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UM MAILING ADDRES9 LID FEE $
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il. PUBLIC RIGHF OF WAY PER OFFICIAL STREET MAP RW Permit Required 13
0 lzol street use Permit Req'd 13
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CITY ZIP TELEPHONE ISTING 'PROPOSED-- sidewalk Required
REQUIRED DEDICAI ION FT Underground
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STATE LICENSE NUMBER EX IRATION DATE CH KED BY 'REO'D POSTED
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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
SEPARATE PERMISSION.
Engr. Review
M PERMIT APPLICATION: 180 DAYS
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PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
(n Fire Review Plan Chk. Deposit
W 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS z4w
!j 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 #
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF I HIS PERMIT SHALL NOT BE
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 10 ENFORCE ANY ORDINANCE PROVISION."
=1 - -_ Recording Fee Receipt #
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 perinit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/tier Deputy. and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION recuipt is acknowledged in space provided
WORKMEN'S COMPENSATION IN - SURANCE AND RCW 18.27. OFFIQ SIGPA El DATE
SIGNATU ZER.OTI�GENVT) DATE SIGNED
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(425) 7z--I(
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771-0220 __[DATE
A17ENTION E)ff 1333 / 111111f
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUc rURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOVV 41NEZE TOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD-ASSESSOH
04i02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUN1.. .
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DEPARTMENT OF BUILDINGS
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PER International Building Code Section 110
uilding Permit #:
Occupancy established by this certificate: Dwelling Units: **N/A**
A3/B
Construction: VB
75
No. Stories: 2
Basement: No
Maximum Occupant Load **125** (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 Amenities Buildinq 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 25th — day of February —1 �2O 0 5
CHIEF BUILDING OFFICIAL
BY:
This certificate shall be Posted in a conspicuous Public area and $hall not be removed, mutilated of obscured and s hall be 17(sintain'ed in legible condition at all times. Any change of Occupancy or use requires a building Permit and a new
Cerlificale 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
PLEASE SIGN
ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING �DIVISION DATE—AZ9=27-10 61
PLEASE SIGN
PROJECT a"I
SITE ADDRESS
PERM IT ADB#_ ___�DATE INSPECTED
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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 the release of
PE RF ORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
Copy of CONDITIONS given to owner/contractor by inspector
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PLEASrSIGN
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PERMIT
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DESCRIPTION OF WORK TO BE INSPECTED
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denotes that there are no objections
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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Date Signature
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Or lat 11111 - - - - - -
77
At:- 85 Pine Street, Edmonds, WA -Building Permit #:--- 2004-0175
Occupancy established by this certificate: Dwelling Units: **N/A** -.No. Stories: 2
A3/13 Upper Floor Only I Typw Construction: V13 Sprinkled Basement: No
Maximum Occupant Loa
d **125 (Per U.B.C. 1002)
Room capacity signs, whenroquirecf, l6hust - -
remain posted at afi times.
Owner of Building: Point Edwards LLC Address: 2801';'A I I I alskin-Wij'Sulte 107, Seattle, WA 98121
THE Amenities Buildin_q 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 —
THE PROPOSED OCCUPANCY IS CLASSIFIED. WHICH
Issued this 4th d ay —ar-Y--, 2005
TEMPORARY OCCUPANCY EXPIRES MARCH 3,2005
*CONDITION OF APPROVAL: Stairs to lower level shall not be used since required handrail is not installed.
CHIEF BUILDING OFFICIAL
14
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.
41 1 Ty illy I III
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FINAL PROJECT APPROVAL WRM
TO:
DATE:
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PLEASE SIGN
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denotes that there are no objections from the above signed Department to the release of
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GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
[:1 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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DATE:
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PI.I:ASIISIGN
ENGINEERING DIVISION DATE
PLCASC SIGN J
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GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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FINAL PROJECT APPROVAL FORM
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FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE
PI.C,1.SE SIGN
JZ�,tk���.PLANNING DIVISION DATE
PLEASESIGN
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PERMIT ADB# DATEINSPECTED
DESCRIPTION OF WORK TO BE INSPECTED�', X-,1zJ11K69
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PERF, ORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
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'Abc Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES (fy— e6?7
El Copy of CORRECTION NOTICE given to owner/contractor by inpcctor
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment.................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ... 4e"
SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
SideSewer
Amout Paid $ R,1.11t 7-1
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Daft Lssued."LL;,-:�--
WaWMetersize
Amount Paid
iDatePurchased
ROW# --
Amount Paid $__--ReC'-1Pt
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