20030560 (2).pdfa
DATE RECEIVED /V
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/ AME OF BUSINESS
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MAILING ADDRESS
CITY ZIP ITELEPHONE
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NAME
ADDRESS
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CITY ZIP TELEPHONE
IZ71-127e -2, 9 * 7 -.2, 57 6
NAME / 111410
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ADDRESS
JI PERMIT EXPIRES
bsE PERMIT
ZONE NUMBER
JOB SUITE/APT#
ADDRESS �17 OZ
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE S
TESCP Approved
PUBLIC RIGHiT OF WAY PER OFFICIAL STREET MAP AW Permit Required
strobt Use Psrmh R80
EXISTING X PROPOSED Inspecilon Required
Sidewalk Required
REQUIRED DEDICATION— FT UnderWound
Wiring required
METER SIZE LINE SIZE [ 0. OF FIXTURES PRV REQUIRED
I YEs13 NO E3
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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9ITY, ZIP' TELEPHONE
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STA!'=NSLE UMBER EXPIRATION DATE CHECKED BY]
NEW
RESIDENTIAL 19 PLUMBINGIMECH
ADDITION
COMMERCtAl. COMPLIANCE OR
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NUMBER
OF
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DWELLING
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NUMBER
DESCRIBE WORK TO BE DONE
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ENGINEERING REVIEWED BY / DATE -
FIRE REVIEWED BY
DATE
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CHECKED BY ITYPE OFPN71ON COD� OCCUPANT
GROUP M
SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED [:] YES 2317 LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
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PLAN CHECK VESTED DATE
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Mechanical
THIS PERMIT AUTHORCMS ONLY THE WORK NOTED. THIS PERMIT COV9S WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVIEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: ISODAYS
PERMIT UNIT 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
00 Plan Chk. De"
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, IT$ OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
.5, Receipt #
JIM
ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
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FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapeinsp.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt #
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
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 applicatilan 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 Is acknovAedged In space provided.
WORKMEN'S COMMNSATION INSURANCE AND ROW 18.27.
OFFICIALS SIGNATURE DATE
DATE SIGNED E za __q
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-0220
771
ATTENTION jvf - qltqlG
M 1333
IT IS UNLAWFUL TO USE OR OCCUP) IR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINA17 FILE YELLOW - INSPECT/R
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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DATED 4/26/00
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PER UNIFORM BUILDING CODE SECTION 109
23027 HIghXa Edmo!W
_I 99, s WA Building Permit #: #2003-0560
Occupancy established by this certificate: Dwelling Units: **N/A:e* No. Stories:
N! Type Construction: VIN
Basement: NIA
Maximum Occupant Load (Per U.B.C. 1002)
-mus remain posted at all tirne&
Room capacity signs, when required, t
Owner of Building: Mike & Lindq ThomN Addr oiss: - 5105 1 Street SW, Edmonds, WA 98026
THE High Flyinp Espresso HAS BEEN -INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1997
EdItI;j of Un UNIFORM 13UILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR
WHICH THE PROPOSED OCCUPANCY IS CLASSIOIED.
Issued this 25th day af_____Mly 2004
CHIEF BUILDING OFFICIAL
BY:
This corttkale sW be posted In a cornpicuous pub4c am OW riot be. a. nNated or obscured a-d bV,,,Wmd In 14ble corKillon at all times. Any dm" of oomgwicy or use mulves a buNding perrrAt and a rww
Cerallote of 0ouvancy Issued by the CRY of EdmorWs Sulung Mal.
--------------------------------------------- -- ---------- --- --------
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lVROATE RECEIVED
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PERMIT EXPIRES / I
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CITY OF EDMONDS
"USE PERMIT
ZONE
NUMBER A4�:�
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS 2-02 �/w
SUITE/APT#
OWNER NAM E OF BUSINESS
rA
110,44
PLAT NAMEISUBDIVISION NO. LOT NO.
LID NO.
