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20040213.pdfDATE RECEIVED /� �D 0 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF 13USINESS r-VtOA4 Ir MAILING ADDRESS Lu z z- 0 CITY ZIP TEL FPHONE NAME LU t: AUDRESS x CITY ZIP T LEPHONE 2,.S __7 NAME nueD ADDRESS e C) st IF TELEPHONE lq,2- C-Ckoaj"I�i(2 -2&& `7 t13- STATE LICENSE NUMBER EXPIRATION D TE HE E ON C PROPERTY TAX ACCOUNT PARCEL NO. 11 V 13 4__ CX,> NEW RESIDENTIAL jg PLUME31NG / MECH ADDITION COMMERCIAL COMPLIANCE OR la:LANGE OF USE REMODEL MULTIFAMILY SIGN M REPAIR F-1 GRADING ryr).(; FENCE 1:1 x FT) DEMOLISH TANK OTHER GARAGE CARPORT RETAINING WALL ROCKERY FIRE SPRINKLER FIRE ALARM (TYPE OF USE, BUSINESS OR.ACTIVITY) EXPLAIN: USE ZONE Inn PERMIT EXPIRES PERMIT NUMBER ADDRESS PIAT NAME/SUBDIVISION NO LOT NO. PUBLIC RIGILT OF WAY PER OFFICIAL STREET MAP EXISTING - PROPOSED REQUIRE[) DEDICATION- FT METER SIZE I LINE SIZE I NO. OF FIXTURES -D),!" '��7 -) SUITEIAPT# LID NO f LID FEE $ TESCP Approved RW poinlit Hortull"d E3 street use permit Req.d 13 Inspection Requited E3 Sidewalk Roquond E3 Undet(Irmind wiring required E3 PRV REQUIRED YES 13 NO 13 REMARKS OWNERICONIRAC10H RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ins ENGINEERIN6RCVIE 1 ED BY DATE FIRE REVIEWED BY DATE Lu M LL VARIANCE OR CU SHORELINE OR ADEII INSPECTION BOND REO'D I POSTED I OYES ONO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP , , LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR z E z PARKING LOT AREA PLANNING REVIEWED BY DATE REO'D I PROVIDED I I REMARKS P F CHECKED BY CONSTRUC ON CU� ANT a —T GU L) JEA)V I OGGROUP uj NUM13ER NUMBER OF CRITICAL C3 OF DWELLING AREAS SPECIAL INSPEC 0 OCCUPANT do I UNITS YES LOAD or STORIES NUMBER REQUIRED DESCRIBE WORK TO BE DONE REMARKS z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECI'D a M 25D VALUATION $ Description FEE Description FEE Plan Check SA ate Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit city surcharge HECK NO: VESTED DATE Plumbing Base Fee 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 DOMAIN (CUREIS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading SEPARATE PERMISSION. Engr. Review Ir W PERMIT APPLICATION: 160 DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION *APPLICAN1, ON BEHALF OF HIS OR HER SPOUSE, HFIRS, ASSIGNS AND SUCCESOHS Fire Review Plan Chk. Deposit U) W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS -THE CITY OF _j 2 EDMONDS, WASHINGTON. I -IS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # IM < ALL CLAIMS FOR DAMAGES OFWHATIEVER NATURE. ARISING DIRECTIYOR INDIRECILY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CIFY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' X1 Recording Fee Receipt # 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC I his application is not a perinit until signed by the TION, AND IN DOING THE WORK AUTILORIZED IIIEREBY. NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTInKL receipt is acknowledged in space provided OMPENSATION INSURANCE AND RCW 18 27. SIGLNA(fR, WNER 0) A' DATE SIQNED (425) 0 FIC SIGNA16U - 0 50101 771-0220 A17ENTION E)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- ORIGINAL FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNEI-I GOLD -ASSESSOR 09,,03 PRESS HARD -YOU ARE MAKING 4 COPIES z 0 A 0 M -n C/) —j x C M rn 0 0 C) 0 C: --I g X M M Z 0 --1 c: (n 0 ri __q x M M 0 C—D 0 r- 0 M C: (n 9 C/) M 0 Z z z 0 I 0 IT11 8%'--.'.ITY COPY Grease Trap Sizing Worksheet Facility Name: fla?A — AIA J7-- - Date Submitted: 02� S)�Z!!!