20040244.pdfPERMIT EXPIRES
USE PERMIT
CITY OF EDMONDS ZONE IL N'MBER �()OU-62_q
CONSTRUCTION PERMIT APPLICATION JOB �,CUITEJAPTI
ADDRESS
�RNCINC OIC'11 %IS
PLAT NAMEISUDDIVISION NO. LOT NO. LID NO.
'UNG A"REkjeVi,_L LID FEE
Tes
2 oLl PUBLIC IGHT OF WAY PER OFFICIAL STREET MAP aw CP An --
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JTILEIHONE EXISTING _�,N.POSEO -----
qiloo REQUIRED DEDICATION FT 13
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UA Olt CI
,ME METER SIZE HE SIZE NO� :�;TRES PRV REQUIRED
A't6W4 &.e,,-4 YES E3 NO 13
DRESS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
5k -
'710 JZPHG
w.k 15 L1 7-7-/ ".47/CAnnr'�f At/-' f7g) r1W1011
ADDRESS
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FFIRE REVIEWED BY
IRE RE' IEWED By
CITY
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TELEPHONE
496- 77f5-"1'8q3
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STATE LICENSE NUMBER EXPIRATIONIATE
1&11�11Y
VIFIANCE OR C U
'I'D El
SEPA REVIEW
COMPLETE , EXEMPT
FEXP5(
ALLOY
PROPERTY TAX ACCOUNT PARCEL NO,
00q q44 ow 'Iff 0 1
C] NEW
jrA?.TnON
29�RESIDENTIAL
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PLUMBING I MECH
0 COMIL IOR
'AN'; USE
CHANGE OF
LOT COVERAGE
ALLOWED PROPOSED
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REQUII
Fact
PARKING
OT AREA
rj REMODEL
1:1 MULTIFAMILY
[] SIGN
E] REPAIR
jfl'Zg�L CYOS
rl FENCE
( X_ FTI
0 DEMOLISH
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13 01:HER
':S:�A�IIAQE
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[3 RETAIN" 'NALL
ROOKERY
E] FIR SPRINKLER
FIREALARM
(I'VE OF USE. BUSINESS
OR ACTIVITY) EXP
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F
NUMBER 0,
DWELL .
TICA
AREAS
I OR
-PECIALINSPE ON
_!UNIG11
ST.R E
UNITS
NUMBER
REOUIREOXCTI
YES
DESCRIBE WORK
TO BE DONE & 0
—
DATE
A I INSPECTION 1. BOND
REGO POSTED
E3yEG Ej�o
HEIGHT
)POSED ALLOWED
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�CKS (FT.) PROPOSED SETBACKS (FT.)
aFR0NT,,yjSIDE REAR
ap, �2S .41
40 REVIEW ED BY DATS`�/
or 1,&bWAD
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$
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FEE
Description
FEE
Plan Check
43
State Surcharge
LOT SLOPE
City Surcharge
4 6�� 0 VAACS
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_4k�_
PLAN CHECK NO: fq* I VESTED DATE
Plumbing C!�416
— Base Fee
Mechanical
THIS PERMIT AUTHOBIMS ONLY THE ORK NOTED. THIS PERMIT COVERS WORK 10
1110"EI"P"IEII.P�.1y..L'..C...UCTIC)-..I EPUBLiC
Grading
ISOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WIT REQUIRE
91
SEPARMTEPERMISSIONL
Engr. Re�iew
P P RMITAPPLICATION: 1NDAYS
PERMIT LIMIT. I YEAR -PROVIDED WORK IS STA EDWITHIN180DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
OR SPOUSE,
Fire Review,
71an 77*,..,O.B
-PU-NT' ON BEHAAIF HIS HER HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES To INDEMNII, DEIEND AND HOLD HARMLESS THE CITY 01
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt III x t 6
ALL CLAIMS FOR DAMAGES OfWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
— .
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED To MOOIFYWAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape Insp.