MAILING ADORE ss
LID FEE $
PUBLIC RIGtiT OF WAY PER OFFICIAL STREET MAP
X
TESCP Approved
MY ParrrAt Required
Street Use Pannit P.Wd
CITY ZIP ITELEPHONE
-2-1 -;7 elg-
EXISTING - PROPOSED--
REQUIRED DEDICATION— FT
Inspection Required
Sidewalk Required
UnderWound
WiMlirequired
NAME,
METER SIZE LINE SIZE NO. OF FIXTURES
PRV REQUIRED
I
YEs[3 NO 13
ADDRESS
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE
CITY ZIP
ELEPHONE
)Gwt
NAME
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BLN
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ENGINEERING R IEWED BY
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DDRESS'
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TELEPHONE
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FIRE REVIEWED BY
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DATE
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STATE LICENSE ?IUMBEA',
EXPIRATION�DA�TEJ CHECKED BY
VARIANCE OR Cu
JED
SHORELINE OR ADB#
ION BOND
REO'D POSTED
VY S is
?:
ds —q
S 13NO
PROPERTY ACCO
SEPA REVIEW
SIGN AREA
HEIGHT
TAX
CEL NO.
COMPLETE EXEMPT
Ail. POSED ALLOWED PIOPOIEJ
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7
no
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,
C:
EXP
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RESIDENTIAL
PLUMBING/MECH
LOT COVERAGE
A p POSED
REQUIRED SETBACKS
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(Fr.) PROPOSED SETBACKS (FT)
RlEe FRONT 1JNilllSIDE R
-4
0
1:3 ADDITION
COMMERCIAL
COOPLIANCE OR
CKANGE OF USE
tLILOWED
NE
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REMODEL
TIFAMILY
'MUL
SIGN
RMRKPING
R 0 E 001 WnFn
0 1 1
LOT AREA PON ING
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REVIEWED BY D
2i 11
"b'REPAIR GRADING CYDS VIOCE
X _FT)
0. DEMOLISH TANK
GARAGE RETAINING WALL
FIRESPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIV" EXPLAIN:
IMBER OF
MiIER -NL CRITICAL
rF DWELLING AREAS
UNITS AW NUMBER Cis
DESCRIBE WORK TO BE DON
EWA
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0 n
n
M M
M 0
CHECMD
_7BYTYPE
O�PN;;PION
ICODE-
OCCUPANT
GROUP
SPECIAL INSPECTION
REQUIRED
YES
JAREA 1*
1 2-3,601
OCCUPANT
LOAD!.
REMARKS
PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REaD
lit W., eed I AIFF#30771'
VALUATION
mew
A A", n I pqpu-wlm
$
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Ir I I lad A 11ag f E4rW-KM-
Description FEE Ml� Dos FEE z
Plan Check �.ee State Surcharge
C9
HEAT SOURCE GLAZING.% LOT SLOPE % I Ifni IT11
( �gd
ounding r-ermit
city Surcharge
=;0
PLAN CHECK H
VESTED
Mechanical,
THISPERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERUfff-f"AS "'ORK-0
3
r.BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC
Grading,-*
3
DOMAIN (CdRBS, SIDEWALKS. DRIVIEVAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERIMITAPPUCATIOlt 111110DAYS
PERMIT' J.1111131.11 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
"r. inspection
fEE BACK OF P INK PERMIT FOR MORE INFORMATION
-APPILICANT, 0 BEHALF Of HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESO S
R
IN INTERE A EEO TO INDEMNIFY: DEFEND AAD HOLD HARMLESS THE CITY OF
EDMONDS WA 94N, ITS OFFICIALS,
Fire Review
Plan Chk. D"
EMPLOYEES, AND AGENTS FROM ANY AND
W
ALL CLAIMS FOR NIPES OF WHATEVER NATURE, ARISING OIREC4Y OR INDIRECTLY
Fire Inspection
Receipt # I
FROM THE ISSUANWOF THIS PEPMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, )VAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.,
Total Amt. Due
q
NOR LIMIT IN ANY WAY THE CTTYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt it
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
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 IJAYVS REGULATING CONSTRUC-
CALL
TWe application 15 not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or Nsther Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF'WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space provided.
L
WORKMENS COM?KNSATION INSURANCEAND RCW 10.27.
OFFICIALS SIGNATURE D E
SIG (OWNN ENT) I DATE SIGNED (420%
771-0220 R DATE
A7TENTION (7,71 W 1333
IT IS UNLAWFUL TO USE I R STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR�GINAIL - FILE YELLOW - INSPEC16R
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P NK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU AREUAKINGS COPIES GREEN - ACCOUNTING