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20030930.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS — / 9 � t/0 16 'r1f 4 V, 6 CITY ZIP TELEPHONE �5�" 4--r-laC, cvq 190*771 '?06- 50�_91� 1 0 1 NAME ADDRESS CITY NAME V ADDRESS vp CITY STATE LIC 1 1. A x PERMIT EXPIRES USE PERMIT ZONE 6b NUMBER '-Za 3 JOB v- s ADDRESS 177 PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESOP Approved RW Parailt Required Street Use Pernift R&Q'd EXISTING — PROPOSED inspection Required [3 Sidevialk Required 13 REQUIRED DEDICATION— FT Underground Wiring required 13 METER SIZE LINE ;��NO. OF FIXTURES PRV REQUIRED I YES 0 NO C3 L REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ZIP TELEPHONE /IV ffo-Ao I 4U5-9o?1-1700 CBL N 00) r,- Ain I-P/ - I lb 1?7 1ENGINEERING REVIEWED BY ZIP EL, /I i LA TAX ACCOUNT PARCEL NO. DATE NEW RESIDENTIAL PLUMBING I MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL 0 MULTIFAMILY SIGN REPAIR 0 GRADING CYDS FENCE X ( _ FT) DEMOLISH [3 TANK OTHER ciGARAGE [3 RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY F RE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: NUMBER NUMBER OF CRITICAL OF -2 DWELILING �__UNITS AREAS STORIES N."MRFR DESCRIBE WORK TO BE DONE (jg:r 44_1 _A Jr. - A A=) -A) DATE ED B DATE _77/_ rL T I If 1,4103 ANCE OR CV- SHO NE OR ADB# INSPECTION BONO REO'D POSTED 1[3YEs 13NO IS SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROpOSEn I At I OWED PROPOSED LOT COVERAGE I REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED I FRONT SIDE REAR FRONT UR SIDE REAR PARKING LOT AREA PLANNING REVIEWED BY DATE REO'D I PROVIDED I I REMARKS CHECKE13 BY ITY C R)TRucnON OCCUPANT GROUP 45 fr1WAA1rJC0q 7 SPECIAL INSPECTION JAKEKA OCCUPANT REQUIRED 0 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D J!3 I!;?- - - - . - - _4 11�_ I - __ - J I.A44tj 18 $ I Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE 0 Plumbing a sf- 1z Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: ISO DAYS PERMIT UMM 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 3 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due (�56 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." 7;2 Recording Fee Receipt # hod 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 application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Officiall at histher Deputy: and Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKME4 COMPENSATB*4kSURANCE AND RCW 18.27. 'S IA IGNAT DATE SIGMURE (OWNER DATE SIGNED 961 (425) ouov- -9003 771-0220 EL ASED BY ATTENTION EXT 1333 Zk / Z// la IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL __ A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 'vr13IR VIN.'L - FILE - Y LLON - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P� - OWNER - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 M =Vii V5 � 0 rn C rim 0 C 3� C M M 10 � z V) 0 111 3� C M M 8 V) 0 Fn C (j) C Ch M 0 X CO) z 0 1 0 M GARY HAAKENSON MAYOR in C. 1 SO) -0221 -0220 1 FAX (425) 771 121 5TH AVENUE NORTH EDMONDS, �VA 98020 (425) 771 WebsIte'. wwadedmondsma.us DEVELOPMENT SERVICES DEPAR I mr-l" I Planninge, Building e Engineering December 5, 2003 Alcazar Enterprises (P.I.E.) 18440 161 Ave NW Shoreline9 WA 98177 Re: Building Permit: P.I.E. / Storage Site Address: 123 rd Ave S #99 Expiration Date: 12/1/04 Dear Sir or Madam: According to Building Division records the subject project has recently received the sheetrock nailing inspection approval. The remaining inspections required are noted on the field job card and include final inspections by Fire, Planning and lastly Building. Please be advised, the subject building permit will expire on December 1, 2004, prior to this date you must have final st renew the permit. If you are project approval from the above noted Departments or you mu ne half certain that the work will not be complete by this date, you must remit fees of $70.00 (o the original building permit fee) prior to the expiration date for renewal. if the permit expires, full fees shall be required in order to complete the project. if you are certain the building will be complete before the permit expires be sure that the following is complete before contacting the Building Inspector for the final occupancy inspection: 1) All required special inspection reports (if applicable) are submitted to the City including; structural spray -applied fire proofing, 2) All other City Departments have granted final project approval. if you have any questions please feel free to call our office at 425-771-0220. Sincerely, 'JUhmbauf heresa Permit Coordinator L\TeMp\DST,S\Master LettM\SrwRm1-bC0m 10/27/00 Incorporated August 11, 1890 Sister City - Hekinan, Japan UT, 41, 0 a FAILED FINAL INSPECTION - OUTSTANDING ISSUES a Copy of CORRECTION NOTICE given to owner/contractor by inspector. 