20060048.pdfDATE RECEIVED
CITY OF EDMON DS __77:
CONSTRUCTION PERMIT APPLICATION A
N N NAME OF BUSII E$S
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ED
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NAME
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S rATE LICENSE NUMBE
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PROPERT��ACCOUNVCELND�
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ADDITION E] COMMERCIAL C MPLIANCE OR
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PLjAN CHECK NO:
PERMIT CoV-`SWOR.T.
Tin PERMRAUTHORLZES ONLY THE WORK NOTED. THIS PERMITCOVERS WORK TO
R..T'oN ON '.a PUBLIC
t: BE DO E ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
g Do ES. SOL,..
MAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
:I SE
I. PARATE PERMISSION.
'UISD TosA"�,
PERMIT APPLICATION: SEE ECDC 19.0.005(A)(S)
,oRT.T`t'T-E
T PERMIT LIMIT', SEE ECDC 19.00.005(A)(6)
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HI OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO,INDEMNIFY, OEIERD AND HOLD HARMLESS THE CITY OF
EDMONDS . WASHINGTON, TS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FA M THE ISSUANCE OF THIS PERMIt ISSUANCE OF THIS PERMIT SHALL NOT E
o
DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY OADMANCE PROVISION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I A THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING T E WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF TH LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
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LID NO.
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JBILIC RIGHT OF WAY PER OFFICIAL STREET MAP
IISTIDG PROPOSED
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NO, OF FIXTURES
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ES 13 NOM
WNERICONTRACTOR RESPONSIBLE FOR EF30SION CONTROUDRAINAGE
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OBSERVED BY CITY INSPECTOR
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FEE
Description
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�Ian Check
State Surcharge
3uilding Permit
City Surcharge
�Iumbing
Base Fee
Mechanical
3,Edmg
Engr. Review
Recording Fee
Engr, Inspection
Plan Chk. Deposit
Fire Review
Receipt Ir
Fire Inspection
Total Amt. Due
Landscapelnsp.
Recept #
APPLICATI N APPROVAL
TP-1-11
CALL
TP1IK,11 1. �' Ag— �, -
FOR INSPECTION
D'I"I P" 'rV
(425)
A IRE
771-022
EXT. 1333
KrTlENTION "f
IT IS UNLAWFUL TO USE OR 066UPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL FILE - YELLO INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1 09 / IBC11 0 / IRC110, PINK -OWNER - GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060048
RIERMITTmAx
02/1612006 MS ii'4PPROVED
y
Total Time: 25
dl"ifilma
'�S
6/16/2006 15 APPROVED
y
Total Time: is
Total Inspections:
2 Total Time: 40
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7/21200911:39:18AM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ....................
FOUNDATION:
Footing . .....................
Wall ..........................
Pier/Porch .............
Retaining Wall
z
0
Slab Insulation
0
PLUMBING:
Underground
Rough
IT!
-In ............... ...
C:
Commercial Final
rn
0
0
C
HEATING:
--I C
x
Gas Test
(0 -u4'
ITI
ITI z
....................
Gas Piping
C
.. ..........
Equipment .................
co
Commercial Final
0 -n
"n
—4
EXTERIOR SHEATHING
3:
M M
NAILING .....................
0 V—)
FRAMING ........................
0
0
a
FIRST FLOOR FRAMING_
C
Q 0
INSULATION ...................
Z
Floor Insulation
Wall Insulation ..........
z
Calling Insulation
SHEETROCK NAILING
z
SPECIAL INSPECTION
M
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................