20040155.pdf11 ile
[PERMIT
DATE RECEIVED
EX PIRES
CITY OF EDMONDS
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PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
SUITE/APT#
ADDRESS
OWNER NAME/NAME OF BUSINESS
PLAT NAMEISUBDIVISION
NO LOT NO LID NO
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LID FEE $
MAILING ADDRESS
611
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TESCIR APPTry �d�13
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pornut Flaquirod Q
Street Use Pannit Ritq'd 0
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Inspection Reciijand 0
CITY ZIP TELEPHONE
EXISTING — PROPOSED Side*alk Hequited E3
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REQUIRED DEDICATION�
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Wiring iroquirod
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METER SIZE LINE
SIZE PRV REQUIRED
NAME
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ADDRESS
REMARKS z
OWNER/CON TRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE E5
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CITY ZIP
NAME C13L 4
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ENGINEERING REVIEWED BY DATE
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STATE LICENSE NUMBER EXPIRATION DATE CH BY
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SEPA REVIEW
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SIGN AREA HEIGHT�
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PROPERTY TAX ACCOUNT PARCEL NO.
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LOT COVERAGE
REQUIRED SETBACKS (Fr.) PROPOSED SETBA CKS (FT.)
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NEW RESIDENTIAL WILLI MBING MECH
ALLOWED PROPOSED FRONT SIDE REAR FRONT
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COMPLIANCE
ADDITION COMMERCIAL OR
CHANGE OF USE
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PARKING
PLANNING REVIEWED BY DATE IL
REMODEL MULTIFAMILY SIGN
RECI'D I PROVIDED
GRADING FENCE
REPAIR CYOS o ( X� FT)
REMARKS
DEMOLISH TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
FIRE ALARM
CARPORT ROCKERY
0
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
CHECKED By
ION OCCUPANT
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GROUP
U NUMBER NUMBER OF CRITICAL
OF DWELLING 1U,0101 AREAS
SPECIAL INSPECTION
AREA OCCUPANT
LOAD
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STORIES UNITS y NUM13ER
REQUIRED [3 YES
DESCRIBE WORK TO BE DONE
3 70
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D F3
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VALUATION
Description
FEE Description FEE
Desc
Plan Check
5FEE
State Surcharge
State S
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
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City Surcharge
City SL
Plumbing
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Base Fee
PLAN CHECK NO:
VESTED DATE
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
:
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180DAYS
CIL
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review
Plan Chk. Deposit
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SU CCESORS
Fire Inspection
Receipt 0
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IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
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FROM E ISSUANCE OF THIS PERMIT. ISSUANCE OF I kits PERMIT SHALL NOT BE
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Total Amt. Due
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITYS AB ILITY 10 ENFORCE ANY ORDINANCE PROVISION�'
ceipt #
Receipt #
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Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLICATION APPKUVAL
APP'
GIVEN IS CORRECT AND THAT I AM TIIE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a perinit until signed by the
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THE OWNER. I AGR�E TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Official or his/tier Depulyi and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED R receipt is acknowledged in space provided.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
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WORKMEN'S COMPENSAT19H.-INSURANCE AND RCW 1&27. OFFICIAL�SIG LIFE ALT E
-N11 DATE SIGNED (4
SIGNATU F�E (OWI�IER OR �Gl
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771-0220 RE[ FASED BY DATV
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ATTENTIO
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
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
0111GINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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Grease Trap Sizing Worksheet
Facility Name: E-1 I P (/, e, r I (-) -
Addi-ess: -An;ll 'EL Suite No.:
• A Grease Trap plumbing pernlit is required ($165.00 fee). Contact tile Pretreatment
Teclinician (425-672-5755) if you liave any questions and also to 1yet signature approval oil
this form.
• Disliwashers are not allowed to be connected to a Grease Trap.
• Food disposers are not allowed in a facility served by a Grease Trap and must be disabled or
removed. Solids must be screened out and placed in tile solid waste container.
