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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINES&---,
MAILING ADDRESS
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CITY ZIP TELEPHONE
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NAME
ADDRESS
CITY ZIP I TELEPHONE
NAME -
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CITY ZIP I TELEPHONE
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STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY
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PROPERTY TAX Acc C L Na
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0 NEW El RESIDENTIAL PLUMBING / MECH
COMPLIANCE OR
E3 ADDITION OMMERCIAL CHANGE OF USE
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DEL MULTIFAMILY SIGN
GRADING FENCE
REPAIR CYDS El ( _x FT1
El DEMOLISH TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT 0 ROCKERY FIRE ALARM
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(TYPE OF USE, BUSINESS, MT I E MPLAI
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NUMBER NUMBER OF CRITICAL
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OF DWELLING AREAS
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STORIES UNITS NUMBER
DESCRIBE WORK TO BE DONE
HEAT SOURCE GLAZING % LCT SLOPE %
PLAN CHECK NO: VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT'. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK 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
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTtY OR INDIRECT LY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
TION; AND IN DOING THE VW AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LAS' CODE OF THE STATE OF WASHINGTON RELATING TO
IN
WORKME��'SAT..l INSURANCE AND RCW 18,27.
SIGNATrt I DATE/IGNT
[PERMIT EXPIRES L[
USE PERMIT
ZONE
NUMBER 0 Qca,� - 0
JOB ITE/APT#
ADDRESS
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE $
IIE CP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP R Permit Required [3
street Use Permit Roq'd 13
EXISTING - PROPOSED inspection Required 13
SidewaW Required [3
underground
REQUIRED DEDICATION- FT wiring required 13
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES NO 13
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REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE E5
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ENGINEERING REVIEWED BY
DATE
FIRE REVIEWED BY DATE UI
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16 2� Ec
VARIANCE OR Cu SHORELINE OR ADB# I INSPECTION L 7OND
REQ6'D POSTED
113YES ONO S
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
ALLOWED PROPOSED
EXP I
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LOT COVERAGE
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR 0
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2
PARKING
REQ�� PROVID(D
LOT AREA
P�ANNING REVIEWED BY DATE
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REMAWS
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BY 14PE OF CONSTRUCIION occu
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SPECIAL INSPECTION JA I OCCUPANT
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REQUIRED 39
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REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RED, in
VALUATION
$ / za)
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Description
Plan Check
FEE
Description
State Surcharge
FEE
Building Permit
3
City Surcharge
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review Plan Chk. Deposit Ido
Fire Inspection Receipt #
Landscapelnsp. Total Amt. Due
Recording Fee Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
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CALL Building Official or his/her Deputy: and Foes are paid, and
FOR INSPECTION receipt is acknowledged in space provided.
OFFICIALS SIGNATURE DATE
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(425) f _//
771-0220 4, RFTE.AS Y DATE
ATTENTION F.A 1 1%3%3%3
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- YELL6 - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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City of Edmonds
AUG 1 2
-Development
Services'Department
Building -Division
August i 2, 2002
Attn: Teannine Graf,
RE: Temporary Occupancy of 610 5th Ave So. Suite A
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Dear Jeannine,
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As per my conversation with Mike earlier., I am asking that a Temporary
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Occupancy be given to Suite A. Lucy one of illy new tenants wants to open her business
on Thursday.
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It is my intention to have all -three suites -finished a nd signed off in 4 - 6 -sveeks.
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Mike Smith has signed off on suite A.
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Thank you in advance for your consideration. If you have any questions please
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call me at 425.772.7705.
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Sincerely,
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Seaun Richards
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NOTIC
TO PERMITTEE AND/OR OWNER
St. 1 -SV,
DO NOT REMOVE
ARTIAL APPROVALDI CORRE CTON RE, QUIRE, D
ENFORCEMENT VIOLATION
�40wpner L�_Permit Number C:,)
Site Contact
Job Address
WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED
APPROVED PLANS AND JOB CARD MUST BE AVA11ABLE TO INSPECTOR ON SITE
CORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/OR THE NEXT PHASE
OF WORK IS STARTED
L3 RECALL FOR INSPECTION El $45 REINSPECTION FEE MUST BE PAID PRIORTO INSPECTION REQUEST
STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY CITY INSPECTOR
MAKE WORK COMPLY WITH
NO PERMIT -STOP WORK -REMOVE CONSTRUCTION OR OBTAIN PERMIT AND
ALL APPLICABLE CITY CODES
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THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED TO BE CORRECTED WITHIN
—CALENDAR DAYS OR PENALTIES MAY BE APPLIED. FOR INSPECTION CALL 425-771-0220
);" Bujilding Ll Planning El Engineering El Fire Public Works
Z&II, b,-z— Inspector R'. —Date
White: Permit File Pink: Enforcement Buff- Applicant
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4.4 C. 1801
GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning * Building - Engineering
August 15, 2002
Seaun Richards
802 Main St
Edmonds, WA 98020
Building Permit: 2002-0574
Site Address: 610 5th Ave S
Expiration Date: 8/1/03
Dear Seaun Richards:
The purpose of this letter is to inforin you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your permit file.
The City considers the final inspection to be one of the most important inspections
conducted on a project. In order to grant final approval the following must be complete:
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
and residence, egress from sleeping rooms, safety glazing, weather-stripping, any
Engineering department requirements etc. Of course not all of these things may
specifically apply to your project but it does give you an idea about the kinds of things
that must be complete as well as some items that do not need to be installed such as:
paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from
the date of issuance. If you will need more time to complete the work, permits can be
renewed prior to expiration for one half fees. If the permit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew the
permit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and. call for the required final inspection(s). Note: If more than
one department is required to final your project, this is noted on your Job Card.
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
qlajll��' &I �/"
Permit Coordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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FINAL PROjECt APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: TIRE DEPARTMENT DATE C7`9,
PLEASE SIGN
-ENGINEERING DIVISION DATE
PLYASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJEC
SITE ADDRESSe!;/*(-)
PERMIT _ADB# DATE INSPECTED 2
DESCRIPTION OF WORK TO BE INSPECTE
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 re ease of
PERFORMANCE BONDS and the granting of
X GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH 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
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
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Retaining Wall ...........
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Slab Insulation ..........
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PLUMBING:
Underground .............
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Rough -in ...................
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Commercial Final ......
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HEATING:
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Gas Test ....................
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Gas Piping .................
Equipment .................
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Commercial Final .......
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EXTERIOR SHEATHING
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NAILING ......... : ................
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FRAMING ........................
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FIRST FLOOR FRAMING ...
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INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
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Ceiling Insulation .......
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NAILING
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SHEETROCK ...
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SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
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