESTED DATE
Plumbfing
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/21-
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[Mechanical
THIS PERMIT AUTHORIZES ONLYTHE WORK NOTED, THIS PERMIT COVERS WORK TO
I: BE DONE ON PRIVATE PROPER" ONLY. ANY CONSTRUCTION ON 7 EPUBLIC
TH
Grading
G, ring
1159.
Recording Fee
ONAIN JCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL SQUIRE
to SEPARATE PERMISSION,
-11,
Rev
rw. view
E R,
-
f9b
City Surcharge
-
PER ITAPPLICATION: ISO DAYS
PERMIT LIMM I YFAR-PROW ED WORK IS STARMID WITHIN IBODAYS
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4�,C)
State Surcharge
BUD ACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF 01 HIS Oil HER SPOUSE. HEIRS, ASSIGNS AND 1UGGEE.RS i
c
Plan Chk Deposit
4 2fl
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY F
0 WA
E MONDS. SHINGTON. ITS OFFICALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
I 17-
Ill.
ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
LMItigation
LTralffil
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
"Y
DEEMED To MODIFY, WA E.U�E ANY REQUIREMENT OF ANY C TY ORDINANCE
Fire Inspection
Total Arriount Due
0 NOR LIMIT IN ANY VVAY TH2 GTYa ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscapeinsp.
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVE IS CORRECr. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLIC UV —AL
THE OWNS , I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC'
CALL
This application Is not a permit until trund by We
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Official or his/her Dopedy: and Foes am paid, and
mount Is artkulnelocked 1, space peulded,
WORKMEN'S COMPENSATID=NCE AN Flow 18.27.
DATE
(425)
7�
771-0220
- -
"Ey�Eo By /DATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-02'21
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YELLOW- INSPECT4
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
FAX
PINK - OWNER GOLD�ASSESSOR
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OF BUILDINGS
DEPARTMENT
PER UNIFORM BUILDING CODE SECTION 109
Building Permit #*— 2002-0346
At:
Dwelling Units: -NIA- No. Stories: I
Occupancy established by this certificate:
IS IType Construction: V-N — Basement: No
Maximum occupant Load (Per U.B.C. 1002)
Room capacity signs, must remain posted at all times.
treet Lynnwood, VIA 9LO37
Owner of Building: Ahmed Datjt________�Address: 4018 461P 8 9w-
-.1 'TW THE REQUIREMENTS OF THE j997 EDITION OF THE
THE Subway HAS BEEN INSPECTED AND APPROVED W ' y . IN OCCUPANCY AND THE USE FOR WHICH THE
UNIFORM BUILDING CODE AS ADOPTED BY THii CITY FOR THE-GRQ I UP AND DIVISION
PROPOSED OCCUPANCY IS CLASSIFIED.
issued this —2nd day of DeCembe 2002
CHIEF BUILDING OFFICIAL
BY: . 1JA
times. Any change ofcccutuancY of use requines building permit and 8 nM
We cartificate, 0.11 b.pld h Is cemsedicubbe Public DM and shan not be nen—d. mutfleded ereb.euredseed shell be maintained in tegtbl$ cendifien at ail
awe OF 00,
is w a 0
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ..............
FOUNDATION:
Footing .............
wall 7 ..............
Pier/Porch .................
0
Retaining Wall ...........
Slab Insulation
'fl
PLUMBING:
-4
YV)S
IT
Underground .............
ITI
0
-40
0
Rough -in ...................
C:
:0 ic
Commercial Final
M
IT
'0
HEATING:
C
>
-4.,
Gas Test
Gas Piping
......... .
0 n
Equipment ........ ..
IT
Commercial Final
M
EXTERIOR SHEATHING
0 Fn
NAILING — .......................
Q 0
FRAMING .....................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
z
—1
Wall Insulation ...........
z
Ceiling Insulation
0
SHEETROCK NAILING
IT!
SPECIAL INSPECTION