20040173.pdfkp4i"J_�_
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
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CITY ZIP TELEPHONE
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NAME
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ADDRESS
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STATE LICENSE NUMBER EXPIRATION DATE
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PROPERTY TAX ACCOUNT PARCEL NO.
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ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
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MULTIFAMILY
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El REPAIR CYDS
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( X FT)
11 DEMOLISH El TANK
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0 GARAGE RETAINING WALL
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FIRE ALARM
(TYPE OF USE, 13USINESS
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PERMIT EXPIRES
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JOB SUITEIAPT#
ADDRESS
PLAT NAMEISUBDIVISION NO.
LOT NO.
LID NO,
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
IESCP Approved E3
RW Permit Required 13
EXISTING PROPOSED
Street Use Permit Rrq'd 13
inspection Required G I
Sidawalk Required 13
REQUIRED DEDICATION-
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Wiring required
METEFI SIZE
LINE SIZE
NO. OF FIXTURES
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECI'D
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Zjvv E A 13 1 Description FEE Description FEE
Plan Check State Surcharge
*112
HEAT S(?URCE GLAZING % LOT SLOPE %
V_ ermit City Surcharge
OLIC _ 74) Building P
PLAN C�(ECK NO: VESTED DATE Plumbing
Mechanical
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
9 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
cc
ui PERMIT APPLICATION: 180DAYS
IL PERMIT LIMIT., I YEAR - PROVIDED WORK is STARTED WITHIN 100 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
to OHS Fire Review Plan Chk. Deposit _10
*APPLICAN I ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESO S
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
D eo;]
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIREC FLY OR INDIRECI LY
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AN Fire Inspection Receipt N
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF I HIS PERMIT SHALL NO] LIE
0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
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0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION
X1 Recording Fee Receipt #
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I HEREBY 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 pernit until signed by the
TION; AND IN DOING THE ZE THEREBY. NO PERSON WILL BE EMPIOYED Building Official or his/her Deputy: and Fees are paid, and
!ON OF THE t R� S FOR INSPECTION
IN VIOLAT WV�E (n TlDiE TATE OF WASHINGTON RELATING TO receipt is acknowledged in space provided.
S COMPENZS,^1'1�10N '514
WORKMEN INSURY E AND RCW 18 27, OFFICIAt �IGNAFURF DATE
SIGNATURE WNER 0 AT 5NEDt)/C)' (425)
T
771-0220 Ifbt SET) BY OXE
ATTENTION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE Yrl spf: (OR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER
04,102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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DEPARTMENT OF BUILDINGS
4:trtitt"Catt ]at
PER International Building Code Section '110
At:
Occupancy established by this certificate:
R2/S2
uilding Permit #:
Dwellina Units: **21**
Type Construction: VB Sprinkled
No. Stories: 3
Basement: No
Maximum Occupant Load **264** (Per IBC 1004)
Room capacity signs, when required, must remain posted at all times.
Owner of Building: Point Edwards LLC - Address: 2801 Alaskan Way Suite 107, Seattle, WA 98121
THE Point Edwards Building I HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 2003
EDITION OF THE INTERNATIONAL BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE
FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 2nd - day of March , - 2005 _
CHIEF BUILDING OFFICIAL
BY:
d a new
This certificate shall be posted in a conspicuous public area and shall not be removed. mutilated or obscured and Shall be maintained in legible condition at all times. Any change of occupancy or use requires a building permit an
Certificate of occupancy issued by the City of Edmonds Building Official.
FINAju PROJECT APPROVAL UORM.
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE,
PLEASESIGN
ENGINEERING DIVISION DATE
PLEASESIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT—RZL.
SITEADDRESS 1214Z,�C IS,_ —
PERMIT #2L0__f_J 0/73 ADB# -DATE INSPECTED 2- -6-5--
DESCRIPTION OF WORK TO BE INSPECTED 13 Z, 19 6 - !=2� �c
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:
X GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORR] EiCTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fomis:ocaprv1 3/25/04
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TO:
DATE:
'MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
LL SIGN
'L ,i SIG ENGINEERING DIVISION DATEi/�/'�5
'N
PLANNING DIVISION DATE
PI.FASr SIGN
PROJECT 5_RLX0�41
SITE ADDRESS-7(
PERMIT # 26V 4- 011 ADB# DATE fNSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with -approved plans. Final approval
of
denotes that there are no objections from the above signed Department to the release
PERFORMANCE BONDS and the granting of:
X --GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
Copy of CONDITIONS given to owner/contractor by inspector
FAIILED 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:rornis:ocaPrv1 3/25/04
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FINAL PROJECT APPROVAL FORM
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM:
PLEASCSIGN
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TO:
DATE:
7 7
FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE4Z�;/6
P EASE SIGN
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PR OJECT LIIAOA�e
SITE ADDRESS —
PERMIT #_ . - C�Q/ ADB#________DATE INSPECTEb
DESCRIPTION OF WORK TO BE INSPECTED —
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
PERFORM-ANCE BONDS and the granting of
GRANT FINAL PROJECT APPROVAL
q,&ANT PROJECT APPROVAL WITH CONDITIONS NOTED
Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE given to owner/contractor by inpector
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2.
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:romis:ocaprv1 3/25/04
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At:
occupancy established by this certificate:
R2/S2
7.
IldIng Permit #:
Dwellinq Units: **21*"
Construction: VB Sprinkled
No. Stories: 3
Basement: No
Maximum Occupant Load **264** — (Per IBC 1004)
Room capacity signs, when required',,,. -must remain posted at all times.
owner of Building: Point Edwards Addrios$�,, 201 Alaskan Way Suite 107, Seattle, WA 98121
THE Point Edwards Building 1 HAS BEEN INSPECTED AND. APPROVED 'AS COMPLYING WITH THE REQUIREMENTS OF THE 2003
EDITION OF THE INTERNATIONAL BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE
FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 1 8th — day of February 9 2005
TEMPORARY OCCUPANCY,�EXPIRES MARCH 3,2005
CHIEF BUILDING OFFICIAL
BY: --
This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall be maintained in legible condition at all times. Any change of occupancy or use requires a building permit and a new
Certificate of Occupancy issued by the City of Edmonds Building Official.
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
14 - &F; P1, N
ENGINEERING DIVISION DATE
PM%SE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT
WX
SITE ADDRESS—
V_
PERMIT it. ADB# DATEINSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
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:
k""'-GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
I .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE given to owner/contractor by inpcctor
I .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:teniP:b1dg:rbrms:ocaprv1 3/25/04
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FINAL PROJECT APPROVAL FORM
TO
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLE-ASE SIGN
ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE
PLEASESIGN
PROJECT
SITE ADI
PERMIT e��
Z2 ADB#
DATEIN-SPECTED-1� —� '7-6,f—
DESCRIPTION OF WORK TO BE INSPECTED
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
GI�ANT PROJECT APPROVAL WITH CONDITIONS NOTED
V Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
I .
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:ten1p:b1dg:fbrn1.s:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Insulation
Slab ..........
PLUMBING:
J!v
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Test
Gas ....................
Gas Piping
.................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
C.,-S
r, L. C U PA I'd L, T ..................
sidesewer#
Amout Paid $ Receipt
es
Date
WaterMeter Size.
Amount Paid Rece ip t #
DatePurchawd-4
ROW
Amount Paid $..—RecelPt
D.-te1ssued__.,_r-'xP1reS
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