� 6!9W 141 Suite No.: Address: — Fixture Capacity in Cubic Inches (L x W x D x no. of sinks) Fixture Capacity in Gallons (Cu. In. + 231) Drainage Load (75% of Total Capacity) Flow Rate for a 2-Minute Drain Period #1 /0 X1eXLZ X ? �4c.i. 231 =,69.qgal. x.75 =31 87 gal. 2 gpm #2 X X X CA 231 = 1. _&a x.75 = gal. 2 gpM #3 X X X C.I. -231 = _gal. x.75 = gal. 2 gpM #4 X X X c.i. —231 = gal. , x.75 = gal. 2= 2m TOTAL (Sum of drainage flows from a max. of 4 fixtures per Trap) /9.1�— gpm L MPMM[UM SIZE OF GREASE TRAP REQURED -- 1 116-14� gpm "nnfkoz I EktLX "A, Fixture Capacity in Cubic Inches (LxWxDxno.of sinks) Fixture Capacity in Gallons (Cu. In. + 231) -- Drainage Load (75% of Total Capacity) Flow Rate for a 2-Minute Drain Period #1 X X X c.i. 231 = gal. x.75 = gal. 2 = gPM #2 X X X C.i. 231 = gal. x.75 = gal. 2 = gpM 03 X X X c.i. 231 = gal. x.75 = gal. 2 = gpM #4 X X X c.i. 231 = gal. x.75 = gal. 2 = gpM TOTAL (Sum of drainage flows from a max. of 4 fixtures per Trap) gpM mEqMUM SIZE OF GREASE TRAP REQUIRED gpm Number of Fixtures Connected to a Grease T- 1 2 1 3 4 Grease Trap Size (in gpm) Dishwashers 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 the solid waste container. by: Date: ZZ SizeApproved: 25' pm Approved �;_� - Pretreat t Technician RF—CEIVF—D FEB I A 2004 PERMITCOUNTER Z 0 i 0 M --I -n 0 M C M 0 0 0 0 C --I r. M M M Z 0-1 C cl) o -n n M M 0 0 0 M C: Cj) K U) M 0 Z Z --I a: 0) Z 0 1 0 M FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: �Z� PRETREATMENT DATE- /0 PLWE SIV ENGINEERING DIVISION DATE— PLEASESM PLANNING DIVISION DATE, PLEASESIGN PROJEC cA te, ()� &(n-j Irk SITEADDRESS LZO R1)V-J-2L1_11&U PERMIT —ADB# DATE INSPECTED 7 - 30 - 0 4 DESCRIPTION OF WORK TO BE INSPECTED L CAI Cl� 10r10�0120q1)MQ_ff'10"rR_t_ I// J 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 0 Copy of CONDITIONS given to owner/contractor by inspector 1 . FAILED FINAL INSPECTION - OUTSTAND24G ISSUES 0 Copy of CORRECTION NOTICE given to owner/contractor by inpector 1 . 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature 1:temp:b1dg:forrns:ocaprv1 3/25/04 z 0 M :::i =-n r M 0 0 0 0 M M Z r') --I C C() 0 -n n ;d --i > af 9 M M 0 0 M cf) Cf) M 0 Z M z --I M Fn z 0 M 7 1 /00% 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 C� — C) Oq OCCUPANCY .................. got z 0 4 0 M -n C/) 0 M C M 0 -40 0 C M M z C —Z 3: 0 -n n 3:9 M M 0 0 0 M C Cl) 9 C/) M 0 Z > z 3: C/) z 0 1 0 M DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS /)j MAILINGFRESS 26 CITY ZIP TELEPHONE lb_Z*0)6�6 172- NAME ADDRESS CITY NAME MLICT. ADDRESS CITY STATE LICENSE NUMBER �1J k.Q CA P C 1� 3ROPERTY TAX A�:CO N 9W TELEPHONE L# JAJ/Lit�_/4720/js Ical A CZ ZIP ELEPHONE qg,�)-26 1912- EXPIRATION DATE �HE_CKEI 4CG 12s-o�p CLIO P�i NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK GARAGE CARPORT RETAINING WALL ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN Mwoffilawn 9—PLUMBINdC'MEDC' COMPLIANCE OR CHANGE OF USE SIGN FENCE ( — X_ OTHER FIRE SPRINKLER FIRE ALARM NUMBER NUMBER OF v I CRErTICA) OF DWELLING AR AS I STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE f VI PERMIT EX131RES UsEir PERMIT ZONE NUMBER 'JOB SUITFJAPT# ADDHESS L-"V t4; VI. PLAT NAME/SUBDIVISION NO. LOT NO LID NO. LID FEE $ TESCP Apprri�ed 13 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required 13 Street Lisn Permit Req'd 13 EXISTING — PROPOSED inspection Required 13 siriewaik Required 13 REQUIRED DEDICATION— FT Underground _"O. OF FIXTURES