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DATE RECEIVED/_
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNERNAM
Aglow International @ Edmonds office Bldg.
MAILING ADDRESS
131 2nd Ave. South
CITY ZIP TELEPHONE
Edmonds
NAME
N/A
ADDRESS
CITY ZIP I TELEPHONE
NAME
Smith Fire Systems
ADDRESS
3813 168th St. N.E., Suite 1
CITY ZIP I TELEPHONE
Arlington 98223 P60-651-7701
STATE LICENSE NUMBER EXPIRATION DATE CH7
SMITHFS1360T 11-02-2004
PROPERTY TAX ACCOUNT PARCEL NO.
00454800102300
NEW
RESIDENTIAL
AUDITION
COMMERCIAL
REMODEL
APARTMENT
REPAIR
GRADING CYDS
DEMOLISH
TANK
GARAGE
RETAINING WALL
CARPORT
ROCKERY
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN
[:]
PLUME31NG / MECH
F1
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( X FT)
OTHER
RENEWAL
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
UNI' NUMBER
o STORIES 2
DESCRIBE WORK TO BE DONE
)I Relocate existing sprinklers and add new
Isnrinklers to accomadate the tenent
HEAT SOURCE
GLAZING %
LOT SLOPE *6
PLAN CHECK NO: 0 1 -5— 1 VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
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PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
"APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY 0 F
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2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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4 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
a DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27
SIGNATURE (OWNER OQ�G �T)
DATE S)INED
USE
ZONE
JOB
ADDRESS
PLAT NAME/SUBDIVISION NO.
PERMIT EXPIRES
PERMIT
NUMBER
LOT NO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— FT
METER SIZE LINE SIZE-7 NO. OF FIXTURES
I.
SUITE/APT1f
LID NO.
LID FEE $
TESCP Appfoyed
0
AW Permit Required
0
Street Use Permit Req d
E]
Inspection Required
0
Sidewalk Required
0
Underground
wifing required
0
PRV REQUIRED
YES 0 NO 0
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
ENGINEERING
REVIEWED/DATE
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VARIANCE OR CLI
SHORELINE OR ADB#1
INSPECTION
BOND
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POSTED
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0 YES 0 No
SEPA REVIEW
SIGN AREA
HEIGHT
� ... EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
EXP I
,
,
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR
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PARKING
LOT AREA 1
PLANNING REVIEWED BY DATE
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REO'D I PROVIDED
REMARKS
CHECKEDBY
ITY
_T,VSTP,UCTION
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Cgp�� OCCUPANT
GROUP 45
SPECIAL INSPECTOR
OCCUPANT
REQUIRED
JAREA
LOAD
REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
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VALUATION
FEE
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PJ.A�
BUILDING
GRADINGIFILL
STATE SURCHARGE
REVIEW FEES
rMaIN'SPECI ION FEE
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r,NSPECT,ON FEE
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RECEIPT
P PL
LAN CHECK DEPOSIT
ATTENTION %.-
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
5/98
RECEI
To rAL AMOUNT DUE
CALL
FOR INSPECTION
(425
7 71 - 0 2.) 2 0
EXT/333
771-0221
FAX
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid.and
receipt is acknowledged in space provided.
;7FICIALS SIGNATURE DATE
(Y �. So, o 0 -2 3 -0 V-
PLEASED BY DATE
V-f1Ah141W,,1 5ell %e�
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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CASCADE TESTING LABORATORY, INC.
TESTING& INSPECTION/ ENGINEERS
120 1 �8
-
PREVIOUS
No.
12919 N.E. 126TH PLACE I
KIR K LAND. WASH I NGTON 98034 (425) 823-9800
EVERETT (425) 259-0817
REPORT No.
DATJ�
CERT. NO. 0/1
CS L� 2. 9ts'
FIELD REPORT
PROM g::�V
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LOCATION
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BLDG. PERMIT NO.
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OWNER
WEATHER
TEMP. AT AM
AT PM
ENGINEER C_
-WR—CHITECT
ATTN:
— t-,%
7ONTRX)OR
(2)
INSPECTION PERFORMED
(3)
ITEMS INSPECTED
FOUNDATIONS
RESTEELICONCRETE R�ETEEL ONLY
— FOOTINGS
SLAB
'TR
RESTEELIMASONRY STR.STfWELDING
— AUGER CAST PILES
— COLUMNS
OTHER STR.ST/BOLTING
— DRILLED PIERS
— WALLS
— BEAMS
^A�InKl 1ADrAQ%
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(5)
CONCRETEIMASONRY MIX NO. DESIGN STRENGTH (f'c)
SUPPLIER TOTAL CU. YD. PLACED
SLUMP (INCHES) SPECIMENS CAST
AIR CONTENT SEE CYLINDER REPORT NO.
—YES —NO _ ITEMS INSPECTED WERE IN CONFORMANCEWITH BLDG. DEPT. APPROVED PLANS
REMARKS: ef ocfq\.P- 'j k 0 rs c_j AA
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TEST RESULTS APPLY ONLY TO THE ITEMS
HEREIN TESTED. THIS REPORT SHALL NOT INSPECTOR(S), NAIAI�E(S)l PRINTED
BE REPRODUCED EXCEPT IN FULL, WITH-
OUT THE WRITTEN APPROVAL OF CASCADE
TESTING LABORATORY. INC. INSPECTOR SIGNATURE
REVISED 8100 SIGNED BY
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: -FIRE DEPARTMENT DATE. J
PLEASE SIGN
ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT JALt-/ IAZ72�-]&A,114
SITE ADDRESS- 'q /' 0 /00
PERMITV -60q—d('2,(,, ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED 5P(L1,k_Le:r(z LA"Q(24:�
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
El Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fbmis:ocaprv1 3/25/04
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION
n, AV
At: 1232 4uth #100 Buildin ermit # 2004-0125
0.
Occupancy established by this ceri ficate:
Dwelling Units: **N/A*** Stories: 2
4111
B Type�of, uction: II-N1 Sprinkled
Basement: No
Maximum occuMnt Load
(Per USC 1002)
Roor*apaCjtyV'LSjg S, . -times.
ustr6main posted at all
Owner of Building iteA' W'i line, WA 98177
,The - Agloi�v Intemational has bee d art requirements of the 1997 Edition
of the Uniform Building Code as adopted by fo the y and the use for wh -
Occupancy Is classified. F �ch the proposed
Issued this 293i� 2004
SWIEF BUILDING OFFICIAL
BY:
This certificate shall be posted In a conspicuous public area and shall not be removed, mutilated or obscured and shall b in legible condition at all umes. Any change of occupancy or use requires a building permit and a now
Certificate of Occupancy Issued by the City of Edmonds Building official.
It
00o sees 00006100''Was see assess, W,
- - - ------- ------ --------
---- --------
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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 .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ... -------------
MISCELLANEOUS ..........
9
FINAL Q---"hh--6r-
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