20040431.pdfDATE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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NO. OF FIXTURES
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OWNERICONHIACIOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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CHECKED BY ITYPE OF CONSTRUCTION DE OCCUPANT
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NSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D 2
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Description FEE Description FEE
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Building Permit City Surcharge
Base Fee
PLAN CHECK VESTED DATE Plumbing
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
cc PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review Plan Chk. Deposit
'APPLICANI, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
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Lu IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection 521—
cc Ali. CLAIMS FOR DAMAGES OFWHATFVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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x FROM THE ISSUANCE OF THIS PERMIl ISSUANCE OF THIS PERMIT SHALI N01 BE Total Amt. Due
0 DEEMED to MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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0 Noll LIMIT IN ANY WAY THIF CITY'S A131L I1Y TO ENFORCE ANY ORDINANCE PROVISION
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMAl ION APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF I tits application is not it permit until signed by the
THE OWNER. I AGREE TO COMPLY Willi CITY AND STATE LAWS REGULATING CONSTRUC CALL Building Official or hisitier Deputy. and Fees are paid. and
TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED receipt is acknowledged in Space provided
IN VI'OLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND RCW I It 27. 'FFICIAI S NATUI-T, I)ATE
SIGN;A RE (OWN 6E�T DATE SIGNED (425)
771-0220 f1:1 FASt!D 13 D TE
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- 0111GINAL FILE YELLOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER GOLD ASSESSOH
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NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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DEPARTMENT OF BUILDINGS
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At:
occupancy established by this certificate:
PER International Building Code Section 110
.Building Permit #:
Dwelling Units: **NW*
No. Stories: I
U Type Construction: VB Basement: No
maximum occupant Load **5** (Per U.B.C. 1002)
Room capacity signs, when required, must remain posted at all times.
owner of Building: Point Edwards LLC Address: 2801 eAlaskan Way Suite 107, Seattle, WA 98121
E REQUIREMENTS OF THE 2003
THE Maintenance Building HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH TH
EDITION OF THE INTERNATIONAL 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 4th — day of -February 2005
TEMPORARY OCCUPANCY EXPIRES APRIL 4,2005
CHIEF BUILDING OFFICIAL
BY:
--------
This certificate shall be posted in a conspicuous public area and shall not be removed. mutilated or obscured and shal a maintained in legible condition at all times. Any change of occupancy or use requires a building permit and anew
Certificate of occupancy issued by the City of Edmonds Building Official.
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLU-SE SIGN
ENGINEERING DIVISION DATE
PL13AIF SIGN
C,,v_ PLANNING DIVISION DATE_9/��.
PLEASH SIGN
PROJECT
SITE ADDRESS —
PERMIT ADB# DATE INSPECTED —
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
Copy of CONDITIONS given to owner/contractor by inspector
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Date SignatUre
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PLANNING DIVISION DATE
PLEASESIGN
Ap
PROJECT
SITE ADDRESS
PERMIT.# ?_,OC)ct ADB#________�DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
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GRANT F1 NAL PROJECT APPROVAL
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FINAL PROJECT APPROVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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PERMIT #_C; -4� �_-�5ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
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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:
7'�'- GRANT FINAL PROJECT APPROVAL
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DATE: 2_,/416�-
MEMO TO: PERMITCOORDfNATOR, BUILDING DIVISION
FROM: FIRE- DEPARTMENT DATE
PIXASESIGN
ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE
PLEASESIGN
PROJECT S:— MAI �,Y( aa_Q!��
SITE ADDRESS —
PERMIT # S&Y - _ADB# DATEINSPECTED
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
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DEPARTMENT OF BUILDINGS
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certt'vfttate of (Ptt"411ttp
PER International Building Code Section I 10
t: 93 Pine Street, Edmonds, WA Building Permit #: 2004-0431
Occupancy established by this certificate: Dwelling Units: 'N/A** � No. Stories: 1
U
pe Construction: VB
Basement: No
Maximum Occupant Load **5** (Per IBC 1004)
Room capacity signs, when required, must remain posted at all times.
Owner of Building: Point Edwards LLC Address: 2801 Alaskan Way Suite 107, Seattle, WA 98121
THE Maintenance Building HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 2003
EDITION OF THE INTERNATIONAL 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 - 25th - day of February .1 2005 -
CHIEF BUILDING OFFICIAL
BY:
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 new
Certificate of Occupancy issued by the City of Edmonds Budding Official.
. W
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
al
Underground .............
VvyN
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
OCCUPANCY ..................
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