20040212.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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MAILING ADDRESS
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CITY
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NAME
ADDRESS
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CITY
littods
NAME
ADDR��
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CITY
STATE 110ENSE NUMBI
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ZIP
1414
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ZIP
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I TELEPHONE
TELEPliONE
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TELEPHONE
PROPERTY TAX ACCOUNT PARCEL NO.
06 13 q- 00
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NEW
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING CYOS
DEMOLISH
TANK
F
GARAGE
RETAINING WALL
CARPORT
ROCKERY
(TYPE OF USE, BUSINESS OR -ACTIVITY) EXPLAIN
USE
ZONE
JOB
ADDRESS
-19*2,1
6-7
PLAT NAME/SUBDIVISION NO
I PERMIT EXPIRES
PERMIT
NUMBER
SUITE/APT#
LOT NO� LID NO.
LID FEE $
FESCP Approved 13
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required E3
Street U50 Permit Roq'd M
EXISTING — PROPOSED inspection Hoquirod 13
sidewalk Haqui(rid 13
REQUIRED DEDICATION— FT underground
Wiring f0QL1ffQC! 0
METER SIZE LINE SIZE ES PRV REQUIRED
I I YES 1:1 NO 11
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR E20SION CONTROLIDRAINAGE
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73-b
I ENGINEERING 14EVIEWED BY D E
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DATE I CHECKED BY
PLUMBING I MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( X FT)
El
OTHER
FIRE SPRINKLER
FIRE ALARM
i NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES UNITS NUMBER
I —
DESCRIBE WORK TO BE DONE
HTAT SOURCE GLAZING % LOT SLOPE %
FAV �_ I
PLAN CHECK NO: A VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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Id PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
in *APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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!I IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMI ESS THE CITY OF
2 EDMONDS, WASHINGTON, IIS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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ALL CLAIMS FOR DAMAGES OF WHAT EVER NAIURE,AIIISINGDIREcrLyoRIND113ECI[Y
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF IHIS PERMIT SHALL N01 HE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENI OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CI1YS ABILITY 10 ENFORCE ANY ORDINANCE PROVISION"
I HEREBY ACKNOWLEDGE THAT I HAVE READ TIiIS 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 WITI I CITY AND STATE LAWS REGULATING CONSTRUC
TION; AND IN DOING THE WORK AUTHORIZED TIIEREBY, 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 21.
SIG WNER.PR C"AGE
DATE SIGNED
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DATE
CE
RIANCE OR
SHOPELINE OR ADBP
I INSPECTION
I BOND
0 %M f4e
REO'D
POSTED
DYES 12150
IS
SEPA REVIEW
1, SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
I 0
25, 1 4 1
,
LOT COVERAGE
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS (IT)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT QRSIDE REAR
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PARKING
LOT AREA
PLANNING REVIEWED BY DATE
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REO'D I PROVIDED
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REMARKS
CHECKED BY ITYPE
SPECIAL INSPECTION JAREA
REQUIRED [:] YES
CORE OCCUPANT
61-7 GROUP _f
OCCUPANT
LOAD �
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REMARKS a
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PROGRESS INSPECTIONS PER ILIBC I 08/FINAL INSPECTIC N REQ'D ij
VALUATION
$
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
FEE Description FEE
I
7q IState Surcharge 1 <41
City Surcharge /L
Base Fee <5�' (:
Plan Chk. Deposit /0
Receipt #
Total Amt. Due
Receipt #
APPLICATION APPROVAL
I his application is not a perrinit until signed by the
Building Official or hisitier Deputy: and Fees are paid, and
receipt is acknowledged in space provided
FFICIAI.rp SIGNAT I,F DAT E
�T'FISFII BY DdTF
ATTENTION )ff 1333//�
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
ORIGINAL. FILE YELLOW /INSPECfC
PINK -OWNER GOLD -ASSESSOR
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1994 Washington State NonrasIdentiptl Energy Code Compliance Form
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IM W2$mpI Sta% H-w-Mwdll Er"rVY Code C�rnpliarce Fonre
Project Addmss
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Proj e ct Inf 0 For IBUDIJIMI DePlIrtirlDn't U98
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Applicant Name. (2
? CY16
Applicant Address:
3 3
Applicant Phone:
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Project Description Now Building Addition
L3 PrIlclipttve Lighting Power M0wan0G 13
Compliance Option (See ouallfication Chlacl (over), Indicate Prescriptive & _P`A spaces clearly on plarm)
Alteration Exceptions E] No changes am being made to the lighting
(check appropilate box) Ll Less than 60% of the fixtures are new, and Installed lighting wattage Is not being Increased
Maximum Allowed Lighting Wa age (Interi Mowed —
Locatilon Occupancy Description Watts per ft2 Area In f? Mowed x Am
(floor/room no.) 4-30
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From Table 15-1 (over) - docurnent all exceptions taken from footnotes Total Ahowed Wattl 5511,77
- . __ — , , % - .-.. — -----A Ttol AflrmpaH wntta for Interfor)
Froposell Ll
nting Yvatta)III i,1i1LU11V1j
FIxture Description
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2- I-AMif
FLCIII 77-OF-Il eL (_4,41
Number of
Fbctums
Watts/
Ftxtum
34-
10-0
Watts
pmposed
E3
Location
(floortroorn no.)
muc
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PcA f 6 IL G PE:05�
SEE -A/
Tntj;l Allowed latts for interior Total PmpOl Watts
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Maximum Allowed
LightinE Wattage kw
Location
Description
Covered ParlI
open Parking
Outdoor Areas
I Bldg. (by faqadeI
�Udg. (by �p�edm)
terior)
Anowed Waft Area In fe
per fe or per If (or If —for pa"I"
0.2 We
0.2 We
0.2 WH
0.25 Wlft'
7.5 W/If
-,Total AAcIIIIIIIIIIed I
Arnetor meth but not both)
Note: for bLdldng a or, ooso 61ther the mcaUG area or - p-
Proposed Li hting Wattage (Exterior) (MaY not exceed Total Allowed Watts for Ex*erDf) Watts/
Number of
Loofftion Fixture Descrlprbon FIxtures Fbdm
proposed watts may not exceed Total AJI Watts for Exterior
FEB I I 20M
PERMIT COUNTEP
Mowed Watts
X fe (or X M
Watts;
P6posed
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
8420 Bowdoin
Buildinq Permit# 2004-0212
occupancy established by this certificate: Dwelling Units: **N/A***
B Type of Coinstruction: V-N
No. Stories:
Basement: No
Maximum Occupant Load (Per UBC 1002)
Room capacity signs, when.'tbq 0;,.,
�-must remain posted at all times.
Owner of Building Edwin Bondoc Address: 83'1'0;'220'h St. SW 1997 Edition
The Pizza Ria has been Inspected and approved as coniplying with the requirements of the
of the Uniform 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 30t' day of September, 2004
CHIEF BUILDING OFFICIAL
BY: ----
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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 n w
Certificate of Occupancy issued by the City of Edmonds Building Official.
.:e.*.. 44.,
N.
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------- -- --------------
--- ------------ -- - -------
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PUASESIGN
ENGINEERING DIVISION DATE
PLEASESIGN
-PLANNING DIVISION DATE
PLEASESIGN
PROJECT
SITE ADDRESS (5L(
PERMIT ADB# DATEINSPECTED 5-- C(
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
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
I .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fbrn1s:ocaprv1 3/25/04
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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 ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR ,Q -7- LN
OCCUPANCY ..................
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