20040799.pdfV
DATE RECEIVED
b ERMIT EXPIRES
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USE t-ERMIT C 7�q
CITY OF EDMONDS ZONE NUMBER 1Z
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JOB C SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS 1�4 (/-(,I n
?WNER NAM
SINESS
,,,,NNAMEO PLAT NAMEISUBDIVISION NO. LOT 140, LID NO.
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IX MAILING AIJIQ E LID FEE S
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3: PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Requited 0
0 n Street Use Permit Herld E3
CI*r b EXISTING PROPOSED Inspection Required C3
1JELEPHONE Sidewalk flaquirrid [3
REQUIRED DEDICATION— FT Underground
6wk 02,0 Ll Wiring required
NAME METER SIZE NO. 2jiXTURES PTIV Eau IRED
YE S NOEJ K
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t: ADDRESS REMARKS z
OWNER/CONIRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE Z5
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CITY ZIP TELEPHONE
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VARIANCE OR CU SHORELINE 0 INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION [YATE CHECKED BY P(OD REOO POSTED
OYES KNr) S
SEPA REVIEW SIGN AIIEA HEIGHT
ACCOUNT PARCEL NO. C SED
PROPERTY TAX OMPLETE , E E P ALLO ED PROPOSED ALLOWED PROPO
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LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT)
NEW El RESIDENTIAL 54' PLUMBING MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
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ADDITION P%A COMMERCIAL 1:1 CHANGE OF USE z
1610L PARKING LOT AREA NING REVIEWED BY DATE 5
REMODEL E] MULTIFAMILY 1:1 SIGN REO'D PROVIDED CL
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GRADING FENCE /Vu 4A 4 "L L4 JZ
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k CHECKED BY ITYPE OESDUSTRUCTION _JCODE OCCUPANT
FE GROUP
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OF DWELLING AREAS SPECIAL INSPECTION JAREA OCCUPANT
in UMBER REQUIRED LOAD
0 STORIES UNITS _7 YES
DESCRIBE WORK TO BE DONE
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/ IBC109/IRC109 FINALINSPECTION REQ-D
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VALUATION
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e r) 0, i ror yu \t\,l _Ly KA1 no j a Description FEE Description FEE
Plan Check State Surcharge Sc)
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HEAT SOURgE GLAZING % �j L PqA Building Permit City Surcharge
VESTED
PLAN CHECK NO: DATE Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
PERMIT APPLICATION: 180DAYS
9L PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
In Fire Review Plan Chk. Deposit A,/
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
I EDMONDS, WASHINGTON, 11S OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Z3n Receipt #
RISING DIRECTLY 0
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, A R INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF I HIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. Due
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYs ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
xi Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMA1 ION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND CALL s1har Deputy: and Fees are paid. and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or t1i
IN VIOLATION10F THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S CPMPENSATION INSURANCE AND RCW 18 27 OWFF�CIIGNAI E DATE
I NATUR (0 NE AGE DATE SIGN[D (425) LA
771-0220 1 FLIA!fFO 13Y /bD T E
ATTENTION EXT 1333 j </
IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILA FINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- OFAIGINA/L FILE YELLOW SPEC4171
. uBC109ilBC110/IRC110 PINK� OWN GOLD -haSESSOR
PANCY HAS BEEN GRANTED
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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By order of the Building, Official for the
City of Edmonds
All persons Are Ordered to
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work being done at this address.,.: A, t
le to locatc-a valid perrnit for the
,-.We are unab
-has been obtained
d or jilis,p�Qjcct. Work SHALL NOT co,
litinue until a permit
the work insPe e P ordinances. If you
-ormance witli applicable codes a
ct' d. for con. F
h er
771 0220 with t e'p InI
-have already obtained the perrnit, plcase contact us at (425)
can revise our records.
m er so We
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must be submitted or a response in writ'
be*,made to our o
ijust ffice no later than 4:00.pm on
P TO FIVE TIMES
LATION FEE EQUAL OR U
AY.10
'THE PERMIT FEE SHALL BE ASSESSED.
Pos
ted this day of Au 29" -
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BL111 cial
this Avork or actiVityand/or-the':�..
ning:
The failure to stol)
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reinov,
of work without permission 0
e, v
utilation, or concealment of this Notice is punishabi b' fine,.
m
ment.
and iinprison
(,ity ofEdnionds Development Services Department Building Division
121 5'11 Ave N - Edmonds, NVA 98020 - (425) 771-0220
Office I lours NI-F 9-12 and 1-4
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At:
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218 Main St Bull
Occupancy established by this certificate: TDw:e]1lringLU nits: **N/A***
B
it # 2004-0799
0. Stories: I
st.ruction: V13 Basement: No
Maximum Occu04nt�Load-.,-,.
Room.capacit (Per IBC lool)
YsJgns,-.Wheq,.,'e:q X9 -- -
r u 0�;3myk remain, pc sted ai all times.
Owner of Building Blush Salon
The Address: 218 Main St
— Blush Salon ha—sbeemin
Of the spected and apprpvjd as co wi h the requirements of the 2003 Edition
mplying
international Building Code as adopted!by, the City for the group and diVisi
Occupancy is classified. On 0 Occupancy and the use for which the proposed
Issued this Ist day of December 2004
CUIEF BUILDING OFFICIAL
BY: �15
This certificate shall be Posted in a conspicuous Public area and shall not be removed. mutilated or obscured and 5 hall 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 Building Official
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(T) (T) (1)
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE
FROM.
I -LEASE SIGN
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ENGINEERING DIVISION DATE
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PLEASE SIGN
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PLANNING DIVISION DATE
PLEASE SIGN
PROJECT
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PERMIT #_2,:: �6)c -,O'Iqq _ADB# _DATE'INSPECTED 6 Y
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine compliance with -approved plans. Final approval
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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:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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0 Copy of CONDITIONS given to owner/contractor by inspector
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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
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 .................
LC�
Equipment .................
I
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
C� d<T
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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