Total And. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
-
Recording Fee
1 Receipt # 2a4T(,
I HERE ACKNOWLEDGE THAT I HAVE READ TH. APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN 19 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
Thi..ppfi,,.` [a net a P.-Il --it Signed by Me
TION; AND IN DOING THE WORK 'A" mZE. THESE.YDNO I FISON WILL BE EMPLOYED
,on , OF THE STATE , WASHINGTON RELATING TO
Ran
FOR INSPECTION
ding Offishnehis/he, Barney: and fees are paid, and
1pl is..kd—I.dgdd in.p.V. re.1d.d.
D
0 Kt IT N AT �Ug.E AND RCW 111,27�
OFVALS SIGNA RE DATE
DATE SIGNED
ROX,
(425)
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�SCJGNA "10,
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771-0220(-f
A
DATE
ATTENTION
Off 1333
VASEIIOYV�CA
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OF OCCU-
on YE INSPECTOR
PANCY HAS BEEN GRANTED. UBC109/18CI10/iRCII0.
. O"FIELE
P�1�-L
R . GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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SITE PLAN
MAY 2 6 2005
BUILDING D.E.pMTMPIIT
KALOKHE ADDITION
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owner:. Pervin & Shashank Kalokhe
Address: 8209 Frederick Place
Michael
Edmonds, WA 98026
A.
George
Tax No.: 005 944 0000 7901
Zone: RS-20
IMPERVIOUS SURFACE CALCS. (structures to roofline;
existing house/drive/walks built in the
1950's)
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Existing house: 2838 sf
BENCH MARK - NORTH RIM SEWER
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Existing patio: 496 sf
MANHOLE LOCATED IN FREDERICK
Existing drive/walks: 1658 sf
PLACE APPROXIMATELY 80'EAST
4:R
OF THE SOUTHEAST PROPERTY
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House addition: 126 sf
CORNER.
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New Detached Garage: 504 sf
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New Drive: 294 sf
ELEVATION = 514.14'
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DATUM IS ASSUMED.
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Lot area: 23322 at
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Total Impervious: 5916 sf (25.4%)
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HEIGHT CALCS. HOUSE
HEIGHT CALCS. GARAGE
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A.1A, P.S.
A = 494.6'
A 499'
RESUB
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(360) 568-1331
B = 490.65'
B 505.5
mm
(360) 568-1930
C = 496.4'
C 500'
MAY 2 6 2005
055
Fas
D = 496
D 501
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Ave Grade: 494.4'
BUILDING DEPARIMENT
Ave Grade: 500.13' CITY OF EDMONDS
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(1)
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Actual: 518.7 6'
Actual: 510.751
Maximum: 519.4'
Maximum: 515.25'
GRADING
House: cut 0 cy
BOTTOM OF NEW FOOTINGS
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fill 0 cy
Minimum 3 feet below grade; will
Detached
notify if deeper footings required.
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garage: cut 15.5 cy
fill 0 cy
Zone o - Corner Fla—g
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Existing Basement: 1500 at
Setback Required Actual
Existing main fir. 1512 sf
Front
New main fir. 350 Sf
Sides 7-0'k-17�" I kn'
New* 2nd fir. 1705 sf
Rear 715
New garage: 47 sf
New garage:
Other
(detached) 336 sf
922
First stmt
Snohomish, WA
9 8 2 9 0
Height Calculation Worksheet
Date ("I
7-!-
Permit R—�urnZb��.&G&,- (D�A
Address C-�C-kdt--P
Inspector fy-N%
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Average Grade 1
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Max Height (25'+Ave.) S,L-9 -4
Actual Reight (A+B'-C) -71
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Elevation of transit above Daturn (B)— 4,91
Datum (�WK c-W Elevation (A) -5
1/temp/building/foriiis/lieiglit worksheet
"li;;ooex
Everett Office
MAYESTESTING ENGINEERS, INC.
