20040300.pdfDATE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
WNER NAME/NAME OF BUSINESS
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MAILING ADDRESS
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CITY ZIP TELEPHONE
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NAME
ADDRESS
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CITY ZIP ITELEPHONE
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I NAME . . ICBLM
ADDRESS
CITY ZIP
LICENSE NUMBE
PROPERTY TAX ACCOUNT PARCEL NO.
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El NEW
El RESIDENTIAL
0 ADDITION
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MULTIFAMILY
[:] REPAIR
GRADING CYDS
DEMOLISH
TANK
GARAGE
rARPORT
RETAINING WALL
1:3 ROCKERY
FYPE OF USE, BUSINESS OR ACTTYITY) EXPLAIN
LEPHONE
DATE I CHECKED BY
PLUMBING / MECH
COMPLIANCE OR
OF USE
CHANGE
SIGN
FENCE
( X FT
OTHER
FIRE SPRINKLER
FIRE ALARM
U) CRITICAL
LU NUMBER NUKOIBER OF
a OF DWELLING AREAS
M UNITS NUMBER
0 STORIES I I I
DESCRIBE�JORK TO DONE
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1 VESTED D(ATE
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.
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CIT-Y OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIF'� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.o
I HEREBY A=C)W DGE THAT I H E READ THIS APPLICATION; THAT THE INFORMATION
ECH
GIVEN I . A T I A HE OWNER, OR THE DULY AUTHORIZED AGENT OF
USE
ZONE
JOB
ADDRESS
PLAT NAME/SUBDIVISION NO.
PERMIT EXPIRES
PERMIT
NUMBER
K'6lT6APT#
LOT NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— FT
METER SIZE I LINE SIZE I NO. OF FIXTURES
LID NO.
LID FEE $
1 E SCP Approved
RW Permit Required
Street use permit Hnq'd
Inspection Required
sulowall, Requited
Underground
Meng required
PRV REQUIRED
YES 1:1 No E3
REMARKS
OWNER/CON TRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
ENGINEERING REVIEWED BY DATE
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Flulk R ICED DATE
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INSPECTION
BOND
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POSTED
EIYE�N"
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
EXP_L��
_L4_ —
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (IT)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT URSIDE REAR
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PARKING
LOT AREA��Jkt=.LNING
REVIEWED BY DATE
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REQ'D PROVIDED
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REMARKS f el -
CHECKED 13Y ITYPE OF CONSTRUCTION CORE OCCUPANT /.
W_ 1 6" 1 GROUPf)/45
SPECIAL INSPtECTIOtNAREA T/
I OCCUPAN
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REQUIRED YES
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
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Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
LandscapeInsp.
Recording Fee
FEE
Description
State Surcharge
City Surcharge
FEE
Plan Chk. Deposit /V)
Receipt N
Total Amt. Due
Receipt # 4 -/7//
APPLICATION APPROVAL
Tki lication is not a ormil until sinned by the
THE OWNE TO C MPLY I If CITY AND STATE LAWS REGULATING CONSTRUC. s app
CALL Building Official or his/her Deputy: and Fees are paid, and
TION; AND IN G rHE W RK A F RIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLAT 0 E RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
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I I R IZ TI E H!
i S
Ar I L
a I# R C F THE STATE OF WASHINGTON ELATING To Fil
WORKMEN!S E S I U N E AND RCW 111.27. OFFICIV.S SIGNATUR-E DATE
SIGNATURE ow DATE SIGNED (425) C_
771-0220 REL A BY OTE
�,F D
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EXT 1333
ATTEN
IT IS UNLAWFUL TO USE OR OCCUPY A, BUILDING OR STRUCTU 4EUNTIL
A FINAL INSPECTION HAS BEEN 1`�ADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPE6f6R
CATE OF OCCUPANCY HAS BEEN GRA.YTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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0111
1994 Washington State Nonresidential Energy Code Compliance ForM
'Lightin§ Summary
1994 ~*Vmm State Nonreelder" Erorgy Code Caffglwm FOM
Project Info PrO06 Addrm 110 W. M-hVAJ -e-W Dais C-tZ.,Jj�rC+
For Bulkift Department Use
ApplicaritNam: 151L'� LDW,lr-,)
j�V�Address: 40 KI-TAVN otfa qJ
&. -712-4266"1
Applicant Phone: 4f7 I
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[Project Description
—UNew Bulking 0 Addltlon AAft"tim I
Compliance Option
0 Prescriove L3 ughting Power Allowance Sysierns Matpft
(See CWitfication Checklist (over). Indicate Prewdptive & LPA spaoss clearty on plam)
Alteration Exceptions
(check approplate box)
No changes are being made to the 1lgh*V
60% of the fixtures are row, and Installed lighting wattage Is not beN Increased
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JLJ15ALLJLLL5 V V
occupancy Description
Allowed
Watts per fe
Area In fe
Allowed x Area
Locdon
(floortroom no.)
low
Fmm Table 15-1 (overi - document all exceptions taken from foomoles Total Al Wattsl
- . . — ... . - - --% i a— —� -.—.A mrrhal Altrrmwi Waffn fnr lntBfk)d
rroposea ii;
Location
(ftortrockn no.)
