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20030161.pdfDATE RECEIVED 7 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS Tez, f-51 1151 MAILING ADDRESS CITY ZIP NAME 2 IXv 6joewy,-t- A 6dE S" S 57v CITY ZIP NAME ADDRESS CITY ZIP �N�_Oiaftd TELEPHONE 2 c9 - 7,746 - IZ30 TELEPHONE CBL TELEPHONE :44/� _<Z-4t _w STATE LICENSE NUMBER 07Z(::�X 7 PROPERTY TAX ACCOUNT PARCEL NO. 2W 2 �0_ Q NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE RETAININGWALL 0 CARPORT ROCKERY_ (TYPE OF U E IU INESS OR ACTIVITY) EXPLAIN: B NUMBER NUM ER OF OF DWEBLLING rSTORIES DESCRIBE WORK TO BE DONE �weN!�. 5-FIK 57 'k i HEAT SOURCE I PERMITEXPIRES USE PERMIT IINEM_(/ '2 NUMBER JOB ,7to SUITE/APT# ADDRE t' PLAT NAMS/SUBDIVISION No, LOT NO. LID NO. 1�3 /i K L ;r .21 q LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APP(Ov&d RW Permtt Requir6d EXISTING - PROPOSED Suest Use Parmil Raq'd ISnisdpeewcs'Jokn R&qouqjtr**&d R d REQUIRED DEDICATION- FT Undefgfound Wking r6quired CI METER SIZE LINE SI�E OF FIXTURES PRV REQUIRED I 7. YES 13 NO 13 2; REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING REVIEWED BY AR AMW it CU SHO INSPECTION BOND TION DATE ECKE REQ'D POSTED E3YES 0;%]$ SEPA REVIEW SIGN AREA ' HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED I ALLOWED �_I_ PROPOSED I E XP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) PLUMBING MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR z CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATY; SIGN REQ`j PROVIDED PRO --yo E3 FENCE X Fri REMARKS r"4 ,23, FRESPRINKLER 0 FIRE ALARM CRITICAL AREAS NUMBER , =lf'e LOT SLOPE % CHECKED BY I TYPE PF CONSTRU OCCUPANT PION GROUP bj� ij2LWz 211W-4 Al SPECIAL INSPECTION- JAREA OCCUPANT REQUIRED [] YES I LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'01 is A� __ - I Iz- "/— - - A - j.4 _.j. _., 1 Description ..FEE Description FEE . — r___ Plan Check State Surcharge Building Permit City Surcharge rLAn nu: r MUITIDIrry 00--V 1_1'� Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading V DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: ISODAYS L 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 a EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING 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 Landscapelnsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CI1YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- x Recording Fee Receipt # I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION AP PROVAL GIVEN IS CORRECT, AND TKAT 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 IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. WORKMENS COMPENSAJPM4kURANCE AND RCW 18,27. Vfi� S GNAT BAT _7� SIGNATU E (OWNER AGE" DATE SIGNED (425) ZX4 I A 11111 1 ^ I I"M K 771-0220 1ELEAt DATE ED BY ATTENTION M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- URIGINAL - FILE YELLOW - INSPECTOR 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 4 0 1711 M C Fri 0 C M ITI C _z P . ! O"n .M M M 0 o Fri, C ca M z z 11711 FINA&ROJECT APPROVAL FO TO: DATE: MEMO TO: PERMIT COORDINATOR BU]IDING DIVISION -t- C) FROM: FIRE DEPARTMENT DATE nZARSM ENGINEERING DIVISION DATE--� njLLu SWH PLANNING DIVISION DATE------� namsm PROJEC SITE ADDRESS PERMIT B#---.DATE INSPECTED� DESCRIPTION OF wORY, TO BE INSPEC A field inspection was conducted to determine in compliance with approved plans. Final approval Department to the release of obj denotes that there are no ections from the above signed E BONDS and th e granting of PERFORAIAN —C FINAL PROJECT AP PROVAL GRANT GRANT pROjECT AppROVAL.WITH CONDITIONS NOTED C1 Copy of CONDITIONS given to owner/contractor by inspector FINAL INSPECTION - OUTSTANDING ISSUES FAILED Cot)y of CORRECTION NOTICE, given to owner/contractor by inspector At: 7320 2 6m St SW #200, Edmonds WA 98026 uIlding Permit #: 2003- 61 Occupancy established by this certificate: Dwelling Units: **NA** No. Stories: 3 B Type Construction: 11-11-Ir-Sprink Basement: Yes Maximum Occupant Load 6W* (Per U.B.C. 1002) Room capacity signs, when.