20060134.pdfIDATERECEIVED
I [Z�XPIRES
g_j),105—
CITY OF EDMONDS
PERMIT
NUMBER coot, -013q
CONSTRUCTION PERMIT APPLICATION
JOB UITE.PT.
ADDRESS
Oy�NERNAMFIN-�e
jitt V LU
11—ANIFISLSOVISION No
ICT No
LID.
If
LAD FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
E ING _ PROPOSED
X'ST
REQUIRED DEDICATION _— FT
TCS`1=e'1'
R.. R ull.
.I—PeAeF� a
Re 0
I
E3
CITY ZIP
TELEPHONE
NAME
METER SIZE I
IINESIZI
I NO. OF FIXTURES
PRVREQUIRED
YEs 13 NO 0
ADDRESS
REMARKS
OWNEMCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
ENGINEERING REVIEWED BY
DATE
I A HESS
FIRE REVIEWED BY
DATE
qa N��
ic
STATE LICENSE NUMBER Q ATE Y
VARIANCE OR CU SHORELIOEORAO81
JN�RPEEO!ION SEPA
0 1
r-PULT11 E111111
.
Me
JOYES ON.1 I
ZONE SIGN 411EA HEIGHT
PROPERTYTAX ACCOUNT PA aW
CA#
WAIVER 13
Al... PRO OSCD ALL-.. P11P11E1
0 A 0 (jo
STUDY
I ,
T L M.'..'MGC.
E] HE. E] EsI.EN-IAL
LOT CO
R IREOSETS Ks(FT) OSED SETBACKS (FTJ
FRON UR SIDE REAR
C Ce on
P"-
ALLOWED PROPOS 0
FR NT SIDE EAR
.0
_RIOMMERCIAL
ADDITION CHANGE .1 use
]
0 nIEG US
.I.E. USE
0 E
RA RKNG LOTARETTNNING
REVIEWED By DATE
REMODEL n MULTIFAMILY SIGN
REC' PROV
FENCE
REPAIR E] DRDING NO
( _ X _FT)
REMARKS
rl DEMOLISH 0 TANK o OTHER
CARAD FIRE SPRINK ER
G E RETAINING WALL F
ar ARPORT ROOKERY RE ALARM
0
(TYPE OF USE
m6z7ffimo
Typtyntl""ON
occ NT
SROUPA
Up
Z! NUMBER NUMBER OF
OF DWELLIN G
SO CLALINSF
UP-T
STORIES UNITS
REQUIRED
DESCRIBE WORK TO BE DONE
REMARKS
�'AQ h a
BED CHREPORT
BY:
S RUCTURA. DESIGN
BY;
VALUATION
Description
FEE Description FEE
Plan Check
State Surcharge
HEATSOURCE LOTILOP111, VESTED DATE
H EAT
Building Permit
Building Permit
City Surcharge
PLAN CHECK NO:
P C
Plumbing
Pk"T`b'nq
Base Fee
�6�5-0 q
I PER' .'T..VER.WO.K To
THIS PERMIT AUTHORIZES 0 LY THE WORK NOTED. THIS PERMIT COVERS WORK TO
T H
Mechanical
..Ch..,c.,
VnR
N F C
ON THE uEn
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
E Or
Grading
'ad,..
T Va U a
21 DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) LL RED ]RE
ON MA A E C I WILL .. UR.
,EPASUlTE PERMISSlOW
E A_T
PERMIT APPLICATION: SEE ECDC 19AD.005(All(S)
E
Engr. Review
g, v,.w
PE RMIT LIMIT SEE ECD. 19.0.,aOS(A)(6)
Engr. Inspection
WT.I.IAMI
fLAN
BACK OF PINK PERMIT FOR MORE INFORMATION
_SEE
'APPLICANT. ON BEHALF f HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
-APNC
Fire Review
Plan Chk. Deposii
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
IN "n.'
E-MoN.
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS 'ROM ANscAT'LOY
Fire Inspection
Fire Inspe
Race pt
C ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDI
ALL.LA
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
u.
TotalAmt.Oue
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC�
NOR LIMIT IW WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
F��
Recording Fee I
IROceiDt#
HERE YAC40WIL-6ETH I HAVE READ THIS APPLICATION; THAT THE INFORMATION
I F.
'iV BY AT
APPLICATION APPRO VAL
GIVISNISCO ECT;A DTHAT I AM THE OWNER. OR THE DULY AUTHORIZED GENTO'
E, A Cc Y NSTRUC-
T E NER. BE 0 COMPLY WITH CITY AND STATE LAWS REGULATING CO
T
CALL
Bu,ftea, Offi—I , [LeIter, Deplly: ad Fees are Farr, ard
T ; . TR�WWORK AUT14ORIZED THEREBY, No PERSON WILL BE EMPLOYED
a D
CODE OF THE STATE OF WASHINGTON RELATING TO
Cc
lilt
FOR INSPECTION
,aa, ark—Jdgrea, veal. P-1dad
I VI A.OR
4 n N
R; NCE AND Row 18:27.
�
OFFICI�s
E SIGNED -4
(425)
ITURE �ATI
GN
Ir .VLAV
RELEASEMY
IA
EXT. 1333
.L. - I
IT, BE OR OCCUPY A ""'LDING OR STRUCTURE UNTIL
WUL To U OR OCCUPY
..P..TI.N HAS BEEN A.E AN. APPROVAL OR A CERTI -
al ... H .
