20020904.pdfPERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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ALLOWED PROPOSED
REQUIRED SMACKS (FTI PROPOSED
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VALUATION$ &44,
Description
FEE
Description
FEE
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HEAT SOURCE GLAZING LOT 11OPE%
PLAN CHECK NO:
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1: BE DONE ON PRIVATE PROPERTY ONLY. ANY CoNunucnom ON 'HE PUBLIC
2 DOMAIN (CURBS. SIDIVINALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
" lachanical
Grading
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Recording Fee
t: SISPARATEPERNUSSION.
PERMITAPPUCATiON: Has DAYS
PERMIT LIMIT. I YEAR -PROVIDED WORK 19 STARTED WITHIN INDAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
errg—r. Review
firr6r. 1=ion
City Surcharge
State Surcharge--..
-ILICANT ON BEHALF 01 HIS 01 HER SPOUSE, HEIRS. ASSIGNS AND IUCCESOAS
IN INTEREST. AGREES To INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
- WASHIN
EDMONDS ON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAGMTAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISELAN E OF THIS PERMIT. ISSUANCE OF THIS PERMIT SMALL NOT BE
9 DEEMED TO MODIFY,
DINA E OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0. NOR LIMIT IN ANY WAY I HE CUYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Traffic Mitigation
—
Fire Review
Fire inspection
—
Plan Chk Deposit
Receipt #
Total Amount D US
Landscapehisp.
Receipt
I HEREBY ACKNOWLEDGE THAT I HAVE READ T HIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE OULY AUTHORIZED AGENT OF
THE OWNER. I ACRE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CONSTRUC.
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
WORKMENS COMPENSAIJDW�URANCE AND RCW 1 27,
DAT __j
SIGNATURE (OWNER OR Gi E SIGNED
APPUCATION APPROVAL
CALL Thl. PPk.Ij.. J� nm . "-it .01 Mgru,d by M.
811110i,Ig OIX11.1.1 hilftr DI,p.ry:.�d F.—r. PILd—d
FOR INSPECTION t—IP111ack ... l,dg,d In space p—ided.
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771-0220
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FIEL IDATt
AnENTR
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
CATE OF OCCUPANCY HAS BEEN GRANTED.
10/04 UBG SECTION 109
EXT 1333
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771-022.
FAX
ORIGINAL - FILE - YEL
PINK - OWNER - GOLD - ASSESSOR
F14 PROJECT APPROVAL ARM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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FROM: —FIRE DEPARTMENT DATE
IV,
ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE
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PROJECT A766 lk�ADZil,'6-0
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PERMIT #JZ222_:�-�ADB# INSPECTED Y
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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 approval
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denotes that there are no objections from the above signed Department to the release of
on
PERFORMANCE BONDS 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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u Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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u Copy of CORRECTION NOTICE given to owner/contractor by inspector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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Of tbmonft
terfifficate of ectupan
DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: 7320 21 9t RW #10 Edmon a. VIA 980, �6 Building Permit M
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Occupancy established by this certificate: Dwelling Units: —N/A** No. Stories: 3
B 0onstruction: 11 1HR Sprink Basement: Yes
Maximum Occupant Load __�17- (Per U.B.C. 1002)
Room capacity signs,
when required, must remain posted at all times,
Owner of Building: Stevens Medical Office BuIldinho i'�ddreesf�1'7320�ijl!I" St"Sw, Edmonds VIA 98026
THE H d Pharmacy
UWgdfWfeI AS BEEN INSPECTED AND APPROVED AS COMPLYING W1
I'D TH THE REQUIREMENTS OF THE L997 EDITION OF
THE BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 17t . h dayof—juns, 200
CHIEF BUILDING OFFICIAL
Tlbs cerfificat, shall be posted In a commInuous public am and shalt hot be moved, mutilated of ouscured and shall be maintained in legible condition at sit umes. MY change of anpulcantymuse niquires, a building about and a now
Ceffincel-f Occlemnt, Issued by the CRY& Edmood. Building Offiche.
fill th th
�$ 41), (h
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 . . .....
Commercial Final :1
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SHEATHING
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EXTERIOR
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NAILING .................
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RAMING ........................
FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
171
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY