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I I PERMIT EXPIRES
U�F PERMIT
CITY OF EDMONDS
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CONSTRUCTION
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PLAT NAME/SUBDIVISION NO LOT NO.
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PUBLIC RIC, U OF WAY PER OFFICIAL STREET MAP
IIESCP Approved
RW Permit Required
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EXISTING PROPOSED
Street Use Porout Roq'd
inspection Required
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FIFOUIRED DEDICA`TION� Fr
sidewalk Required
Underground 1-1
Wiring required
NAME
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NO, OF FIXTURES
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YES NO 13
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REMARKS
OWNER/CON TRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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ENGINEERING REVIEWED BY
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STATE LICENSE NUMBER
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EXPIRATION DATE CHECKED BY
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PROPERTY TAX ACCOUNT PARCEL NO. f
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ALLOWED PROPOSED
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PROGRESS INSPECTIONS PER UBC 108/1FINAL INSPECTION REaD F3
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VALUATION &I, &OL-
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Description FEE Description FEE
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Plan Check t.?'Zll State surcharge *7_�2,512
HEAT SQURCE/ I G G LOT SLOPE Building Permit City Surcharge
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PLAN CHECK NO: VESTED DATE plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED' THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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SEPARATE PERMISSION. Engr. Review
PERMIT APPLICATION: 180DAYS
PERMIT LIMIT., 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
V) 'APPLICANI� ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
9 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 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 ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE nsp.
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapel Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITY'$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION
= I HEREBY - ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT TliE INFORMATION Recording Fee Receipt #
GIVEN IS CORRECT; AND THAT I AM THE OWNER, 08 THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL I his application is not a permit until signed by the
TION AND IN DOING THE jKAU7110RIZED THEREBY, NO PERSON WILL 13E EMPLOYED B Iding Official or hisiher Depuly: and Fees are paid. and
e'LA W& E 09 THE STATE OF WASHINGTON RELAI ING TO receipt is acknowledged in space provided
IN V6LATION OF Tljp-rA 016 )' FOR INSPECTION
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WORKMEN'S CO I �KN ONINSu I N AND RCW 18 27 OF IC SIGNA DATE
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SIGN]RE (OWNE DATE S.IGI ED (425) i 7 1. 1 /
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4_6106 771-0220 FIFLELSED BY *OAT
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ATTENTION yt 1 1
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
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
0111GINAL-FIL.E YELLOW -?NSR CTOR
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At:— 61 Pine Street, Edmonds, WA Building Permit #: 2UU4-U174
Occupancy established by this certificate: Dwelling Units: '34** No. Stories: 3
R2/S2 Type Construction: Type VA Sprinkled . Basement: No
Maximum Occupant Load **399** (Per IBC 1004)
Room capacity signs, when required, must remain posted at a// times.
Owner of Building: Point Edwards LLC Address: 2801 Alaskan Way. Suite 107, Seattle, WA 98121
THE Point Edwards Building 2 HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 2003
EDITiO—N 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 23rd day of May 2005
CHIEF BUILDING OFFICIAL
BY:
This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured an 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: YIRE DEPARTMENT DATE_Y��
PLEASE SIGN
ENGINEERING DIVISION DATE
PLFASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT-J? A9742(_/�12-(
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PERMIT _ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED_Z4=.�
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 tile 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
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
Copy of CORRECTION NOTICE given to owner/contractor by inpector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PRO.[ ECT APPROVAL
Date Signature
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FLAL PROJECT APPROVAL -.'ORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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A field inspection was conducted to determine final compliance with approved plans. F(O approval
denotes that there are no objections from the above signed Department to the release of
PEIZFORMANCE BONDS and the granting of:
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MEMO TO:
FROM:
FINAL PR03ECT APPROVAL FORM
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DATE:
PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE
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ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE
PLEASE SIGN
PROJECTVT_
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PERMIT 4 2_a,73—c-5r?0_3 ADB#_DAT.E INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine compliance with -approved plans. mal 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
0 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.
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Date Signattire
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FINA,, PROJECT APPROVAL F,-..,RM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE
PLEASE SIGN
PROJECT 6>_5
SITEADDRESS-
PERMIT ADB# 4��) —7- 7
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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 tile release of
PERFORMANCE BONDS and the granting of:
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GIANT PROJECT APPROVAL WITH CONDITIONS NOTED
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0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
1.
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PRO.JECT APPROVAL
Date Signature
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
�4
1_9 q Underground .............
Rough -In .................
Commercial Final ...... 7_1
gel,
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final ....... "Cyr
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
SideSewer# W P,
AMOUtPald$
,vim
Datebsued
WaterMeterfte_
Amount Pa d/—/,-;' P"wipt #
DateParChaSed
ROW#
Amount PWd$.....P-WJPt
j)ateLssued____t,xp1res
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