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20030041.pdfI DATE RECEIVED [PERMIT EXPIRES CITY OF EDMONDS Z CONSTRUCTION PERMIT APPLICATION i A OWNER NAME/NAME OF BUSINESS —, "Asoe sisaL*rPte, A-NLuTie, 6w 15 MAILING ADDRESS to I Cob L/JF,:i—( 'D"MA CITY ZIP TELEPHONE rz�hmpobS '10 ( 15, T401ZO-776 - 2,>,T4G NAME ADDRESS CITY ZIP ]TELEPHONE NAME BL# Pizo Cc ADDRESS 00 CITY ZIP TELEPHONJ '5� STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. F NEW 13 RESIDENTIAL 59 PLUMBIN`It� ADDITION COMMERCIAL COMPLIANCE OR 11 CHANGE OF USE REMODEL MULTIFAMILY 13 SIGN CK REPAIR/galfiftg GRADING FENCE CYDS ( _x FT) DEMOLISH TANK OTHER GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: &T"L97T7C_ C4_0 & NUMBER NUMBER OF CRITICAL OF DWELLING AREAS UNITS NUMBER —STORIES DESCRIBE WORK TO BE DONE 6 *a- 1,1149" 4±hq&Y:9= OV7- 9F 7, POVr-l-W AIC- VA,4 15 I S14V1Aj6> mm maw's rL HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO' 2, VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMrr COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC D 0 MAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISO DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLJCANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. AFUSING DIRECTLY OR INDIRECTLY 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 0 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 WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATI90-W3,6ftNCE AND RCW 18.27. 8 URE (OWNER DAT SIGNED ISE PERMIT ONE NUMBER OB SUITE/APT# DDRESS 160 We-57- -DhqTV-AJ PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Pertrit Required Street Use Permit Req'd EXISTING — PROPOSED Inspection Required Sklewalk Requited REQUIRED DEDICATION— FT Underground Winng required 13 METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED YES 13 NO 13 Le REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE I DATE IRE REVIEWED BY DATE us Ir Iz VARIANCE OR CU SHORELINEORADB11 INSPECTION BOND 13 REO'D I TKO POSTED -- YES S SEPA REVIEW SIGN AREA HEIGHT 'OMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED KP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) iLLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR z PARKING WOOD IDED LOT AREA I P�ANNING REVIEWED BY DATE I — 15- 1EMARKS 'HFCKED BY ITYPE cONSTRVn OCCUPANT 1559F-7 GROUP /0,(-,- 3PECIALINSPEc-noN JAREA OCCUPANT REQUIRED [] YES LOAD IEMARKS IROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD IF, DescrIpUon Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical -7n Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt Landscapeinsp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION 11A13 ,425) 771-0220 APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or histher Deputy: and Foes are paid, and receipt Is acknowledged in space;xovided. OZF WCIAGNrA DAT FELEASE D E ffTENTION EXT 1333 _L__-Il tY IS UNLAWFUL TO USEVOCCUPY A BUILDING OR STRUCTURE UNTIL �1_ A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAUL",-FEE YELLY-INS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - ER Go . ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING ALIG-28-2003 10:32 MAYES TESTING ENGINEERS 425 745 1737 P.02/03 MAYESTESTING ENGINEERS, INC. EMVM 0mor 917-134th Snat SW I 41M Sufte A-1 EvemIL WA W204 ph 4U.74UNO fax 425.74&IrJ7 August 28, 2003 rMum Offl" lam Srwoma way Wds E-2 Tacoma, WA ga4N City of Edmonds Building Department ph =04-MO 121 Sth Avenue N fox 25&5ft=7 Edmonds, WA 98020-3146 ANOMW Offim % 7911 NE 3ft Drive sufte 190 POM&W, OR 07211 AM.: Commercial Inspection ph SOM811.7516 ftX S=811RO Re: Harbor Square Athletic Club Permit 2003-0538 160 West Dayton Street Edmonds, WA MTE Project No. #E3249 Gentlemen, This Is to inform you that registered special inspections have been completed for this project as per our reports, copies of which have been sent you. TO the best of our knowledge, all work Inspected was either performed In accordance with. or corrected to conform to, the city approved drawings, or engineer approved changes. Special inspection was provided for Epoxy -Grouted Anchors Expansion Anchors Field Welding We trust that this provides you with the information which you require. Should you have any questions give us a call. Sincerely, MAYES TESTING ENGINEERS, INC. ;0 Michael S. Dolder, P.E. Vice Pros ident MSD:gsn cc:Carl Going, Wilcox Construction RECEIVED AUG 2 8 2003 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS R K, 4, . . . . . . . . ... j, M 17 `77 MAYESTESTING ENGINEEM""WID. 917-134th St. SW, Suite A-1 Ph 425.74 . 360 Everett, WA 98204 Fax 425.745.1737 10029 S. Tacoma Way, Suite E-2 Ph 253.584.3720 Tacoma, WA 98499 Fax 253.584.3707 7911 NE 33rd Drive, Suite 190 Ph 503.281.7515 Portland, OR 97211 Fax 503.281.7579 INSPECTOR:L I -HRS:— INSPECTOR: -HRS: INSPECTOR: HRS: SITE TIME: TO:-- Page-ot JOB NUMBER: DATE: A/ PROJECT: PERMITCA-""'il�`�- WEATHER: OWN: 16(f /e, r ' �e Apo: 1�4,- "A Ice ENG: j,-e(-�-ftqONTR: 7-- TYPE OF INSPECTION: SAMPLES: dl� SUMMARY: V. -) -11 4 NONCONFORMING CONDITIONSICORRECTIVE ACTION TAKEN: AUIJ L V ue� or.1 CIPIAE-14T SF-R"ES OF EDIAID"I" Z' 0. M M C M 8 0 C M M 10 C z 3� ' '56; .1 0 n �2 M M r 63 0 C.) R C (A z ca, W z z M a NEER MAYIEWS TESTING ENGZZPj� 917-134th St. SW, Suite A-1 Ph 426. 0* 4 . 737 Everett, WA 98204 Fax 4- _749-143 10029 S. Tacoma Way, Suite E-2 Ph 253.584.3720 Tacoma, WA 98499 Fax 263.584.3707 7911 NE 33rd Drive, Suite 190 Ph 503.281.7515 Portland, OR 97211 Fax 503.281.7579 INSPECTOR: HRS: INSPECTOR: HRS. INSPECTOR: — HRS: — TIME: TO: Page ----of A&WA NU ATE: JOB NUMBER: 0 B E PROJECT: R 0 J PERMIT WEATHER: E R M IT OWN: C, ARCH: W [ENG: �,CONTR: TYPE OF INSPECTION: Typ C ew f4c'--' 7-- SAMPLES: — kinmr,nris:nRUING CONDITIONS/CORRECTIVE ACTION TAKEN: E 0 ES CTR- I I VY A0 IF: I �Dtmg ---- --- - - -- 0 0 M =PH 65;0� 0 M C M M M Z P� : 5(ft 0 -n M M 9 Vi , 0 ri M O� z I 65 z 0 4 0 M I MAVVC TESTING —ENGINEERS INC. 917-134th St. SW, Suite A-1 Ph 42 01 V.1737 Everett, WA 98204 Fax 425.�-4 10029 S. Tacoma Way, Suite E-2 Ph 253.584.3720 Tacoma, WA 98499 Fax 253.584.3707 7911 NE 33rd Drive, Suite 190 Ph 503.281.7515 7 1 Portland, OR 97211 Fax 503.281.7579 INSPECTOR: -HRS: INSPECTOR: HRS: INSPECTOR: TIME: TO: HRS: Page_of JOB NUNiBER: j,_TATE: P ROJECT: PERMIT#: ViXTHER: OWN: ARCH: E N G: CONTR: TYPE OF INSPECTION: V6 4": fz.v SAMPLES: NONCONFORMING CONDITIONS/CORRECTIVE ACTION TAKEN: RECKIVED N AUG 2 8 2W3 DEVELOPMENT SERVICES E; I It CITY OF EDMONDS Z.. 0 0 M M M .