20050962.pdf76-Ht- 672-�
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME114AME OF BUSINESS
MAILING ADDRESS
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PERMIT EXPIRES
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ADDRESS
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PLAT NAME/SUUDIVISION NO LOT NO
LID NO
LID FEE S
PUBLIC RIG14T OF WAY PER OFFICIAL. STREET MAP
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REMARKS
RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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FIRE REVIEWED BY
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0. SHORELINE OR ADB# INSPECTION 3EjA
ECKED BY VARIANCE OR cu REO'D COMPLETED EXEMPT
s E LIC NSE NUMBER EARRA ION DATE YES 13 NO
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SED FRONT SIDE REAR FRONI UR SIDE REAR
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ADDITION CHANGE OF USE n
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REPAIR FENCE FT.) REMARKS
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OTHER
DEMOLISH TANK
GARAGE RETAINING WALL FIRE SPRINKLER*
04~16 ROCKERY FIREALARM
R ACTIVITY) EXPLAIN: STRUCTION CODE OCCUPANT
TYPE OF CON GROUP
NUMBER __FNUMBER OF
SPECIAL INSPECTION CONSULTANT
OF DWELLING LOAD
STORIES 2W-A-5S I U REQUIRED YES
�ESCRISE WORK TO BE DONE REMARKS
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GEOTECH REP RT to
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BY:
VALUATION
FEE Description FEE
Description
I , _— State Surcharge
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Plan Che
HEAT SOUR LOTSLOPE% VESTED DATE Building Permit City Surcharge
Base Fel i
Plumbing
PLAN CHECK NO:
Mechanical
OVERS WO KT
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. TH PERMIT CO WO
S� ION ON THE PUBIC 4�1.
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSYRUCT C.) WILL REQUIRE Grading
DoNMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ET
SEPARATE PERMISSION. Engr, Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) Engr. Inspection 12,
PERMIT LIMIT: SEE ECDC ig.00.005(A)(6)
SEE BACK OF PINK PE . RMIT FOR MORE INFORMATION Fire Review Plan Chk.'Deposit
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSORS
(n No AND HOLD HARMLESS THE CITY OF
W IN INTEREST. AGREES TO INDEMNIFY, DEFE Fire Inspection Receipt #
_j HINGTON, ITS OFFICIALS, EMPLOYEES AND AGENTS FROM ANY AND
2 EDMONDS.WAS
x ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, AWSING DIRECTLY OR INDIRECTLY
OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 7' 10 Total Amt. Due
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x FROM THE ISSUANCE RDINANCE
0 DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY 0 Receipt #
R LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' g Fee
ION Recordi APPLICATION APPR6VAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INF RMAT I signed by [tic
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF This application is not a permit unit
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building official or his/her Deputy: and Fees ate paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED FOR INSPECTION receipt is acknowledged in space provided.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO fxt�t -IGNy'U)tE DATE
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. Ir
DATE SIGNED (425)
WNER AGE �T-'
SIGNATURE (0 DATE
771-0220 RE SEDBY
ATTENTION U ) SE OR OCCUPY A BUILDING OR STRUCTURE UNTIL EXT. 1333
IT IS UNLAWFUL TO N HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL -FILE YELLOW INSPE TOR
A FINAL INSPECTIO IRC1110. PINK - OWNER GOLD ASSESSOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC1`10 I
PRESS HARD - YOU ARE MAKING 4 COPIES
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CALCULATIONS OF AVERAOE ELEVATION DATU
THE ELEVATION NUMBERS INDICATED BELOW WERE DIRECTLY SPOTTED AT
THE PROPOSED BUILDING CORNERS.OR ARE INTERPOLATIONS OF THE
EXISTING GRADE FOR THE PROJECTED CORNERS (FROM SURVEY PREPARED
BY CORE DESIGN, JUNE 200.4).
NORTHWEST CORNER: 385.75'
�NORTHEAST CORNER: 374.0'
SOUTHEAST CORNER: 375.00'
SOUTHWEST CORNER: M4.00'
TOTAL 1518.75' 4 = 379.6875 (AVERAGE DATUM ELEVATION)
MAX. ALLOWED BUILDING HEIGHT PER ZONING CODE CG2 = 45—ots
MAX. PROPOSED BUILDING ELE MENT HEIGHT = 44'-5 3/4"
MAX. ALLOWED BUILDING ELEVATION PER ZONING� CODE 424.6875'
ACTUAL PROPOSED BUILDING HEIGHT ELE VATION 424.16'
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FINA.-JI PROJECT APPROVAL �,jRM
TO:,_,�
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLUME SIGN
ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE
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PLEASE SIGN
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PROJECT
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SITE ADDRESS
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PERMIT ADB# DATE INSPECTED
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DESCRIPTION 0 F WORK TO BE INSPECTED
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A field inspection was� conducted to determine compliance Nvith -.approved plans. Final approval
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denotes that the . re are no objections from the above signed Department to the release- of
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PERFORMANCE BONDS and thegranting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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0 Copyof CONDITIONS given to owner/contractorby inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE given to ow'ner/contractor by inpector
2.,
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tenip:b1dg:forins:oqaprv1 3/25/04
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DEPARTMENT OF BUILDINGS
4:tttift"tatt lot 4?t
PER International Building Code Section 110
th
At: 2191176 Avenue W, Edmonds, WA .—Building Permit #: BLD20050962
Occupancy establis Dwelling Units: **N/A** No. Stories: 2
hod by this certificate:
B/S2 Type Construction: 11B Sprink Basement: Yes
**585**
Maximum Load (Per IBC 1004)
Room capacity signs, when required; must remain posted at all times.
Owner of Building: Mast-gech LLC — Address: PO Box 5315, Everett, WA 98206
THE 76 th Avenue Professional Center HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE
2003 EDITION OF THE INTERNATIONAL BUILDING. CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE
USE FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 4th day of October 2006
CHIEF BUILDING OFFICIAL
BY
and s(��ali
be mainta ned in legible condition at all times. Any change of occupancy or use requires a building permit and a new
This certificate shall beposted In a conspicuous public area and shall not be removed, mutilated or obscured
Certificate of Occupancy Issued by the City of Edmonds Building Official.
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