20040352.pdfDATE RECEIVED [PERMIT EXPIRES
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USE PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION JOB
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OWNER NAMENAME OF BUSINESS
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MAILING ADDRESS
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PROPER7K ACCO R45jL b[O�
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NEW RESIDENTIAL
ADDITION COMMERCIAL
REMODEL MULTIFAMILY
REPAIR El GRADING CYDS
DEMOLISH M TANK
GARAGE o RETAINING WALL
ROCKERY
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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DESCRI13E WORK TO BE DONE
HEAT SOURCE GLAZING %
PLAN CHECK NO:
CBL #
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DATE CHECKED�'
ErPLUMBING �KH
COMPLIANCE OR
CHANGE OF USE
SIGN
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( x FT)
0
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FIRE SPRINKLER
FIRE ALARM
'3, 0 419 A C-1441 /
NAME/SUBDIVISION NO, LOT NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— FT
METER SIZE I LINE SIZE I NO, OF FIXTURES
2�
SUITE/APT#
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LID NO.
LID FEE S
TESCP Approved
13
RW Permit Required
13
Street Use Permit Roq'd
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Inspection Required
CI
Sidewalk 9equirod
[3
Undefground
Wiring inquired
13
PRV REQUIRED
YES 13 NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
ENGINEERING REVIEWED BY DATE
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BOND
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SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
EXP I
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LOT COVERAGE
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS p—T.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/RSIDE REAR
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LOT AREA
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REMARKS
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AREAS SPECIAL INSPECTION JAREA OCCUPANT
NUMBER REQUIRED [] YES LOAD
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
LOT SLOPE %
VESTED DATE
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
SEPARATE PERMISSION.
ir PERMIT APPLICATION: IBODAYS
W
IL PERMIT LIMIT. 1 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 CITY OF
M EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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A DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTnuc-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, 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 27.
DATE SIGNED
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VALUATION
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
FEE Description
State Surcharge
7)0 city surcharge
FEE
Fire Review Plan Chk. Deposit
Fire Inspection Receipt #
Landscapelnsp. Total Amt. Due
Recording Fee Receipt # ;341'7�j
APPLICATION APPROVAL
This application is not a pillmit until signed by the
CALL Building Official or his/her Deputy: and Fees are paid, and
FOR INSPECTION receipt is acknowledged in space provided.
OFFI I SIGNATUR �TE
(425)
771-0220 EASED BY DATt
A17ENTION 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 GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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Grease Trap Sizing Worksheet
WVelr,-C�-Or�t r-A -
Facility Name: In
Address: 300 Aj�m)mj-- VJri.,4 SuiteNo.: 102--
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• A Grease Trap plumbing permit is required ($165.00 fee). Contact the Pretreatment
Technician (425-672-5755) if you have any questions and also to get signature approval on
this form.
• 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.
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
x 17 x 12- x 3 Y64-cj.
231 = 45 gal.
x.75 = 3 gal.
-.' 2 = 1:7 gPm
X X X cd.
231 = gal.
x.75 = gal.
+ 2 = gpm
X X X c.i.
231 = gal.
x .75 gal.
2 gpm
X X X CJ.
231 = gal.
x.75 gal.
2 gpm
Grease Trap #1 - Total drainage flows from maximum of 4 fixtures
gpm
X X X c.i.
231 = gal-
al.
x.75 = gal.
-7-27-= SP-M
4
X X X c.i.
231 = - gal.
x.75 = ---gal.
2= gpm
3
X X X c.i.
231 = - gal.
x .75 = gal.
2 = gpm
44
X X X c.i.
1 -23*1 = gal.
x..75 = gal.
-_2 = p2pm
Grease Trap #2 - Total drainage flows from maximum of 4 fixtures
-- gpm
MINIMUM SIZE OF GREASE TRAP(S) REQUIRED
-9
-0 21)m
Number of Fixtures Connected to a Grease Trap
2 1 3
1 4
Grease Trap Size (in gpm)
1--35
1 50
Upsize for factors such as high volume dishwashing, high oil/grease content on menu, etc.
-------------------------------------- (For City use only below this line)
Size Approved: 2 0 gpm Approved by: Date: 2
— Pretreatm#t Technician
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Readwin, Jennifer
From:
Yokers, Tim
Sent:
Monday, May 17, 2004 3:02 PM
To:
Subject:
Readwin, Jennifer
Waterfront Caf6 GT inspection
MICROFILM
Jennifer,
I inspected the GT installation at the Waterfront Caf6 on Friday - looks good. It was permit #2004-0352.
Tim Yokers
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall..........................
Pier/Porch ................. z
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Retaining Wall ...........
0
M
Slab Insulation ..........
PLUMBING: --I -n
Underground ............. M
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M 0
Rough -In ................... 0
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0
Commercial Final ......
3: M
HEATING: M z
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Gas Test ....................
3:
Gas Piping .................
0
Equipment ................. -n
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Commercial Final .......
MITI
EXTERIOR SHEATHING
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NAILING..........................
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FRAMING........................
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FIRST FLOOR FRAMING ... --I
INSULATION ...................
Floor Insulation ......... >
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Wall Insulation ...........
3:
Ceiling Insulation ....... z
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SHEETROCK NAILING ... I
SPECIAL INSPECTION ... M
MISCELLANEOUS ..........
FINAL APPROVAL F@61-
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