Wiring required E3 METER SIZE LINE PRV REQUIRED I I YES NO REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE ENGINEERING REVIEWED BY DATE Tr F19E REVIEVaU—BY DATE W cc VARIANCE OR CU SHORELINE OR ADBI I INSPECTION BOND REO'D _�O§TED C;I-N-4 uYES LeNo IS SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 1 49 , X,5-' I M-i EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR V IV C_ z 2 z PARKING LOT AREA PLANNING REVIEWED BY DATE REQ'D I PROVIDED I `,i FT) I REMARKS CHECKED BY ITYPE SPECIAL INSPECTION JAREA REQUIREDE] YES I OCCUPANT GROUP OCCUPANT LOAD REMARKS a PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG"D M 11AC &;E�, I'( _J_j� VALUATION I A -1- -,-,A $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: oy,() t 10 VESTED DATE Plumbing Base Fee '19 L Mechanical r THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading SEPARATE PERMISSION. 2 Engr. Review W PERMIT APPLICATION: 180DAYS PERMIT LIMIT. I YEAR - PROVIDEO WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit In w IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF _j 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt ft Ir ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF 'THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT 13E 01 Landscapeinsp. Total Amt. Due j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.4 Recording Fee Receipt # L11 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit 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 receipt is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFICIALS SIGNATURE DATE SIGNATU ff]jAGE� DATE SIGNED r-M, R`_ (425) -4 V 771-0220 RELEASE[) BY DATE 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 YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER I GOLD - ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES z 0 i 0 171 =i =5 0 M C rn 0 0 0 0 C: M M Z —Z Cn o -n n ;d > M M 0 Fn 0 r_ 0 M C: cn 9 Cn M 0 Z z --i 3: En z 0 1 0 M FINAL PROJECT APVROV'AL FORM MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: PROJECT SITE TO: DATE: FIRE DEPARTMENT DATE. PLEASESIGN ENGINEERING DIVISION DATE PLEASE SIGN PLANNING DIVISION DATE PLEASE SIGN IL 4/v PERMIT # -ADB# DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTED-8-600, LIX-i6: 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 : Y---)�GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED 0 Copy of CONDITIONS given to owner/contractor by inspector 1 . FAILED FINAL INSPECTION - OUTSTANDING ISSUES 0 Copy of CORRECTION NOTICE given to owner/contractor by inpector 1 . 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature 1:temp:b1dg:forms:ocaprv1 3/25/04 z 0 1 0 !'9 :�:'fi M 0 0 0 0 X M M Z 0) 0 -n n ;d > M M 065 0 r- 0 M Cn Q Z M ;U --i r z z 0 i 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. z 0 Retaining Wall ........... -4 0 Slab Insulation .......... M PLUMBING: CD Underground ............. :E M% C: 0 Rough -In ................... M 0 —40 Commercial Final ...... 0 C —4 M HEATING: M Z ID Gas Test .................... C Gas Piping ................. Cn Equipment ................. 0 -n Commercial Final ....... M M EXTERIOR SHEATHING 0 NAILING .......................... 0 0 M FRAMING ........................ C/) Q 0 FIRST FLOOR FRAMING ... Z r INSULATION ................... Floor Insulation ......... 3: > z Wall Insulation ........... --I 3: Ceiling Insulation ....... 5i z SHEETROCK NAILING ... 0 I 0 SPECIAL INSPECTION M MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. Ins 7- 2co 0341