20060141.pdfDATE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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TELEPHONE
/a PERMIT EXPIRES -L
PERMIT / "-
NUMBER CSC Y7 / /// /C�/ /
ADDRESS /G/ L//�r� / IL I. /!��/Cl/�UTEI PT
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PLAT NAI,IEISUBDIVISION NO. LOT NO. LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ❑
RW Pe,mp Raw.��d
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EXISTING ................. PROPOSED __......... ....__._.. ,.. swenlu Aeµ,,m ❑
SEQUINED DEDICATION ___ FT _� nne,I,e�e ❑
METER SIZE I LINE SIZE NO.OF FIXTURES PRV REQUIRED
YES I] NO ❑
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
RING REVIEWED BY to the required DATE
pressuretrelief valve, an approved
jimieftexpauslun tank ,e JE DATE
installed on all hot water tanks.
t"CENRff GY DATE
Itm
G-Ty t L/
"
-' PROPERTY TAX ACCOUNT PARCELNO.
VARIANCE ORCU
SH)RELINE ORAOep
INSPECTION
REO'D
SEPA
CDMPLETED E%I:IIPT
w/p•`VS 'I% _ (�- 'i U —7 i^,�
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❑YES 0 NO
C�
ZONE
SIGN
AREA
HEIGHT
NEW
RESIDENTIAL
PLUMBING I MECH
13 WAIVER
ALLO PobeP
ALLOWS P-Pa5E0
COMMERCIAL
COMPLIANCE OR
❑ STUDY
ADDITION
CHANGE OF USE
LOTCOVERAGE
REQUIRED SETBACKS (FT i. PROPOSED SETBACKS (FT.)
REMODEL
❑ MIXED USE
MULTIFAMILY
❑ SIGN
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT
UPSIDE REAR
Il REPAIR GRADING CYDS FENCE X FT.)
PARKING
LOTAREA
PLANNING REVIEWED BY
DATE
OTHER
DEMOLISH � TANK �
REDD
' PROVIDED
❑GARAGE DETAINING WALL ❑ FIREALARM RE LEA
❑
REMARKS
Z CARPORT ROCKERY
F OR ACTIVITY) EXPLAIN:
(TYPE OF USE, BUSINESS
ad NUMBER
NUMBER OFDWEL+�,//�•�,,,}}},
/!
o STORIES F
UNITSLING )
TYPE OF,fA�SiA; /M N�
CODE ��
GFEUPANT
A . 0
G'C/GL.
REQUIRED E3 YES
V�V
REMARKS
lJ
GEOTECH REPORT
By.
Gcc� J U rC
STRUCTURALDESIGN
BY
Description
FEE
Description
FEE
LL !
Plan Check
State Surcharge
HEAT UR E LOT SLOPE'. VESTEDDATE
Building Permit
City Surcharge
PLAN Ez N0:
Plumbing
Base Fee
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THIS PERMITAUTHORIZES ONLY THEWORK NOTED, THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
E DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION,
Grading
I PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)161
Engr. Review
Recording Fee
Engr. Inspection
Plan Chili. Deposit
Receipt W
SEESACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
u
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
WASHINGTON, ITS OFFICIALS, EMPLOYEES, NO AGENTS F ANY AND
Fire RBVIeW
Fire Ins ectlon
p
Total Amt. DUB
aEDLMONDS,CLAIM FOR WHATEV. ARISING R IN
NOT LY
FROM TIM
ISSUANC OFTHI PERMITIRECTLY SHALL BE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
ISSUAN E 0 THE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Receipt tt
INLIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Landscape Insp.
L
APPLICATION APPROVAL
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION; THAT THE INFORMATION
OWNER, OR THE DULY AUTHORIZED AGENT OF CALL Th,s apd.,di,dn,s ndI A PI —I untn s19ndd by In,
GIVEN IS CORRECT; AND THAT 1 AM THE
THE OWNEM 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC' OdId,ng OR,—$ dI h,Ld nol Deputy: and Fels are pe . Intl
INSPECTION
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED FOR rdcdb, ,s ,knFMetddd,d stand provided
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'SCOMPENSATION SURANCE AND RCW 19:2T. t425\ OF IALSSIGN TORE - ATE
SIGNAT E(OWNEP D2 ED '771-LOJZI/ZO /G-
�NT
FTEUE,�W eY Date
EXT. 1333
INYTENTION
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, USC109I ISC110I IRC110. PINK .OWNER • GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
i
.k Permit inspection Details
Permit BLD20060141
PERMiTTR14:.
1158 = B Balldigg Final + ; i
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I 03127/2006 - SNOOK 30 APPROVED
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Total Time: 30
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Total Inspections: 1 ,Total Time: 30;
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Page 1 of 1
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
.. SETBACKS ..... .... ' ...
FOUNDATION:
Footing ...........,...
Wall .:. �...:.i.: ..
Pies/Porch .................
' Retaining Wall ...:..:.... t
Slab Insulation .:....:...
PLUMBING:
t
Underground ............:
Rough -In ..........
i - Commercial Final
. HEATING:
jGas Test ..:
Gas Piping
Equipment .................
Commercial Final
EXTERIOR SHEATHING
. NAILING ........................:..
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation ....... "
SHEETROCK NAILING ...
m
SPECIAL INSPECTION