20030924.pdfDATE RECEIVED
PERMIT EXPIRES w4essees-.esseesser
,6SE PERMIT
CITY OF EDMONDS
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUI*APT#
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ADDRESS
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OWNER NAMEINAME OF BUSINESS
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NAMEISUBDIVISION NO. LOT NO. LID NO.
MAILING ADDRESS
LID FEE S
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701 161 6-r
TESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
Street Use Permit 1140
CITY Z TAEPHONE VA L. 13-A-ray
EXISTING - PROPOSED Inspection Required
Sidewalk Required
6eA7TL.e_ 1,P -T
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REQUIRED DEDICATION- FT UnderorotM
Wiring iisquired 13
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NAME
METER SIZE LINE SIZE I NO, OF FIXTURES PAV REQUIRED
MIM64 M&I 'Z&Aa&WLA6F44e_S
YES C3 NO C3
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ADDRESS
REMARKS
41M 10-di Ave-, MO
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY ZIP TELEPHONE
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NAME BLN
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ENGINEERING REVIEWED BY TE
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STATE LICENSE NUMBER EXPIRATIPfQ IIATE cl�
IANCE OR 6?1 S RELINEORADB# INSPECTION BOND
YIR F;EIQ2f. POSTED
W&4a-o1,7 13YES ;h0 S
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SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
1 404 ,� I I
,
EXP__
LOT COVERAGE REQUIRED SETBACKS (FE) PROPOSED SET13ACKS (Fr.)
NEW RESIDENTIAL PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
COMMERCIAL COMPLIANCE OR
ADDITION CHANGE OF USE
I
REMODEL MULTIFAMILY SIGN
PARKING EW ED By DATE
REOD PROVIDED LOT AREA
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GRADING FENCE
REPAIR CYOS ( X Fr)
-_
REMARKS f
OTHER
DEMOLISH 1:3 TANK
oGARA13E RETAINING WALL ci FIRE SPRINKLER
FIRE ALARM
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CARPORT ROCKERY
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UWE OF USE, BUSINESS OR ACTIVITY)l EXPLAIN: Z;i)AAAU7V-P- F.A41-
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ICTION I CV OCCUPANT
GROUP
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
SPECIAL INSPECTION OCCUPANT
/-I d! LOAD
STORIES UNffS NUMBERJ44 I�a
JAREA
REQUIRED -
j &Udsle
DESCRIBE WORK TO BE DONE
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE010
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Description
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FEE
Description
FEE
Plan Check
P I a n C h e c
State Surcharge
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HEAT qOURCE GLAZING % LOT SLOPE %
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Building Permit
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City Surcharge )5
PLAN CHECK W- VESTED DATE
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Plumbing
P I u bi n g
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Mechanical
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
a OU
DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMITAPPLICATION: ISODAYS
IL PERMIT LIMM I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS
Engr. Inspection
I
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
R S
'APP N BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
'0
Fire Review
Plan Chk. Deposit
0 F
IN I=EiTOAGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
A N D
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
-C TL Y
ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
T BE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
,NCE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due 4W 5?1
'JON
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt #
ATION
I
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORM.]
IF
APPLICATION APPROVAI
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 application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Build4ng Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged in space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
OF:AIGNANU DATE
SI 0 DATE(GNED
5V(OW ---d
77�
(425)
-
1
771-0220
DATI!
ATTENTION ( I
M 1333
IT IS UNLAWFUL TCI,�� OR OCCUPY A BUILDING OR STRUIRE UNTIL
A FINAL INSPECTION HAS BEEN MADE. AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YEIIOW-11
CATE OF OCCUPANCY HAS BEEk..GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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2. A MST nAW MUSY K $0111DULED At
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REQUIREMENTS OF SECTION 5-04 OF WSDOT/APWA. 40 CRMED ! %
SMACING
TOP COURSE
AOCRECATE rOR TOP COURSE SKALL
REQUIREMENTS OF SECTION 9-03.9(3 OF C-121i,7 Culb
COMAJANWEA.
