20060046.pdfCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAI.IE;N.M1 01 O.S.111-SS
Serhane, Tesfaghaber
MAILING ADDRESS
8120 200 St SW
CITY ZIP 111111101,11
Edmonds 98026 425-778-8059
NAME
Past Water Hea
,iTY zip ELEPH NE
Kirkland 9 80 34 421-814-1194—
'TATE LICENSE NUMBER EXPIRATION DATE
FASTWWH948EC 1-3- 0 8 CHEC�EDBY
PROPERTY TAX ACCOUNT PARCEL NO,
00431200(02401 ---
NEW RESIDENTIAL 1 [3 PLUMBING I MECH
COMMERCIAL COMPLIANCE OR
0 ADDITION 0 MIXED USE 0 CHANGE OF USE
0 REMODEL 0 MULTIFAMILY 0 SIGN
0 REPAIR 0 GRADING Y., 0 (U" x FT.)
0 DEMOLISH 0 TANK o OTHER
oGARAGE 0 RETAINING WALL 0 FIRE SPRINKLER
CARPORT ROCKERY FIREALARM
(TYPE OF USE78USINESS C,
,�;FIVuYaPLAIN
N ..ER
OF
STORIES
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:ep I ce gas water heater in
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PERMIT EXPIRES _._LVj:b_jU_UL
PERMIT
NUMBER
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8120 200 St SW
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIDIIAINAGE r
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Description
FEE Description FEE
LOT SLOPE-.
HEAT SOUR—C—E —_ VESTED DATE
Plan Check
State Surcharge
_A T
Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
Base Fee
L
THIS PERMITAUTHORRES ONLY THEWORK NOTED. THIS PERMIT COVERSWORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. AN CONSTRUCTION ON THE PUBLIC
s DOMAIN (CUR SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
3= SEPARATE PEAMStSION.
Grading
PERMIT APPLICATION: SEE BODO 19.00.005(A)Mt
PERMIT LIMIT; SEE ECDC IS00.005(A )(6)
Engr. Review
Recording Fee
Plan Chk. Deposit
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engn Inspection
ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESSORS
I
;APPLICANT,
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Receipt 4
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Total Amt. Due
A OF WHATEVER NATURE. ARISING DIRECTLY 08 INDIA CTLY
LL CLAIMS FOR DAMAGES Fire Inspection
SHALL NOT BE
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT
M DEEMED 0 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
T
Receipt N
I
. N LandscapelBsp.
x OR LIMIT IN ANY WAY THE CITY'$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION'.
APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
OR THE DULY AUTHORIZED AGENT "
CALL
TrIp,hA - A 11119— PY IP-
GIVEN IS CORR AND THAT I AM THE OWNER,
'CT' E AUC_
THE OWNER. I AD E TO COMPLY WITH CITY AND STATE LAWS REGULATING CONST
FOR INSPECTION
S,Ld,ng Oir-I ., h,V D.p.i, -d I— --
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
0111pt Is alknowledg,d,n sp,ce plov,dld
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN S CO�PENOSRATION RANCE AND RCW 18:27.
(425)
1
0 A
SIGNATURE (CIA NE� DATE SIGNED
771-0220
WIGURE
1-17-06
111. E
- .
i EXT. 1333
ATTE NTI ON
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI.
ORIGINAL - FILE - YELLOW INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC1*10 I IRC110.
PINK -OWNER - GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
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Permit: BLD20060046
PERMITTRAX
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0212312006 25 CORRECTION NOTICE WRITTEN N
0710512006 MS 15 FINALAPPROVED y
Total Time: 40
Total Inspections: 2 Total Time: 40
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718/2009 8:42:52 AM go I oil
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ....................
FOUNDATION:
Footing .....................
Wall ...............
Pier/Porch .............
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 FOR
OCCUPANCY ..................
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