20050350.pdfDATE RECEIVED
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CITY OF EDMONDS NUMBER
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FEE Description FEE
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HEAT SOURCE LOTSLOPE% VESTED DATE Building Permit City Surcharge
PLAN CHECK NO* D Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
cc PERMIT APPLICATION: SEE ECDC 19,00.005(A)(5)
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PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) *APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
V) —
U) IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF -7
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
0:
.1 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Anil. Due L
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION., '71'
Recording Fee Receipt # /47
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 This application is not a perinit until Signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Official or histher Deputy and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED receipt is acknowledged in space provided
IN VIOLATION OF THE L�15 A CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENS IN! IN RANCE AND RCW 18:27. FFICIALS SIG URE DATE
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ATTENTION EXT. 1333
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IT IS UNLAWFUL TO USE OP�ODUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL ,El� YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 i IRC110. PINK -OWNER GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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MAXIMUM ALLOWED BY ENGINEERING
Date:
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3/15/2005 tz-Dlct plan
Scale: Sheet No.
1 ll 3a02O
=20' -B525 235th Place- 5W, Eclmond5, WA c
eric
ARCHITECT 1034 NE 71st St., Seattle, WA 98115-1206.527.4928 edc(
FINAL l."ROJECT APPROVAL 1?01kM
TO:
DATE:
MFMOTO: PERMIT COORDINA7roR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PIXASF SIGN
A /?Jg -ERfNG DIVISION DATE
ENGINE
-PLEASE SiGN
PLANNING DIVISION DATE
rLCASr SIGN
PROYECT
SITE ADDRESS gee..2 9 ,2 30
PERMIT DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED (np�11� 7—
A field inspection was conducted to determine compliance with -approved plans. F inal app loval
-above signed Department to tile r lease of
denotes that there. are no objections from the e
PERF, ORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/coiltracto.r by in.s.pector
FAILED FINAL INSPECTION - OUTSTAN'DING ISSUES
0 Copy of CORRECTION NOTICE given to owncr/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING I*SSUES - GRANT FINAL PROJECTAPPROVAI,
bate Signature
I:teiiii):bldg:[*oriiis:oc,il)rvI 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
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SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch ............... I
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
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 FCrR
L L9
,.(7CMFANCY . ..................
6 350
The Initials MT are Milton
Th011ipson, a temporary contract
illspector fbi* the CitY.
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