�q. � 0 C M 0 � C OIL In M M 17 C 0. z 0 M MAYESTESTING ENGINEERSt INC. August 28, 2003 City of Edmonds Building Department 121 5th Avenue N Edmonds, WA 98020-3146 Aftn.: Commercial Inspection Re: Harbor Square Athletic Club 160 West Dayton Street Edmonds, WA MTE Project No. #E3249 Gentlemen, Bull-U1116 S'r-_V - 2 NO3 Permit # 2003-0538 Evaratt Office 917-134th Street SW Suite A-1 Everett, WA 98204 ph 425.742.9360 fax 425.745.1737 Tacoma Office 10029 S. Tacoma Way Suite E-2 Tacoma, WA 98499 ph 253.5M.3720 fax 263.584.3707 Portland Office 7911 NE 33rd Drive Suite 190 Portland, OR 97211 ph 503.281.7515 fax 503.281.7579 This is to inform you that registered special inspections have been completed for this project as per our reports, copies of which have been sent you. To the best of our knowledge, all work inspected was either performed in accordance with, or corrected to conform to, the city approved drawings, or engineer approved changes. Special inspection was provided for: Epoxy -Grouted Anchors Expansion Anchors Field Welding We trust that this provides you with the information which you require. Should you have any questions give us a call. Sincerely, MAYES TESTING ENGINEERS, INC. Michael S. Dolder, P.E. Vice President MSD:gsn cc:Carl Going, Wilcox Construction .. 11 � . 1 '.., � - ...I,;. M 7 MM.TION OF BUILDING OMCIALS STRUCTURALWELDER X73109 Olympia, WA98507-7310 AW mehod -POBO -6725 Welding Proem SM Manua, 't 41 Phone: (360) 686 rvm: Plate CERTIFIED WELDER CARD materw: Steel FilleeTypar: F-4A , .1.4, umis Ranp: 118 &over Joint: G?Oww: nit A Bacidins Required for comirkle penduall0e, willds? yes ROBE14T J. HOOVER 50 8373 HOO Expires: OiJANO4 > 19301 131ST AVE NE A 98072-8705 Sductural Welder WOODINVILLE W -auto FCAW Made ft"ic Plate positions: rrovirmalm up e P� -X IL I WABO Steel ruwc E71 T This Ve & cud If the property 0 Executive Director 166mad on or baton gapimboa date I*kmu Reap. 118 4�w.* Yes 7P T W4# r WABO Ceirtified Welder January March Process Qualilications are based on me following standards: c� S NAML 7V-19kQ%bIb 03tt-k SYRUCTURAL WELDING SHEET STEEL WELDING ALUMINUM WELDING Stindaic No 27-13 WA80 Slandiiia No 271-1.3 WABO Standard No. 28 2 FIRM: (SiPA �`I, COe kALLt OC Standard No 27- 13 UBC Standard No 2 7.13 UBC Standard No. 28.1 Jupe -%NSl1-%WS 01 1 2000 ANSIJAWS DI 3.98 ANSUAWS 01.2A.83 April ANSIPAWS 01 4.98 NAME: Djtc (0-30-03 FIRM:GkeAi\N W6&n,� Titic. J`T%6 Q- -V� 10 July - September -1) WELDER Sl��IJRFIOF CERTIFIL 4E;-KPkt,-L0 eA t Daw P, -30 - C3 .0 I he %igned h.% the cerioned welder) NAN FIRM:.GkJen1A% L06 Tale ry k b October - December Sit;.\ %'I'VRES OF KNIPLOYLKS m; I,.% rVil �y , Employer/Contivewfi N &,Age muo i,, Sit AME._ D41C :N 04�r—lr%§ lk%le It in Me 1.0" Ot 1h1% IA'd dtffl"V the 4uarictly period designaled FIRM: TnIc afd I, 114A! p :rIVED RECE AUG 2 8 2003 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS I ktv �Vv RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................... --- FOUNDATION: Footing...................... Wall........................... . Pier/Porch ................. etaining Wall ........... Slab Insulation ........... PLUMBING: Underground ............. Roughrin ................... Commercial Final;.. HEATING:, GasTest .................... . 4 Gas Piping ...... Equipment .............. Commercial Final E)(TERIOR SHEATHING NAILING .......................... FAAMiha ........................ . FIRST FLOOR FRAMING... INSULATION ................... A� Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APP ROVALFOR OCCUPANCY .................. M rg' ail, �?A M; M r z 0 In P"T C) M I ATE RECEV RECEIVED PERMIT EXPIRES CITY 3F EDMONDS LISE PERMIT ZONE - _-7 < JUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS 160 we5T- -DA-qTD)%J OWNER NAME/NAME OF BUSINESS Is PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE S 160 tj P_ 5-r -DA-f-f7_DM PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Psm* Required fWqld EXISTING streeill,-Peffn inspection Required Sidewatit Required CITY ZIP IT ELEPHONE '�01 1-5 MZS�776- S4__-)4G ,PROPOSED REQUIRED DEDICATION 77 FT I - underwound Wiring required NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED (3 YES[3 NO E3 I ADDRESS REMARKS ' * i OWNER/CONTRACTOR RESPONSIBLE FOR'EROSION CONTROUDRAINAGE CITY ZIP ONE NAME. P'Tz C) F= i= Nec AL jCBL# ENGINEERING REVIEWED BY DATE DORE P 0 L t: x FIRE REVIEWED BY DATE W OM CITY -ZIP TELEPHONg I 0 f 17- 067 / SGI I MN—D VARIANCE OR CLI SHORELINE OR ADBO INSPECTION STATE LICENSE NUMBER EXPIRATION DATE CHECK 0 BY N I REO'D OYES WQ POSTED 1$ SEPA REVIEW SIGN AREA HEIGHT PROP TAX ACCO PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP 0 NEW RESIDENTIAL PLUMBIN4LMECH) LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT LIRSIDE REAR 0 ADDMON COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE I REMODEL MULTIFAMILY SIGN PARKING LOT RED PROVIDED AREA PLANNING REVIEWED BY DATE 15. IL 1h o FENCE REPAIR /4fLjV_f, GRADING CYDS ( _ X_FT) REMARKS I DEMOLISH TANK OTHER GARAGE RETAINING WALL F RE SPRINKLER FIRE ALARM CARPORT ROCKERY s M -(TYPE OF USE. BUSINE88 OR ACTIVITY) EXPLAIN: PrrHL�e 0-Lo8 CHECKED BY ITYPE 0 MCSTRU occ UPANT C 11 GR!!�� NUMBER OF NUMBER OF DWELLING CRITICAL AREAS , SPECIAL INSPECTION PANT LOAD STORIES UNITS NUMBER JAREA REQUIRED [] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION RECeD L,1 KC-: C,0A7J6 7- 7, Ak- 101rim-a- 5MdZf/U&> 1j4GPj!& Z" /A_1Qr)k VALUATION HIM 1: U $ s.ss. W� Denription FEE Description FEE Plan Check State, Surcharge HEAT SOURCE GLAZING % I LOT SLOPE % Building Permit City Surcharge 60 S PLAN CHECK NO: 2 VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK N&ED. THIS Prnmrr COVERS WORK TO L_. X BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: ISO DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, [IS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR umrr IN ANY WAY THE cays ABILITY TO ENFORCE ANY ORDINANCE PROVISION" Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRE" 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- CALL This application Is not a permit until signed by the TiON; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Oftlell or his/her Deputy: and Fees are paid, and IN qIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WOPYJfEWS COMPENSAT!���CE AND RCW 18.27. O�F�.ICIMIGN DAT7, SpfqTURE (OWNER.411GQE�Oe:�.� DATE SIGNED 1A0 LIW.404. >7h-r40Vk.__ 1 Pz -Z 771-0220 -7 .1 'r kELEASED/BY D*E V rE 10 M 1333 W6CCUPY ­_ , i , , z " 7;;h / " & - IS UNMUL�TO USE A BUILDING OR STRUCTURE UNTIL is ul� A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORI�1'��q�F - YELL4-_1NSP6CTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - En - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 4 , .