20041001.pdfDATE RECEIVED
USE PERMIT
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JOB SUITEIAPT#
CONSTRUCTION PERMIT APPLICATION ADDRESS
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PLAT NAM EISU BDIVI SION NO. LOT NO. LID NO.
LID FEE $
Lu �MAILING AD6RESS' 7ESCP Approved �E:I
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP FAIN Permit Required E3
51 Street Use Permit Roq'd E3
T EXISTING — PROPOSED inspection Required
CITY ZIP LEPHONE sidewalk Required
071,4-1 REQUIRED DEDICATION FT Underground
Wiring required
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 13 NO E3
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6 �-- SHORELINE OR ADBI INSPECTION PBOND
WTE LICENSE NUMBER EXPIRATION DATE CHECKED BY 44 REQ'D OSTED
PI-02-10i 104-106,03- EIYES SR"NO $
4e�— L r4�) e5- Iq 4") 9 S- MWI. SEPA REVIEW SIGN AREA HEIGHT
-j PROPERTY.TAX ACCOUNT PARCEL NO. 0 C)*3j4_—Z_j"_Q0k _(30 COMPLE ALLOWED ROPOSED
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LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
TNEW RESIDENTIAL PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR a
COMPLIANCE OR
ElADDI . TION COMMERCIAL CHANGE OF USE 0 1
El DATE
PARKING LOT AREA PLANNING REVIEWED BY
REMODEL MULTIFAMILY SIGN REO'D I PROVIDED I
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REPAIR '13RADING CYDS x FT) REMARKS J. _*ys
DEMOLISH TANK
GARAGE RETAININGWALL FIRE SPRINKLER
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(TYPE OF USE, 13USINESS OR ACTivrM EXPLf IN: C012E T
CHECKED BY TYPE OF CONSTRUCTION OCCUPAN
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NUMBEF` r j6hc'%A�b�N I A13ER OF JAREA OCCUPANT
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WELLING AREAS SPECIAL INSUPCTION LOAD
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DESCRIBE WORK TO BE DONE
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/IBC109/iRC109 FINAL INSPECTION REO'D
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VALUATION
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FEE Description FEE
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Building Permit
City Surcharge
PLAN CHEC VESTED IIATE
Plumbing
Base Fee
Mechanical
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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.
PERMIT APPILICATION: 180DAYS
PERMIT LIMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVIS ON
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Fire Inspection
Receipt #
Landscapeinsp.
Total Amt. Due
ol oil/ 15�
Recording Fee
Receipt # C
1 HEREBY ACK OWL THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
G VEN IS CO EC THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
T " ER. A R E COMPLY WITH CITY AND STATE LAWS REGU
H 0 WING CONSTRUC
T 41;4 IN T WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
I VI JID
'T IP 0 T tEBOR CODE OF THE STATE OF WASHINGTON RELATING TO
R Nf E S N INSURA��R�18.27.
CALL
FOR INSPECTION
(425)
771-0220
APPLICATION APPROVAL
This application Is not a permit Until signed by the
Building 011icial or his/her Deputy: and Fees are paid, and
receipt Is acknowledged In space provided,
FFJ RE DATE
I N U N
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BAT SIGNED
RE ED B
EXT 1333
ITISU F TO USE OR OCCUPYA BUILDING OR STRUCTURE UNTILA FINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU-
ORIGINAL - FILE YELLOW - INSPe/CTOR
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK -OWNER GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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CITY OF EDMONDS
-1 AVENUE NORTI I - EDMONDSMA 98020
121 5TI
PHONE: (425) 771-0220 - FAX: (425).771-0221
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STATUS: ISSUED 2/13/2007
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BUILDING PERMIT
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Expiration Date: 8/13/2007 t
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Parcel No: 00434212400100 0
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THE GREGORY RALPI I ALLEN BELFORE USA GROUP INC.
