20020689.pdfDATE RECEIVED ERMITEXPIR S
USE PERMIT
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CONSTRUCTION PERMIT APPLICATION JOB 1TE/APT#
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PLAN CHECK NO: DATE
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Mechanical
THIS PEANUT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
M To.) WILL REQUIRE
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, E
SEPAPATEPERMISSION.
Engr. Review,
PERMIT APPUCAMON. 1NDAYS
PERMIT LIMM I YEAR � PnOVIG`D ORK 15 STARTED WITHIN 180DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
PLICA ON B HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review,
Plan Chk. Deposit
INTE EST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMON'D'S, WASHINGTON S OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAJMS FOR DAMAGES OFWHATEVE NATURE ARISING DIRECTLY OR INDIRECTLY
r�SOM THE ISSUANCE OF THIS PERMItR SSUANCi OF THIS PERMIT SHALL NOT B E
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Total Amt. Due
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY GAGMAN E
0 NO A LIMIT IN ANY WAY THE CPY$ ABILITY TO ENFORCE A14Y ORDINANCE PROVISIO
Recording Fee
A celpt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
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I ION; AND IN DOING THE W 'LOEHORFIZED THEREBY, NO PERSON WILL BE EMPLOYED
ON OF THE LAS A 0 THE STATE I WASHINGTON SEWING TO
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URANCE AND RCw 18027.
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ATTENTION
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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-FIL9 - YELLOW � INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED� UBC SECTION IG9
PINK -OWNER - GOLD,ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING
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E0 Any request for modification, vanance or other
CB administrative deviation (hereinafter "variance") z
85.301 301,
must be specifically called out and identified. LU
Approval of any plat or plan containing
provisions which do not comply with city code
and for which a variance has not been
specifically identirled, requested and considered
by the appropriate city official in accordance
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: I with the appropriate provision of city code or
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UBC 310.9.1.2 1 0I=DTHR01BGH0UTFMSTlNGRESIDFNCF
THE ISSUANCE OF THIS PERMT REQUIRES UPGRADE OF SMOKE DETECTORS IN THE
FOLLOWING LOCATIONS:
IN EACH SLEEPING RO01VL
0 CENTRALLY LOCATED IN HALLWAYS OR AREAS ACCESSING SLEEPING ROOM[S. WHEN CL
SLEEPING ROONIS ARE ON THE UPPER FLOOR, SMOKE DETECTORS MUST BE INSTALLED,'
NEAR STAIRWAYS. \J�11::EIVED
NIINIMUIVI OF ONE INSTALLED ON EACH FLOOR, INCLUDING THE BASEWNT� 0
JAN 18 2002 -j
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sc'A 13UILDING DEPIT,
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERA41T COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
. ........... ...... .. _ENGINEFRINGDIVISION DATE 'V
PLANNING DIVISION DATE-
PROJEC All
SITE ADDRESS njif wet,
PERMTF# ____ADB#__DATEINSPECTED -71131dg
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine 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:
_____4GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:1emp:b1dg:fbmis:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..............
FOUNDATION:
Footing ..............
wall ..........................
Pier/Porch .� ...............
Retaining Wall
Stab 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 ...........
Commercial Final
EXTERIOR SHEATHING
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NAILING ............ .............
FRAMING ..........
FIRST FLOOR FRAMING
0
INSULATION
...................
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 ..................
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