20020903 (2).pdfLab
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USE
ZONE PERMIT
CITY OF EDM NDS NUMBER _15N293
ADDRESS
CONSTRUCTION PERMIT APPLICATION JOB -7-5-6 —,�;)/4177)�57 5V/ SUITEIA2�,
OWNER NAMENAME OF BUSINESS
6,A W �0, I 16T No ID No
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3 LID FEE
D__v siv r o 51 fiL -5, 5 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING � PROPOSED� 13
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I t3C) . REOUIRED DEDICATION— R
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NAME METES SIZE
LINE IZE
NO. OF FIXTURES
PR�R1111�11.1%
c4onq Arrbdedn I
is
YES
REIH,� REMARKS
�,WNERICIINTRACTGR RESPONSIBLE Pon CONTROL/DPLUNAGE
W&TI "4
4- 010.
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ENGINEERING
REVIEWEOGATE
AD
CITY
ZIP
TELEPHON
UWE LICENSE NUMBER
EXPIRATION DATE
—C—H D
1A
SHORELINE OR ADI3# INSPECTION : 0 No
LIP= I I-C-A
'zo
2,
13YREO �POSTED
BE Ik.0
PROPERTY TAX ACCOUNT PARCEL NO.
IEVIEW
COMPLETE EXEMPT
I.. AREA
ALL0,W.EbPRoPosEo
HEIGHT
ALL POSED
--5-9 6'7 —DQQ
— 62Q
— 61 — 00,
EXP
NEW
0 RESIDENTIAL
0 PLUMBING
LOT COVERAGE
REQUISED SETBACKS (FT.) PROPOSED
SETBACKS (Fr.)
I MECH
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT URSIDE REAR
ADDITION
JM COMMERCIAL
0 C MPLIANCE OR
CHANGE OF USE
--F—LOTAREA
REMODEL
0 APARTMENT
0 sirN
BE PARKING
NWjNG REVIEWED BY DATE
0 REPAIR
0 GRADING I NCE
CY.S
X FT)
REMARKS
r
DEMOLISH
0 TANK
OTHER
GARAGE
CARPORT
— REWNING WALL
LJ ROOKERY
j2mA7L
0 RENEWAL
(TYPE OF USE, BUSINESS
OR AUTATTV) EXPIJIH:
J
CHECKE
0 CUFA_
NUMBER
OF
:��N
NUMBER OF
CRITICAL
WITIUCTION
jr 1
GROUP
STORIES
DW JE ING
LL
TS
A EAS
NHUMBE
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SPE
SPECIAL IN CTOR JAA:�4
EOUIRED
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
[] YES
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UBC 108/FINAL INSPECTION REDID
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FEE' Description FEE
rDesoription
Plan Check
HEAT SOURCE GWING % %
LOT SLOPE %
Building
16 5-,�
PLAN CHECK NO, _rED DATE
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Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t:
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS MAROUEES, ETC.) WILL EQUIRE
Grading
Recording Fee
SEPARATEPERMiSSION,
2 —
.1W_
5,5,w
770-
PERMITAPPLICATi N: 180DAYS
— Gi ty Surcharge
PERMIT LIMIR I YEAR -PROVIDED WORK 1. .. WITHIN
SEEBACKOFPINK PERMIT FOR MORE INFORMATION,
Engi!l
156) State Surcharge
"APPLICANT ON BEHAL F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESOOS
Traffic Mitigation
Plan Chk Deposit
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IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
—
Fire Review
Receipt #
I �:M,
ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
9 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY WAIVE OR RED CE ANY REGUIREMENT OF ANY CITY ORDINANCE
—
Fire inspection
I Total Amount Due
/ ?0i(1312
.0 NOR LIMIT IN ANY WAY THE DRYS AUILITY TO ENFORCE ANY ORDINANCE PROVISION -
Landscape Insp.
Receipt # 4�.7 /w
IHERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THATTHE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
.,,This ppkisk,s Is r.I. P.I.It Lsfil siosisd by ft
dI.9 hWh-1 Ospuly:
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENS COMPENSATO"S RANCE AND RCW 18,27.
-d F .. sHIp.id,..d
FOR INSPECTION ssispt is Ack—lodg,d I-p— p—Idad.
SIG A.ENTIN
(425)
0 'lei ATUR
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JAT)
771-0220 1 Ell)
1 DATE
ATVENTION I
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
ORIGINAL . F HE - YEL
10101
FAX
PINK - OWNER - GOLD - ASSESSOR
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Pik UNiF61iW661WING CODE SECTION 100
th St #40 Ed o ds 98026 Building Permit #; 2002-0903
pit: 3202 6 8 "u"Ou"' ve"rul
W7 'Dw 1 7
occupancy established by this certificate: Dwellina Units: **NIM* No. Stories: 3
Is
Yes
nstruction: 111 HIR Sorih k Basement: Yes
B Type,
maximum 9ccupant Load-, Per�U.B.C. 1002)
Room,papacity signs, wheatequinw,,mustiemain postedat, all times.
-Big Ed
owner of Building: Steve monds VIA 98026
THE __jLqqp a!� J.H, %REQUIREMENTS OF THE 1A
L HAS BEEN INSPECTED,,,ANC),APiiRO�,id�AS'�it�OMP "I.. _91_EDITION OF THE
N' JHE
14
UNIFORM BUILDING CODE AS ADOPTED BY THE� CrTY FOR TA 0 AN islolil,�91!;"OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued thl d uni, 2003
CHIEF Bul� ING OFFICIAL
BY:
el —up—y ...equires. Wildkig pennft.ed—
T,j& Wffcabe enal W peened Ins �Piw" publia ow and *hall not be r—d. mulilebeell —b-ned and %hall be envennedin legible =dMOn at all fts.. Anychono
��Wolo..p...yw..wby�.ChydEd—d.B.Idi�90fti.t-
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FINOL PROJECT APPROVAL ARM
TO:
DATE:
I�mmo To: PERmrr COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
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ENGINEERING DIVISION DATE
0
PLANNING DIVISION DATE
PROJECT/_i4Q LA-9
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SITE ADDRESS 2- 0 K. 7- S 1/0'.
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PERM[rr#'?ZV'1-0Z0 _ADB#__DATEINSPECTED__6—e? —C ?
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DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
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PERWQRKANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
ca
ci 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
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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111bPtUIUM WAIt AFrN.-
SETBACKS .....................
FOUNDATION:
Commercial Final
HEATING:
GasTest ....................
Gas Piping .................
Equipment
.................
Commercial Final
EXTER OR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ..................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..............
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