20020865A.pdfDATE RECEIVED
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i PERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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ADDRESS 17;711
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PLAT NAME/SUBDIV[SJON NO. LOT NO, L�D N
PUBLIC RIGHT
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OF WAY PER OFFICIAL STREET MAP A; .'AF
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ZIP TELEP ONE
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EXISTING
— PROPOSED
130
A QUIRED DEDICATION— FT —
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METER SIZE
I LINE SIZE I No. 01 —1E1 11V II1QUI11II
ESM ?to 13
BESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
ZIP TELEPHONE
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EXPIRATION CH KED BY
PROPERTY TAX ACCOUNT PARCEL NO,
NEW rl RESIDENTIAL (PL...,N), E..
E] ADDITION COMMERCIAL COMPLM
X ..- CIE N00FEURE'
[3 REMODEL 0 APARTMENT [3 SIGN
Ej F NCE
REPAIR GRADING OYDS I __ X FQ
0 DEMOLISH TANK OTHER
GARAGE
CAPPO RETAINING WALL
SIT ROCKERY [3 RENEWAL
ITYPE OF USE, BUSINESS OR AGTTV" EWLAIN:
se
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DESCRIBE WORK TO BE DONE
FIRE REVIEWED BY
DATE
VARIANCE OR CLI
SHORELINE OR ADS#
INIPEOTION
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j3YES NO
POSTED
1
SERA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
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LOT COVERAGE
RED [RED SETBACKS (FT.)
PROPOSED SETBACKS I")
ALLOWED PROPOSED
FRO SIDE BEAR
FRONT UR SIDE REAR
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LOT
AREA
—
I PUNNING R IEWED BY DATE
_ V, I I -v, 'j Sa 4J.—
CHECKED BY ITYPE IV2,N�ION
SPECIAL INSPECTOR
REQUIRED [] YES JAREA
VALUATION $ �/,5'00
Description I F;E
GROUP
OCCUPANT
LOAD
F
PLAN CHECK NO:
111TIO DATE
Plumbing
Mechanical
THIS PERMITAuTHonizEs oNLYTHe ORK NOTED. THIS PERMIT COVERS WORK TO
IN 9
t: BE DOME ON PRIVATE PROPERTY ONLY. ART CONSTRUCTION OUT EPU Lo
7
Grading
Recording Fee
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REDDIREr
SEPARATEPERMISSION.
Engr. Review
City Surcharge
PC N: 180DAYS
.!PAITAPPUCATI
PERUITIUM17.1 PROVIDED WORK 13 STARTED WITHIN INDAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Emir. Inspection
State Surcharge
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTOM ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAIMS FOR DAMA66S OF WHATEVER "TURF., ARISING DIRECTLY OR INDIRECTLY
OF THIS
FROM THE ISSUANCE PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT HE
DEEMED TO MODIFY, WA E OR INEMICE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscapainsp.
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I M THE OWNER, OR THE DULY AUTHORIZED AGENT OF
_,
APPLICATION APPROVAL
T E OWNER. I AGREE TO COMPLY WITH Cl AND STATE LAWS REGULATING CONSTRUC.
CALL
This 1111 erilion Is not a permit until signed by the
71ON; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON AVLATING TO
FOR INSPECTION
.."Birre Olfic�al or hisitne Dainty: and Fla$ are Paid. and
—.1pe 1, aka.wl.dgad In spece pnnidsd�
WORKMENIS COMPIENSATIO RANCE AND Row 18.27.
OFFICIALS SIGNAIUAE DATE
SIGNATURE (OWNER 4) lE
E SIGNED
(425)
771-0220
DATE
ATTENTION
M 1333
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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-
ORIGIN AL -FILE - YELLOW-INSP./T.,
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER - GOLD, ASSESSOR
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City of Edmonds PERMIT NO: 1111
PERMIT EXPIRES- 4�
SIDE SEWER PERMIT
Address of Construction: 9-111 WALL LID N
Property Tax Account Parcel No_... 00 - 4411 - 0 0 0 -.001 - 07)
Attach copies of all access and utility easements —Verified and Approved b
owner and/or Contractor: (1" 30ftkig" :lu-mal , ANC,
Contractor License #: 6 0-16 J? L, 14 1 N —Building Permit
(��PAAP*tC— 70
Single Family Invasion into City *Right"!.Nay.tjV,, 7%.
E] Multi -Family (No. of Units *RW Construction Permit
M-601mmercial (No. of Units Cross other "Private Property: Over M<O
F1 Public "Attach legal description and copy of recorded easement.
4ell 'a OwnerlContracto /0
owner or ��atractorAi �atui�and acknowledgement statement: Date
By signing for this p Urit I certify that I have read the City's public handout entitled
Side Sewer Specifications, and shall comply with all City requirements outlined therein.
