20020614.pdfDATE RECEIVED
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REMARKS
PROGRESS INSPECTIONS PER UBC 10131FINAL INSPECTION RFCI`D
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Description FEE
Description FEE
Plan Check
State Surcharge
HEAT SCURCE LOT TLOPIT%
Building Permit
City Surcharge
PLAN CHECK NO-
Plumbing
YHIS PERMIT AUTHORIZES ONLYTHE WORK NOTED. THIS PEFIMR` COVERS WORK TO
Mec�arucal
t- BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
0 WIN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
0
SCPARAYSPERM;SSION.
Engr, Review
PE MrFAPPUCATION: ISODAYS
PERMITLIMIT11YEAR-PROVID 0 WORK IS STARTED WITHIN INDAYS
Engr, Inspection
See BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Plan Chk. Deposit
AGREES
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
ALL CLAUMS FOR DAMAGES OF WHATEVER NATURE. ARISING
FROM THE ISSUANC OF THIS PERMIT, ISSUANCE OF THIS PERMIT SMALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY nEOUIREMENT OF MY CITY ORDINANCE
Landscape Insp.
Total Amt Due
- NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISIOW'
Recordin�
I HERESY ACKNOWLEDGE THAT � HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPR ovAL
IVEN A-colift"NOTHAT AM THE OWNER. OR TH DULY AUTHORIZED AGENT OF
EE TO COMP WITH CITY AND STATE LAWS REGULATING CCMISTRUC-
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IN JOLATION OF HE LABOR CODE OOF THE STATE OF WASHINGTON RELATING TO
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FOR INSPECTION
IN RKMENS CO N INSURANCE AND RCW 1827�
OFFIWSIGNAT
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(425) 6RA917
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1 771-0220 RELEASE
BY DATE
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EXT 1333
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IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - F11 E YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD ASSESSOR
04102 PRESS HARD -YOU ARE
MAKING 5 COPIES
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FINAL PROJECT APPROVAL -FORM
TO:
DATE:
M[EM0 TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE—
ENG ERING DIVISION DATE —
PLANNING DIVISION DATF;�
PROJEC
SITE ADDRESS,
PERMIT ADB#_—_---PATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPECTED 'q,
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
PEI RFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR DATE
APPROVED
SETBACKS ..............
FOUNDATION:
Footing ............
Wall...................
Pier/Porch .................
Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
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Commercial Final
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6'
HEATING:
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Gas To ...........
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Gas Piping .................
Equipment .................
Commercial Final
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EXTERIOR SHEATHING
MITI,
NAILING ..........................
FRAMING � .......................
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FIRST FLOOR FRAMING
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INSULATION ...................
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Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY
...............