20040841.pdfDATE RECEIVED
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PERMIT EXPIRES
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Description
FEE Description FEE
Plan Check
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Building Permit
City Surcharge
PLAN CH�_Cll< NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
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LU PERMIT APPLICATION: 160 DAYS
CL PERMIT LIMIT 1 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 INTERES1 AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, tk�SHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
40 — Receipt #
cc ALI. CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECT LY
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FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT 13E
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Total Amt. Due
C3 DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Receipt #
Recording Fee
Are
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND I HAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
I his application is not a permit until signed by the
TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Olficial or his/her Deputy: and Fees are paid, and
IN V;OLATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18 27.
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OFFICI DATE
SIGNATURE (OWNER 0 GENT�_ DATE SIGNED
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE YELL&4.1
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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DEPARTMENT OF BUILDINGS
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PER UNIFORM BUILDING CODE SECTION 109
At: 24325 Highway 99, Edmonds, WA -.Building Permit#: ------ #2004-0841
occupancy established by this certificate: Dwelling Units: **N/A** No. Stories: 2
t
B/S3/SI/A3 Type Construction: VN Sprinkled Basefmeint: No
Maximum occupant Load **292** (Per U.B.C. 1002)
Room capacity signs, when -required, must remain posted at all times.
Owner of Building: Camnel Properties LLC Address: 2432 )Highway 99, Ed nonds,, WA 98026
EEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1997 0,
THE - Caml3bell Nelson Nissan HAS B FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR (.r-
Edition of the UNIFORM BUILDING CODE AS ADOPTED BY THE CITY In
WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 14th day of_____ April ____ZO05
CHIEF BUI ING 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 co n dition 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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Materials Testing & Consulting, Inc.
Campbell Properties, L.L.C.
Attn: Curt Campbell
24329 SR99
Edmonds, WA 98026
RECEIVED
APR 12 2005
PERMIT COUNTER
RE: Campbell Nelson Nissan
Permit #: 2004-0807 & 2004-0841, City of Edmonds
Dear Mr. Campbell:
April 6, 2005
Materials Testing & Consulting, -Inc. ("MTC") performed materials testing and special inspection
on the above -referenced project. This letter is a statement declaring the actual work inspected
was performed to the best of the inspector's knowledge in accordance with project plans,
specifications, engineer revisions or approval and The International Building Code. We accept
responsibility only for the work we inspected where a report was generated.
The following work, to the best of our knowledge, was performed in accordance with the project
drawings and specifications and the International Building Code:
* Earthwork
* Reinforced Concrete
* Structural Steel & Welding
If you have any questions please feel free to call us at (360) 755-1990.
Respectfully Submitted,
MATERIALS TESTING & CONSULTING, INC.
Niall P. Hackett
Owner/President
cc: Western Engineers
Warren Lafon Architects
Wilcox Construction
City of Edmonds
Bellingham Office
1208 Bay Street, Suite 100
Bellingham, WA 98225
360-647-6061 ph
360-647-8111 fx
CorDorate Headquarters
777 Chrysler Drive
Burlington, WA 98233
360-755-1990 ph
360-755-1980 fx
www.mtc-inc.net
Centralia Office
1710 Midway Court
Centralia, WA 98531
360-330-7926 ph
360_330-7946 fx
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FIN 1-p'ROJECT APPROVAL �. ORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE
FROM: PLEASE SIGN
ENGINEERING DIVISION DATE
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DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERF RMANCE BONNDUS and the granting of
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GRANT FINAL PROJECT APPROVAL
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FINAL. ROJECT APPROVAL F0K..,1
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PERFORMANCE BONDS and the granting of:
PC GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WTFH CONDITIONS NOTED
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FINAi-, PROJECT APPROVAL I ORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATEq�_(3
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PLEAUSE SIGN
PLANNING DIVISION DATE
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SITE ADDRESS_(:W'L_'-/'/'-'_'e�'5_
PERMIT '�6��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
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Date SignatUre
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RECORD OF INSPECTIONS
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
GasPiping .................
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 ..................
INSPECTOR DATE APPROVED
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Date Issued
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AmountpziJ nece--v.,
. " 4 , - L_ Z IL-2
Date Purchnsed
LOW
Amount P-!;?, r1p.-Cipt
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