W CALL DIAL -A -DIG (1-800-42lf-5555) BEFORE ANY EXCAVATION W
W FOR INSPECTION CALL 425-771-0220 extension/32�W
24 Fl0jjR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
Permit Fee $ —,6V -
RepairFee$ /
Issued By: yj
Trunk Charge Ilw Date Issued -
Assessment Fee t. &h Recallit No:
City Permit Surcharge Fee $5.0(i Total Foos Paid
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES —NO —Date: —Initial:
Partial Inspection: —Date:—Inlgal:
Partial Inspection: Date: nitial:
FINAL INSPECTION APPROVED: Date: to Street File:
f� PERMIT MUST BE POSTED ON JOB SITE 13-
While Copy: File Gieen Copy: Inspector Buff Copy. Applicant
L-,tomp,bidg-,fo�;sspemitjl&4100
CITY OF EDMONDS
Grease Interceptor Sizing Worksheet
NUMBER OF MEALS SERVED AT PEAK HOUR
A=
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Calculation: # seats
0'
WASTE FLOW RATE (Add all that apply)
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With Dishwashing Machine ....... 6 gallon flow
flow
9:
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Without Dishwashing Machine ..... 5 gallon
Single Service Kitchen* ......... 2 gallon flow
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Food Waste Disposer .......... I gallon flow
-ON
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TOTAL
B
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RETENTION TIMES (Choose one)
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Commercial Kitchen Dishwasher ...... 2.5 hours
Single Service Kitchen* 1.5 hours
a,
...........
C=
TOTAL
STORAGE FACTORS (Choose one)
Full Service Kitchen 8 hour operation: ... 1
In T
Full Service Kitchen 16 hour operation: ... 2
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Single Service Kitchen*: ........... 1.5
TOTAL
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Interceptor Size (liguid capacity) A x B x C x D
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A separate Grease Interceptor permit is required, fee $155.00
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A single service kitchen refers to a fast food typ c of restaurant where all plates, cups,
knives, forks, and spoons, etc. used for serving and consuming food products are used only
one time and then discarded
RECS IVED
JAN 17 Z002
BMOING DEM
L:�TEMP\BUILDtNG\FORMS\INTERCEP,DOC 2/DO
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Page I of I
Harrison, Marie
From: Bullis, Ann
V
Sent: Tuesday, October 29, 2002 2:11 PM
To: Harrison, Mane
'Cc: Graf, Jeannine
Subject: RE: Gae's-Garden (old Ya
any
:heywere stop worked" quite awhile ago and shouldn't have been doing wor
T1 e e " -Ye d " quite a
w r stop - rk
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on site after that (except the Grease Interceptor that we issued a permit for ast
on ite -fter t 'at 'exce the Gre
pt
as they obtain their permit, they can start work again. They have to
week). As soon I t
ff
in''
ired inspections (framing, plumbing, sheetrock, finals from Fire,
f t p ct
call for the requ
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Planning, Engineering, and Building, including installation of the grease interceptor)
b f. In
efore final occupancy will be granted. Per Jeannine, no TCO will be granted. I do
i occup c
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n t 11 ig p 'lit for ,
0 r c uis t come n?
ot recall a sign permit for Gae's
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Bullis
Ann Bullis
Of
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Assistant Building ficial
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City ofEdmonds
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(425) 771-0220 Exi. 1380
bullis@ci. edmonds. wa. us
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----- Original Message .....
From: Harrison, Marie
in in
Sent: Tuesday, October 29, 2002 2:01 PM
0,
To: Bullis, Ann
Cc: Bullock, Steve
0
i Subject: Gae's Garden (old Yanita)
Ann: Ted says they want to open Friday the Ist. Is the work
already done? Will they be able to get a TCO? I need to know what
to tell Ted.
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Thanks
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E. Marie Harrison
Development Services
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City of Edmonds
425.771.0220 x 1389
harrison@ci. edmonds. wa, us
10/29/2002
MICROFILM
6242 Td Ave. N.W. Apt. #2
Seattle, Wa. 98107
Telephone (206) 706-0350
Email openeyes0i@aftbi,com
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To Whom It May Concern:
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We will not be using the window at 9711 Firdale Avenue as a drive
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through window to sell espresso.
it will only be used as a regular window to provide light into the
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building.
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Should you have any further questions or clarifications, please feel free
to call me at the number above.
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sincerely;
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Gaye S. Guida-Dennis
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: DEPARTMENT DATE_,d_.—HY 2-
—FIRE
ENGINEERING DIVISION DATE—
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PROJEC
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PERMIT # 0 -2- (3�r, 6— A #_______-PATE INSPECTED
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine final compliance with approved plans. Final approv 1
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denotes that there are no objections from the above signed Department to the release Of
PEREO—RMANCE LONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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a Copy of CONDITIONS given to owner/contractor by inspector
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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,
ocaprvl.doc.l:temp.bldg:formsIO/OI
FINAL PROJECT APPROVAL FORM
TO-_
DATE:
M[EMO TO: PERmrr COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE-_
ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE-
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denotes that there are no objections from the above signed. Department to the release of
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PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
ocaprvl.doc.l:tenip:bldg:fonnsIO/OI
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing .............
wall ...........
Pier/Porch .................
Retaining Wall
Stab Insulation ..........
PLUMBING:
Rg
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Underground
Rg
Rough -in ...........
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Commercial Final
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HEAriNG:
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Gas Test .................... .
Gas Piping
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EXTERIOR SHEATHING
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NAILING
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FRAMING .. ...................
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FIRST FLOOR FRAMING...,
INSULATION ...................
Floor Insulation
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Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................