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PERMIT EXPIRES
OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
Uk
ZONE PERMIT
NUMBER 2ay2 _0X
ADDRESS SUITEIAPTO
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REMARKS
IN
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REOT
PLAN (7T! �5 6W
IIESTED DATE
PLUMBING
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVE MARQUEES, ETC) WILL REQUIRE
WAYS'
_a�ILL
SEPARATE PERMISSION.
STATE SURCHARGE
PE MITAPPLICATION: 180 DAYS
PERMITLIMIT.1 YEAR � PROVIDED WORK IS STARTED WITHIN 180DAYS
ENE. REIFFW FEE/
SEE BACK OF PINK PERMIT FOR MOREMFORMATION
P ICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORIS
END PISFECTK�NFEE
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IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLS THE CITY
IS OF
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EDMONDS� ASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FRO, ANY A
REC NO
AULCIIMS FOR DAMAGESOF WHATEVER NATURE ARISING DIRECTLY OR IND TLY
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F OM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
ca DEEMED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENTOF ANY CITY ORDINANCE
PLAN CHECK DEF9/tT
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.1 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION'.
TOTAL AMOUNT DUE
IHERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHOnIZED AGENT OF
APPLICATION APPROVAL
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
111 11.11 IF In, I an' I' I I En. e F, I a.
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
WORKMEN S COMPENSATIO��SUFANCE AND ACW 18.27
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771-0220
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RIfLEAS DNr.E
ATTENTION
EXT 1333
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0220
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAX
ORIGINAL I/LE . �EULOW-IINSPEICTOR
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
WaV, Edmon #2002-0008
At: 650 Edmonds ds WA 98020 Building Permit #:—
Occupancy established by this certificate: Dwelling Units: -NIA- No. Stories: I
E3 Type Construction: V-N Basement: No
Maximum Occupant Load -,We (Per U.S.C. 1002)
Room capacity signs, when required, must remain posted at all times.
Owner of Building: Wallent Address: 650 Edmonds Way, Edmonds, WA 98620
THE Choice, Child Care HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1997
A R _W _ I I
U IF
EDITION OF THE O'M 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 18th day of� March, 2002
CHIEF BUILDING OFFICIAL
BY: —
Any change ofaccupancy w use renahas a builkling admit and a
This Madficale shall be posted Ina canadcusan, publicama and shail �W be hhhd�. Must ted-clashunid-sid-hallbansain
carlecate of O=Pancy issued by Me Oty of Edunonds Building Official.
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FINAL PR—OJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
YNGINEERING DIVISION DATE
PLANNING DIVISION DATE. —
PROJECT A- e'E-T7TP- C-00� eE7 -Dh:V PA E-e
SITEADDRESS
PERMMIT S00"I —000? ADB#--DATE INSPECTED—f�
DESCRIPTION OF WORK TO BE INSPECTED F� L A L-
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
—\,,�GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date�._ Sign
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FINAL PROJECT APPROVAL F
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: IRE DEPARTMENT DATE3=-(2:-- 0 --2-
ENGINEERING DIVISION DATE-
---------YLANNING DIVISION DATE —
PROJECT, 4-�
SITE ADDRESS
INSPECTED 3—(2- ---o 2-
PERMIT 42�0�— 4) 0 0 �ADB#
DESCRIPTION OF WORK TO BE INSPECTED211 C U
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PER_FIORMANCE BONDS and the granting of:
IX GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u, Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign_
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
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Pler/porcl� .................
Retaining Wall
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Slab Insulation ..........
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EXTERIOR SHEATHING
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FRAMING ........................
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR qy\
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OCCUPANCY ............