A FINAL INSPECTIO
ORIGINAL -FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 I IRC110,
PINK OWNER - GOLD - ASSESSOR
10104 PRESS HARD YOU ARE MAKING 4 COPIES
z
0
0
IT!
m a
0
0
C
M
M z
0-4
C Z
0
m
a-
0 Cn
0 M
C Cn
r. 0
MO
z
>
z
-4
z
m
0
PEB-07-2006 M:3i MONDS WASIt-TKATME'NT' 425 771 0265
Grease Trap Sizing Worksheet
Facility Name: flyj ate Submitted*
Suite No.:
V
j� &A
,,;i (,C
GREASE TRAP #1
Fixture Capacity Inc] 1:111111: Fixture Capacity jj�jii,jij i i I 11! e� Load Flow Rate fo
T�
t7I- Gallo iTotal a 2-Minute
r
Inches
s
s
LxWxDxno. of sin
Cu. In. + 3
capacil
Drain Period
I
x xux 0c.i.
+ 231 = U0 1.
x.75 = lat.
+ 2 =61
49 0M
#2
x x x ci.
+ 231 - 1.
X.75 =
+2= (v
#3
x x c.i.
x
+ 231 = gal.
x.75 - 1.
+2= (a . in
X X x
231-- gal.
I x.75
+2 in
TOTAL (Sum of drainage nows ifrroma max. off 4 fixtures; per Tm
glint
mINlNiUM SIZE OF GREASE TRAP REQUIRED
go op.
GREAS1111�
I'iill�'�lli�ill!,!�r 02
Fixture Capacity in Cubic
Fixture Capacity, =d
Flow Rate for
Inches
In Gallons ('11, !111111; 1!,111 ta,
a 2-Minute
(L W x D x no. of sinks)
Cu. In. + 231 Cu grit
Drain Period
j LI
�
X K X 1Ci.
+231- al. X.75 =
+2
JE
.
+231= 1. x.75 = Rd.
+ Win
#3
X c.i.
+231- X-75=
#41
—X--
+ 231 = x.75=
+2= —9mu I
TOTAL (Sum of drainage flows from a mm,of 4 -.as per Trap)
NUND" SIZE OF G_REASE TRAP MQ—UMED
NumberofFixtu IS nuectedtoaGreikseTmo 1 1 2 3 1 A 1
1"2�1 1 R 1 73!5��
1 Grease Trap Size (in IHMI
Dishwasberii are not allowed to be connected to a Grease Trap.
Food disposers are not allowed In a facility served by a Grease Trap and must be disabled
or removed. Solids must be screened out and . placed in the solid waste container.
Size Approved: 20 gpm Approved by. Date: 9-2Z-05
—iContact the
A Grease Trap plumbing permit is required*J1L6J5000fee)-:(
- IA25-672-5 5) If you have any questions or need
Pretreatment
help with completing this f0ruL
TOTAL P.02
A
FINAL PROJECT APPROVAL FORM
TO:I�ercs -t U
DATE:
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
PRETREATMENT PLANT DATE-!7-Lt 110 (0
FROM:
PROJECTA Utri lqv"' k'. a-.
z
9
t
SITE ADDRESS IS
0
R1
PERMIT# ADBk DATE INSPECTEDA
zi:ii
3:
0
DESCRIPTION OF WORK TO BE INSPECTEDA1 &V� CA JI-1- iftte�ZS�x
M
C
M
0
-40
0
A field inspection was conducted to determine compliance with approved plans. Final approval
M
denotes that there are no objections from the above signed Department to the release of
z
PERFORMANCE BONDS and the granting of:
T FINAL PROJECT APPROVAL
0 -n
M
oa)
C.) �
M
C Cn
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
? (n
rn
z 0
ir
0 Copy of CONDITIONS given to owner/contractor by inspector
9i
X
I
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
z
V5
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
z
I
0
M
2.
3.
RE-fNSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
L,.\TEMP\BUILDING\FORMSTRrTREATMENTAPPP,OVAL,DCtCl/4/2005
Permit Inspection Details
Permit: BLD20060134
PERMITTnAX
07/1712006 JL 0 Passed
y
TotalTime:
0
Total Inspections: 1 TotafTime;
0
z
M
M
0
0
M
M z
10
a
E:
0
n
M M
0
0
p
MO
X
z
z
o
F�
M
6/512009 9:20:44 AM
Page 1 of I
e
—et
nctovnu vr iwarc%, I ivvio
INSPECTOR DATE APPROVED
SETBACKS ............
FOUNDATION:
Footing ..................
wall ................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in .. .................
Commercial Final
HEATING:
GasTest ..................
Gas Piping ............
Equipment .. ...............
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING
FIRST FLOOR FRAMING
INSULATION ...................
Fl I lati
oor nsu on
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR...
JLAVIOUlt '-7111
hif j
OCCUPANCY ............ 111-i
A-4 Wool
z
0
M
a IT!
M
0
80
C
M
M z
to -4
1.,
CE
E: =1
W
0 _171
3:
M M
0
OF
n
C (j)
M 0
Z r-
;U
z
co
z
TR