20040483.pdf2
DATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
,OSE PERMIT
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NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
SUITE/APT#
OWNER NAME/NAME OF BUSINESS
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PLAT NAME/SUBDIVISION NO. LOT NO,
LID NO.
MAILING ADDRESS
0 Izll,.s k 6 UCIV,
6ul-le /07
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
LID FEE $
I ESGP Approved
FJW Permit Required 13
CITY zip
TELEPHONE
EXISTING - PROPOSED
Street Use Permit Roq'd E3
I - rispection Required M
sidewalk Required 13
Underground
7 el-0 �0/
REQUIRED DEDICATION- IFT
Winno required E3
NAME
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METER SIZE LINE SIZE NO. OF FIXTURES
PRV REQUIRED
YES NO
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REMARKS
OWNER/CON TRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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CITY ZIP
ThEPHONE
NAME CBL m
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ENGINEERING REVIEWED BY
DATE
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CITY ZIP TELEPHONE
67), 7 05
STATE LlOtNSE NUM13ER EXPIRATION DATE CKEI
00,5 -To 6 9
PROPERTY TAX ACCOUNT PARCEL NO.
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6 bok) -x600
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RESIDENTIAL
ADDITION
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11 REPAIR
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11 DEMOLISH
1:1 TANK
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NUMBER NUMBER OF
OF DWELLING
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STORIES
UNITS
DESCRIBE WORK TO BE DONE
HEAT SOURCE I GLAZING %
PLAN CHECK NO:
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
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FIRE SPRINKLER
FIRE ALARM
AREAS
NUMBER
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VARIANCE OR CU
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INSPECTION
BOND
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SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED
PROPOSED
EXP ,
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LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED
SETBACKS (Fr)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/R SIDE REAR
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PARKING I LOT AREA I PLANNING REVIEWED BY DATE -3
REO'D I PROVIDED IL
FT) I REMARKS
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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.
UA PERMIT APPLICATION: 180DAYS
a. PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSF, HEIRS, ASSIGNS AND SUCCESORS
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LU IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS [HE CITY OF
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M EDMONDS, WASHINGTON, ITS OFFICIAL S, EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRFC I tY OR INDIRECT LY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF [HIS PERMI1 SHALL NOT 13E
_j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIRFMENT OF ANY CITY ORDINANCE
LD NOR LIMIT IN ANY WAY THE cirY,S ABIHIY TO ENFORCE ANY ORDINANCE PROVISION.*
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DUTY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WI1 I I CITY AND STATE LAWS REGULATING CONSTRUC-
TION AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL. BE EMPLOYED
IN V61LATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION-MSURANCE AND RCW 18 27
Si URE (0 ER,?P DATE SIGYED
, AGENT)/
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CHECKED BY
ITY,.IMNSTRUCTION
COD
OCCUPANT
GROUP
/( . 26
SPECIAL INSPECT ION
OCCUPANT
REQUIREDE] YES
JAIREA
LOAD
REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL
INSPECTION
REQ'D FS
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M
VALUATION
Description FEE Description FEE
Plan Check State Surcharge
Building Permit L .r -1/ 1 City Surcharge
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Plumbing Base Fee
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review Plan Chk. Deposit
Fire Inspection Receipt it I
Landscapelnsp. Total Amt. Due
Recording Fee Receipt #
-04 /_�_q,5
APPLICATION APPROVAL
I tits application is not a permit until signed by the
CALL Building Official or his/tier Depuly� and Fees are paid, and
FOR INSPECTION receipt is acknowledged in space provided
1�
CIALS SIQNPIURF DATE
(425)
771-0220 Fit, tsto fw DATE
A17ENTION )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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09,,03 PRESS HARD -YOU ARE MAKING 4 COPIES
ORIGINAL -FILE YELLOW -INSPECTOR
PINK -OWNER GOLD -ASSESSOR
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RESUB
Point Edwards LLC
20
Building 3 & 4 square footage
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Date: 5.18.05
BUILDING DEPARTMENT
cj:j� OF EDMONDS
Reply to:
City of Edmonds Senior Permit Coordinator - Marie Harrison
Snohomish County Assessor's Office - Jackie Amble
Point Edwards - Building 3
!Ln�itl-D. Permit Set 4.4.05 Construction Set 4.23.04
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A2 1371 n.s.f.
1382 n.s.f.
0
A2--3 1377 n.s.f.
1375 n.s.f.
0
A2-A 1319 n.s.f.
1323 n.s.f.
M
132-ALT 1131 n.s.f.
1071 n.s.f.
C2 1092 n.s.f.
1092 n.s.f.
C3 1130 n.s.f.
1130 n.s.f.
X
0
D 846 n.s.f.
856 n.s.f.
