20040543.pdfDATE RECEIVED
USE
CITY OF EDMONDS ZONF
PERMIT EXPIRES
PERMIT
NUMBER A
JOB
Lou 5 1 RUCTION PERMIT APPLICATION ADDRESS
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NAME
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— FT
METER SIZE I LINE SIZE I NO. OF FIXTURES
6
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�!SSIJITE/APT#
LID NO.
LID FEE $
TESCP Approved
RW Permit Required
Strout Use Poirot fioq'd
inspection noquirod
Spee.walk Required
Linaerorcund
Wiring required
PRV REQUIRED
YES 13 NO 0
REMARKS
OWNERICONrRACTOR RESPONSIBLE FOR EROSION CONTROODRAINAGE
3 60) �� � % YN 0
ENGINEERING REVIEWED BY
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STATE LICEhjE NUMBER E IRAT YO-DATE Aj; >
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RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
DEMOLISH
TANK
GARAGE
CARPORT
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RETAINING WALL
ROCKERY
(TYPE OF USE, PLISINESS OR ACTIVITY) EXPLAIN
PLUMBING / MECH
COMPLIANCE OR
E] CHANCE OF USE
SIGN
FENCE
( x FT)
OTHER
FIRE SPRINKLER
FIRE ALARM
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES e)Kt...—LUNITS NUMBER
DESCRIBE WORK TO BE DONE
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PLAN CHECK NO:
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--J-VESTED DATE
tj THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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Uj PERMIT APPLICATION: 180DAYS
PERMIT LIMIT., I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
(,n) -APPLICAN1, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTERESI, AGREES TO INDEMNIFY, DEFEND AND 1101 D HARMI ESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
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ALI. CLAIMS FOR DAMAGESOF WHATEVER NATURE, ARISING DIRECIIYOR INDIRFCILY
FROM THE ISSUANCE OF THIS PERMIr. ISSUANCE OF THIS PFRMII SHAH NOI HE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIRFMFNI OF ANY CITY ORDINANCE
21 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO FNFORCF ANY ORDINANCE PROVISION "
I HEREBY ACKNOWLEDGE TIiAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, Oil THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS 13EGULATING CONSTRUC-
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 I H 27,
SIGNATURE (OWNER OR AGENT) OAT E SIGNEV /
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DATE
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FIRE REVIEWED BY
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VARIANCE OR CU
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SEPA REVIEW
SIGN ARE,�
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWE D PROPOSED
EXP
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT QRSIDE REAR
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PARKING
LOT AREA
PLANNING REVIEWED BY DATE
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CHECKED BY I TYPE OF CONSTRUCTION CODE' OCCUPANT
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SPECIAL INSPECTION JAREA OCCUPANT
REQUIRED LOAD
YES
REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECI'D
VALUATION
$SLI, I (c, I
Description_
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr, Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
FEE
Description
FEE
State Surcharge
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City Surcharge
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Base Fee
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CALL
FOR INSPECTION
(425)
771-0:220
ATTENTION //` EXT 133�
IT IS UNLAWFUL TO USE Oil OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL Oil A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09103 PRESS HARD —YOU ARE MAKING 4 CO
Plan Chk. Deposit I
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Receipt # z'2e C),�(
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Total Amt. Due I
Receipt it
APPLICATION APPROVAL
I his application is not a permit until signed by the
Building Official or tiisnier Deputy and Fees are paid, and
receipt isacknoydedged in space provided
OFFICIAI S SIGNAILIHF DATE
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-RN FAq& AfY DATE I
OHIGINAL - 171LE YELLOW - IKSPE(ITC
PINK OWNEH GOLD ASSESSOR
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Recelved: 4./ 8/0-4 9:45AM; Maple Dell + Mcciellanc; rawtt
APr-08-2004* 09:58 P.O�/O
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FjectInfo
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APPIC&M
AP*WAWMW
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SJ�PvWofect �Descrij2tion Q Now Iwv C3 AMUn
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lCompliance Option (500 ouaimcaton ChoMfut (ovor). IndIcate PmUdELM & LPA!p!�!! g!!U on PUM)
Alteration Exce�tions No dwv" are Wnq Made 10 tw 19"
(&oock aWWWo b* 13 LmftnW% ollhoftiume oro now, and ln**W NhUngwathwie rvtb*V
Mwdmuln Allowed LigMing Wattage (Interior)
14�;,) LOcdw to MmvdxAm
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12WBE-
Ocwpwicy Desa"M
Per
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Rov. Table 16-1 (am - d=mierd d excepdam tBkon hm foobvAn ToUl nWwod WIwA
Proposed Lighting Wattage (Interior) (May r*t e=eWTOW AflOw9d Wa,ft Ibr hAwkv
WSW
Locdm I Fbdure
(flowroom re.) Fadure OvacylOw, - —1 =rM-w--.T= .11 le- ---v #/W—
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: 188 Sun I se I t Ave S. Building P I ermit # 2004-0543
occupancy established by this cert . ificate: Dwelling Units: **N/A*** ies:
M Tvpe of Construction- V-N SPRINK Basement: No
2)
Maximum Occupant Load (Per U BC 100
Room capacity signs, when, reqy�rpq�,,,T�sl -remain posted at all times.
S 5 Wilbstridgre Dr. Watsonville, CA 95076
West Marine Addre s:. 00 Edition
Owner of Building th the requirements of the 1997
The West Marine has been inspected and approved as complying,wi
of the Uniform Building Code as dopted by the City for the� 'roup and I division of occupancy and the use for which the proposed
9,
occupancy is classified.
Issued this 14 day of Septe ber, 2004
CHIEF BUILDING OFFICIAL
BY:
This certificate shall be posted in a conspicuous Public area and Shall not be (!moved. 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 0,1 occupancy issued by the City of Edmonds Building Official.
N
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE
PLEASESIGN
-PLANNING DIVISION DATE cA-1f-,,-0C'j
PLEASE SIGN
PROJEC. T
SITE ADDRESS-IU
PERMIT# Q!���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
0 Copy of CONDITIONS given to owner/contractor by inspector
I
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
[I Copy of CORRECTION NOTICE given to owner/contractor by inpcctor
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temP:b1dg:fbniis:ocapn,1 3/25/04
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERIINIG DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT
SITE ADDRESS- 7
PERMIT DATE INSPECTED__J���'-_
ADB#
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:
)QGRAN'T 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 CORRE CTION NOTICE given to owner/contractor by inpector
2.
3.
RE-fNSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:forms: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:
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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