20030218.pdfa
DATE RECEI"I
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PERMIT EXPIRES
USE PERMIT
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CITY OF EDMONDS NUMBER
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CONSTRUCTION PERMIT APPLICATION
ADDRESS
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OW14ER NAME/NAME OF BUSINESS
Seattle Baptist Church PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
MAILING ADDRESS LID FEE S
TESCP Approved 0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW Perm" Required 0
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Street use Permit Req d 0
CITY ZIP TELEPHONE EXISTING — PROPOSED inspection Required 0
Sidewalk Required 0
REQUIRED DEDICATION— FT Underground
206.579.3026 1 Wiring required 0
NAME METER SIZE- LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 0 NO 0
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ADDRESS REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE a
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CITY ZIP TELEPHONE
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NAME
Crown Fire Protections Inc. ENGINEERING REVIEWED/DATE
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ADDRESS
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4932 W. Interurban Blvd.
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FIRE REVIEWED BY DATE
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CITY ZIP TELEPHONE C
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Bothell, WA 980 425.481.7669 -3'-2,
VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION DATE REO'D POSTED
CROWNFP044LL 4. 0 YES (:) NO
SEPA REVIEW SIGN AREA HEIGHT
PARCEL: 90. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
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LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
C:] NEW RESIDENTIAL PLUMBING MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR
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ADDITION C@ CUMMERCIAL COMPLIANCE OR
CHANGE OF USE
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PARKING LOT AREA PLANNING REVIEWED By DAT'F
REMODEL APARTMENT SIGN REO'D I PROVIDED
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0 REPAIR E] GRADING C3 FENCE
CYDS I X FT) REMARKS
DEMOLISH TANK OINER
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... ;� �UMBER CRITICAL
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DWELLING -7 Ini., SPECIAL INSPECTOR AREA OCCUPANT
OF AREAS
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STORIES UNITS IUMBER REQUIRED C3 YES LOAD
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DESCRIBE WORK TO BE DONE F
1st Floor- Add 50 ugrights & 52 pendants REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
2nd Floor- Add 55 uprights & 55 pendants
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VALUATION
FEE
PLAN CHECK FEE
HEAT SOURCE GLAZING % LOT SLOPE BUILDING
PLAN CHECK NO/ VESTED DATE PLUMBING
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MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
W PERMIT APPLICATION: 180 DAYS
WORK IS STARTED WITHIN 180 DAYS
PERMIT LIMIT. 1 YEAR - PROVIDED ES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*4MF1N'STP"K7TION FEE
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
w IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING
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2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEIPT O'nt
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 3as
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOU IREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION." RECE7
I TOTAL AMOUNT DUE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
APPI ICATION 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- This application is not a permit until signed by the
CALL
TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foes are paid. and
IN VIOLATION OF THE LAB THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSA )NSUI)ANCE NO RCW 18.27 OFFICIa.USIGNATURE �ATE
SIGNAT ER 0 GENT) DATE SIGNED (425)
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771 -0220 AELEA* DATE
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ATfENTtON EXT 1333 0
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- L-011GINAL FILE YELL6W - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR
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FROM:
FINAL PROJECT APPROVAL FORM
TO:
DATE:
1IVISION
DEPARTN0NTDATE_Ja1(,6Z0S - ..
nZAUMN —ENUINEERJNG DIVISION DATE. .
PLANNING DIVISION DATE
PROJECT 5 &+M S r-
SITEADDRESS_ 762-0 '04
PERM . IT # 0 _& DATE INSPECTED__2 3_
DESCRIPTION OF WORK TO BE INSPECTED —
A Held Inspection was conducted to determine final compliance with approved plans. Fbal approval
denotes that there' are no objections from the above signed Department to the release- of
PERFORMANCE BONDS and the granting of
ki.RANT FINAL PROJECT APPROVAL
GRAM PROJECT APPROVAL WrIH CONDITIONS NOTED
c3 Copy of CONDITIONS given to owner/contractor by inspector
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'FAILEb FINAL INSPECTION - OUTSTANDING ISSUES.