M
C:
D (MIR) 846 n.s.f.
856 n.s.f.
rn 0
0
E2 949 n.s.f.
856 n.s.f.
0 0
E (MIR) 949 n.s.f.
856 n.s.f.
K
F2 1145 n.s.f.
1109 n.s.f.
M
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F2(MIR) 1145 n.s.f.
1109 n.s.f.
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G 1332 n.s.f.
1335 n.s.f.
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G TYPEW 1328 n.s.f.
1330 n.s.f.
H 906 n.s.f.
921 n.s.f.
H TYPEW 908 n. S.f.
921 n.s.f.
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1349 n.s.f.
1357 n.s.f.
J (MIR) 1349 n.s.f.
1357 n.s.f.
M M
K N/A
2196 n.s.f.
0 U5
0
L 2678 n.s.f.
2625 n.s.f.
0 M
M 1565 n.s.f.
1576 n.s.f.
C co
9 Cn
N 1136 n.s.f.
942 n.s.f.
Q 0
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P 1295 n.s.f. N/A
Q n.s.f. N/A
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Total Number of Units 23
22
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Total n.s.f. 28037 n.s.f.
27575 n.s.f.
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75 Pine St.
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2 bMrooms, 2 baths
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NW Water
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I bedroom, study, I bath
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Der-atur D
Water viv-W
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944
103
Sid
Fdmnnds E2
7
1 brdrooin.. study, I bath
944
104
Sid
Edinnnds E2
Water vie\V
I bedroom, study, I bath
863
105
Std
Denatur D
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2 bedrooms, 2 baths
1107
106
Std
Camano C2
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2 bedinoins, study, 2 baths
1477
201
S td
Admiralty k2-3
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S Gardelt Ten,ace
rowl)Ijouse
2 bvdroyins. study',)2 ballo
1477
202
Sid
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S GardeuTerrace
Flat
2 bedrooins, 2 ji
1174
203
Std
Fidalgo F2
Panora mic, Water
Flat
2 bedrannis. study, 2 baths
1353
204
Upgrade
Port Gamble G
Panoranlic Water
Fiat
1 bedroom, stud5l, I bath
9� 3
a
205
Std
Har`bornlastcr H
Water
Fiat
2 bedrooms, study.. 2 baths
1371
206
Upgrade
Juan de Fuca J
panorwnic
'Nater
Flat
2 bedrooms, study, 2 baths
1371
207
Upgrade
Rian de Fuca J
Panoramic
Xlf�fnr
Panora
edworn, study, 1 bath
933
208
Sid
Harborinister H-A
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rarnIC Water
dronnis, -.,tL'6v, *2 11-4111�
VIA7
209
Upgade
p
port Gamble G-A
rden
2 bedrooins, 2 baths
1174
210
Sid
Fi(LaIgo F2
AdmiraltY Trl"
bedrooms, study, 2 baths
study., I bath
1458
1248-
211
Std
Bainbridge Towilhu'llu 0-4 r-
1 b room,
3 bedroorns, Fain. Rin. 2.5 ba ths
2647
212
301
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Langley L PentbousC.
Panoramic Water
lat
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2 bedrooms, study, 2 baths
1320
302
1
UpgTade
Pacific P
ilanoramic, Water
Water
Flat
I bedroorn, study, I bath
866
303
(Inprade
Quirulault Q
Paitoi-ainic
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Flat
2 bedrooms, study, 2 baths
1588
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Upgrade
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Parionimic
study, I bath
964
305
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE42
o" PLEASE SIGN
ENGINEERING DIVISION DATE
PLEASESIGN
PLANNING DIVISION DATE
PLEASESIGN
PROJECT to &z&,O S
SITE ADDRESS
f S,
PERMIT #-,qAC)//- c� 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
El Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date SignatUre
1:temp:b1dg:f6rn1s:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall.......................... z
Pier/Porch .................
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0
Retaining Wall ...........
Slab insulation .......... - ---------------
--I n
PLUMBING:
0 M
C 0
Underground ............. M 0
Rough -in ................... 0 C:
M
Commercial Final ...... M z
HEATING: C z
Gas Test .................... x
Cn
-n
Gas Piping ............... 0
-n
Equipment .................
M M
Commercial Final ....... 0
Cn
0 r—
EXTERIOR SHEATHING 0 ITI
NAILING .......................... C: C/)
Cl)
Q 0
FRAMING ........................ Z r-
FIRST FLOOR FRAMING... ;U
INSULATION ...................
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Floor Insulation ......... z
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Wall Insulation ...........
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Ceiling Insulation ....... 0
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SHEETROCK NAILING ... 0
M
SPECIAL INSPECTION ...
-----------
MISCELLANEOUS ..........
FINAL APPROVAL FOR 7
OCCUPANCY .................
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