20050016.pdfS7et1110115_ /5_1"VII-1011-1
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEiNAME OF BUSINESS
MAILING ADDRESS
CITY
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AVVANtED
ADDRESS
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inspection Requi(ed 0
Sidewalk Required E3
REQUIRED DEDICATION FT
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METER SIZE
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NO OF FIXTU7RES
PRV REQUIRED
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Description
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Plan Check
HEAT SOURCE
LOTSLOPE%
VESTED DATE
Building Permit
PLAN CHECK NO:
2
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Grading
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
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W PERMIT APPLICATION: SEE ECDC 19.OD.005(A)(5)
Engr. Inspection
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PERMIT LIMIT., SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSORS
Fire Review
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IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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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
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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I - CODE
?4vy- - .2-115
CONSULTANT
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL
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 FOR INSPECTION
WORKMEN'S COMPE RANCE AND RCW 18:27.
SIG DATE SIGNED (425)
1 771-0220
FEE
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OCCUPANT
GROUP
LOAD -
Description
State Surcharge
Ci,ty.Surcharge
Base Fee
FEE
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Plan Chk. Deposit
Receipt #
Total Amt. Due
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APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
. receipt is acknowledged in space provided
FIC�LS SIGN TU E DATE
JA
AT 101 EXT. 1333
ITISUNL FULVO U'SEQR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 I IRC110.
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
UGINAtjFILE - YELLOW1 - INS6ECTOR
PINK -OWNER - GOLD - ASSESSOR
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Soul)(1/11oisc od"inaling froill tell
)porary C011S11116011 SitCS IS it NSUlt 01' Af
constrUction IctiNfily �11-c excillpt fi-oni the noise limits of ECC ChIlPter
5.30 only during, the hours of 7:00am to 6:001)m (in weekdays and
10:00am Mid 6:00pin. on Saturdays. excluding Sundays and �edcral
Holidays. At all oilier finies the noise oritzinatin from coi t-u i
g is I CtIon
siteshactivities mus . t comply with the noise linlits of Chapter 5.30, unless PERMIT#:
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a variance has been granted purSLIII1t to F' CC 5.30.120. EXPIRES:
ISSUED:
City of Edmonds
THIS CARD MUST BE POSTED ON SITE AND AVAILABLE TO THE INSPECTOR
Owner: yjrEW45
Site Address: 7:32- (D C_� SM S4.4) 5b
Project:
Setbacks for Zone
Front
Re#,r-
Side:
Variance #:
Inspections
Approved I
Date
Notes
#1 ENGINEERING
MOBILIZATION AND EROSION CONTROL INSTALLATION MUST BE APPROVED PRIOR TO COMMENCEMENT OF ADDITIONAL WORK.
(425) 771-0220 x1326 Mobilization Erosion Control
.—Tightline
Detention
Forms (sidewalk, driveway)
Water Service
-----------------------
- - - - - - - - - - --- - - - - -
----------------------
- - - - - - - - --- - - - - - - - - - - - - - -
—
Permit # Side Sewer
Permit # Right -of -Way
(s/w, c/g, paving)
#2 SITE/DEMOLITION Pre -Demolition
Asbestos PSCAA Permit
Sewer Cap
Cleaned Site/Final
4:W_A" 10 775
#3 FOUNDATION Setbacks
Footings
Foundation Wail
Piers
Retaining Wall
Slab Insulation
- - - - - - - - - - - - - - - - - -
--------------------
- - - - - - - - - - -
#4 PLUMBING Ground Work
Permit# Rough In
Grease Fixture
-
- - - - - - - --- - --- - - - - - - - - - -- - -
- - - - - - - - - - - - - - - - - - - - -
#5.PUBLIC WORKS Cross Connection Control
(425) 771-0235 Trash Enclosure
#6,MECH/HVAC Gas Test/Pipe
Permit # 2.61)Z�-ao-72_ Equipment
- - - - - - - - - - - - - - - - - - - - - 7
#7 FRAMING Exterior Sheathing
—Shear Nailing
First Floor Framing
raming
Height Check
---------
01f
- - - - - - - -
- - - - - - - - - - - — -
#8 INSULATE CAULK 11
Floor-
Ceiling
- - - - -- - - - - - - - - - - --- - - - - - - -
- - - - - - - - - - - - - - --- -
—
#9 SHEETROCK NAIL
#10 FIRE Hydrant
(425) 771-0215 FDC
—Fire Protection System
Extinguishers
Addressing Visibility
-----------------------
- - - --- - - - - - - - -- - - - - - - - - - -
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FINAL PROJECT APPROVALS
FINAL OCCUPANCY APPROVAL
BUILDING INSPECTOR .4-114s--
THIS BUILDING OR ANY PORTIQN THEREOF IS N(WTO BE OCCUPIED PER QBQ 109, UNTIL ALL
APPLICABLE CITY DEPARTMENTS HAVE GRANTED A FINAL APPROVAL
Call (425) 771-0220 x1333 for BUILDING INSPECTIONS
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NOTICE I IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THANTHIS NOTICE
IT IS DUE TO THE QUALITY OF THEPOCUMENT.'
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
DEPARTMENT DATE
FROM: —FIRE
PLEASUSIGN
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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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SITE ADDRESS
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PERMIT # 00/� ADB# DATEINSPECTED
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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,
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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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Copy of CONDITIONS given to owner/contractor by inspector
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FAMED FINAL INSPECTION OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/cont . ractor by inpector
2.
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fbmis:ocapr.v1 3/25/04
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DEPARTMENT OF BUILDINGS
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PER International Building Code Section 110
At 7320 216�' Street SW, Suite 50, Edmonds. A Building Permit #: 2005- 0016
Dwelling Units: **N/A** No. Stories: 3—
Occupancy established by this certificate:
Type Construction: Type ll.A Sprink Basement: Yes
B/A3
**38** (Per IBC 1004)
Maximum Occupant Load
Room capacity signs, when required, must remain posted at all times.
Address:. 1001-Western Avenue, Suite 330, Seattle, WA 98121
Owner of Building: Teutsch Partners
F THE 2003 EDITION OF
vens Pavilion HAS BEEN INSPECTED AND APPROVED As COMPLYING WITH THE REQUIREMENTS 0
THE Ste
AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH
THE INTEMNATIONAL BUILDING CODE
THE PROPOSED OCCUPANCY IS CLASSIFIED.
day of April .2005
Issued this 11th
CHIEF BUILDING, OFFICIAL
BY: —
This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall ti�Ce4�in legible condition at all times. Any change of occup . ancy or use requires a building permit and a new
Certificate of Occupancy issued by the City of Edmonds Building Official.
(1� (T) (1) (T� (1) 4,111
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RECORD OF INSPECTIONS