51 W DAYTON ST STE 3 04 73 10 1 STH AVE NW 3826 WOODLAND PARK AVE N
3:
EDMONDS, WA 98020 SEATTLE, WA 98103 M
206-399-9467 206-632-0800 0 ,
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LICENSE #: BDLFOUG990B) EXP:12/14/2006 C)
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Add 30 sq. ft. of,deck area t6.Unit 201, SW,conler of building. cdftmp� 3: m
LP r-LD.. 10-4
VALUATION: $510
PERMIT TYPE: Commercial
PERMIT GROUP: 22 - Deck/Porch/Patio Cover
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANTGROUP:
OCCUPANT LOAD:
FENCE: N 0 X 0 FT.)
CODE: 03
OTHER: N ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VEST ED DATE:
NUMBEROF DWELLING UNITS: 0
BASEMENT: 0 1 sr FLOOR: 0 2ND FLOOR: 0
BASEMENT: o I ST FLOOR: 0 2ND FLOOR: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 30 OT I IER: 0
.3 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
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FRONTS E'I'BA('K SIDESE`FBA(*K RF_%R S FFBA('K
REQUIRED: PROPOSED: IRED: PROPOSED: IREQUIRED: PROPOSED: I
HEIGHT ALLOWrD:O PROPOSED:0 IREQUIRED: PROPOSED: >
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SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND S`I'ATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED z
-BY, NO PERSON WILL BE EMPLOYED IN VIOLATION OFTHE LABOR CODE OF THE STATE 0 F WASHINGTON RELAT ING -1-0 0
THERE
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. 0
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY TI Ir BUILDING OFFICIAL Olt IIIS/I IER pf.-PuTY AND ALI. FEES ARE PAID.
/Date
Signature Print Name Date Released By
ATTENTION
1'r is UNLAWFU . L TO USE OR OCCUPYA BUILDING OR SIRUM'URE UN11LA FINAL INSPE(MON HAS BEEN MADE AND APPROVAL OR A CI:R'111-'ICA'[Y- OF
OCCUPANCY HAS BEEN GRANIED. UBC109/ 1BC1 10/ IRCI 10.
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ARCHIVE APPLICANT ASSESSOR
STATUS: ISSUED.
BLD20061258
Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
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the building or structure. Clieck the job or all required. City inspections including final project approval and final
occup . ancy inspections.
Any request for alternate design, modification, variance orother adi -ninistrative deviation (hereinafter "variance") frorn
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shallbe established by Council and shall be paid upon submittal and are non-refundable,
Approval of any plat or plan containing provisions which do not comply with city code and for Which a variance has not been
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priate provisi
specifically identified, requested and considered by the appropriate city official in accordance with the appro ton..
codeorstate lawdoes not approve any items notto code sgecification.
Sound/Noiseoriginating fromtemporary construction sites as aresult ofconstruction activity are exempt fromthe noise limits
of ECC Cliapter 5.30 only duringthehours of7:00amto 6:00pmon weekdays and 10:00amand 6:.00pmon Saturdays, exoluding
Sundays and Federal Holidays. At all othertimes the noise originating firomconstruction sites/activites must cornply VA the
noise linits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
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THIS PERMIT AUTHORIZE S ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCI ION ON THE
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PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE. PERMISSION.
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PERMIT 11ME LIMIT. SEE ECDC 19.00.005(A)(6)
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FIRE -0215
BULDING (425) 771-0220 EXT. 1333 ENGWEERING (425) 771-0220 EXT. 13 - (425)771
3:
PUBLIC WORKS (425) 771-0235 PR&TREATMENIP (425) 672-5755 RECYCLING (425) 2754801
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n calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspec n being
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requested, Contact Name and Phone Number, Date Prefereed, and mhether you prefe morningor afternoon.
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B-Building Final
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Permit Inspection Details
Permit: BLD20061258
PEF
1142 - B-Framing
Complete?
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06/12/200T Bullis 30
y
Total Time-
30
1158 -,B-Building Final..
Complete?
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08/03/2007 Bulb 45
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Total Time:
45
Total Inspections: 2,
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