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PROGRESS INSPECTIONS PER UBC 108/IFINAL INSPECTION REO'D
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Description
FEE
Description
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Plan Check
HEAT SOURCE GLAZING%
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PLAN CHEC:2L
DATE
Plumbing
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_jESTED
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Grading
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t: HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN SIDEWALKS,
(CURBS, D RIVEWAVS. MARQUEES, ETC.) WILL REQUIRE
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City Surcharge
PE MITAPPLICATION: 180 DAYS
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PERMIT UUM I Y EAR-PROVI EOWOR IS STARTED WITHIN Hni
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'APPLICAW, ON SE14ALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD H RMLESS THE CITY OF
Fire Review
Receipt #
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EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
9 FROM THE ISSUANCE 01 THIS PERMIT ISSUANCE I THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY' WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
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0 NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
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Receipt #
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HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHOARED AGENT OF
APPLICATION APPIR 0 AL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL
This application is not a permit note signed by on,
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATI E
ON OF TH LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Holding IfialM.IhIs of Barney: and Foos are paid, and
IF
WORKMENS COMPENSATION AND RCW 1827.
(425)
_�NS?RANCE
DATE
O� DATE
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771-0220
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'ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 1�
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. 771-0221 - bRIG&AL � �LE YELl INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR
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CA CADE TESTING LABORATORY, INC.
TES&. INSPECTION / ENGINEERS
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12919 N�E. 126TH PLACE
KIRKLAND' WASHINGTON .6034 (425) 823-9800
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INSPECTION PERFORMED
TEMS INSPECTED — FOUNDATIONS
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RESTEELIMASONRY _ie,-,T-.STfWELDING
— AUGER CAST PILES _ COLUMNS
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SEE CYLINDER REPORT NO,
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77ARKS:
TEST RESULTS APPLY ONLY TO THE ITEMS
HEREIN TESTED. TIIIS REPORT S� NOT INSPECTORIS), NAME(S) PRINTED
BE REPRODUCED EXCEPT IN FULL, WITH.
OUT THE MITTEN APPROVALOF CASCADE SIGN
TESTING LABORATORY. INC. INSPECTOR SIGNATURE
REVISED W00 SIGNED BY
COPIESTO::::
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FINAL PROJECT -APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATI�__
PLANNING DIVISION DATE—
PROJEC J�Z4� IA�L 1 0 C,
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DESCRIPTION OF WORK TO BE INSPECTED-J3'
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:
L-GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
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2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Si
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ................
Wall ............. _ ...........
Pier/Porch ................
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Retaining Wall ...........
0
Slab Insulation ..........
PLUMBING:
Underground .............
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Rough -in ...................
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Commercial Final
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HEATING:
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Gas Test ....................
Gas Piping
Equipment
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Commercial Final
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EXTERIOR SHEATHING
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NAILING ...........
0
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FRAMING ........................
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FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
0
SPECIAL INSPECTION
0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..............