20020391.pdfDATE RECEIVED
1(,"Z I I PERMIT,EXPIRES
us" PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITFJAPT#
ADDRESS
OWNER NAMEINAME OF
I ILAT NAMIIIUIDIVIIIOI NO. LOT 110, LID 0.
ilefem I virk:IJ
MAILING ADORE LID FE
PUBLIC RIGHT OF WAY PER OFFICIAL STREET
L133 '15'2fR� S t I "'I N utM1AIRrD Ss. U., P—l't rend
CITY ITELPPH HE EXI.TIN1�_P_"_ PROPOSED—
AEOUIRE!g DEaq&M&N�:LL1L0 BI_,' PXANED OF
NAME METER *EE Sj1DB_IHEI3WC.R swe"PI D AlIv REQUIRED is
131 P101113RTY LUPFU11111 YEsD NO C3
�j ADDRESS REMARK
or
CITY ZIP
ITILIPHON1
0 6 611116T
NAME
CHECKLIST ON BACK OF JOB CARD
ENGINEERING FOR INSLrjbf.;'IIUN K14VUHRIENliM&TE
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SIGN AREA
'ALLOWED PROPOSED
HEIGHT
ALLOWED Roposse
0on-017:—
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EXP
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0 NEW
X .�.WENIAL
13 PLUMBING MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.
FROM SIDE BEAR
PROPOS 0 SETBACKS (FT.)
FRONT Up SIDE REAR
1
ADDITION
]
0 COMMERCIAL
o COMPLIANCE OR
CHANGE OF USE
_-jATE
PARKING I LOT AF
REMODEL
0 APARTMENT
0 SIGN
ITECID
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REPAIR 0 GRADING eyes [] FENCE
I X Fit
REMARKS
DEMOLISH 0 TANK
0 OTHER
G.AAAGE [3 RETAINING WALL 0 RENEWAL
ARPORT ROOKERY
7I.Aft
(TYPE OF USE. BUSINESS OR r
C14ECKED BY
F-Trj,757577 —777
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AREAS
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SPECIAL INSPECTOR jAnEA
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NUMBER
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ED
REQUIR [:] YES
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1001FINAL INSPECTION REOD
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Description
FEE
Description
FEE
Plan Check
N
YOU:CE LOT 8 on _
I
Building
L
PLAN CHECK NO:
P,
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
Recording Fee
2 a CHAIN [CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
City Surcharge
U `WO BNI
Z a R M
Is E R M IT U M M. I RfTZi 1p S1 SWTADKAYSG W IT H I N I So DAYS
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
State Surcharge
'APPLICAW. ON BEHALF OF H!S OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS —
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY 01
EDMONDS . WASHINGTONF ITS OFFICALS. EMPLOYEES, AN AGENTS FROM ANY AND
—
Fire Review
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, Art SING DIRECTLY OR INDIRECTLY
THE ISSUANCE OF THIS PERMIT IS$ THIS PERMIT NOT BE
FROM ANCE OF $HALL
DEEMED TO MODI" WAIVE OR REDU E ANY REQUIREMENT OFMYC17YORDIP NCE
Fire Inspection
Total Amount Due
NOR LIMIT IN ANY WAY THE CIrPS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscapeinsp.
Receipt #
iq 'S
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT 711E INFORMATI N
APPLICATION APPROVAL
GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNEN I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This applo,tion Is not a permit unfil,19ned by tire
TION; AND IN DOING THE WORK AUTHORIZED THEREDY. NO PERSON WILL BE EMPLOYED
IN VIOLATIO;#,THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Sulkong Offiel.I., Were., DepuIy;.nd Fee.
FOR INSPECTION 'eselpt Is assmsZodged i—paso
.1. paid, *no
pmIdod.
WORKMEN. E�SATION, INSURANCE AND RGW 18,27,
OFFICIAL -
DATE
iATE SIGNED
(425)
�;I
C
2=
771-02 20
RELEASED BY I,/
1 OAfIB"
WENTION
EXr 1333
IT IS UNLAWFUL TO USE OR OCCUPY A 13UILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE - YELLOW-
INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER - GOLD -ASSESSOR
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on June 2002, Asbes-T- Parl—1 —&xUd an astatm survay (per
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BASIC CONSTRUCTION (indadfAS sidifeg MW r0hofing types) The house is one stmy wood
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Ths irywallliaping _ials were relvegernatively, saxopled Vinyl mid tile
dr "l, and wood.
llooinii nuclar" with rdgftg bsehhW and owthe went sompled per each WCQW bm"COUS
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was not owMW& Any es0do" su�pect ekzV&W wiring Injulution or any AMISM M
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(rhormalsysteen ftulsagmijutaW hr. around, or behinjany locatedfiere or bmhv bons
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to dismarA* the bareboardAvall O"Oric-AWAFq swtrs go locate, andl- eval-many
possible
aAftottat suspoorACM-AMok maybe coweatad, InsWOwunits, or alsoolived in &WIrn
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loom d prior to andlar dxrhW any dinnalftloo or resIOMAWK any and aM addiflossal related
suspect moterhats should Ucorulderafto b#ACIW(Alrb"&SContaMixgIW4,Vlal), "ale's
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determined I* be ojhem�sg by jaboagary anI)a1a. Tkass was no villrole, suspOO ACM ocaw
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ADIDMOM& WMCTUMM 03 WM MCMW 'M OMMY' The Serage's
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& umdwbft mft*IVbAwb~
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CERTIFICATE OF COMPLISTION
for
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ort 06-28 Through 7-01.2002 asbestos abatement Woloss were Performed by out flern It ft ftllvotlng
address
even HWWM Conswation
16619WAv*W
WA 96020
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Edmonds,
go assured that all gottvitin p~sd were conductod In accordance with sit currently applicable
In 01"
wMrwmwft ragivisdans and contract sooliftdons,
.00,
C,
Any & Meniesting required by sWave was performed. Clearance, air 66MMIng verified air was clean by
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current shnal and national standlards.
ft"Wated waste was deposited In rdance with KPA guidelines. An approved fandi'llf factilly Is
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r4quIr4d to forward daumenigtion al this within 45 days of disposal.
Asbestos liability Inewame and a oontirpotoes surety bond was In during then o0rations.
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Pines fed free to oontod our customer $WOO at (425) 303-41072 balwasol 8:00 AM and
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1 0
5,00 pm Monday thrm* Friday it you hm any llorther questions W rAddl additional 400 umantl1bon-
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WA.Staw Asbomm Contractw Car"ost". 0; 1070
FINAL PROJECT APPROVAL FORM
TO:
DATE: —
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE—
b_- g%( ENGINEERING DIVISION DATFa4(1 —?-
-PLANNING DIVISION DATE —
PROJECT
SITE ADDRESS
-7(3 Jd2 . . . .........
PERMIT INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED-11ML—
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
CE 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
a 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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PLUMBING:
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Rough -in ..........
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IT1
HEATING:
Gas Test ..........
Gas Piping ............
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Equipment .................
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Commercial Final
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EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ........................
FIRST FLOOR FRAMING..�
INSULATION ...................
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Floor Insulation
Wall Insulation
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Ceiling Insulation
SHEETROCK NAILING
IT
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................