20060156.pdfAIE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMONAME OF BUSINESS
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MAILING ADDRESS
ZIP I TELEPHONE
NAME CBLI
ADDRESS
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CITY TILEPHO I
STATE LICENSE NUMBER EXPIHA!jUN 9ATE I
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PERMIT EXPIRES
NUMBER
ADDRESS
PLAJ NALIE2SUBDIVISION NO
FLOT _10
LID No
LID FEE S
PUBLIC RIGHT OF
WAI PER OFFICIAL STREET MAP
F.—
ETING I
PROPOSED
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REQUIRED DEDICAI
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METER SIZE
LINE S111
NO 01 IIXTIREI
PR' REQUIRED
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ISE E3 NO 13
REMARKS
owNERDo TRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
113 YES 13 No
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NEW E.I.ENTIAL. P UMBfNG LIEC.
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PROPOSED SETBACKS I I
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FRONT LIRSIDE A
0 ADDITION 0
E] LIVED... CHANGE OF USE
F1 REMODEL 0 1ULNIAN11 SIGN
#PLANNING
0 REPAIR 0 GRADING CYCS 0 FENCE
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PARKING
UOTAREA
L REVIEWED BY DATE
DEMOLISH TANK 0 OTHER
REQLO PROVIDED
GARAGE RETAINING WALL o F RE SPRINKLER
CARPORT 0 ROCKERY FIRE ALARM
REMARKS
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BUSINESS OR Aci iviry) -PLAI
V (TYPE OF USE.
NUMBER
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ly's 75NTBU,
OCCUPANT
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REQUIRED YES
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addifinn fn th,-. required
suretrelief valvelan,,approved
Iffifed expansion tank shall be
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on all hot water tanks.
Descripti
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Plan Check
State Surcharge
REA S
RPLAA
CHECK NO:
Building Permit
City Surcharge
-_
A�
Plumbing
� 131
Base Fee
I
TH S PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Mechanical
,
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
I SEPARATE PERMISSION.
Grading
i —
PERMIT APP ]CATION: SEE CCOC 19.00,005(A)(5)
—
7;g, Review
—
Recording Fee
PERMIT LIMIT, SEE ECDC, 1a0a0QS(A)ru
Engn Inspection
Plan Chk, Deposit
Be BACK OF PINK PERMIT FOR MORE INFORMATION
S SCS B
'APPLICANT, ON BEHALF OF His OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSO S
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OFWHATCVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE 0 THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CtTY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION'
Fife Review
Receipt It
Fire Inspection
Total Amt. Due
Landscapeinsp.
Receipt N
I HEREBY AD NOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CO RECT. AND THAT I AM 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 THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RDW 18;27
CALL
FOR INSPECTION
(425)
771-0220
EXT. 1333
APPLICATION APPROVAL
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OF C LS SIGN TUBE DATE
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.ATE S IGNE.
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IEIEA�EIBIAY
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 - IRSIECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBCI10 I IRC11O- PINK -OWNER GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060156
RERMITTi;�;,X
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031=2006 SNOOK 35 APPROVED
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Total Time: 35
Total Inspections: 1
Tot.] Tim.: 35
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7/912009 9:54:33 AM
Page I of I
777777�
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
z
wait ...............
Pier/Porch .................
0
Retaining Wall ...........
Slab Insulation
--j
0
PLUMBING:
IT
C
M 0
Underground
0
.............
Rough -in ...................
C
--I C
= IT
IT Z
Commercial Final
C
HEATING:
>
Gas Test ..........
0)
0
Gas Piping ..........
-n ;0
>
C 9
Equipment .................
M M
0
Commercial Final
0
0 M
EXTERIOR SHEATHING
C= rj)
9 C/)
NAILING ..........................
M 0
FRAMING ..............
z
7*1
;13
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
3:
Wall Insulation ...........
z
0,
Ceiling Insulation
0
SHEETROCK NAILING
IT
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
3- -7
OCCUPANCY ...............