20060412.pdfPERMITEXPIRES
CITY OF EDMONDS
PERMIT
U1.1m, NUMBER
CONSTRUCTION PERMIT APPLICATION
5111TEIAP"
ADDRESS
OWNER NAMEINAME OF BUSINESS
FLAT 1A.81SUDDIVISION NO.
LID NO,
LID FEE S
MAILING ADDRESS
PUBLIC RIGHT .1 W.AY 1E OFFICIAL STREET MAP
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Descri6tion
FEE
Description
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State Surcharge
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Building Permit
city Surcharge
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PLAN CHECK NO:,,,
11)7
VESTED DATE
Plumbing
Base Fee
THIS PERM" AUTHORIZES ONLY THE WORK NOTED. THIS
PERMIT COVERS WORK TO
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Mechanical
C: 8 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSUC
Grading
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, UC.)WILLREQUIRE
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Edgy, Review
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PERMIT APPUCATION: 1681DAYS
T PERMIT UMM i YEAR - PROVIDED WORK IS STARTED WIT -IN too DAYS
Engr, inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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'APPLICANT ON BEHALF 01 HIS OR HER SPOUSE, HEIRS, A11ION1 AND I3UCcES0pS
Fire Review
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PlapChk, Depqp�
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS MOM ANYAND
Fire Inspection
Receipt at
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE I SUANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT SHALL NOT BE
0 EMED TO MODIFt WAIVE OR RED CE ANY REQUIREMENT OF ANY CITY ORDINANCE
Lar�s,!Pe Insp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINA .......
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Racal #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
opposition lanol a permit until signed by Me
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
aro,This
ding Official a, his/her Deputy; and Foos are paid, and
oodpe I—Int-lbagral in space provided.
WORKMENSP�MPENSATION INSURANCE AND SCW 18 27.
1!�4AI 1URE DATE
SIG U 0, FIT R AGE T) 0 ATE S G NE
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WA4
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771-0220
'RELEASEO,BY /DATE
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USEOROCCUPYABUILDING OR STRUCTURE UNTILAFINAL
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INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OFOCCU.
ORIGINAL FILE 4ELLOW
�INSPECTOR
PANCY HAS BEEN GRANTED. UBC10911SCII011RC110,
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PINK -OWNER GOLD-ASSESSOF1
09103 PRESS HARD -YOU ARE MAKING 4 COPIES
NE 1/4, NW I 'low EON 36, TOWNSHIP 27 NORTH, RANGE 3 EAST, It
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EMPLOYEE BENEFITS OF AMERICA INC,
22815 �18NM PLACE WEST
ED IDS, WA 98020 v4. "I vi W
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Front -7— �.UILOING DEPARTMEN'
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APPROVED, Y PLAN IN2
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EMPLOYEE 13F-NFI:IT-Q ng: A RR=r_llf% A IS I
Occupancy established by this certificate:
citp of &M000
D.1,kRTMEN1 .1 BUILDINGS
Cettiti tate of (Ptmantv
PER UNIFORM BUILDING CODE SECTION 110
qg17 Ingird Plearna W. Edmonds. WA 98020 — Building Permit#: #2006041
No. Stories: I
B/S2 I Tvve Construction: VB I Basement: Yes
Maximum Occupant Load **124** _(Per I.B.C. 1004)
Room capacity signs, when required, must remain posted at all times.
Owner of Building: T & N Properties LLC dress: 19814 Dayton Place North, Shoreline. WA 98133
THE Emolovee Beref Is Institute of America BLDG HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE
RECITIR—EMENTS OF THE 2003 Edl 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 Sth day ot June 2007
CHIEF BUILDING OFFICIAL
BY:
This Celificate mail be posted In a conspicubus public and shall lot be re—ed, mutilated or obacutred.m shall be mairt.md In legible cordIll—till times. Any change of —,...y or use m,ame . building p.-It and a r—
Car,,.l.of ocoups, Issued by the Qly.f Edmond, 1huldmg Offidal.
Permit Inspection Details
Permit: BLD20060412
PERMIT-1
1013 - UStorm Tightlifie:
0111P
11/09/2006 MCCONNEL
10 Partial okay to backfill TL on south side. See civils.
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06/0412007 MCCONNELL
0
Y
Total Time:
10
1 0�6, � E-CurbIGutter*orm.
Complete?
01/24/2007 Hawkins
45 c/o form location Is not per approved drawing. Need to remove and locate.
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01/25/2007 MCCONNELL
60 Hawkins, Sibrel, McConnell met on site with Charlie Nathan to discuss layout of curb/gutter.
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Charlie was Informed that the revised plans am nut approved for the
relocation of the
driveway approach and if he chooses to pour for the approach and we don't approved then It
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will hav to be tom out and replaced. Cherie agreed to replace a very
deteriorated CB.
Charlie will call for actual c/g Inspection for tomorrow.
0112512007 MCCONNELL
45 Minor adjustments made. Okay to pour. They am not going to pour
through the driveway
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approaches.
