20020834.pdfDATE ACC�ETVED
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PERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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REMARKS
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NERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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Description FEE Description FEE
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City Surcharge
PLAN C STED DATE
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THIS PERMIT AUTHORRES ONLY THrWORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANV CONSTRUCTION ON THE PUBLIC
DOMIJUM
Grading
2 (CURBS, SIDEWALKS, DRIVEWAYS
SEPARAYE PERU; MARQUEES, ETC.) WILL REQUIRE
t: SSION.
PERMITAPPLICATI N! 1800AYS
Engr. RevIGW
PERMIT LINIM I YEAR -PROW ED WORK 15 STARTED WITHIN 180DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APILICAN'L ON BEHALF OF HIS 01 HER 1101111. EIRS, ASsI.NS AID SUCCESORS
Fire Review Plan Chk, Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARM EBB THE CITY OF
EDMONDS WASHINGTON, ITS OFFICIALS, EMPLOYEES, AN A EN11 FROM ANY AND
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Fire Inspection Receipt P
ALL FOR DAMAGES OF WHATEVER NATURE ARIVNG DIRECTLY OR INDIRECTLY
THIS PERMIT. SSUANCE OF THIS PERMIT SHALL NOT BE
TNE'SSUANCE 0, NY ORDINAN
91 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF A CITY Cc
Total Amt. Due
Landscapeinsp. 4/5
NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee Receipt # la2jj--!�L
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CO RECT. AND THAT I AM THE OWNER, OR TH . DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
T catio, I— a purest -II signed lay Un.
CALL
TION: AND IN GOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
81flidphigs epffPicItal or hislitor Deputy: and -an an, Fuld. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION ausip, Is ak—fdged In P ... re-Idad
WORKMENN3 COMPENSATI��LJRANCE AND RCW 18,27,
O� DATE
IfIA11 SIGNATURE
DATE SIGNED
(425)
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EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFk
ORIGINAL YELLOW -INSPECTO
CATE OF OCCUPANCY HAS BEEN GRANTED, UBG SECTION 109
PINK - OWNER G LD ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
FINAL PROJECT APPROVAL FORM
TO.
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE-
-ENGINEERING.DIVISIONDATE—Al/0—Z
PLANNING DIVISION DATE --
SITE ADDRESS.
PERMIT
---,ADBk—DATEINSPECTED . ....... . .
DESCRIPTION OF WORK TO BE HITSPECTED �&u
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
EERFORMANCE BONDS and the granting of:
-4-GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
I
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE-wspEcTED OUTSTANDING ISSUES - 'GRANT FINAL PROJECT APPROVAL
Date Sign—
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�MEMOTO.. PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTNIENT DATE�
FRONI:
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE
PROJECT
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PER1,1117 g_6Vgg- _______--PATE INSPECTED
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DESCRIPTION OF WORK To BE INSPECTED
A field inspec I tion was conducted to determine final compliance with approved Plans- Final approval
denotes that there H_ no objections from the above signed Department to the release of
rigixFoRmAwig BONDS and the granting Of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL VATH CONDITIONS NOTED
copy of CONDITIONS give. to ownerkntrator by inspector
FARED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
STANDING ISSUE
RE -INSPECTED OUT S GRANT FINAL PROJECT APPROVAL
Date--� Sign__,
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By order of the Building Official for the
City of 'Edmonds
All Persons Are Ordered to
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Pursuant to Section 202(d) of the Uniform Building Code the Building Official for the
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City of Edmonds hereby orders all work to STOP at the site listed below.
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For the following reason(s): W-%. A
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WARNING
The failure to stop work, or the
Posted this day of
resuming of work without permis-
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concealment of this notice is
unishable by R
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ment.
Building Official
. . . . . . . . . .
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ......................
Pier/Porch .................
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Retaining Wall ...........
Stab Insulation
PLUMBING:
Underground .............
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Final
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HEATING:
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GasTest ....................
Gas Piping ..............
Equipment .................
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EXTERIOR SHEATHING
NAILING ...........
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FRAMING ..................
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FIRST FLOOR FRAMING
INSULATION
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Floor Insulation
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Wall Insulation ...........
Calling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ............... ...........