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20030141.pdfI DATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS i MAILING ADDRESS M0049*6 PAPLY-Wfl'l STE CITY ZIP I TELEPHONE L K 05We4 0. o A -7 035' IS103 NAME ADDRESS CITY ZIP ITELEPHONE NAME LOYAL f4EtKMtf_.ALj IAC- JCB, ADDRESS 2 Lf = #AW. so.% PIK a * ze & CITY ZIP TELEPHONE sEA,rTLe,wA96II'1 1w*789WZq STATE LICENSE NUMBER EXPIRATION DATE I %ECKED Y L-CYALMOT 14 1 C) r.- ofe-01-0.5 I PROPERTY TAX ACCOUNT PARCEL No. I ILI= — 7o 3 - "101 - .300& NEW RESIDENTIAL PLUMBING/MECH IADDITION COMMERCIAL XCOMPLIANCEOR 3 CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR [3 GRADING CYDS [3 FENCE X FT) DEMOLISH TANK OTHER o GARAGE RETAININGWALL F FIRE SPRINKLER CARPORT ROCKERY RE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: OFF)C.E -0CP-CAL_ NUMBER NUMBER OF I CRITICAL OF DWELLING AREAS STORIES UNITS NUMBER ILII14 DESCRIBE WORK TO BE DONE Ar i.6C4-r/%)P5 (At ACkAft 9 HEAT SOURCE GLAZING LOT SLOPE % PLAN CHECK NO:- VESTED DATE 7 / g"3 3 1 1 PERMIT EXPIRES I I USE PERMIT S ZONE lif Li NUMBER CCO _el jOB SUITE/APT# ADDRESS to . DAY-ro �j 301 PLAT NAME/SUBDIVISION NO. LOT NO LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP IESCP Approved RW Par. "U". Street Use Partrill Roq*d EXISTING — PROPOSED inspection Required Sidewalk Required REQUIRED DEDICATION— FT underground wiring required METER SIZE LIN��. O:URES PRV REQUIRED YES C3 NO 13 z I I REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE —11 ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE Lu VARIANCE OR CU SHORELINEORADBO INSPECTION BOND REO'D I POSTED I 13YEs 13NO S SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWWED, PROPOSED ALLOWED PROPOSED EXP , , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR z PARKING LOT AREA PLANNING REVIEWED DATE RECrD I PROVIDED I I BY REMARKS CHECKED BY ITYPE OF CONSTRUCTION CODE OCCUPANT -V_ I rta - ct —I GROUP j�, SPECIAL INSPECTION JAREA OCCUPANT REQUIRED WYES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD 14t.-, . A_ - �, I o- -� 2 VALUATION Description Plan Check Building Permit Plumbing FEE Cj t�) - 61 L�) 12*2 1 Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Grading 1= BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC 2 :I DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPILICATION: 160 DAYS Engr. Review Engr. Inspection IL PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Description State Surcharge City Surcharge '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 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY I 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 Landscape Insp. Total Amt. Due 0 NOR UMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANN ORDINANCE PROVISION.' Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION eeal�= APPLICATION APPROVAL 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- CALL This appllcaUon Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt 13 acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27, 9ATE Sl NATURE (OWNER DATE S GNED 1A 13 1-125 771-0220 RE ED BY DATE ATTENTION Off 1333 )_4A I M14 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL lUtVA&W ZL U 4 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- AF - f ORIGINAL - FILE YEI I ON - INSPECTA CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING INE z 9 0 M :q:9 6i � 0 M C 4 MN 0 C 5� 1C IT! jo C 951 :� 0 "n M M 8 5i 0 Fn a C9 M0 CO) z 0 4 0 M g� V, 11�.�.'z 5 .1, upo 10 3 5' a - 01010 �4 1-1110 BAKER ENGINEERS, INC., P.S. 3 1 1 1 ; 0 01101 Niowo STRUCTURAL DESIGN i M 1000i0ol 123 4TH AVE. N. www.bakerengineers.com PHONE: (425) 771-6666 EDMONDS, WA 98020 SINCE 1977 FAX: (425) 771-6558 DATE: July 3, 2003 City of Edmonds Community Services Department Building Division 250 5h Ave. N. Edmonds, Wa, 98020 ATTENTION: Ann Bullis Plans Examiner SUBJECT: Tenant Improvement Third Floor/Edmonds Bay Building 51 W. Dayton St. Edmonds, Wa. 98020 Permit No. 2002-0993 RECEIVED J U L - 9 2003 BUILDING DEPT. Dear Ms. Bullis: At the request of the building owner George Brice investments and the contractor Tom Berg, of T.M. Berg Construction, Edwin F. Baker P.E., S.E. made several site visits during demolition and construction to observe the installation of the structural elements in the referenced building. 