-PLATFORM S ION — EXISTIM9 AOCREGAIES FOR CRUSHED SUFtFACINI
AREAS TO 13E PAYED SR&LL DF CRADED AND COMPACTED PLATFORM -(FULL -HEM) SECTIOR PROPOSED
t.4 M-CE WITH SECTION 2-00 OF THE WSDOT/APWA
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INCLUDED IN CO"lRACT.
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HEIGHT
Believes Womb
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PARKING SPACES PROPOSED:
NOV 21 M
BARRIER FREE PARKING SPACES-. 0
PERMIT COUNTER
07TO ROSENAU& ASSOMTES, INC.
CONSTRUCTION INSPECTION REPORT
Job Number
Report Number:
;Permit Number:
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Project: (A
Architect:
Address' ALV
11A
Engineer:
Client: ��ayiW
Contractor:
6_0
('4rrKtMCP&Y)
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inspector:
Mg:11-
Reinforcing Steel
Shear Wall Nailing
Structural Steel Fabrication
Epoxy Grouting
�e
Roof Diaphragm Nailing
Structural Steel Erection
Anchor Bolt Installation
Spray -Applied Fireproofing
Nondestructive Testing
installation of Holdown System
F, 61
Steel Decking
Other (specify)
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FEB 2 8 2004
DEVELOpMENT SERVICES CTR-
CITY OF EDMONDS
Inspected by: 4�rw DC, Reviewed by'
This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report,
except in full, without written permission from our firm Is strictly prohibited.
Page of J
6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 725-4600 or 1-888-OTTO-4-US — Fax (206) 723-2221
Form No.: F-104
Revised: 10/02
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CONSTRUCTION INSPECTION REPORT
Job Number
Report Number:
Permit Number:
Project:
WPM WW'_
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Architect:
T.-ME97M 7777Z
Address:
'o-M
Engineer
Client:
LOU_
ontractor:
C C
Date: (,13
Inspector:
4" OMNI&=
Reinforcing Steel
Wall Nailing
Structural Steel Fabrication
Epoxy Grouting
X
-Shear
Roof Diaphragm Nailing
Structural Steel Erection
Anchor Bolt Installation
Spray -Applied Fireproofing
Nondestructive Testing
Installation of Holdown system
Steel Decking
Other (specify)
4,
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A,7 r4W bIVK
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if &JICVek Ce—I&-le JQ -
I 100A. I
I Conforms 1'5� 1 Does Not Conform
RECF.IVF.D
FEB 2 0 2004
DEVELOPMENT SERVICES CTR.
Inspected by: Reviewed by: ClTy gF EpMONDS
This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report,
except in full, without written permission from our firm is strictly prohibited.
Page of
6747 M.L. King Way S., Seattle, Washington 98118 - Phone (206) 725-4600 or 11-888-OTTO-4-LIS - Fax (206) 723-2221
Form No.: F-104
Revised: 10/02
PF
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OTTO ROSENA U & ASSOCL4 TES, INC.,
CONSTRUCTION INSPECTION REPORT
Job Number
[Report Number:
Permit Number:
Project:
Architect:
Address:
eg- R R A
Engineer:
Client: -�/
!�a &L Ad 1 -4 �i !�l
Contractor:
C- D Cr4 PLC, I ey'l
Date:
Inspector: 5
7V pt A) 1A to <
Reinforcing Steel
ShearWall Nailing
Structural Steel Fabrication
Epoxy Grouting
Roof Diaphragm Nailing
Structural Steel Erection
Anchor Bolt Installation
Spray -Applied Fireproofing
Nondestructive Testing
Installation of Holdown System
Steel Decking
Other (specify)
'77- 777 "'T", 7,;'T 7 -77770W -.7,755-7 7" 777 7
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Reference Standards'Used:
Cdfiforing I V I DMe-Not'Conform
RF-CEWFED
FEB 2 0 2004
inspected by: Re�qWft T SERVICES CTR-
CITY OF EDMONDS
This report applies only to the items tested or reported and Is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report,
except in full, without written permission from our firm is strictly prohibited.
Page — I of
6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 7254600 or 1-888-OTT04-US — Fax (206) 723-2221
Form No.: F-104
Revised: 10/02
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