20020599.pdf[PERMIT
EXPIRES
CITY OF EDMONDS
PERM T
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CONSTRUCTION PERMIT APPLICATION
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REMARKS
OWNEHICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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PROGRES; INSPECTIONS PER UBC 11081FINAL INSPECTIC
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Description
FEE
Description
FEE
Plan Check
State Surcharge
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Building Permit
City Surcharge
PLAN CHECK NO:
lumbing
Mechanical
THIS PERMIT AUTHORNSIS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
It 0 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
Grading
:1 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
SEPARATEPERMiSSION,
Eng, Revi—
I PE MITAPPLICATION: ISODAYS
PERMIT UMIr. 1 YEAR . PROVIDED WORK IS STA ED WITHIN 100 DAYS
Engr. Inspection
SEESAC OF PINK PERMIT FOR MORE INFORMATION
*APPLI ANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. DepmR
IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, OFFICIALS, EMPLOYEES.
ITS AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY 08 INDIRECTLY
Fire Inspection
Receipt #
1.11. THE ISSIJA CE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINA CE
Landscapeinsp.
Fotal Amt. [)us
0 NOR UNIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
-
Recording Fee
Receipt #
I HEREBY ACKNOWLE GE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVE IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH Cl AND STATE LAWS REGULATING CONSTRUC-
CALL
Thi—ppli-mn Isnot a permi—Ill sig,,d hy ft
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF TH L? ODE OF THE STATE OF WASHINGTON REILATING TO
FOR INSPECTION
SuJISIng Official., hisft, Dep,ny� and FOOS SO POld, and
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WORKMEN'S COMPENL? N"W1%C* AND a- I.11.
CSSIGNATURIA DATE
D�TE SIGNED
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-LEASE
REL ' Y I, E
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL �IW
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
- - YELLOW - INSPECAR
PINK - OWNER - 00 0 - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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FINAL PROJECT APPROVAL FORM
TO:
DATE:,!11�
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: DEPARTMENT DATE —
ENGINEERING DIVISION DATE
YLANNING DIVISION DATE--�,
PROJECT al Vz 2
SITE ADDRESS
PERMIT ADB#_Z,_�—Z�DATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPECTED
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
o 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
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORD OF INSPECTIONS
7
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Feeling ...........
Wall.........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Sough -in ..............
Commercial Final
HEATING:
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING .......... _ ..............
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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