20051054.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME,iNAME OF BUSINESS
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CITY ZIP
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NAME
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STATE LICENSE NUMBER EXPIRATION DATE
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PROPERTY TAX ACCOUNT PARCEL NO.
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UNITS REQUIRED n YES
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GEOTECH REPORT
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Descri ption
Plan Check
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C) 2.bO5 Building Permit
Plumbing
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PLAN CHECK NO:
PERMIT
NUMBER
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK 40TED. 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
Engr. Review
SEPARATE PERMISSION
-
PERMIT APPLICATION: SEE ECDC 119.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. AS SIGNS AND SUCCESSORS
Fire Review
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IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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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920IEDMONDS,
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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
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Recordino Fee
PERMIT EXPIRES
JOB
ADDRESS 2_01
SUITE/APTN
PLAT NAMEISUBDIVISION NO.
LOT NO
to NO
LID rF ES
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
Rw Permit Required
street use Permit Required
EXISTING l,.
inspection Required
-PROPOSE
SidowalK Required
REQUIRED DEDICATION FT
unanigrouno
Witing required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 13 N013
REMARKS
OWNER/CONTRACTOR RESPONSIM.E FOR EROSION CONTROUDRAINAGE
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ENGINEERING REVIEWED BY
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SIGN AREA
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ALLOWED PROPOSED
ALLOWED PROPOSED
STUDY 13
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LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT
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FRONT URSIDE REAR
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REMARKS
TYPE 01��TRUCTION CODE N_
C-C 2 GROUP
_I OCCUPANT
CONSULTANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
G GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
HE INFORMATION
IR E AAGEN F
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THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
- AN ILL BE EMPLOYED CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
tIN VIOLATION OF THE LABgRCODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
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WORKMEN'S COMPENSAJO'� I 4S RANCE AND RCW18:27.
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SIGNATURE (OWNER OR GENT/)Y: ATE SIGNED (425)
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ATTENTION r- A L '11 3 a,3
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 if IBC110 / IRC1110.
OCCUPANT
LOAD i
FEE Description FEE
State Surcharge
City Surcharge
Base Fee
Plan Chk. Deposit
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Receipt # p_�!)
Total Amt. Due
Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or hisihor Deputy: and Fees are paid. and
receipt is acknowledged in space provided.
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ORIGINAL - FILE YELLOW - INSPEG I L
PINK -OWNER GOLD - ASSESSOR
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FINAL PROJECT APPROVAL FORM
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DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
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DESCRIPTION OF WORK TO BE INSPECTED 1 11c,
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: eq—
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GRANT FINAL. PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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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
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RE INSPECTED OUTSTANDING ISS UES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:teinp:b1dg:forms:ocaprv1 3/25/04
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DEPARTMENT OF BUILDINGS
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PER International, Building Code Section 110
At: 7522 - 221"1 PI SW Building Permit #: 2005-1054
Occupancy established by this certificate: Dwelling Units: N/A
B
TVO, nstruction: VB Basement: N/A
Maximum Occupant L6j8jzV.�,,1,,.1.,.,...
14 (Per IBC 1004)
Room'.9 (�y sighs,
W it 're main posted at all times.
71 N',9v!k'0Y�'1,rtV ... I � ".. -
IN
''Addrei' 7522"—;"'.2.2
Owner of Building: Julie Hanson i , ,
'ED AS COMPLYING WITH THE REQUIREMENTS
THE Hanson Office Building HAS BEE APP
ROY.
OF THE 2003 EDITION OF THE INTERNATIONAL BUJI,�-#JNG C,OE)E.-AS,�Ab',OPt�b-BY..,'THE,CITY FOR THE GROUP AND DIVISION OF OCCUPANCY
AND THIFUSE FORWHICH THE PROPOSED OCC00ANcy IS PLA!Sii6d&!";;:-:-.
Issued this 23rd daV.'of Jinuary 2006
CHIEF BUILDING OFFICIAL
BY:
This certificate shall be posted In a conspicuous public area and shall not be removed, mutilated or obscured and sh.11%e 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.
M.71 $'A'. $'A'. 440" 44"'. M.,
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