917-134th Street SW
Wte A-1
Everett, WA 911204
ph 426.742.9360
fax 425.745. 1737
Tao me Office
MTE No.: E6109
29S.Ta'OmaWay
1000
Project: KALOKHE PROJECT
it. E-2
Tacoma, WA 99499
Address: 8209 Frederick Place, Edmonds, WA
ph 253,584,3720
Permit No.: 2006-0245 (City of Edmonds)
tax 253.SB4.3707
Portland Office
owner: Kalokhe Residence
7911 NE 33rd Drive
SuRe 190
Architect:
Portland, OR 97211
Engineer:
contractor: Brook and Company
ph 503.2813515
tu 503.281.7579
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Page I
Date: 51112106
Weather: Cloudy
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Inspection: Epoxy Grouting
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Sample(s): N/A
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Observed epoxy grouting of Y2" rebar dowels into exis ting concrete for footing extensions and
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new pilasters around perimeter of house and interior b asement wall. All per 10 and 11 on S.2-0.
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Holes were 4" deep, cleaned and filled with Simpson Set.
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To the best of our knowledge, items inspected this da te are in accordance with approved plans
and specifications.
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INSPECTOR: L. M. Pyper
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OEVELO VmtoNDS
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E-MAILED
REVIEWED BY:
Timothy �;)Beclkerle, P.E.
ov. Dan Brook - Brook and Company; Bldg Dept - City of Edmonds
Everett! Office
MAYES TESTING ENGINEERS, INC. 917-134th Street SW
Suite A�'
Ewmn, WA 98204
ph 425.742.9360
MTE No.: E6109 fax 425.745.1737
Project: KALOKHE PROJECT 7' o.— Office
10029 S. Tacoma Way
Address: 8209 Frederick Place, Edmonds, WA Suite E-2
Permit No.: 2006-0245 (City of Edmonds) Tacoma, WA 98499
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ph 253.584,3720
fax 253.584.3707
Owner: Kalokhe Residence
Portland Office
Architect: 791 NE 33rd Drive
Suit'
Engineer: 190
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Contractor: Brook and Company Portland, 08 97211
ph 503.281.7515
Page 2 fax 503,281 .7579
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Date: 717106
Weather: Sunny
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Inspection: Epoxy grout
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Sample(s): N/A
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Observed epoxy grouting of 5/8" threaded rod into existing concrete for all anchor bolts and hold-
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downs in first floor shearwalls. Holes were 7" deep with 3/4" bit, cleaned, and filled with Simpson
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"SET."
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To the best of our knowledge, items inspected this date are in accordance with approved plans
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and specifications.
Pyper
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INSPECTOR: Lisa
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E-MAILED JUL 122006
T,
REVIEWED BY-.,
Tihwthy G. Beckerle, F.F_
cc: Dan Brook —Brook and Company; E31dg Dept —City of Edmonds
Everett office
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MAYESTESTING ENGINEERS, INC. 917-134 h Street SW
Suite A -I
Everett, WA 98204
ph 425.742.9360
fax 425.745A737
To-= Office
September 5, 2006 RECEIVED
10029 3, Tacoma Way
Suite E-2
CEP 9- 7 2006 Taco—, WA 98499
City of Edmonds Building Department ph 253.5843720
DEVELOPMENT SERVICES CTR. lax 253.5B4.3707
121 5th Avenue N CITY OF EDMONDS
Portland Office
Edmonds, WA 98020-3146 7911 NE 33rd Drive
Suite 190
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Po Hand, OR 97211
Attn.: Jeannine Graff r
ph 501281.7515
"x 503 281.7579
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Re: Kalokhe Project FINAL LETTER
8209 Frederick Place Permit # 2006-0245
74 'fi
Edmonds, WA
M I*E Project No. E6109
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Ms. Graf,
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This is to inform you that registered special inspections have been completed for this project as
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per our reports, copies of which have been sent to you.
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Special inspection was provided for:
Epoxy Grouted Anchors
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To the best of our knowledge, all work inspected was either performed in accordance with, or
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corrected to conform to, the city approved drawings, or engineer approved changes.