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign, ocaprvl.doc.l:temp:bldg:fonnsIO/OI z 0 m =i --n- m m 0 0 0 C= .—j m 3: M M Z 10-1 Cl) 0 -n n m M 0 0 0 M M 0 Z r— z z 0 1 0 m M f RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... Wall ........ .............. Pier/Pbrch ................. Retaining Well ........... Slab. Insulation .......... PLUMBING: -.Und rground .............. Rough -In ................... dommercial Final ... HEATI NG: t901� Tes ..... ......... . -Gas Piping ................. 1quipmqnt:..� .............. Commercial Final ....... EXTERIOR SHEATHING NAILING...... .................... F14AMING ...................... .. -FIRST FLOOR FRAMING... i _,U INSULATION , .................... . Floor Insulation . ....... !.. Wall Insulation ....... Ceiling Insulation ....... SHEETROCK NAILING SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR S M OCCUPANCY ............. cup DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS 41-61qZAt 6"7-a,0;q_T:;C- MAILING ADDRESS /< Z/4/r) I, -- CITY ZIP .�� 22Z NAME A9C_t)C-2 C_ JAI 7- ADDRESS U_�, CITY ZIP Q2,4f6vvr,�;, NAME TELEPHONE 909- TELEPHONE 4415-7a/-/700 _ CBL N �A I CV ?? PERMIT EXPIRES USE PERMIT ZONE 3 q NUMBER JOB ADDRESS SUIT APT# PLAT NAME/SUBDIVISION NO. LOT NO. LI LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESCP Appl=. Rw '. R 11reet Use Pannh Roced EXISTING — PROPOSED InspecAlon Roquired SId squired REQUIRED DEDICATION— FT Wiringrequired CI METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 z NO 13 REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I ENGINEERING REVIEWED BY DATE P0 box 1.119 A CITY TELEPHONE F1 ED 8 . I /DATE 11 Z6103 MA Z, __iNSPECTION ANCE OR CV SHOVNE OR ADB# BOND STATE LICENSE NU16VER 129PIRATION DATE REO'D POSTED I 113YES VierLI". P -1 5— W 13 s �L SEPA REVIEW SIGN AREA HEIGHT TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED cusqgto /04222 1 , Ise EXP NEW 0 RESIDENTIAL 0 PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) SIDE REAR FRONT URSIDE REAR ALLOWED PROPOSED FRONT ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE z 2-2 ,u OF USE 9 PARKING LOT AREA PLANNING REVIEWED BY DATE IL REMODEL MULTIFAMILY 1:1 SIGN REO'D I PROVIDED REPAIR GRADING FENCE 13 all a - J!* CYDS X_FT) REMARKS :Hmi TANK E] OTHER VVINI—Man I WNW EiGARAGE RETAINING WALL FIRE SPRINKLER FIRE CARPORT ROCKERY ALARM .(7E OF USE,�'BUSINESS OR A.CTIVITY) EXPLAIN: L CHECKED BY OE CON'��TRUCTION CCUPANT — — _12>�6 cog 0 91 f—z- ITYPE GROUP A) < NU MOEN,"' OF - 7c-? NUMBER OF DWELLING CRITICAL AREAS SPECIAL INSPECTION AF0AT OCCUPANT LOAD STORIES'' UNITS REQUIRED [:] YES DESCRIBE WORK TOME DONE REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECI 110N RE-0-0 IAAar-I.A A2- eei4l F_4 I2= VALUATION s Description FEE Description FEE Plan Check State Surcharge HEAT S I OURCE T--G-17ZING % LOT SLOPE % Building Permit (,1D City Surcharge PLAN CHECK NO. VESTED DATE �2 �& Plumbing — Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= DONE ON PRIVATE PROPERTY ONLZ ANY CONSTRUCTION ON THE PUBLIC a Grading DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE t: SEPARATE PERMISSION. 2 Engr. Review 5 PERMIT APPLICATION: 100 DAYS PERMIT UUM I YEAR - PROVIDED WORK IS STARIrED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, A . SSIGNS . AND'SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO 1NDEMNiFX 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 ISSUAHCE OF THIS PERMIT. ISSUANCE OF THIS PERM11 SHALL NOT BE Landscapeinsp. Total Amt. Due DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 1"s U NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt # 1 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 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. WORKMEN'S COMPENSAI�191+*(SURANCE AND RCW 18.27. qFFIQIAIS IGNA DATE SIG DATE SIGNED IA05) lk-VK" " -0. =RE(OWNER :R2;tG <J0 U I 771-0220 1 OELII(ASED BY ATTENTIONIE��W4aV- 1?4 6103 Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ,.V�R YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 :GINIA-FILE P�K-OWNEFI - GOLD -ASSESSOR 04/02 GREEN - ACCOUNTING PRESS HARD -YOU ARE, MAKING 5 COPIES 110103 z 0 0 M C MS 40 0 M M 10 �5 z 0 -n A MM a 6) 0 0 Fn C (j) 0 z z M