20020402.pdf0
A"DATE RECEIVED
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CITY OF EDMONDS NUMBER
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VAILUATION $
Description
FEE Description FEE
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SOURCE
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BTED DATE
Plumbing
PLAN CHECK,��
THIS PERMIT AUTHORMS ONLYTHE WORK NOTED, THIS PERMIT COVERS WORK TO
So an Cal
It: B DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
Recording Fee
:3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
2
t SEPARATE PERMISSION.
Engr. Review
City Surcharge
PERMITAPPLICATION: INDAYS
PERMIT UMm I YEAR - PROVIDED WORK IS STARTED WITHIN IN DAYS
Engr. Inspection
State Surcharge
SEE BUICK OF PINK PERMIT FOR MORE INFORMATION
-APPLIGAW. ON SEHAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST. AGREES 70 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES,
.. I. FROM ANY AND
in ALL CLAIMS FOR DAMAGES OFWHATEVEA NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Review
Receipt III
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT �NAII NOT BE
Fire Inspection
Total Amount Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINA CE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
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I HEREBY ACKNOWLEDGE TH I HAVE READ THIS APPLICATION; THAT THE INFORMATION
AT
APPLICATION APPROVAI
GIVEN is CORRECT. AND THAT I AM THE OWNER, OR IN DULY AUTHORIZED AGE14T OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This appI option is not a ponlit,ohl signed by the
ION; ANq 1 0 THE WOR AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN III N OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building official 11 his/her Depedy: and Fees paid. and
1.alpl i-.kr.WI.dg.d lh.p..a Plaskett,
A I COMPINSA11,014 "IIANCE AND ACW 18,27.
DATE IGNIII
(425)
�Mjo) — DATE
79
BY
ATT15NTION
EXT 1333
APASED
IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORIGINAL - FILE - YELLOW - INSPECTOn
PINK � OWNER - GOLD - ASSESSOR
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
-SIGN ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
PROJECT--�"
SITE ADDREss-2&
PERmrr ADB#--DATE INSPECTED
DESCRIPTION OF WORK TO 13E INSPECTED �f
A field inspection was conducted to determine fWal 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 WTIH CONDITIONS NOTED
o Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
(3 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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tficate of
DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: 7907 212' Street SW, S WA 98026 ___.�Bulldina Permit #: #2002-0402
occupancy established by this certificate: Dwelling Units: -NIA- No. Stories: 2
B Tvpe Construction: V-1 hour Basement: No
.1 Per U.B.C. 1002)
Maximum Occupant Load
Room capacity signs, when required, must remain posted at all times.
Owner of Building: Michel Construction Inc. Address: 7907 21e Street SW, Suite 102, Edmonds, WA 98026
THE. Edmonds Hand Rehab. HAS BEEN INSPECTED AND APPROVED AS COMPLYIN WITH THE REQUIREMENTS OF THE 1997 EDITION
OF YHE UNIFORM 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 ot June, 2002
CHIEF BUILDING OFFICIAL
BY:
TW, cefifical-h.11 b.P.Iad in. annil-sw susaacdre� and shaube ddnnud� nuviblessnMonstau finn.s. mysnangeafossundandy muse requh,,a a bw1dagpernitand a new
caddusue f Oddapddy Mudd by an, C41y.f Eddnona, 50ding Offid.l.
I
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .............
FOUNDATION:
Footing . .....................
Wall .............
Pier/Porch .............
Retaining Wall ...........
Slab insulation
PLUMBING:
Underground .............
Rough -in .............
Commercial Final
HEATING:
Gas Test ................
..a piping .................
Equipment
Commercial Final
E)CrERIOR SHEATHING
NAILING ..................
IS -31 -
FRAMING ...... ....
FIRST FLOOR FRAMING_
INSULATION ..............
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
f MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
4A