pxm?s vy gal L4115C FAAAL CLJL%PJLI I
Fixture Description
Number of
Fixtures
Watts/
Fbd"
Watts
Proposed
Tntal Pmoosad Watts mav not exceed Total Allowed Wafts for lni;�ftr Total Pmposed Wattel
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ILL131LULAIL15 VVVILL"J�W
Allowed Watts
Area In fe
Allowed Watts
Location
Description
per fe or per 1"T
(or If for perlmeter)
x fe (or x R)
Covered Parking
0.2W/fe
Open Parking
0.2WIfe
Outdoor Areas
0.2 Wle
Bldg. (by facade) 0.25 Me
Bldg. (by Perim) 7.5 Wfif
s- -uat,4� avtarkv chnnaa amor the facade area or the perimeter method, but not both) Total Allowed Watts
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Fixture Description
Number of
Fixtures
Wattat
Fbdum
Watts
Proposed
-Locdon
,rm.1 PrewvmM Waft mav not exceed Total Allowed Watts for 9�iW—
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V"bdbW.WaftJ—
CIT n c*iOPY
MAR 15 2004
PERMIT COUNTER
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1994 Washington State Nonresidential Energy Code CompHancs Form
10000
0 —9 IL- 0 0 Eno 0
SocwW E~ - JUM IM
Prescriptive Spaces occupancy U WaMhOUBM storap arm Or ~ sWage hwXpn OOM
Qualification Checklist uWYft Ftxtures: U chei* here N at Wad 9M of fatures In the WOOD MM d four cMbft
": if occopoicy tM is %VW WW I *
--m r Is civedwel, the MM*W 0( hIUM 1. Fbdum am %wreeowit, non4mW. with 0* ons or two 1amps, WW
the spece Is not *nW by Coels- CW* 2. LaMA am T.5' T.8, T-8 or pL, &M 3. LanVs are 5-W Wathk and
kdcde ewm speces an pW& " not
qw~, do LPA COICLANdons. 4. Baksts am GWcft* bLUO
,r.ui. i -q-i Uvtft Liahtine Power Allowance (LPA) for interior Lighting
Footnotes for TaDw -io- 1
1. In cum in which a use is not mentioned qmcifically� the Unit PowerMdwawe " b0determined by the building official. This
determinadOn WWI be bmW upon the most comparable use specified in the table. See Section 1512 for exempt are&L
2. 7%e watts per square foot may be increasedt by two pamt Per foot of ceiling height above twenty feet, unless specifically directed
otherwise by subsequent SDOMOML
3. Watts per square foot of room may be increased by two p=ent Per foot Of ceiling hcight.above twelve feet
4. For all other spaces, such is seating and common areas, use the UnU Zjghr P~AUmmwe for assembly.
5. Watts per square foot of room may be increased by two percent Per foot of ceiling height above nine fixt
6. Includn pump arm under conopy. of a &M, a Lbit Ugbting Power Allowance of 1.35 may be used for
7. In cam in which a lighting plan is submitted for only a portion arcas, which may include elevator apscr, lobby am
usable office n= am and 0.80 watts per square foot shall be used for the common
and rest rocmL Common area& as herein defted do not include mail conomrwL
g. For the fire engine room, the Unit Ughting Power Allowance is 1 .0 watts per square foot.
9. For indoor " wm,__t conits with Ascent spectator seating, the Unit lighting Power Allowance for the own area is 2.6 watts per
squam fOOL illumination and display window illumination installed
10. For both Retail A and Retail B, light for &cc-stauding display, building showcase
within two fed of the window am exempt. am fooL Ceiling mounted 4ustable tungsten halogen and HD
Retail A allows a Unit Ughting Power Allowance of 1.0 watts per squ
merchandise display illuminaries are e:xempL
Retail B allows a Lbit Ughting Power Allowance of 1.5 watts per square foot, including all ceiling mounted merchandise display
luminaries. w be defined. for
11. Provided that a floor plan, indicating rack location and height, is submitted, the square footage for a warchOu may
computing the interior Unit Ughting Power Allowance, as the floor am not covered by racks plus the vertical face O'ca (access side Only)
of the racks. The height allowance defined in footnote 2 applies only to the floor area not covered by racks.
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE_9�--
FROM:
PLEA611 SIGN
ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE
PLEASESIGN
PROJECT
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SITE ADDRESS 4:2 0 LZ
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PERMIT #_a�� DATEINSPECTED
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DESCRIPTION OF WORK TO BE INSPECTED I
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A field inspection was conducted to determine compliance with -approved plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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El Copy of CONDITIONS given to owner/contractor by inspector
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FAMED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by hipector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fomis:ocaprv1 3/25/04
HhL;UHU U1- 11NtPttL; I IUI%40
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
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Pier/Porch .................
0
Retaining Wall ...........
0
M
Slab Insulation ..........
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PLUMBING:
0
M
C
Underground .............
M 0
-1 0
Rough -In ...................
0
0 C
Commercial Final ......
X M
M z
HEATING:
_Z
Gas Test ....................
Gas Piping .................
0 n
Equipment .................
........
x
Commercial Final
MM
0
EXTERIOR SHEATHING
0
0 M
NAILING ..........................
C: Cn
9 Cn
FRAMING ........................
M 0
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FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
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Wall Insulation ...........
3:
Ceiling Insulation .......
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NAILING
1'7
SHEETROCK ...
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SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................