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We trust that this provides you with the information, which you require. Should you have any
questions give us a call.
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Sincerely,
MAYES TESTING ENGINEERS, INC.
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Timothy G. tWkerle, P.E.
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Branch Manager
Cc: Dan Westbrook — Brook and Company
Pervin & Shashank Kalokhe — Kalokhe Residence
Permit Inspection Details
Permit: BLD20060244
PERMIT-TP,��',�
1001 - E-Eroilon
Orap 0'a
07/21/�006 Hawkins 15 TESC per City aid's
y
Total Time:
Is
101'3'r- E-Stortrijightline
compke!?
:"'y
0712112006 Hawkins 15 oktob/ftightline
y
Total Time:
15
1617.- E;FootInq Draln CoimeCtIon
comptlete?,
Y:
0 1 7/2 - 1/2 1 006 1 Ha.ki ne 15 ok to backfill the tightline connection to drywell.
y
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Total Time:
15
167�,- It-ErIgiridering Final,',—
om le
0
0810iij667 Sib.1 30 OK to Final
y
rg
Total Time:
30
S-'
1106 .e-Set6ack.—�.
orn ete
6�ilkt:I66 MS 20 SETBACKS APPROVED
y
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Total Time:
20
C
IT,
j 1'08, B-Fioa 1 0,
ngs,
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�y
0
80
0 51 15/20 06 MS 20 FOOTINGS APPROVED
y
Total Time:
20
M
F,o;uhda Wall
111(IwB- t ow
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"y
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ID -4
05/1912006 MS 20 FOUNDATION APPROVED
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Total Time:
20
111116��B;S'Ilitollnsulabow,
65
05 1 26 , 120 06 MS -i5 !itXB INSUlkl6N-APPROVED
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Total Time:
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, B ldtftugh�i
-F!um III:
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08104/2006 Me 26' 66RRECTION NOTICE WRITTEN
N
08/24/2006 MS 25 APPROVED
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Total Time:
50
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-GAa.Te - pl�p a
� 6 . � III
P
, I
To
�is
9101/2006 ME 20 GAS TEST AND GAS PIPING APPROVED
y
Total Time:
20
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07/11/2006 MS 20 EXTERIOR SHEATHING APPROVED
y
Total Time:
20
11�6 _Stiear Naltil nIg ,
late
y
;
07/11/2006 MS 20 SHEAR,APPROVED
y
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Total Tftie:
20
11140�-:B-Helght Wrlfidation,:�,
complete?
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0910i/2006 Ms 11 30 HEIGHT APPROVED
y
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Total Time:
30
1142 - B-Framing- ' I I ':. :!, . I I ,
te
omple ?
y
09101/2005 MS 3 0 FRA MING APPROVED
y
Total Time:
30
1144 - B-Wall InsulailonfCatik,
Complete?
oqw/2006 IVIS 20 APPROVED
y
Total Time:
20
1148-F�.C6!lin6lnsulation/Caulk;:::,
6/11200910:10:28AM
Page I of 2
09108/2006 MS
20 APPROVED
Total Time: 20
�64 �9;,
.,a
30 SR APPROVED -DEN ON MAIN FLOOR MUST HAVE COMPLYING EGRESS'WINDOWS
OR PERMANENT SHELVING IN CLOSET AREA AT FINAL INSPECTION-JR
Total Time: 30
ng,,,",
_tit,
02/23/2OG7 Snook
30
Total Tim.: 30
1210112006 Resd,(,�
30 INSPECTED AND APPROVED
Total Time: 30
Total Inspections: 20 Total Time: 450
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6/11200910:10:28AM
Page 2 of 2
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACK$ .....................
FOUNDATION:
VO
Footing ....................
WS
Wall ..........................
Pier/Porch ..............
Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
Underground .............
R!�u -In �.
e0twifiercia
OtWmarea
HEATING:
Gas Test
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
Q--7
OCCUPANCY ............
V&,nizf C