20060110.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMNNAME OF71 ESS
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MAILINGADDRESS
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CITY ZIP TELEPHONE
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NAME
CITY
STATE LICENSE NUMBER EXPIRATION DATE
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4343-S-i < -7107- C,0`00
NEW
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[PERMIT
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PERMIT
NUMBER (F)h-LIZO
�08` SUITEIAPTP
ADDRESS
PLAT NAMEISUBDIVISION NO,
LOT 00
LID 00
LID FEE S
PUBLIC RIGHT OF WAY PER OFFIC14L STREET MAP
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EXISTING PROPOSED
REQUIRED DEDICATION _FT
METER SIZE 1111111
VREOUIRED
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REMARKS
OWNE�CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRANAGE
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AL—c. PROPOS50 I
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LOT COVERAGE
REQUIRE SETBACK JFT,) PROPO ED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT
SIDE REAR
FRONT UPSIDE REAR
PARKING
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TYPE OWUCTtON
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NUMBER
OST'ORIES
05
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SPECIAL INSPECTION
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REQUIRED 13 YES
DE24I1E'1CW LINE A �o
REMARKS
GEO.C. REPORT
BY.
STRUCTURAL DESIGN
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VALUATION
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ffiDescr'pflonFEE
Description
FEE
Check
State Surcharge
'%oPlan
HEATSOURCE LOT SLOP VESTED DATE
Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY HE WORK N0340. THIS PERMIT COVERS WORK TO
Grading
13E DONE ON PRIVATE PROPERTY ONLY� ANY CONSTRUCTION ON THE PUBIC
CONMAIN (CURB% SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. ReView
PERMIT APPLICATION: SEE ECDC 19BBIXIS(Aks,
Eng, Inspection
D., in
[Fire
?-7717,—
PERMIT L MIT. SEE ECDC I9.00.005MU(S)
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT, ON BEHAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire R.Vie�
G
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS T E CITY OF
AND
F EDM NOS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY
0
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Inspection
�5`7)119-0
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL "Or G �E
Lan�dscapelnsp.
�Recording
Total Amt. Due e"'
//,<
DEEMED TO MODIFY, WAIVE OR REDU E ANY REQUIREMENT OF ANY C TY ONDINAN
NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVJSION�'
Fee
Receipt # '%/�:j
IHERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN 15 CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
Thl, apaboat'01 �' lot a PlIalt 11 stgama By Im
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSYRUC�
CALL
So'Idirg Offic,al or HaAmr D,p,ty ad F am pam. and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CODE OF THE STATE OF WASHINGTON RELATING TO
mollpa a acknowl,dpam a,moe proded,
FOR INSPECTION
IN VIOLATION OF THE LABOR
WORKMEN'S COMPENSATIO AND RCW 18:27.
S DATE
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771-0220
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ATTENTION
EXT. 1333
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ITISUNLAWFULTOUSEOROCCUPYA BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN ADE AND APPROVAL OR A CERTI-
ORIGIN-,
FICATE OF OCCUPANCY HAS SEEN GRANTED. UBC109 I IBC110 I IRC110.
PINK - OWNER GOLD - ASSESSOR
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Permit Inspection Details
Permit: BLD20060110
PERMITTP.AX
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0110812007 SMITH 20 APPROVED
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Total Time: 20
Total Inspections:
i Total Time: 20
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61112009 10:29:02 AM
Page I of I
'7777�7
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ..............
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
z
Retaining Wall ...........
Stab Insulation
PLUMBING:
Underground .............
3:
0 M
Rough -in ...................
IT
Commercial Final
C
HEATING:
A T
GasTest ...................
z
Gas Piping .................
x
Equipment .................
0 -n
Commercial Final
-4
Z
ITI ITI
EXTERIOR SHEATHING
f—
NAILING ..........................
0
0
FRAMING ...............
C
C fi)
Q 0
FIRST FLOOR FRAMING
Z r-
INSULATION ...................
;a
-4
Floor Insulation
z
Wall Insulation ...........
Ceiling Insulation
z
SHEETROCK NAILING
SPECIAL INSPECTION
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
Z
OCCUPANCY ...............
1 .7