20060138.pdfDATE AECOV:�
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
ED NAMEINAME C/USINI�S
I NG ADORE S
?02' S / /'�k P J_
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4� PERMIT EXPIRES
PERMIT
N MBER
JOB 5��2
ADDRESS
PLAT NAMEISUBDIIISION NO LOT 10 111100
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
E�IST NG PROPOSED
REQUIRED DEDCAI ON __ FT
MEIER SIZE I LINE SIZE NO, 01 1111UIIES Pw REOUI11D
YES 13 No 13
REMARKS
OWNE'RICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJORAINAGE
an approved
installed on all hot water tanks.
ONE
0
TELEPH
ILI
17 7t/(--W 2�0
PROPERTY UNIT PAID L NO
-7.5'-rD
VARIA"CiEORCU
SHOFEE—LIKE—ORAD61
I 1191EITION
REGO
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1�ISTS
no <�� —2- Ce, 00
13 YES 13 NO
ZONE BIG AREA HEIGHT
0 NEW
� RESIDENTIAL
PLUMBING � MECH
FWAI�Ell
CAEN P..P--
I ALL .
FPOPBSED
13 ADDITION
COMM RCIAL
COMPLIANCE OR
13 STUDY
I
ROPO
Kai
rj MIXED USE
CHANGE OF USE
LOTGOVERAGE
ALLOWED PROPOSED
RE UIRED SET ACK IFTI
FRONT SIDE SEAS
I
FRONT LJ8SiDE REAR
REMODEL
MULTIFAMILY
SIGN
REPAIR GRADING EINCE
DYES 13 X FT.)
PARKING
UOTAREA
PLANNINO IEVIEWT— DATE
—7—
El DEMOLISH 0 TANK 0 OTHE
REDID I PROVIDED
I
ri GARAGE o RETAINING WALL o F ESPRINKLER
C Fill
ARPORT PUCKERY REAILARM
REMARKS
N MBER OF
0 ELLING
UNITS
REQUIRED 13 YES
0 CUPANT
GROUP
ey
VALUATION
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N
Description
FEE
Description
FEE
HEAT SOURCE# I LOTSLOPE-� t -GTE. DATE
Plan Check
State Surcharge
City Surcharge
J6-
PLAN CHECK NO:
Building Permit
Plumbing
Base Fee
THI PERMIT AUTHORaES ONLY THEWORK NOTED. THISPIER COVER WORKTO,
S MIT ON S P
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION THE UBLIC
Mechanical
DOMAIN JCURSS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
En9r. Review
Recording Fee
PERMIT LIMIT: SEE ECDC 19.00.006(A)(6i
Plan Chk. Deposit
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Emir. Inspection
-APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIR% ASSIGNS AND SUCCESSORS
u
, IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY
E EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT
DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY 0 ROMANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
OF
Fire ReView
Receipt 0
BE Fire Inspection
Total Amt. Due
------------------
Landscapainsp
Receipt III
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCATION� THAT THE INFORMATION
GIVSN IS CORRECT' No THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
IRON;ANDIN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPEN 10 INSURANCE AND RCW 18:27.
CALL
FOR INSPECTION
(425)
APPLICATION APPROVAL
TII,A .,pIr.. - A p,,1 II A, IP-
SuIld1r, O"11I_' �'r'hll IPIVY — _rfe
'p— P—B.
DATI
HINA (OWNE OR
771-0220
ELEASED By
EXT. 1333
WFT-i-N-TION
IT IS UNLAWFUL TO USE OR OICIUP��BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC11O1 IRC110.
ORIGINAL - FILE - YELLOW -INSPECTOR
PINK � OWNER - GOLD � ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060138
PERMITTIZAN,
.. .. ....
05/li��006 MS 20 CORRECTION NOTICE WRITTEN
IN
0611412006 MS 20 FINALAPPROVED
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Total Tim: 40
Total Inspections: 2
Total Time: 40
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Page I of 1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing
Wall ..........
Pler/Porch
Retaining Wall ...........
Stab 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
nr('11PANCY ...............
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