20040520.pdfDATE RECEIVED =PERMIT EX
2L L I PIRES
USE PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
ADDRESS
0 j4ER NAME/NAlv!It4)� BUS] NESS
W -2 �� ( _,( _La
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO,
�ANG ADDR
ul s tID FEE $
z TESCP Approved
3: PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Requited 13
L f I )v Street Use Permit Heq'd a
CITY ZIP TELEPHONE EXISTING — PROPOSED Inspection Required 13
f I Sidewalk Required 11
REQUIRED DEDICATION— FT Underground
Wifing repirrid 0
NAME METER SIZE LINE SIZE NO. OF FIXTURES PFIV REQUIRED
YES 13 NO 0 z
I= ADDRESS REMARKS z
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 5
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77
CITY ZIP TELEPHONE
I
NAME CBL#
Alp— ENGINEERING REVIEWED BY DATE
ADDRESS
0
8 q A'3 -7 tW
9 FIRE REVIEWED BY DATE LU
CITY ZIP TELEPHONE
0
VARIANCE OR CU SHORELINE OR ADBI INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION DATE CHECK Y FIEO'D POSTED
Cint4N w I CIYES ONO S
SEPA REVIEW SIGN AREA HEIGHT
_j PROPERTY TAX ACCOUNT PARCEL NO.
COMPLETE , EXEMPT ALLOWED , PROPOSED ALLOWED , PROPOSED
u., �2 76) 5" z- 3 0 Cq 57) 0 EXP
1:1 NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
1 ADDITIO COMPLIANCE OR z
N OMMERCIAL E
:1 CHANGE OF USE z
PARKING LOT AREA PLANNING REVIEWED BY DATE :5
11 REMODEL 1:1 MULTIFAMILY SIGN REO'D I PROVIDED
----------------------
REPAIR 0 GRADING FENCE
CYDS ( X Fr) REMARKS
DEMOLISH 1:1 TANK OTHER
GARAGE o RETAINING WALL FIRE SPRINKLER
z CARPORT ROCKERY 0- FIRE ALARM
(TYPE OF USE, NESS 019 ACTIVITY) EXPLAIN
FC CHECKED BY PE OF CONSTRUCTION :CC
�um U,3 OCCUPANT
Uk GROUP
U) f7 (A 0T50
w NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS SPECIAL INSPECTION JAREA OCCUPANT
o STORIES UNITS NUMBER REQUIRED YES LOAD
DESCRIBE WORK TO BE DONE
REMARKS
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PROQRESS INSPECTIONS PER UBC 10.8/IBC109/IRC109 FINALINSPECTION REO'D 5
6�LLA�5,E, _7
VALUATION
$
Description FEE Description FEE
Plan Check State Surcharge
j on
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit 2,00 City Surcharge /57
CK NO: VESTED DATE Plumbing Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
Lu PERMIT APPLICATION: 180DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
< ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE. ARISING DIRECTiYOR INDIRECILY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due Ji
0 NOR LIMIT IN ANY WAY f HE CITYS ABILITY 10 ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee Receipt # h).
I HEREBY ACKNOWLEDGE THAT ! HAVE READ IHIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND T14AT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC This application is riot a permit until signed by the
TION AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL Building Official or his/tier Deputy: and Foes are paid, and
IN V;6LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided
WORKMEN'S COMPENSATION INSURANCE AND RCW 10.27.
IGNAT:U;VRFj
OT
SIGNATURE (OWNER OR(4r�AEN�-n DATE SIGNED (425)
7Z1 771-0220 EASED BY
ATTENTION EXT 1333 — — --------------------------
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCU- ORIGINAL - FILE YELLOW - INSPECTOR
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK -OWNER GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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Grease Trap Sizing Worksheet
Facility Name: fie-Artar(XA
Address: r, v,-- - Suite No.:
• 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
Pr-e Vj
�c X C.i.
231 gal.
x .75 = __Zal.
2 Rpm
#2
X x x c.i.
+ 231 = gal.
x .75 = _gal.
2= gpm
#3
X X x c.i.
231 = _gal.
.75= gal.
2= gpm
#4
x x x c.i.
231 = _gal.
_x
x .75 gal.
2 gpm
Grease Trap #1 - Total drainage flows from maximum of 4 fixtures
2-0 gpm
#1
WOK t or, f-rL t Y\
x x c.i.
231 = gal.
x .75 = gal.
2 = 9pm
#2
x x x c.i.
231 = gal.
x .75 = gal.
2 = Rpm
0.
X- x x c.i.--
+ 231 = gal.
x .75 = __gal.
2 = gpm
#4
x x x c. i.
231 = gal.
I x .75 = gal.
2 = gpm
Grease Trap #2 - Total drainage flows from maximum of 4 fixtures
gpm
MINIMUM SIZE OF GRE ASE TRAP(S) RE, QUIRED
gpm
Number of Fixtures Connected to a Grease Trap
1
2
3
4
Grease Trap Size (in gpm)
20
1 25 -F-35
1 50
I —",
Upsize for factors such as high volume dishwashing, high oil/grease content on menu, etc.
---------------------------------------- (For City use only below this line) -----------------------------------------------
Remarks: fit.ke- t,,, /wn, b,4 cy- n,ali VL-)10)Y1'P— 0� -00u')
rA 15 Qn rA (;-T -10ill 7FOly- 1*11�
'JI
/.5 for Wol� fixto.re- f1coij-, I I
Size Approved: 2-0 gpm Approved by: Date: 4� elo
Pretreatmen f Fechnician I
I Rev. reb. 20041
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R izr r, D FINAL PROJECT AP"PROVAL FORM
AUG I 1 2004 TO:
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
ATE
FROM: �D
PLEASE TIN
ENGINEERING DIVISION DATE
PLEASE SIGN
PLEASESIGN PLANNING DIVISION DATE
PROJECT
SITE ADDRESS lel StA n s- et_ A y e,,
PERMIT # ;-20 0 4/ - 052- Q ADB# DATE INSPECTED
2-0 C'Drn cc, IeA
DESCRIPTION OF WORK TO BE INSPECTED 'J
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:
oK —GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
I .
FAMED FINAL INSPECTION - OUTSTANDING ISSUES
Copy of CORRECTION NOTICE given to owner/contractor by inpector
1 .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fonns:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS .......... iL Iwo.&
FINAL APPROVAL FOR
f,irrUPANCY ..................
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