110 structural components were in accordance with the contract drawings and were installed with good construction practice. Please call if you have any questions. Sincerely, BAKER ENGINEERS, INC., P.S. Edwin F. Baker P.E., S.E. cc: Brice Investments T-.�M. B erg Construction F. & $898 F—iRPIRES 2 / 10 2005 I .... ..... --- --- 7 DATE RECEIV:N ERMIT EXPIRES P F �J�SE PERMIT CITY OF EDMONDS ZONE e w NUMBER Cftg CONSTRUC;rIO.N PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS CC)rvioijuS IBAY L L C_ lho%L BRIC4 MAILING ADDRESS - I M q H IZO I, _PAfLV-WI%%/ srr- Z05- CITY ZIP TELEPHONE I-K 1'5-03,635-195-0 NAME ADDRESS' ' CITY � ZIP JOB ADDRESS T 1 �j V/// SUrrE/APT# 30 PLAT NAME/SUSDPWISION NL__�T NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESa;'A_pPr0v9d RW Pernift R6quIred Street Use Peffnit fWq'd EXISTING — PROPOSED Inspoctlon Requked Siftwear Required REQUIRED DEDICATION— FT1_ r Underground 1 Wking requked METER SIZE LINE SIZ��. OF RES PRV REQUIRED 1 77 I YES C3 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE NAME CS)PO"fiv L OYAL M F-CH A1411 CAL / In C_ - i ENGINEERING REVIEWED BY DATE ADDRESS cc -Z 4 M t-L Uj. So-',,+ P rA e, # 7_`8 & FIRE REVIEWED BY DATE IEL CITY ZIP TELEPHONE GEPA"T-IrLe WA 91311-7 I 789 '80Zq VARIANCE OR CU SHORELINEORADB11 INSPECTION REO'D BOND POSTED 1$ STATE LICENSE NUMBER EXPIRATION DATE CAECKED Y - LzIyALm-T 14 1 o r, 01-01-OS7 13YEs ENO SEPA REVIEW COMPLETE , EXEMPT EXP SIGN AREA ALLOWED . PROPOSED HEIGHT ALLOWED* , PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. _4*1,1 - 70 3 - YO/ - 3CO& NEW 0 RESIDENTIAL PLUMBING/MECH COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT L/RSIDE REAR C3 z PARKING REOD PROVIDED LOT AREA LANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REPAIR 0 GRADING CYDS FENCE X Fr):', REMARKS 0 OTHER 0 DEMOLISH TANK ri I GARAGE RETAINING WALL 0 FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE OF CONSTRUCTION .2 1 rva sr(?- Wx ICODE 9-1 OCCUPANT GROUP -DC;IJIMAL� OF NUMBER 77�� STORIES NUMBER OF DWELLING UNITS CRITICAL AREAS N SPECIAL INSPECTION JAREA REQUIRED E &Y OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS'F PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD Irv) icAL VACt4u44 AWE>CoMPfZ55CD_ A k 6 0 u I P M E_ 0 r. -reom I, Pj Am tA r 5e-A VALUATION V $ f7b,�A TIM V AeUkM 1A 19 LOC4'r/OP.5 1AJ ACkAft -9 Onric Ik 10 5'r&7zf(_. qescription FEE Description FEE Plan Check State Surcharge HEAT SOURCIE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK-HOL 0 4�1n5 VESTED DATE 1 Plumbing ; /_10 Mechanical t: THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLI ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT AppucAriow iso DAYS PERMIT UMrr I YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS SEE BACK OF PINK PERUIT FOR MORE INFORMATION Grading Engr. Review Engr. Inspection PPUC ;A A N BEHALF OF HIS OR HER SPOUSE HEIRS ASSIGNS= SUCCEW)RS TO INDEM -OF N INTE &.0AGREES Fjj.,FEND �1413 HatiiiiARM "EC EDMONDS, WASHINGTON, ITS C EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES(011y 4AIVRE, *S[N%DIVECny p FROM -THE ISSUANCE.0 )F THIS RMIT. IISUANC 1OF ITHI ERMITjxL1114=B DEEMED TO MODIFY. JVE OR DUeEAM e bIT ON; Yifi �471 OR NOR LIMIT W ANY WAY THE C"Zf*" *Ff0f Fire'' Review Plan Chk. Deposit ppeqll�n Tifep Receipt # Insp. LUTrH Tot Amt. Due . 4 "75 g Fee ReJ&nj Receipt # I HEnEBY ACKNOWLEDGE THAT I HA�VE READ THISI TaINFOR I N V AND THAT I AM THE OWNER,� 0 GIVEN IS CORRECT, OTRWEnl&ft ED AGENT OF Y WITH CITY AND STATE LAWS REGULATING CONSTRUC- THE OWNER. I AGREE TO COMPL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE qMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO CALL F R INSPECTI N APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged In space provided. WORKMEN's COMPENSATION INSURANCE AND RCW 18.27. OFFIC 1A9 S!QNATURE (OWNER DATE GNED 1425) 0 - .51 771-0220 R§&#SED BY DATE ATTENTION EXT 1333 Ablift , J2� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL f IqL alA A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-FILE - YELLOW-INSPECT� CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING Z 0 m ma 0 C-) 0 r m m Ct) 0 In M M V) 0 CO) 0 W z 0 q 0 m