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
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2.
3.
REMNSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sigq_
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RECORD OF INSPECTIONS
DATE APPROVED
INSPECTOR
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
GasTest ....................
.................
Gas Piping
Equipment.................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
WallInsulation ........... ----------------
Ceiling Insulation
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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DATE RECEIV 17, - ------ PERMIT EXPIRES
m USE PERM17'
CITY OF EDMONDS ZONE NUMBER L6t6`
C CONSTRUCTION PERMIT APPLICATION JOB
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UM MAILING A!DRESS LID FEE $
Z TIESCIP App�oved 0
RW Permit Required 0
0 ell PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Street Use Parmil Req'd 0
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CITY ZIP TELEPHONE EXISTING — PROPOSED inspection Required 0
sidewalk Required 0
REQUIRED DEDICATION� FT Underground
Z06,579.3026 Wiring required 0
NAME'-' METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 0 NO 13 z-
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ADDRESS REMARKS z
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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ZIP TELEPHONE
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NAME
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Crown Fire Protection, Inc. ENGINEERING REVIEWED/DATE
cc ADDRESS
4932 W. Interurban Blvd.
FIRE REVIEWED BY DATE
CITY ZIP TELEPHONE
4
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Bothell, WA 9801 425.481.7669 -31
STATE LICENSE NUMBER EXPIRATION DATE c VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND
-oseReosi.. REO'D POSTED
CROWNFP04411 4.8,03 LAI E3YES 0 NO
SEPA REVIEW SIGN AREA HEIGHT
P PERTY X ADQ9UNT PARCEL NO. COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED , PROPOSED
EXP
RESIDENTIAL LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
NEW 0 PLUMBING MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UP SIDE REAR
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C3 ADDITION COMMERCIAL COMPLIANCE OR 2
CHANGE OF USE z
PARKING LOT AREA PLANNING REVIEWED BY DATE
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REMODEL APARTMENT SIGN REO'D I PROVIDED
[3 GRADING o FENCE
REPAIR CYDS X FT) REMARKS
DEMOLISH TANK 01;HER
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CARPORT R , [:] RENEWAL
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(TYPE OF USE, BUJINE§S OR ACTIVITY) EXPLAIN:
Church 1496HOOL CHECKED BY T F CON RUC ION CQMI�li OCCUPANT'
GROUP
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Lu NUMBER NUMBER OF CRITICAL
a OF DWELLING IA. 1 0
AREAS SPECIAL INSPECTOR I AREA OCCUPANT
o STORIES UNITS NU REQUIRED C3,�*ES LOAD
DESCRIBE WORK TO BE DONE
1st Floor- Add 50 uprights & 52 pondants REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D 3
2nd Floor- Add 55 uprights & 55 pendants 5
Ile
VALUATION FEE
CID —
PLAN CHECK FEE
HEAT SOURCE GLAZING % LOT SLOPE % BUILDING eA
PLAN CHECK N!� VESTED DATE PLUMBING
07,
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCT ION ON THE PUBLIC
a GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
STATE SURCHARGE 11,940 A566
Uj PERMIT APPLICATION: 180 DAYS
06 PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS JV
414ZR 'IETFEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
0 1 1. ;WIN'TECCTION FEE .
0 "APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE RECEIPT
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT /7
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION."
ml TOTAL AMOUNT DUE RECE7 r2- 0 1
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 APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
TION; AND IN DOING THE WORK,&VJHORIZ EO,TH ERE BY, NO PERSON WILL BE EMPLOYED CALL Building Olficial or his/her Deputy: and Foes are paid. and
IN VIOLATION OF THE LABg9:c0,b9"twjHE STATE OF WASHINGTON RELATING To FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSA;4ON INSU�ANCE NO RCW 18.27.
OFFICI GNATURE 'AT E
SIGNATURE (OW ER,04GENT) DATE SIGNED (425)
771 -0220 -LEA
I(AE DATE
ATTENTION EXT 1333
IT IS UNLAWFUL TO USE 011.�QCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 01 IGINAL - FILE YELL�W - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR
5/98
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