06104/2007 MCCONNELL
0
y
Total Time:
ISO
to 4�,-E-Watersttrvlisli
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11/0912006 MCCONNEL
25 Not installed per approved plan. Conectiongiven. Seecivils.
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06/04/2007 MCCONNELL
0 Water service line connect at the main approved by OVWSO.
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Total Time:
25
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1077 E-Endineeringfinal
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02/21/2007 Hawkins
go See attached Engineering Correction Notice.
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02/2612007 Sibret
60 Need: approved drawings; letter from trash hauler Okaying reduced
size trash enclosure. with
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concurrence of recycling coordinator; RPBA tested with results sent
to and approved by
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Public Works.
0610412007 MCCONNELL
0 Revised plans submitted and signed off.
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Trash enclosure approved as is.
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RPBA okay.
Okay to final.
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Total Time!
ISO
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12107/2006 Snook
20 SETBA&KS APPROVED PER STAMPED SURVEYORS DETAIL AND LETTER
Y
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Total Time:
20
111 0
IiOj8,�A-0itiOtIn S
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12/07i�006 Snook
0 BY SPECIAL INSPECTION
Y
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Total Time:
0
-4
1116 - B�Fioumdatiion:WaW,
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12/3012006 Snook
0 BY SPECIAL INSPECTION
Y
Total Time:
0
11112'-Z-F undation bralnage:�
torn Oils,
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1210712006 Snook
0 BY SPECIAL INSPECTION
Y
Total Time:
0
0
11120'w B-Plumb,Graund Work
Complete?.:.
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07/21/2006 Snook
0 APPROVED
Y
Total Time:
0
1126-.R-Plumb Rough In
1110212006 Snook
3 0 A PPROVED-RAIN LEADERS ALSO APPROVED
Y
Total Time:
30
1128 -B-Gas Test/Pipe
COMp!ste?,'L
Illi5/2006 Bullis
0 Gas test approved. Gas piping approved by Mike Snook above plenum.
Y
Total Time:
0
7/2/2009 11:33:51 AM
Page I of 2
1430-RwEqulpyrfervt-mec',;�
lli67/2006 Snook
30 MECHANICAL ROUGH IN APPROVED ABOVE LID ONLY
02128/2007 Snook
0 MECHANICAL APPROVED
y
Total Time: 30
11i2-BwExtiirlor.Sheath1ng'
omp.0 P �:,: 4
01/05/2007 Snook
0 APPROVED BY SPECIAL INSPECTION
y
Total Time: 0
1138 -G.0 llln� Grid
y
01/25/2007 Snook
30 APPROVED
y
Total Time: 30
11140..'13-Height'Wrifi6allicin
complete?;..: lir
12iomm Snook
20 APPROVED PER STAMPED SURVEYOR'S HEIGHT SURVEY
y
Total Time: 20
1142 � B-Frannin 9
0
M
1110712006 Snook
30 FRAMING ABOVE LID APPROVED ONLY
N
1111512006 Bull! s
90 See corrections dated 11115106
N
1 7/ Snook
210 1016
45 CORRECTION NOTICE WRI17EN
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12/11/2006 Snook
30 APPROVED
y
0
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Total Time: 195
M
0 f
144 - d-wall Instilatilar./diulk"
0
121;1i2006 Snook
30 APPROVED
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Total Time: 30
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1.1,44�6�F.,i,ii,6,r.l�gtilatiOn/CaU
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12111/20 06 Snook
0
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Total Time: 0
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liiil/2006 Snook
y
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Total Time: 0
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12/18/2006 Snook
30 APPROVED
y
0
0
Total Time: 3D
C:
-Gull diqg(,F
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11 1 . "i'"'al
02/27/2007 Snook
60 CORRECTION NOTICE '�VRITTEN
N
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02/28/2007 Snook
30 TEMPORARY OCCUPANCY ISSUED
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06/0412007 Graf
0 OCCUPANCY GRANTED
y
Total Time: 90
f9mi F�Flre F n, I
Y'
02/ 28/2007 SMITHM
0 APPROVED
Total Time: 0
2000.-P-Plannlngfinal,� x-,:
Y.
0610612007 tayfor
15 PLANNING S16NED OFF
y
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Total Time: Is
ITI
Total Inspections: 36
Total Time: 825
7/21200911:33:51 AM Page 2 of 2
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
/' a4lleY
SETBACKS .....................
FOUNDATION:
Footing ......................
wait ........... _ I'll _
Pier/Porch .................
Retaining Wall
Slab Insulation ..........
PLUMBING: t
0 ZP,
Underground ...........
Rough -in .................
Commercial Final
HEATING:
en�, ol-AA_ 441 Gas Test ..................
Gas Piping .................
Equipment .................
1-14 &14,Y Commercial Final
EXTERIOR SHEATHING
7-411, /
NAILING .............
FRAMING ........................
FIRST FLOOR FRAMING
4/16 Mi INSULATION
..........
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
-7-04
SPECIAL INSPECTION
72- �f_ Y.. 422 _Z LE31
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ............ ....
SideSewer#
AmoutPWd$ -Rftdpt#-
Datelssued Xxplres
WaterMeterSize
AM0UntFWd_ReMIPt#-
Datel?Urchnsed
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AmountPaId$ 92t -11ecelPtIUAIT S/
Datefss-=l -5b R-lau-,avir, 14mazy)
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