20040357.pdfDATE RECEIVED 4 //. /
- / I I PERMIT EXPIRES
USE PERMIT 4
ZONE NUMBER C
CITY OF EDMONDS
JOB SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS
OWNER NAMEINAME OF BUSINESS 1
PLAT NAMEISUBDIVISION NO. I LOT NO. LID NO.
Co//i*s 10") 1 ;?v ( C_
MAILING ADDRESS
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CITY /zip TELEPHONE
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NAME
ADDRESS
CITY ZIP
NAME
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ADDRESS
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CITY ZIP
STATE LICENSE NUMBER
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TELEPHONE
LID FEE $
TESCP Aorilo�cd
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
Rw Permit Required
Street Use Permit Roq'd
EXISTING � PROPOSED
inspection Required
Sidewalk Required
REQUIRED DEDICATION FT
underground
Wiring required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
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I
YES NO 0
REMARKS
OWN E R/CON TRACTOR RESPONSIBLE FOR EROSION CONTROLiDRAINAGE
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ENGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE
TELEPHONE
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INSPECTION BOND
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EXPIRATION DATE C BY
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REO'D POSTED
YES ONO s
SEPA REVI EW
SIGN AREA
HEIGHT
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COMPLETE EXEMPT
ALLOWED PROPOSED ALLOWED P POSID
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PROPOSED SETBACKS (FT.)
P-INEW RESIDENTIAL PLUMBING / MECH
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ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR
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COMPLIANCE OR
ADDITION E7t-1C'0MMERCIAL CHANGE OF USE
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PARKING LOT AREA PPNING RE IEW B DATE
RE!±ROVIDED
FENCE
El REPAIR 11 GRADING CYDS X FO
REMARKS
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OTHER
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GARAGE RETAINING WALL FIRE SPRINKLER
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAI
'CHECKED 13 TYPE OF NS-TRUCI'I()KL OCCUPANT
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117 1 GROUP25:3/6
NUMBER NUMBER OF CRITICAL
OF DWELLING A EA_
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OCCUPANT
SPECIAL INSPECTION AREA LOAD
RIES UNITS N R
REQUIRED [3 YES
DESCRIBE WORKITO BE DONE
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REMARKS
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INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
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LUATION
Description
FEE
Description
FEE
Plan Check
L9 o
State Surcharge
HEAT SOUR LOT SLOPE %
Building Permit 100 City Surcharge
PLAN CHECK NO: -5--ry 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
Lu PERMIT APPLICATION: 180DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 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 INTEREST, AGREES 10 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt #
or. E, ARISING DIRECTLY OR INDIRECTI-Y
4 ALL CLAIMS FOR DAMAGES OF WHATEVER NATUR
X FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF I HIS PERMIT SHALL. NOT 13E
Landscapelnsp. Total Amt. Due
C3 0 MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
DEEMED T
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0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
Receipt it ZI
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Recording Fee ;5'
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-
This application is not a portnit until signed by the
CALL Building Official of his/tier Deputy; and Fees are paid, and
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
FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSATION INSURANCE AND RC!_!B,?
J.
OFr,)CIALS SIGNATU DATE
RE
SIGNATURE (OWNER DATE SIGNED
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77"1 -0220 -QEiE4SEb hY TE/
ATTENTION
EXT -1333 Ck.
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 - YELLOVf - IN�PE6611
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER - GOLD - ASSESSOR
COPIES GREEN - ACCOUNTING
04102 PRESS HARD -YOU
ARE MAKING 5
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EXIST.
GRAVEL
.......... .... CAR WASH
AREA 4
CARS
_x
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PARKING INTERIOR SERVICE BAY SPACES PROVIDED 31 INSIDE.
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EXISTING uj
WAREHOUSE
-1323 224TH AVE. S.W.
EXIST. ASPHIALTF_'�', EXIST CHAIN LINK
FENCE 4 GATE
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A.C. PAVING FOR.
H.C. PARKIWG
SIGN FOR
HC. PAI;ZKING
EXIST.
517TE !FLAN GRAVEL'
SCALE: ll"% 0�2
2 f=Af;R<ING CALCULATIONS:
TOOL ROOM Sll SF. c 2 EMPLOYEES
REPAIR SHOP 8084 5F. X 1/200 a 40.4
OFFICE 4165 5F X 1/800 a 52
TOTAL � 4-1.6 a 48
PARKING SPACES PROVIDED 33 OUT 51DE 31 IN51DE ro4
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: IRE DEPARTMENT DATE —
PLEASE SIGN
ENGINEERING DIVISION DATE —
PLEASE S1014
-PLANNING DIVISION DATE__�/a
PROJECT_16_1�����������i
SITE ADDRESS (2`0� I I
PERMIT o2W_-2_2c-7 ADB# DATE INSPECTED 510
DESCRIPTION OF WORK TO BE INSPECTED S/ (qJ
A field inspection was conducted to determine compliance with -approved plans Final approval
denotes that there are no objections from the above signed Department t) 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 - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE given to owner/contractor by inpector
1 .
2.
791
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fbm1s:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ............. ........
Wall..........................
Pier/Porch .................
Retaining Wall ...........
M
Slab insulation ..........
PLUMBING:
Underground .............
M
C
Rough -In ................... M
0
—40
Commercial Final ...... 0 C:
M
HEATING:
M Z
Gas Test ..... .............. C:
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Gas Piping .................
Equipment ................. o -n
Commercial Final .......
M M
EXTERIOR SHEATHING 0
NAILING .......................... 0
0 M
C CD
FRAMING ........................
CD
Q 0
FIRST FLOOR FRAMING... Z r-
7-1
INSULATION ................... ;U
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Floor Insulation .........
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Wall Insulation ...........
Ceiling Insulation ....... C/)
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SHEETROCK NAILING ... 0
0
SPECIAL INSPECTION ... ITI
MISCELLANEOUS ..........
3
FINAL APPROVAL FOR
OCCUPANCY ..................
03 .5 7