20030905.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS I
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NAME k"A)6 110 P1411S AIA
ADDRESS
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CITY ZIP 7ELEPHO*
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NAME ICOLTa�,5799v*
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USE PERMIT
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NUMBER
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ADDRESS
SUITEIAPT#
PLAT NAME/SUBDIVISION NO.
LID N6.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESGP Appr
RW PerrrA Raquir-
Street use Permit ':.�
EXISTING — PROPOSED
Inspection Required
Sidewalk Required
REQUIRED DEDICATION— FT
Undargirmid
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METER SIZE
IZE
NO. OF FIXTURES
PRV REQUIRED
NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
77RANK CoN vt 2L).
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ENGINEERING REVIEWED BY
DATE
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FIRE REVIEWED BY
DATE
CITY ZIP TELEPHONE
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STATOUCENSE NUMBER , . EXPI'RATION'DATE CHECKED BY
VARIANCEORCU
SHORELINEORADB# INSPECTION BOND
REO'D POSTED
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BEIRA REVIEW
SIGN AREA HEIGHT
PROPEFITY TAX ACCOUNT P No.
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COMPLETE
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ALLOWED PROPOSED ALLOWED PROPOSED
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1:1 NEW RESIDENTIAL CO-p-w-MBINGIMECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.)
FRONT SIDE REAR FRONT LIFISIDE REAR
COMPLIANCE OR
0 ADDITION COMMERCIAL
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CHANGE OF USE
REMODEL MULTIFAMILY SIGN
PARKING LOT AREA PLANNING REVIEWED BY DATE
RECrD I PRC13fIDED 116
REPAIR GRADING FENCE
CYDS ( X FT)
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REMARKS
0 DEMOLISH TANK OTHER
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70
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GARAGE RETAJNINGWALIL FIRE SPRINKLER
CARPORT ROCKERY -FIREALARM
(ME OF USE. BUSINESS OR ACTIVTM EVILAIN:
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CHECKED BY OF
CONSTRUCTION CODE OCCUPANT
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GROU:,�
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NUMBER NUMBER OF
OF DWELLING
SPECIAL INSPECTION JAREA OCCUPANT
LOAD
UNITS
REQUIRED [3YES
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESi INSPECTIONS PER USC 108/FINAL INSPECTION REO'D.
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VALUATION
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
161 t City Surcharge
PLAN CHEC:n VESTED DATE
Plumbing
60 rmAlw
Mechanical
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THIS PERMIT AUTHORIZES ONLY TAE WORK NOITIED. THIS PERMIT COVERS WORK To
-
1:: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC
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Grading
,i�(,
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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Engr. Review
PERMIT APPILICATION: 180DAYS
-!MIT 1IJMrr I YEAR - PROVIDED WORK 15 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
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IN INTEREST. AGREES TO INDEMNIFN: DEFEND AND HOLD HARMLESS THE CITY OF
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
Landscapeinsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CIIYS 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 CORRECI� 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 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 acknowledged In space provided.
WORKMEWS COMPENSAT5bL, 27. �,,-
OFFICIALSAW NATURE DATE
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SIGNATURE (OWNER AGENT) DATE SIGNFP
(425)
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771-0220
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RELEAS*BY/ DATE
ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR�Ginell_E YELLa. INSPAOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
I,
PN NER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN ACCOUNTING
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--RE-INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
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Occupancy established by this certificate: Dwelling Units: 'N/A** No. Stories: I
B/M
Type Construction: V-1 HR Sprink Basement: No
Maximum Occupant Load **16**
Per U.B.C. 1002)
Room capacity signs, when required, must remain posted at ag times.
Owner of Building: Boo Han Plaza
Address:-.2 6'Hichwai99
THE— HIghiandPharmaCV HAS 13EEN INSPECTED AN' 'COMPLYING WITH THE REQUIREMENTS OF THE 1997 EDITION OF
D APPROVED AS
THE UNIFORM BUILDING CODE As ADOPTED BY THE CITY FOR THE GROUP AN
PROPOSED OCCUPANCY IS CLASSIFIED. 0, DIVISION- OF OCCUPANCY AND THE USE FOR WHICH THE
Issued this _8th day ot- Decombe 2003
CHIEF BUILDING OFFICIAL
BY:
This certificate SW be posted In a conspicuous public are3 and shall not be removed, mtAlated or obscured and shall 'be maintained In legible condition at all times. My change of Occupancy Or use (SQuires a building permit and a now
Certificate of Occupancy Issued by the Oty of Edmonds Building Offlclal.