Fixture Capacity in Cubic
Inches
(L x NV x 1) x no. of sinks)
Fixtm-e Capacity
in Gallons
(Cu. In. -- 23 1)
Drainage Load
(75% of Total
Capacity)
Flow Rate foi,
a 2-A,Iinute
Di-ain PeHod
#1
:0 x 2.0x (c, x c.i.
+ 23 1 = gal.
x .75 = gal.
2
#2
Narrvw L,ro4-.j1)Xkf1-%" r-�,--Vja4
X X c.i.
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��231 =
x
_.1.75 =
#3
X x X c.i.
+ 23 It = gal.
x .75 = .gal.
+ 2 = (Ypill
A4
x x X c. i..
+ 231 = gal.
1. .75 =
2 = cypill
G i-e a s e T i-a p # I — To ta I d i-a i n a ge 11 o w s fi-o III Ina x III If 11, o r 4 111 x tu re s
gpI11
#1
X x X c. i.
23.1 = gal.
x .75 = 2al.
+ 2 cypill
#2
X X X c. 1.
2 3 1 = aal.
x .75 = gal.
+ 2
#3
X X X C.L
231 = gal.
x .75 gal.
gprn�
#4
X x X c. i.
231 gal.
x .75 gal.
2= gPIll
Grease Trap #2 — Total drainage flows from maximum of 4 fixtures
— gPM
MINIMUM SIZE OF GREASE TRAP(S) REQUIRE, D
I — gPM
Number of Fixtures Connected to a Gi-ease Trap
4
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Grease Trap Size (in.gpni).
20
3!�
50
Upsize foj- factoi-s such as high volume dishwashing, high oil/grease content on menu, etc.
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---------------------------------------- (For City use only below this line) -----------------------------------------------
Remarks: Re-cotnrne-,nrl -larejer- siz�—j (315-an,") 1'r 11 Q/-4r4 to/,(-,rfiQ,(d14
Size Approved: 25 gpm Approved by: Date: 2-19-04
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Umbaugh, Theresa
To: Graf, Jeannine
Subject: FW: El Puerto
He did sign the pink copy of the permit in the field, he wasn't sure where to sign it, but it's done.
Thanks JLG.
----- Original Message -----
From: Graf, Jeannine
Sent: Monday, March 01, 2004 11:07 AM
To: Umbaugh, Theresa
Subject: RE: El Puerto
Tell him he needs to sign the pink field copy form of the permit for the applicant and he sends an email to us so we can
close the permit out on our end. Thanks Graf
----- Original Message -----
From: Umbaugh, Theresa
Sent: Monday, March 01, 2004 10:06 AM
To: Graf, Jeannine
Subject: FW: El Puerto
Should I ask Mike this question or is it a greenie situation?
----- Original Message -----
From: Yokers, Tim
Sent: Friday, February 27, 2004 4:09 PM
To: Umbaugh, Theresa
Subject: El Puerto
I did the final inspection of the GT installation at El Puerto today. Looks good. I signed and dated on his copy of the
construction permit application. Where am I supposed to sign on that form? I signed in the right hand column under
"Progress inspections per UBC 108/Final inspection req'd". Permit number 2004-0155.
Thanks,
Tim
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
z
Pier/Porch ................. 0
Retaining Wall ...........
Slab Insulation ..........
=n
PLUMBING: C/)
M
Underground .............
ITI
0
Rough -in ................... 0 C:
Commercial Final ......
M
M Z
HEATING:
C=
GasTest ....................
Gas Piping .................
0 -n
Equipment.................
3:9
Commercial Final ....... M ITI
0 (n
EXTERIOR SHEATHING
0 171
NAILING .......................... C:
9
FRAMING ........................ Q 0
Z
-1
7
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation ......... z
Wall Insulation ...........
Ceiling Insulation ....... z
0
--I
SHEETROCK NAILING,...
M
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
&LOU