�requlred, must remain posted at alf times. Owner of Building: Stevens Medical Office -,Building ___LAddr4sr732'021& )nds WA 98026 THE Stevens Center for Internal Medlclne�--HAS'BEEN INSPECTED AND APPRO—VED AS COMPLYING WITH THE REQUIREMENTS OF THE JL9_7EDITION OF THE UNIFORM BUILDING CODE AS ADOPTED BY THE. CITY FOR.-TWE GkO'UP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIPD. Issued this 20th dayof—June _AO03 CHIEF BUILDING OFFICIAL BY: fin - - - This cadficate shall be posted In a conspicuous public area and shall not be removed, mutilated or obscured and shall be maintained In legible condition at all t1mos. Any change of Occupancy or use requires a building Permit and a new C;artficate of Occupancy Issued by the Oty of Edmonds Building Official. 'DATE RECEIVED -2 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS 7e�4;�5� S F-MAIUNG ADDRESS �,2ZV A/e. CITY ZIP TELEPHONE 6/-Flz / 1 2 a - 2'49'NAME Xot 6'Legt�- , V AD SS � 57V 50— &�Z CITY ZIP TELEPHONE NAME CBL ADDRESS lev ,z - - /,5� CITY ZIP TELEPHONE -&.g -f/ - 5 -K - STATE LICENSE NUMBER EXPIRATION DATE HECKE 7 PROPERTY TAX ACCOUNT PARCEL NO. . fFiQ 7 eloo - 6 NEW REsIDENr1_ PLUMBING/ MECH ADDITION COMMER61AL 29 COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN 1:3 REPAIR GRADING CYDS FENCE X_ FT) 11 DEMOLISH TANK IGARA GE 3 CARPORT RETAINING WALL ROCKERY FRESPRINKLER FIRE ALARM l[TYPE O�F 4U, BUSINESS OR ACTIV" EXPLAIN: NUMBER NUMBER OF CRITICAL OF STORIES 0 WELLING UNITS AREAS NUMBER rDESCRISE WORK TO BE DONE - 'C- -A J-., -yf�v_ ZAd 4,,P,4,/— HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: VESTED DATE Q THIS PERMIT AILITHORIZES O�"LY " WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PqbPEr ONILM ANY CONSTRUCTION ON THE PUBLIC DOAMN (CURDS, SIDEVJALKS, bRIVEWAV8, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. 11;h PE�=Appuc,Airiok,�wwim- PERMIT UMM I YEAR - PROVIDE ART9DF;HIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPUCANT,.ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING 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 NOR ILIUIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN IS CORREC71 AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WMI 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 COMPENSATIG"SURANCE AND RCW 18.27. SIGNATURE (OWNER �ACWr NT_)) DATE SIGNED .01 :S PERMIT EXPIRE USE PERMIT ZONEM.C,Oer-05�1 NUMBER 2 (yj � C) j G JOB ;z SUITE/APT# ADDRESS , I 4,o TO -, Lgz�=W4 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. rXAf -'s3i. 41) LV 7 ;7, LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Am= F,srro R red RW PC Required Street Use Parrnit Raq'd EXISTING — PROPOSED I"I'scdon Required Sidewalk Required REQUIRED DEDICATION— FT Underl;irowd Wiringrequired 13 METER SIZE LINE S;;7E� NO. OF FIXTURES PRV REQUIRED 1 YEr.13 NO 13 z I REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE - I is ENGINEERING REVIEWED BY 1A IZZA _/1" FIRE EVI b BY '� DATE I xI-ly_ 6QO -z 4- 49 r VA�1"�E OR 6U SHOR # I INSPECTION PGOND REC%i � OSTED 13YES $ — SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED - - - _ I --- EXP T LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) 'A�LOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR PARKING LOT AREA I PLANNING REVIEWED BY DAT REQ'D PROVIDED IL A V-4111 CHECKED BY TYPE OF CONSTRU OCCUPANT FYION CM ,j=t4Z4jjiy GROUP SPECIALINSPCCTION' JAREA OCCUPANT REQUIRED U YES LO MMARKS OGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical /tt, Grading ,E�pr. Review IiNgr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fee Receipt # I 67a —9-1 CALL FOR INSPECTION (425) 771-0220 APPLICATION APPROVAL This application is not a permit until signed by the Building Oftlall or his/her DepUty: and Fees are paid, and receipt is acknowledged In space provided. OFFIC VISIOGN DATE (7;�M 7'�, REL9A§ED BY- - - - DATE ATTENTION W 1333 I% IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L ; V (A A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI1FI- �__&GINAL- FILE YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 1 GREEN - ACCOUNTING PRESS HARD -YOU ARE MAKING 5 COPIES 0111